Progressive patient care presentation


Published on

Published in: Marketing, Health & Medicine
1 Like
  • Be the first to comment

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Progressive patient care presentation

  1. 1. Pooja Maitre
  2. 2. INTRODUCTION  The continued care of the patient is directed towards the prevention of complications, rehabilitation and a return to normal living. Pooja Maitre (MN) 2
  3. 3. DEFINITION  A system of care in which patients are placed in units on the basis of their needs.  The American Association of Critical Care Nurses recognizes progressive care as part of the continuum of critical care.  It defines nursing practice based on the needs of the patient and the characteristics of the nurse to attain optimal patient outcomes.  Progressive care defines the care that is delivered to patients whose needs fall along the less acute end of that continuum. Progressive care patients are moderately stable with less complexity, require moderate resources and require intermittent nursing vigilance. Pooja Maitre (MN) 3
  4. 4. CHARACTERISTICS OF PPC  Decreased risk of a life threatening event,  A decreased need for invasive monitoring,  Increased stability; and  An increased ability to participate in their care. Pooja Maitre (MN) 4
  5. 5. PHILOSOPHY OF PPC  Initially, progressive care units housed post myocardial infarction patients requiring cardiac monitoring, but not requiring intensive care and observation. With the changing healthcare environment, the acuity of patients admitted to hospitals steadily increased and caused an increase in the demand for critical care beds. With the increased demand and decreased availability of critical care beds, patients were often transferred from critical care units while still requiring an increased level of nursing care and vigilance. Patients admitted to critical care units five to ten years ago are now routinely admitted to progressive care.  Progressive care is the term the American Association of Critical‐Care Nurses (AACN) uses to collectively describe areas that are also referred to as Intermediate Care Units, Direct Observation Units, Step‐down Units, Telemetry Units, or Transitional Care Units as well as to define a specific level of patient care. Pooja Maitre (MN) 5
  6. 6. BENEFITS OF PPC - Patients  The patient receives the specialized care.  The patients who are not critically ill are not deprived of nursing and medical attention. Pooja Maitre (MN) 6
  7. 7. BENEFITS OF PPC - Physician  The physician is given a greater assurance that his patient is receiving a high quality nursing care.  Emergency treatment if necessary is in the immediate vicinity Pooja Maitre (MN) 7
  8. 8. BENEFITS OF PPC - Nurses  The nurse makes an effective use of her special capabilities.  The problem of providing services by the nurses to critically ill patient is reduced when the patients are divided to various groups according to the degree of illness.  It helps the nurses to plan the nursing care for the patients better as the needs are of almost same degree in each unit. Pooja Maitre (MN) 8
  9. 9. BENEFITS OF PPC - Hospital  The beds, physical facilities, supplies and funds available may be used efficiently.  Improves public image of the hospital in community.  Home care program as a part of PPC helps the hospital to coordinate its activities with the community health and social services. Pooja Maitre (MN) 9
  10. 10. STAGES OF PROGRESSIVE PATIENT CARE 1. Intensive care, 2. Intermediate care, and 3. Minimal care. Pooja Maitre (MN) 10
  11. 11. INTENSIVE CARE UNIT  Type of ICU : Generalized ICU  Specialized ICU  Type of Patients : Any patient in a serious condition who has the slightest chance of recovery.  It is desirable not to admit patients here who are in the terminal stage of disease. Pooja Maitre (MN) 11
  12. 12. INTENSIVE CARE UNIT  Equipments:  Sound-proofing and Air Conditioning.  Centrally Placed Nurses’ Station.  Sterile Equipments like Trays etc.  Piped Oxygen and Piped Suction Apparatus.  Multi-parameter Monitors.  ICU Layouts:  Patients Area  Ancillary Area  Auxiliary Area Pooja Maitre (MN) 12
  13. 13. INTENSIVE CARE UNIT Pooja Maitre (MN) 13
  14. 14. INTERMEDIATE CARE UNIT  For Moderately ill Patients or Palliative Care.  May also have patients transferred from ICU.  It accommodates 60 – 70% of total hospitalized patients.  A large number of patients are admitted and discharged directly from this unit. Pooja Maitre (MN) 14
  15. 15. INTERMEDIATE CARE UNIT  Intermediate Care Layout:  Bed Arrangement – Single, Double and 4-6 beds in a room.  Ancillary Area    Nurses’ Station Clean Room Treatment Room, etc.  Supportive Area, like:  Clinical Teaching Room  Side Laboratory  Doctors’ Room, etc. Pooja Maitre (MN) 15
  16. 16. MINIMAL CARE UNIT  Can be classified into  Self Care  Long Term Care  Home Care  Ambulatory Care Pooja Maitre (MN) 16
  17. 17. MINIMAL CARE UNIT – Self Care  For Ambulant and Self Sufficient Patients.  Primarily for Supervisory or Health Education Purpose.  More of Home Like Environment as patients for diagnostic procedures, special treatments (like radiotherapy) or preparation for major surgery are admitted.  Helps in easy transition of Patient between Hospital & Home environment. Pooja Maitre (MN) 17
  18. 18. MINIMAL C.U. – Long Term Care  For Restorative or Rehabilitative care.  When care is required for a Prolonged Period.  Nurses’ Role :  Serves as administrator.  Coordinates care provided by others.  Provides direct care  Makes referrals.  Teaches patient and family.  Plans, implements and evaluates plan of care. Pooja Maitre (MN) 18
  19. 19. MINIMAL C.U. – Home Care  For Preventive and Promotive Care of the Community.  Hospital based Home Care programs for patients can best be cared at home with extended services from the Hospital.  Nurses’ Role:  Assesses home environment and patient.  Develops relationship based on mutual trust.  Provides direct care.  Plans, implements and evaluates plan of care.  Makes referrals.  Teaches patient and family and provide support to them. Pooja Maitre (MN) 19
  20. 20. MINIMAL C.U. – Ambulatory Care  Care of the ambulatory patient requiring diagnostic, curative, preventive and rehabilitative services.  Categories:  General Outpatient  Referred Outpatient  Emergency Outpatient Pooja Maitre (MN) 20
  21. 21. Steps for Introduction of PPC 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Familiarity with the PPC Development of Teamwork Evaluation of Needs Orient Staff Estimation of Costs Formulation of Policies Provide Flexibility Adequate Staffing Instruct Patients Inform or Communicate Public Pooja Maitre (MN) 21
  22. 22. Thank You Pooja Maitre (MN) 22