PROGRESSIVE PATIENT CARE.
HISTORY OF PROGRESSIVE
PATIENT CARE.



ROLE OF JAPANESE
CONTRIBUTION OF MISS FLORENCE
NIGHTINGALE.
ROLE OF SOME HOSPITALS.
MEANING OF PROGRESSIVE
PATIENT CARE.

GIVING CARE ACCORDING TO NEED.
.
DEFINITIONS OF
PROGRESSIVE
PATIENT
CARE
BENEFITS OF PROGRESSIVE
PATIENT CARE.

FOR THE PATIENT

FOR THE PHYSICIAN

FOR THE NURSE

FOR THE HOSPITAL.
OBJECTIVES OF
PROGRESSIVE PATIENT CARE.



TO PROVIDE OPTIMUM CARE AS PER NEED
IN MINIMUM COST.
TO UTILISE RESOURSES EFFECTIVELY.
TO RAISE THE LEVEL OF PATIENT CARE IN
CRITICALLY ILL.
MAJOR CONCEPT OF
PROGRESSIVE PATIENT CARE.
-BETTER CARE THROUGH BETTER
ORGANIZATION.
-RIGHT PATIENT,IN THE RIGHT BED
WITH THE RIGHT SERVICES AT RIGHT
TIME.
EDUCATIONAL REQUIREMENTS
OF NURSE IN PPC.
 DYSRHYTHMIA
MONITORING SKILL.
 BASIC
AND ADVANCED LIFE
SUPPORT
 DRUG
CALCULATION &MONITORING.
 PRE,INTRA
&POST PROCEDURE CARE
 HEMODYNAMIC
MONITORING SKILL.
ASSESSMENT OF INDICATION FOR
VENTILLATION.
 ABG INTERPRETATION
 CARE OF VENTILLATOR PATIENT .
 WEANING OF VENTILLATION.
 RECOGNISE INDICATION &COMPLICATION
OF ENTERAL AND PARENTRAL NUTRITION.

ELEMENTS OF PPC.
INTENSIVE CARE.
 INTERMEDIATE CARE.
 SELF CARE.
 LONG TERM OR EXTENDED CARE.
 HOME CARE.
 AMBULATORY OR OUTPATIENT CARE.

INTENSIVE CARE UNITS.

Eg.CARDIAC CARE UNIT
BURNS ICU.
NEURO ICU.
EQUIPMENTS NEEDED IN
ICU.
ALL LIFE SAVING DRUGS.
 CARDIAC MONITORING EQUIPMENTS.
 EQUIPMENTS FOR RESPIRATORY
RESUSCITATION.
 SETS FOR VENESECTION,LP,
CATHETERIZATION.
 IV RODS.
 WALL MOUNTED SPHYGMOMANOMETER.

STAFFING IN ICU.
DOCTOR
GENERAL ICU-ANESTHETIST.
SPECIALISED ICU-SPECIALIST.

NURSES.
AT LEAST 2 NURSES PER DAY
FOR ONE PATIENT .
WESTERN CONTRIES-1:1 PER SHIFT
OR 4:1 PER DAY.
 AUXILLARY PERSONS.
ONE MALE AND ONE FEMALE.

 ONE
WARD CLERK.
 ONE SWEEPER.
 TECHNICAL STAFF.
-PHYSIOTHERAPIST.
-INHALATION THERAPIST.
-ECG TECHNICIAN.
-BIOMEDICAL ENGINEER
-LAB TECHNICIAN
-ELECTRONIC TECHNICIAN.
MANAGEMENT OF ICU.
ICU COMMITTEE.
 INCHARGE IS MEDICAL OFFICER.
 POLICIES AND PROCEDURES.
-ADMISSION DISCHARGE CRITERIA.
-BED UTILIZATION
-SPECIAL OBSERVATION CHART
-RULES FOR VISITORS.

