Specialized Notes PDF

# Week 9: Palliative Care ## Palliative Care - Reduces Severity of Symptoms - Prevent and Relieve Suffering - Improve quality of life for patients with serious life limiting illnesses ## vs. Hospice - No Carative treatment - Less than 6 months to live- # Week 10/12: Disaster Management ### A Di...

# Week 9: Palliative Care ## Palliative Care - Reduces Severity of Symptoms - Prevent and Relieve Suffering - Improve quality of life for patients with serious life limiting illnesses ## vs. Hospice - No Carative treatment - Less than 6 months to live- # Week 10/12: Disaster Management ### A Disaster: - Natural or human caused event which causes intense negative impacts on people, goods, services and environment exceeding authority capacity to respond. ### Vulnerability: - Extent to which a community, structure, services or environment is likely to be damaged or disrupted by the impact of a hazard. ### Risk: _Hazard x Vulnerability_ ## Phases of Disaster Management: 1. **Mitigation:** Efforts to reduce impact of disasters to lessen the loss of life. 2. **Preparedness:** Developing knowledge and capacities to anticipate, respond to and recover from disasters. 3. **Response:** Actions to save lives, cause health impacts and ensure public safety. 4. **Recovery:** Improve resiliency of people, family and communities. # Week 11: Nursing Informatics ## Nursing Informatics: - Development and evaluation of applications, tools, processes, and Structures which assist nurses with management of data in taking care of patients or supporting the practice of nursing. ## Function of Nursing Informatics - ADPIE (Assessment, Diagnoses, Planning, Implementation, Evaluation) - Allows nurses to assess info inorder to develop, implement and evaluate methods of patient care treatment. # Role of ICT - (tele-medicine) - Telehealth: use of electronic technologies to provide health care and information remotely (at a distance). - Eg. During COVID-19 health professionals can evaluate, diagnose and treat patients from a distance using technology. # Week 12: Applications ## EHR (Electronic Health Record) 1. **Saves time** 2. **Cost** 3. **Improves quality of care** 4. **Tracks his/her own health record** 5. **Reduces duplicated services** 6. **Provides safer emergency care** 7. **Increases engagement in healthcare decisions.** 8. **Streamlines Registration** ## E-Patient: - Enabled, powered and engaged in their healthcare decisions. ## Consumer: - Take his or her own blood pressure, - Track healthcare. ## Clinical Support System: - Provides tools and applications that assist with decision making. 1. **Alerts (Flag Errors):** * Allergies * Reminder: * Related to patient’s preventative care * Immunization * Condition, follow up * Duplicated orders * Dosing Errors # Triage: “To sort" **How many resources are concerning**? - **Is the pt dying** - _ABC_ - **Can the pt wait** - _ABC_ - **How many resources** - _many_ - **Refil** - _Medications/Fluids_ - **None** - _Oral_ - **One** - **Many** ## ESI: Emergency Severity Index - Acuity #1-5 - **Resources** - Labs (CBC, Urinalysis) - Imaging (X-Ray, CT, MRI, US) - IV Fluids - Medications (IV, IM, SubQ) - Special Consult - Simple Procedure (Laceration Repair) - Complex Procedure (Sedation) ## Colors: - **Red:** Patient requires immediate treatment (e.g. suicide attempt via poisoning, hanging, or self-inflicted trama) - **Yellow:** Patient is stable at the moment and is not in any immediate danger, but will require observation (e.g. passive suicidal ideation, command hallucinations) - **Green:** Patients who will require medical treatment at some point, once more critical injuries have been treated (e.g. drug refill for anti-depressant or anti anxiety medications) - **Black:** For those who are already deceased, or for patients whose injuries are so extensive that they will not be able to survive, given the level of care available.