scholarly journals Comprehensive care in out-of-hospital care emergency in València

Author(s):  
Laura Ripoll Sanchis ◽  
◽  
Desirée Camús Jorques ◽  
Malena Ballesta Benavent ◽  
◽  
...  

The present article focuses on detecting the need for comprehensive care in out-of-hospital emergencies in Valencia. In addition, it aims to determine the need to carry out the social and health coordination essential for this purpose. It is a qualitative exploratory study of phenomenological type where a semi-structured ad-hoc interview answered by professionals of out-of-hospital emergencies has been used for data collection. The results show that comprehensive care in out-of-hospital emergency services does not yet exist in Valencia, despite the benefits demonstrated in other autonomous communities on the biopsychosocial well-being of the population and emergency service personnel. The personnel of out-of-hospital emergency services express the need for comprehensive out-of-hospital care in Valencia to be able to assist the population in a holistic manner, covering all the needs presented by individuals, families or groups, including the needs of emergency care personnel. It is essential to take political measures that make social and health care coordination possible through common protocols and procedures among health care, management and political personnel.

2020 ◽  
pp. 004947552097594
Author(s):  
Prateek Kumar Panda ◽  
Indar Kumar Sharawat

While the world battles to wrestle with the impact of the COVID-19 pandemic, regions with endemic dengue fever are confronting the possibility of a double pandemic that could completely overpower health care services administrations. Simultaneous outbreaks of dengue and COVID-19, as well as probable cases of overlapping infections, have already started in Latin America and certain Asian countries. There, the healthcare framework is already overburdened and such a deadly duo may completely overwhelm hospital emergency services quite apart from a country’s economy. Precise epidemiological and contact history-taking joined with due attention to false-positive dengue serology and the chance of co-infections are key devices for frontline doctors to overcome this seemingly insurmountable challenge.


2009 ◽  
Vol 21 (4) ◽  
pp. 34-43
Author(s):  
Doug Matthews

The International Continence Association defines urinary incontinence (UI) as the involuntary leakage of urine (Abrams, et al., 2003; Getliffe Thomas, 2007). UI is a symptom or a collection of symptoms, not a disease (Hope, 2007; Perry, 2008). UI is widely underreported and undertreated (Fonda Newman, 2006; Getliffe Thomas, 2007; Lara Nancy, 1994). These circumstances reflect (at least in part) reluctance among many health care workers to face UI squarely (Hope, 2007; Locher, Burgio, Goode, Roth Rodriguez, 2002). Part of this reluctance may be attributable to lack of skills and knowledge (Getliffe Thomas, 2007; Hope, 2007; Locher et al, 2002). Reflective practitioners must also recognise, and guard against, being influenced by their own life experiences and beliefs (Phillips, Ray Marshall, 2006) and by erroneous and unhelpful beliefs in the society at large (Brashler, 2006; Getliffe Thomas, 2007; Hope 2007). Moreover, the failure of persons suffering chronic conditions to be ‘cured’ can elicit negative reactions from health workers (Brashler, 2006).Ageism, defined as ‘a set of beliefs, attitudes, social institutions, and acts that denigrate individuals or groups based on their chronological age’ negatively impacts on older persons’ health and well-being (Whitbourne, 2005, p. 51; see also Butler, 1975; Myers Schwiebert, 1996; Wilson, Ruch, Lymbery, Cooper, 2008). The beliefs of individuals, families and groups too often do not reflect the reality that most persons with UI can be helped (Fonda, 2006: Getliffe Thomas, 2007; Naughtin Schofield, 2009; Locher, et al., 2002). This article addresses how health care social workers can contribute to delivering this central message to clients, whanau and other caregivers.


Dementia ◽  
2018 ◽  
Vol 18 (7-8) ◽  
pp. 2710-2730 ◽  
Author(s):  
Laura Prato ◽  
Lyndsay Lindley ◽  
Miriam Boyles ◽  
Louise Robinson ◽  
Clare Abley

It is acknowledged that there are many challenges to ensuring a positive hospital experience for patients with cognitive impairment. The study (‘Improving hospital care for adults with cognitive impairment’) aimed to explore the positive and negative experiences of older adults with cognitive impairment (dementia and delirium) and their relatives and/or carers, during an acute hospital stay, from admission to discharge, using a qualitative, case study methodology. Six participants with cognitive impairment, eight relatives and 59 members of the health care team were recruited. Data was collected via ethnographic, observational periods at each stage of the hospital journey and through the use of semi-structured interviews with relatives, carers and health care staff including: medical staff; nursing staff; physiotherapists and ward managers. Interpretive phenomenological analysis was used to facilitate data analysis. 52 hours 55 minutes of ethnographic observations and 18 interviews with ward staff and relatives were undertaken. Three superordinate themes emerged from the data as crucial in determining the quality of the hospital experience: valuing the person; activities of empowerment and disempowerment and the interaction of environment with patient well-being. Whether the patient’s hospital experience was positive or negative was powerfully influenced by family involvement and ward staff actions and communication. Participants identified a requirement for a ward based activity service for patients with cognitive impairment. Further research must be undertaken focusing on the development of ward based activities for patients with cognitive impairment, alongside a move towards care which explores measures to improve and expand relative involvement in hospital care.


