The Healthcare Team as the Healthcare Provider: A Different View of the Patie...guesta14581
油
Presentation to the Ohio State Society of Medical Assistant's annual convention about the Patient Centered Medical Home and the role of the medical assistant
The document discusses lessons from the United States on caring for patients with chronic illnesses. It outlines three key functions of primary care teams: panel management to ensure patients receive evidence-based care, health coaching to support behavior change and medication adherence, and complex care management for high-needs patients. High-functioning teams with roles like registry use, panel managers, and health coaches are shown to improve health outcomes and lower costs compared to usual individual physician care.
The document discusses lessons from the United States on caring for patients with chronic illnesses. It outlines three key functions of primary care teams: panel management to ensure patients receive evidence-based care, health coaching to support behavior change and medication adherence, and complex care management for high-needs patients. High-functioning teams with roles like registry use, panel managers, and health coaches are shown to improve health outcomes and lower costs compared to usual individual physician care.
Emergency Care Practitioners Information PackArm inarm
油
Emergency Care Practitioners (ECPs) are trained to assess, treat, and refer patients, reducing unnecessary emergency responses and hospital admissions. ECPs complete a four module course covering patient assessment, acute/minor conditions, chronic conditions, and therapeutic interventions. They are qualified to diagnose, treat minor illnesses/injuries, monitor chronic conditions, and supply/administer certain medications. ECP teams respond in primary care vehicles to assess category B/C patients, provide follow up care, and support ambulance crews and hospitals to safely manage more patients outside of emergency departments. The overall aims of the ECP program are to improve patient safety, provide appropriate community-based care, and reduce emergency responses and hospital burdens.
Running head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docxtoltonkendal
油
Running head: NARRATIVE 10- BURN UNIT 1
NARRATIVE 10- BURN UNIT 2
New practice approaches
An experience with new technology and better ways of dealing with burn cases, treatment is quite fast and easy! Unlike the traditional way of airway maintenance, the new way that follows the ATLS guidelines enables the nurse to have a definitive airway maintenance as well as ventilation monitoring.
Extraprofessional collaboration
The burn unit required a great deal of collaboration between different medical practitioners in order to achieve quick recovery and optimum treatment results. With the airway and c-spine protection, monitoring the heart rate and blood pressure would require different physicians to acquire optimum results.
Health care delivery and clinical systems
With the Airway with C-spine Protection, different procedures and systems collaborate together to produce the best treatment results. Assessment of breathing, circulation, disability and exposure worked well with the clinical system each stage was important in contributing to the greater good.
Ethical considerations in health care
When it comes to Airway with C-spine Protection, Improving access to care, Protecting patient privacy and confidentiality are paramount. Building and maintaining strong health care workforce, Marketing practices and Care quality helps the unit achieve quality care.
Population health concerns
In the Airway with C-spine Protection, the section has the mandate of providing quality and convenient care. These help to improve the workability of the hospital system in general.
The role of technology in improving health care outcomes
When accessing the Airway with C-spine Protection, use of technology proved to be important especially when inspecting for singed nasal, facial and eyebrow hairs.
Health policy
Definitely, health policies serve as important ways through which the burn unit could provide quality healthcare. I did notice this when it comes to ensuring that each patient gets the most out of treatment they undergo.
Leadership and economic models
At the burn unit, it is almost blatant that leaders are responsible and are economical in their decision making. This is evident by the efficient allocation of resources.
Health disparities
Different patients come with different conditions. However, it is the function of the nurses to do all they can to ensure that their patients get well.
Running Head: Reflective Narrative 1
Oncology Unit: Reflective Narration
Students Name:
Institution- Affiliated:
Health disparities in Cancer
One of the most significant issues I encountered during of the course of the week is the existing disparities in various aspects of cancer such as death rates, higher rates of advanced cancer diagnoses, less frequent use of proven screening test in specific populations is an area in which progress has not been at par. I noted health disparities existed in African American women compared to women from other ethnic ...
The document provides an overview of the Patient Centered Medical Home (PCMH) model as implemented in the Army Medical Department. It discusses the history and principles of the PCMH approach, including having a personal physician, care coordination across different providers and settings, a focus on quality and safety, and enhanced patient access. The Army's experience to date includes establishing PCMH teams in 11 medical treatment facilities, with plans to expand implementation in phases to improve patient experience, health outcomes and costs.
The document discusses innovations in chronic disease management within primary care practices. It introduces the Chronic Care Model, which identifies six essential elements for improving chronic illness care: community resources, health care organization, self-management support, delivery system design, decision support, and clinical information systems. The model predicts that enhancing these six interrelated components can produce higher quality chronic care, with informed, proactive patients interacting with well-prepared practice teams. The article then provides case studies of four health care organizations that have implemented aspects of the Chronic Care Model, leading to improved chronic disease outcomes in their patient populations.
Infection control in healthcare facilities aims to prevent the spread of microorganisms between patients and staff. It is important as healthcare associated infections can significantly increase a patient's length of stay and risk of death. Standard precautions like hand hygiene and use of personal protective equipment are the primary methods for preventing transmission. Ongoing education of staff and monitoring adherence to policies is also key to effective infection control.
Patient engagement is evolving to include a composite of practices that impact patient behaviors and health. Contemporary models of patient engagement include the HIMSS 5 phases of patient engagement and the Regional Primary Care Coalition's 6 dimensions of patient engagement. Meaningful Use Phase 3 identifies key priorities around patient access to health records and secure messaging. Barriers to patient engagement include defining engagement and integrating diverse engagement tools and technologies.
