Showing posts with label patients. Show all posts
Showing posts with label patients. Show all posts

Tuesday, December 27, 2011

Tip #10 For The Best Hospital Care: Try Not To Be Alone ~ Insider Tips on How to Get the BEST Medical Care in the Hospital ~

Today we are concluding the series on How To Get The BEST Medical Care In The Hospital:  Insider Tips!  As always, this post is written to "you" but it can be equally applied to any family member or loved one. 


Tip#10:  Try Not to Be Alone!


The best piece of advice that I can give you is if you are sick enough to stay more than one night at the hospital, try to never be alone for long periods of time.  Try to have family members, friends, etc with you as close to around the clock as possible.  Don't have them come visit in a big group--that is a waste because their visits are more helpful if they spread out and give you coverage for longer periods of time.  Have them visit in small trickles throughout the day (and night for that matter).  



One way to spread a stream of visitors out is to explain the importance of shifts to everyone, have a point person volunteer and actually set up an email list or formal schedule for people.  This is what my own family did when my family member was in the hospital last month (the event that inspired me to write this series!) Unfortunately we as a family have had many hospitalizations & over time, creating a visitor scheduling system has become routine.

By making a formal schedule, it allowed my family member not to be alone & allowed each of us family members to manage our personal lives & keep working.  Important caveat--the family should actively encourage your primary caretaker (husband, daughter/son, parent) to try to minimize the time they need to spend at the hospital.  While you are in the hospital, it is an important opportunity to give your spouse or child or parent a good rest before you come home & they will be responsible for your care.  So ask for help from your church, synagogue, mosque, spiritual center, social club or network of friends instead.  Try to arrange to have someone looking in on you about every 2-3 hours.  

I recommend that you keep a notebook in the room that all the visitors should use to write down important things--
like what doctors come into the room, any procedures that you get taken to, or anything nursing says that would be important to pass on to the next visitor (i.e.--nurse:  we need to keep an eye on her constipation.  You write down: f/u constipation.  Then the next person looks at the notes and sees they should remind you to ask the nurse about the plan for reducing your constipation).  My father has frequently been very ill--I have a large family & we practice this technique when he is in the hospital since we literally take turns sitting bedside & the notebook allows us to share what the doctor said on the first person's visiting shift so the last person's visiting shift knows what is going on! 

The notebook should have all important info clipped to it inside the front cover--like who your doctors are AND your Medical Info Sheet that we discussed here in Tip #4!

If you have a large enough family or friends and you feel comfortable asking, I encourage you to see if its possible to have one of them take turns spending the night.  


If you can't get anyone, and you are pretty sick than hiring a private-duty aide to sit with you during the night is worth the investment if you can afford it.  


If you are a family member caring for an elderly patient susceptible to dementia or confusion than I can't encourage you strongly enough to hire someone if you possibly can!! That aide however is not paid to watch TV--they are paid to let you sleep quietly, check on how you are doing, re-orient you to reality calmly and GENTLY if you are confused & be the family's eyes and ears.  Sometimes it is not possible to have someone stay over but I would lobby hard (AND BE VERY VERY NICE when asking) if it isn't usual hospital policy.

Remind everyone that you need to rest and your visitor point-person should emphasize this as well.  A hospital is for healing, not a party.  Please be respectful of other patient's needs as well. The point person should suggest that people bring a book or magazine to read, a laptop, a musical device with headphones, etc so you don't need to talk for most of the visit.  While they are in your room they shouldn't be talking on their cell phone or making a lot of noise.  Their purpose is to give you the gift of their time to help staff caring for you be able to perform to the best of their abilities.   


***KEY:  Do not allow visitors to interrupt the hospital routine.  When the nurse comes in to give you your meds, change your wound dressing, give you an enema or any other indelicate thing that your really don't want your family or friends to see, do NOT tell the nurse to "come back later."  You have to be a teammate remember--keep them on schedule & it will be to YOUR benefit-- you'd be surprised how many things about your care get missed as they are passed on to the next nursing shift if the nurse wasn't able to execute your care on schedule!***

See here for questions that your visitors should remind you to ask staff EVERY DAY & things to bring to staff attention.  Always remind who ever comes that it is critical they behave politely and respectfully towards staff members (see my post Tip #8).  To behave otherwise WILL reflect on you and affect your care. Remind your visitors that the staff is very busy and has other patients in addition to you.  If the visitor can safely & comfortably do a task for you--i.e. get you a washcloth and help you wash your face, pass you your urinal & dispose of the results, etc--than they will endear themselves to the staff to no end! 

That said however, don't let staff disappear on you just because you have someone in your room (it happens sometimes, especially if you are a family member & a healthcare person like me or my husband).  If you have waited a reasonable amount of time for a nurse/tech to respond (15 mins or so) and no one has come, then send your visitor to the main desk to ask for assistance. (Visitor Tip:  just standing at the nurses station can be quite a motivator for the administrative assistant or other nurses--wait there in full view until someone comes to assist your loved one..)  In fact, I recommend sending your visitor to the desk for help first instead of you buzzing your call light, but either method is ok. 


