The document discusses efforts at Ipswich Hospital NHS Trust to improve care for frail patients on a surgical ward through a frailty pathway and reablement program. It summarizes that:
- Patient surveys showed improvement in daily goal-setting, involvement in decisions, and satisfaction with rehabilitation after implementing the frailty pathway and reablement activities.
- Frailty assessments are now conducted for all patients and falls precautions, therapy referrals, and support for family caregivers are provided.
- Audits found increased compliance with completing initial assessments, skin and continence assessments, and delirium reassessments for frail patients after the changes.
A workshop on parental substance use and the impact on children and families, how social workers can support families while keeping the protection of children at the forefront; work with parents and the children, and in partnership across Child and Adult Care Social Work systems. Contributor: Aberlour
For Nurse’s Week 2017 We asked each member of our team to answer the following question;
What do you LOVE about working with Nurses?
Here are our answers-
A workshop on parental substance use and the impact on children and families, how social workers can support families while keeping the protection of children at the forefront; work with parents and the children, and in partnership across Child and Adult Care Social Work systems. Contributor: Aberlour
For Nurse’s Week 2017 We asked each member of our team to answer the following question;
What do you LOVE about working with Nurses?
Here are our answers-
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Client Navigator - A position funded through Home Care and the Saskatchewan Ministry of Health that provides you with a single contact for persons needing to use community based services in the Cypress Health Region. The Client Navigator is a nursing professional to help you arrange for care and discharge planning.
Better Health
Marilyn Krause
What Adds Value to the Patients Experience?
Empathy is the key to connecting with our
patients Janine Lucking, National Improvement Lead
Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX
This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Client Navigator - A position funded through Home Care and the Saskatchewan Ministry of Health that provides you with a single contact for persons needing to use community based services in the Cypress Health Region. The Client Navigator is a nursing professional to help you arrange for care and discharge planning.
Better Health
Marilyn Krause
What Adds Value to the Patients Experience?
Empathy is the key to connecting with our
patients Janine Lucking, National Improvement Lead
Presentation from the Productive Endoscopy Workshop, Tuesday 15th October 2013 at Ambassadors Bloomsbury , London, WC1H 0HX
This meeting brought together teams from around the country, and embarked on creating and testing the productive endoscopy toolkit. The aim of the day is to allow time with your team for sharing of experiences and exchange of good practice, learn how to apply lean techniques and hear the impact of successfully implemented case studies.
Chief Allied Health Professions Officer’s Conference 2016
Workshop 3: Integrated Care – Chair Lindsey Hughes
iCares – population based delivery of care. Ruth Williams, Clinical Directorate Lead, Community and Therapies Clinical Group. Sandwell and West Birmingham Hospitals NHS Trust.
Nine characteristics of good-quality care in district nursing taken from interviews with patients, carers and staff.
We hope this framework and these slides will be a useful resource for you – please feel free to use them in your work, in documents and presentations.
Inpatient Rounding: 30 Minutes a Week to Amazing Patient ExperienceMedAmerica Marketer
In a busy emergency department, patients can feel lost in the shuffle. No wonder patients admitted from the ED tend to score the hospital low on patient satisfaction surveys. But even after a negative experience, it’s still possible to win back patients’ loyalty. The trick is to respond quickly and with genuine compassion.
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.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
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.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
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.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Ipswich Hospital NHS Trust- Frailty care on a surgical ward- PEN 2017
1. Our Passion, Your Care.
Frailty Care on a Surgical Ward
Ipswich Hospital NHS Trust
Support for Caregivers and Measuring, Reporting & Acting
Naomi Gunton-Ward Sister
Fiona Rawson-Ward Sister
Tracey Wakeling-Nurse Consultant
Gill Orves and Richard Wall-IHUG
Debbie Reeve-Suffolk Family Carer
#teamipswich @tracey_wakeling
2. Our Passion, Your Care.
-Every patient’s level of frailty to be assessed on admission
-Wash and dress in the bathroom not by bedside
-Kitchen for relatives to make hot drinks
-Stronger links with Suffolk Family Carers to improve support
-Walk round huddle and goal setting
-Early mobilisation and static cycle
-Activities purchased
-Social dining
-Aiming to get patients up and dressed daily
-Slippers and clothes available
3. Our Passion, Your Care.
Patient Survey – Pre and Post
Reablement Implementation
4. Our Passion, Your Care.
Question Before After
I feel I am involved in making decisions about
my daily rehab goals 22% 67%
My daily goals were agreed and explained so
that I understand them 11% 67%
My daily rehab goals are written up on my
whiteboard 17% 94%
I have clothing and equipment needed to safely
participate in my rehab 43% 83%
I am happy with my ability to do my daily
routine 28% 67%
I have written guidance on my exercise and
rehab 17% 89%
I do my agreed exercise every day 39% 93%
I see improvement in my rehabilitation 14% 50%
It is easy to talk to staff about my progress
towards going home 69% 93%
Staff are keen to support me with my rehab 33% 94%
Overall patients who agreed or strongly agreed
across all questions 63% 97%
Patients who agreed that they had daily goals
agreed , on whiteboard and equipment or
clothing and do their daily exercise 28% 90%
Strongly agree
5. Our Passion, Your Care.
Kind and explain to me when they come to my bedside in the morning so I
know what I am doing that day
I couldn’t do it without you all
amazing ward staff
Patient and Carer Feedback
I have never been on a ward where every one of the staff pushes you to get
up and walk and be more independent, we all look better in our room
Great to know at start of the day so I can make a start and not worry about
what to do, lovely staff
It is good that my family can see my board as I sometimes forget and they
remind me
nice to have reception to walk to and see the views and the information
about rehabilitation and what you can do when we get home to help
yourself, good staff good ward
Sasha, therapist came twice yesterday and supported wife for discharge
needs. Pleased staff ensouraged him to use bell before going to toilet so staff
can supervise