Test bank for foundations and adult health cooper 9th - converted.pdfLect Grader
油
Test bank for foundations and adult health cooper 9th - converted.pdf Test bank for foundations and adult health cooper 9th - converted.pdf Test bank for foundations and adult health cooper 9th - converted.pdf Test bank for foundations and adult health cooper 9th - converted.pdf Test bank for foundations and adult health cooper 9th - converted.pdf
The document discusses the role of nurses in improving patient safety in colorectal surgery. It emphasizes that patient safety should be the top priority and is a shared responsibility. The Enhanced Recovery After Surgery (ERAS) program plays an important role in pre-operative patient safety, focusing on goals like reduced fasting and avoidance of unnecessary devices. Proper pre-operative stoma site marking by nurses is also discussed as an important way to reduce postoperative complications. Overall, the document stresses the importance of multidisciplinary teamwork and a holistic, patient-centered approach to ensure high quality, safe care.
The document discusses the role of nurses in improving patient safety in colorectal surgery. It emphasizes that patient safety should be the top priority and is a shared responsibility. The Enhanced Recovery After Surgery (ERAS) program plays an important role in pre-operative patient safety, focusing on goals like reduced fasting and avoidance of unnecessary interventions. Proper pre-operative stoma site marking by nurses is also discussed as an important way to reduce postoperative complications. Overall, the document stresses the importance of multidisciplinary teamwork and a holistic, patient-centered approach to ensure high quality, safe care.
ETHICAL AND LEGAL ISSUES IN CARDIOVASCULAR AND THORACIC NURSING.pptxEDWINjose43
油
Cardiovascular and thoracic nurses often face ethical and legal dilemmas that stem from advanced medical technologies. They must apply principles like autonomy, beneficence, and informed consent. Some common issues include promoting patient well-being, preventing harm, handling errors, withdrawal of life support, and allocating resources fairly. Evidence-based practice provides the best evidence to guide complex healthcare decisions and improve patient outcomes.
Care coordination synchronizes the delivery of a patients health care from multiple providers and specialists. The goals of coordinated care are to improve health outcomes by ensuring that care from disparate providers is not delivered in silos, and to help reduce health care costs by eliminating redundant tests and procedures.
this presentation is about the role of paramedical staff, importance of paramedical staff, collaboration with other departments of hospital, roles and responsibilities of paramedical staff, training & education required for paramedical staff, challenges faced in the paramedical services, advancements in paramedical services and future outlook in paramedical services
Top 10 Duties and Responsibilities of a NurseCINPSInstitute
油
Nursing is a rewarding and challenging profession that requires a unique blend of compassion, knowledge, and skills. Nurses play a crucial role in providing holistic care and promoting the well-being of individuals, families, and communities. In this blog post, we will explore the top 10 duties and responsibilities of a nurse, shedding light on the diverse tasks they perform to ensure optimal patient outcomes.
This document discusses a research study examining the impact of nurse-led outpatient follow-up care on reducing heart failure readmission rates. It begins by introducing heart failure as an increasing health problem, especially in those over 65. The population of focus is recently discharged heart failure patients at high risk of readmission. The intervention studied is additional nurse-led outpatient follow-up care including follow-up calls and educational sessions. Current practice involves discharge teaching but readmissions continue. The significance of the nursing role in education to reduce readmissions and costs is discussed.
Susan Burnett: Measuring and monitoring safety in health careQualityWatch
油
The document discusses key issues for patient safety over the next decade. It notes that measuring safety in healthcare has been challenging due to fragmented safety information across organizations. While some metrics like mortality rates can provide insights, they only offer a partial view of overall patient harm. The document calls for improved integration and customization of safety data so it can be better understood and used for proactive improvement at different organizational levels. Developing ways to anticipate safety issues before they occur and treating safety as an organizational rather than just clinical concern are also emphasized.
Improving Clinical and Operational Outcomes by Leveraging Healthcare Data Ana...NUS-ISS
油
Presented by Mr. Sandeep Makhijani, Regional Director for Asia Pacific (APAC), Truven Health Analytics at ISS Seminar: How Analytics is Transforming Healthcare on 31 Oct 2014.
This document discusses enhanced recovery care pathways in the NHS. It begins by defining enhanced recovery as a process aimed at continuously improving care across the entire patient journey, with a focus on shared decision making between patients and healthcare providers. It then provides examples of key components of enhanced recovery pathways, such as pre-operative optimization of patient health, minimization of post-operative disabilities through early mobilization and reduced pain medication, and effective communication during care transitions. The document also summarizes the progression of enhanced recovery since its inception, highlights improved patient outcomes including reduced length of hospital stay and readmission rates in areas where enhanced recovery has been implemented, and sets ambitious targets for further expansion of enhanced recovery principles to additional procedures and care settings.
Transforming the Office Management of Heart Failure Using the Chronic Disease...MedicineAndHealthUSA
油
This document describes a project to transform the management of heart failure patients using a chronic disease model in a family medicine residency program. It discusses shortcomings in current chronic disease management and introduces the chronic care model. The project aims to improve guideline adherence, patient education and self-management, care coordination, and use of an electronic registry to track patients and monitor outcomes. Initial lessons learned include challenges with governance approvals and achieving buy-in from part-time providers during a cultural change.
Improving End-of-life Care in the Emergency DepartmentMichael Gisondi
油
Grand Rounds lecture presented at Palmetto Health Richland Emergency Medicine Residency Program / University of South Carolina School of Medicine, August 2016. Reviews the concept of Primary Palliative Care in the ED and the research efforts of The EPEC-EM Project: Education in Palliative and End-of-Life Care in Emergency Medicine.
What is the role of a primary care physician, and why are they essential in h...DoctorsBackOffice
油
The role of a primary care physician (PCP) is central to the healthcare system, serving as the first point of contact for patients and providing comprehensive, continuous, and coordinated care. PCPs are essential in healthcare for several reasons, including their ability to manage overall patient health, coordinate care with specialists, and focus on preventive measures. Understanding the full scope of their responsibilities highlights why they are indispensable in delivering quality healthcare.
