Change is a hard concept for most, but change in the hospital setting can be beneficial for both staff and patients. According to Mclean (2011), “Every change begins with an ending” (p.79). How people respond to change can make the process easy or hard depending on how the change is presented.
Sequential Compression Devices (SCD’s) mechanically replace normal muscle motion in the leg via a cuff that inflates and deflates uniformly. This mechanical inflation and deflation keeps blood flowing in the veins and prevents the formation of clots that can result in deep vein thrombosis (DVT) or pulmonary embolism. SCD’s are used as prophylaxis in patient groups with low to moderate risk of DVT (Brady et al., 2007, p. 256). Patient compliance
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Studies to show which type of leg compression device is optimal for DVT prevention are not available. Knee-length SCD’s are more comfortable to patients, encourages higher levels of compliance and also provide beneficial prophylaxis against DVT.
An informal survey of perioperative nurses, physicians and patients was performed regarding the use of thigh-length versus knee-length SCD’s. The surgical services management team, clinical nurse educator, surgeons, and materials management were also involved in the process of using only knee-length SCD’s on all surgical patients. The surgeons, staff, and patients were perceptive and willing to use only knee-length SCD’s. The perioperative nurses were hesitant at times to call the physician for an order to place knee-length SCD’s on the surgical patient. This was a barrier to the suggested change project.
Havelock’s model of change will be used for this project. Perception of need, diagnosis of the problem, identification of the problem, devising a plan of action, gaining acceptance of the plan, stabilization, and self-renewal are all steps included in Havelock’s model of change (Kearney-Nunnery, 2012). Leadership is also an important part of the change process. In order to have a positive outcome, the leader must incorporate the staff in the change process.
Providing clarity about the change can improve the transition process. According to Mclean (2011), leaders
Step 2 is forming a powerful guiding coalition. Leadership will have to be on board and on the same page in regards to the change. Kotter and Cohen reveal the core problems people face when leading change. Their main findings are that the central issue concerns not structure or systems but behavior and how to alter it (Farris, 2008). The success of the changes will depend on the ability of the managers to show their commitment to change and motivate the employees to do the same. Without any process to track the implementation, the change can also fail.
All patients are at risk of pressure injuries. This risk is exacerbated when immobility and limited access to the surgically draped patient are a part of
A DVT is a blood clot that can occur anywhere in the body, but these blood clots tend to occur in the deep veins of the legs and thighs. It is critical that these clots are diagnosed and treated promptly to prevent further complications such as a pulmonary embolism, which occurs when a blood clot travels from the lower extremities
Universal Calf Brace by ViveProviding effective support throughout any activity, the adjustable Vive calf brace reduces muscle soreness, inflammation and cramping due to calf strains, sprains, or shin splints. Contoured brace is fully adjustable and can be worn on the left or right calf. The lightweight, breathable neoprene brace stays cool and comfortable for extended wearability.Effective Calf Support:Reducing soreness, inflammation and cramping, the Vive calf brace effectively supports weak or injured calf muscles. Providing great support for athletics, exercise and everyday use, the calf brace helps to prevent re-injury and promotes healing. Use the adjustable brace for calf strains and sprains, shin splints, and varicose veins. Minimizes
Compression will help reduce and prevent swelling and can be applied immediately after injury at pitch side but only for 10 minutes at a time to avoid stopping the circulation. An elastic ankle support can provide mild compression throughout the healing process to help reduce swelling.
Pulmonary embolism resulting from deep vein thrombosis is the most common preventable cause of hospital death (Maynard, 2015). Consequently, the Surgeon General has called to action to prevent deep vein thrombosis. Deep vein thrombosis in the healthcare setting can be reduced through
Ablation is usually done on deeper veins rather than surface veins. Because the entire vein may be difficult to see, your doctor will probably do an ultrasound before beginning treatment. The ultrasound is like a map of the veins in your leg. It helps your doctor pinpoint all the problem veins and it also guides him or her when inserting the catheter or laser fiber during the
Prevention of DVT is advised in many medical and surgical inpatients by using anticoagulants, graduated compression stockings or intermittent pneumatic compression devices, (also known as thromboembolic deterrent stockings). Anticoagulation is the usual treatment for DVT. As a rule, patients are put on a brief course, (less than a week), of Heparin treatment, while starting a 3 to 6 month course of Warfarin (or related Vitamin K
Change is a double-edged sword (Fullan, 2001). Change is a word that might inspire or put fear into people. Leadership is challenging when it comes to dealing with change and how individuals react within the organization to the change. Marzano, McNulty, and Waters (2005) discuss two orders of change in their book School Leadership that Works; first and second. Fullan (2001) also adds to the discussion in his book Leading in a Culture of Change, with regard to understanding change. In Change Leadership, Keagan and Wagner (2006) discuss many factors of change and the systematic approach to change. Change affects people in different ways. Leaders need to be able to respond to the individuals throughout the change process.
You may have to wear compression stockings. These stockings help prevent blood clots and reduce swelling in your legs.
Anti-embolic stockings work by exerting graded circumferential pressure from distal to proximal regions of the leg conforming to a Sigel pressure profile. These increase blood velocity, promote venous return, and have shown to be effective (Barker, 2011). Intermittent pneumatic compression periodically compresses the calf and thigh muscles, mimicking the muscle pump created by walking, promoting fibrinolysis, and have shown to also be effective (Barker, 2011). Foot impulse devices increase venous outflow and reduce stasis in immobilized patients. They also mimic walking by compressing the plantar venous plexus, and they are effective after orthopedic surgery in reducing asymptomatic DVT (Baker, 2011). Mechanical methods will most likely be used in patients at high risk for bleeding. Physiotherapy and nursing has also been a method used by staff in increasing the prevention of VTE. Risks can potentially be mediated by mechanical calf and foot venous compression, bed exercise, active or passive, and early mobilization, and by hydration (Barker,
Compression stockings are specially designed to apply pressure to your legs to improve your circulation. They work by encouraging the blood to flow upwards towards your heart by being tighter at the ankle and progressively looser towards the
The venous system of the lower extremities is composed of several veins that are superficial and deep. The sophisticated blood flow of the lower extremity consists of muscular venous pumps and bicuspid valves (Meissner, 2005). There are two major disorders of the lower venous system, chronic venous insufficiency (CVI) and deep venous thromboses (DVT). It is often assumed that disorders of the venous system are not relevant, but these disorders can, in fact, be more complex to treat than arterial diseases. The purpose of this paper is to examine the pathophysiology of CVI and DVT, diagnosis of the disorder, treatment of the disorder, comparison of both disease and risk factors that affect the incidence of
The purpose of this paper is to discuss organizational change and the management of that change. I will talk about the different drivers of change, the factors a leader needs to weigh to implement change effectively, the various resistances a leader may encounter while trying to implement change, and how various leadership styles will effect the realization of change. I will also discuss the knowledge I have gained through the completion of this assignment and how I think it might affect the way I manage change in my workplace.
Week 3, the lecture on Managing Change describes organizational changes that occur when a company makes a shift from its current state to some preferred future state. Managing organizational change is the process of planning and implementing change in organizations in such a way as to decrease employee resistance and cost to the organization while concurrently expanding the effectiveness of the change effort. Today's business environment requires companies to undergo changes almost constantly if they are to remain competitive. Students of organizational change identify areas of change in order to analyze them. A manager trying to implement a change, no matter how small, should expect to encounter some resistance from within the organization.