1. PROGRESSIVE PATIENT CARE.

2. HISTORY OF PROGRESSIVE PATIENT CARE.
ROLE OF JAPANESE
CONTRIBUTION OF MISS FLORENCE NIGHTINGALE.
ROLE OF SOME HOSPITALS.

3. MEANING OF PROGRESSIVE PATIENT CARE.
GIVING CARE ACCORDING TO NEED.

4. DEFINITIONS OF PROGRESSIVE PATIENT CARE .
DEFINITIONS OF PROGRESSIVE PATIENT CARE

5. BENEFITS OF PROGRESSIVE PATIENT CARE.
FOR THE PATIENT
FOR THE PHYSICIAN
FOR THE NURSE
FOR THE HOSPITAL.

6. OBJECTIVES OF PROGRESSIVE PATIENT CARE.
TO PROVIDE OPTIMUM CARE AS PER NEED IN MINIMUM COST.
TO UTILISE RESOURSES EFFECTIVELY.
TO RAISE THE LEVEL OF PATIENT CARE IN CRITICALLY ILL.

7. MAJOR CONCEPT OF PROGRESSIVE PATIENT CARE.
-BETTER CARE THROUGH BETTER ORGANIZATION. -RIGHT PATIENT,IN THE RIGHT BED WITH THE RIGHT SERVICES AT RIGHT TIME.

8. EDUCATIONAL REQUIREMENTS OF NURSE IN PPC.
DYSRHYTHMIA MONITORING SKILL.
BASIC AND ADVANCED LIFE SUPPORT
DRUG CALCULATION &MONITORING.
PRE,INTRA &POST PROCEDURE CARE
HEMODYNAMIC MONITORING SKILL.

9. ASSESSMENT OF INDICATION FOR VENTILLATION.
ABG INTERPRETATION
CARE OF VENTILLATOR PATIENT .
WEANING OF VENTILLATION.
RECOGNISE INDICATION &COMPLICATION OF ENTERAL AND PARENTRAL NUTRITION.

10. ELEMENTS OF PPC. INTENSIVE CARE. INTERMEDIATE CARE. SELF CARE.
LONG TERM OR EXTENDED CARE.
HOME CARE.
AMBULATORY OR OUTPATIENT CARE.

11. INTENSIVE CARE UNITS.
Eg.CARDIAC CARE UNIT
BURNS ICU.
NEURO ICU.

12. EQUIPMENTS NEEDED IN ICU.
ALL LIFE SAVING DRUGS.
CARDIAC MONITORING EQUIPMENTS.
EQUIPMENTS FOR RESPIRATORY RESUSCITATION.
SETS FOR VENESECTION,LP, CATHETERIZATION.
IV RODS.
WALL MOUNTED SPHYGMOMANOMETER.

13. STAFFING IN ICU. DOCTOR GENERAL ICU-ANESTHETIST.
SPECIALISED ICU-SPECIALIST.

14. NURSES.
AT LEAST 2 NURSES PER DAY
FOR ONE PATIENT .
WESTERN CONTRIES-1:1 PER SHIFT
OR 4:1 PER DAY.
AUXILLARY PERSONS.
ONE MALE AND ONE FEMALE.

15. ONE WARD CLERK.
ONE SWEEPER.
TECHNICAL STAFF.
-PHYSIOTHERAPIST.
-INHALATION THERAPIST.
-ECG TECHNICIAN.
-BIOMEDICAL ENGINEER
-LAB TECHNICIAN
-ELECTRONIC TECHNICIAN.

16. MANAGEMENT OF ICU. ICU COMMITTEE. INCHARGE IS MEDICAL OFFICER.
POLICIES AND PROCEDURES.
-ADMISSION DISCHARGE CRITERIA.
-BED UTILIZATION
-SPECIAL OBSERVATION CHART
-RULES FOR VISITORS.

17. -INFORMATION SYSTEM TO RELATIVES. -DISCHARGE SUMMARY. -DIETRY SERVICES
-INFORMATION SYSTEM TO RELATIVES. -DISCHARGE SUMMARY. -DIETRY SERVICES. -STAFF TRAINING. -STANDING ORDERS. -PROCEDURE MANUEL. -RESOURCE AVAILABILITY.

