This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
Thats my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. Eric 00:15 And we have three guests to help us talk about trauma informed care.
To delve into these questions, we spoke with Hope Wechkin, medical director of EvergreenHealth home hospice, who authored an article describing a process of Minimal Comfort Feeding (MCF) for patients who have expressed an interest in not wanting to live with advanced dementia. Eric 01:13 Yeah, you got to jump in. Take it over.
Speech therapists also help manage swallowing or feeding issues to prevent complications like aspiration. Its also essential to revisit the conversation as the disease progresses, adjusting the level of information provided based on the persons cognitive and emotional state.
Because, if anybody hasn’t seen it, you’ve got a great Twitter feed that gives tons of pearls on palliative care and a lot on communication. There’s so much other information that goes into their understanding and how it might differ from a clinician’s understanding. What motivated you to dive into this?
We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. So, we use that information to formulate a treatment plan. laughter] Raele: Oh, no.
For a deeper dive, check out some of these other studies and resources we talked about in the podcast: The Influence of Nursing Home Culture on the Use of Feeding Tubes. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Archives of Internal Medicine 2010. Rehabbed to Death. Ruth: Oh, thanks.
In 1988, Cruzan’s parents requested that her feeding tube be removed, arguing that she would not want to continue in this state. On the one hand, this was unfortunate, as it meant Nancy Cruzan could not be disconnected from the feeding tube immediately. In 1990 the Supreme Court ruled…for the state of Missouri.
This month’s CE, “Evidence-Informed Nursing Clinical Practices for Wound Debridement,” provides nurses with a wound management framework, an overview of wound debridement options based on the potential for wound healing, and scope of practice considerations for developing a plan of care.
This is somebody who can help with being the eyes and ears in the home — delivering activities of daily living, supporting people who are really unable to do basic things like bathing, dressing or feeding. How did the discussions that CTAC facilitated proceed? What were some of the biggest concerns and challenges that came to the forefront?
With actionable data and feedback from clients and caregivers, home care agencies can make informed decisions and work smarter to improve satisfaction and increase quality of care,” said Erik Madsen, CEO of Home Care Pulse.
However, newer models can discover more nuanced information, like blood glucose levels or inflammatory markers, almost non-invasively. Constant monitoring provides them with more information they can pass on to medics. Telehealth And Apps Then, of course, there are now new ways to interact with clients.
I would say the data sharing capabilities are also huge for us to have real-time information and dynamic risk stratification for patients to make decisions that normally you may not be able to make in such real-time without that information in front of you and on a dashboard. Anthony, I think this would probably be a good time.
Keenly focused on establishing positive therapeutic relationships with patients and their families to achieve effective patient education, resource allocation, informed consent, discharge planning, and optimal clinical outcomes. Strong interpersonal and communication skills, including appropriate delegation of tasks to direct reports.
These additional layers of stress can begin to erode operations and efficiency, so it’s imperative to have a process in place that securely archives validated records – as deep a level of documentation as possible – in order to produce information in a seamless fashion.
And I have gone through my not-so-long career, but it’s coming up on nine years now, seeing the way that we have talked about CPR in such problematic ways, in ways that really do not enable true informed consent. And I think a lot of that leads to extreme moral distress. Sunita: Oh, yeah.
Focusing on the big O Encouraging nursing staff to refer residents at the first signs of these subtle changes, be it in transfers, feeding, dressing or communication opens the door to better, earlier outcomes. These moments may seem small, but they often carry the first clues that someones functional abilities are beginning to change.
Focusing on the big O Encouraging nursing staff to refer residents at the first signs of these subtle changes, be it in transfers, feeding, dressing or communication opens the door to better, earlier outcomes. These moments may seem small, but they often carry the first clues that someones functional abilities are beginning to change.
To make an informed plan, you will need to know what causes stress and how much each stressor affects your senior. Social and Mental Wellness These two needs go together because one feeds the other. Five Common Stressors in Seniors Many stressors are unique to seniors.
Your profile should be complete, information-packed, well-written, and engaging, and there are plenty of tricks and hacks for making it stronger and more effective. While any research you do on LinkedIn isn’t going to be the last word on a topic, it can be a treasure trove of information to sift through and get you started.
Charlotta: Yeah, I think it will be in reducing the need to spend so many hours on documentation and looking through the EHR for information. In the case of radiology, they feed these bazillion radiographs to an artificial intelligence, so they also feed it what happened, what the outcome was, what happened in reality.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And Katie, I was going through your Twitter feed, and a tweet I noticed was this one, “All opioid guidelines caution long-term use in people with active substance use disorder.”
Humans produce milk for human babies, which makes it the best for feeding our little ones while providing benefits for both mom and baby. I have a sample in my office to show moms what they are all about and help them make an informed choice. The woman’s body is amazing, providing the perfect recipe for milk for their babies.
