patient in the hospital jana hermanova. the admission planned ◦ elective unplanned ◦ acute ◦...
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Patient in the hospitalPatient in the hospitalJana Hermanova
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The admissionThe admissionPlanned
◦ElectiveUnplanned
◦Acute◦Urgent
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ReceptionReception
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HeliportHeliport
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EmergencyEmergency
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Types of unitsTypes of unitsGeneralSpecializedAcute careLong term careIntensive careCritical careOther services
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Nursing StationNursing Station
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Nursing StationNursing Station
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Hospital RoomHospital Room
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Patient ´s RoomPatient ´s Room
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Intensive CareIntensive Care
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Basic Equipment ICUBasic Equipment ICU
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ICUICU/ARO/ARO
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Long Term Intensive CareLong Term Intensive Care
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Long-Term Intensive CareLong-Term Intensive Care
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Social CareSocial Care Services Services
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Social CareSocial Care
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Social CareSocial Care
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LaboratoryLaboratory
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Magnetic ResonanceMagnetic Resonance
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Radiology CTRadiology CT
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Operating TheatreOperating Theatre
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Eye SurgeryEye Surgery
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SterilisationSterilisation
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Occupational TherapyOccupational Therapy
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Spiritual CareSpiritual Care
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VolunteersVolunteers
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PracticePractice
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The healthcare teamThe healthcare team
• Doctors• Nursing staff• Physiotherapists• Occupational
therapists/ergotherapists
• Nutritional therapists
• Social workers
• Pharmacists• Respiratory
therapists• Speech therapists• Spiritual support
persons
Who is missing?
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The four R’sThe four R’sRolesRulesResponsibilitiesLines of reporting
Each has different role to play, subject to different rules related to their different responsibilities
Each will be responsible, accountable to different arbiters of their performance
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The patient is a human – The patient is a human – he/she has Human needshe/she has Human needs…according to Abraham
Maslow…
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Physiologic needsPhysiologic needsAirFoodFluidsSleepRestSexShelter
Exercise and activity
EliminationPain avoidanceMaternal
responseStimulationExcitementManipulationExplorationNovelty
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Safety needsSafety needsSecurityStabilityDependencyProtectionFreedom from
fear and anxietyStructure
Safety needs incorporate the need for structure, law, order, limits and the strength of a protecting person
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Love and belonging needsLove and belonging needsThe need to be
with othersTo have a wife,
husband, children, colleagues, friends, acquaintances
Important for adequate mental health
If not met the person can feel◦ lonely ◦ separated ◦ rejected ◦ friendless ◦ abandoned ◦ restless
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Love and belonging needs are expressed through our desire for:◦ tenderness◦ affection◦ contact◦ intimacy◦ togetherness ◦face-to-face encounters
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Esteem needsEsteem needsThe need for firmly based
wholesome self-evaluation and for respect and esteem of self and esteem for others
Need for feeling a confidence, for independence, for freedom, reputation, dignity, appreciation
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Esteem needsEsteem needs
Fulfillment results in:
Self-confidenceFeelings of worthStrengthCapabilityUsefulnessAdequacy
Deprivation results in feelings of:
InferiorityHelplessnessWeaknessDiscouragement
When serious, it leads to compensatory or neurotic behavior
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Self actualizationSelf actualizationThe person is self fulfilledHe must be what he can beHe must fulfill his purpose in the
worldSelf actualization is confined to
adults
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Characteristics of a self Characteristics of a self actualized personactualized personIs realistic, sees life clearlyJudges people correctlyHas clear notion of right and wrongIs usually accurate in predicting future
eventsUnderstands art, music, politics and
philosophyListens to others carefullyIs dedicated to some work, task, duty
or vocationIs highly creative, flexible,
spontaneous, courageous, willing to make mistakes
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……Is self confident, has self respectIntegrated personality, low degree of
self- conflictPossesses a feeling of self controlIs highly independent, desires privacyCan appear remote and detachedIs friendly, governed more by inner
directivesCan make decisions contrary to
popular opinionIs problem centered rather than self
centered
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How do we meet our How do we meet our needs?needs?Healthy ways – not harmful to others or
self, conform to socio-cultural values, are within the law x Unhealthy behaviors
Independently x with assistance
It may all change during hospitalizationEach member of the team contributes
by their special way to the patient’s needs being met