Shouldice Hospital

After analyzing this information and reading through the case thoroughly, it would be quite difficult for Shouldice to perform 45 operations a day. They have limitations due to their operating rooms and the number of surgeons at their facility. According to the case, they have 12 full-time surgeons and only 5 operating rooms. Each surgeon operates on 4 patients per day so at most, the 12 surgeons can perform 48 total operations on a daily basis. Additionally, each operation takes 1 hour and since they only have 5 operating rooms, the maximum number of operations they can perform is 5 operations per hour. Operation time

This clinical rotation I was assigned to observe at the operating room, where they conduct various surgical procedures. The night prior to the clinical, I have to admit, was every bit unnerving. Especially, the fear of not knowing what to expect was daunting. There must have been a thousand scenario of what to expect or what might possibly go wrong playing through my head that night. However, after being introduced to the nurse I would be following, and meeting the surgeon and the rest of the team; my nerves settled down. The surgery scheduled was for a ventral hernia, which seemed routine, but complicated by a previous bowel realignment previously. The whole operation, from beginning to end, lasted a little over four hours. Although, the procedure lasted that long, it did not bother me even bit. In spite of standing for the whole duration of the observation, I never felt tired nor gotten bored. Notably, watching the surgical team working cohesively is like watching an artists who have

Before the patients leave the clinic, the primary care nurse will give them a simple instruction such as doing the blood work, EKG and chest x-ray prior to pre-operative appointments. This is the end of primary care responsibility for the pre-operative process of patients undergoing surgical procedures. The accountability of making sure the patient is ready for the surgery is then handed over to the pre-operative management nurses. Cancellation of operations in hospitals is a significant problem with far reaching consequences (Kumar & Gandhi, 2012). One of the factors contributing to this cancelation is the pre-operative process itself.

The number of persons in the RUC service areas shows an increase of 3% every year for the past three years, an increase from 64,009 three years ago to 64, 209 two years ago and one year ago 64,395. As one can see, the population will continue to grow approximately 3% per years. An estimated visits volume in the next five years will increase by 5% each year with the insurance of the population. The growing and increasing population based and with the RUC in a convenient location, the facility will be able to produces great potential for meeting our patient goals. Also, a small facility, most patients would feel more at ease with someone knowledgeable and skilled and would listen carefully to their health concerns. Nevertheless, patients may not feel the same within a larger setting such as a hospital and especially in the emergency department. Alongside, patient will feel more comfortable with seeing the same physician whenever they go to the doctor, as the doctor will know their medical conditions, patient would not have to worry about misdiagnosis, miscommunication or repeat of

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

The main purpose of this assignment is to create a plan of care for Kevin Johnson (School of Nursing & Midwifery 2013). By choosing one day in particular throughout his journey to recovery and by planning that care by incorporating the information that has been provided by his case study. The day that will be referred to care throughout this paper will be Day 1 – Post – Operative care. This

This paper focuses on the discharge plan for patient who underwent the Total Hip Replacement (THR). The nurse, as a case manager, works with the multidisciplinary team to determine the appropriate discharge plan for the patient. The roles and responsibilities of each member are elaborated. The healthcare issues, the safety assessment are discussed. In this case study the patient lives alone during the recovery from the surgery, so the effects of social isolation and psychological factors on the recovery process are also explained.

Exhibit 3 (in the case) tells us that the patients are extremely satisfied with the operation procedure, physician care and nursing care of Shouldice Hospital. Nearly 86% felt that the Hospital cared for them and 58% felt that Shouldice hardly felt like a hospital.

Shouldice Hospital had an excellent well-developed, focused service delivery system. The business strategy was to not only provide its patients with a quick, quality and low cost surgery but also providing an unforgettable experience and comfortable environment in the facility.

Unique and pioneering surgical technique for Hernia operation which reduced the suffering of the patients and led to rapid

Hernia operations are among the oldest operations in surgery up to the extent that we can say; the history of hernia is the history of surgery. (20) For long times, Bassini’s repair and its modifications stood for the test of time till Lichtenstein tension free repair appeared and it took most of the ground from Bassini’s repair leaving some areas for the Shouldice repair. Shouldice repair, which started more than 30 years ago, is considered the best tissue-based repair but it needs long learning curve, sophisticated, with recurrence rates less than 1% at Shouldice hospital and up to 15% in general surgical practice. (4, 5, 21-23). This unacceptably high recurrence rates in non-specialist centers supports the view that the Shouldice technique does not fulfil the requirements of a universal surgical technique for inguinal hernia repair. The idea of using prosthetic materials is largely adopted by many surgeons with many accesses which may be open, minimally invasive non-laparoscopic (Kugel repair), (24) or laparoscopic. (25) Many advances in the prosthetic materials have emerged; weather a biosynthetic mesh will gain more ground for treatment of hernia is a question for the future. The idea of using a prosthetic material to induce fibrosis and avoiding use the weakened tissue of the locality, is interesting but it has its drawbacks such as: cost, infection, and making a static entity rather a dynamic one, in addition data are rising about the possible impairment of

The purpose of this assignment is to read and review the case study. Then discuss your assessment of Shouldice Hospital 's marketing challenges, as well as presenting your ideas for how the hospital can best manage those challenges. The assignment will contain the answer of the following questions:

Hernia has impact on the community because it affects the productive age group.13 The mean age of patients in our study was 38 years (range 19- 68 years), this is consistent to what was reported in previous literatures.14, 15 In our study, 51.1% were female which is international standard for hernia in general.16

A Canadian hospital specializing in hernia operations is considering whether and how to expand the reach of its seraices,

The Castle Street Hospital for Women is the chief ladies ' doctor 's facility in Sri Lanka. Ready to serve a wide exhibit of services to women and men, it as of now has a quality of 442 beds. It gives services to expecting moms, gynecological patients, sub fruitful patients neonates and significantly more. The doctor 's facility performs more than 16000 conveyances for each year. It additionally has one of the biggest neonatal units in Sri Lanka. The clinic is a tertiary care showing doctor 's facility and is a herald in preparing wellbeing staff.