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Methodology of stress management
Stress and its management
Stress and its management
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When patients have to think about having a surgical procedure, they sometimes react with anxiety and fear. The effects of these feelings are far-reaching. Though the body is programmed to experience stress and react to it appropriately, this is a fight or flight response in reaction to danger. When it comes to facing a challenge or a situation that cannot be easily avoided or overcome stress-related tension builds. In this case a person becomes distressed and that has physical effects on the body such as: upset stomachs, elevated blood pressure, headaches, and chest pain. As you can imagine, the helplessness of leaving your health in the hands of another person during surgery only increases this distress. The aforementioned physical ailments put patients in danger and only serve to increase postoperative pain and delay healing times. Therefore, it only makes sense to make your surgical patients as comfortable as possible. This can be achieved, in part, by investing in the correct medical equipment, such as Skytron tables. These tables are made to be sturdy, long-lasting, and best of all, comfortable which will help the patient to relax, taking away some of the stress.
When considering the most effective surgical table for an OR, there are a few must haves that should be on the list. For example, the tables should rotate to allow ultimate access for the surgeon and OR staff. With Skytron tables, they have a top slide feature permitting quick movement of the patient through an imaging window. Top rotation of the table will accommodate c-arms, which are specialized x-ray machines. There is even enough leg-room for a surgeon to be seated. The tables simply make imaging less risky for the patients and the OR staff. Another plus is t...
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...he way that works best for the surgery being performed and the way that the patient will remain most comfortable. Remember that a comfortable and relaxed patient will have a quicker and more successful recovery period. Skytron prides itself on efficiency and long-term value and their customers agree. Their beds are reliable and low maintenance which makes them cost-effective.
In the eventuality that a Skytron table needs to be rebuilt, there are businesses that will assist you in finding the necessary parts and solutions to make the needed repairs for the table to be like new again. These same companies will also service the tables or may even be interested in purchasing your table if you are in the market to upgrade. Using a company like this will save you time, money, and the frustration that might come from trying to locate parts and service the table yourself.
This essay describes how the anaesthetic machine and airway management equipment are prepared in operating theatres and discusses how they are ensured safe for use. It evaluates the Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidelines related to safe practice and the preparation of the ET tubes, laryngeal masks, guedels, Naso pharyngeal airways and the laryngoscope. The function of the anaesthetic workstation is to deliver a mixture of anaesthetic agents and gases safely to the patient during the induction process and throughout surgery. In addition, it also provides ventilation to support breathing and monitors the patient’s vital signs to minimise the anaesthetic risks to the patient whilst in the care of health professionals. The pre-use check is vital to patient safety as an inadequate check of the anaesthetic machine or airway management equipment can and does lead to significant harm of the patient including mortality (Medicines and Healthcare Products Regulatory Agency (MHRA), 2008 and Magee, 2012).
Payers are consolidating, providers are merging, and both are vertically integrating, creating a new breed of hybrid clinical and risk-bearing customers for Medtronic. Their struggle to effectively manage outcomes and costs exposes a need that Medtronic can address.
Prior to the discovery, surgeons would tie, strap, or hold down their patients to keep them from running off during surgery. Many times, the surgeon would give alcohol or narcotics to patients in order for the patient to better face the indescribable pain.
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
The term “safety comes first” or more simply put, “safety first,” is a message that patients not only want to hear, but also want to know is the focus of the professionals that are caring for them; in particular, when they are under anesthesia and have limited or no ability to speak up or lookout for themselves. The National Patient Safety Agency (NPSA) has implemented two initiatives; Rocognising and Responding Appropriately to Early Signs of Deterioration in Hospitalised Patients (NPSA, 2007) and How to Guide: Five Steps to Safer Surgery (NPSA, 2010). Understanding that human beings make up the healthcare professional workforce, it is evident that tools and checklist can and will only be as good as the how people utilize and follow them. Thus, these initiatives “have been developed with consideration of human factors” (Beaumont & Russell, 2012). I know firsthand, that if my healthcare team would have followed these standards, I would have avoided torture, fear, and long term side effects from a routine hysterectomy procedure.
Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients. Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier.
The hospital promised early ambulation following hernia surgery. The hospital facility was designed to encourage movement without unnecessarily causing discomfort. Postoperative regimen designed and communicated by the medical team to patients
...ases strain and likelihood of error which results in an increase in the time taken to perform the procedure. Computer assisted surgery uses computers for guiding and performing surgical intrusions in addition to pre-surgical planning. Robotic surgery or robotically assisted surgery overcomes the limitations of traditional Human-Machine Interfaces and enhance the abilities of surgeons during open surgeries. Moreover, there are numerous training simulators available to surgeons for practice and learning purposes.
In the last decade, surgery has seen a tremendous change, going from very invasive and painful procedures to minimally invasive procedures that require less time to recover, and the technology that has made this possible is the robotic surgical systems. Furthermore, while robotics have a wide range of uses and benefits, clinical rehabilitation has made good use of it, thanks to the creation of robotic devices, “robotic devices enable repetitive task practice in the gravity-assisted and gravity-eliminated planes through external support (exoskeleton or support sling), potentially addressing the needs of individuals with severe motor impairment” (Livengood et al., 2011). According to Fisher and Feigenbaum (2015), therapists and administrators that had the chance to apply robotic devices during clinical rehabilitation, found that these devices pose many opportunities in therapy programs, particularly for individuals with severe upper limb neurological
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth’s textbook of medical-surgical nursing (12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
There are two different types of robots that can be used in surgeries, which are passive and active. According to Gerhardus, “ A physician controls a passive robot” (245). Physicians use passive robots to help them be more precise, accurate, and safer when performing a surgery. Gerhardus states that a passive robot is mainly used to perform cardiac surgery (245). The use of robot-assisted surgery has advantages and disadvantages. Surgeons, who are willing to use robots during surgery, will improve their patient’s quality of care, and they will cause the amount of pain the patient experience to reduce, and the patient’s recovery will be much quicker (Gerhardus 245). For instance, a patient whose surgery was performed using a robotic system will recover in about a week, however; another patient who had the same surgery, but the surgeon did not use the robotic system will recover in about two weeks or sometimes even longer. Also, according to Gerhardus, “Robot-assisted surgery reduces the rate of occurrence of bacterial infections and blood transfusions” (250). According to Gerhardus the disadvantage of using robots to help perform surgery is that each medical facility will have to spend a large amount of money to make sure that the workers are educated and trained to use this type of technology, when performing a surgery (249). Even though robot-assisted surgery has a disadvantage, it is only one
The use of supplies is a problem because we are spending too much money on them. We are a world-renowned hospital with very high-end robots and equipment. Therefore, our surgeons demand the best and the higher valued machines and supplies. Cost and quality need to be considered. We do not want the quality of care for the patients to be jeopardized because of inadequate planning in regards to low quality supplies (Sullivan, 2009).
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
example, patients who are going in for major abdominal surgery, or even normal childbirth. Nurses
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.