Impacting Patient Care Experiences Hourly Rounding

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Impacting Patient Care Experiences: Hourly Rounding

Author : Michelle R Johnson Hernandez
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (924 download)

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Book Synopsis Impacting Patient Care Experiences: Hourly Rounding by : Michelle R Johnson Hernandez

Download or read book Impacting Patient Care Experiences: Hourly Rounding written by Michelle R Johnson Hernandez and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Impacting Patient Care Experiences with Hourly Rounding My global aim consists of cultivating communication and staff responsiveness within a busy, nursing unit in an urban setting within a San Francisco hospital; thereby improving the patient's perception of staff responsiveness by reducing call lights and patient falls by 25% within three months. The patient population consists of cardiovascular and thoracic post-operative surgical patients of all ages primarily adults. The implementation of the evidence based practice of hourly rounding has been proven to increase overall patient satisfaction by improving staff responsiveness and increasing patient safety within many hospitals. The measurement of effectiveness and success will be evidenced by seeing an increase in patient care scores and a reduction of falls within the unit; when these metrics are met, there is data that proves that this evidence based practice will drive the results we are looking for. In this microsystem, there are many indicators that a more efficient workflow is necessary to be established. There is the constant sound of call lights ringing about an estimated 12-15 in an eight hour shift for non-urgent needs. Upon interviewing many staff, I found there was an inconsistent way and lack of education on how hourly rounds should be performed. Basic patient needs were not addressed within each visit from a staff member. By using a process map, timeline, PDSA, Lewin's Change Theory, SWOT analysis and graphs, I can show you my process of improving staff responsiveness within the nursing unit. In conclusion, as a Clinical Nurse Leader and patient advocate, I have utilized the information gained from the microsystem data and implementation of hourly rounding, thereby proving how to improve quality, safety and patient care experiences within the busy, medical surgical nursing unit with the evidence based practice of hourly rounding.

Patient Safety and Quality

Author : Ronda Hughes
Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Keeping Patients Safe

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309187362
Total Pages : 485 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Keeping Patients Safe by : Institute of Medicine

Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Advances in Patient Safety

Author : Kerm Henriksen
Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.7/5 (54 download)

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Book Synopsis Advances in Patient Safety by : Kerm Henriksen

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

The Effect of Purposeful Hourly Rounding on the Incidence of Patient Falls

Author : Crista H. Brown
Publisher :
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.:/5 (954 download)

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Book Synopsis The Effect of Purposeful Hourly Rounding on the Incidence of Patient Falls by : Crista H. Brown

Download or read book The Effect of Purposeful Hourly Rounding on the Incidence of Patient Falls written by Crista H. Brown and published by . This book was released on 2016 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to evaluate the effectiveness of purposeful hourly rounding on the incidence of patient falls. Purposeful hourly rounding is a vital component of the nursing care delivery model that is impacting the fall rates. Providing structure and emphasis to the hourly rounding process assist in the evaluation of the desired outcomes as it relates to patients falls. As healthcare organizations experience the concept of public reporting, patient safety has become an increasingly important concern. Purposeful hourly rounding can improve quality, safety, and the patient’s perception of their care. The results of this study found there was not a statistical significant difference in the incidence of patient falls with the implementation of hourly rounding.

Significance of Hourly Rounding on Patient Satisfaction in the Emergency Department

Author : Rebecca M. Hemker
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Significance of Hourly Rounding on Patient Satisfaction in the Emergency Department by : Rebecca M. Hemker

Download or read book Significance of Hourly Rounding on Patient Satisfaction in the Emergency Department written by Rebecca M. Hemker and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient satisfaction is an important component of patient-centered care. It is also a key determinant of quality, performance and structure within healthcare organizations. As a result, healthcare organizations are continuously seeking new ways to improve patient satisfaction, preferably with minimal use of resources or expenditures. Research has demonstrated hourly rounding to be a cost-effective, nurse led intervention that positively influences patient satisfaction (Petras, Dudjak and Bedner, 2013; Sherrod, Brown, Vroom and Sullivan, 2012; Brosey and March, 2015). Hourly rounding is a proactive approach to patient care where basic patient needs are anticipated and fulfilled through regularly scheduled checks by healthcare professionals. This evidence based practice (EBP) project proposes implementation of hourly rounding to improve patient satisfaction at Canyon Vista Medical Center's (CVMC) emergency department (ED). A thorough description of the problem and proposed solution will be discussed. A detailed implementation plan including rationale, evidence, approval, implementation logistics and resources will be provided. An evaluation plan consisting of evaluation tools and data collection methods will be presented in addition to a strategy for dissemination of findings to key stakeholders and the greater nursing community. Finally, a literature review including analysis and appraisal of fifteen peer-reviewed research articles on the topic of hourly rounding and patient satisfaction will be presented.

