Theresa Hegarty, Head of Patient Experience at Royal United Hospital Bath NHS Trust, explains why storytelling is a powerful method for improving the experience of patients, staff and carers.
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.
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.
Havi Carel, Senior Lecturer in Philosophy at the University of the West of England, talks about her experiences of being a patient and draws on insights, ideas and techniques from philosophy to understand the experience of illness.
Julie Hendry: Creating a culture to ensure good patient safety, quality and e...The King's Fund
Julie Hendry, Director of Quality and Patient Experience at Mid-Staffordshire NHS Foundation Trust, gives a background to previous care failings at the trust, and explains how the culture of care has since been transformed to ensure patients are safe and well cared for.
Andrew Dilnot: Findings of the Commission on Funding of Care and SupportThe King's Fund
Andrew Dilnot, Chair of the Commission on Funding of Care and Support, gives an overview of the Commission’s findings and sets out how a fair, affordable and sustainable funding system for social care in England can be delivered.
Dr Al Mulley: The Secret to Reducing Unwarranted VariationsThe King's Fund
Dr Al Mulley, Director of the Dartmouth Center for Health Care Delivery Science at Dartmouth College, introduces the theory behind good and bad health care variation, looking at the work of Dr Jack Wennberg in the United States.
Dick Sorabji: Providing the evidence base for integrated careThe King's Fund
Dick Sorabji, Corporate Director of Policy and Public Affairs, London Councils, shares examples of integrated care initiatives in London and looks at the future barriers to achieving integration.
Contracting to deliver integrated care closer to patients: GPs as both provid...The King's Fund
Dr Tim Richardson, Medical Director at Epsomedical Ltd, discusses the history of GP fundholding and his own experiences of contracting to deliver cost effective integrated care.
Beverly Alimo-Metcalfe, Chief Executive, Real World Group, discusses the relationship between governance and leadership at The King's Fund's Leadership Summit 2012.
David Oliver: designing services that are age appropriateThe King's Fund
David Oliver, Visiting Fellow at The King’s Fund, looks at the challenges around providing health care for an ageing population, and the solutions to achieving better joined-up care.
Jocelyn Cornwell: How can organisations support patients to lead quality impr...The King's Fund
Jocelyn Cornwell, Director, the Point of Care Foundation and Senior Fellow, The King's Fund spoke on the benefits of involving patients in leadership at our 2013 Leadership Summit. She drew on her experience of the Point of Care Programme and examples from other organisations, including Kingston General Hospital in Canada, to prove that once you involve patients and carers in quality improvements, the changes stick.
Dan Wellings: public perceptions on health and social care fundingThe King's Fund
Dan Wellings, Head of Public Health Research at Ipsos MORI, gives an interesting insight into what the public think about the funding of health and social care.
Chris Ham: capitated budgets - a flexible way to enable new models of careThe King's Fund
Chris Ham, Chief Executive at The King’s Fund, looks at how high performing integrated systems are using capitated budgets and shares examples of eight PCTs who are commissioning integrated care in an innovative way.
Liz Bruce: Manchester health and wellbeing boardThe King's Fund
Liz Bruce talks through how Manchester health and wellbeing board promotes partnership across local government, public health, the local NHS and third sector.
Havi Carel, Senior Lecturer in Philosophy at the University of the West of England, talks about her experiences of being a patient and draws on insights, ideas and techniques from philosophy to understand the experience of illness.
Julie Hendry: Creating a culture to ensure good patient safety, quality and e...The King's Fund
Julie Hendry, Director of Quality and Patient Experience at Mid-Staffordshire NHS Foundation Trust, gives a background to previous care failings at the trust, and explains how the culture of care has since been transformed to ensure patients are safe and well cared for.
Andrew Dilnot: Findings of the Commission on Funding of Care and SupportThe King's Fund
Andrew Dilnot, Chair of the Commission on Funding of Care and Support, gives an overview of the Commission’s findings and sets out how a fair, affordable and sustainable funding system for social care in England can be delivered.
Dr Al Mulley: The Secret to Reducing Unwarranted VariationsThe King's Fund
Dr Al Mulley, Director of the Dartmouth Center for Health Care Delivery Science at Dartmouth College, introduces the theory behind good and bad health care variation, looking at the work of Dr Jack Wennberg in the United States.
