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Progressive Patient Care

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  • 1. PROGRESSIVE PATIENT CARE
    DR. N. C. DAS
  • 2. PROGRESSIVE PATIENT CARE
    • Progressive patient care is defined as the organization of hospital
    facilities, services and staff as per the medical and nursing needs of the
    patient.
    -The basic principle of PPC is based on the nursing needs of the patient
    rather than by traditional hospital grouping according to economic status,
    age, sex or type of illness.
    • The concept of PPC is quite old and started in Military Hospitals and by
    Florence Night angle in 1800 AD.
    • Modern application of PPC in hospitals started in 1950 to provide optimum
    level of care to the patient as per nursing needs.
  • 3. OBJECTIVE OF PPC
    PPC is to provide optimum level of care to the patient as per need in minimum cost.
    To raise the level of patient care of those critically ill patients with effective use of nursing personnel and facilities by grouping the patients as per their nursing care need.
    PPC is also seen as an important method of controlling cost with provision of nursing care as per need of various patients.
  • 4. ELEMENTS OF PPC
    INTENSIVE
    CARE
    INTERMEDIATE
    CARE
    CONVALESCENT
    OR
    SELF CARE
    PPC
    AMBULATORY &
    OPD CARE
    HOME CARE
    LONG TERM
    CARE
  • 5. INTENSIVE CARE
    It is concentrated around the patient.
    Who are unable to communicate their needs.
    Who requires extensive nursing care.
    Require constant observation and supervision.
    Require ventilatory support.
    Round the clock equipped and skilled service facilities.
    Facilities for mobilization of more resource on demand.
    Restriction of visitors to the area.
    MI, Head injury, shock, burns, premature babies etc.
  • 6. INTERMEDIATE CARE
    Who requires moderate amount of Nursing Care (High end care)
    Patients are conscious and can express their needs.
    Constant observation not needed.
    Segregation of such patient in one area help distribution of Nursing Care.
    The vitals are under control and does not require constant monitoring.
    Cardiac Ward, renal, chest and paediatric surgery.
  • 7. CONVALESCENT OR SELF CARE
    1.Patients requiring convalescent care or diagnosis.
    They are physically self sufficient.
    Require least nursing and observation.
    Services are purely educational and supervisory such as diet, self medication, change in life style, exercises, physiotherapy etc.
    Patients are allowed a home type environment.
    Pre-surgery patients or patient prepare to discharge.
  • 8. LONG TERM CARE
    They require skills and services not available at home.
    Convalescent patients from ICU.
    Post operative case with infection.
    Patients with poor progress but require skilled palliative
    treatment such as cancer cases, occupational therapy, physiotherapy.
    5. Though nursing care is mandatory not repeated, only regular periodic assessment is needed.
  • 9. HOME CARE
    The hospital services extends to home (Out reach services).
    Provision of community care services though social workers.
    The intensity of disease is less without requiring emergency attention like TB, leprosy, fracture cases, ANC cases, Delivery Cases.
    AMBULATORY OR OPD CARE
    Post operatives follow up.
    Promotive, preventive and rehabilitation services.
    Diagnosis and treatment and investigation.
  • 10. BENIFIT OF PPC
    DOCTOR
    NURSE
    • Effective use of skills
    • 11. Better time utilization
    • 12. Scheduling of care
    • 13. Close contact with patient
    • 14. Nursing care as per need
    • 15. Assures good care
    • 16. Better Nursing
    • 17. Immediate Therapy
    • 18. Mechanical Support
    HOSPITAL
    PATIENT
    • Specialized attention as per need
    • 19. Assisted in getting adjusted
    to hospital community and home
    • Effectiveness use of hospital bed
    • 20. Better utilization of skilled man power
    • 21. Improve image
    • 22. Participation in community care
  • PLANNING OF PPC
    • Depends on hospital lay out
    • 23. Need of people served by hospital
    • 24. Principles and objective of different level of care
    • 25. Developing procedure and policies of implementation
    • 26. Existing patient care facilities
    • 27. Modification needed
    • 28. Orientation and motivation of staff
    • 29. Scheduling of doctors and staff
  • RESISTANCE TO PPC
    Acceptance of some staff to PPC was not welcomed and slow.
    Rapid change of area and treating staff cuts away the patient staff relation.
    Patient not accepting self care service in the hospital.
    Observation of Nursing Care inadequate in long term care area.
    Patient’s resistance to being transferred between units.
    No separate male and female wards in different care areas.
    Level and Nature of duties of Nursing Staff not similar in different care areas.
  • 30. hospiad
    Hospital Administration Made Easy
    THANK YOU
    http//hospiad.blogspot.com
    An effort solely to help students and aspirants in their attempt to become a successful Hospital Administrator.
    DR. N. C. DAS