Every day, nurses and other healthcare workers tend to patients and their families, providing care, comfort, security and more. It is a stressful situation that can, over time, create compassion fatigue, resulting in marked physical, social, emotional, spiritual, and intellectual changes that increase in intensity. A team of three nurses and one researcher from Kindred Hospital Dayton wanted to conduct a study to understand the impact of compassion fatigue in their facility. The team included nurses Violet Littlejohn, Beth Hock, and Diane Mehling, and researcher DeAnne French.
There’s more to pureed food than pureed food, and meeting the nutritional needs of patients can range from complicated to downright dangerous. Peter Lam, RD, CFE, of Peter Lam Consulting in New Westminster, British Columbia, addressed the group of attendees at the2014 Kindred Clinical Impact Symposium to talk about how we can better understand patients’ nutritional needs and concerns, and more optimally meet those needs.
Jane Dailey is Vice President of Clinical Operations, East Region and Southeast Region, in the Hospital Division of Kindred Healthcare. She provided an update on the Cognitive Care pilot in Dallas, starting first by recognizing what she called “an amazing group of people” in the Dallas-Fort Worth integrated care market. The folks who have been working on the pilot “wanted to continue the impact from the 2013 symposium,” Dailey notes. One year later, she says, “we have identified processes across the continuum that will allow us to promptly screen and evaluate patients with cognitive issues.”
Kim Warchol’s presentation to the attendees at the 2014 Kindred Clinical Impact Symposium: Clinical Excellence in the Care of the Stroke Patient Across the Continuum, began with one important message:
Gone are the days when we can’t serve people with dementia and Alzheimer’s disease.
Warchol, President of Dementia Care Specialists at the Crisis Prevention Institute, remembers a time when, as a young occupational therapist in the late 1980s, she would regularly write the words, “patient not appropriate for occupational therapy secondary to cognitive impairment.” Not the case anymore.
Scott Blanchette, the Chief Information Officer for Kindred Healthcare, addressed three main areas related to change – why we should do it, how to do it, and what will happen next. Looking at the “why,” Blanchette points to the current financial state of the United States, examining the country’s bottom line. While income is up, expenses have nearly doubled. In fact, Blanchette notes that the U.S. is gathering debt faster than any other time in history except during World War I and World War II. And the biggest costs are tied to healthcare and an aging population, with nearly half of the money being spent on Social Security (24%), Medicare (14%) and Medicaid (9%). That may be enough of a reason to embrace change, but Blanchette points to an eye-opening projection: By 2026, Medicare, Medicaid, and Social Security will be the entirety of the government’s budget.
When it comes to improving the American healthcare system to provide higher quality care at lower cost, we must be mindful of how we are currently failing the patient, and how to remedy that, not place all of our focus on system failure. By improving the care given to the patient, improvement in the system will follow. So says Pam Duncan, PhD, PT, FAPTA, FAHA, Wake Forest Baptist Health, who addressed the group of attendees this morning at the 2014 Kindred Clinical Impact Symposium: Clinical Excellence in the Care of the Stroke Patient Across the Continuum.
Editor’s Note: Clinical Impact Symposium speaker Adrienne Boissy has been named Chief Experience Officer for the Cleveland Clinic, effective January, 2015. To learn more, click here.
Adrienne Boissy, MD, MA, is the Medical Director for the Center of Excellence in Healthcare Communication at the Cleveland Clinic. She and her team have created a comprehensive program to strengthen physician and provider communication skills throughout the Cleveland Clinic and have trained more than 4,000 staff physicians and house staff to date.
We all know that family caregivers play a critical role in maintaining the gains patients make in post-acute recovery, especially after they transition to home. But truly understanding the complexity of the family caregiver role is crucial to ensuring that patients are in good hands, have the best chance at maintaining their gains and avoid returning to a higher level of care, all of which affect post-acute outcomes.Eric Coleman, MD, MPH, AGSF, FACP, Director, University of Colorado Denver, has been a favorite speaker at Kindred’s Clinical Impact Symposium, and this year he returned to explore the family experience in the transitional care of the CVA patient.
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