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6-1 Working with Patients

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by

Kristen Jahns

on 14 July 2014

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Transcript of 6-1 Working with Patients


SENTINEL
EVENT

unexpected
occurrence
death

serious injury
physical/psychological
(loss of function or loss of limb)

Meeting Basic Human Needs

Meeting Psychological Needs

order and meaning in life
needs:
tell them what to
expect
before, during, after

self-growth needs:
allowing them to share details of special
interests
.

Maslow’s Hierarchy of Needs
Define the key terms.
List 3 causes of physical disabilities.
List 3 categories of mental illness.
Describe a risk factor for mental illness.
Describe 4 psychological needs to be met.
Objectives

6

Working with Patients

Each year many people are injured or die as a result of preventable medical errors.

Actions to prevent sentinel events and reduce medical errors include using standardized checklists, reporting medical outcomes to the public, and ensuring adequate staffing levels.

Key Points
Know the five stages of grief: denial,
anger, bargaining, depression, acceptance

Be aware of controversy about Euthanasia.

Key Points
Physiological needs:
Biological, Safety, Sensory, Motor Activity

Psychological needs:
Adequacy and Security
Social Approval and Self-Esteem
Order and Meaning in Life
Self-Growth

Key Points
Signs of Mental illness:
People who have a hard time dealing with their emotions, thoughts.

Abnormal changes in usual activities, sleep habits, eating patterns, thoughts & feelings.

Key Points
Medical Errors

Death by a medical mistake is a
leading cause of death in the U.S.

1 million people
are injured
100,000 die
because of
preventable
medical errors.
Life expectancy <6 months of life
SUPPORT medical, psychological, & spiritual
CONTROL symptoms & pain (NO cure)
ASSIST patients live each day to the fullest.
AT home, hospital, extended care facility

Hospice Services
Stages of Grief
:
Denial
Anger
Bargaining
Depression
Acceptance

Patients go through
some or all stages
Patient’s
friends/family
may go through too

Needs of the Terminally Ill

Meeting adequacy & security needs

encourage patients to make their own d
ecisions
.

social approval & self-esteem needs

spending time with patients &
learning
about their lives.

Meeting Sensory needs:
stimulating their
senses




Meeting Physical needs:

help patients to do things
by themselves

be mindful of
personal space

Insomnia, excessive sleeping
Irritability
Loss of interest - activities, hobbies, sex
Overeating or no appetite
Persistent aches/pains, headaches
GI problems



Signs of Depression

Types of Mental Illness

Anxiety disorders
Mood disorders
Personality disorders
Attention disorders
Eating disorders
Drug abuse
Alzheimer’s disease/dementia

Understanding Patient Needs

HEALTH:
“A state of complete physical, mental, & social well-being
and not merely the absence of disease or infirmity”

Daily Living and Independence
Ability to conduct activities of daily living (ADL's)
and Activities of Daily Living

Understanding Patient Needs
List 5 stages of terminal illness.

Identify 2 mistakes that risk patient safety.

List 3 ways to protect patient safety.

Objectives

Patients go through stages of grief.

The
goal of rehabilitation
is to promote a healthy return to a productive lifestyle & remain as independent as possible.

All people have
basic needs
. Caregivers must understand these needs in order to meet them.

Key Points
Patient Safety
Follow
6 rights of drug administration
:
patient, med, dose, route, time, documentation

Prevent infection!!!!
Improve communication!
Maintain safe staffing levels!

AWARENESS:
filing incident reports
educational inservices
changing
policies
/procedures

reporting
of mistakes or
potential
for mistakes


ADOPTING CHANGES:
Changing confusing labels (drug packaging)
Changing medication names
Protecting Patient Safety
FIGURE 6.10 Checking a medication vial to make sure that it is what the doctor ordered
Source: Michal Heron/Pearson Education

Meeting needs of terminally ill
Keep patients and families
informed
.
Relieve
pain & discomfort.


Euthanasia
: the act of
ending the life

of a terminally ill patient.


Needs of the Terminally Ill
Stages of GRIEF
FIGURE 6.7 Pet therapy brightens the day for a hospice patient
Source: Dennis Sabo/Shutterstock


PHSIOLOGICAL NEEDS

Meeting biological needs
include:
using words patients
understand
asking questions
telling them what to expect.

Safety needs
include telling patients
how to
contact
you
treating them with
respect
involving
family
members.

FIGURE 6.3 Patient experiencing depression and hopelessness
Source: Amanda Haddox/Shutterstock

·  Trouble concentrating
 · Fatigue, reduced energy
 · Feelings of worthlessness, helplessness
 · Feelings of hopelessness, pessimism
 · Persistent sad, anxious, "empty" feelings
·  Thoughts of suicide
 


Signs of Depression

Mental Illness
Affects people of all ages, any gender
Risk factors:
biological, environmental, social

Depression may affect
:
Patients
Caretakers
Health care workers

Understanding Patient Needs

Loss of physical functions may affect:
Self-image, self-esteem, self-confidence
Relationships
Employability
Independence

Understanding Patient Needs

Physical Disabilities
Temporary or permanent
Occur at any age

Causes:
Illness
Heredity
Injury
Congenital condition

Understanding Patient Needs

FIGURE 6.1 Assistive and adaptive devices to help overcome physical disabilities

"How far you go in life depends on your being
tender
with the young,
compassionate
with the aged,
sympathetic
with the striving and
tolerant
of the weak and strong.

Because, someday in life,
you will have been all of these
.”

George Washington Carver, Chemist, 1861-1943

Section 6.1: Meeting Patient Needs

Types of Rehabilitation
Physical therapy - lower body
Occupational therapy -upper body, ADLs
Speech therapy
Psychotherapy
Support groups

6-1 Working with Patients
PHYSICAL NEEDS
-------
Safety
Full transcript