Nursing is a service to the individual, family & therefore to society. If this theory has to be individualized to meet the individual needs of the patient, progressive patient care is more appropriate. In 1957, under the sponsorship of the US public health services division of hospital & medical facilities, the extensary memorial hospital began a project known as “PROGRESSIVE PATIENT CARE”, to determine the methodology, for classifying patient based on as evaluation of many factors to make a determination of the best kind of unit to which the patient should be assigned.

1. PROGRESSIVE PATIENT CARE
We care about you…
Mrs. Gayathri R
First year MSc Nursing
Upasana College Of
Nursing

2. INTRODUCTION
• Nursing is a service to the individual, family & therefore to society. If
this theory has to be individualized to meet the individual needs of
the patient, progressive patient care is more appropriate. In 1957,
under the sponsorship of the US public health services division of
hospital & medical facilities, the extensary memorial hospital began
a project known as “PROGRESSIVE PATIENT CARE”, to determine
the methodology, for classifying patient based on as evaluation of
many factors to make a determination of the best kind of unit to
which the patient should be assigned.

3. DEFINITION
• The organization of facilities, services & staff around the medical &
nursing needs of the patient.
[Abdulla]
• Progressive patient care is talking of hospital services to meet the
patient needs . The right bed with the right services at the right
time.
[Manual of intensive care]
• Progressive patient care is defined as the right patient in right bed
with right services at the right time.
[Haldeman . JC. 1964]

4. OBJECTIVES
• Optimum level of care to the patient as per need in a
minimum cost.
• To raise patient care.
• Provide high quality of therapeutic care.
• To provide adequate equipment & facilities.
• Shortens the hospitalizing period.
• Provide effective hospital services.

5. ELEMENTS
•Intensive care.
•Intermediate care.
•Self care.
•Long term / Extended care.
•Home care.
•Ambulatory / Out patient care.

6. INTENSIVE PATIENT CARE

7. INTENSIVE CARE
Patients who are critically ill are admitted.
LOCATION
• Easy reach from OT, OPD, Emergency department.
• Size: 2 -8 % total bed.
PHYSICAL FACILITIES
• Area: 150sq ft.
• Air conditioning: 60 -70 F.
• Humidity: 50 - 60 %.
• Ventilation: Positive pressure ICU.
• Light: Uniformly lit.

8. CONTINUES…
PIPED SUPPLY
• Each bed supply: 20 L /mt & Pressure of 60 pounds /sqft
COMMUNICATION
• Call bell
ELECTRICAL FACILITY
• 4 - 5 plug points, Special socket 60 amperes, 230 volts, Single phase
PATIENT AREA
• Visibility
• Isolation
• Bed should be separated
ANCILLARY AREA

9. CONTINUES…
SANITARY AREA
EQUIPMENTS
•Monitoring equipment
•Instruments
STAFFING
•Nurse
•Medical staff
•Technical staff

10. MANAGEMENT
•Admission & discharge.
•Restriction of visitors.

11. PROBLEMS
•Size
•Difficult to decide location
•Difficult to staff the unit adequacy
•Continues supply of life saving drug & material
•Admission & Transfer
•Lack of team building
•Stress

12. INTERMEDIATE CARE

13. INTERMEDIATE CARE
Attention & care to patient
FACILITIES
• 30 – 35 beds
• Single & Double bed rooms
• Sanitation facilities
• Ancillary areas
• Supportive areas
STAFFING
• General ward: 1:6
• Special ward: 1:9

14. SELF CARE

15. SELF CARE / CONVALESCENT CARE
Ambulatory patients
PHYSICAL FACILITIES
• Location
• Privacy
• Sanitary facilities
• Self treatment
• Emotional facilities
STAFFING
MANAGEMENT
• Home care environment
• No visitor restriction

16. LONGTERM CARE

17. LONG TERM CAREPalliative care
PHYSICAL FACILITIES
• 30 – 35 beds
• Location & Arrangement
• Sanitation facilities
ANCILLARY FACILITIES
STAFFING
• Nurse patient ratio
• Morning 1:3 Evening 1:4 Night 1:6
SERVICES
• Rehabilitation
• Medical social worker

18. HOME CARE

19. HOME CARE

20. AMBULATORYCARE

21. AMBULATORY CAREVery important wing in hospital service
CATEGORIES OF OUTPUT
• General/Referred/Emergency
SERVICES
• Rehabilitation
• Promotion of health
PHYSICAL FACILITIES
• Patient area
• Clinical area
• Administrative area
• Circulation area
STAFFING

22. PRINCIPLES OF PPC
• Study the concept
• Develop team work
• Evaluate needs
• Orient staff
• Estimate cost
• Establish policies
• Provide flexibility
• Staffing
• Instruct patient
• Inform public

23. ADVANTAGES
•Personnel & equipment
•Holistic care
•Extra privacy
•Centralization of skilled personnel
•Reduce cross infection
•Confident & encouraged

24. DISADVANTAGES
•Discomfort to patient
•No continuity in care
•Care plans
•Meeting administrative needs is difficult.
•Low morale

25. BENEFITS
•For patients
•For nurse
•For physician
•For hospital