Dick Sorabji: Providing the evidence base for integrated careThe King's Fund
Dick Sorabji, Corporate Director of Policy and Public Affairs, London Councils, shares examples of integrated care initiatives in London and looks at the future barriers to achieving integration.
Contracting to deliver integrated care closer to patients: GPs as both provid...The King's Fund
Dr Tim Richardson, Medical Director at Epsomedical Ltd, discusses the history of GP fundholding and his own experiences of contracting to deliver cost effective integrated care.
Beverly Alimo-Metcalfe, Chief Executive, Real World Group, discusses the relationship between governance and leadership at The King's Fund's Leadership Summit 2012.
David Oliver: designing services that are age appropriateThe King's Fund
David Oliver, Visiting Fellow at The King’s Fund, looks at the challenges around providing health care for an ageing population, and the solutions to achieving better joined-up care.
Jocelyn Cornwell: How can organisations support patients to lead quality impr...The King's Fund
Jocelyn Cornwell, Director, the Point of Care Foundation and Senior Fellow, The King's Fund spoke on the benefits of involving patients in leadership at our 2013 Leadership Summit. She drew on her experience of the Point of Care Programme and examples from other organisations, including Kingston General Hospital in Canada, to prove that once you involve patients and carers in quality improvements, the changes stick.
Dan Wellings: public perceptions on health and social care fundingThe King's Fund
Dan Wellings, Head of Public Health Research at Ipsos MORI, gives an interesting insight into what the public think about the funding of health and social care.
Chris Ham: capitated budgets - a flexible way to enable new models of careThe King's Fund
Chris Ham, Chief Executive at The King’s Fund, looks at how high performing integrated systems are using capitated budgets and shares examples of eight PCTs who are commissioning integrated care in an innovative way.
Liz Bruce: Manchester health and wellbeing boardThe King's Fund
Liz Bruce talks through how Manchester health and wellbeing board promotes partnership across local government, public health, the local NHS and third sector.
This session will use stories to get in and around the challenges of delivering person‐centred care. Gain an understanding of some of the ways in which story can be used in a very direct and honest way to support learning, practice and service improvement in everyday caring situations.
Understanding NHS financial pressures: visual resourcesThe King's Fund
This slideset contains key visual elements from our report, Understanding NHS financial pressures: how are they affecting patient care? Please feel free to share and re-use these graphics with credit to The King's Fund.
As part of a joint learning network on integrated housing, care and health, The King's Fund and the National Housing Federation have produced a set of slides illustrating the connections between housing, social care, health and wellbeing.
We hope they will be a useful resource for you – please feel free to use them in your office, in documents or presentations.
District councils’ contribution to public healthThe King's Fund
Our health is primarily determined by factors beyond just
health care. These slides illustrate the ways in which district
councils influence the health of local people through their key
functions and in their wider role supporting communities and
influencing other bodies.
The King’s Fund Events organise more than 20 health and social care events each year. Our highly-regarded conferences attract leading speakers from the government, the NHS, local authorities and the independent and voluntary sectors.
Jos de Blok set up Buurtzorg – which means ‘neighbourhood care’ in Dutch – with a team of four nurses. Today there are nearly 8,000 Buurtzorg nurses in 630 independent teams, caring for 60,000 patients a year. Nurses in Sweden, Norway, Japan and the United States are adopting the Buurtzorg model.
Our infographics highlight some key facts and figures around leadership vacancies in the NHS and some of the difficulties NHS organisations face in recruiting and retaining people for executive positions.
Sharing leadership with patients and users: a roundtable discussionThe King's Fund
‘What more is possible when patients, service users and those delivering services share the leadership task in health and social care?’
We held a roundtable discussion with patient leaders and organisational leads to discuss this question. Our slidepack summaries the conversations, including the opportunities and challenges for patient leaders, and where and how to start shared leadership working.
Making the case for public health interventionsThe King's Fund
In partnership with the Local Government Association, we have produced a set of infographics that describe key facts about the public health system and the return on investment for some public health interventions.
We hope they will be a useful resource for you – please feel free to use them in your office, in documents or presentations.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Theresa Hegarty: using patient, carer and staff stories to improve patient experience
1. See it my way – using patient, carer and staff stories to improve experience
Theresa Hegarty, Head of Patient Experience
Transforming Patient Experience Annual Conference; 8 November 2012
2. Contents
Thank you
Background and context
Why See it my way / Why stories?
