| OCR Text |
Show Pane 19. The Salina Sun. Wednesday. February 2. 1994 Nursing Diagnosis and Nursing Process of lems, or potential problems she will Elaine Blackburn write a nursing problem on the patients plan of care; as well as Were all very familiar with ; 1? vi' .h medical diagnosis such as diabetes, identifying the medical problems. cancer or cardiac conditions which After problem identification, the are identified by the physician. Now nurse continues into the planning there is a relatively new and exciting phase, in which she develops a plan health that care delivery aspect of identified. has and is still developing, and it is to deal with the problems She sets priorities among the prob, nursing diagnosis. realistic measurestablishes By nursing diagnosis it is not lems; and able goals with meant that the nurse competes with identifies and approprithe patient; the doctor to diagnose illness; but interventions ate help the tq nursing rather, she diagnoses the patients the goals. patient meet response to actual or potential health comes the implementation--thi- s Next riot do the Nurse diagnose problems. simply means carrying out the medical disease, or potential disease, planned nursing actions by all membut they diagnose the human rebers of the nursing team. I feel it sponse. So medical diagnosis and should also be mentioned that all nursing diagnoses are complimentary, not competitive. Nursing diagnosis tries to identify and treat the patients response to illness or a change in health, and is an integral part of nursing process, which consists of: There were about sixty that en1. Assessment 2. Problem joyed the Monthly Dinner and excellent program. The new method of Diagnosis 3. PlanEvalu4. 5. Implementation ning. cooking and serving the meal has ation. proven to be well accepted. In the assessment process, the We have had two days of Line nurse gathers all available data and Dancing that a few seniors have eninformation concerning the patient. joyed. We will be having them each She completes a full nursing history Tuesday at 10:00 a.m. The dances are slow just for seniors, so come out and physical, a record review, inand have fun. H all the doctors & P orders, cluding There has been better participainterand Lab, reports, etc., views the patient, family, and other tion at our noon meals, plus there has been more interest in the card and caretakers as available. The assesspool games. We hope more seniors ment is accomplished by observawill come and enjoy some of these examiinterviewrecord review; tion; activities, during winter days. nation. There is a van going to Salt Lake The nurse then interprets the on February 19 to see the play information, she has gathered. She may refer some problems to the phyLegacy." If you are interested please sician if she determines they are call the Center at Call medical, but if they are nursing prob early. This weeks menu includes: Thursday, February 3 - Stuffed Cabbage, Buttered com, apple brown time-orient- Vi. ....... f.-- - v ' i A '- - ' T 4 Ronald McDonald was the honored guest at the dedication of the New Pediatric Room in the Sevier Valley Hospital. Ronald McDonald presented a $5,000 check to Health Foundation. Jamie Robinson, Salina is the president of the organization and helped to raise $5,000 to match McDonald's contribution. Tri-Coun- ty New Pediatric room opens at Sevier Valley Hospital characters. Ronalds primary reason for visiting the hospital was to dedicate the new pediatric room and present officials with a check for $5,000 to match the same amount raised by the Tri County Health Foundation. Ronalds donation to the project was on behalf of the Ronald McDonald Foundation and Dale Gibson, owner-operat- project will greatly enhance our abil- ity to treat young patients with respiratory problems,: said hospital administrator Gary Beck. New equipment provided by the project included a croup tent, oximeter, oxygen analyzer, automatic thermometer, blood pressure cuffs, a crib, television and VCR, Sega Genesis video games, tapes, books, toys and a rcclincr chair for parents. To house the new equipment the pediatric room was redecorated by Leslie Abraham, Joyce Brown, and reation therapy, occupational therapy, physical therapy, etc., carry out the same process as it relates to their departments. Lastly comes the evaluation part of the process. This is evaluat- ing and deciding if the interventions were successful, and adjusting and readjusting the plan of care as needed for the benefit of the patient. Nursing process then is 1. Assessment: What is going on? 2. Diagnosis: This is the problem and reason for it 3. Planning: What shall we do about it? 4. Implementation: do it! 5. Evaluation: Did it Work? Senior Citizen News I New Pediatric Room dedicated at Sevier Valley Hospital Several young patients at Sevier Valley Hospital got a quick dose of happiness Saturday when Ronald McDonald visited their rooms, signed autographs and handed out balloon other members the patient care team, ie: social services, dietary, rec- Paula Mugford, Ruth Shaw made a quilt for the crib. Participating in the ribbon cut- ting with Ronald were Jamie Robinson, president of theTri County Foundation and Rex Christensen, chairman of the Health hospitals board of directors. Also present for the ceremonies in addition to Beck and Gibson, were Sevier County Commissioner Gene Mendenhall and several hospital staff members. 529-390- 1. betty, bread, butter, milk and juice. Friday, February 4 - Baked Chicken, whipped potatoesgravy, peas, jello with fruit, cookie, bread, butter, milk and juice. Tuesday, February 8 - Meatloaf, baked potatoes, sliced carrots, pineapple upside down cake, bread, butter, milk and juice. Wednesday, February 9 - Beef Stew with vegetables, cheese stick, deviled egg, fruit crisp, combread, butter, milk and juice. Tax assistants is available to Senior Citizens Income Tax assistants will be available by appointment for Senior Citizens and low income residents. Appointments will be held on Tuesday afternoon. To make an appointment call 529-365- 4. of or McDonald's restaurant in Richfield. Our participation in the pediatric room is part of McDonalds policy of supporting us, Gibson said. Theequipmentprovidedby this AMTo Club meets I at Warren U N T A I N HEALTH CARE In Health Care, resident The Sororis Club held their meeton ing January 26, 1994 at the Bruce Warren Home. An evening of childrens literature was enjoyed. Linda read poems and Bruce told childrens stories. It was a very enjoyable evening and it was well done and very entertaining. Thanks Bruce and Linda! clinical outcomes than the patients themselves. Friends and family members of patients are also customers of Jr. livestock committee make plans for this year The Southern Utah Junior Livestock Show committee met January 12 under the direction of Brent Cowley, show president, to begin planning for the coming years program. This years show will be held in conjunction with the Sevier County Market project Fair on August animals that are being raised for the show will need to be and tagged. Those weights and tagging dates were set at the meeting because some youth will be selecting their project animals early. 