“The cost to the family and the larger society can be used as one measure of the effectiveness of current and future treatments” (Perkins et al.). It is said that the estimate of the annual cost of a pediatric stroke hospitalization in the United States is about $42 million, however, this amount decreases in comparison with adult stroke. Either way you see it pediatric stroke is still very expensive, because from those children that survive stroke maybe about 50% to 80% will have permanent neurological damage such as hemiparesis
These were almost 19,000 patients who suffered a heart attack or serious chest pain the previous year that they had to be hospitalized. Even if they had maximum statin use, all of the patients had LDL over 70. Praulent was given to half of the patients and to the other half, placebo. It started at a lower dose and increased if the LDL of the patient did not go down below
Working in a renal/urology medical-surgical unit, it is a challenge for both the nursing staff and nursing administration to have readmissions due to fluid and electrolyte imbalance from patients with ESRD and CHF. In my own experience, patients who have been in and out of the hospital for the past six months to a year are at a higher risk of acquiring nosocomial infections resulting in a weaker immune system to an already compromised one, as well as longer hospital stay. Readmissions from these patients pose as a physical, emotional and financial strain to both patients and/or their families. Additionally, readmissions within 30 days for patients with CHF poses as an additional cost for hospitals as there is reduced Medicare payments for Inpatient
A hemorrhagic stroke is caused when an artery is ruptured or leaks blood in the brain (National Center for Chronic Disease Prevention and Health Promotion, Division for Heart Disease and Stroke Prevention, Types of Stroke (2013). Another form of strokes are Transient Ischemic Attacks (TIAs) often referred to as “mini strokes” (AHA/ASA, 2012). These are often warning signs that a stroke could occur if an individual’s lifestyle or risk factors are not modified. During a TIA, there is a temporary decrease in blood supply to the brain; symptoms usually last less than 24 hours before disappearing (NSA, 2012). Epidemiology Fifteen million people suffer stroke worldwide each year (World Health Report, 2002).
Peer reviewed articles and studies will be challenged on the many positive outcomes of discharge teaching in patients with CHF. Key components required for patient with CHF self-management include following diet, activity, medication management, weight monitoring, signs and symptoms recognition for a worsening problem and follow up care. These self-management key components if managed appropriately by patients with CHF will improve clinical outcomes, reduce admissions and save hospitals costs (Todd M. Koelling,
A medication is considered a blessing when it is prescribed, dispensed and administered correctly, however medication errors are encountered everyday all over the world regardless of the best efforts (1). Medication error is a potential cause of morbidity and mortality of hospitalized patients as reported by the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP), which showed that approximately 0.1 million people die annually from medical errors that occur in hospitals and the resulting death toll/year due to medication errors is higher than that of work place injuries (2). Furthermore, it was estimated that hospitalized patients are subjected to expensive and sometimes harmful medication error during their
There are many patient safety concerns in today’s healthcare system. One that is not on the forefront, but is still a prevalent and concerning issue, is lack of infection control in outpatient or ambulatory settings. Since there has been a large transition of care from the hospital setting to an ambulatory setting, there is a necessity to improve infection control secondary to patient notifications and outbreaks within the past years1. Ambulatory settings include all outpatient clinics. An example is an ambulatory surgical center ASC), which increased in numbers by 50% from 2001 to 20082.
209 [114th] I am writing you to ask that you help pass the new bill. The cruel disease Cystic Fibrosis (a life-threatening, genetic disease that causes persistent lung infections and progressively limits the ability to breathe) effects about 30,000 people living with Cystic Fibrosis (70,000 worldwide), approximately 1,000 new cases of Cystic Fibrosis are diagnosed each year. In the past two years I have met
In order to categorize the priority of a patient’s necessities, the VA has implemented a series of tiers that rank veterans into groups in order to classify their severity of need (“Removing Barriers to Mental Health Services for Veterans”). Typically, those that are experiencing mental health concerns will be ranked in the bottom two tiers, leaving them stranded without care for months at a time. Within the VA in the last year, there was currently upwards of 500,000 appointments that were waitlisted with delays totaling longer than 30 days (Griffin, Drew, Nelli Black, Scott Bronstein, and Curt Devine). Although there is currently an influx of patients seeking treatment at VA health clinics, the number of patients being waitlisted throughout the past year has augmented up to fifty percent, meaning those that are pursuing mental health care through military benefactors can end up waiting up to six months without treatment. Statistically proven, the rates of mental and emotional suffering experienced by American veterans is excessively high, meaning that the obstructions to care for them after reentering the civilian world puts them in a further
Taking a medication or medications everyday of one’s life is not always an easy task. According to Benjamin (2012), “Seventy-five percent of Americans have trouble taking their medicine as directed” (p.2). Lack of adherence can cause a person their health as well as the health care system billions of dollars. An approximation of 125,000 deaths a year in the United States (U.S.) is due to medication non adherence (p.2). Benjamin (2012) stated, “nearly half of all the Americans-133million-people suffer from at least one ongoing or chronic health condition” (p.2) Therefore, it is important to help and prevent non adherence with medication for patients.