PHVP Case Study

The prevention of VAP through standardized care can reduce mortality rates, reduce mechanical ventilation days, and decrease costs and improve patient outcome.

Baker, J & Baker, R.W. (2011) Health Care Finance, Basic Tools for Nonfinancial Managers (3rd Edition). Jones and Bartlett Publishers.

ICU patients suffer from a broad range of pathologies, requiring MV, sedation and use of multiples devices, which do not allow patients to protect their airway (Augustyn. 2007; Kollef. 2004).

Adequate qualified medical staff must be present in all critical care areas caring for mechanically ventilated

Another ethical implication is whether or not the patient will be able to be removed from the ventilator after being placed on it. Studies have shown that patients who are on ventilators for long periods of time become dependent on the ventilator and are unable to be removed from it. For some very ill patients, there is still a risk for ventilator dependence even if the intubation is for a short time. The patient may be at risk for having to be attached for a substantial period of time to the device that he explicitly refused, if he is ever able to come off of it (Purro er al., 2010).

The intensity of rivalry is high because only two hospitals are offering the PHVP. Only, a limited population of pediatric patients needs PHVP.

The additional revenues that were collected due to increase in ICU capacity by 20 beds enhanced the total ED revenues by 10%.4 The efficiency of care delivery is decreased when patients are diverted to other hospitals, they have to wait for long period to receive care or if they are placed on the floors where they do not belong. This is seen often due to delay in discharging patients.3 These delays and inefficiencies are the primary cause of decreased satisfaction among patients, their families, hospital employees, and physicians. They also result in avoidable increases in patient length-of-stay, reduced quality of care, and lost or diminished hospital revenue.3

Participants reaffirmed that the guidance of the nursing team at the moment of discharge were specific to the care in relation to the drug therapy or to invasive devices, such as probes and tracheostomies, without a focus on the guidance about the general care related to the chronic health conditions and the importance of following-up the child after the hospital discharge. One can say that the factors associated with the readmission of children are related to the age group of infants, with respiratory problems associated with chronic conditions, besides the lack of effectiveness in the post-discharge follow-up. Accordingly, it is relevant to reflect about the role of the nursing team in the planning of interventions capable of providing the adaptation of children and their families over the period of admission, at the moment of discharge and in the post-discharge. The combination of guidance of verbal and written strategies can help us to understand the trajectory of illness and adaptation, thereby avoiding

Respiratory therapists have one of the most exciting and gratifying careers within the medical field. Unfortunately as with any other job or career, it doesn’t come without having challenging times. Respiratory therapists work along-side physicians and are highly trained to treat patients with any sort of lung concern or breathing complications. This job requires hands on care, and deals with life and death daily. One specific scope of this field involves caring for patients (of all ages) attached to mechanical ventilation. It is the respiratory therapists’ responsibility to remove assistive ventilation to patients with written order from the doctor; which ultimately results in death of the patient (Keene, Samples, Masini, Byington).

The two casualty backing projects I inquired about were Rape Victim Advocacy Program, RVAP, and the U.S. Armed force MWR Victim Advocacy Program. The RVAP's primary mission is to give free backing to all casualties of sexual roughness and use counteractive action training to make social change. The RVAP offers a couple of diverse administrations. They have mindfulness crusades, survivor bolster and promoter preparing, and aversion training administrations through school and college instruction, youth training, and group training.

In this essay I will explore the evidence based care of the patient in the above case. It will outline the assessment of an infant with acute bronchiolitis using a suitable framework to determine the appropriate therapeutic intervention. The pathophysiology associated with deterioration and the impact of communication between the family and multi disciplinary team will be explored. This essay will to focus on the initial stages of Joe’s care in the first hour of his admission to the children’s assessment unit.

The findings show that the length of stay in emergency department decreased when children were treated with the spacer instead of a nebulizer (MD-33 minutes; -95% CL -43 to -24 minutes). The total time for nebulizer group required 103 minutes while that to spacer group required 33 minutes. Similarly, For the spacer group it was also found that the pulse rate and risk of tremor were lower with a mean difference for pulse rate -5% baseline (95% CL-8% to -2%). While the hospital admission rates did not show any significant differences. This Cochrane review has assessed that nebulizer is not superior to spacer as the result did not have any significant dissimilarities. Beside the point that the spacer was advantageous for reducing the stay in the emergency department. The third article findings are based on a comparison of clinical outcomes in both children and adults suffering from acute asthma in emergency department or community. The studies were assessed from all over the world. Out of 112 abstracts which were originally identified from Cochrane airway group database, 44 of them were appraised with a possible inclusion. The results of the review showed no any significant differences in the primary outcomes

inflow of patients is higher than the available beds. You are treating an elderly man who is breathless and cyanosed. While you assess whether he has chronic obstructive pulmonary disease or heart failure, he becomes drowsy and starts gasping. You quickly intubate him with some difficulty, prolonging his period of hypoxia, and put him on ventilator support. You then get a phone call from a senior consultant in the hospital that an important social activist is about to arrive with chest pain and will need to be admitted. You are directed to

Patients that need intensive care are more than likely to decline in health do to the substitute not know how to care for the patient. Nurses

In our group case, the physicians have to decide whether to allow an anencephalic baby to donate a lung to another baby born with severe diaphragmatic hernia. The condition of the potential recipient was so severe