Critical Care Nursing Is A Roller Coaster RideJill Baldwin
油
Here is a draft response for Task 2:
Nursing sensitive indicators are measures that can be used to evaluate the impact of nursing care on patient outcomes. Some key nursing sensitive indicators that could be tracked include:
- Patient falls - Tracking fall rates can help identify areas for improvement in fall prevention practices. A high fall rate may indicate a need for additional staff training or environmental safety measures.
- Pressure ulcers - Monitoring pressure ulcer development rates can help evaluate nursing care processes like risk assessment, skin inspection, positioning, and wound care. Higher rates could point to gaps in these areas.
- Patient satisfaction - Surveying patients on their experiences of nursing care and whether their needs were met provides insight into nursing service quality.
Permanente Medicine is a physician-led, prepaid healthcare model that aims to invent the future of medicine. It prioritizes quality, consumer experience, and cost containment over profit. Permanente physicians have state-of-the-art facilities, technology-enabled tools like advanced EMR systems, and a culture of collaboration and continuous improvement. This allows Permanente Medicine to consistently earn top honors in performance and deliver integrated, coordinated, and patient-centered care.
The opioid renewal clinic a primary care managed approachPaul Coelho, MD
油
This document describes a study evaluating the impact of an Opioid Renewal Clinic (ORC) program at a Veterans Affairs Medical Center. The ORC was established to support primary care providers in safely managing patients with chronic pain requiring opioid therapy. It was led by a nurse practitioner and clinical pharmacist, supported by a multidisciplinary pain team. The ORC utilized opioid treatment agreements and urine drug testing. The program resulted in improved adherence for many patients, identification and treatment of substance abuse issues for some, and cost savings for the hospital pharmacy. It provided primary care providers a structured approach for managing complex chronic pain patients on long-term opioid therapy.
nursing research and evidence basec practicennazurah
油
The COVID-19 pandemic significantly impacted healthcare workers, particularly nurses, who faced unprecedented challenges. Occupational stress among nurses increased due to high patient loads, fear of infection, and emotional exhaustion. This paper explores the perceived stress and sources of occupational stress among nurses during the COVID-19 crisis. It highlights psychological, physical, and organizational stressors while discussing potential coping mechanisms and strategies for better stress management.
1. Introduction
Occupational stress among healthcare professionals, especially nurses, intensified during the COVID-19 pandemic. Nurses were at the frontline, providing care under extreme conditions, leading to elevated levels of stress. This paper examines the perceived stress and primary sources contributing to occupational stress among nurses. It also explores the effects of stress on mental health, job performance, and overall well-being.
2. Understanding Perceived Occupational Stress Among Nurses
2.1 Definition of Perceived Stress
Perceived stress refers to an individual's subjective interpretation of stressors in their environment. It encompasses emotional and physiological reactions to demanding situations. Nurses experienced heightened perceived stress due to increased workload, patient mortality, and uncertainty surrounding the virus.
2.2 Psychological and Emotional Aspects
Fear of contracting COVID-19 and infecting family members
Anxiety and depression due to prolonged exposure to critical cases
Emotional exhaustion from witnessing patient suffering and death
Lack of social support due to quarantine and isolation measures
2.3 Physical Aspects of Perceived Stress
Fatigue from extended working hours and insufficient rest
Physical strain due to prolonged use of personal protective equipment (PPE)
Sleep disturbances and irregular schedules
Increased risk of burnout and stress-related illnesses
3. Sources of Occupational Stress Among Nurses During COVID-19
3.1 Workload and Job Demands
Increased patient admissions led to excessive workloads
Shortage of healthcare workers, requiring nurses to work overtime
Limited resources, including ventilators, PPE, and medication
Increased administrative tasks and documentation requirements
3.2 Fear and Uncertainty
Rapidly evolving information about the virus and treatment protocols
Uncertainty regarding job security and institutional support
Anxiety over potential future pandemics and health crises
3.3 Lack of Organizational Support
Inadequate training and preparedness for pandemic response
Poor communication from hospital management
Limited mental health support and counseling services
Insufficient financial compensation and incentives
3.4 Patient Care and Ethical Dilemmas
Increased patient mortality and lack of sufficient medical interventions
Ethical dilemmas in resource allocation (e.g., ventilator shortages)
Difficulty in maintaining quality patient care under extr
knowledge on pressure ulcer prevention in icunnazurah
油
Pressure injuries (also known as pressure ulcers or bedsores) are a significant concern in intensive care units (ICUs) due to prolonged immobility, hemodynamic instability, and medical device-related pressure. Preventing these injuries requires a multifaceted approach that includes risk assessment, skin care, repositioning, and advanced support surfaces.
1. Risk Assessment
Use validated tools like the Braden Scale or Norton Scale to assess the patient's risk.
Evaluate factors such as mobility, moisture, nutrition, activity, friction, and shear.
Identify high-risk patients, such as those on mechanical ventilation, with circulatory shock, or prolonged immobility.
2. Regular Skin Inspection
Perform daily skin assessments, focusing on bony prominences (e.g., sacrum, heels, occiput).
Monitor areas where medical devices, such as endotracheal tubes or catheters, may exert pressure.
3. Repositioning and Offloading
Reposition every 2 hours for bed-bound patients and every hour for those in chairs.
Use the 30-degree lateral tilt to reduce pressure on the sacrum and trochanters.
Offload heels with heel suspension devices or pillows.
4. Use of Support Surfaces
Provide pressure-relieving mattresses (e.g., high-density foam, air-fluidized, low-air-loss mattresses).
Use specialized cushions for high-risk areas.
5. Nutrition and Hydration
Ensure adequate protein, calorie, and micronutrient intake to support skin integrity.
Use enteral or parenteral nutrition as needed.
Monitor hydration status to maintain skin elasticity.
6. Moisture Management and Skin Protection
Keep skin clean and dry, managing incontinence with barrier creams.
Use absorbent pads or external catheters for urinary incontinence.
Apply protective dressings (e.g., foam or hydrocolloid dressings) on high-risk areas.