2015 ◽  
Vol 11 (5) ◽  
pp. 1501-1511 ◽  
Author(s):  
Marina B. Rosu ◽  
John L. Oliffe ◽  
Mary T. Kelly

Though life expectancy sex differences are decreasing in many Western countries, men experience higher mortality rates at all ages. Men are often reluctant to seek medical care because health help-seeking is strongly linked to femininity, male weakness, and vulnerability. Many men are also more likely to access emergency care services in response to injury and/or severe pain instead of engaging primary health care (PHC) services. Nurse practitioners are well positioned to increase men’s engagement with PHC to waylay the pressure on emergency services and advance the well-being of men. This article demonstrates how nurse practitioners can work with men in PHC settings to optimize men’s self-health and illness prevention and management. Four recommendations are discussed: (1) leveling the hierarchies, (2) talking it through, (3) seeing diversity within patterns, and (4) augmenting face-to-face PHC services. In terms of leveling the hierarchies nurse practitioners can engage men in effectual health decision making. Within the interactions detailed in the talking it through section are strategies for connecting with male patients and mapping their progress. In terms of seeing diversity with in patterns and drawing on the plurality of masculinities, nurse practitioners are encouraged to adapt a variety of age sensitive assessment tools to better intervene and guide men’s self-health efforts. Examples of community and web based men’s health resources are shared in the augmenting face-to-face PHC services section to guide the work of nurse practitioners. Overall, the information and recommendations shared in this article can proactively direct the efforts of nurse practitioners working with men.


Author(s):  
Lucía Cardona ◽  
◽  
Desirée Camus ◽  
Aroa Pons ◽  
◽  
...  

This article focuses on how the COVID-19 pandemic affects Emergency Medical Assistant’s (EMA) mental health. In addition, it aims to define which psychological consequences it entails and if they have received postgraduate training on how to face the pandemic by the Health System or organizations that depend on it. This is a qualitative exploratory study of a phenomenological type where a semi- structured ad-hoc interview has been used for data collection, answered by EMA. The results show the psychological impact that COVID-19 has had on the work and personal life of these workers, the lack of psychological resources and the multiple psychological consequences developed as a result of the neglect of their mental health. EMA reaffirm the psychological challenge the COVID-19 pandemic means, creating situation of greater stress and anxiety than implied internal impediments for the job, family and friends. Therefore, they express the necessity for psychological support, being able to develop a diversity of psychological help resources that allow EMA to release the pychological oppression caused by the added stressors of the COVID-19 pandemic.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 333-341
Author(s):  
Akanksha Nibudey ◽  
Vidya Baliga S

Hospitals have important part in the human health organization toprovide necessary treatmentfor public, mainly in a calamity. During the current outbreak of COVID-19, and is in giving important needs and supplies will possibly interrupt the providing critical treatment due to not organized health-care capacity. Along with, a greater amount of personnelabsence can be predictable. A lack of important kits and materials can lead to restricted supplies to desirable care and have a direct impact on healthcare delivery. Anxiety can lead to possibly hamper recognized operational practices. Also in hospitals dealing with COVID 19 pandemic can be a difficulty. In spite of the challenging difficulties and problems expected, the positive and organized execution of important basic and definite arrangements can aid successful hospital-based organization for the period of a speedily progressing epidemic. Hospital emergency preparedness is a constant progression that association to the complete preparedness platform. Several principles and suggestions drawn in this article are general and appropriate to other incidents. The article gives checklist which is proposed to manage current situationby hospital emergency preparation platforms.


1990 ◽  
Vol 7 (1) ◽  
pp. 89-90
Author(s):  
Dennis Michael Warren

The late Dr. Fazlur Rahman, Harold H. Swift Distinguished Service Professor of Islamic Thought at the Oriental Institute of the University of Chicago, has written this book as number seven in the series on Health/Medicine and the Faith Traditions. This series has been sponsored as an interfaith program by The Park Ridge Center, an Institute for the study of health, faith, and ethics. Professor Rahman has stated that his study is "an attempt to portray the relationship of Islam as a system of faith and as a tradition to human health and health care: What value does Islam attach to human well-being-spiritual, mental, and physical-and what inspiration has it given Muslims to realize that value?" (xiii). Although he makes it quite clear that he has not attempted to write a history of medicine in Islam, readers will find considerable depth in his treatment of the historical development of medicine under the influence of Islamic traditions. The book begins with a general historical introduction to Islam, meant primarily for readers with limited background and understanding of Islam. Following the introduction are six chapters devoted to the concepts of wellness and illness in Islamic thought, the religious valuation of medicine in Islam, an overview of Prophetic Medicine, Islamic approaches to medical care and medical ethics, and the relationship of the concepts of birth, contraception, abortion, sexuality, and death to well-being in Islamic culture. The basis for Dr. Rahman's study rests on the explication of the concepts of well-being, illness, suffering, and destiny in the Islamic worldview. He describes Islam as a system of faith with strong traditions linking that faith with concepts of human health and systems for providing health care. He explains the value which Islam attaches to human spiritual, mental, and physical well-being. Aspects of spiritual medicine in the Islamic tradition are explained. The dietary Jaws and other orthodox restrictions are described as part of Prophetic Medicine. The religious valuation of medicine based on the Hadith is compared and contrasted with that found in the scientific medical tradition. The history of institutionalized medical care in the Islamic World is traced to awqaf, pious endowments used to support health services, hospices, mosques, and educational institutions. Dr. Rahman then describes the ...


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