The implication of the 'covenant'' of care - are we on the same page? by A.Pr...SMACC Conference
This paper explores whether surgeons and intensivists differ through the effect of the “surgical covenant of care”. This covenant is very much a product of the shared journey taken by both surgeon and patient and is well described in medical literature. This literature is reviewed and learnings highlighted. In addition to this covenant, a number of other differences that may impact on how surgeons behave are also explored. These include the culture of surgeons and their training, models of administration for ICU units, the nature of professional decision making and the effects that age, experience and visiting surgical appointments might have on Intensivist- Surgeon relationships in an ICU. Finally, a number of pointers to better inter-professional practice are offered.
The implication of the 'covenant'' of care - are we on the same page? by A.Pr...SMACC Conference
This paper explores whether surgeons and intensivists differ through the effect of the “surgical covenant of care”. This covenant is very much a product of the shared journey taken by both surgeon and patient and is well described in medical literature. This literature is reviewed and learnings highlighted. In addition to this covenant, a number of other differences that may impact on how surgeons behave are also explored. These include the culture of surgeons and their training, models of administration for ICU units, the nature of professional decision making and the effects that age, experience and visiting surgical appointments might have on Intensivist- Surgeon relationships in an ICU. Finally, a number of pointers to better inter-professional practice are offered.
Reumatologia este specialitatea care se ocupă cu depistarea, diagnosticarea, tratarea şi recuperarea bolnavilor cu suferinţe non chirurgicale ale aparatului locomotor.
Presentation at the "Building collaborative research platform and professional training workshop for cancer treatment, hospic/palliative care and bioethis in SEA countries" National Taiwan university.
Prof David Oliver: older people and acute care. Nuffield Trust
In this slideshow, Prof David Oliver, Consultant Geriatrician, Royal Berkshire NHS Foundation Trust, presents on how we can shorten and improve hospital care for older people with complex needs.
Dr Thompson spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September2014.
Dr David Maltz: The challenge of length of stayNuffield Trust
In this slideshow, Dr David Maltz, of The Oak Group, explores the challenge of length of stay and opportunities for improvement.
Dr Maltz spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September 2014.
The Deteriorating Patient and National Early Warning Score (NEWS) programme, marks the two year anniversary of the launch of the West of England Patient Safety Collaborative. These slides focus on celebrating our impact and demonstrable results across the region.
Five priorities for care of the dying personMarie Curie
Dr Bill Noble, Medical Director of Marie Curie Cancer Care, speaks at the end of life sesion with Dr Adam Firth (RCGP Clinical Support Fellow for End of Life Care).
This session was chaired by Dr Peter Nightingale, Marie Curie and RCGP End of life lead at the RCGP Annual Conference, ACC Liverpool, 2-4 October, 2014.
For more information visit: mariecurie.org.uk/rcgp
Procedures in Deathcare Certification within Los Angeles CountyBoard of Rabbis
Powerpoint presentation by Michael Boyko, Hillside Memorial Park and Mortuary. Shown at the April 22, 2010 Funeral Practices Seminar presented by the Board of Rabbis of Southern California and the Jewish Federation of Greater Los Angeles.
Reumatologia este specialitatea care se ocupă cu depistarea, diagnosticarea, tratarea şi recuperarea bolnavilor cu suferinţe non chirurgicale ale aparatului locomotor.
Presentation at the "Building collaborative research platform and professional training workshop for cancer treatment, hospic/palliative care and bioethis in SEA countries" National Taiwan university.
Prof David Oliver: older people and acute care. Nuffield Trust
In this slideshow, Prof David Oliver, Consultant Geriatrician, Royal Berkshire NHS Foundation Trust, presents on how we can shorten and improve hospital care for older people with complex needs.
Dr Thompson spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September2014.
Dr David Maltz: The challenge of length of stayNuffield Trust
In this slideshow, Dr David Maltz, of The Oak Group, explores the challenge of length of stay and opportunities for improvement.
Dr Maltz spoke at the Nuffield Trust ‘Reducing the length of stay’ event in September 2014.
The Deteriorating Patient and National Early Warning Score (NEWS) programme, marks the two year anniversary of the launch of the West of England Patient Safety Collaborative. These slides focus on celebrating our impact and demonstrable results across the region.