Minimizing Friction and Shear
Use lift sheets or mechanical lifts instead of dragging patients during repositioning.
Elevate the head of the bed no more than 30 degrees unless contraindicated.
8. Medical Device-Related Pressure Injury Prevention
Frequently reposition tubes, masks, and catheters to relieve pressure.
Use padding under medical devices to reduce localized pressure.
9. Staff Education and Protocol Implementation
Train ICU staff on pressure injury prevention strategies.
Develop hospital-wide protocols for early intervention.
Conduct regular pressure injury audits to assess adherence to preventive measures.
Conclusion
Preventing pressure injuries in the ICU requires a proactive, multidisciplinary approach. Early risk identification, frequent repositioning, skin protection, proper nutrition, and specialized support surfaces are key strategies. Continuous education and adherence to protocols help reduce the incidence of pressure injuries and improve patient outcomes.
Pressure injuries (PIs), also known as pressure ulcers, are a critical concern in ICU patients due to prolonged immobility, hemodynamic instability, and increased vulnerability from multiple medical conditions.
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Infection control in healthcare facilities aims to prevent the spread of microorganisms between patients and staff. It is important as healthcare associated infections can significantly increase a patient's length of stay and risk of death. Standard precautions like hand hygiene and use of personal protective equipment are the primary methods for preventing transmission. Ongoing education of staff and monitoring adherence to policies is also key to effective infection control.
Patient engagement is evolving to include a composite of practices that impact patient behaviors and health. Contemporary models of patient engagement include the HIMSS 5 phases of patient engagement and the Regional Primary Care Coalition's 6 dimensions of patient engagement. Meaningful Use Phase 3 identifies key priorities around patient access to health records and secure messaging. Barriers to patient engagement include defining engagement and integrating diverse engagement tools and technologies.
Test bank for foundations and adult health cooper 9th - converted.pdfLect Grader
油
Test bank for foundations and adult health cooper 9th - converted.pdf Test bank for foundations and adult health cooper 9th - converted.pdf Test bank for foundations and adult health cooper 9th - converted.pdf Test bank for foundations and adult health cooper 9th - converted.pdf Test bank for foundations and adult health cooper 9th - converted.pdf
The document discusses the role of nurses in improving patient safety in colorectal surgery. It emphasizes that patient safety should be the top priority and is a shared responsibility. The Enhanced Recovery After Surgery (ERAS) program plays an important role in pre-operative patient safety, focusing on goals like reduced fasting and avoidance of unnecessary devices. Proper pre-operative stoma site marking by nurses is also discussed as an important way to reduce postoperative complications. Overall, the document stresses the importance of multidisciplinary teamwork and a holistic, patient-centered approach to ensure high quality, safe care.
The document discusses the role of nurses in improving patient safety in colorectal surgery. It emphasizes that patient safety should be the top priority and is a shared responsibility. The Enhanced Recovery After Surgery (ERAS) program plays an important role in pre-operative patient safety, focusing on goals like reduced fasting and avoidance of unnecessary interventions. Proper pre-operative stoma site marking by nurses is also discussed as an important way to reduce postoperative complications. Overall, the document stresses the importance of multidisciplinary teamwork and a holistic, patient-centered approach to ensure high quality, safe care.
ETHICAL AND LEGAL ISSUES IN CARDIOVASCULAR AND THORACIC NURSING.pptxEDWINjose43
油
Cardiovascular and thoracic nurses often face ethical and legal dilemmas that stem from advanced medical technologies. They must apply principles like autonomy, beneficence, and informed consent. Some common issues include promoting patient well-being, preventing harm, handling errors, withdrawal of life support, and allocating resources fairly. Evidence-based practice provides the best evidence to guide complex healthcare decisions and improve patient outcomes.
Care coordination synchronizes the delivery of a patients health care from multiple providers and specialists. The goals of coordinated care are to improve health outcomes by ensuring that care from disparate providers is not delivered in silos, and to help reduce health care costs by eliminating redundant tests and procedures.
this presentation is about the role of paramedical staff, importance of paramedical staff, collaboration with other departments of hospital, roles and responsibilities of paramedical staff, training & education required for paramedical staff, challenges faced in the paramedical services, advancements in paramedical services and future outlook in paramedical services
Top 10 Duties and Responsibilities of a NurseCINPSInstitute
油
Nursing is a rewarding and challenging profession that requires a unique blend of compassion, knowledge, and skills. Nurses play a crucial role in providing holistic care and promoting the well-being of individuals, families, and communities. In this blog post, we will explore the top 10 duties and responsibilities of a nurse, shedding light on the diverse tasks they perform to ensure optimal patient outcomes.
This document discusses a research study examining the impact of nurse-led outpatient follow-up care on reducing heart failure readmission rates. It begins by introducing heart failure as an increasing health problem, especially in those over 65. The population of focus is recently discharged heart failure patients at high risk of readmission. The intervention studied is additional nurse-led outpatient follow-up care including follow-up calls and educational sessions. Current practice involves discharge teaching but readmissions continue. The significance of the nursing role in education to reduce readmissions and costs is discussed.
Susan Burnett: Measuring and monitoring safety in health careQualityWatch
油
The document discusses key issues for patient safety over the next decade. It notes that measuring safety in healthcare has been challenging due to fragmented safety information across organizations. While some metrics like mortality rates can provide insights, they only offer a partial view of overall patient harm. The document calls for improved integration and customization of safety data so it can be better understood and used for proactive improvement at different organizational levels. Developing ways to anticipate safety issues before they occur and treating safety as an organizational rather than just clinical concern are also emphasized.
Improving Clinical and Operational Outcomes by Leveraging Healthcare Data Ana...NUS-ISS
油
Presented by Mr. Sandeep Makhijani, Regional Director for Asia Pacific (APAC), Truven Health Analytics at ISS Seminar: How Analytics is Transforming Healthcare on 31 Oct 2014.
