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thank you very much thank you very much for the invitation
good afternoon ladies and gentleman healthcare is not medical
care we chose this title it's very provocative
but we have to go back when we talk about the room
care products while to you find in clinical packed is
what i will go through in my presentation i
was looking for a definition of health care
only looking for a definition of health care was not very easy because you have that bastard but man
off definitions and then what is medical care
then i want to demonstrates what we find in clinical practised today
then i want to demonstrate what kind of
approach is needed in clinical project is
and what are the requirements for dressings in that clinical protests
when we talk about health care
the definition
i found one i liked the most and uh after all that stick metric medical dictionary
yeah it says that the prevention the treatments and management of
illness and the preservation of mental and physical well being
through the services offered by the medical and allied health professions
let's see what does this mean i said we have to
prevention something very important in today's a health care system
the treatments with their for example with the room trusting the management of the
entire illness the preservation of the mental and physical well being and then
this is offered by and medical and allied health professionals
so it's and multi decent disciplinary team approach
this should be healthcare
medical care we have a professional treatment for
illness or injury or another definition
the portion of here under a tarp physicians direction
so we have to treatments of illness for illness and injury or
we have to care entire care aspect and that physicians direction
what do we find in clinical practitioners those who work clinic clay if you go back is
it more of focus on the healthcare sign or
in that on that medical care sites
one example
l. eighteen forty six uh sixty four years old she's living alone in her
flat in the inner earl area in the western part of switzerland
but i had nurses are hypertension diabetes type too
and five weeks ago she discovered coincidence slipped that she
has a an an ulcer on her foot
she went to the g. p. a. the cheap you put some
costs is on this wound because this was for him to
the rights decision and he wanted to to cure this wound like this
this lady went to hurt by appetite but a
bit taller just answered uh a cardiologist
they took care of her as well but only her feel their fields
so when we see this we have three different
position um special to us is this health care
and i want to say in europe we half and
medical care system not a health care system
why is this
the focus it's mostly on disease and injury
let's talk about disease and illness really you
read this all over the the articles
disease it's more the medical aspects that means diagnosis
sector illness it's more the entire haitians
the patient as a whole
what we find out what we need it's more the
illness prevention the prevention and the health promotion
the problem i can i can say that mostly also for switzerland we have
a little budget for prevention the budget should be bigger because
prevention it's not a very sexy subject prevention
it's also difficult to evaluate to measure you're not a lot there's not
a lot of literature out there that is talking about prevention
it's coming more and more and this is more from the nursing sides
as a society we have some adverse lifestyle behaviours such as
what did you use today how to you eat normally
and and what kind of stress level for example do you have
if you want to have an increasing uh increasing our
lifespan and an overall improving improvement of our health
you have to adjust our personal behaviours and see to that inner on an
early stage it's not only for us it's also for our patients
what do we finds it in a in a clinical practised this
that this environmental and to so it's a
social economical aspects they are important
especially they have a big impact on the work life balance not only for us
also for patients and afterwards on the healing right off the rooms and
a big impact has also to salary how much do they are um
what can daily uh what kind of food for example
can they buy to um have a healthy line
when we go to the top for example to the
w. h. l. c. what kinds off um
a major cost a soft that to be fines
you're very good to demonstrate for example cancer is
number one followed by zero vascular diseases
but do we go back or two we have time to go back
further to look what causes these diseases
i went to the literature and was looking more kind of studies do we find from europe i
couldn't find any study but there are a lot of studies in the united states they demonstrates
they're from the rank order to call so soft that like tobacco
smoking hype lots uh an pressure oh wait et cetera
but when we see that even down here with the alcohol use
that low intake of fruits and vegetables or the low directory
a fatty acids what is this this is mainly on our behaviours
and here we are more on the on the side again this should be prevention
doesn't work
okay yeah
so when we go back in history
really know that in the nineteen hundred it's we had a lot
of infectious diseases that were all causing death not the bins
it's a on their their responsibility off could control weaver prevent me
till we develop preventive uh techniques such ass clean will too
to drink to clean for example the rooms and
then of course we have to anticipate antibiotics
nowadays we have other elements we have namely coronary
artery disease this that become very prevalent
one thing that is also good what we can hear a
and z. from statistics that fewer people's they're smoking pot
then we go back on the behaviour side we have more t. i. b. s. we
have more heart diseases we have more stroke you have high blood pressure et cetera
and these are all uh illnesses that last over a lifetime
so our medical here says and dawson to you with
half we deal only with little bits of help
so we concentrate on our t. z. sits on the trauma us
what we need it's more illness that means that
