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Patient environment and safety
Patient safety
Patient environment and safety
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The health care profession includes a great deal of body mechanics and knowledge of safe activities for clients. Performing these everyday skills with competency and having proper education on these tasks will increase positive client outcomes. They will also promote safety for healthcare workers and clients. Prior to clinical, I watched the First Health video that was created by the physical therapy staff at Moore Regional Hospital. I also watched the videos, “Lifting Safely to Prevent Injury” and “The Nursing Assistant: Range of Motion Exercises”, which were both on Medcom. The videos proved to be very informative about body mechanics, ambulation, patient safety, ROM, and healthcare provider safety. The First Health video led that was led by Heather Fraley, staff physical therapist, demonstrated several important skills and …show more content…
She also stated that when moving a patient you should always ask them to assist as much as possible, as long as their condition permits. The video also suggested counting three before moving a client and to have a partner to assist on the other side. A good way to move a patient who is larger is to put the bed into Trendelenberg which lowers the head of the patient’s bed. It is always important to assess any airway clearance issues when doing this since it might make it more difficult for the patient to breath. Also the bed should be flat when moving the patient up in bed, turning the patient, or positioning the patient, if condition permits. Heather also talked about proper positioning of patients. It is crucial to position patients at least every two hours to prevent bed sores, and the positioning for stroke patients is even more essential. Promoting extension of the limbs and arms are recommended for stroke patients. Stroke patients can be positioned on their weak or strong side, but the physical therapist in the video states that positioning on the weak side is best. When a
During the interview, the Physical Therapist I conferred with was very thorough and straightforward in his responses to the questions that were given. I decided to interview another one of my mother’s fellow co-workers, Mr. Stephen Chan, considering his new experiences in the Physical Therapy field. I met with Mr. Stephen Chan at the Kaiser Permanente Outpatient Orthopedic Clinic that is located in Union City. The essential subject matters that we discussed consisted of his Major and Minor in college, the Residency Program that he takes part in, variations of attitudes, and advantages in the workforce.
The individual filling the position of the physiotherapist also has the responsibility of training the other staff members on how each piece of equipment works. The physiotherapist is required to inform other staff members on how the equipment can be used for different conditioning and rehabilitation purposes. The Fit Stop also employs one individual with a bachelor degree in Kinesiology in order to provide advice to clients based on specific sports or physical activities. The need for extrinsic rewards is much higher than the need for intrinsic rewards due to all of The Fit Stop’s employees being full-time.
Another research made 11 years after the prior research, shows that nearly 60% of all nurses and nursing assistants still suffer injuries in health care environment(“Nurses, assistants most injury prone in healthcare: CDC”, 2015). So what is the solution for this problem that affects more than 100,000 nurses and nursing assistants? Lifting patients is one of the main causes of injuries in the nursing homes. Over all injuries, 17% of them correspond to back injuries. But the use of lift machines itself doesn’t solve the problem. The prior research shows that 60.6% of the CNAs use lift machines, and those that don’t use it complain about the lack of time to do it. Therefore, the facility should decrease the ratio CNA to patient, in order to increase the time that the nursing assistants can spend on each resident. Also, a non-lift policy would prevent the CNAs from trying to lift patients in a quicker way that could potentially harm
Theis, J.L., & Finkelstein, M.J. (2013). Long-Term Effects of Safe Patient Handling Program on Staff Injuries. Rehabilitation Nursing, 39, 26-35. DOI:10.1002/rnj.108
There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be done, and coordinate care with the appropriate members of the team; such as, nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. “The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loop...
I gave comfort care educations for patient’s family. I taught patient and family how to reposition in order to prevent pressure ulcer. In addition, I taught them the benefit of placing pillows behind the patient 's back so that he stays in position and also placing a pillow between the legs to prevent friction. In addition, I show them how to put elbow and heel protection.
People have created a hectic and busy world, that includes careers and daily activities that require physical activity. While attempting to attain the required physical conditioning, people often take chances with their personal health as they try to stretch their physical limits. Sometimes, people can surpass their current limits and form new boundaries; however, other times people are not so fortunate. These unfortunate times often lead to injury, including workplace accidents, sporting incidents, disease afflictions, as well as others; any or all of which could bring about the need of rehabilitation services. Many of these require physical therapy, which includes assisting injured or otherwise impaired patients as they recover to their pre-injury status or to recover as much as is physically possible. The field of physical therapy is a choice career for those who enjoy helping people recover from injury, and the following text will provide reason for choosing this profession.
