halvannenlinjetjeneste på storetveit
DESCRIPTION
Halvannenlinjetjeneste på Storetveit. Spesialisert behandlingsavdeling, Storetveit sykehjem Jo Kåre Herfjord, overlege. Storetveit – hva er det?. Et sykehjem i Fana bydel En spesialavdeling (19 plasser) Et samarbeidsprosjekt mellom Bergen kommune, Haukeland og Haraldsplass - PowerPoint PPT PresentationTRANSCRIPT
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Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
19-sengers sykehjemspostmedisinsk sengepostrehab. postgeriatrisk sengepostspesialisert behandlingsavdeling
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
PasientflytHjemme-boende pasientAkutt innleggelse p sykehusOverfring til Storetveit innen 72 (96) tdiagnostikk / avklaring, starte behandlingakutt innsettende sykdomvidere utredning og behandling, mobilisering, tilrettelegging av hjemmesit.
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Kommunen har et differensiert behandlingstilbudSykehjemsplass pleie/avlastningSykehjemsplass rehabiliteringBehandling p StoretveitHjemmebaserte omsorgstjenester
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Spesialisert behandlingsavdeling19-sengers post, 11 eneromFaglrt personale, kt sykepleierbemanningBedre utstyrt (oksygen, forstver, iv. utstyr)Leger tilstede man-fre Labprver man-freRtg. ved HaraldsplassAndre u.s i samarb. med sykehus/spesialistFysioterapeut
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Vi kan gjre de enkle tingeneEnkel diagnostikk og utredningEnkel infeksjonsbehandlingEnkel KOLS-behandlingEnkel hjertsviktbehandlingInnstilling p MarevanSmertebehandling og mobiliseringPleie og omsorg
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
et akutt geriatrisk behandlingstilbud
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
To behandlingsperspektiv:samme somvanlig medisinsk behandling for ulike tilstanderernring, mobilisering, fysioterapi
i tillegg tilhelhetlig vurdering av funksjonsniv og hjelpebehovvurdering av hjemmesituasjon, tilretteleggingvurdering av kognitiv funksjon/demensgjennomgang av medikamenter
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Sykdom APasient
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Sykdom ASykdom BSykdom CSykdom DSykdom ESykdom FNedsatt funksjonsniv GNedsatt funksjonsniv H
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Sykdom ASykdom BSykdom CSykdom DSykdom ESykdom FNedsatt funksjonsniv GNedsatt funksjonsniv H
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
HjemmetSykehuset - Hva kan vi gjre for denne pasienten? - Hvordan kan vi bli kvitt denne pasienten?Et oppbevaringsstedHjem? Sykehjem?
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
HjemmetSykehuset - Hva kan vi gjre for denne pasienten? - Hvordan kan vi bli kvitt denne pasienten?Et oppbevaringsstedHjem? Sykehjem?
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
HjemmetPrimr-/ speialisthelsetjeneste - Hva kan vi gjre for denne pasienten? - Hvordan er funksjonsnivet / hjelpebehovet? - Hvilke tiltak br iverksettes? Tilrettelagt bosituasjonHjem? Sykehjem? Annen bolig?
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Eldre pasienterkjekk, velfungerende, selvhjulpen, sprek
en del sykdommer og plager, klarer ikke like mye som fr
mange plager, mange medisiner, behov for tilsyn og hjelp
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Pasientkategorier / mlgrupper??
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Utfordringer: kulturforskjellerSykehuset:Det holder ta en telefonDette m ordnes N
Vi vet best, vi bestemmerDette er vre senger
Vi vil ha en oppbevaringsplass
Kommunen:Skriftlig sknad, vedtak
Dette skal behandles i riktig organVi har alltid gjort det p denne mtenDette er kommunale institusjonsplasserVi vil drive en behandlingsavdeling
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Utfordringer: kommunikasjonStoretveitHDS medHDS OTHUS medHUS hjerteHUS lungeHUS OTArnasanerstadYtre-bygdaLakse-vgFyllings-dalenFanaBergen-husBergen kommuneHelse BergenHUS nevroHaralds- plass176
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Noen udekkede behovKapasitet?Differensierte tilbud, fleksibilitetTilbud som ligger mellom sykehjem og eget hjempersonale hele dgnetGode systemer for dokumentasjon Kvalitetssikring ved overfring av opplysninger mellom ulike instanserOBS medisinlisteNoen som tenker helhet, funksjonsniv, jobber tverrfaglig
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Velkommen til Storetveit!
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Hva har vi gjort s langt?
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
GjennomsnittspasientenKvinne 84 rHar 5 aktive diagnoserBruker 7 medikamenterLitt glemsk (40%)Trenger noe hjelp i ADL-funksjoner (Barthel 70)Liggetid ca.15 dagerKommer seg hjem (80%)
Pr. april -08 behandlet >880 pasienter
Klikk for redigere tittelstil i malenKlikk for redigere tekststiler i malenAndre nivTredje nivFjerde nivFemte niv**Spesialisert behandlingsavdeling, Storetveit sykehjem april 2008
Tall fra 2007
Ark3
Barthel 100-90HDS medHUS medHUS lungeHUS OTB 85-75HDS medHUS medHUS lungeHUS OTB 70-60HDS medHUS medHUS lungeHUS OTB 55-45HDS medHUS medHUS lungeHUS OTB 40-30HDS medHUS medHUS lungeHUS OTB 25-15HDS medHUS medHUS lungeHUS OTB10-0HDS medHUS medHUS lungeHUS OTLiggetid vs. sykehusdg.0 dgdgn1 dgdgn2 dgdgn3 dgdgn4 dgdgn5 dgdgn6 dgdgn7 dgdgn>7 dgdgnLiggetid vs BarthelB 100dgnB 95dgnB 90dgnB 85dgnB 80dgnB 75dgnB 70dgnB 65dgnB 60dgnB 55dgnB 50dgnB 45dgnB 40dgnB 35dgnB 30dgnB 25dgnB 20dgnB 15dgnB 10dgnB 5dgnB 0dgnLiggetid vs kognisjonAdgnBdgnCdgnDdgnBarthel hus hjerteB hds OTB hus nevroKognisjon Ahus hjertehds OThus nevroKognisjon Bhus hjertehds OThus nevroKognisjon Chus hjertehds OThus nevroKognisjon Dhus hjertehds OThus nevrohdshjemhds OThjemhushjemhus hjertehjemhus lungehjemhus OThjemhus nevrohjemHjem vs diagnoseInfeksjonHjerteLungeHematoGastroEndoNefroOTUstNevroRevmaPsykAnnetHjemDgn fr overfring0 dgnLiggetid1 dgnLiggetid2 dgnLiggetid3 dgnLiggetid4 dgnLiggetid5 dgnLiggetid6 dgnLiggetid7 dgnLiggetid>7 dgnLiggetid
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