The management consisted neurological for severe head injury, maxillofacial for facial injuries, orthopedics for fractured lower limbs. Mr. M was mechanically ventilated and given sedations and analgesics to facilitate the care. Hinds and Watts (2008) define VAP as a nosocomial infection which arises between 48 hours and 72 hours in patients requiring mechanical ventilation for more than 48 hours. They suggest that this is because of the aspiration of secretions during Intubation and VAP occurring after 72 hours is mostly as the consequence of aspiration of infected secretion from the airway. VAP prolongs intensive care stay and increased risk of other complications associated with it.
Hospitals must also submit reports of injury and death to patients that result from infections that were acquired while staying in the hospital (2009 Hospital National Patient Safety Goals, 2008). Conferring to the Centers for Disease Control and Prevention, annually, more than a million people suffer from an infection acquired while receiving services in a health care organization. By following the hand hygiene guidelines provided by the World Health Organization or Centers for Disease Control and Prevention, prevalence of infectious diseases passed from staff to residents will be significantly reduced (National Patient Safety Goals effective January 1, 2012). This results as a consequence of patient safety. Evidence-based practice solutions include health care
The number one disease then was and still plagues hospitals today is methicillin-resistant Staphylococcus aureus, also known as MRSA. Healthcare organizations have been fighting against HAIs with little success, but at a big cost. A 1992 CDC study estimates cost of HAIs and the cost of suggested infection control programs was approximately 6 percent of the total cost of the infections (Baylina, 2011). In 2003 a report was published by the United Kingdom Department of Health which "estimates that the costs associated with HAIs per patient bed for a year was identical to the cost of an infection control program apply to a hospital with 250 beds” (Baylina, 2011). These cost are linked to the increased length of stay and associate cost for treating the infection.
In the context of OCD, this measures the extent to which two different clinicians agree on the diagnosis of the same patient. The fact that Woody et al 1995 postulated that this reliability was very high in Y-BOCS scale implies that the diagnostic criteria outlines the specific symptoms of OCD in detail and with clarity. This explains why such a low number clinicians disagreed on the diagnosis of the same patients, as clearly outlined symptoms that are specific to OCD reduce the likeliness of a clinician misinterpreting the diagnostic criteria and hence, misdiagnosing the patient. Consequently, clinicians can be confident that this diagnostic criteria can be relied upon to provide the correct symptoms of OCD provide the patient’s symptoms at the diagnostic interview are an accurate representation of the severity of their OCD. This
Gastric bypass surgery may not only help with obesity but it is believed that gastric bypass can help in treatment with diabetes mellitus, hypertension, and sleep apnea. But there are many risks involved with the surgery, including death in about 2-3% of patients within one month of surgery. Gastric bypass surgery is an extensive procedure. Most qualified clients have a BMI of 40 or more and are morbidly obese. Clients planning to have gastric bypass surgery meet with a variety of specialists to determine their eligibility..
Using SwabCap® to Reduce the Number of Central Line Associated Blood Stream Infections (CLABSIs) Dawn E Bennett Joliet Junior College Nursing 260 Using SwabCap® to Reduce the Number of Central Line Associated Blood Stream Infections (CLABSIs) According to the Centers for Disease Control and Prevention (CDC), every year health care associated infections (HAIs) affect 5% of hospitalized patients in the United States. CLABSIs are a deadly HAI, with a mortality rate of 12%-25%. In 2009, the number of CLABSIs in an Intensive care unit (ICU) setting was estimated at 18,000, and for patients in an inpatient ward was an estimated 23,000. Patients receiving hemodialysis as an outpatient in 2008 had an higher rate of CLABSIs, with an estimated
Abstract Central lines also known as central venous catheters are an integrated role in today’s health care. They provide the means of delivering the necessary lifesaving fluids, nutrition, blood products, medications, and means for hemodialysis access. But for this convenience comes great risks of bloodstream infections that are caused by the colonization of microorganisms from the external surface on and around the devices providing a pathway while inserted or in use. These types’ central line or catheter related associated bloodstream infections are often preventable. Yet thousands of people die each year or escalates billions of debt to the health care system in the U.S. annually to fight them.
A critical analysis of the dashboard reveals that the areas where enhanced performance was recorded are the courtesy of registered nurses, management and prevention of falls among patients, as well as a high number of patients, who are assessed for pressure ulcers within 24 hours. One of the areas where poor performance was recorded is the management of patients to prevent pressure ulcers. The first step in pressure ulcers prevention nursing plan is the identification of risk factors followed by identification of the body parts of patients that are at risk of developing pressure ulcers. Development of a risk assessment plan to assess the risk factors and the number of patients at risk of pressure ulcers is also a core component of the prevention plan. Finally, practical interventions need to be developed to address all cases pressure
Cystic Fibrosis Heather Province Southwest Florida College Anatomy & Physiology August 30, 2012 Margaret Forget Cystic Fibrosis What is Cystic Fibrosis and what it means to me personally? This disease is a lethal genetic disease that’s common in the white population. Many patients with this disease live till 37 years old due to better treatment to improve their survival rate. “Average Life Expectancy in Cystic Fibrosis Better Treatment=Improved Survival” (Source: Cystic Fibrosis Foundation). Throughout my research I will explain treatments, therapy options, and prescription drugs offered to patients with this disease.
Coates (1999), claims that when people are in a highly aroused or socked condition in the clinical environment, they are often unable to process and retain important information. Advantages of written information as described by Coates (1999) include being permanent, consistent and easily reproducible, it also gives the patient time to reflect on the information and share it with others. Little et al (2004) found in their trial that giving clients’ information leaflets encouraged patients to raise issues with healthcare professionals, giving them a sense of empowerment, support and improved satisfaction. The Department of Health (DH) (2004) express that information gives patients power and confidence, helping them to build trusting relationships with clinical staff and work in partnership in their