Medication reviews on admission of residents to nursing homes
A large proportion of the residents at nursing homes did not receive a medication review when they were admitted, despite this being a statutory requirement.
A large proportion of the residents at nursing homes did not receive a medication review when they were admitted, despite this being a statutory requirement.
It can be almost impossible to insert a needle in the case of some patients. Moreover, registered nurses have many work tasks to carry out at the same time in different places, and this can reduce concentration.
Diabetes specialist nurses have a strong feeling of responsibility for the patient and find it challenging to keep up to date with all the functions of some of the insulin pumps.
When ESAS is routinely used to map symptoms, the patients experience greater symptom relief and a better quality of life. However, not everyone uses the tool systematically.
Ensuring a good patient trajectory is difficult. In order to be successful, it is essential that all healthcare professionals involved have a close, trust-based cooperation, also with patients and their families.
They observe eye contact, comforting and other behaviours based on experience rather than by making use of recognised instruments. Their assessments are influenced by professional development opportunities, a heavy workload and interdisciplinary collaboration.
While the illness is potentially life-threatening, it is invisible and not well known. Consequently, patients may be mistrusted and ignored, and they may feel inferior, vulnerable and insecure.
Helath personnel can learn from the pain team when they have pharmacology-related questions and are drawing up treatment plans, and when they are establishing open and trusting relations with the patient.
Patients fail to turn up for their treatment in private institutions if they feel inadequately involved, suffer dwindling motivation or feel pressurised into accepting the treatment.
Patients move quickly between different units during the surgical pathway. Older patients in particular are at risk of suffering related to care such as violations of dignity, neglect and poor pain management.