Wednesday, November 26, 2008

Medical Treatment Of Asthma

Key Aspects In The Medical Treatment Of Asthma

Relationship with a primary Health Care  Provider who is knowledgeable of current asthma treatment guidelines
Development, sharing, and use of a personalized Asthma Action Plan or Asthma Management Plan
Monitoring of symptoms with a peak flow meter and pulmonary function testing 

Medication Treatment Goals

Medication Treatment Goals:-

Safe and effective medication delivery
Provide the least amount of medication needed to allow the student to be active and symptom- free 
Avoid adverse effects from medications
Meet students and families expectations regarding medication

Medical Treatment of Asthma

Medical Treatment of Asthma and Related Equipment / Gadgets:-

Overview

Review of asthma medications
Review and demonstration of common  asthma equipment and gadgets
Practical tips for integrating asthma medication and equipment/gadget knowledge into daily practice

Methods in Reducing Medical Errors Systems Approaches

Systems Approach:

“Medical care relies on the integrated efforts of a complex network of people and support services.”
(Cosby & Crosskerry, 2003, p. 73)

“Humans err. We’re made that way.”
“Errors are attributes of systems”
“Errors result from a confluence of causes”
(Weingart, 2006)

“We can’t change the human condition, but we can change the conditions under which humans work.” (Reason, 2000)

“Recognizing that medical errors are the fault of systems and not of individuals, (QuIC, 2000)
the purpose of hearing from this panel was to identify how improving patient safety can be a health care system-wide endeavor. …Some common themes raised by this panel were: confidentiality and protection, human factors, organizational/cultural issues, reporting systems, use of technology, and training of providers.”

Setting
ED, hospital
People
Physicians
Nurses
Pharmacists
Technicians
Administrators
Support systems
Radiology, laboratory, e.g.
Organization
(Cosby & Croskerry, 2003)

medical errors

Methods in Reducing Medical Errors Introduction:-

Historical Prospective
Nov. 1999 IOM Report, “To Err is Human”
Called for;
Research into causes and solutions
Enhanced Reporting of Errors
Increased Expectations for Performance

Historical Perspective: Agency for Healthcare Research and Quality
Probability of:


Acquiring AIDS from single unit of blood

All heads on 20 consecutive coin tosses

Death airline accident

Death general anesthesia

Death MVA

Preventable Hospital Deaths

Medications during Ramadan

Ear, eye drops
Transdermals, creams, ointments
Suppositories
Injections (except IV feeding)
Oxygen
Sublingual nitroglycerin

Eating During Ramadan

Usually two meals
65% of calories at post-sunset meal!
Some studies suggest that calories, carbohydrates drop
Increased fried foods