548584162-Unit-VI-progressive-Patient-Care.pptx

progressive patient care explanation

1. 4/29/2020 6:17 AM https://www.yenepoya.edu.in Yene ( p M o rs y . N a ith N ya u sh r r s ee in B g V) College 1

2. Unit VI: Progressive patient care (Mrs. Nithyashree B V) 2 4/29/2020 6:17 AM Presenter : Ananda.S Asst. Professor Department of Community Health Nursing Yenepoya Nursing College

3. Reviewers Reviewer 2: Dr. Sasikumar Professor, Department of Medical Surgical Nursing Yenepoya Nursing College Reviewer 1: Mrs. Benazeera Assistant Professor, Department of Child Health Nursing Yenepoya Nursing College (Mrs. Nithyashree B V) 3 4/29/2020 6:17 AM

4. Specific learning objectives At the end of the class students will be able to Define progressive patient care State the characteristics of PPC Enumerate the philosophy of PPC Discuss the benefits of PPC Describe the stages of PPC List down the steps in conducting PPC (Mrs. Nithyashree B V) 4 4/29/2020 6:17 AM

5. Introduction The nursing care is delivered based on the patient needs. The continued care of the patient is directed towards the prevention of complications, rehabilitation and a return to normal living A system of care in which patients are placed in units on the basis of their needs. (Mrs. Nithyashree B V) 5 4/29/2020 6:17 AM

6. Definition (Mrs. Nithyashree B V) 6 4/29/2020 6:17 AM The American Association of Critical Care Nurses recognizes progressive care as part of the continuum of critical care. Progressive patient care is defined as nursing practice based on the needs of the patient and the characteristics of the nurse to attain optimal patient outcomes.

7. Definition contd.. Progressive care defines the care that is delivered to patients whose needs fall along the less acute end of that continuum. Progressive care patients are moderately stable with less complexity, require moderate resources and require intermittent nursing vigilance. (Mrs. Nithyashree B V) 7 4/29/2020 6:17 AM

8. Characteristics of PPC (Mrs. Nithyashree B V) 8 4/29/2020 6:17 AM Decreased risk of a life threatening event , A decreased need for invasive monitoring , Increased stability and An increased ability to participate in their care

9. Philosophy of PPC (Mrs. Nithyashree B V) 9 4/29/2020 6:17 AM Initially, progressive care units housed post myocardial infarction patients requiring cardiac monitoring, but not requiring intensive care and observation. With t h e a cu ity of ch a n g ing h ea l t h c a r e e n vi r o nm e n t, t h e p at ie n t s a d m i t t ed t o h o s p i t als s t ea d il y increased and caused an increase in the demand for critical care beds.

10. Philosophy contd.. (Mrs. Nithyashree B V) 10 4/29/2020 6:17 AM With the increased demand and decreased availability of critical care beds, patients were often transferred from critical care units while still requiring an increased level of nursing care and vigilance. Patients admitted to critical care units five to ten years ago are now routinely admitted to progressive care.

11. Philosophy contd.. (Mrs. Nithyashree B V) 11 4/29/2020 6:17 AM Progressive care is the term the American Association of Critical‐Care Nurses (AACN) uses to collectively describe areas that are also referred to as Intermediate Care Units, Direct Observation Units, Step‐down Units, Telemetry Units, or Transitional Care Units as well as to define a specific level of patient care.

12. Benefits of PPC B e n e f its of PPC P a ti e n t N u r ses Physician Hospital (Mrs. Nithyashree B V) 12 4/29/2020 6:17 AM

13. The patient receives the specialized care. The patients who are not critically ill are not deprived of nursing and medical attention. (Mrs. Nithyashree B V) 13 4/29/2020 6:17 AM Benefits of PPC- Patients

14. The physician is given a greater assurance that his patient is receiving a high quality nursing care. Emergency treatment if necessary is in the immediate vicinity. (Mrs. Nithyashree B V) 14 4/29/2020 6:17 AM Benefits of PPC- doctors

15. The nurse makes an effective use of her special capabilities. The problem of providing services by the nurses to critically ill patient is reduced when the patients are divided to various groups according to the degree of illness. It helps the nurses to plan the nursing care for the patients better as the needs are of almost same degree in each unit. (Mrs. Nithyashree B V) 15 4/29/2020 6:17 AM Benefits of PPC- nurses

16. The beds, physical facilities, supplies and funds available may be used efficiently. Improves public image of the hospital incommunity. Home care program as a part of PPC helps the hospital to coordinate its activities with the community health and social services. (Mrs. Nithyashree B V) 16 4/29/2020 6:17 AM Benefits of PPC- hospital

