Role of Nurses and Importance of Transitional care.pptx

Transiyional care is an important part of Critical Care Nursing

1. INTRODUCTION Transition is a period in which something undergoes a change and passes from one stage to another. Transitional Care refer to the movement of patients between health care locations, providers, or different levels of care within the same location as their conditions and care needs change. Specifically, they can occur: Within settings Between settings Across health states Between providers

2. Meaning Transitional care is a range of time limited services and environments that are designed to ensure health care continuity and avoid preventable poor outcomes among at risk populations as they move from one level of care to another, among multiple health care team members and across settings such as hospitals to homes.

3. DEFINITION Transitional care is defined as a set of actions designed to ensure the coordination and continuity of health care as patients transfer between different locations or different levels of care within the same location. ICU transitional care define as care provided before, during and after the transfer of an ICU patient to another care unit that aims to ensure minimal disruption and optimal continuity of care for the patient

4. NEED FOR TRANSITIONAL CARE IN ICU Critically ill patients in the intensive care unit often experience a lot of changes as they move through different levels of care.

5. ELEMENTS OF TRANSITIONS OF CARE Communication Changes in plan of care Medication reconciliation Follow-up tests and services Education of the patient and family Transfer of all information when site of care changes Involvement of team during hospitalization, discharge, follow-up, etc.

6. BARRIERS TO SUCCESSFUL TRANSITIONS Barriers to effective care transitions at three levels: The  Delivery System The Clinician The Patient Barriers

7. CONT… The  Delivery System The lack of formal relationships between care settings represents Lack of financial incentives promoting transitional care The lack of information systems designed to facilitate the timely transfer of essential information.

8. CONT.. The Clinician Nursing staff shortages Clinicians do not verbally communicate patient information to one another across care settings.

9. CON The Patient Barriers Lack of advocacy or outcry from patients for improving transitional care until they or a family member is confronted with the problem firsthand. Older patients and their caregivers often are not well prepared or equipped to optimize the care they will receive in the next setting. They may have unrealistic expectations about the content or duration of the next phase of care and may not feel empowered to express their preferences or provide input for their care plan. Patients may not feel comfortable expressing their concern that the primary factor that led to their disease exacerbation was not adequately addressed.