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Obligation of home care education for tracheostomy

机译:气管切开术的家庭护理教育义务

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BackgroundPatient education facilitates imparting information to the patients and their caregivers by the health professionals and others that alter the patients’ health behaviors, improve their health status and upright health safety at home. It strengthens the clinician-patient relationship by demonstrating respect and enhances patients’ feelings of self-efficacy resulting in improved health, well-being, safety, and outcomes. It plays a vital role to prevent deadly but easily manageable fatalities that have been occurring at home in patients with various medical devices for permanent disabilities. In this commentary, the obligation of pre-discharge patient education and ensuring standard care at home for the patients with a lifelong tracheostomy is emphasized in particular.Patients with irreversible airway compromise and bulbar paralysis due to various chronic, systemic and autoimmune diseases often have to continue with a lifelong tracheostomy. These patients require a cautious and meticulous home care of the tracheostomy tube and the stoma. A fatal incident that occurred recently and received in the emergency department is mentioned here. It happened due to the failure of a very simple management of tracheostomy complication at home. ConclusionMany centers and hospitals have their integrated pre-discharge patient education program and checklist. This is particularly mandatory and warrants due attention in regard of sending a patient home with a tracheostomy. A brief span hands-on training and comprehensive educational materials are to be ensured sincerely. It is vital to have/organize the support of relatives or a companion. At least one individual ought to learn how to help the patient in case of emergency. That person should join the patient when he/she gets guidelines in the hospital. Medical information and communication technology and digital modules should also be made easily accessible and user-friendly to the mass people. Then only, this kind of shattering occurrences can be reduced at home settings.
机译:背景技术患者教育有助于卫生专业人员和其他人员向患者及其护理人员传递信息,这些信息会改变患者的健康行为,改善他们的健康状况和在家中保持健康。它通过表现出尊重来加强临床医生与患者的关系,并增强患者的自我效能感,从而改善健康状况,幸福感,安全性和结局。它对于防止因永久性残疾而使用各种医疗设备的患者在家中发生致命但易于控制的死亡起着至关重要的作用。在这篇评论中,特别强调了对出院前患者进行教育并确保终身气管切开术患者在家中获得标准护理的义务,由于各种慢性,全身和自身免疫性疾病而患有不可逆气道损害和延髓麻痹的患者通常必须继续进行终身气管切开术。这些患者需要对气管造口管和造口进行谨慎,细致的家庭护理。这里提到了最近发生并在急诊室接到的致命事件。发生这种情况的原因是,在家中对气管切开术并发症进行非常简单的处理失败。结论许多中心和医院都有其综合的出院前患者教育计划和清单。这是特别强制性的,因此在将患者气管切开术送回家中时应引起适当注意。真诚地保证简短的动手培训和综合教育材料。拥有/组织亲戚或同伴的支持至关重要。至少一个人应该学会在紧急情况下如何帮助患者。当他/她在医院接受指导时,该人应加入患者。医学信息和通信技术以及数字模块也应该使大众容易获得和使用。只有这样,才能在家庭设置中减少这种碎裂的发生。

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