National Safety & Quality Health Service-Free-Samples-Myassignment

Question: Choose two out of the ten Quality Standards and discuss how you would apply these Healthcare Standards in the home Compared to the Hospital Environment for this Client. Answer: Introduction: National Safety and Quality Health Service (NSQHS) Standards were developed by the Australian Commission on Safety and Quality in Health Care (ACSQHC). Main aim of these health standards is to protect people from harm and to improve provision of healthcare services. In this case Mrs. Brown underwent Laparoscopic cholecystectomy in which gall bladder needs to be removed using laparoscopic technique. As Mrs. Brown has history of diabetes, there may be possibility of slow recovery of incision made during the surgery. Hence, she needs IV antibiotics for the prevention of infection. Preventing and Controlling Healthcare Associated Infections and Preventing and Managing Pressure Injuries are the two standards needs to be considered while providing treatment to Mrs. Brown at home as compared to the hospital (Koutoukidis et al., 2016; Garg et al., 2012). Discussion: Preventing and Controlling Healthcare Associated Infections is very important health standard applicable in case of Mrs. Brown. There may be multiple reasons responsible for the occurrence of infections in Mrs. Brown. Home environment would not be sterile like hospital, incision was made to Mrs. Brown during surgery and her diabetic condition would not allow healing of her incision and her continuous I.V. administration. Nurse should take every precaution to minimize occurrence of infection in Mrs. Brown. In home, nurse should take more precautions to control infection as compared to hospital. Nurse should make sure that room allocated for Mrs. Brown should be thoroughly disinfected, very few people should be allowed in the room, people entering in the room should use necessary PPEs, all the requirements used for Mrs. Brown should be thoroughly disinfected and person touching I.V. set should wash their hands thoroughly and use alcohol swab. In the hospital same person should be appoi nted to clean the room, Mrs. Brown room should be isolated from the other room, requirements for the I.V. administration and other treatment should not be shifted from the other room. It should be noted that infection control at home may be impractical and expensive as compared to the hospital infection control. Also infection surveillance, prevention, and control efforts are difficult at home as compared to the hospital (Koutoukidis et al., 2016; King and Hawley, 2016; Korniewicz, 2014). Occurrence of pressure injury also may occur in Mrs. Brown as she is suffering through OA and toe amputation. This pressure injury may occur mainly due to immobility. These pressure injuries may occur on the skin covering bone. In hospital setting, there may be proper and prompt reporting of the pressure injuries. However, accurate reporting of pressure injuries at the home is not possible. In hospital setting, severity of the pressure injuries can be assessed by clinicians and prevention and management measures can be taken effectively. However, at home it would be difficult for the clinician to visit on regular basis for the assessment of severity of pressure injuries. In hospital setting pressure injuries can be effectively managed by the trained healthcare professionals, however in the home setting management of pressure injuries with the help of trained staff is not possible. Access to equipments and instruments for the prevention and management of the pressure injuries is feasi ble in hospital setting however in home these equipments and instruments may not be available. Patients with risk of pressure injuries should be inspected within 8 hours and it should be followed with regular inspection. In hospital this regular inspection is possible; however it is not possible at home. For regular assessment and evaluation of the pressure injuries proper documentation should be done. This documentation can be more efficiently implemented in the hospital setting as compared to the home (Koutoukidis et al., 2016; King and Hawley, 2016; Brown et al., 2017). Conclusion: Management of the patients with certain conditions can be efficiently implemented in the home, however cases like Mrs. Brown should not be referred for home care. In case of Mrs. Brown home care is not advisable because her health condition may lead to the occurrence of infection and pressure injuries in her. In the evaluation of application of NSQHS for Mrs. Brown in home care it is observed that her condition would be treated more effectively in hospital care as compared to the home care. Manpower and accessories requirements for the control of infections and prevention of pressure injuries would not be possible in home care in case of Mrs. Brown. References: Brown, D., Edwards, H., Seaton, L., Buckley, T. (2017). Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems. Elsevier Health Sciences Garg, P., Thakur, J.D., Garg, M., and Menon, G.R. (2012). Single-incision laparoscopic cholecystectomy vs. conventional laparoscopic cholecystectomy: a meta-analysis of randomized controlled trials. Journal of Gastrointestinal Surgery, 16(8), 161828. King, J., and Hawley, R. (2016). Australian Nurses' Dictionary. Elsevier Health Sciences. Korniewicz, D. M. (2014). Infection Control for Advanced Practice Professionals (1st ed.). Lancaster PA: DEStech Publications, Inc. p. 264. Koutoukidis, G., Stainton, K., and Hughson, J. (2016). Tabbner's Nursing Care: Theory and Practice. Elsevier Health Sciences.