This document discusses enhanced recovery care pathways in the NHS. It begins by defining enhanced recovery as a process aimed at continuously improving care across the entire patient journey, with a focus on shared decision making between patients and healthcare providers. It then provides examples of key components of enhanced recovery pathways, such as pre-operative optimization of patient health, minimization of post-operative disabilities through early mobilization and reduced pain medication, and effective communication during care transitions. The document also summarizes the progression of enhanced recovery since its inception, highlights improved patient outcomes including reduced length of hospital stay and readmission rates in areas where enhanced recovery has been implemented, and sets ambitious targets for further expansion of enhanced recovery principles to additional procedures and care settings.
Transforming the Office Management of Heart Failure Using the Chronic Disease...MedicineAndHealthUSA
油
This document describes a project to transform the management of heart failure patients using a chronic disease model in a family medicine residency program. It discusses shortcomings in current chronic disease management and introduces the chronic care model. The project aims to improve guideline adherence, patient education and self-management, care coordination, and use of an electronic registry to track patients and monitor outcomes. Initial lessons learned include challenges with governance approvals and achieving buy-in from part-time providers during a cultural change.
Improving End-of-life Care in the Emergency DepartmentMichael Gisondi
油
Grand Rounds lecture presented at Palmetto Health Richland Emergency Medicine Residency Program / University of South Carolina School of Medicine, August 2016. Reviews the concept of Primary Palliative Care in the ED and the research efforts of The EPEC-EM Project: Education in Palliative and End-of-Life Care in Emergency Medicine.
What is the role of a primary care physician, and why are they essential in h...DoctorsBackOffice
油
The role of a primary care physician (PCP) is central to the healthcare system, serving as the first point of contact for patients and providing comprehensive, continuous, and coordinated care. PCPs are essential in healthcare for several reasons, including their ability to manage overall patient health, coordinate care with specialists, and focus on preventive measures. Understanding the full scope of their responsibilities highlights why they are indispensable in delivering quality healthcare.
Critical Care Nursing Is A Roller Coaster RideJill Baldwin
油
Here is a draft response for Task 2:
Nursing sensitive indicators are measures that can be used to evaluate the impact of nursing care on patient outcomes. Some key nursing sensitive indicators that could be tracked include:
- Patient falls - Tracking fall rates can help identify areas for improvement in fall prevention practices. A high fall rate may indicate a need for additional staff training or environmental safety measures.
- Pressure ulcers - Monitoring pressure ulcer development rates can help evaluate nursing care processes like risk assessment, skin inspection, positioning, and wound care. Higher rates could point to gaps in these areas.
- Patient satisfaction - Surveying patients on their experiences of nursing care and whether their needs were met provides insight into nursing service quality.
Permanente Medicine is a physician-led, prepaid healthcare model that aims to invent the future of medicine. It prioritizes quality, consumer experience, and cost containment over profit. Permanente physicians have state-of-the-art facilities, technology-enabled tools like advanced EMR systems, and a culture of collaboration and continuous improvement. This allows Permanente Medicine to consistently earn top honors in performance and deliver integrated, coordinated, and patient-centered care.
The opioid renewal clinic a primary care managed approachPaul Coelho, MD
油
This document describes a study evaluating the impact of an Opioid Renewal Clinic (ORC) program at a Veterans Affairs Medical Center. The ORC was established to support primary care providers in safely managing patients with chronic pain requiring opioid therapy. It was led by a nurse practitioner and clinical pharmacist, supported by a multidisciplinary pain team. The ORC utilized opioid treatment agreements and urine drug testing. The program resulted in improved adherence for many patients, identification and treatment of substance abuse issues for some, and cost savings for the hospital pharmacy. It provided primary care providers a structured approach for managing complex chronic pain patients on long-term opioid therapy.
nursing research and evidence basec practicennazurah
油
The COVID-19 pandemic significantly impacted healthcare workers, particularly nurses, who faced unprecedented challenges. Occupational stress among nurses increased due to high patient loads, fear of infection, and emotional exhaustion. This paper explores the perceived stress and sources of occupational stress among nurses during the COVID-19 crisis. It highlights psychological, physical, and organizational stressors while discussing potential coping mechanisms and strategies for better stress management.
1. Introduction
Occupational stress among healthcare professionals, especially nurses, intensified during the COVID-19 pandemic. Nurses were at the frontline, providing care under extreme conditions, leading to elevated levels of stress. This paper examines the perceived stress and primary sources contributing to occupational stress among nurses. It also explores the effects of stress on mental health, job performance, and overall well-being.
2. Understanding Perceived Occupational Stress Among Nurses
2.1 Definition of Perceived Stress
Perceived stress refers to an individual's subjective interpretation of stressors in their environment. It encompasses emotional and physiological reactions to demanding situations. Nurses experienced heightened perceived stress due to increased workload, patient mortality, and uncertainty surrounding the virus.
2.2 Psychological and Emotional Aspects
Fear of contracting COVID-19 and infecting family members
Anxiety and depression due to prolonged exposure to critical cases
Emotional exhaustion from witnessing patient suffering and death
Lack of social support due to quarantine and isolation measures
2.3 Physical Aspects of Perceived Stress
Fatigue from extended working hours and insufficient rest
Physical strain due to prolonged use of personal protective equipment (PPE)
Sleep disturbances and irregular schedules
Increased risk of burnout and stress-related illnesses
3. Sources of Occupational Stress Among Nurses During COVID-19
3.1 Workload and Job Demands
Increased patient admissions led to excessive workloads
Shortage of healthcare workers, requiring nurses to work overtime
Limited resources, including ventilators, PPE, and medication
Increased administrative tasks and documentation requirements
3.2 Fear and Uncertainty
Rapidly evolving information about the virus and treatment protocols
Uncertainty regarding job security and institutional support
Anxiety over potential future pandemics and health crises
3.3 Lack of Organizational Support
Inadequate training and preparedness for pandemic response
Poor communication from hospital management
Limited mental health support and counseling services
Insufficient financial compensation and incentives
3.4 Patient Care and Ethical Dilemmas
Increased patient mortality and lack of sufficient medical interventions
Ethical dilemmas in resource allocation (e.g., ventilator shortages)
Difficulty in maintaining quality patient care under extr
knowledge on pressure ulcer prevention in icunnazurah
油
Pressure injuries (also known as pressure ulcers or bedsores) are a significant concern in intensive care units (ICUs) due to prolonged immobility, hemodynamic instability, and medical device-related pressure. Preventing these injuries requires a multifaceted approach that includes risk assessment, skin care, repositioning, and advanced support surfaces.