It is therefore imperative that professionals working within neurodevelopment should have cultural awareness and be informed in practice of the nuances of intersection of race and religion. To further affect long term change in this area, further research is required that can feed into national health policy.
Daniel eventually passed away about eight years ago, but not before he was placed on that trach and peritoneal dialysis and feeding tube and many other interventions and, all the while, not really focusing on what he wanted as a good quality of life. We just moved on to the next thing without a serious discussion about wishes.
And this paper really gave us some important insights into older adults’ priorities about medication use that can inform these conversations. Ariel’s on the optimized team, and her work on how to help clinicians talk to patients about deprescribing informed the content of those tip sheets, which was great. Eric: Can I ask?
I may be compelled to face danger, but never to fear it, and while our soldiers can stand and fight, I can stand and feed and nurse them.” Listening to naysayers is sometimes helpful in providing evidence for continued improvement, but know the difference between helpful information and petty jealousies. “I Always be innovating.
And it’s with this information from the geriatric assessment that we can really create interventions, and so that’s something that Alex and I strongly believe that we should move forward with. We have the chemo talks tool posted, so people can go there and click and immediately get the information about this.
She currently partners with leaders to uncover and understand their most significant pain points and opportunities to inform what digital solutions they build and to inform new features for their current solutions. Also, with social media like TikTok, it can take time to find trustworthy information. What works and why?
With tens of thousands of qualified candidates turned away each year due to a lack of faculty and appropriate clinical training sites, this decreased nursing school capacity feeds directly into hobbled patient care capacity at urban and rural levels.
It also requires critical thinking , astute observational skills, intuition , and active listening to determine which information is the most relevant. Information collected during the assessment can come directly from the patient or from family members and support people. Quality Series: Role of Risk Management (0.75
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. It was about me talking about what happens about six months, when you have six months or less to live, the general information of what people usually look like. It just flows so naturally.
Staff will end up suggesting or even pushing IVs, feeding tubes, unnecessary medications, and providing inadequate pain management for patients. We must provide staff with information about the dynamics of dying; signs of approaching death that indicate months, weeks, days, hours, and the moment of death.
The air traffic she referred to was the constant barrage of information and data coming at you from all sides. We can ignore that still small voice inside of us — perhaps at our peril or that of our patients — or we can choose to nurture, feed, and water it.
Step 2: Research Your Goal Once you’ve identified that you’d like to understand more about working in a non-clinical role, it’s time to gather information. You may also find podcasts, articles, videos, and social media feeds that help you stay current.
Eric 02:37 Feeding the beast, Matthew, feeding the beast [laughing] Alex 02:41 All right, here’s a little bit. For those of you who are listening to the audio only podcast, Matt sent me the garageband version with like four different backing tracks. It’s awesome. So I’ll be singing along to that.
But they don’t really have a lot of condition-specific or procedure-specific information at all. Eric: So what do we do with the information? You’ll have a feeding tube. And I think that we do need more of that information and you’re right. And they don’t really have good data on it.
She could no longer feed herself, much less cook, and was dependent on others for everything. Alice has stated that she is unsure about a feeding tube but is certain she does not want a ventilator or other assistive breathing device. Within a year, she could only walk a few steps with help and mostly relied on a scooter. Tips for you!
This ensures that the family and the care team honor the patient’s wishes like determining do not resuscitate (DNR) status, using ventilator support, and providing enteral feedings. Information about support groups and resources to ease isolation. Hospice nurses can also document issues of personal importance.
Engage with staff or informational signage to learn more about the different plant species, their origins, and the significance of their conservation. Try bringing some bird seed with you to feed the local wildlife. Outdoor Cooking : Gather your closest friends and family for a fun-filled cookout or even enjoy a nice meal on your own.
Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. That’s a lot of information [inaudible 00:35:43], but I share some of that. Thanks to my son Kai for playing the guitar part in 5/4 with strange chords on Riverman by Nick Drake! Alex, is it okay if I ask?
Please read full disclosure for more information. You’re like the detective gathering all the clues ( information ) from the past several months to support changes in the patient’s condition. You can also use the information from your admission and previous interdisciplinary group (IDG) meetings to help you document.
Human nature compels us to nurture our loved ones in many ways, feeding being one method - however it is important to recognize that nutrition at the end-of-life is much different than how people eat prior to illness. Find out more in this week's Changing Lives podcast.
The answer to that question determined whether the beer went down the feeding tube or was a savor and spit process. Sunday dinners involved feeding four generations. Pulling just that piece of information from her record would show unmanaged pain. I had to push against those who wanted the patient to forgo the beer altogether.
But we can’t lose sight of the system level, the x individual outside of the individual, the system level factors that inform our day to day workplace experience. That, as you were saying, Eric, that bring me joy that I can pursue because they feed me, as well as whatever the reward system that I’m in. We should be writing.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content