Over the last 20-25 years there been major changes to the UK health system. These changes have been driven by the desire to improve the quality and efficiency of services. In the 1970s there was considerable clinical autonomy and the quality of health care was the responsibility of the clinicians. Following on from then there has been a number of key developments: continue reading…
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Category: Nursing Care
An infectious or communicable disease is an illness caused by the transmission of a specific microbial agent (or its toxic product) to a susceptible host. The agents can be bacteria, viruses or parasites. The majority of microbes are harmless to humans. Some, although not universally pathogenic, are potentially dangerous and my cause disease in unusual circumstances. Caution is needed not to attribute a disease to an organism which happens to be present as a commensal or contaminant. continue reading…
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Sometimes people who have aged or dementia family member feel difficulties to take care of them. Their family member must be paid attention so much. Moreover, they have to work everyday from morning until night. They don’t have any time to care them always. However, they think that they must look for someone who can help them in home because they can’t hold it alone. Is there someone or company that can handle this problem? continue reading…
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Role of the triage nurse
Tine triage nurse’s main role is the accurate prioritisation of patients, and this must be the prime objective. The triage nurse needs to become accomplished at rapid assessment — this involves quick decision making and suitable delegation of tasks. Long conversations with patients should be avoided as should exhaustive history taking. Clinical observations such as temperature/pulse, etc_ need to be delegated if they are not required to establish priority as they are too time consuming. continue reading…
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Patients with physical disability or learning difficulties
Apart from the extremes of age, there will be patients who have particular difficulties. These include those with special needs, poor sight, poor hearing, etc. Persons who can cope quite well in the community under controlled circumstances may have great difficulties in the strange environment of the Emergency Department. Communications again become particularly important, and it may be appropriate for such patients to be seen relatively quickly.
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There is a difference between absolute clinical priority as defined using the method in this book, anti relative priority within and between triage categories. In overview the process of triage as outlined here is quite simple —patients are assigned to a triage category and then managed in order of priority mid time of attendance. However there are many other factors apart from clinical priority which may from time to time influence how the patient is handled within the Emergency Department. This chapter outlines these factors and discusses their importance. Clinical priority and the findings that determine it are dearly very important, but failure to recognize other factors can be detrimental to both departmental function and quality of care for individual patients.
A researcher spends a great deal of time refining a research idea into a testable research question. Unfortunately, the evaluator of a research study is not privy to this creative process because it occurs during the study’s conceptualization. Although this section will not teach you how to formulate a research question, it is important to provide a glimpse of what the process of developing are search question may be like for a researcher.