1. Risk Assessment
Use validated tools like the Braden Scale or Norton Scale to assess the patient's risk.
Evaluate factors such as mobility, moisture, nutrition, activity, friction, and shear.
Identify high-risk patients, such as those on mechanical ventilation, with circulatory shock, or prolonged immobility.
2. Regular Skin Inspection
Perform daily skin assessments, focusing on bony prominences (e.g., sacrum, heels, occiput).
Monitor areas where medical devices, such as endotracheal tubes or catheters, may exert pressure.
3. Repositioning and Offloading
Reposition every 2 hours for bed-bound patients and every hour for those in chairs.
Use the 30-degree lateral tilt to reduce pressure on the sacrum and trochanters.
Offload heels with heel suspension devices or pillows.
4. Use of Support Surfaces
Provide pressure-relieving mattresses (e.g., high-density foam, air-fluidized, low-air-loss mattresses).
Use specialized cushions for high-risk areas.
5. Nutrition and Hydration
Ensure adequate protein, calorie, and micronutrient intake to support skin integrity.
Use enteral or parenteral nutrition as needed.
Monitor hydration status to maintain skin elasticity.
6. Moisture Management and Skin Protection
Keep skin clean and dry, managing incontinence with barrier creams.
Use absorbent pads or external catheters for urinary incontinence.
Apply protective dressings (e.g., foam or hydrocolloid dressings) on high-risk areas.
Minimizing Friction and Shear
Use lift sheets or mechanical lifts instead of dragging patients during repositioning.
Elevate the head of the bed no more than 30 degrees unless contraindicated.
8. Medical Device-Related Pressure Injury Prevention
Frequently reposition tubes, masks, and catheters to relieve pressure.
Use padding under medical devices to reduce localized pressure.
9. Staff Education and Protocol Implementation
Train ICU staff on pressure injury prevention strategies.
Develop hospital-wide protocols for early intervention.
Conduct regular pressure injury audits to assess adherence to preventive measures.
Conclusion
Preventing pressure injuries in the ICU requires a proactive, multidisciplinary approach. Early risk identification, frequent repositioning, skin protection, proper nutrition, and specialized support surfaces are key strategies. Continuous education and adherence to protocols help reduce the incidence of pressure injuries and improve patient outcomes.
Pressure injuries (PIs), also known as pressure ulcers, are a critical concern in ICU patients due to prolonged immobility, hemodynamic instability, and increased vulnerability from multiple medical conditions.
Tran Quoc Bao Named Best and Most Influential Hospital CEO in Vietnam by Hosp...Ignite Capital
油
Tran Quoc Bao, named Best and Most Influential Hospital CEO in Vietnam 2025 by Hospital Insight Magazine, is transforming Vietnams healthcare landscape with his unique blend of medical expertise and financial acumen. As CEO of Prima Saigon, the country's leading international daycare and ambulatory hospital, Bao has turned the institution into a benchmark of excellence, setting new standards for innovation and patient care.
His leadership at Prima Saigon has propelled the hospital to the forefront of the Vietnamese healthcare sector, but Bao's impact goes beyond national borders. As a member of the Advisory Board for Asian Hospital & Healthcare Management, a prominent publication influencing global healthcare policy, he is helping to shape trends and set standards that extend across Asia and the world.
With nearly two decades of experience, Bao has held key positions at renowned institutions like City International Hospital, FV Hospital, TMMC Healthcare (Tam Tri Hospital Group), and Cao Tang Hospital, where he led the transformation into Vietnams first Joint Commission International (JCI)-accredited hospital. This milestone put Vietnam firmly on the global healthcare map, thanks to Baos visionary leadership.
His extensive expertise is matched by a distinguished financial background, holding elite credentials such as CFA速, CMT速, CPWA速, FMVA速, and others. Baos strategic approach has allowed him to lead $2 billion in healthcare M&A transactions, reshaping Vietnams healthcare investment landscape. His ability to blend healthcare with finance has earned him recognition as a thought leader in the field.
Bao has also contributed more than 20 articles to major outlets like Forbes, Bloomberg, and Voice of America, sharing his insights on healthcare innovation and investment. His accolades include being named Healthcare Executive of the Year Vietnam 2019, Medical Tourism Leader of the Year 2021, and being honored as a Doing Business 2022 Leader by the World Bank Group.
In addition, Bao's strategic expertise is sought by top global consulting firms like BCG, Bain, and McKinsey, advising on major healthcare investments and partnerships in Asia. With his visionary leadership, Tran Quoc Bao continues to drive the future of healthcare, both in Vietnam and globally.
At #MWC2025, we presented "Local Rural Practices of the Future", a visionary project designed to enhance healthcare access in rural areas through telemedicine, AI, telemonitoring, and point-of-care (PoC) analysis. By integrating these digital health solutions, we aim to improve patient care, reduce unnecessary travel, and support healthcare professionals in remote settings.
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Tran Quoc Bao: The Visionary Healthcare Leader Redefining Industry StandardsIgnite Capital
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Tran Quoc Bao is a name that resonates powerfully within the healthcare industry, known not only for his leadership but also for his ability to harness the power of social media to drive change. As the Best and Most Influential Healthcare Leader in Vietnam, Baos career is a testament to the idea that innovation and compassion can coexist in the healthcare sector, creating lasting impact for both businesses and patients alike.
