A pilot study to investigate the feasibility and acceptability of Telehealth ...3GDR
Dr Kenneth Law, MBChB MRCGP MSc Health Informatics, GP and Clinical Lead of Innovation Local Care Direct, University of Leeds.
https://mhealthinsight.com/2016/06/27/join-us-at-the-kings-funds-digital-health-care-congress/
A presentation by Sven Erik Gisvold at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
A pilot study to investigate the feasibility and acceptability of Telehealth ...3GDR
Dr Kenneth Law, MBChB MRCGP MSc Health Informatics, GP and Clinical Lead of Innovation Local Care Direct, University of Leeds.
https://mhealthinsight.com/2016/06/27/join-us-at-the-kings-funds-digital-health-care-congress/
A presentation by Sven Erik Gisvold at the 2017 meeting of the Scandinavian Society of Anaestesiology and Intensive Care Medicine.
All available content from SSAI2017: https://scanfoam.org/ssai2017/
Delivered in collaboration between scanFOAM, SSAI & SFAI.
Nursing tool used in a medsurg environment to detect early changes in patient conditions monitoring temperature, respirations level of consciousness and oxygen level
A No-Prophylaxis Platelet-Transfusion Strategyfor Hematologic CancersShadab Ahmad
The effectiveness of platelet transfusions to prevent bleeding in
patients with hematologic cancers remains unclear.
This trial assessed whether a policy of not giving prophylactic platelet
transfusions was as effective and safe as a policy of providing prophylaxis.
In patients with hematologic cancers, severe thrombocytopenia
frequently develops as a consequence of the disease or its treatment.
IRCM’s Centre on Rare and Genetic Diseases in Adults
Sophie Bernard, M.D., PhD.
Head of the Rare Disease Clinic, IRCM Director, Genetic Dyslipidemias Clinic, IRCM Assistant Professor, Department of Medicine, Montreal University
Rare Disease Day Conference 2020 March 9-10
Cardiac Electrophysiology at the Minneapolis Heart Institute®Allina Health
By Raed H. Abdelhadi, MD. Examples of the cases seen by and the unique capabilities of the Complex Electrophysiology team at Minneapolis Heart Institute®.
Nursing tool used in a medsurg environment to detect early changes in patient conditions monitoring temperature, respirations level of consciousness and oxygen level
A No-Prophylaxis Platelet-Transfusion Strategyfor Hematologic CancersShadab Ahmad
The effectiveness of platelet transfusions to prevent bleeding in
patients with hematologic cancers remains unclear.
This trial assessed whether a policy of not giving prophylactic platelet
transfusions was as effective and safe as a policy of providing prophylaxis.
In patients with hematologic cancers, severe thrombocytopenia
frequently develops as a consequence of the disease or its treatment.
IRCM’s Centre on Rare and Genetic Diseases in Adults
Sophie Bernard, M.D., PhD.
Head of the Rare Disease Clinic, IRCM Director, Genetic Dyslipidemias Clinic, IRCM Assistant Professor, Department of Medicine, Montreal University
Rare Disease Day Conference 2020 March 9-10
Cardiac Electrophysiology at the Minneapolis Heart Institute®Allina Health
By Raed H. Abdelhadi, MD. Examples of the cases seen by and the unique capabilities of the Complex Electrophysiology team at Minneapolis Heart Institute®.
Introduction to Supporting recovery in Primary Care using Proactive Framework...Innovation Agency
Presentation by Julia Reynolds, Associate Director for Transformation - Innovation Agency at the Supporting recovery in Primary Care using Proactive Frameworks for Long Term Conditions event on Thursday 15 September 2022.
Revolutionizing Renal Care With Predictive Analytics for CKDViewics
Chronic Kidney Disease (CKD) is a common and growing condition, affecting about half of the Medicare population and of diabetics. In the United States, the lifetime risk of CKD for 30-year-olds is now greater than half, and the prevalence of CKD is projected to rise significantly over the next 15 years.
Current methods of predicting which CKD patients will progress to renal failure and require dialysis or transplant have low accuracy rates, causing great anxiety and suboptimal care. Without accurate risk prediction, many patients are over-treated, effectively wasting limited resources and negatively impacting outcomes. Conversely, other patients may receive inadequate treatment, restricting options to only the most costly and least desirable interventions.
Watch this on-demand webinar with Dr. Navdeep Tangri, developer of the Kidney Failure Risk Equation, which revolutionizes the way CKD patients are managed by leveraging laboratory data to accurately predict the risk of kidney failure in patients with CKD.
