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Patient Self-Administration of Medicine
Although patient empowerment is valuable, it is essential that hospitals exercise control over the medications patients take. It is impossible to design an effective plan of care otherwise. However, many patients wish to self-administer medications within the hospital setting. For many patients, self-administration is a reasonable goal at home: it is particularly necessary for chronic conditions like diabetes, where patients must learn to self-administer their medications to remain independent over the course of their lives. There also appears to be a desire amongst patients to take control over their own medications even in a hospital context. In a qualitative study of self-medication: "seven participants had previously experienced self-administration of medications and six were in favour of this practice in the clinical setting. Nine managed their own medications at home, and one self-administered with some assistance from his family. Participants were very concerned about how nurses' heavily regulated routines affected delivery of medications in hospital and disrupted individualized plans of care maintained in the home setting" (Beanland, Riley, & Baker 2004). This discrepancy in attitude (a desire amongst nurses for control and amongst patients for the ability to not lose direction over their care, even when in an institutional context)...
These two competing desires must be balanced with compassion and efficacy
References
Ducas, R.A. (et al. 2013). To transmit or not to transmit: how good are emergency medical personnel in detecting STEMI in patients with chest pain? The Canadian Journal of Cardiology, 28(4):432-7. doi: 10.1016/j.cjca.2012.04.008
Fogoros, R. (2014). STEMI. About.com. Retrieved from:
http://heartdisease.about.com/od/heartattack/g/STEMI.htm
Clinical Outcomes of Patients with ST Elevated Myocardial infarction (STEMI) based on Mode of Transportation to Tertiary Healthcare Facility Private transport vs. Ambulance services. A study by Scherer, Russ, Jenkins et al. (2012) evaluated the effect of private transport vs. ambulance services on the clinical outcomes of 198 STEMI patients. The median age of the patients was 60 years, and 70% (or 138) arrived at the hospital by private transport of
door to balloon time is an important determinant of the prognosis of STEMI patients. To reduce D2B times, most centers implement a pre-hospital triage which involves the use of pre-hospital ECG to allow direct transfer of patients with confirmed STEMI to the PCI lab. Since most health facilities do not have PCI laboratories, a quick decision needs to be made regarding fibrinolytic therapy or transfer to a PCI facility.
5% while 70.5% took Aspirin within six hours after reaching hospital and 76.5% of patients admitted in the NICVD were receiving Aspirin therapy." (Jaiwa, 2006, p.1) Jaiwa reports a more recent study that states findings that out of 52 patients with chest pain only 13 patients or 25% of the 52 received aspirin. The stated reason for not giving aspirin to the other 39 patients included that "chest pain was not
Grant Proposal on Outcomes of fibrinolytic therapy vs. PCI Evidence-based medicine requires foundational inquiry and support. Heart disease, thrombolytic disease, pulmonary embolism, deep vein thrombosis, stroke and preliminary stroke occurrences and myocardial infarction are fundamentally significant challenges in medicine and community. Treatment of varied presentations of thrombolytic crisis deserve significant research inquiry and time given the severity of the potential outcomes and the numbers of individuals who seek treatment daily for
Cardiology Nursing This is a 12 lead ECG taken for Mr. Long at the Emergency Department. He presented with a two hour history of chest pain radiating to his left arm. The ECG is suggestive of an antero-septal Myocardial infarction. Further scrutiny of the ECG displays a normal sinus rhythm, with a rate of 75 bpm that is regularly regular. There is no axis deviation with a PR interval of 200
Performance Measures for (50,000 call per year) EMS EMS ORGANIZATIONAL PERFORMANCE MEASUREMENT That the organization implements additional clinical performance measures, including those to evaluate the quality of the EMS. That the organization uses survey data to evaluate and analyze customer and employee satisfaction and that a proper feedback and control mechanism is in place to use this data to implement required changes. This report starts from the premise that Emergency Medical Services will