• The readings this week address the issues of introducing trauma informed care principles into the screening (experienced by every client in every service area) and inpatient settings. 1) Please discuss how trauma informed principals can change these settings for the better and provide examples from your experience as to either how TIC principals work or about situations where they might improve the setting and treatment. Trauma informed principals can change the way screening is done in an inpatient setting by many professionals integrating trauma principals into their practice. Awareness of how traumatic experiences are for many individuals and in findings that many of the individual carry unrecognized trauma. Many clinicians that are prepared
Franzini L et al 2011 Providing specialized rehabilitative care to ICU patients during their recovery period. Presenting an attentive care to the dying and their families and alleviate the patients’ suffering during their final hours. All these includes the availability of services at the proper time, with well-trained operators using a well-designed ICU including portable X-rays ,laboratory, ultrasound, ECG, ABG analyzer, Echocardiography, bronchoscope at emergency situations, night time pharmacy and clinical pharmacists. Haerkens M et al 2012 ICU telemedicine [tele-ICU] ICU staffing by intensivists has been associated with lower morbidity and mortality that’s why experts recommend that intensivists care for ICU patients. Tele ICU technology allows intensivists to remotely care for patients in several ICUs.
They coordinate care across entire patient populations; working also with multi-disciplinary health care team across the care-continuum and helping organizations reduce length of stay and readmissions (Rebecca Hendren, 2009). PERSONAL CONTEXT: For me as a person, patient’s safety and care is an aspect of nursing responsibility that I hold in a high esteem. Each time a patient is entrusted to my keeping, the first thing that comes to do to ensure that quality care is rendered to their patient and also that their safety is guaranteed while nursing the patient. I usually ask my patient questions about their concerns and fears about their health status, this will help me to identify potential situations that can enlarger the patient’s safety and care during hospitalization, then work in collaboration with the health care team to eliminate these unforeseen situations and improve my patients health. I also implore the use of effective communication skills among my patients and colleague in other to achieve patient’s optimal health outcome which promote my patients care.
Falls are a considerable burden on patients, nurses, and hospitals. Preventing falls from happening should be a priority in healthcare organizations. While the risk of falling cannot be eliminated, it can be significantly reduced through the implementation of effective fall prevention programme (Oliver et al., 1997, Close et al., 1999). Such programme is to assess the fall-risk of patient during hospitalization as assessment enables appropriate preventive strategies to be implemented by using fall-risk assessment tool. However, there is few assessment tools have been subjected to extensive evaluation.
Practice fusion could be good for the medical offices and hospitals. Practice fusion allows the medical practice to do so much with patient care. One item I find good is to input patient photo with the name. This would decrease patient error but the downfall would be if patients are willing to have their photo attached to the medical record. On the other hand, long term facilities like nursing homes and assisted living communities would not benefit from it.
During one of my early shifts, with the help of my preceptor, I recognized a neurological change in the status of my patient. He had increased confusion and a slowed pupillary reflex. This change caused us to call the intensivists and order a stat head CT to check for bleeding in the brain. While there was no new bleeds identified following this CT, this experience taught me just how important it is to have a solid baseline assessment of a patient and how important it is to re-preform specific assessments based on a patients condition. According to a study by Rothman, Solinger, Rothman, and Finlay (2012), nursing assessments can act as a longitudinal source for quickly identifying indicators of a clinical problem a patient may encounter.
Inpatient care is a type of care that requires a hospital stay while ambulatory care, or also known as outpatient care, is a service that can be treated outside of the hospital setting that does not require an overnight stay (Shi &Singh, 2013). Our society has been leaning more towards the ambulatory service lately because it is more cost effective to the hospital and the patients. Both inpatient and ambulatory care have different scopes of services. As stated previously, inpatient care is a service that
Introduction: Epilepsy is a common chronic neurological disease that the use of self-management strategies is essential to increase patient safety and quality of life. The aim of this study Identify the features and capabilities of epilepsy self-management application from Perspectives of Patient and physicians. Methods: In this cross-sectional study, the perspective of 100 patients with epilepsy who were members of the Iranian Epilepsy Society and 15 physicians who were member or colleagues of the Iranian Epilepsy Society were studied by using the questionnaire about training needs, essential data elements and features of the application. The data were analyzed by the use of descriptive statistics (mean and standard deviation) and Kruskal-Wallis
The major objective of this research project was to assist the telephone operator in the decision making process to the problem of identifying the appropriate level of urgency and type of health care required in requests on the initial emergency call center. This problem, which is usually referred to as the prehospital telephone triage process, is enormously important in terms of maximizing the critically injured patient's chances for survival. There are several triage systems worldwide used, (e.g., Australasian Triage Scale (ATS), the Canadian Triage and Acuity Scale (CTAS), the Manchester Triage Scale (MTS), the Emergency Severity Index (ESI) and others). All of these triage procedure yields rapid, reproducible, and clinically relevant stratification of patients into groups, from the most urgent to the least urgent level. Triage decisions are often made with limited objective
● Ideally, your surgical expert has, or had, hospital privileges where the incident in your case occurred. This helps you make a more accurate comparison about the treatment that took place there. ● The best surgical experts act as impartial educators, giving differing viewpoints as needed. Their testimony will not favor any party in the case, rather, it will be a truthful explanation of the circumstances surrounding the incident regardless of the surgeon's personal opinions. ● Ideally, your surgical expert demonstrates relevant continuing education specific to the circumstances of the case.