Five priorities for care of the dying personMarie Curie
Dr Bill Noble, Medical Director of Marie Curie Cancer Care, speaks at the end of life sesion with Dr Adam Firth (RCGP Clinical Support Fellow for End of Life Care).
This session was chaired by Dr Peter Nightingale, Marie Curie and RCGP End of life lead at the RCGP Annual Conference, ACC Liverpool, 2-4 October, 2014.
For more information visit: mariecurie.org.uk/rcgp
Procedures in Deathcare Certification within Los Angeles CountyBoard of Rabbis
Powerpoint presentation by Michael Boyko, Hillside Memorial Park and Mortuary. Shown at the April 22, 2010 Funeral Practices Seminar presented by the Board of Rabbis of Southern California and the Jewish Federation of Greater Los Angeles.
Ic guidelines for mortuary care [compatibility mode]drnahla
Infection Control Guidelines for mortuary care
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
We are manufacturers of mortuary chambers in India
since last two decades. Our mortuary chambers are
conceptualized and designed for long storage of
cadaverous under hygienic and cool conditions. Our
mortuary chambers are made of corrosion free metal
components with advance poly uretherane insulation
ensuring maximum thermal efficiency and durability.
We specialize in both standard and customized models
of mortuary chamber specially designed to meet various
special requirements of our customers across India and
abroad.
As pressure mounts on hospitals to improve quality and reduce costs, they have turned to medicine's fastest growing physician specialty—hospital medicine---to improve clinical performance and operational efficiency. How this new role for hospitalists plays out varies according to the type, location and creativity of individual healthcare organizations and the resources available to them. This editorial webinar will explore the steps health care organizations should take to prepare and position their hospitalists for quality-improvement responsibilities. Our panel of experts will share their insights, experiences and proven strategies for success.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Donna Medina, Regional Director,OSF Hospice and Homecare Foundation at the marcus evans Home Care Leadership Summit held on July 13 & 14 2015 in Palm Beach FL.
The Mater Misericordiae University Hospital and St. James’s Hospital and their academic partners UCD and TCD surveyed bereaved relatives about their experience of end-of-life care in hospital. Results reveal the high standard of care provided in both hospitals and further indicate where improvements could be made to enhance the care experience.
Death and dying - understanding the dataMarie Curie
Phil McCarvill, Marie Curie's Head of Policy and Public Affairs, presented at 'Improving outcomes at the end of life' on 9 July, 2013 in London.
He presented on the data from Marie Curie's report 'Death and Dying' which looks at variations on the provision, spending and identification of end of life services across the country.
It draws together and analyses data from the Marie Curie End of Life Care Atlas and other sources including the Nuffield Trust study and the VOICES survey of bereaved relatives.
For more information on commissioning, have a look at our website mariecurie.org.uk/commissioning or get in touch at servicedevelopment@mariecurie.org.uk
COVID-19 and Texas Nursing Home Residents Deaths: Is Payor Mix (% Medicaid) R...AnnetteMulkay
Poster presented at University of Texas Health Sciences at Houston for end of semester research presentation. Topic is COVID-19 TX Nursing Home Residents Deaths: Is Payor Mix (% Medicaid) Related?
Documentation of Communication with relatives in the ICU NHS
Presentation given by Dr Michael McGinlay from Craigavon Area Hospital at the 2014 Northern Ireland Intensive Care Society annual Coppel Prize on Wednesday November 26th
Acute hospitals end of life care best practiceNHSRobBenson
Delivering reliable best practice in an acute hospital setting for patients whose recovery is uncertain. Including details of the AMBER care bundle. Presentation from Anita Hayes and colleagues from England's National End of Life Care Programme as part of the Department of Health's QIPP end of life care workstream seminar series at Healthcare Innovation Expo 2011
Risk profiling, multiple long term conditions & complex patients, integrated ...Dr Bruce Pollington
Dr Bruce Pollington web-ex presentation to LTC QIPP programme
Utilising risk profiling, and risk stratification to identify patients with multiple long term conditions requiring complex care through integrated care teams.
Explores palliative and end of life care. Outlines advance care planning and provides information about planning ahead to include using advance healthcare directives
Reflections on the National Summary of Patient Activity Data for Adult Specia...Irish Hospice Foundation
IHF reflections on MDS data in relation to specialist palliative care services. Reflections offered on SPC beds, access to SPC services. This presentation highlights inequities that exist.