Physical therapy is one of the fastest successful occupations growing in the Unites States of America. It is unlike any other occupation in the medical field. Physical therapists care for patients of all ages who have functional problems and disorders. They work to increase a patient’s mobility, prevent further injury, and stabilize the progress of a patients’ health and wellness. The occupation of physical therapy is a very crucial and highly demanded job and will continue to expand in the future.
There has been debate on whether or not restraints are safe for patients. Tammelleo (1992) states that the use of restraints cause approximately 200 deaths every year, some of which include instances where a restraint was not necessary for the patient. Misuse is another important factor in the safeness and effectiveness of bed restraints. Misuse and tragic accidents have lead to the involvement of the FDA and recommendation calls that every medical institution must have and practice protocols for proper use of restraints (72). Tammelleo goes on to discuss recommended alternatives that should be explored before resorting to the use of restraints. Restraining patients may seem like the easier and quicker way to handle a patient, it is not always the best. Some alternative measures include wedging pads or pillows against the sides of a wheelchair to keep the patient in a good position, soften lights, provide soft music, spend extra ...
I have been exposed to the medical field my whole life. My Mom was a nurse and I would love to listen to the stories she told about her time in the hospital. If anybody asked me at the age of five what I wanted to be when I grew up, I would say “a nurse like my mom.” A few years later I decided I wanted to be a doctor from the few times I got to watch the television show “ER”. The beginning of my interest in physical therapy was when I met my fourth grade pen pal, Elmo, at a nursing home. Elmo had muscular dystrophy and only retained control of his right arm and pinky which allowed him to manouver his wheelchair. During one visit where we got to spend the whole day with our pals, the physical therapist at the nursing home came to see Elmo. I was allowed to stay and I remember thinking it was so cool that there was one person to help Elmo retain the little muscle tone and mobility he had left. In sixth grade, my class went to the hospital to sing Christmas caroles and I remember the coolest place being the physical therapy room. I thought it was amazing how patients were learning to walk again or throw a ball.
Patient falls is one of the commonest events within the healthcare facilities that affect the safety of the patients. Preventing falls among patients requires various methods. Recognition, evaluation, and preventing of patient falls are great challenges for healthcare workers in providing a safe environment in any healthcare setting. Hospitals have come together to understand the contributing factors of falls, and to decrease their occurrence and resulting injuries or death. Risk of falls among patients is considered as a safety indicator in healthcare institutions due to this. Falls and related injuries have consistently been associated with the quality of nursing care and are included as a nursing-quality indicator monitored by the American Nurses Association, National Database of Nursing Quality Indicators and by the National Quality Forum. (NCBI)
At all times, the client’s health and safety will come first, and this includes respecting cultural diversity. At all times, the patient will come first and his or her values/goals will be heard to work collaboratively with my vision for improvement in order to create a nurturing and safe environment to ensure the best form of improvement over the course of a patient’s physical therapy sessions. As a future physical therapist, I will advocate for patients in practice, education, and research in order to promote change. I will make sure that the patient is the highest
In the world there is an alarming trend where what seems to be harmless accidents take the lives of thousands of people every year. However, the loss of life and human potential is unacceptable. These unintentional injury deaths take on a myriad of forms that are brought out by the World Health Organization (WHO) and the U.S. Department of Health and Human Services (HHS). With the guidelines provided by these organizations Public Health Nurses (PHN) can help develop and execute strategies in an effort to decrease the lives lost to unintentional injuries.
“Employment of physical therapists is projected to grow 34 percent from 2014 to 2024, much faster than the average for all occupations.” 1 There is three main reasons of what is contributing the growth of the physical therapy profession. The first reasoning of why there will continue to be an demand for physical therapist is the baby boomers is a generation that continues to stay active longer into there life. This can contribute to individuals having pains or increasing the risk of injury at a later age in life. Secondly, there is also an increase of chronic diseases that require the attention of the physical therapist. These conditions include disease such as “diabetes and obesity, have become more prevalent in recent years. More physical therapists will be needed to help these patients maintain their mobility and manage the effects of chronic conditions.”1 Thirdly, Technology has a impact that more surgeries are performed outpatient and requires the physical therapist attention after surgery for proper care and gain of normal activities after surgery. The profession of physical therapy is predicted to continue to grow throughout the
I was very excited to have healthcare as the topic for my groups presentation, I’ve personally never had to deal with the logistics of healthcare or even needed to know how it worked. If I was sick I would go to the hospital or see a doctor and as long as they took my insurance, we were good to go. When we first started thinking about our topic as a group and the elements we wanted to add, we asked ourselves this: “What have we heard about healthcare but know nothing about?” the result was three main categories Medicare, Medicaid, and Obamacare. We assumed that as a group if we knew little about these topics, then there was a good chance no one in the class did either. Some of the things I found most interesting during the process of creating