Professional Capstone Change Project: Sharpening the Focus on the Patient Experience

Author : Amy M. Selegue
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Professional Capstone Change Project: Sharpening the Focus on the Patient Experience by : Amy M. Selegue

Download or read book Professional Capstone Change Project: Sharpening the Focus on the Patient Experience written by Amy M. Selegue and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The advent of the Affordable Care Act and new reimbursement guidelines from the Centers for Medicare and Medicaid Services require that patient satisfaction become a top priority in the nation's hospitals. Studies have shown that patient-centered care helps to increase patient satisfaction which can, in turn, positively effect HCAHPS scores. Many institutions are already implementing patient-centered strategies such as AIDET and hourly rounding, however to help facilitate the provision of patient-centered care and improve the patient experience, more and more hospitals are utilizing Patient and Family Advisory Councils (PFAC) and in-house patient experience leaders. The author completed a systematic review of over 15 peer-reviewed journal articles along with information from various sources and entities that focus on improving the patient experience. The author also received feedback from healthcare professionals, including a working Patient Experience Coordinator, to better understand the concepts of patient-centered care and how it affects both patients and the organization. After completing the review, the author developed a proposal with the intent of facilitating the delivery of patient-centered care at Northwest Medical Center (NMC) in Tucson, Arizona. The proposal consists of garnering support from senior management to create a position for a designated patient experience leader in the hospital, as well as establishing a Patient and Family Advisory Council at NMC. With the support of leadership, information would be provided to staff regarding the new initiatives and any questions or concerns would be addressed. To evaluate the effectiveness of the programs once they are established, surveys would be distributed to patients and employees prior to implementation and then six months afterward with the hope of determining if the PFAC and patient experience leader had a positive impact on patient satisfaction and HCAHPS scores. The data discovered through research for this project highlights the fact that patientcentered care has a positive effect on patient satisfaction and even patient health outcomes. Hospitals must place more of a focus on this area than ever before, not only because it is the ethical thing to do, but also because it can effect a hospital's financial viability. It is the intent of the author to promote this evidence and further emphasize the need for focused patient experience efforts in today's hospitals.

Best Care at Lower Cost

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309282810
Total Pages : 437 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Best Care at Lower Cost by : Institute of Medicine

Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

The Mechanism of Mind

Author : Edward de Bono
Publisher : Random House
ISBN 13 : 1473527570
Total Pages : 344 pages
Book Rating : 4.4/5 (735 download)

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Book Synopsis The Mechanism of Mind by : Edward de Bono

Download or read book The Mechanism of Mind written by Edward de Bono and published by Random House. This book was released on 2015-07-02 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Mechanism of Mind presents Edward de Bono’s original theories on how the brain functions, processes information and organises it. It explains why the brain, the ’mechanism’, can only work in certain ways and introduces the four basic types of thinking that have gone on to inform his life’s work, namely ‘natural thinking’, ‘logical thinking’,’ mathematical thinking’ and ‘lateral thinking’. De Bono also outlines his argument for introducing the word ‘PO’ as an alternative to the word ‘NO’ when putting lateral thinking into practice. Drawing on colourful visual imagery to help explain his theories and thought-processes, from light bulbs and sugar cubes to photography and water erosion, The Mechanism of Mind remains as fascinating and as insightful as it was when it was first published in 1969. This is a must-read for anyone who wants to gain a greater understanding of how the mind works and organises information – and how Edward de Bono came to develop his creative thinking tools.

