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Trauma-informed healthcare practice relies on healthcare providers and organizations working together. The principles include the self-awareness and self-care of healthcare providers, awareness of the patient's trauma reaction, ensuring patient safety, building trust and transparency in care, working collaboratively with the patient and the healthcare team, and providing choices and empowerment during the care process. This article provides a reference to healthcare providers for providing friendly and high-quality care to patients with trauma.
The need to use an indwelling nasogastric tube, urinary catheter, or tracheostomy tube (the so-called "three tubes") because of illness or prolonged bedrest is increasing. The functions and effectiveness of these tubes may be maintained only with correct care. Improper care, slippage, obstruction, or infection may in severe cases cause septic shock or even death.
To increase the completeness of the reverse demonstration of three tubes care instructions by primary caregivers to further improve related care quality.
Between February 10th and March 31st, 2019, the completeness rates of reverse demonstration of nasogastric tube, urinary catheter, and tracheostomy tube care instructions among the primary caregivers participating in this study were shown to be low, at 42.5%, 38%, and 58.3%, respectively. The plausible causes were 1. TPEN molecular weight Human Poor communication, forgetting the care steps, having no time for learning, and fear of performing nasogastric tube rotation; 2. Instrument Lack of graphic demonstrations in health education materials; 3. Policy Lack of standards and auditing. The implemented intervention involved creating innovative health-education instruments, videos and flash cards about three tubes care in multiple languages, and straps for holding the urinary catheter and developing standards and an auditing system for the reverse demonstration of three tube care instructions by primary caregivers.
The completeness rates for the reverse demonstration of nasogastric tube, urinary catheter, and tracheostomy tube care instructions among the primary caregivers improved to 97.3%, 96.3%, and 95%, respectively.
Using the innovative health-education aids and improvements introduced in this study, the ability of primary caregivers to correctly perform the care steps should improve significantly.
Using the innovative health-education aids and improvements introduced in this study, the ability of primary caregivers to correctly perform the care steps should improve significantly.
Improving the process of care may effectively improve the quality of medical care and increase patient satisfaction. An investigation found that the process of care used in our unit was imperfect, resulting in a low preoperative enrollment rate of case managers, overly long patient waiting times for ward assignment, insufficient pre-operative knowledge, and high cancellation rates for routine operations.
The aim of this project was to review the overall process of care using the concept of patient flow to improve and formulate countermeasures to improve quality of care.
To improve the process of care, the corresponding countermeasures were formulated. 1. Set criteria for enrollment for orthopedic case managers to increase the preoperative enrollment rate; 2. Set up a specialized arthroplasty care area for central case management to reduce the time patients need to wait for the ward; and 3. Improve patient compliance with preoperative education and reduce the operation cancellation rate by distributing patient education pamphlets, filming videos of pre-operative instructions, facilitating home environment preparation, and providing education on sterilization baths.
After implementation of the countermeasures, the preoperative case manager enrollment rate increased from 27.8% to 84.6%; the average ward wait time for patients reduced from 73 to 41 minutes; compliance with patient education increased from 83.0% to 100%; and the operation cancellation rate reduced from 11.1% to 0%.
This project used the concept of patient flow to review the care process used for total knee arthroplasty. This improvement strategy may be used to standardize care processes and improve the quality of medical care provided.
This project used the concept of patient flow to review the care process used for total knee arthroplasty. This improvement strategy may be used to standardize care processes and improve the quality of medical care provided.
In addition to playing significant role in the decline of physiological functions and the onset of depression, frailty is involved in a vicious circle with depression that has serious physical and mental impacts on sufferers. Furthermore, elderly people with frailty are less mobile, at increased risk of dissociative interpersonal relationships, and prone to develop a sense of loneliness, which also pose health threats.
This study was designed to explore the improvement effects of an aromatherapy intervention on depression and loneliness in the elderly with frailty living in daycare centers.
This study adopted a quasi-experimental, pre-and-post-test research design. This study enrolled 82 frail elderly people from six daycare centers in Taipei City as the research subjects. The subjects in the experimental group received aromatherapy twice a week for 30 minutes each session for four weeks. The researcher guided the experimental group in a small group setting to perform self-massage on the face and hands with lavender essential oil. The control group was guided in the same self-massage routine using pure base oil.
Depression in the subjects was found to be positively correlated with degree of frailty. After the intervention, depression and loneliness was found to have decreased significantly in the experimental group (p < .05).
The findings support the beneficial effects of aromatherapy interventions on depression and loneliness in the elderly with frailty living in daycare centers without adverse reactions. Aromatherapy may be used to improve depression and loneliness in elderly people with frailty.
The findings support the beneficial effects of aromatherapy interventions on depression and loneliness in the elderly with frailty living in daycare centers without adverse reactions. Aromatherapy may be used to improve depression and loneliness in elderly people with frailty.
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