ADVANCE NURSING PRACTICE

1. PROGRESSIVE
PATIENT CARE
A TOPIC PRESENTATION
BY
JIMCY M JOSE
FIRST YEAR MSc NURSING
WEST FORT COLLEGE OF NURSING

3. INTRODUCTION
 CONTINUED CARE
 FLORENCE NIGHTINGALE

4. DEFINITION
 A system of care in which patients are placed
in units on the basis of their need
 Nursing practice based on the needs of the
patient and the characteristics of the nurse to
attain optimal patient outcome.

5. MEANING
 PPC defines the care that is delivered to
patients whose needs fall along the less
acute end of the continuum

6. CHARACTERISTICS
 Decreased risk of llife threatening event
 Decreased need for invasive monitoring
 Increased stability
 Increased ability to participate in their care
 Grouping of patient takes place

7. STAGES
 Intensive care
 Intermediate care
 Minimal care
 Self care
 Long term care
 Home care
 Ambulatory care

8. PRINCIPAL ELEMENTS OF PPC
 Intensive care
 Intermediate care
 Self care
 Long term care
 Home care
 Out patient care/ambulatory

9. Intensive care
 Location
 Ventillation
 Lights
 Piped supply
 Communication
 Electrical facility

10.  Patient area
o Ancillary
o sanitary
o auxilliary
 Equipments
 Staffing
 Management

11. INTERMEDIATE CARE
Units where patient who are moderately ill or
for whome the treatment can be palliative.
AREAS
STAFFING
PATIENT CARE
Patients are conscious can express their need.

12.  Eg. Cardiac ward,renal and chest wards

13. SELF CARE
 Ambulatory patients who are convalescing or
require diagnosis or therapy may be cared
for in a self care unit.
 Self sufficient

14. SELF CARE
 Services
educ
ation
al
superv
isory
diet
ary
Nursing
medic
al

15. LONG TERM CARE
 Restoration and rehabilitation care when
care is required for prolonged period.

16. Home care
 Extended service
 Preventing and promotive care of community.

17. AMBULATORY
 Care of ambulatory patient if require
diagnostic ,curative ,preventive and
rehabilitative services
 Genral out patient
 Reffered out patient
 Emergency out patient

18. STEPS
 FAMILIARITY WITH PPC
 DEVELOPMENT OF TEAM WORK
 EVALUATION OF NEEDS
 ORIENT STAFF
 ESTIMATION OF COSTS
 FORMULATION OF COSTS
 POLICY FORMULATION
 PROVIDE FLEXIBILITY
 INSTRUCT PATIENT
 INFORM OR COMMUNICATE PUBLIC

19. RESISTANCE
 ACCEPTANCE OF SOME STAFF TO PPC
WAS NOT WELCOME AND SLOW
 RAPID CHANGE OF AREA AND CUTS
AWAY
 OBSERVATION OF NURSING CARE
INADEQUATE IN LONG TERM CARE
UNITS
 PATIENT’S RESISTANCE TO BEING
TRANSFERRED BETWEEN UNITS

20.  NO SEPARATE WARDS FOR MALE AND
FEMALE
 LEVEL AND NATURE OF DUTIES OF
NURSING STAFF NOT SIMILAR IN
DIFFERENT CARE AREAS

21. CONCLUSION