Deficiency: Catheter Care
Insufficient urinary catheter care is a cause for concern among nurses working in the senior care environment. Catheter-cased urinary tract infections account for more than a third of all health care associated infections in the United States (Fink, Gilmartin, Richard, et al., 2012). To reduce the number of infections in a nursing home, staff need to reduce the number of unnecessary catheterizations performed and remove unnecessary catheters. When catheters are necessary, nurses need to practice evidence-based catheter maintenance.
Catheter maintenance is relatively straightforward. Wilson, Wilde, Webb et al. (2009) found that there are several effective methods to reduce the risk of catheter-based urinary tract infections including daily cleansing of the meatus using soap and water or an appropriate cleanser and maintenance of a closed urinary drainage system. Other methods of infection prevention include wearing gloves, hand washing, maintaining a sterile barrier, and using the "no-touch insertion technique," (Fink, Gilmartin, Richard, et al., 2012, p. 715).
Staff education is critical to preventing urinary tract infections and other problems like skin infections that are associated with unnecessary catheterization, prolonged catheterization, or improper catheter care. The first step in nurse training at a nursing home would be to reduce the total number of catheterizations,...
Nursing Home Report on Conditions at Brighton and Sussex University Hospitals NHS Trust The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The
Nursing homes and facilities that are somewhat less restrictive are needed and necessary in some situations so as to allow for the proper level of care and supervision. However, the isolation and removal from the outside world that people experience as a result of being in a nursing home can be oppressive and hurtful. There are often times where temporary jaunts outside of the nursing home or fun activities within
..significantly below the maximum of $3,000 per day" (and more like $300 to $350). And fourth, in about 22% of the cases where nursing homes were in serious violation of regulations - and causing harm to their patients - "there was no record" of sanctions at all. Conclusion: Given the widespread problem reviewed here in this paper, it seems reasonable that the federal government (with oversight by the Congress) should implement the
Topic: Pneumonia readmissions among nursing home residents 65 years and older in the United States of America. Backdrop of the dilemma Pneumonia remains an extreme health condition in America. It accounts for roughly 1 million medical-center admissions and over 50,000 fatalities yearly. Roughly ten to twenty percent of pneumonia occurrences need admittance to the Intensive Care Unit or ICU. Moreover, pneumonia accounts for near to 140,000 medical-center readmissions each year, pricing in
Coordination of Care at Nursing HomesOverviewOne of the key ethical issues affecting the coordination and continuum of care for a nursing home community organization is the question of informed consent. Informed consent is important because it ensures that residents and their families have all the information they need to make an informed decision about their care. Informed consent also helps to protect nursing home staff from liability in the event
The author quotes Gary Zukav as emphasizing that if a nurse perceives herself as powerless and her image as negative, the idea can sink to the subconscious level and realize itself. She will be drawn to those who will reinforce the idea. Practitioner Pauline Robitaille's stresses impact each nurse has on others. Her influence on people she comes in contact at the peri-operative setting cannot be overstated. She found
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