17. Stages of PPC (Mrs. Nithyashree B V) 17 4/29/2020 6:17 AM Intensive care, Intermediate care Minimal care.

18. Intensive care unit Type of ICU :- Generalized ICU Specialized ICU Type of Patients :- Any patient in a serious condition who has the slightest chance of recovery. It is desirable not to admit patients here who are in the terminal stage of disease. (Mrs. Nithyashree B V) 18 4/29/2020 6:17 AM

19. ICU Layouts: Patients Area Ancillary Area Auxiliary Area Equipments: Sound-proofing and Air Conditioning. Centrally Placed Nurses’ Station. Sterile Equipments like Trays etc. Piped Oxygen and Piped Suction Apparatus. Multi-parameter Monitors. (Mrs. Nithyashree B V) 19 4/29/2020 6:17 AM Intensive care unit

20. Intensive care unit (Mrs. Nithyashree B V) 20 4/29/2020 6:17 AM

21. Intermediate care unit (Mrs. Nithyashree B V) 21 4/29/2020 6:17 AM For Moderately ill Patients or Palliative Care. May also have patients transferred from ICU . I t a c c o m m o d a te s 6 – 70 % o f t o t a l h o s p i ta l i z ed patients. A large number of patients are admitted and discharged directly from this unit .

22. INTERMEDIATE CARE UNIT Bed Arrangement – Single, Double and 4-6 beds in a room. Intermediate Care Layout: – Ancillary Area (Mrs. Nithyashree B V) 22 4/29/2020 6:17 AM Nurses’ Station Clean Room T r e a t m e n t R o om, etc. Supportive Area, like: C l i n i c a l T e a ch i n g Room Side Laboratory Doctors’ Room, etc.

23. Minimal care unit (Mrs. Nithyashree B V) 23 4/29/2020 6:17 AM Can be classified into Self Care Long Term Care Home Care Ambulatory Care

24. Self care (Mrs. Nithyashree B V) 24 4/29/2020 6:17 AM For Ambulant and Self Sufficient Patients. Primarily for Supervisory or Health Education purpose. More of Home Like Environment as patients for diagnostic procedures, special treatments (like radiotherapy) or preparation for major surgery are admitted. Helps in easy transition of Patient between Hospital & Home environment

25. Long term care (Mrs. Nithyashree B V) 25 4/29/2020 6:17 AM For Restorative or Rehabilitativecare. When care is required fora Prolonged Period. Nurses’ Role : Serves as administrator. Coordinates care provided by others. Provides direct care Makes referrals. Teaches patient and family. Plans, implements and evaluates plan of care.

26. Minimal care unit- home care (Mrs. Nithyashree B V) 26 4/29/2020 6:17 AM For Preventive and Promotive Care of the Community. Hospital based Home Care programs for patients can best be cared at home with extended services from the Hospital.

27. Nurses’ Role in home care (Mrs. Nithyashree B V) 27 4/29/2020 6:17 AM Assesses home environment and patient. Develops relationship based on mutual trust. Provides direct care. Plans, implements and evaluates planof care. Makes referrals. Teaches patient and family and provide support to them.

28. Minimal care unit- ambulatory care (Mrs. Nithyashree B V) 28 4/29/2020 6:17 AM Care of the ambulatory patient requiring diagnostic, curative, preventive and rehabilitativeservices. Categories: General Outpatient Referred Outpatient Emergency Outpatient

29. Steps in introduction of PPC (Mrs. Nithyashree B V) 29 4/29/2020 6:17 AM Familiarity with the PPC Development of Team work Evaluation of Needs Orient Staff Estimation of Costs Formulation of Policies Provide Flexibility Adequate Staffing Instruct Patients Inform or Communicate Public

30. Summary 4/29/2020 6:17 AM ( N A M E ) 30 Progressive patient care Definition Characteristics Philosophy Benefits Stages Steps in introduction of PPC

31. Evaluation 4/29/2020 6:17 AM ( N A M E ) 31 Define progressive patient care List down the benefits of PPC Discuss the steps in introduction of PPC

32. Co n cl u s i on 4/29/2020 6:17 AM ( N A M E ) 32 PPC is a system of nursing care in which patients are placed in units on the basis of their needs for care as determined by the degree of illness rather than on the basis of a medical specialty. Organization of medical and nursing care according to the degree of illness and care requirements in the hospital

33. Ass i g n me n t 4/29/2020 6:17 AM ( N A M E ) 33 1. List down the objectives of PPC

34. R e f e r ences 4/29/2020 6:17 AM ( N A M E ) 34 Basheer SP. A concise textbook of Advanced nursing practice. Emmess. Bangalore. Potter, Perry. Fundamentals of Nursing.