Post on 03-Jan-2016
transcript
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
The Environment of Practice:The Environment of Practice:Working in the Acute Care SettingWorking in the Acute Care Setting
Presented byPresented byWendy Farrar, BA, NCTMBWendy Farrar, BA, NCTMB
Mollie O’Brien, MA, NCTMBMollie O’Brien, MA, NCTMBJeremy Miller, BS, LMT, NCTMBJeremy Miller, BS, LMT, NCTMB
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
•Clinical CareClinical Care
•EducationEducation
•ResearchResearch
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Direct/Indirect Patient CareDirect/Indirect Patient Care
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Morning RoundsMorning Rounds
• BlessingBlessing
• Patient Care CoordinationPatient Care Coordination
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Patient Care CoordinationPatient Care Coordination
• Prioritize & assign ongoing Prioritize & assign ongoing patientspatients
• Triage new referralsTriage new referrals
• StaffingStaffing
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Referral CriteriaReferral Criteria
• PainPain• AnxietyAnxiety• NauseaNausea• ConstipationConstipation• Difficulty sleepingDifficulty sleeping• Maintaining/prolonging Maintaining/prolonging
pregnancypregnancy• Coping with changes in health Coping with changes in health
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Holistic Patient AssessmentHolistic Patient Assessment
• DiagnosesDiagnoses• Level of acuity & alertnessLevel of acuity & alertness• PrecautionsPrecautions• Medications & lab/imaging Medications & lab/imaging
resultsresults• General health historyGeneral health history• Mental, emotional, social, Mental, emotional, social,
spiritual and psychological spiritual and psychological well-beingwell-being
• Interest/understandingInterest/understanding
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Holistic Patient AssessmentHolistic Patient Assessment
• Chart reviewChart review
• Communication with other Communication with other care providerscare providers
• Patient Patient interaction/observationinteraction/observation
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Making a Treatment PlanMaking a Treatment Plan
• Factors for considerationFactors for consideration
• ConsentConsent
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Holistic Treatment/InterventionHolistic Treatment/Intervention
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Holistic Treatment/InterventionHolistic Treatment/Intervention
• AcupressureAcupressure
• AromatherapyAromatherapy
• Art CareArt Care
• EducationEducation
• Energy workEnergy work
• Guided Guided imageryimagery
• Korean Hand Korean Hand TherapyTherapy
• Reflective Reflective ListeningListening
• Relaxation Relaxation TechniquesTechniques
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Holistic Treatment/InterventionHolistic Treatment/Intervention
• Traditional Asian Medicine: Traditional Asian Medicine: Acupuncture, Acupressure, Shiatsu, Acupuncture, Acupressure, Shiatsu, Tui Na, Qi GongTui Na, Qi Gong
• Therapeutic MassageTherapeutic Massage
• Music TherapyMusic Therapy
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Discharge CriteriaDischarge Criteria
• Goals metGoals met
• No progressNo progress
• No investmentNo investment
• Lack of cognitionLack of cognition
• State of consciousnessState of consciousness
• No interest/refusalNo interest/refusal
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Documentation:Documentation:3 Goals Met By 3 Types3 Goals Met By 3 Types
Types of Types of DocumentationDocumentation
• Electronic Electronic Medical Record Medical Record - Epic/ Excellian- Epic/ Excellian
• Departmental Departmental database - database - Microsoft Microsoft AccessAccess
• Practitioner Practitioner visit sheetsvisit sheets
Goals ofGoals of DocumentatioDocumentatio
nn
• Clinical Clinical
• OperationalOperational
• ResearchResearch
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Documentation: GoalsDocumentation: Goals
• Clinical GoalsClinical Goals– Checking Chart prior to seeing PatientChecking Chart prior to seeing Patient
– Progress Notes (part of Patient’s EMR)Progress Notes (part of Patient’s EMR)
• Operational GoalsOperational Goals– Care CoordinationCare Coordination
– Productivity and StaffingProductivity and Staffing
• Research GoalsResearch Goals– Our results in context of Pt’s entire Our results in context of Pt’s entire
staystay
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Documentation:Documentation:Recording Raw DataRecording Raw Data
• Immediately after session, Immediately after session, flow sheetflow sheet– Time in/Time OutTime in/Time Out– Last session resultsLast session results– Session goalSession goal– Pre/Post ratingsPre/Post ratings– Session resultsSession results– ? Discharge? Discharge
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
When ‘File’ Button is clicked, Raw Data When ‘File’ Button is clicked, Raw Data goes…goes…
Access DatabaseAccess Database Progress noteProgress note
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALINGDocumentation:Documentation:
Practitioner Practitioner Visit SheetsVisit Sheets
Record of Record of treatments, treatments, results, results, Day-to-DayDay-to-DayCare Care CoordinationCoordinationand as a and as a back-up forback-up for‘‘downtime’downtime’
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Practitioner ResiliencePractitioner Resilience
• Self careSelf care• BoundariesBoundaries• Team workTeam work• Self awarenessSelf awareness• Personal growth and Personal growth and
healinghealing• Professional growthProfessional growth
PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING
Indirect Patient CareIndirect Patient Care
• Program development initiativesProgram development initiatives
• Patient safety and compliancePatient safety and compliance
• Professional growth & Professional growth & developmentdevelopment
• EducationEducation
• ResearchResearch
Q&AQ&A
1)1) Write question on the note card in your Write question on the note card in your folder.folder.
2)2) Note category of question at top of card.Note category of question at top of card.
CategoriesCategories– Business OperationsBusiness Operations– Clinical CareClinical Care– EducationEducation– ResearchResearch– Documentation / Ethics / LegalDocumentation / Ethics / Legal– Self Care/ResilienceSelf Care/Resilience
3) Place card in basket.3) Place card in basket.
4) Take a 10 minute break.4) Take a 10 minute break.