With a Social Selling Index (SSI) of 60 on LinkedIn, Bao demonstrates a mastery of digital engagement that sets him apart in an industry often slow to adopt change. His score, a reflection of his strong personal brand, is not just about numbersit represents a deeper commitment to connecting with others, building meaningful relationships, and leveraging those relationships to drive real-world results. In an age where online networking is key to success, Bao has made social selling a cornerstone of his leadership approach.
His journey began with a passion for improving healthcare systems and a deep desire to help those in need. Over the years, he built a reputation as someone who combines sharp business acumen with a profound understanding of patient care. But it wasnt just about providing exceptional servicesit was about making healthcare accessible and sustainable for the communities he served. Baos innovative solutions have made a significant difference in countless lives, and his forward-thinking strategies have reshaped the way healthcare leaders engage with both their teams and their patients.
What makes Bao particularly influential is his ability to engage authentically with a global audience. His LinkedIn presence is not just filled with industry insights but also genuine discussions on leadership, technology, and human-centered care. Baos influence is growing exponentially, showing that in todays world, leadership is as much about connection as it is about expertise.
Tran Quoc Bao is more than just a healthcare leader. He is a trailblazer, a digital strategist, and, most importantly, a catalyst for change in an industry that desperately needs it. His story is one of determination, vision, and the power of meaningful connections.
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In 2025, Tran Quoc Bao was honored as Best and Most Influential Hospital CEO in Vietnam by Hospital Insight Magazine, solidifying his place as one of the most transformative figures in the countrys healthcare sector. As CEO of Prima Saigon, Vietnams leading international daycare and ambulatory hospital, Bao has taken the institution to unprecedented heights, setting new standards for medical care and patient experience. Under his leadership, Prima Saigon has become a beacon of innovation and excellence in the Vietnamese healthcare space.
But Baos influence extends far beyond his role at Prima Saigon. He is also a key member of the Advisory Board for Asian Hospital & Healthcare Management, a prestigious platform shaping healthcare policy across Asia and globally. Through this role, Bao is influencing global healthcare trends and setting new benchmarks for medical care worldwide.
With nearly two decades of experience in healthcare and finance, Bao has held critical positions at leading institutions like City International Hospital, FV Hospital, TMMC Healthcare (Tam Tri Hospital Group), and Cao Tang Hospital. At Cao Tang, Bao led the hospitals transformation into Vietnams first Joint Commission International (JCI)-accredited institution, a milestone that placed Vietnam firmly on the global healthcare map.
Baos remarkable career is further bolstered by his financial expertise. Holding multiple prestigious credentials, including CFA速, CMT速, CPWA速, FMVA速, and others, Bao has driven over $2 billion in healthcare mergers and acquisitions, reshaping Vietnams healthcare investment landscape. His ability to seamlessly integrate healthcare strategy with financial insight has made him a sought-after thought leader in the sector.
In addition to his professional accomplishments, Bao is a prolific writer, contributing over 20 articles to major publications like Forbes, Bloomberg, and Voice of America, where he shares his expertise on healthcare innovation and investment. His accolades include being named Healthcare Executive of the Year Vietnam 2019, Medical Tourism Leader of the Year 2021, and receiving recognition as a Doing Business 2022 Leader by the World Bank Group.
Bao's strategic insights are highly valued by top global consulting firms, including BCG, Bain, and McKinsey, where he advises on major healthcare investments and partnerships in Asia. Through his visionary leadership, Tran Quoc Bao is not just reshaping healthcare in Vietnamhe is setting the stage for the future of global healthcare.
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Introductory Remark in PMAC 2025 Side Meeting Complete Well-being in the Age of AI: The Crucial Role of Spiritual Health and Practical Strategies, 28 January 2025, Centara Grand Hotel, Bangkok
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2. Table of
Contents
01 Understanding Acute Coronary Syndrome
02 Daily ECG Monitoring
03 Importance of IV Access
04 Monitoring Cardiac Enzymes
05 Initiating Treatment for Acute MI
06 Administering Morphine for Pain Relief
07 Collaborative Care Team
08 Patient Education and Empowerment
09 Challenges in Acute Nursing Care
10 Innovations in Cardiac Care
11 The Role of Emotional Support
12 Documentation and Reporting
3. Table of
Contents
13 Cultural Competency in Care
14 Building Resilience in Nursing
15 Utilizing Technology in Nursing
16 Ethical Considerations in Nursing
17 Thriving in High-Pressure Situations
18 The Impact of Nutrition
19 Follow-Up Care Plans
20 Thank You!
4. 1
Understanding Acute
Coronary Syndrome
Key Insights
Acute Coronary Syndrome (ACS) encompasses a range of
conditions related to insufficient blood flow to the heart
muscle.
Recognizing the signs and swift intervention can
significantly impact patient outcomes.
Nurses play a pivotal role in the management of ACS,
requiring comprehensive knowledge and skills.
Implementing standardized care protocols ensures
optimal patient protection and recovery.
Photo by Pexels
5. 2
Daily ECG Monitoring
Stay Ahead
Daily ECG assessments are crucial for detecting any
rhythm changes or complications early in ACS patients.
Continuous monitoring provides valuable data that aids in
timely interventions.
Understanding normal vs. abnormal readings is essential
for patient safety.
An ECG allows healthcare teams to gauge the
effectiveness of ongoing treatments quickly.
Photo by Pexels
6. 3
Importance of IV
Access
Double the Safety
Ensuring two large-bore IVs is a safety protocol that allows
for rapid administration of medications.
IV access is critical for delivering fluids, medications, and
contrast during tests.
In emergencies, having two IVs minimizes delays in
treatment.
