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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

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The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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SBAR I: Understanding the Concept01:29

SBAR I: Understanding the Concept

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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Tracheostomy Care I: Pre-procedural Steps01:16

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
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Types of Reports I: Hands-off Report01:25

Types of Reports I: Hands-off Report

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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
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Purpose and Process:
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Planning Nursing Care I01:21

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Transition: The Patient in a No-Man´s Land.

Lisieux Eyer de Jesus1,2

  • 1Departamento de Cirurgia Pediátrica, Hospital Universitário Antônio Pedro, Niterói, RJ, Brasil.

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|July 30, 2025
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Transitioning pediatric patients to adult care requires careful planning due to complex health needs and differing perspectives. A gradual, conjoint assistance model is ideal for successful long-term health outcomes.

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Infant, Newborn, DiseasesPediatricscongenital [Subheading]

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Area of Science:

  • Healthcare Management
  • Pediatric to Adult Transition
  • Chronic Disease Management

Background:

  • Improved survival rates for congenital diseases necessitate a shift from pediatric to adult healthcare services.
  • Key considerations include patient quality of life, independence, and long-term health preservation.
  • Diverse perspectives on transition exist among patients, families, healthcare professionals, and administrators.

Purpose of the Study:

  • To discuss the dilemmas and challenges associated with transitioning patients from pediatric to adult healthcare.
  • To explore different models of transition and identify the most effective approach.

Main Methods:

  • A non-systematic review of existing literature was conducted.
  • Dilemmas were analyzed and discussed in a structured format.

Main Results:

  • Transition typically occurs in late adolescence/early adulthood, with patients requiring lifelong follow-up for complex conditions.
  • Conflicts can arise between patient wishes and caregiver concerns, necessitating a balance of medical, social, cognitive, and psychological factors.
  • Healthcare systems face challenges with professionals' expertise in managing adult versus pediatric conditions, and financial burdens associated with complex chronic care.

Conclusions:

  • Transition care planning by health administrators is crucial, with patient clinical stabilization prior to transfer being essential.
  • Three transition models were evaluated: direct transfer, protocol/age-driven transfer, and gradual transition with conjoint assistance.
  • A gradual transition model, involving a period of joint care between pediatric and adult teams, is considered the most effective approach.