Ok!  This concludes this Tip AND this series!!  I hope that this series will help you and your loved ones get outstanding care & make you feel empowered with understanding about how hospitals work.  


It has been a pleasure to share this information with you--please update me in the comments if you have used these techniques & let me know whether they work for you & your family!!


Here are all the previous posts in this series:  

Tip #1: Be a Teammate & Tip #2: Be concise & organized: http://happyrehabdoc.blogspot.com/2011/11/how-to-get-best-medical-care-insider.html
Tip #4:  Know Yourself--How to Make a Medical Info Sheet:  http://happyrehabdoc.blogspot.com/2011/11/tip-4-key-things-you-need-to-know-about.html
Tip #6:  Know the Role Everyone Plays in the Health Care Team: http://happyrehabdoc.blogspot.com/2011/11/tip-6-know-role-that-each-person-plays.html
Tip #9: PAY ATTENTION!! http://happyrehabdoc.blogspot.com/2011/12/tip-9-pay-attention-more-insider-tips.html



Coming Up:
  • SuperImmunity for Kids ~Part 2~!
  • A Truly Healthy New Year
  • Treating Pain with Food--more thoughts
The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment.  Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. The Happy Rehab Doc expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.  By visiting this site you agree to the foregoing terms and conditions.

Saturday, December 24, 2011

BIG THANK YOU TO EVERYONE WHO PARTICIPATED IN THE HOLIDAY HAPPINESS MARATHON!!!

The HOLIDAY HAPPINESS MARATHON Concludes!!!!! 

What a wonderful week of stories of service and gratitude.  It really warmed my heart to hear my colleagues share happily about patients and to hear patients share with joy about their physicians.  And I'm such a sap--I cried with every story!!!

I hope that you all enjoyed the stories!  I REALLY appreciate all the time my physician colleagues and my patient readers put into writing these stories!!  All of you are busy & had your own responsibilities, but you still paused to be of service to others by sharing your story.

THANK YOU!!!!!!

Tuesday, December 13, 2011

ONE DAY LEFT to contribute medical stories to the Holiday Happiness Marathon!! Join us!! :-)

If you are a patient, have you ever had a good medical experience that made you grateful for your healthcare provider and modern medicine?  Or, if you are a healthcare provider do you remember any moments with patients that made you happy you became a doctor, nurse, etc?  


Are you willing to briefly share one of those stories with my other readers?  (stories should be no more than 1-2 paragraphs in length).
From December 19th to December 25th I'm going to host the "Holiday Happiness Marathon:  Doctors, Nurses & Patients Share Special Medical Moments!"  In the midst of all the chaos of the season, this post series is a special week to pause for a quick moment & smile as you read positive stories about healing :-)


I already have doctors, nurses & patients lined up to share their stories (I've gotten some already from the docs & they are AMAZING), but there is room for some more!! 


So if you want to take a quick break from the holiday madness & join the story-telling marathon, shoot me an email with your story (no more than 1-2 paragraphs long) to happyrehabdoc@gmail.com and I'll add you to the marathon!  I need all the stories by no later than the end of the day on THIS Wednesday, December 14 (THAT IS TOMORROW!!).  It doesn't have to be perfect, it just needs to come from you! :-)

 
Hope to hear from you!  

Sunday, November 20, 2011

TIP #3: Key Question to Ask the Doctor in the Hospital (Part 2 of 5 on "How To Get The BEST Medical Care: Insider Tips From A Doc!")

Today we are continuing in the series on my "insider" tips on how to get the best medical care in the hospital.  I hope that the last post on Tip #1: Be A Teammate & Tip #2: Be Concise & Organized made sense and was helpful to you!  


Two of the biggest problems I found last week when being on the patient side of things was that non-medical people need to know:
  1.  what questions to ask to understand what is really going on (today's post)
  2. what things to tell the doctor about themselves to get the best care (BE PREPARED) (tomorrow's post!)

Lets face it.  Some docs are not very good explaining things to patients in layman's terms.  Remember, we M.D.'s have spent so many years studying that we have become an expert in diseases rather than people. I think that things are getting better these days since more focus in our medical education has been on how to improve the doctor-patient relationship.  


Until the doctor-patient relationship is perfected, my advice is to give your doctor a roadmap of questions so they can translate their often brilliant medical skills into layman's data for you to understand enough to be a true teammate for healing.  


Ask us these questions (and follow my advice from the last post on being CONCISE & ORGANIZED to get the most out of each conversation with the doc.)  


************************************************************************
The MOST important point is to always repeat back to the doctor what you think you understand AND write it down!!--I'll give you an example on how to do that at the end of this post.  Here we go!
************************************************************************


Key Questions To Ask The Doctor:
                     
#1:  If it isn't what you think it is, what else could it be?

