attachment, they will not be displayed. Download the original attachment Adopting Best Practice – Presentation
· The topic I am going to talk about in this presentation is pain managment in dementia patients on a hospital ward. For the presentation I will be using the Driscoll – What, So What · Introduction: the purpose of this presentation is to look at the dilema nurse face on hospital wards when dealing with dementia patients in pain.
The difficulty nurses face in assessing pain in dementia patients, and also going to look what the national guidelines and policies says about pain management whether nurses are following the correct procedure when dealing wtih pain managment. However, this issue will be discussed in greater detail in the literature review essay where investigation will be carried out to find out the main reason behind this.
· Issue identified is Pain management in dementia patients on a hospital ward. · Pain motivates the individual to withdraw from damaging situations, to protect a damaged body part while it heals, and to avoid similar experiences in the future.[3] Most pain resolves promptly once the painful stimulus is removed and the body has healed, but sometimes pain persists despite removal of the stimulus and apparent healing of the body; and sometimes pain arises in the absence of any detectable stimulus, damage of tissues. · What is Dementia?
· The term ‘dementia’ describes a set of symptoms which include loss of memory, mood changes, and problems with communication and reasoning. These symptoms occur when the brain is damaged by certain diseases, including Alzheimer’s disease and damage caused by a series of small strokes. ·
· Dementia is progressive, which means the symptoms will gradually get worse. How fast dementia progresses will depend on the individual person and what type of dementia they have. Each person is unique and will experience dementia in their own way. It is often the case that the person’s family and friends are more concerned about the symptoms than the person may be themselves. ·
· Pain management in dementia patients remains a problem among nursing staff on hospital ward. This is because of communiction problems with patients,
pain is positively associated with screaming, aggressive and verbal agitation in dementia-Mansfield et al., 1990). · Hand hygiene is the primary measure to reduce infections. Though the action is simple, the lack of compliance among health-care providers is problematic throughout the world. Following recent understanding of the epidemiology of hand hygiene compliance, new approaches have proven effective. The Global Patient Safety Challenge 2005–2006: “Clean Care is Safer Care” is focusing part of its attention on improving hand hygiene standards and practices in health care and on helping to implement successful interventions(Who.int/Patientsafety) · The Nursing and Midwifery Code of Conduct (2012) states”Collaborate with those in your care:- · 8. You must listen to the people in your care and respond to their concerns and preferences · 10. You must recognise and respect the contribution that people make to their own care and wellbeing · This means that collaborating with those in our care, by listening to their concerns and preferences, we will be recognising their decisions to contribute to their own care and well-being. ·
· add here national guidelines and policies : isolation:
· look at what they policy say about isolation : e.g: the policy on isolation of patients says u should wear ( lists everything in page 292 infection control in clinical practice Jennie Wilson ) this is what the policy and national guidelines states about procedures to follow with patient in isolation, however this is what I saw on practice 🙁 add here scenario of what took place whilst on placement . make it worse and keep it interesting) · after scenario talk about the impact that has on the quality of care being delivered · Why is hand-washing a major issue?
Hand-washing is a major issue within the healthcare environment, which as a result is a major cause, associated with death of many patients in the clinical environments such as, hospitals. Following a report by the World Health on “Fighting Disease, fostering development (1999) which stated that” hospitals are intended to heal the sick, but they are also sources of infection. Ironically, advances in medicine are partly responsible for the fact that, today, hospital infections are a leading cause of death in some parts of the world.” · and over 320 000 patients in the UK acquire one or
more health care associated infections during their · Health care-associated infections rank as major killers of patients of all ages, particularly among the most vulnerable members of the population. The more sick the patient, the higher the risk of acquiring a health care-associated infection and dying from it. · In England health care-associated infection causes 5 000 deaths each year · Cost effectiveness
· In England, health care-associated infections are estimated to cost £1000 million annually to the National Health Service. · Conclusion
· Healthcare professional should bear in mind that hand-washing/hygiene is a major issue that must not be put aside when providing care to patient; this is because it’s still remaining the biggest cause of death. ( NOT FINISHED!!) · Reason for choosing this topic
“This Challenge is a global reality: no hospital, no clinic, no health-care system, no dispensary, and no health post can currently say that compliance with hand hygiene recommendations is not an issue”( WHO guidelines for hand hygiene in health care) · Handwahing policies
· I have witness poor handwashing amongst health
· Nice guidelines what does it say by handwashing
· Doh
· Nsf
· A key action within the Challenge is to promote hand hygiene in health care globally as well as at country level through the campaign “Clean Care is Safer Care”. Hand hygiene, a very simple action, reduces infections and enhances patient safety across all settings, from advanced health-care systems in industrialized countries to local dispensaries in developing countries. In order to provide health-care workers, hospital administrators and health authorities with the best scientific evidence and recommendations to improve practices and reduce health care-associated infections, WHO has developed Guidelines on Hand Hygiene in Health Care (Advanced · benefit of hand-washing:
· The effectiveness of using the correct hand-washing procedures: · The
impact of hand-washing on the quality of care being delivered: · Guidelines
· Add video from youtube correct handwashing
· Interact with audience
Reason for choosing this particular topic?
Handwashing still a neglected practice in the clinical area
Why is handwashing a fundamental of good practice?
This article is an adaptation of the winning essay in the preregistration section of the National Board for Northern Ireland Research Awards 1996. The authors conducted a literature review of handwashing after discovering during clinical placements that, despite being well documented, handwashing is still not performed as necessary. The aim of handwashing is to remove transient microorganisms and prevent their transfer to susceptible patients. Inadequate training, lack of resources, chapped hands and poor reinforcement were identified by nurses as factors that accounted for poor handwashing. The Code of Professional Conduct states that the professional has a duty to promote and safeguard the interests of clients. It is only a matter of time before major litigation occurs because of poor handwashing practice. It is concluded that all staff (trained and untrained) require regular educational updating to sustain good handwashing practices. Managers are responsible for ensuring the provision of adequate facilities and supplies of handwashing agents for all nurses in all clinical settings. · The importance of handwashing
My Online journal” Importance of handwashing in the
prevention of cross-infection.
Lynn J Parker
http://www.who.int/patientsafety/events/05/HH_en.pdf
