Importance of vascular access for cost containment Multiple studies have shown that a fistula is the best on most cost-effective vascular access, followed by a graft, and that having a catheter as hemodialysis access is by far the worst, having not only the highest initial cost, but also the highest re-admission rates for serious events such as catheter-related bacteremias, which in most cases have to be born by the hospital system given that a large number of patients are uninsured or underinsured. 70% of all patients starting hemodialysis at Jackson Memorial Hospital do so with the worst possible access, namely a tunneled venous catheter. Barriers for decreasing the number of catheter-dependent hemodialysis patients Currently, there
The overall goal is for the client to return to pre-hospital living condition in an improved state of wellness. The theory of self-efficacy is based on the belief that what people think, believe, and feel affects how they behave. So, if the patient is taught to believe that they can take care of themselves and actually practice how to do it will help in maintaining good health. Nursing diagnosis: Anxiety and fear related to new diagnosis, lack of understanding of medical condition and disease process. The patient needs to understand his new medical condition in order to gain understanding of the disease process, signs and symptoms, complications, medication regimen, follow-up appointment as well as the benefits of physical activity, diet and weight control.
This can alleviate their stress about tests that might involve threatening diseases. Having all medications labeled in containers will reduce medication errors for patients. This will help health care providers to see what is in each container, syringe and vial at all times. This goal is a crucial one in keeping medication errors to a minimum (The Joint commission, 2011). A vital area need for infection control is ensuring hand hygiene guidelines are strictly followed.
OUTLINE GENERAL PURPOSE:To inform SPECIFIC PURPOSE:To educate the audience about prescription errors. CENTRAL IDEA:To describe different ways to reduce the number of prescription errors. INTRODUCTIONAccording to the CDC1, from 2005-2008, 48% of people surveyed reported “using at least one prescription drup in the past month”. A. Dr. office visits – 74% involve drug therapy (2.3 billion medications) B. Hospital ER visits – 78% involve drug therapy (238.3 million medications) C. uspharmacist.com - “An investigation by a Boston newspaper of 51 Massachusetts pharmacies in 1999 revealed that 4% of prescriptions dispensed by community pharmacists contained errors; 88% of these involved the wrong drug or strength.” 2 MAJOR POINTS A.
hs CRP levels were estimated. Results: H. pylori was confirmed in 80 (66.7%) of total 120 patients and controls by histology (gold method for diagnosis) and 80 (66.7%) by rapid urease test while 75 (62.5%) was detected by serology. There was no significant difference in age, sex or coronary artery risk factors between the two groups, but the prevalence of infectivity for H. pylori was higher in patients compared to controls (47{78.3%} versus 33 {55%} P 15 AU/ml (for adult patients) · NON IMMUNE (negative): when the anti-H. pylori IgG concentration is < 5 AU/ml · DOUBTFUL: if the result is between the two values. In this case it is advisable
The 40 minor adverse events including nausea, dizziness, heavy sweating, vomit, headache, tired, minor bleeding increase in pain for a short time. In addition, there are no major adverse events at all. This count as only less than one percent of the accidents occurs during and after acupuncture treatments. Furthermore, according to the interview of Dr. Jaroon Jittiwuttikan, the acupuncturist who have more than 10 years experience there were no fatal side effects before. There were no records of people die from doing acupuncture either.
In the hospital ward scenario where there was a patient suffering from dementia, my first recommendation was that cleaners should be trained regularly on how to clean dirty cups properly and should be ensured the consequences for the patients if this was not done properly. I recommended this because if cleaners are trained regularly and reminded on how to clean cutlery properly, and were ensured that this should be done as regular as possible. This recommendation could be referred to the Health and Safety at Work Act (1974) because this act includes safe training for the employees, in this case the cleaners. It includes high standards of hygiene which fits into this recommendation because the training involves ensuring how to clean dirty cups properly. (www.legislations.gov.uk, Accessed 04/10/13).
We have to prioritize the treatment for the patient according to his or her condition. When we work under the hospital’s policies and protocols, it helps health care personnel to stay within their professional boundary and prevent from potential risks. During patient care; after we obtain information about critical situations, which we have to respond to it very quickly, and cautiously. Every second is important for the best outcome of the patient during critical situations. Sometimes, it is very difficult to deal with some situations, but we can always get help, support, and guidance from our coworkers and superior health people.
Increasing patient safety can be best used as a form of intervention by leaders with teamwork and the modification of behavior instead of using a particular process combined with technology. (Weaver, March 2013) Decreasing hazards associated to healthcare is a national priority. That same commitment to prevention must be applied in outpatient settings such as dialysis clinics. Dialysis is a treatment that functions as a kidney when the body is unable to filter the blood and make urine. Hemodialysis process to take place when an access has to be created which is an artificial vein on either arm that transports blood from the body to a dialyzer.
The student nurse will reflect on health promotion issues as this stood out to me in several areas, The student nurse discovered that although we can nurse a patient back to health it is so important to make the patient aware of how necessary it is for them to participate in their care by adhering to what is recommended to them by various members of the Multidisciplinary Team and the devastating consequences that the patient can encounter if advice is ignored. The student nurse will use the Gibbs (1988) reflective cycle, this encouraged thinking systematically about all phases of an activity. Gibbs (1988) is descriptive with regards to feelings, evaluation, analysis, conclusions and action plans, therefore ideal for this assignment. Although I experienced many different aspects of care regarding health promotions this assignment will concentrate mainly on a single event that will stay with me throughout my nursing career. According to Scottish Government (2010) Healthcare Quality Strategy for NHS Scotland, nurse’s carers and people at the heart of the healthcare and care delivery services should improve conditions in NHS Scotland and the care provided, on reading this strategy I understand a nurses responsibility, but the importance of patient participation in their own care is invaluable and the cooperation and communication with the Multidisciplinary Team is essential to complete patient care package to the highest standard.