https://padlet.com/postgraduate_futures/7syv1o79avhtke8p en-us 2021-03-29 05:59:26 UTC 2022-03-21 04:12:29 UTC hello@padlet.com https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2029050953 Amanda]]> 2022-02-04 08:21:11 UTC https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2029050953 https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2029293562 Patients in ICU are among the sickest within a hospital. They are routinely intubated and sedated making them incapacitated to make any decision in regards to their own care (including end of life decisions). Clinicians rely on relatives to make these choices for their loved one. I have seen this go very wrong....

We had a patient who was legally married, so the doctors were relying on this partner to make decisions. So it turns out that the patient had been cheating on them with someone else who also claimed they were legally married to the patient. Both married parties wanted different things for the patient. This causes a lot of distress within the unit. Eventually, the patients parents were consulted on the care given making the "married spouses" void. Fast forward to the patient recovering and learning of this dispute... awkward. 

This scenario highlights risk factors that make the patient vulnerable ie: intubation, sedation, family decisions. One way this could be elevated is to talk about your own wished (eg: end of life care) with your family so that they know what you would want and can respect your wishes. We also use minimal sedation in our ICU, making it an "awake" unit, allowing the patients to participate in their care and decisions.
Amy H]]> 2022-02-04 11:49:06 UTC https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2029293562 https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2031995078 When you are unwell, you are rarely thinking clearly and you rely on the experts to provide you with the best possible care. An advocate offers helps a patient understand what is happening in language that makes sense to them and is more likely to involve the patient in decisions about their care. To reduce this risk, patients without advocate could be offered more time with healthcare professionals to ensure that they completely understand and are engaged in the plan.]]> 2022-02-07 00:45:27 UTC https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2031995078 mrabbattista https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2032060796 I feel clinicians, particularly junior doctors, are particularly exposed to errors and risks to patients and their safety. Junior doctors are in a difficult position since they must learn while caring for vulnerable patients. They are more prone to making mistakes due to their situation. The quality and quantity of support, supervision, and training time they receive from senior clinicians and other healthcare professionals is critical for ensuring patient safety and avoiding direct consequences for junior doctors, such as burnout, loss of confidence, and fear that follows errors.]]> 2022-02-07 01:42:11 UTC https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2032060796 ashleighmchugh https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2042131303 People who are frail and/or malnourished are at greater risk of harm from hospital acquired complications such as falls, pressure injuries and HAI’s due to their physical deconditioning. These complications may be assumed to be a progression of disease or associated with their biomedical condition, when in fact they may be complications of care. One strategy would be to take a proactive approach to risk prevention, implementing all available falls and pressure injury prevention strategies, not necessarily because they are at greater risk, but because they are at greater risk of significant harm if these incidents were to occur. 
- Ash M

]]> 2022-02-11 10:36:01 UTC https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2042131303 https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2043522344 Patients without an advocate may be significantly unwell or socially isolated. With no advocate they have no one with who they can discuss concerns in their care and who can champion their needs when they are unable.  This puts them at greater risk or sub standard care through being 'forgotten about'. A strategy can be partnering with patient advocacy groups and outreach programs to engage with those patient on wards, or going through care alone.

]]> 2022-02-12 08:05:34 UTC https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2043522344 thanhbinhnguyen https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2044655274 My mom is a retired clinician, and I used to see how stressed she was every day after coming home from the hospital. She was taught that clinicians could not have any mistakes because they can exchange for a life. She had to treat hundreds of young patients (she was a paediatrician) every day and was assaulted by aggressive parents when they had to wait long or when she did not have enough time to answer their questions. I saw she did not sleep enough because she had to study to improve her professional skills and knowledge besides the job. However, there was an improvement when they changed the executive Board. The Board has more policies to help all the staff have more time to rest and escape burnout. They developed a special team to protect clinicians from aggressive patients and another group to consult or answer questions or patient requests. They also shared the financial profits to all staffs with better salary. These actions helped my mom and other clinicians feel safe and focus on their duties.]]> 2022-02-13 15:41:47 UTC https://padlet.com/postgraduate_futures/7syv1o79avhtke8p/wish/2044655274