Subacute Care Essay

The focus is on the needs of both the terminally ill person and the entire family. This care is provided by an interdisciplinary team which includes the physician, nurse, social worker, chaplain, certified nursing assistant, and hospice volunteers. A couple of examples are pain and symptom management, emotional, psychosocial and spiritual support, funeral planning and arrangement and most crucial are bereavement services for the family and caregivers after the patient’s death.

Health care is something that everyone requires in order to lead a healthy life. After a visit to a hospital there are instances when certain individuals require further care due to their circumstances. Although hospitals may provide long-term care, it is not usually ideal. Hospitals are in place to handle emergency situations and aid in stabilizing the patients. Once the patients are stable, they must be transitioned to another facility if they require further assistance. This will avoid maximum occupancy for the hospital and allow it to remain available to other patients that may need their services. Patients who require long-term care or around the clock care and are in good medical condition should seek a long-term care facility, such as a skilled nursing facility or nursing home. For some individuals, facilities such as skilled nursing facilities or nursing homes are a blessing. These types of facilities are in existence to aid in the recovery of certain injuries and or to provide living arrangements for those who lack someone to care for them or assist with meeting their health care needs.

The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more of the following symptoms ‘temperature >38 degrees Celsius or 90 beats per minute, respiratory rates greater than 20 breaths per minute and white blood count higher than 12,000 cells per microliter or lower than 4000 cells per

This Skilled nursing facilities provide two distinct types of care for residents that are a long-term care for older residents with irreversible functional and cognitive deficits and sub-acute care for patients who require a short admission to complete their rehabilitation and to regain their functional strength before returning to their independent living.

The American Association of Critical Care Nurses (AACN) developed a model that explicates the bedside nurse practice. The goal of this model was to explain what skills or competencies were brought to the overall patient care by nurses when meeting the needs of the patient and their families (Hardin, 2013; McEwen, 2014b). The Synergy Model for Patient Care is a middle range nursing theory.

Informal care is unpaid care that may be provided by family, friends or neighbours. (Brodsky, Habib and Hirschfield, 2003) state “Informal Care is by far the dominant form of care throughout the world.” This essay will state how important informal care is in modern society and how this has affected current social policy. It will define what the differences are between informal and formal care, what exactly informal care consists of, what a carer is, include statistics about informal carers, explain what the mixed economy of care means and conclude the importance of informal care in society.

The goal of this assignment is to define the diverse forms of integrated care and to provide evidence on their impact both on the patient and also the future of the registered nurse. An integrated care pathway contains many elements in order to make it function. There must be a clear declaration of the aims, objectives and key elements of care founded by evidence, the best practice available and a consideration of patient expectations. The records, 24-hour care and assessment of changes and outcomes must be monitored. The assistance of communication, good organisation of people’s roles and sequencing the actions of the relatives, multidisciplinary team, and most importantly the patients. For an integrated care pathway to be truly multidisciplinary, it should never be developed by one staff group. At the outset, all staff groups involved in the patient journey should be identified. A typical working group should include doctors, nurses and allied health professionals, with input from administrative and managerial staff where it is necessary. If the pathway exceeds boundaries of care, such as, discharging patients to services outside the hospital or healthcare setting, reps of these groups should be involved with their integrated care plan. It is the integration of health care, social care, and other external agencies such as voluntary groups and private sectors that impact on the patients care and health professional’s quality of care giving. It does not need all

There are several different types of clinical settings for long term care. Based on the type care the patient is in need of, will determine the type facility, such as assisted living, rehabilitation center, or a skilled nursing facility. A skilled nursing facility provides for the highest level of long term care. Skilled nursing facilities provide care for discharged hospital inpatients who continue to need specific care based on medical needs. Patients in the skilled nursing facility can range from those with long stays, such as years, or those that are

In nursing, it is the duty of the nurse to provide their patients with the best care possible. Each care for the patient is associated with their recovery. The outcome that the patient will have during their discharge depends on how well their treatment was followed by and what interventions by the nurse were completed to benefit their recovery. There are patients that require bedrest during recovery and others that are capable of being mobile. Patients that have the ability of participating in mobility, can benefit in early mobilization upon their admission. The earlier a patient is able to be mobile rather than in their bed, will enhance their functioning status and benefit their recovery.

With the increase in life expectancy for chronically ill patients related to the advancements in medical care, it is becoming increasing important to develop a comprehensive plan of care to manage a patient’s healthcare accordingly. The continuity of care is the basic framework to establish programs geared towards producing better patient outcomes. Chronic kidney disease (CKD) is one such area where the development of a strong support system can not only ensure proper care is received but also prevent or delay complications. According to one report by the American Hospital Association (AHA), “Individuals with ESRD (end stage renal disease) require intensive treatment,

is a continuum of care for critically ill or critically injured patients, which impairs one or more vital organ systems. Some illnesses or injuries the critically ill patient may suffer from are serious infections, a serious trauma with life threatening conditions (gun shot, car accidents, and knife wounds). Critical Care Units treat people with life threatening illness, traumas, organ failure, and more. Patients are treated to prevent these conditions or to keep them from occurring, if such conditions are present the patient is cared for in order to alleviate/treat said conditions. In the unit vital functions are monitored, the treatment the patient receives is invasive. Basically, all means are provided to keep the patient alive. Keeping

The massive field of nursing is broken down into over one hundred specialties and subspecialties that each have a unique background and certain set of requirements and skills specific to the job. Critical Care is an area within nursing that aims to care for the most vulnerable and ill of patients. Nurses working in critical care units are typically highly skilled and have acquired many years of experience working in different nursing areas. As with nearly all areas of nursing, the field of critical care has a governing organization that sets the standard for practice and maintains current evidence based research to uphold these standards to its members. The American Association of Critical-Care Nurses, AACN, is the organization that outlines the scope of practice for critical care nurses and provides continued educational opportunities for its members to expand their knowledge and stay current on advancements within the field.

Critical care nursing can be traced back to the battlefield and recovery room of the earlier decades and has evolved into the modern intensive care units today. The early 1950s through the 1990s is an era in which unpredicted and radical changes occurred in the care of all patients with the development and growth of intensive/critical care units in hospitals. The reasons for initiating these units was multi-factorial and complex; the factors included the acute shortage of civilian registered nurses (RNs) during and following World War II, innovative surgical procedures developed in caring for wounded servicemen that later carried

Relatives are the principal caregiver to the patients, they provide different crucial cares. These are, helping with toilet, feeding and washing, bringing food and medicine from outside, assisting with administering medicine and with monitoring exercise, negotiating with hospital staff, mediating between the hospital and outside world, they also provide emotional support to the

Early ambulation after surgery or any length of stay in a hospital has shown improved patient outcomes. Nurses ' play a huge role in patient 's recoveries. Nurse roles can also affect attitudes and perceptions of patient care. Attitudes by nurses can be affected by staffing, time management, and patient loads. The higher acuity patients that a nurse is caring for with inadequate time or support staff can create a stressful environment and result in a possible negative attitude towards patient care.