Ambulatory Surgery Research Paper

The organization provides the usual array of inpatient services expected in a moderate-sized community hospital. A local nursing home

The passage of the Affordable Care Act (ACA) in 2010, created a paradigm shift in the way health care is delivered to its patients creating a greater emphasis on lowering costs while improving outcomes (Cascardo, 2014). One strategy to contain costs while improving the quality of patient care, thus outcomes, is transitioning outpatient surgeries from acute care hospitals to ambulatory surgery centers (ASCs). ASCs provide same day surgical care, as well as diagnostic and preventive procedures (ASCA, n.d.).

The organization I have chosen is an Acute Long Term Skilled Care Facility. There are a total of 120 residents presently residing in this facility. Each resident requires different levels of care. Some are admitted for short term rehabilitation, wound management, post-surgical care, diabetic teaching, and medication compliance while others require long term care for behavior and other specialized care. Providing care for residents living in this facility has become more complex and requires more medical attention. However, there are not enough

Prior work has explored hospital-level variability (and risk factors) in HAIs after cardiac surgery. Shih used patient characteristics (age, body mass index, cardiovascular disease, smoking status, ejection fraction, dyslipidemia, hypertension, chronic lung disease, immunosuppressive therapy, peripheral arterial disease, diabetes mellitus, congestive heart failure, New York Heart Association class, cardiogenic shock, and anticoagulant usage ) to estimate each center’s predicted rate of HAI. While predicted risk of

THT is the only therapy that has appeared to positively affect the neurological outcome of patients after cardiac arrest. THT has been around for more than fifty years. The history of the scope of THT is limited and the only consistent application of this therapy invasive surgery. Within the last 10 years, the benefits of induced therapeutic hypothermia have been rediscovered, mainly with the improvement in neurological outcomes in out-of-hospital cardiac arrest (OOHCA) victims. In addition, therapeutic hypothermia has been suggested to improve outcome in other neurological conditions such as traumatic brain injury, neonatal asphyxia, cerebrovascular accidents and intracranial

Ambulatory care comprises health care services that do not require overnight hospitalization. (Sultz, Young , p. 129). An improved process would have the patient as its focus, considering the effective use of varying levels of providers managing each step of the clinical visit to properly gather information, reducing the number of interactions, and improving the patient experience while providing a better set of outcomes (Backer & Asso). Also ambulatory care facilities are mainly for invasive techniques that are replacing the complex, inpatient procedures.

Without early intervention on average 360,000 people out of the hospital succumb to cardiac arrest. “ Cardiac arrest and sudden death account for 60 percent of all deaths from coronary artery disease”,(Bledsoe, Porter, & Cherry, 2011,2007,2004, p. 1229)There are several causes of sudden cardiac arrest. Most are caused by ventricular fibrillation. “During ventricular fibrillation, the ventricles do not beat normally. Instead they quiver rapidly and irregularly.” When this occurs, the heart pumps very little and blood does not get circulated throughout the body. “ Most of the cases found with sudden cardiac death are related to undetected cardiovascular disease.("Sudden Cardiac Death," 2015, para. 2)Sudden cardiac arrest are immediate and drastic that includes sudden collapse, no pulse, not breathing, and loss of consciousness. “Four rhythms produce pulseless cardiac arrest: ventricular fibrillation, rapid ventricular tachycardia, pulseless electrical activity and asystole.”("Circulation ," 2005, p. IV-58)Other signs and symptoms that could occur prior to sudden cardiac arrest, include fatigue,

The purpose of this paper is to analyze if there is any improvement, post-operative complications, mortality and related factors of elderly undergoing cardiac surgery. The debate whether or not we are pushing the limits is still questionable because of the complications associated with these invasive surgeries and whether or not if it’s a money game. The growing numbers of the elderly patients enjoy a prescription drug benefit, access to artificial knee and hip surgery, and life-saving cardiovascular interventions that were undreamed of a half-century ago.

A large and increasing proportion of patients presents with non-shockable rhythms in out-of-hospital cardiac arrest (OHCA). These non-shockable rhythms are pulseless electrical activity (PEA) and asystole. During PEA, a normal heart rhythm is observed on the electrocardiogram (ECG), but without cardiac output. Asystole is a condition without ventricular complexes. The heart muscles fail to contract due to the lack of cardiac electrical activity. Both PEA and asystole are treated with cardiopulmonary resuscitation (CPR) without defibrillation, combined with epinephrine administered intravenously (4). Non-shockable rhythms are associated with high mortality. The survival rates of PEA

Cardiac surgeries are considered as major surgeries with the intensive care needs during the immediate postoperative period. Post-operative cardiac patients are generally admitted to the intensive care unit (ICU), which is considered as one of the fundamental reasons to implement the mechanical ventilation (MV). Whether is indicated when the patient's spontaneous ventilation is inadequate to sustain life by provide adequate oxygenation. They stay on MV until consciousness is reestablished. However, in some cases they prone to require a longer period of respiratory support [1,2,3]. Although other studies define the prolonged mechanical ventilation (PMV) by used several durations. For our study we adopted to define PMV as cumulative duration

Since little is known about the stated subject, this study was performed to better understand the experience and impact of ICD implantation after cardiac arrest on a patient’s intimate partner.

The initial program duration would be for a year to get cost/benefit and expenditure data. If the program is cost effective and feasible, after a year the program would be integrated into the hospital services system. The major foreseeable concern for implementation of the program would be funding. We would try to have a good capital base before we start the program. The sources of this funding would be government, humanitarian organization, private organizations and charity. At least 30-40 % of the possible

Without early intervention on average 360,000 people out of the hospital succumb to cardiac arrest. “ Cardiac arrest and sudden death account for 60 percent of all deaths from coronary artery disease”,(Bledsoe, Porter, & Cherry, 2011,2007,2004, p. 1229) [Click and drag to move] There are several causes of sudden cardiac arrest. Most are caused by ventricular fibrillation. “During ventricular fibrillation, the ventricles do not beat normally. Instead they quiver rapidly and irregularly.” When this occurs, the heart pumps very little and blood does not get circulated throughout the body. “ Most of the cases found with sudden cardiac death are related to undetected cardiovascular disease.("Sudden Cardiac Death," 2015, para. 2)Sudden cardiac arrest are immediate and drastic that includes sudden collapse, no pulse, not breathing, and loss of consciousness. “Four rhythms produce pulseless cardiac arrest: ventricular fibrillation, rapid ventricular tachycardia, pulseless electrical activity and asystole.”("Circulation ," 2005, p. IV-58)Other signs and symptoms that could occur prior to sudden cardiac arrest, include fatigue, fainting, blackouts, dizziness,

Heart rate (HR), mean arterial blood pressure (MBP) and oxygen saturation (SPO2) were monitored before induction (Base line), after injection of local anaesthetic, before release of tourniquet and after one hour. Values were compared between the 2 groups.

Heart operations first started in the 19th Century. On the Heart itself, the first operation was conducted by Axel Cappelen, a Norwegian male surgeon. Cappelen’s reason for performing this surgery was because a 24 year old male arrived in shock with a stab wound in the left axillae. After 24 hours of the procedure the patient died. In the years of 2011 to 2014, a total of 97 people have passed