18. PROBLEMS IN ICU WHILE INTRODUCING PPC.
INFRASTRUCTURE OF ICU.
LOCATION OF ICU.
STAFFING THE UNIT.
SUPPLIES TO THE UNIT.
ADMISSION AND TRANSFER.
MAINTENANCE OF EQUIPMENTS.
UNHEALHTY TEAM RELATIONS.

19. RESPONSIBILITIES OF A CRITICAL CARE NURSE.

20. INTERMEDIATE CARE UNITS.
INTERMEDIATE CARE UNITS ARE THOSE UNITS WHERE PATIENTS ,WHO ARE EITHER MODERATELY ILL OR FOR WHOM THE TREATMENT CAN BE PALLIATIVE ARE CARED FOR.

21. STAFFING . CARE REQUIREMENT-4 HOURS MORNING SHIFT-6 PATIENTS
EVENING SHIFT-8 PATIENTS.
NIGHT SHIFT PATIENTS

22. NURSES RESPONSIBILITIES IN INTERMEDIATE CARE UNIT.
SUBACUTE LEVEL.
-POST ACUTE CARE LIKE VENTILLATOR CARE.
-SPECIALISED NURSING SKILLS.
-PERFORM CARE OF TERMINALLY ILL.

23. ACUTE LEVEL.
TEACHING&REHABILITATION.
PERFORMANCE OF ADL.
ASSISTANCE IN DAILY CARE
LONGTERM CARE
ROUTINE CARE
EFFECTIVE SUPERVISION.
PALLIATIVE CARE.

24. SELF CARE. AMBULATORY PATIENTS WHO ARE CONVALESCING OR REQUIRE
DIAGNOSIS OR THERAPY MAY BE
CARED FOR IN A SELF CARE UNIT.
Eg;PATIENT RECEIVING RADIATION
OR PHYSICAL THERAPY.

25. PHYSICAL FACILITIES.

26. NURSES RESPONSIBILITIES
SUPERVISION OF ACTIVITIES.
IDENTIFICATION OF HEALTH PROBLEMS.
HEALTH EDUCATION.
DEMONSTRATING PROCEDURES.
PERFORM SPECIALISED TREATMENT.
HELP IN COPING.

27. LONGTERM CARE.
PATIENT WHO NEED MEDICAL AND NURSING CARE FOR A PROLONGED
PERIOD.
Eg;PATIENT HAVING CVA,MULTIPLE FRACTURES.

28. PHYSICAL FACILITIES OF A LONG TERM CARE UNIT.

29. NURSES RESPONSIBILITY.
ASSISTING IN MEETING THE DAILY NEEDS OF CLIENT.
ROUTINE CARE.
ASSESSMENT &PLANNING OF NURSING CARE.
SUPERVISION
INTERDEPARTMENTAL COORDINATION.

30. HOME CARE SERVICES WHICH ARE DONE FOR PATIENTS WHO CAN BEST BE CARED
AT HOME WITH EXTENDED SERVICE FROM THE HOSPITAL WHENEVER NEEDED.

31. SERVICES REQUIRED. DIAGNOSTIC AND THERAPEUTIC PROCEDURES.
PHYSIOTHERAPY.
OCCUPATIONAL THERAPY
SPEECH THERAPY.
HEALTH INSTRUCTIONS.
ROUTINE CARE.

32. NURSES RESPONSIBILITY.

33. AMBULATORY CARE.
CARE UNIT IN WHICH SERVICES ARE GIVEN TO THE NEEDY PEOPLE WHO VISITS THE HOSPITAL.

34. RESPONSIBILITIES OF A AMBULATORY CARE NURSE.

35. ADVANTAGES OF PPC.
TO THE PATIENT
TO THE NURSING PERSONNEL.

36. DEMERITS OF PPC. RAPID CHANGE IN PATIENT AREA.
REDUCED PATIENT STAFF RELATION.
RESISTANCE FOR TRANSFERRING.
IMPROPER RELATIONS.
DIFFICULT TO MEET ALL CRITERIAS OF EACH UNIT.

37. SUMMARY

38. CONCLUSION