Group Topic Area and Health Care Position: Long Term Care: disease or condition
Slayton, R. B., Toth, D., Lee, B. Y., Tanner, W., Bartsch, S. M., Khader, K., … Jernigan, J. A. (2015). Vital Signs: Estimated Effects of a Coordinated Approach for Action to Reduce Antibiotic-Resistant Infections in Health Care Facilities — United States. MMWR. Morbidity and Mortality Weekly Report, 64(30), 826-831. doi:10.15585/mmwr.mm6430a4Article Summary:
The article explains that a major problem in long-term care facilities are bacterial infections that are resistant to antibiotics. The article explains the main problem is that with these infections there are limited treatment options for these types of infections. Slayton et al. (2015) says that the CDC estimates that approximately 2 million illnesses each in year in long-term care facilities and cause around 23,000 deaths per year. Illnesses caused by antibiotic resistant bacteria has the potential to effect people both in and out of the care facility. One of the reason for the spread of antibiotic resistance in ling-term care facilities is because of the number of people who are in the facilities who are already in compromised positions. In the past, treatment and prevention of the spread of antibiotic resistant bacteria have been implemented individually with little coordination between different facilities who often treat the same patients. This creates the issue of theseorganisms spreading because of people who are colonized by these antibiotic bacteria often move between different facilities which allows the bacteria to spread. This article calls for an improved integrated method of controlling the spread of bacteria within and between facilities so as to keep the infection rates down. The article makes the case that if intervention takes place it could reduce antibiotic resistant infections by almost 500,000 over a five year period. Doing this would help improve the health of patients and prevent a lot of infections that can result in death. This provides a systematic way of treating infections that occurs through multiple facilities that are used by patients which is more effective than individual facilities working alone.
Most Important Points:
Antibiotic use can cause germs to become resistant to antibiotics. Approximately two-million illnesses and almost 23,000 deaths are caused by antibiotic resistant infections annually. About 250,000 people are hospitalized for C. difficile infections annually, typically caused by antibiotic use.If improved infection control were developed more than 600,000 infections and 37.000 deaths could be prevented over a five-year period. If health facilities coordinate patient infection information nearly 74% fewer patients would be infected over a five-year period.
Impact of this Health Care Position:
Controlling infections is an important part of running a medical center. Infections are one of the most dangerous things in the healthcare setting and can have devastating results. This is especially true if the medical facility houses at risk patients. Antibiotic resistant infections are becoming a growing concern because of the increase in the elderly population and the expected increase of people in long-term care facilities. It is important to address this issue so it does not become too big of a problem.
Topic: hospital based long term care. Disease and Condition
Reference: Gilbert, K, et al. “Central Venous Catheter Infections and Blood Drawing: An Association?.” Oncology Nursing Forum, vol. 35, no. 3, May 2008, pp. 533-534. EBSCOhost, login.proxy.lib.siu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=105752032&site=eds-live&scope=site.
This article is about how patients who are in long based hospital care with cancer don’t get informational as fast as they need to too recover. Patients who could use special services were often referred to them too late. They are trying to improve care coordination. They created a cancer 101 course that had various support teams and programs. Since the oncology was mainly in charge of the really sick they were the once moving the patients with high stages of cancer to the hospice facility. This creates uninterrupted continuous care for patients.
Most important points:
Although cancer is looked as a deadly disease and always comes back. People can still fight it. Offering spiritual care, time constraints to educate your patient, awareness and facility learning early detections can help patients a lot by not losing help. Their study has shown that offering all of these changed the staffs’ perspective on things they embraced the practice.
Impact of this health care position: the impact of the oncology going through all these different practices has increased cancer care. It has also made patient admissions better and made them feel more at ease. Cancer is not a sickness that is dealt with easily. Its known to take the people you love. Although there is still no cure, they are different chemo’s to help cancer patients.
Name: Abby Sellek
Group #: 3
Group Topic Area and Disease/Condition: Hospital based long term care and Pressure Sores
Gould, C. (2007). Long-term Acute Care Hospitals Infection Control Issues. Centers for
Disease Control and Prevention. Retrieved from http://ldh.la.gov/assets/oph/Center-PHCH/Center-CH/infectious-pi/HAI/LongTermCare/LTACHInfectionControlIssues
Long-term acute care hospitals are a form of hospital-based long-term care that focus on patients who have multiple conditions, require skilled care, and cannot receive required care in lower level facilities. Patients in long term acute care hospitals have an average length of stay that is longer than 25 days. One of the conditions often found in this setting are advanced wounds, commonly pressure sores. These can either develop prior to admittance and need advanced treatment or appear while getting treatment for another condition.
Most Important Points:
Wound care is extremely important in long-term acute care hospitals due to high prevalence of pressure sores developing on patients. Patients in this setting are more likely to develop pressure sores due to the seriousness of their conditions which may prevent regular activity.
Impact of the Disease or Condition:
Pressure sores play a large role in long term care acute hospitals because it is easy for patients to get them, as they are often limited in their capabilities of physical activity. When pressure is placed in certain area of the body for an extended period, breakdown of the skin begins. This break down can lead to severe sores and if not properly treated, may lead to sepsis. Pressure sores are a serious and common problem in all areas of health care.
- Name: Fahad Alanazi
- Group #: 3
- Group Topic Area and “Disease or Condition”: Hospital based in long term care & Rheumatism
- Reference: Matcham Faith, Norton Sam, Scott David L., Steer Sophia, Hotopf, Matthew (2016) Symptoms of depression and anxiety predict treatment response and long-term physical health outcomes in rheumatoid arthritis: secondary analysis of a randomized controlled trial. Rheumatology 55(2): 268–278, https://doi.org/10.1093/rheumatology/kev306
- Article Summary: Persistent symptoms of anxiety and depression are associated with a poor outcome of treating rheumatism. The response to treatment is lower and it is harder to achieve remission. Therefore, mental health of patients with rheumatism should be measured and treated if necessary, especially in long term care facilities.
- Most Important Points: The authors conducted a study that included almost 400 of patients for 2 years. Depression and anxiety significantly increased Disease Activity Score and Health Assessment Questionnaire scores. Depression also contributed to the increased joint tenderness and decreased prednisolone treatment effectiveness.
- Impact of the “Disease or Condition”: Rheumatism is a chronic condition that is often treated in a hospital-based environment in elderly when it is in the acute phase. Rheumatism is also a condition that long term care facilities need to deal with in their patients. According to Faith et al (2016), anxiety and depression in patients with rheumatism lead to a significant reduction of positive outcomes rate and cause the increased difficulty in reaching clinical remission. This means that anxiety and depression must be treated in time in patients with rheumatism.