Significance of Hourly Rounding

Author : Rugiatu Mansaray
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Significance of Hourly Rounding by : Rugiatu Mansaray

Download or read book Significance of Hourly Rounding written by Rugiatu Mansaray and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient falls remain a common detrimental incident in an acute care setting. Studies have shown that inpatient falls are the second largest category of reported adverse events, and are estimated to cost more than $20 billion a year. It is predicted that the cost of fall injuries will reach $43.8billion dollars by 2020.Research had shown that implementing hourly rounding in an acute care setting will reduce harm to patients, and increase patient's satisfaction. Hourly rounding is a planned method by which nurses and other health care workers performed checks on patients at a given time to assess, and care their basic needs. The purpose of hourly rounding is to decrease harm to patients such as, falls, pressure ulcers, urinary tract infections, as well as increase patient's satisfaction. The aim is to explore the implementation and use of hourly rounding, and its effectiveness in improving patient care, decreasing hospital cost, and length of stay.

Improving Patient Satisfaction Scores by Implementing an Hourly Rounding Protocol

Author : Colleen Reynolds
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)

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Book Synopsis Improving Patient Satisfaction Scores by Implementing an Hourly Rounding Protocol by : Colleen Reynolds

Download or read book Improving Patient Satisfaction Scores by Implementing an Hourly Rounding Protocol written by Colleen Reynolds and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Patient satisfaction has become an important indicator to measure the quality of care and the financial success of healthcare organizations. The measurement of patient satisfaction has led to an increased appreciation of the significance of patient expectations and the perceptions of care that they receive (Dingman, Williams, Fosbinder & Warnick, 1999). The review of evidence reveals that healthcare organizations providing higher levels of quality care and patient satisfaction hold a competitive advantage in the current health care market. Satisfaction consists of both a cognitive evaluation and emotional reaction to the components of care delivery and service. Patient Satisfaction is an individual subjective perception and is closely tied to an individual's expectations regarding the care and services (Urden, 2002). Satisfaction is lower when expectations are not met. Although most patients are generally satisfied with their healthcare experience, they are not uniformly satisfied with all aspects of care." −́£ -- from Introduction and Overview.

Understanding and Using Health Experiences

Author : Sue Ziebland
Publisher : Oxford University Press
ISBN 13 : 0199665370
Total Pages : 180 pages
Book Rating : 4.1/5 (996 download)

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Book Synopsis Understanding and Using Health Experiences by : Sue Ziebland

Download or read book Understanding and Using Health Experiences written by Sue Ziebland and published by Oxford University Press. This book was released on 2013-04-04 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving patient experience is a global priority for health policy-makers and care providers. This book critically examines the various ways in which people's experience of health and healthcare can be recorded, analysed and therefore improved.

Hourly Rounding

Author : Sarah Nakawaki
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Hourly Rounding by : Sarah Nakawaki

Download or read book Hourly Rounding written by Sarah Nakawaki and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of hourly rounding in nursing care has been supported by research and evidence-based practice to improve patient outcomes. Research has indicated that by regularly rounding on patients in a purposeful manner, such as addressing pain, toileting, positioning needs and placing important and personal items within reach of the patient decreases the incidences of patient falls and increases patient satisfaction (Meade, Bursell, and Ketelsen, 2006). An hourly rounding protocol already is in place at Hoag Hospital, but patient falls and hospital-acquired pressure ulcers still continue to happen. Hoag Hospital can greatly benefit by re-educating nursing staff and nursing assistants on proper hourly rounding protocol, including rationale for hourly rounding and important factors to address with patients. A chime will also be introduced to ring when hourly rounding is performed, every one hour for day shift and every two hours for night shift, to gently remind staff to round on their patients. The staff can also benefit by reinforcing the importance of hourly rounding through the yearly house side mandatory review session accessed through the hospital's intranet website. This proposal will include an implementation plan that shows the positive benefits implementing hourly rounding re-education given to nurses and nursing assistants has improved patient outcomes, specifically improved patient safety as seen by a decrease in falls, and improved patient satisfaction. In addition, evaluation of the findings as well as disseminating them to all unit department directors and the nursing community will be discussed.

Evaluating Research for Evidence-Based Nursing Practice

Author : Jacqueline Fawcett
Publisher : F.A. Davis
ISBN 13 : 0803622287
Total Pages : 337 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Evaluating Research for Evidence-Based Nursing Practice by : Jacqueline Fawcett

Download or read book Evaluating Research for Evidence-Based Nursing Practice written by Jacqueline Fawcett and published by F.A. Davis. This book was released on 2008-08-22 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Where is the evidence in a nursing research study? What is the evidence? How good is the evidence? And, how is it relevant to providing evidence-based nursing care? Ensure that students can meet the AACN’s (American Association of Colleges of Nursing) goal of identifying valid research findings and using them to determine if they are providing care that is supported by evidence.