Final Journey’s is a staff development workshop for Acute Hospital Staff which raises awareness regarding quality of care at end of life.
Final Journeys was developed by the Irish Hospice Foundation as part of its Hospice Friendly Hospitals programme in 2010.
The workshop is now eight years old and is due for updating and review to ensure the content of the workshop is relevant and fresh.
Presentation of findings of an audit carried out on the nurses for night care service over a 6 month period that identifies the components of care that support people with dementia to die at home in Ireland
Stephen Toft - Programme Officer Palliative Care, HSE Primary Care Division, specialist palliative care minimum data set acute hospital figures 2016 and 2017 per hospital.
Deirdre Shanagher, IHF: Patient Involvement demonstrates the value and unique voice of people and values patients as the real experts in understanding their unique journey. It also helps empower patients.
Karen Charnley: Patient engagement - encourage and provide service user, carer and community engagement within the context of AIIHPC's work and the work of the wider palliative care community on the island of Ireland. Will inform and influence palliative care education, research, policy and practice, in a collaborative and supportive manner.
Emer Carroll, National Health & Safety Manager, National Health and Safety Function, Workplace Health and Wellbeing Unit, presents on HSE Workplace Stress Management.
Dr. Hanna Linane - Disturbing and Distressing - The Tasks and Dilemmas Associ...Irish Hospice Foundation
Determines the frequency with which SHOs deal with tasks and dilemmas associated with end-of-life care and evaluates the impact of patient death on their psychological well-being.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
How many patients does case series should have In comparison to case reports.pdf
Collecting Information About Deaths in Single Rooms (Presentation from Acute Hospital Network, March 2015) [AHN 26]
1. Collecting information about deaths in Single
Rooms
Examples from two hospitals in the HFH Network.
Diarmuid Ó Coimín
End-of-Life Care Coordinator, Mater Hospital
Denis Casey
End-of-Life Care Coordinator, University of Limerick Hospital
Group
2. Mater Misericordiae University
Improving End of Life Care
through use of single rooms
Presentation by
Diarmuid Ó Coimín
End of Life Care Coordinator
Network of Hospice Friendly Hospitals
March 10th 2015
docoimin@mater.ie
3. Mater Misericordiae University
Improving the patients experience by
utilising Single Rooms at end of life
“Single rooms are consistently
associated in a statistically-
significant way with better care
outcomes in the assessments of
nurses, doctors and relatives ”
“Team meetings are also more likely
to be held when patients are in a
single room”
“The quality of staff communication
with relatives is better when patients
are in a single room and this also
enables relatives to stay overnight
and be present at the moment of
death” (2010 :152)
4. Mater Misericordiae University
Audit Results (2010)
Nationally 15% of all hospital
beds were in single rooms,
with 44% of deaths occurring in
single rooms
Mater had 12% of hospital beds in
single rooms,
with 45% of deaths occurring in single
rooms
5. Mater Misericordiae University
PLAN
Introduce Key Performance Indicator
(KPI)
DO
* Key stakeholders: DON
Bed Management & Ward Staff – MDT team etc
* Set Target of 5% in first year
Data collection – IT team
STUDY
Reviewed data & discussed with staff
Measure completed every month
ACT
Assess & monitor changes
Feedback to key stakeholders
Present data *HFH
Committee, Stakeholders , Board
PDSA
8. Audit of Deaths in University Hospital Limerick
November 2014
Denis Casey
End-of-Life Care Coordinator,
University of Limerick Hospital Group
denis.casey@hse.ie
9. Background
• Usually carried out twice yearly – Winter &
Summer
• Template given to all wards/ departments
• Completed by either CNM/ staff or clerical
• Collected weekly basis by EOLC Coordinator
• Cross-referenced with mortuary register
14. Age Profile of Deceased
Average Age - 74 years
Median Age - 80 years
Minimum Age - 2 years
Maximum age -92 years
62% were aged > 75 years of age
15. Other Parameters
• Length of stay in hospital prior to death
• Length of time in single room preceding death
• Reasons why patients did not die in single
room
• Reasons why single room not available
• If patient did not die in single room where did
they die
• Patients not expected to die
16. Quality improvement plan
• Communicate findings to CNMs, ADONs, bed
management and directorate management
• Encourage use of smaller areas if single room
not available
• EOLC bed booking system
• Feedback to EOLC committee
• Feedback to frail elderly working group