-INFORMATION SYSTEM TO RELATIVES.
-DISCHARGE SUMMARY.
-DIETRY SERVICES.
-STAFF TRAINING.
-STANDING ORDERS.
-PROCEDURE MANUEL.
-RESOURCE AVAILABILITY.
PROBLEMS IN ICU WHILE
INTRODUCING PPC.
INFRASTRUCTURE OF ICU.
 LOCATION OF ICU.
 STAFFING THE UNIT.
 SUPPLIES TO THE UNIT.
 ADMISSION AND TRANSFER.
 MAINTENANCE OF EQUIPMENTS.
 UNHEALHTY TEAM RELATIONS.

RESPONSIBILITIES OF A CRITICAL
CARE NURSE.
INTERMEDIATE CARE UNITS.

INTERMEDIATE CARE UNITS ARE THOSE
UNITS WHERE PATIENTS ,WHO ARE
EITHER MODERATELY ILL OR FOR WHOM
THE TREATMENT CAN BE PALLIATIVE ARE
CARED FOR.
STAFFING .

CARE REQUIREMENT-4 HOURS
MORNING SHIFT-6 PATIENTS
EVENING SHIFT-8 PATIENTS.
NIGHT SHIFT-12-15 PATIENTS
NURSES RESPONSIBILITIES IN
INTERMEDIATE CARE UNIT.
SUBACUTE LEVEL.
-POST ACUTE CARE LIKE
VENTILLATOR CARE.
-SPECIALISED NURSING SKILLS.
-PERFORM CARE OF TERMINALLY ILL.

ACUTE LEVEL.
 TEACHING&REHABILITATION.
 PERFORMANCE OF ADL.
 ASSISTANCE IN DAILY CARE
LONGTERM CARE
 ROUTINE CARE
 EFFECTIVE SUPERVISION.
 PALLIATIVE CARE.
SELF CARE.

AMBULATORY PATIENTS WHO ARE
CONVALESCING OR REQUIRE
DIAGNOSIS OR THERAPY MAY BE
CARED FOR IN A SELF CARE UNIT.
Eg;PATIENT RECEIVING RADIATION
OR PHYSICAL THERAPY.
PHYSICAL FACILITIES.
NURSES RESPONSIBILITIES
SUPERVISION OF ACTIVITIES.
 IDENTIFICATION OF HEALTH PROBLEMS.
 HEALTH EDUCATION.
 DEMONSTRATING PROCEDURES.
 PERFORM SPECIALISED TREATMENT.
 HELP IN COPING.

LONGTERM CARE.

PATIENT WHO NEED MEDICAL AND
NURSING CARE FOR A PROLONGED
PERIOD.
Eg;PATIENT HAVING CVA,MULTIPLE
FRACTURES.
PHYSICAL FACILITIES OF A LONG
TERM CARE UNIT.
NURSES RESPONSIBILITY.
ASSISTING IN MEETING THE DAILY NEEDS
OF CLIENT.
 ROUTINE CARE.
 ASSESSMENT &PLANNING OF NURSING
CARE.
 SUPERVISION
 INTERDEPARTMENTAL COORDINATION.

HOME CARE

SERVICES WHICH ARE DONE FOR
PATIENTS WHO CAN BEST BE CARED
AT HOME WITH EXTENDED SERVICE FROM
THE HOSPITAL WHENEVER NEEDED.
SERVICES REQUIRED.
DIAGNOSTIC AND THERAPEUTIC
PROCEDURES.
 PHYSIOTHERAPY.
 OCCUPATIONAL THERAPY
 SPEECH THERAPY.
 HEALTH INSTRUCTIONS.
 ROUTINE CARE.

NURSES RESPONSIBILITY.
AMBULATORY CARE.

CARE UNIT IN WHICH SERVICES ARE
GIVEN TO THE NEEDY PEOPLE WHO
VISITS THE HOSPITAL.
RESPONSIBILITIES OF A
AMBULATORY CARE NURSE.
ADVANTAGES OF PPC.
TO THE PATIENT
 TO THE NURSING PERSONNEL.

DEMERITS OF PPC.
RAPID CHANGE IN PATIENT AREA.
 REDUCED PATIENT STAFF RELATION.
 RESISTANCE FOR TRANSFERRING.
 IMPROPER RELATIONS.
 DIFFICULT TO MEET ALL CRITERIAS OF
EACH UNIT.

SUMMARY
CONCLUSION