Hospital Acquired Condition: Surgical Site Infection Francine Jackson HCA 375 Instructor Shultz April 1, 2013 The Institute of Medicine (IOM) in a landmark report written in 1999, “To Err is Human,” found that medical errors, particularly hospital acquired conditions (HACs) are a leading cause of morbidity and mortality here in the U.S. IOM have estimated that 44,000 people die each year in hospitals from what is mostly considered preventable medical errors; one being surgical site infections. In 2007, The Centers for Medicare and Medicaid (CMS) began phasing in its value-based program, which links payment directly to quality of care provided. One of the many strategies CMS is using is to transform the current payment
Pt: 44 y/o WM CC: Pt was short of breathe and gets tired quickly. Rapid heart rate and feels a little weak. HPI: Patient presents with mental status changes and was found to be in atrial fibrillation with rapid ventricular rate. He was on medication but has not been taken them for over a year because he thought he was all better. Patient is visiting aunt and was brought into the ER and was mini-altered.
Hypertension also called “high blood pressure” is often referred to as the silent killer because those that have it often don’t experience any symptoms. This paper will cover the diagnostic testing, the treatment and prognosis of hypertension, complementary and alternative treatment associated with hypertension, and patient education to help Vicki to manage her newly diagnosis of hypertension and ways she can manage it with her busy schedule. There really isn’t any set diagnostic testing that can be done to diagnosis hypertension. The only way one can tell they have hypertension is to have it checked with regular doctor visits. The pressure is measured by using a sphygmomanometer.
Noncompliance, due to the several steps and time pressure, and variation in the manual method is believed to be at fault. It was decided to trial the use of SwabKit® in early 2010 on the critical care units, medical-surgical units, and step down units. They used the caps on central venous catheters (CVCs), peripherally inserted central catheters (PICCs), and peripheral intravenous (PIVs). The trial was successful, so they decided to implement use of the kits hospital wide in July 2011. After a two month adjustment period, the hospital began to record data on the use of SwabKit®.
Ant 111 Assignment 1 (final draft) Participant Observation in Nursing Home Wards for People Suffering from Dementia The research concentrated on how nursing homes develop their care for inhabitants suffering from dementia. In order to study this, I was a known observer at Evenswood nursing home in Kingston Ma for 10 days "Getting in" did not prove to be very problematic, but "getting along" was a lot harder. There was no reason for staff to like a snooping college kid. It was quite clear that the information I received was influenced by the way I was perceived. Moreover, the dementia the inhabitants of the wards suffer from and their reaction to it did not leave me indifferent To get in to the nursing home, I first wrote a letter to the management, explaining what my research was about and asking if I could observe in the nursing home concerned.
Despite this, however, services for older people remain under-funded; dementia care in particular is poorly resourced, with only one-third of sufferers receiving an official diagnosis and many thousands denied early drug treatment due to restrictive NICE guidelines. This was recently condemned by a Health Select Committee Inquiry, and remains the focus of political debate. (Alzheimer’s Society, 2008) A new initiative has recently been developed by the department of health to tackle ageist practice and to promote the rights of older people, Dignity in Care. The practice guide, based on service-user experience, illustrates several key factors which determine whether or not a care experience is positive and meaningful; older people should be respected as individuals; older people want care providers who are patient, listen and do not rush them; older people require a service that is person-centred, rather than task-orientated. (DOH, 2007) The following
This is why, most home health programs have standard health protocols, plans of care, interventions and routine evaluation measures to assist people suffering from moderate and severe dementia of late onset. But early onset Alzheimer’s disease affects people who are most likely young, employed, physically robust, sexually active and who have different leisure interests than their elder peers. Chaston D. (2010) suggests that: “numerous barriers continue to prevent younger adults with dementia accessing support and services. Their voices are not heard and their needs overlooked, often because nurses and other health professionals fail to recognise that dementia exists in this age group.” So, to make sure young individuals affected by dementia get the home care they need, “Care for memories initiative’s” focus is to create a comprehensive home care program for families whose first degree relative has been diagnosed with early onset Alzheimer’s disease. Within this program, where the expertise of various professionals will be required, people suffering from early onset Alzheimer’s disease will be followed up regularly and according to their needs.
The paramedics that participated in this study received specific training prior to their participation. Patients were screened and were not included in the study if their seizures were caused by a head injury or low blood glucose level. Patients were also excluded if they had an allergy to either medication. The study concluded that patients who received midazolam via IM injection were 73% likely to be seizure-free upon arrival to the hospital while the patients who received lorazepam via IV injection were 63% likely to be seizure-free upon arrival to the hospital (RAMPART). The paramedics that participated in the study felt that they were contributing valuable information and were proud to be a part of this research.
Future Trends and Effects of EHR Angelene Sears HCIS/265 September 28, 2014 Lucinda Shipley Future Trends and Effects of EHR Electronic health records are enhancing patient overall health care across the country today. We have a system that allows doctors, hospitals, and all health care providers to communicate securely and warehouse patient records. So if you’re at home or in another state, get ill or wounded, the information about your medical state is available to medical providers attending you. Hospitals and physician that utilize digital systems see many benefits of EHR’s over paper records, and this exchange of health information means providing better quality of patient care. New technologies are continuously in advancement
One confidential survey in a UK hospital reported that over one third (38%) of the respondents had reported such an injury in the previous year, with nearly three quarters (74%) reporting an injury in their careers to date, yet barely over half (51%) actually reported such events! 2 Of considerable interest, from this study is that nurses were more likely to report their injuries than doctors despite their having a lower risk profile in this regard. The results of this UK study are strongly suggestive of a culture of silence with respect to such injuries (in the NHS)2. One reason for such a response to this problem could be from the perceived consequential risks to health with the financial implications that follow which would seem to subordinate the ethical responsibilities to report such