#2:  If this was your mother/your father/your child who would you send them to see?  (this was a key question for my family last week because we were in a hospital initially that I wasn't familiar with & my family member needed surgery.  I asked this question to the ER doc QUIETLY & he helped us find the BEST surgeon in the facility).

#3:  When you say that "we have a good chance" what does that mean?  What percentage of patients survive or are cured with this procedure/treatment/etc? (SO important particularly when dealing with a terminal disease or a serious, life-threatening procedure)


#4:  Why do you think this medication is necessary & what side effects does it have?  (piece of advice--many docs will discontinue some non-critical meds immediately if they anticipate or get push-back from the family (to avoid conflict.)  The meds may actually be very helpful--for example, stool softeners/laxatives/pain medications.  I encourage you to follow what they recommend after asking WHY).


#6:  If you REALLY don't want to do something that the doctor recommends ask them SPECIFICALLY what the consequences of refusing the med or procedure will be and why they think it is important? 


#7:  Here are a few more excellent questions from the Agency for Healthcare Research & Quality (AHRQ).  They call these the "Top Ten Questions to Ask Your Doctor". Some of these are more applicable in the outpatient setting but they are helpful!  Check them (and AHRQ) out!


Example of Conversation that uses the "team" approach and helps the doc communicate better:  
(I put this together using diseases from a reader's comments & my own experiences with patients--obviously this isn't what actually happened!)  
Patient: Doc I was wondering if it isn't pneumonia than what else could it be?
Doctor:  Well it could be any number of things but I do think it is pneumonia
Patient:  Doc I know that you have years of experience, could you please give me the name of another disease that looks like pneumonia but isn't pneumonia?
Doc:  Well it could be congestive heart failure, but I don't think that is likely.
Patient (repeating back):  So what I hear you saying is that you think it is pneumonia but another disease that can look like this is congestive heart failure?
Doc:  Yes, that is correct.
Patient:  Hmmm well doc I think I forgot to mention that a few years back I saw a heart doctor that said my heart wasn't very good (the patient in this example doesn't have the proper written history I mention in Tip #4 (tomorrow's post).  As you can see, this info sheet would have helped them get a lot better care from the beginning)
Doc:  Really, I didn't see that on your history?!
Patient:  Yes, I'm sorry I forgot to mention that in the chaos of the emergency room
Doc:  Well this changes things a bit.  Let me examine the other data knowing this new information and get back to you later this afternoon.
Patient:  Great.  I really want to feel better and it doesn't seem like the treatment is working.  I appreciate you looking into this.


Hope this is helpful!!


Next Time:  Tip #4:  Key Things You Need to Know About Yourself To Tell The Docs:  How to Make A Medical Info Sheet!! 



Coming Up AFTER Thanksgiving:
  • SuperImmunity Foods for KIDS (Calling All PARENTS!)
  • RECIPES & Ideas: Snacks!  YUMMY & Portable Plant-Based Snack Food--all sugar-free, gluten-free & without adding oil or fat!!
The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment.  Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. The Happy Rehab Doc expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this site.  By visiting this site you agree to the foregoing terms and conditions.

Wednesday, November 16, 2011

When You Have a Family Member in the Hospital You Start to Realize How Much It Helps to Know How To Navigate the Hospital World!!

Its been a stressful week for me and I'm glad that I pre-wrote & scheduled my posts for this week because I would have had to take a blogging hiatus!  I have a close family member in the hospital and they are getting better but I've become acutely aware how hard it is to navigate the system as a non-medical person!  


Sometimes I felt like I was translating a foreign language when explaining to my family what was going on.  This is not because my family is not intelligent--they are, extraordinarily so in my opinion:-)--but the medical world & the outside world are SO far apart sometimes!!!  


I've realized this before (& I'm sure my doc/nurse/etc readers will agree that we are aware there is some translation needed from medical lingo to layperson speak) but every time I'm on the other side of the fence (coming from the patient's side as opposed to the doctor's side) I wonder how people without medical family members figure out what is going on!!!????


I had already planned a post for this week on "Getting the Best Medical Care: Tips for Patients" (ironic, huh!) but I think I'm going to need to expand that post into two separate posts:  one for inpatient/hospital care and one for outpatient care.   Keep your eye out.  I have to say that when these posts come out I'd really recommend emailing them to family & friends.  I think it can make a huge difference in your hospital & outpatient experiences to know how to the system works from a doc's perspective as well as know how to get the best out of your doctors, nurses, social workers, techs & therapists!!

Thursday, November 10, 2011

The Blog has passed 1,000 page views!!!!!

Wow, this is amazing!  Very busy day at work--trying to both take care of patients and prepare for a presentation tomorrow, but thought I'd take a quick peek at the blog aaannnnddd WOW I can't believe its gotten over 1,000 page views!  Its only been nearly 2 weeks since I started!


THANK YOU!!!  I love that we are starting to build a blog community here--the more people striving for a happy, healthy, pain-free life the better!  :-) 


What other topics would you like to hear about in the coming weeks?  :-)  Feel free to comment and let me know!
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