The contribution of acute care As a clinical service, acute care responds to immediately life- or limb-threatening health conditions, regardless of their ultimate cause.
On the other hand, curative strategies reduce the probability of disability or death among existing cases. Additionally, it is important to dispel common misperceptions about acute care, such as believing it to be the same as ambulance transport or fundamentally reliant on high technology.
This paper is a call to action for leaders, policy-makers and academics to acknowledge the key contribution of acute care systems towards the care of patients with communicable and non-communicable conditions and injuries.
A reasonable working definition of acute care would include the most time-sensitive, individually-oriented diagnostic and curative actions whose primary purpose is to improve health.
Key next steps Many simple, effective and inexpensive acute care interventions can be life-saving, often within the first 24 hours. Correspondence to Jon Mark Hirshon e-mail: The sooner prevention efforts begin, the sooner incidence falls. Among them are those that are provided at basic surgery wards in district hospitals offering treatment for trauma, high-risk pregnancy and other common surgical conditions.
Examples include evaluation of an injured ankle or fever in a child.
Holding national and international discussions to encourage better integration of acute care within local and national health systems. Defining acute care Clear definitions of health systems and services are required to create a common language to encourage discussion and help focus system development efforts.
Third, we show the potential contribution of acute care to integrated health systems designed to reduce all-cause morbidity and mortality. Bulletin of the World Health Organization ; Fragmented care reduces the number of disability-adjusted life years DALYs that can be averted with a given set of resources.
As a group, acute curative services are the most time-sensitive, regardless of disease entity. The current global discussion concerning noncommunicable diseases illustrates how care can be fragmented when the time sensitivity of curative interventions is ignored.
For instance, the recently published Prevention and control of noncommunicable diseases: Examples are patients with severe respiratory problems requiring endotracheal intubation and patients with seizures caused by cerebral malaria. Creating an acute care service delivery model for low- and middle-income countries that will function in parallel with preventive and primary services.
Still, several important steps need to be taken to further the development of acute care.
The term acute care encompasses a range of clinical health-care functions, including emergency medicine, trauma care, pre-hospital emergency care, acute care surgery, critical care, urgent care and short-term inpatient stabilization Fig.
The relative priority assigned to curative interventions is driven by how time-sensitive and effective the interventions are, as well as by cost. However, to date, acute care has been poorly defined and inadequately supported in most developing health systems.
Developing research methods to quantify the burden of acute care diseases and injuries, including health economics and cost-effectiveness components, to justify integrating acute care within health systems. A proposed definition of acute care includes the health system components, or care delivery platforms, used to treat sudden, often unexpected, urgent or emergent episodes of injury and illness that can lead to death or disability without rapid intervention.
On the contrary, excellent acute care is driven by a temporal element — i. One important component that has yet to be adequately elucidated within these processes is the influence of time on the implementation and success of interventions.
The integration of acute care with preventive and primary care completes a health-care system paradigm that fully encompasses all essential aspects of health care delivery. Examples include administering intravenous fluids to a critically injured patient before transfer to an operating room.
This paper focuses on acute care within that context. However, the creation of such acute care systems should not be used as a pretext for diverting resources to the construction of poorly-resourced and ill-managed health facilities.
These acute care services will address both life-threatening and limb-threatening problems as well as exacerbations of priority noncommunicable diseases.Here is the best resource for homework help with NURS NUR Conceptual approach to pathophysiology for nurses at Jacksonville University. Find NURSNUR The Rehabilitation Conceptual Framework (the Framework) is a guidance document developed to assist approach to health that recognizes the many factors that influence health.
The model encourages Acute Care includes acute treatment and pre-hospital care supporting rapid recognition. Design on Reducing Nursing Errors and Increasing Efficiency in Acute Care Settings A Review and Analysis of the Literature Habib Chaudhury related to nursing efficiency, error, and other outcomes, a conceptual approach (Figure 1) was used as a guide to develop research questions and.
Simulation in Community Health Nursing: A Conceptual Approach. there is a recent trend in which entry-level nurses are increasingly engaged outside the traditional acute care setting. To prepare student nurses for practice in a wide range of community-based environments, nursing programs might consider the use of simulated clinical.
We engaged in a 1-year process to develop a conceptual model representing an episode of acute, unscheduled care. Acute, unscheduled care includes acute illnesses (eg, nausea and vomiting), injuries, or exacerbations of chronic conditions (eg, worsening dyspnea in congestive heart failure) and is delivered in emergency departments, urgent care centers, and physicians’ offices, as well as.
The rehab conceptual diagram refers to acute care, inpatient rehab programs within institutional settings and outpatient and community-based rehab for clients residing at home or in a residential setting.Download