The Art of Communication in Nursing and Health Care

Author : Theresa Raphael-Grimm, PhD, CNS
Publisher : Springer Publishing Company
ISBN 13 : 0826110568
Total Pages : 202 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis The Art of Communication in Nursing and Health Care by : Theresa Raphael-Grimm, PhD, CNS

Download or read book The Art of Communication in Nursing and Health Care written by Theresa Raphael-Grimm, PhD, CNS and published by Springer Publishing Company. This book was released on 2014-10-10 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: A handy guide to tackling difficult patient and professional interactions with confidence and compassion In this age of increasing reliance on technology, it is essential that the fundamentals of compassion and good communication—the art of patient care—remain at the heart of health care. This clear, concise guide to professional communication strategies helps nurses and other health care clinicians to build effective patient relationships and navigate a wide variety of difficult patient and professional interactions. Written by a practicing psychotherapist who has devoted nearly 30 years of study to clinician—patient relationships, the book tackles such complex issues as dealing with demanding patients, maintaining professional boundaries, overcoming biases and stereotypes, managing clinician emotions, communicating bad news, challenging a colleague’s clinical opinion, and other common scenarios. The book guides the reader through a conceptual framework for building effective relationships that is based on the principles of mindfulness. These principles are embedded in discussions of the fundamental elements of interpersonal effectiveness, such as hope, empathy, and listening. Chapters apply mindfulness principles to specific challenging situations with concrete examples that describe effective clinical behaviors as well as situations depicting pitfalls that may impede compassionate care. From a focus on everyday manners in difficult situations to beneficial approaches with challenging populations, the guide helps health care professionals confidently resolve common problems. Brief, to-the-point chapters help clinicians channel their clinical knowledge and good intentions into caring behaviors that allow the patient to more fully experience empathy and compassion. With the guiding theme of “using words as precision instruments,” this is a resource that will be referred to again and again. Key Features: • Helps health care professionals and nurses communicate effectively in challenging clinical and professional situations • Uses the principles of mindfulness to build satisfying relationships and resolve problems • Addresses such difficult issues as demanding patients, maintaining boundaries, overcoming biases, managing clinician emotions, and much more • Provides special tips for communicating with family members and caregivers • Authored by a practicing psychotherapist specializing in clinician—patient relationships for nearly 30 years

Resident Duty Hours

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309131529
Total Pages : 427 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Resident Duty Hours by : Institute of Medicine

Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.

Care and Compassion?

Author : Great Britain. Parliamentary and Health Service Ombudsman
Publisher : The Stationery Office
ISBN 13 : 9780102971026
Total Pages : 44 pages
Book Rating : 4.9/5 (71 download)

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Book Synopsis Care and Compassion? by : Great Britain. Parliamentary and Health Service Ombudsman

Download or read book Care and Compassion? written by Great Britain. Parliamentary and Health Service Ombudsman and published by The Stationery Office. This book was released on 2011 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this report, "Care and compassion?" the Health Service Ombudsman says the NHS is failing to treat older people with care, compassion, dignity and respect. The report is based on the findings of ten independent investigations into complaints about NHS care for people over the age of 65 across England. It serves to illuminate the gulf between the principles and values of the NHS Constitution and the felt reality of being an older person in the care of the NHS in England. The Ombudsman's findings show how ten older patients suffered unnecessary pain, indignity and distress while in the care of the NHS. Her investigations highlight common failures in pain control, discharge arrangements, communication with patients and their relatives and ensuring adequate nutrition. These are not isolated cases. Of the nearly 9,000 properly made complaints to the Ombudsman about the NHS last year, 18 per cent were about the care of older people. The Ombudsman accepted twice as many cases for investigation about older people as for all other age groups put together. The findings reveal an attitude - both personal and institutional - which fails to recognise the humanity and individuality of the people concerned and to respond to them with sensitivity, compassion and professionalism. These accounts present a picture of NHS provision that is failing to meet even the most basic standards of care. The NHS must close the gap between the promise of care and compassion outlined in its Constitution and the injustice that many older people experience.