Trigger 2 - Facilitator's Guide PDF

INTRODUCTION TO RADIOLOGIC TECHNOLOGY WITH HEALTHCARE FACILITATOR’S GUIDE TRIGGER 2 1. Why did the doctor advise her to be admitted in hospice facility? THE HOSPICE Histo...

INTRODUCTION TO RADIOLOGIC TECHNOLOGY WITH HEALTHCARE FACILITATOR’S GUIDE TRIGGER 2 1. Why did the doctor advise her to be admitted in hospice facility? THE HOSPICE Historically a hospice was a guesthouse intended for pilgrims and was often closely, connected with a monastery and supervised by monks. From the beginning it had a strong religious connection and exemplified the Christian insistence on compassion and care for the aged, the infirm, the needy, and the ill. In modern Britain the hospice movement developed gradually from its beginning in 1905, when the Sisters of Charity founded the St. James Hospice in London. St. Christopher's Hospice, also in London, founded in 1967, soon became known for its peaceful environment and expert medical and nursing care. In 1974 the first hospice in the United States, the New Haven Hospice (now Connecticut Hospice), was established in New Haven, Connecticut. The hospice movement later spread to many countries worldwide.  Hospice is specialized type of care for those facing a life-limiting illness, their families and their caregivers. Hospice care addresses the patient's physical, emotional, social and spiritual needs. Hospice care also helps the patient's family caregivers.  Hospice care takes place in the patient's home or in a home-like setting. Hospice care concentrates on managing a patient's pain and other symptoms so that the patient may live as comfortable as possible and make the most of the time that remains. Hospice care believes the quality of life to be as important as length of Life. 2. If Mrs. R refuses to be admitted in hospice facility, do you think her family can provide a home health care? Extended health care With the advance in medical science and the ever-increasing cost of hospital operations, the progressive- care concept is more attractive, both for outpatient and inpatient care. Progressive care can be divided into five categories: (1) intensive care, (2) intermediate care, (3) self-care, (4) long-term care, and (5) organized home care.  1) Intensive care - those with a variety of critical conditions are provided the highest level of care by trained medical personnel. 2) Intermediate care - An Intermediate Care is a vital part of the healthcare system, serving as an essential link between a hospital's Intensive Care Unit (ICU) and the general ward. Intermediate care units are designed to provide an intermediate level of care that's not long-term. They are designed to provide close monitoring and support for patients who are critically ill, injured, or who require intensive medical intervention. However, they are not as intense as an ICU. 3) Self-care facilities are organized into separate units in which ambulatory patients who require only diagnostic or Convalescent care are given accommodations similar to those of a hotel. The patients are free to wear street clothes and to go to the hospital cafeteria. Such a ward or wing of a general hospital requires much less costly equipment than the intensive or intermediate-care units and can be staffed with far fewer nurses and aides. 4) Long-term care - Long-term care involves a variety of services designed to meet a person's health or personal care needs during a short or long period of time. These services help people live as independently and safely as possible when they can no longer perform everyday activities on their own. Long-term care is provided in different places by different caregivers, depending on a person's needs. Most long-term care is provided at home by unpaid family members and friends. It can also be given in a facility such as a nursing home or in the community, for example, in an adult day care center. 5) Home-care programs are for patients who need some health services but not all of the treatment facilities of a hospital. The patients are provided with a range of individualized medical, nursing social, and rehabilitative services in their own homes, coordinated through one central agency. Patients can be considered ready for home care when: (1) diagnosis and a plan for treatment have been established; (2) inpatient hospital facilities are no longer required for proper care; (3) the nursing service has found that the physical environment of the home is such that the patient receives adequate care; (4) the patient is too ill to visit an outpatient clinic but does not need hospital care; (5) the family environment would have a therapeutic effect, and family members or others can be taught to provide the necessary care; and (6) the family and the patient prefer that care be provided at home. Home care conserves expensive acute-care beds, and most patients on home care do as well as or better than expected. 3. What is telemedicine as recommended by her doctor? TELEMEDICINE Telemedicine refers to the provision of remote clinical services, via real-time two-way communication between the patient and the healthcare provider, using electronic audio and visual means. In primary care, telemedicine is usually in the form of phone calls, where the patient seeks the doctor's advice about non-emergency medical problems which don't require the doctor to see the patient. It doesn't replace face-to-face consultation when it is needed, but complements it. The real role of telemedicine at present lies in the convenience it offers to patients and practitioners by obviating the necessity for a physical visit to get medical advice or treatment. It is cost-effective, in comparison to the process of waiting to see a doctor or other practitioner. It can help select urgent calls after a doctor’s office is closed. It is of immense value in the follow up of patients with chronic diseases such diabetes, high cholesterol or high blood pressure. Such patients have no regimens, prescription refills, or even just access to group support. An added convenience is that telemedicine consultations can be so arranged as to follow all needed laboratory investigations or vital sign monitoring system. Benefits of telemedicine Telemedicine requires no significant outlay other than two things: a web camera, and a secure patient portal that connects the doctor to a secured electronic medical records, and connectivity. This ensures safety, the ability to store necessary medical records, connectivity. In addition the physician needs a medical license in the same state as the state where the patient receives his prescription. Those who support the use of telemedicine, point to the convenience, the lower waiting time for a consultation, the access it provides to high-quality medical diagnosis and treatment, and the lesser cost of most consultations. In addition, the ready availability of patient records online has the potential to make patient prescriptions more reliable and accurate. By providing second opinions more easily and faster, it can also make the patient and physician experience better. Finally, it produces improved health outcomes, which should be the primary goal of all health services. Studies which drew direct comparisons between telemedicine and other approaches to patient management mostly show that the benefit lay with telemedicine.