Transcript Applying the Care Value Base in Health Care

Applying the Care Value
Base in Health Care
Adding data to Task 4 – the way
a Care-worker in the Health Care
sector will apply the CVB
Values as individuals – sub
headings
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Describe what makes up a client's 'selfconcept'
Values as individuals – sub
headings
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Describe what makes up a client's 'self-concept'
The client as an individual – must treat everyone with dignity
and care – if a patient does not like to undress in the main
ward, find a private room for them. If a patient is going to the
operating theatre
Meeting the needs of a diverse population
Understand how to use S.P.I.C.E.S and Maslow's Hierarchy of
Needs to assess a client's individual requirements
Recognise the importance of involving a client in the process of
planning their care Visual impairment – have cards or information in brail – talk or
read the information to the client
Disability – read my sheets on things that have been put in
place PLEASE
Values as individuals – sub
headings
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An older person who is needing more and more care – the
careworker needs to understand the vulnerable nature of this age
group. Need to recognise that the hospital may not have all the
comforts of a Social Care home, current prolbmes with the NHSD
is that many old people are taking up beds for really for sick
people, because they have nowhere else to go. This is a
dilemma for the NHS, - cost – space – not an easy situation to
solve
A person who does not speak English – they need to have
interpreters that can converse with them in their own language.
This is often a provision in place in many large hospitals, they
usually analyse the demographics of the area and find out what
ethic groups dominate the local community, they will act on this
advice.
Values as individuals – sub
headings
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Values and beliefs – must ask if they have any
beliefs against any medical procedures (some
religious beliefs will not allow any blood transfusion,
Catholic being one) or eating certain types of food
(Kosher meat, Hal Hal meat, vegetarians, vegans,
allergies)
Learning difficulties – getting across their needs and
filling out forms, reading forms to them, have an aid
to help them understand what is going on what don’t
they understand, ask a family member to be their if
they can help
The Hospital must follow the
rules of their:
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Codes of practice
Rights, expectations and charters
Empowerment and advocacy of individuals
Data protection and the CVB
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List the types of information relating to
health and social care that can be stored
electronically
Discuss the advantages and disadvantages
of storing information electronically
Hospitals should outline legislation relating
to the confidentiality of electronic
information
What could happen? Disadvantages of
electronic databases
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A provider may send the referral to the wrong provider.
Accidental disclosure of information.
A provider may have a practice manager type up and send referrals for
him or her.
The provider may use the referral system for other purposes other than
medical referrals.
The referral could be intercepted during transportation and information
compromised.
Widespread exchange of information beyond what is required by
providers.
Unauthorised intentional access to referrals or other health information.
Deliberate breeches of security from outside the system.
Unsecure work practices at the providers premises.
No consent given by providers to use the system.
The legal framework on data protection – procedures
Pontefract Hospital will carry out
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Ensure that all staff involved in data transfer are
appropriately trained and have access to clear
policies and guidelines.
Establish authorisation procedures for extraction of
batched data from organisational systems
Encryption of data and management of removable
media
Ensure that secure courier arrangements are
understood and adhered to
Ensure that the data transferred is effectively
deleted from the portable media used for transfer
Empowerment of patients
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An empowered patient knows how to prepare for a hospital visit, stay
safe while at the hospital, cooperate and collaborate with the medical
professionals who work there, and find her best outcomes from the visit.
Choose any of these topics to empower yourself.
Begin with a master list of hospitals in your area, or ones that treat
whatever your medical problem is. For example, if you need a heart
bypass, you may learn that a smaller hospital doesn't offer that service.
It may not have the best equipment, or none of its surgeons may
specialize in heart bypass surgery. Your hospital choice may be limited
by either your choice of doctor or your insurer/payer or both. You'll want
to check in with both before committing to which hospital you'll use.
Look on your insurer's or payer's website, or call their customer service
number and ask what hospitals in your area are covered.
If you have already chosen which doctor will treat you, then you'll need
to find out what hospitals he or she is affiliated with. Doctors call that
having "admitting privileges" -- they have an agreement with the
hospital that they may admit patients there.
Empowerment of patients –
MRSA problems in hospitals
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Medicare states its number one reason for the new policy is to improve
safety and value for patients. Certainly, hospitals will need to begin
looking at safer practices to make sure patients don't suffer from these
problems, if for no other reason than to reduce the hospital's expense.
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Health insurers often follow Medicare’s lead, and many are poised to
implement the same policy. Across the country, those insurers are
notifying hospitals that they will not pay for hospital mistakes, and in
many cases their lists of mistakes are even more comprehensive. That
means those health insurance companies will be saving the expense of
further illness on the part of their insurance customers. However, while
we would hope to see premiums be lowered, it's probably too much to
expect lowered costs to be passed on to customers.
What is MRSA?
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MRSA
MRSA means Methicillin Resistant Staphylococcus Aureus
MRSA is resistant to conventional antibiotics
Staphylococcus is a family of common bacteria - it is carried by many people in their throats and it may
cause a mild infection in a healthy person
There are many different strands of MRSA with differing degrees of immunity to the effects of various
antibiotics. This does not mean that antibiotics are completely powerless against MRSA. It may simply
require a much higher dose over a longer period, or the use of an alternative antibiotic to which the bug
has less resistance
SYMPTOMS OF MRSA
Infections caused by MRSA may result in a broad range of symptoms. This is dependent on what part of
the body is infected. These may include surgical wounds, burns, catheter sites, eyes, skin and blood
Infection often results in redness, swelling and tenderness at the site of infection
It is important to note that sometimes people can carry MRSA without developing any symptoms
WHY DOES MRSA EXIST?
There are many different strains of a single type of bacteria, and each strain is subtly different. Bacterial
genes are constantly mutating (changing)
Some strains genetic make up will give them a slight advantage when it comes to fighting off antibiotic
attack, therefore when weaker strains encounter (face) antibiotics they die, while strains that are naturally
resistant may prove harder to kill
What is the government doing
about this?
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The government is already trying to at least slow down the relentless
development of the bacteria
One of the main reasons for the evolution of superbugs is the overuse of
antibiotics in medicine as a whole
For example, until recently people visiting their doctor with a viral infection might
demand and be given an antibiotic prescription - despite the fact that antibiotics
have no effect on this
Doctors have now been told by the Department of Health to reduce the amount
of antibiotic prescribing
Hygiene is paramount in protecting the most vulnerable patients from dangerous
strains of bacteria
Handwashing between patients is a necessity for staff
The Department of Health are attempting to improve overall standard of
hygiene, by reintroducing the concept of the ward matron with responsibility for
cleanliness
In the long term, many medical experts suggest it may take a breakthrough
similar to the discovery of penicillin before the fight against MRSA is won
Empowerment in new
hospitals
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To gain better control over the many people who
make decisions in hospitals, some that affect patient
care in the hospital, and others that affect costs,
there are some job titles that may be new to
patients.
Knowing who these people are will help you
navigate your own hospital experience more
successfully.
They are unique to hospitals, and are supposed to
provide benefits to patients, although not all patients
will agree that encountering them has improved their
experience in the hospitals.