This practice enhances the ability to respond to
complications effectively.
Photo by Pexels
7. 4
Monitoring Cardiac
Enzymes
Critical Indicators
Regular testing of cardiac enzymes helps assess the extent
of heart damage.
These markers are essential for diagnosing myocardial
infarction (MI) accurately.
Timely enzyme monitoring guides appropriate treatment
plans.
Elevated cardiac enzymes often necessitate
immediate medical intervention.
Photo by Pexels
8. 5
Initiating Treatment
for Acute MI
Be Swift
Recognition of an acute MI and prompt treatment
initiation can save lives.
Immediate actions include oxygen administration,
medications, and possible catheterization.
Nurses must follow established protocols to ensure none
of these steps is delayed.
Effective treatment reduces mortality and improves
recovery rates for patients.
Photo by Pexels
9. 6
Administering
Morphine for Pain
Relief
Comfort First
Morphine is often the analgesic of choice for managing
severe pain in ACS patients.
Proper dosage and administration can prevent pain
escalation and improve patient satisfaction.
Monitor patients for side effects and effectiveness of pain
relief.
It's essential to balance pain management and
hemodynamic stability in these patients.
Photo by Pexels
10. 7
Collaborative Care
Team
Stronger Together
ACS care requires a multidisciplinary approach involving
various healthcare professionals.
Collaboration enhances patient outcomes and ensures
comprehensive care.
Regular communication among team members is vital for
seamless care delivery.
Empowered teams can make quicker decisions,
improving patient experiences.
Photo by Pexels
11. 8
Patient Education and
Empowerment
Knowledge is Key
Educating patients about their condition fosters
understanding and compliance.
Informed patients are more likely to participate actively in
their recovery.
Empower patients with knowledge about lifestyle
modifications post-discharge.
Patient engagement promotes better health
outcomes long-term.
Photo by Pexels
12. 9
Challenges in Acute
Nursing Care
Navigating Obstacles
Nurses often face challenges such as high-stress
environments and critical decision-making.
Effective stress management techniques enhance
performance and patient care.
Continuing education is essential to stay updated with
best practices in ACS care.
Identify barriers to optimal care and develop
strategies to overcome them.
Photo by Pexels
13. 10
Innovations in Cardiac
Care
Future in Focus
Advancements in technology are transforming the
monitoring and treatment of ACS patients.
Telehealth and remote monitoring enhance access to
specialized care.
New medications and therapies are becoming available
regularly.
Staying abreast of these innovations is critical for
modern nursing practices.
Photo by Pexels
14. 11
The Role of Emotional
Support
Healing Heart and Mind
Emotional and psychological support plays a significant
role in recovering ACS patients.
Nurses should be attentive to patients' emotional needs
and provide reassurance.
Encouraging expression of feelings can reduce anxiety and
promote healing.
Incorporating emotional health into care plans
enhances overall recovery.
Photo by Pexels
15. 12
Documentation and
Reporting
Accuracy Matters
Diligent documentation ensures continuity of care and
accountability within the healthcare team.
Accurate reporting of changes in patient status aids in
prompt interventions.
Nurses must prioritize thorough and precise
documentation practices.
Good documentation can serve as a critical legal
defense in adverse events.
Photo by Pexels
16. 13
Cultural Competency in
Care
Respect Diversity
Understanding cultural differences enhances the nurse-
patient relationship for ACS patients.
Cultural competence allows nurses to provide respectful
and personalized care.
Be mindful of diverse beliefs and practices related to
health.
Culturally competent care can improve compliance
and trust in the healthcare system.
Photo by Pexels
17. 14
Building Resilience in
Nursing
Stay Strong
Nurses must build resilience to cope with the demands of
acute care settings.
Promoting self-care and mental health among nurses is
crucial for sustainability.
Support systems within workplaces can strengthen
resilience and reduce burnout.
Encouragement from colleagues fosters a positive
work environment.
Photo by Pexels
18. 15
Utilizing Technology in
Nursing
Tech-Savvy Care
Incorporating technology streamlines workflows and
improves patient monitoring.
Electronic health records make tracking patient data more
efficient.
Wearable devices can provide real-time insights into
patient conditions.
Technology should complement, not replace, the
human touch in nursing care.
Photo by Pexels
19. 16
Ethical Considerations
in Nursing
Principles First
Nurses must navigate ethical dilemmas during the care of
ACS patients.
Honesty, integrity, and patient autonomy should guide
clinical decisions.
Understanding ethical frameworks helps nursing
professionals make informed choices.
Ethical practice enhances trust and safeguards
patient rights.
Photo by Pexels
20. 17
Thriving in High-
Pressure Situations
Pressure Points
Nurses in acute care settings face intense pressure; they
must adapt swiftly.
Utilizing time management and prioritization skills is
paramount in emergencies.
Simulation training can prepare nurses for real-life high-
pressure scenarios.
Building confidence allows nurses to function
effectively under stress.
Photo by Pexels
21. 18
The Impact of Nutrition
Fuel for Recovery
Nutrition plays a vital role in the recovery of ACS patients
post-treatment.
Nurses should educate patients on heart-healthy dietary
choices.
Provide resources that help patients make informed
decisions about food.
Good nutrition can significantly enhance healing and
overall well-being.
Photo by Pexels
22. 19
Follow-Up Care Plans
Continuity is Key
Creating comprehensive follow-up care plans is essential
for long-term recovery.
Involve patients in developing their care plans to promote
adherence.
Regular follow-up appointments ensure ongoing
monitoring and support.
A tailored follow-up plan addresses individual patient
needs effectively.
Photo by Pexels
23. 20
Thank You!
Your Engagement Matters
Thank you for your attention and dedication to acute
nursing care for patients with ACS.
Together, we can enhance patient outcomes and foster a
culture of care.
Your commitment ensures excellence in nursing practice.
Lets continue to inspire and uplift our patients every
day!
Photo by Pexels