10-1- 2. ed Qualifying weight limits were raised slightly for this year. Steers will be tagged on April 9 and they must weigh less than 900 pounds. Weighing locations will be Produc- ers Auction, Johnson Feedlot, G umeys and Cowley Feedlot. Lambs and hogs will be tagged on May 14 and their maximum weights will be 75 and 100 pounds respectively. Because animals are 0 N T E R M pre- weighed, there will be no maximum show weights, but they will need to meet the show minimum weights. Those minimum weights forthe show were not set at the meeting but it is anticipated that they will be about the same as last year (steers 1050, lambs 100 & hogs 215). Cowley expressed the desire that young people expecting to exhibit livestock at the show select the very best animals for their project, and that they use good feed and feeding methods to get their animals in excellent marketcondition for the show. It is the desire of the committee to improve quality at the show each year so that animal buyers will be well satisfied with them and they will bring 'a premium market price. Cowley said that young people arc encouraged to keep good records on their projects. The show committee wi 11 be looking for w ays to reward them for good record books. both physicians and hospitals. Steve Kohlert Senior Vice President Intermountaiu Health Care Most of us think high is always more We expect to pay expensive. a premium for the best goods and services. Yet in health care, exactly the opposite is often true: the higher the quality, the lower the cost. Indeed, quality improvement holds great promise as a way of cutting costs from our national health care system -even as patients receive better care. No one questions that health care costs are high, but in medicine, poor quality is even more expensive. The longer a patient requires treatment, and the more complicated that treatment is, the higher the expense. WHAT IS QUALITY? Quality improvement experts like W Edwards Deming believe quality is defined by meeting customer expectations 100 percent of the time and continuously working to improve products and services. In health care, there are many types of customers besides patients. For example, physicians are customers of many hospital services, and they may have more exacting expectations about Quality is an elusive goal, because customer expectations are always changing. Once a standard of excellence has been established, people expect even more, and the standard is raised. Quality is a process, not an end result. 4. Finally, you measure the outcomes and document how quality has improved. In many health organizations, quality improvement is underway in both clinical areas (e.g., the best way to perform heart bypass surgeries) and in operational areas (e.g., the best way to purchase supplies, manage housekeepingdunctions, admit patients, etc.). Improving the quality of puters, are a high-tec- h way of the studying processes physicians have always studied. TWO SUCCESS STORIES One example of the power of quality improvement is the work done by the cardiac team at an j IHC hospital. Applying CQI techniques, the team succeeded in reducing the average cost of - As pressures 3. Then you implement the new process, eliminating inappropriate variations from the established standard of optimum care. . cost-effecti- ve p ep ;(T mount on physicians, hospitals, and health systems to provide more care, the best organizations understand that cost savings can be achieved through quality non-clinic- step-by-st- y v percent Leading health organizations are using continuous quality improvement (CQ1) theory to improve the quality of al both medical care and services. CQIisa Then you determine the best way to perform the process. You create a guide to doing the right things the right way. of ARDS - HOW IS QUALITY IMPROVED? 2. MMl has climbed to 63 percent, compared with the expected 50 percent. And for the most severe cases a category that posted nine to 15 percent survival rates in the 1970s and 80s that chance for survival has improved to 43 cost-effecti- process: First, you make a detailed study of the processes involved in delivering health care, relating these processes to measurable outcomes. This may involve using computers to help collect and analyze data. patient, creating a protocol was very challenging. The survival rate at the hospital for less severe Ithe - 1. 5I vary dramatically from patient to wmw Quality improvement is the never-endin- g search for to customers. ways satisfy That means finding ways to consistently provide the highest quality services which are also usually the most four-ste- Respiratory Distress Syndrome (ARDS). ARDS is a severe lung condition which is usually fatal. Because the syndrome can result from many different causes and can IHCs HELP system uses bedside computers as a tool to improve quality. health care is consistent with the goal of all players in the medical profession: to provide the best medical care possible to patients. Physicians have found that quality improvement techniques are simply a new tool to accomplish a classic professional commitment: the advance of medical science. Physicians have always sought to improve the quality of medical care based on the study of effective treatments. CQI techniques, which analyze data captured by corn- - heart bypass surgeries by about eight percent over a five-ye- ar period. Average length of stay for heart bypass patients declined from 13 days in 1987 to 9.4 days in 1991. Mortality rates remained low as these improvements were achieved. In another example from an IHC hospital, researchers used CQI techniques to create a standard treatment protocol a computerized guide to optimum care for treating patients with Adult - - improvement.1 High quality and reasonable cost are not mutually exclusive, contradictory goals. Quality need not be sacrificed to cost. If you have a question related to health care, please call or write. i . 'n j ?- .- n i IHC DIALOGUE ON HEALTH CARE 36 South State Street Salt Lake City, Utah 841 HZ 11 - rsj iX SANPETE VALLEY HOSPITAL IHC A Smncr of Intermountain Health Cart |