You’ll learn:
• How CKD is burdening our healthcare system, and the need for better care management tools
• How the Kidney Failure Risk Equation was researched, developed, and validated
• How Viewics is implementing CKD predictive analytics to automatically deliver risk information to clinicians and issue customized, educational reports to patients and clinicians
This webinar provides expert guidance and clear answers to common myths about hospice care. Learn about the history and philosophy of hospice care, common hospice prognoses, who pays for hospice, and the difference between hospice and palliative care. Explore the four levels of care and the role of the interdisciplinary hospice team to provide medical, psychosocial and spiritual solutions that support quality of life at the end of life for patients and families. Learn how advance directives can ensure patients are referred to hospice care early in the disease process to enjoy its full benefits.
Developing and implementing clinical standards for seven day servicesNHS Improving Quality
Celia Ingham Clark National Director: Reducing Premature Mortality. Slides from Celia's presentation from the 7 Day Services events West Midlands 11th June and East Midlands 12th June 2014
This is a detailed lecture note on 'Investigating the Heart Failure Patient'.
It was delivered in the Internal Medicine Department, Cardiology 1 Unit of Jos University Teaching Hospital (JUTH), by Dr Kimto Oche Emmanuel (24/09/2020)
Supervised by Dr G. A Amusa (Consultant Cardiologist, JUTH)
Similar to Pilot of a DNACPR Form at University Hospital Limerick (Presentation from Acute Hospital Network meeting June 2016) (20)
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.
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.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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.
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
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.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
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
The Impact of Meeting: How It Can Change Your Life
Pilot of a DNACPR Form at University Hospital Limerick (Presentation from Acute Hospital Network meeting June 2016)
1. Pilot of a DNACPR form at
University Hospital Limerick
Denis Casey
End-of-Life Care Coordinator
denis.casey@hse.ie 087 654 4070
2. Background
• Part 4 of the National Consent Policy
introduced by the HSE(2013) provides a
decision making framework to facilitate
timely discussions with patients regarding
Cardio-Pulmonary Resuscitation (CPR)
• To ensure decisions are made consistently
transparently and in line with the patients
preferences and best practice
• Recognised need to develop a policy for
ULHG
3. Policy steering group
• Palliative Medicine Cons (Chair)
• Paediatric Consultant
• Medical Consultants x 3
• ED Consultant
• PALS Manager x 2
• EOLC Coordinator
• Resus CNS x 2
• CNM3 Cancer Services
• Clinical Risk Advisor
• Anaesthetic Consultant
5. Principles
• DNACPR decisions only related to CPR
• Presumption in favour of CPR if no decision
• Individual assessment of all cases
• Overall responsibility for decision lies with
consultant in charge
• Communication
• ? Valid advance healthcare directive
• ? Power of attorney
• DNACPR order/decision does not override
clinical judgement of a reversible cause
6. Policy
• Draft Policy developed
• Draft Adult DNACPR Form developed
• Draft Paediatric Advance healthcare Plan
• Decision Making framework
• Patient and Family information booklet
9. Pilot of Form
• Aim of pilot was to test the DNACPR form for
ease of completion and its adoptability among
staff
• It also sought to identify any potential
deficiencies in the policy before being finalised
10. Methods
• 12 medical consultants volunteered for pilot
Included: Oncology, GI, Renal,
Care of the Elderly, AMAU
• Pilot on 7 Medical wards, ICU & HDU
11. Results
• Data collection continued for 20 weeks
•289 patients in medical wards, ICU & HDU
documented “Not for resuscitation”
•100 completed forms
12. Findings
• Capacity
36% had capacity to discuss their status
No patient reported having AHD
No patient reported having EPA
1 ward of court
13. • Age
Range 53-97, Mean 79
• Discussion
Status was discussed with 31 patients only
15. Findings – Clinical Problems
Subarachnoid Haemorrhage 4
Fraility 27
Dementia 22
ES COPD 9
Cardiac Arrest 1
Hypoxic Brain Injury 1
Multi-organ failure 2
Age 2
Nursing Home resident 3
Parkinsons Disease 8
Congestive cardiac Failure 12
Previous Coronary Bypass graft 1
Stroke 13
ES Renal Disease 11
Cancer 15
Neuro 2
Acute illnesss 6
ES Liver disease 4
Ms/ MND 2
Not complete 7
16. Findings
• Reasons not for CPR
72% had an advanced progressive illness
59% unlikely to restart heart & Breathing
• Ceiling of Care
Admission to ICU/ HDU
Yes 7%
No 75%
18. Findings
• Other
Not for BiPaP 1
Not for intubation 2
For BiPaP 4
Pain/symptom control 5
Dialysis 1
BiPaP if patient wishes 1
Tx for hyperkalaemia 1
Blood products 1
Usual Medications 1
19. Findings
• Date
35% not dated – invalid
• Signed by Doctor/ Consultant
12% were not signed – invalid
• Signed by nurse
75% were not signed – for communication
20. Recommendations
• Update draft policy in light of new ADM act 2015
• Date relocated on form to increase compliance
• Increased options ceiling of care
• Policy to be finalised and approved
• To be implemented hospital group wide