Here's a practical guide for nurses in helping patients make a transition from one care setting to another. Focuses on DRGs and the critical need for planning and teamwork resulting from early discharge. Provides checklist to help ensure continuity of care, as it relates to health promotion, recuperation, short- and long-term rehabilitation, chronic disease, institutional care, and terminal illness. Also includes legal and ethical considerations.
Following on from the very popular first book OCyNurse Facilitated Hospital DischargeOCOOCyIn these challenging economic times, with change and cost saving being predominant features in the NHS, I offer you, the reader, a thought: OC The faster the speed at which you travel, the further ahead you need to lookOCO, to adapt current practice, and align it to future needs, to deliver value for money.OCOLiz LeesTimely Discharge From Hospital is aimed at practitioners working in acute, community, intermediate and ambulatory care settings; all areas of practice are featured. Each section is arranged in themes but written to stand alone, allowing the reader to dip in and out. The book is further enhanced by a comprehensive selection of case studies.Part 1: Fundamental perspectives of practice OCo there are 3 leading chapters which set the scene for the discharge of patients from hospital.Part 2: The UK perspective OCo there are 4 chapters which demonstrate policy, practice and progress regarding discharge planning in England, Ireland, Scotland and Wales. Part 3: Education and training OCo there are 3 chapters which interface theory with practice providing a sense of direction in education to lead and support practitioners wishing to develop mechanisms for training.Part 4: Multi professional considerations of patient discharge in practice OCo there are 7 chapters which explore the contribution of different professionals to timely discharge practice. The Nursing coordination & complex discharge issues, Pharmacy, PALs, Medicine, Occupational Therapy and Bed management are all featured.Part 5: Case examples in practice OCo There are 14 pragmatic cases which illuminate practice points from a clinical perspective."
Normal Accidents analyzes the social side of technological risk. Charles Perrow argues that the conventional engineering approach to ensuring safety--building in more warnings and safeguards--fails because systems complexity makes failures inevitable. He asserts that typical precautions, by adding to complexity, may help create new categories of accidents. (At Chernobyl, tests of a new safety system helped produce the meltdown and subsequent fire.) By recognizing two dimensions of risk--complex versus linear interactions, and tight versus loose coupling--this book provides a powerful framework for analyzing risks and the organizations that insist we run them. The first edition fulfilled one reviewer's prediction that it "may mark the beginning of accident research." In the new afterword to this edition Perrow reviews the extensive work on the major accidents of the last fifteen years, including Bhopal, Chernobyl, and the Challenger disaster. The new postscript probes what the author considers to be the "quintessential 'Normal Accident'" of our time: the Y2K computer problem.
With contributions from more than 30 authorities in the field, this reference covers topics varying from management techniques to strategic planning, To ownership and governance, To a department-by-department breakdown of health care facility support services.
This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.
Will permit replication of the treatment procedures employed in a multisite clinical trial of patient-treatment matching. Covers: clinical considerations, and practical strategies. Appendices: assessment feedback procedures, MET in the aftercare setting, and therapist selection, training, and supervision in the clinical trial. Reading and additional resources.