Purpose of See it my way
Model and process
Measuring improvement
Staff story – extract from See it my way – dying
matters
3.
4.
5.
6. Background and context
RUH is a specialist/general acute/emergency care
hospital for BANES, Wiltshire and Mendip
3,381 wte staff / 577 beds (July 2012)/ FT application
Actions and behaviours at every level of the system
influence patient and family experience
Patient Experience Strategy
Personal background / story
7. Be kinder than necessary, for
everyone you meet is fighting some
kind of battle
8. Why See it my way?
How do we motivate and inspire staff to improve
patient, family and carer experience?
How do we find out about the experience of illness?
How do we sustain and nourish a person-centred,
listening, compassionate culture?
How do we connect with the excitement and
aliveness of experience?
How do we capture the hearts and minds of as many
staff as possible?
9. Why stories?
Acknowledged as a powerful methodology
Person-centred
We all love a good story
Convey emotions and thoughts
Provide a template for living and coping
Connect us as human beings
Deep and subtle effect
Build community
10. You can never understand a person
until you consider things from their
point of view …… until you climb
inside of their skin and walk around
in it
Atticus Finch, To kill a mocking bird; Harper Lee
11. See it my way – dying matters
16 May 2012, 2 – 3pm
Post graduate medical centre lecture theatre (PGMC)
A unique opportunity to find out what it is like to be coming to the end of
life, by hearing the story direct from people and their carers, who are at
that stage in their life
Come and listen to their experience
12.
13.
14.
15. Purpose of See it my way
Hear from patients, family and carers about living with a situation or condition
and their experience of the hospital
Hear from staff who work with patients with this condition, why they feel
inspired by their work and personal practice that improves patient experience
Connect with the person behind the condition/role
Provide an arena for compelling storytelling where all staff are invited and
welcome
Raise awareness, understanding and skills of staff
Role model Involvement and Engagement with our community and staff
Inspire and intrigue through fascinating real life stories
Time to stop, listen, be still
Inspire staff to work with empathy and compassion
Inform staff regarding current clinical work
Implement practical change to improve experience
16. Events so far
See it my way – living with a learning disability
See it my way – living with Parkinson’s Disease
See it my way – living with dementia
See it my way – life as a carer
See it my way – dying matters
See it my way – living with breathlessness
Coming soon:
See it my way – living with bladder problems
See it my way – being Deaf
See it my way – both sides of a transplant
17. Preparation and process
Choose a priority following consultation – bias to the silent
One hour session takes place at a time most accessible for all hospital
staff
Identify partner organisation to help select speakers
Diverse speakers chosen
3 patients; 2 family/carers; 1 member of staff speak
Speakers supported to tell their story for up to 8 minutes
All speakers invited for lunch before event
Stories/event is audio recorded and photos taken
The audience/speakers complete feedback
Speakers and audience stay on for tea and homemade cakes
Stands showing improvement work and sign up to become involved
18.
19.
20. Measuring improvement
Staff feedback forms require staff to specify planned changes to
practice e.g. from dying matters feedback:
“Involve carers as they are the experts (3)”
“Share what I have learnt to ensure we improve practice (3)”
“Tell fellow students about these stories (16)”
“Do a work based assessment on care of the dying”
Staff feedback demonstrates people are inspired
Attendance of up to 150 staff
Audit trail staff practice change to story telling events
Patient Surveys used to measure improvement
21. Speaker feedback
“This is the first time in my life that I have been asked to tell my
story to NHS staff and I really feel I have been heard!”
“Thank you for making this possible – I feel great that everyone
listened so carefully to me.”
“I have never spoken in public before but now I would like to do it
again.”
22.
23. One thing you have learnt from session?
“To think of everyone as an individual with individual needs“
“ Patient and carer both need to be looked after”
“ “ To be strong in life is not never to have fallen, but to keep getting up
again” – spoken by Isabella, one of the speakers today”
“To ensure everyone is treated equally, regardless of their circumstances.
I will recommend that the Board continue to review our progress in this
area.”
“That so much is going on behind the image a person presents.”
“Don’t just hear – but listen”