Behind the Rituals
All posts from: December 2012
In our practice comment this week Jennifer Kelly states that hospitalised patients with swallowing difficulties (dysphagia) are three times more likely to suffer medicine administration errors (MAEs) than patients without dysphagia. Of greater concern is that the errors found were not minor.
She suggested that single-handed drug administration means that nurses are often unaware that they have made errors and so they are unable to correct or report them.
Dean Royles the director of the NHS Employers recently suggested, “Hardly anyone supports and encourages NHS managers, or shows any recognition or appreciation of the context they work in or the difficult, sometimes intractable challenges they face”.
Do you think this comment is justified?
When I was a student nurse we put up the ward decorations a week before Christmas, and brewed mulled wine in the ward kitchens. We wore our capes inside out, showing the red lining, as we walked from the nurses’ home on Christmas morning.
This year we want to know how you celebrate Christmas with your patients.
Professor David Oliver, clinical director for older people at the Department of Health, has warned that older people are being moved unnecessarily into nursing homes where they do not have adequate healthcare. He said not enough effort was being made to tackle “perfectly reversible, treatable problems”.
Speaking to the House of Lords select committee on public service and demographic change, he said when older people entered homes, access to certain treatments was worse than “you might get in prison”.
“Certainly, when older people are in health services, primary care or secondary care, they need a proper diagnosis, they need proper assessment, and currently we are failing to address reasons why they are becoming immobile, or becoming dependent, and writing them off,” he said.