Examples Of Perineal Dialysis

Healthcare associated infections are ranked as one of the top five causes of death in the United States (1). This is a very serious problem being that so many people go to hospitals to maybe have a surgery and get better and in return get a very serious infection that has been known to take limbs and even lives. There are many different hospital acquired or nosocomial infections, but the one that I am referring to is especially dangerous. The name of this infection is called Methicillin-resistant Staphylococcus Aureus, or more commonly known as MRSA.

Clinical judgment is the clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence- based guidelines (AACN, n.d.). In the case of F.S., he was on isolation precautions due to his infection. The results from the cultures had yet to return, therefore the infection was not identified at that current moment. The registered nurse that was assigned to F.S. went into the room several times without wearing proper protective personal equipment. This nurse stated that if she wasn’t touching the site, she was not at risk. This was a bad clinical judgment. Unfortunately, this was not the first time this student nurse witnessed the lack of use of the personal protective equipment. What most nurses don’t seem to understand is that the risk of infection is not only towards the patient but towards the nurse as well as everyone the nurse encounters. Contact precautions were researched and found to be associated with activities likely to reduce transmission of resistant pathogens, such as fewer visits and better hand hygiene at the exit while exposing patients on contact precautions to less healthcare worker contact, less visitor contact, and potentially other unintended outcomes (Morgan et al, 2013). Although it can be depressive for the patient to become isolated due to an infection, this

Helping out our community members is not always easy, especially because we get many of our clients through doctor

she cannot afford the visits and the medicine. As a result, both her physical and mental/emotional

Preventable infections regardless of the causative agent, have become major triggers of unintended patient outcome, increased morbidity, and mortality (Arias, 2010). Methicillin Sensitive Staphylococcus Aureus (MSSA) and Methicillin Resistant Staphylococcus Aureus (MRSA) are the most common causes of healthcare associated infections (HAI) and outbreaks in acute care hospitals and community settings (CADTH, 2010). The widespread infection with the MRSA pathogen is believed to have increased from 2.4 percent in 1975 to 29 percent in 1991 and 2003 in hospitals across the United States (U S) (CADTH, 2010). The prevalence is even greater among Intensive Care Unit (ICU) patients at 53 percent (CADTH, 2010) and continues to rise due to the widespread

Hospital-acquired infections (HAI) affect 1.7 million Americans each year with as many as 98,000 dying annually as a result of hospital-acquired conditions (HAC) (Kavanagh, 2007). In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented policy to include non-payment for HAC in order to improve quality patient care and contain costs. This non-payment disincentive refuses to pay for complications of care that are considered preventable. Two other paradigms of this policy used to promote quality include pay-for-performance initiatives and public disclosure of HAC.

Checking in to the hospital comes with a heavy price tag, and sometimes you get more than what you bargained for. As highly trained doctors, nurses, and staff make their way through the hospital, they carry with them microbial agents of disease. Although regarded as centers for treatment and prevention, hospitals are also known to harbor nosocomial, healthcare-associated, bacterial infections. These infections can be a result of overused or inappropriately used antibiotics and the breaching of infection containment policies by patients and staff. Though health-care-associated infections have been decreasing, one infection inciting nosocomial bacterial, Clostridium difficile has been rampant. It is important that inefficiencies in health-care be met with stringent efforts for prevention as they may lead to distressing financial, emotional, and medical repercussions.

Propose how would you minimise the occurrence of hospital acquired infection and monitor degree of success of these measures.

It was opined that her physical conditions are improving and nearing MMI. Her psychological state could benefit from further counseling. She is very apprehensive about returning to any type of modified work.

Hospitals aim to provide quality and satisfactory patient care while simultaneously trying to reduce costs. This means that as nurses, we have to strive to provide holistic care for our patients and avoid making preventable mistakes because it is very expensive. Medicare used to pay for errors that were made by healthcare providers during a patient’s hospital stay, but now Medicare will not reimburse for preventable errors (Andel, Davidow, Hollander, & Moreno, 2014). Many hospitals are enforcing guidelines to prevent patients from obtaining hospital-acquired infections.

Stephanie Ardito, after learning about three MRSA infections in her neighbor, decides to research on hospital infections. She found alarming high numbers of HAIs spread. For example, in 2009, of 1.8 million people that acquired HAIs, 100,000 of them died. HAIs also place an additional burden on hospitals. A research in 2010 estimated a $4.4 billion of additional hospital care resulting from treating HAIs. Quoting from an article titled “Staying Safe in the Hospital,” Ardito lists actions that patients can take in order to prevent HAIs. Patients should monitor their medication intake, medical test results, follow-up treatment plans; look for coordinated care from multiple caregivers; follow methods to prevent infections, specially washing hand; speak up to physician when there is a concern about HAIs; and to insist on discharging to prevent hospital readmission. This article is a great combination of many statistics from many researches, providing evidences for a growing issue of HAIs. Lastly, the author also compiles

Amidst the futile clamor and commotion of national healthcare reform legislation debated on the national political stage, everyone in the medical industry from patients to doctors alike are searching for ways to effectively and efficiently trim the cost of delivering quality healthcare. While the inexcusable waste and graft of the insurance industry, runaway medical malpractice litigation and the importance of lifelong preventative care are all issues that have been thrust to the forefront of the political discourse, a tremendous leak in the system has escaped notice and continues to drain resources from both hospitals and those they treat. The threat of additional infections afflicting a patient who requires treatment for an original condition is prevalent throughout American hospitals, and according to the U.S. Department of Health and Human Services "Healthcare-associated infections (HAIs)" or "infections that patients acquire while receiving treatment for medical or surgical conditions "¦ occur in all settings of care, including hospital acute care units and same day surgical centers, ambulatory outpatient care clinics, and long-term care facilities, such as nursing homes and rehabilitation centers" (HHS Action Plan, 2011). Whether one attempts to gauge the overall price of healthcare-associated infections in terms of the financial expenditure, the human suffering or the diversion of valuable resources they impose on the healthcare system, it is quite clear that these

In a study Herrmann, Petit, Dawson, Biechele, Halfmann, von Müller ... and Gärtner (2013) conducted a widespread screening in the admission of patients to hospitals for methicillin resistant Staphylococcus aureus (MRSA). The purpose of this study is to show that to help control the spread of MRSA in hospital by having admission prevalence screenings. MRSA is a major nosocomial infection in hospitals and has become a problem that can be hard to manage in patient safety. There are certain risk factors that a patient can possess when they become infected with MRSA or are positive carriers. So, if there can be a prevalence screening for these risk factors upon admission hospitals would be able to tell if the MRSA was acquired while in the hospital or if the patient was already infected. In the other case studies discussed they examine steps that can be taken in the case of MRSA already infecting patients and then treating, isolating, and preventing from infecting many more. The study administered by Herrmann et al. examines patients upon admission meaning this could help reduce the spread of MRSA other than finding that it infected patients already admitted.

The introduction of dialysis as a lifesaving treatment for kidney failure was not the result for any large scale research

Patient placement should be a key area of focus in disease management. Hospitals should develop strict policies for patient access and ensure that they establish procedures to ensure compliance with the laid down policies. Also, the use of dedicated equipment is encouraged in such cases, and where such equipment are unavailable, cleaning and disinfection procedures for the equipment used on patients should adhere to the highest standards established by manufacturers and the hospital guidelines. Hand hygiene should also be practiced on a consistent basis across all levels of workers who come in contact with patients and supplies should be adequately provided by the hospital.