people or getting older and older so
we have more call the more beta patients
patients with hypertension with diabetes et cetera
so all just patients that are developing a brooms so that they
need a broom dressing that is corresponding to the or illness
at the other thing is the last thing as that
at that type patients life that means the costs
the costs are rising who's paying that we have more more patients in
the outpatient sector if you want to offer a patient centred care
we have to offer them a holistic mart it isn't you pretty team approach
and with that i think we can approach to go to to that
our patients have a a very nice very good uh here
well we tens right now in our clinical that practised is
that we have only single provider treatments as
we saw all on this um
on the case i was i was showing you that the patient had
f. decision for her heart for for it uh
and that general practitioner that was taking care
of to do and and that the diet technologist that is taking care of the diabetes
but we knew what we need is multiple providers and
somebody that is taking care of the entire patient
and that is talking with all the different kind of disciplines
let's go back to this female patients what can we offer her
as already said we can offer her a holistic care approach
in rooms management this a holistic care approach as a philosophical orientation
that is on the p. painting the fundamental holders of the human being
it emphasises the importance of this that balance within the person
and between the person and his her uh environments
what's to be included in this holistic approach we
have the entire a physiological opera and
aspects that we uh dimensions that we
involve the psychological sociological aspects
economical aspects as well as the psychological and spiritual dimensions
that provides an opportunity to assess the patient as a whole
and in relation to her leaving and a context
with a holistic approach we can uh it's it's uh it's in contrast
to and modern medical model of approach of health and illness
it considers this individual aspects of the patient
within a the entire living context
and it's what we need it's the evidence based treatments
in rooms care we have a lot of studies
but we do not have and good
ballads clinical data we have a lot off case studies we
have not a lot of or c. t.s for example
and with these or c. t. is when you have to put intervention then we can
offer the patient that into mention and it's not the over medication that means
each discipline has his own and vision
by focusing on wound care this holistic approach
highlights the patient as a whole and not only the
boomed and obviously the patients or the focus
also the family and the environment factors are taken in consideration as we find
wound care mostly into home care setting and the patient itself
and the family is taking care of the rooms
if you wanted to and assessments uh an
holistic care assessment this is to optimise
the healing by it takes into consideration all the factors that influence to care
and to maximise the available source resources that we have
we want to prevents fragmented and or inappropriate care
individual patients and it contributes to have focus on cost effectiveness
and a high quality of care for our patients
i don't know how many times
there was a mixture with this lights uh_huh oh let's go uh it's
give a little bit more focus on this holistic care approach
this holistic care approach has several elements that or importance
and most of my colleagues and uh off that physicians they say
get me to that but yeah be to tap briefly
read to you that not in depth for example that patients
physical needs that disease is the functional capital capital t.
the psychological needs what order fifty years of the patients when they have rooms
what or if they are purely use do you want to have that is wound
is healing is does always to go what are the social needs et cetera
additionally we half the patients personal resources and empowerment
how much is their income then we come back to this prevention what's kind of ability
of involvement is is it possible for the patients
because most of the rooms care takes
at that at the home care in the tone kept setting is
the family mall is the patients living by himself or herself
patients a a living happy it's what already this patient for
example i was walking each day with the dog
so they have i we have to uh to to adjust our dressings treat her daily living
what are the room them perry room status that's this is more text a technical what or
to sentence what's to be find their houses
documents it's who is taking here um
of that and efficient use of resources
for example what kind of dressings or available
what kind of pressing or reimbursed
this this uh this is an element that is very important within wound care
when we go to dressings what's kind of dressings can be used
in certain uh and uh for for for all these bins
this is from a document and we've published a two year two three years ago
from the european movement association and there we propose
that we use safe products what is safe that
we have and minimum a cultural effects
it has to be easy not very sophisticated it's
we need to products that are disposable
we need products that reduce pain because most of the rooms are very painful
you have to use products that have a wide range of application that means
products second used in different basis of wound healing
we have to and no tact that
healthcare professionals when there is selecting
dressings what's kind of pressing scanned they select they have to be and
if and used to extend the ports of the dunes healing continuum
they have to be dressings that should not stick on the doomed grounds
unfortunately we see that and i in the everyday life
and product start easy to use and access and especially to excess most
of the patients they don't know where to get the doomed products
and have to to the prevention off these uh uh
not to cater a a recurrence for example
we need to move products that enable the lowest overall cost
most of the patients are paying the product out of their own pockets because it's not covered by
the health care insurance and of course we need
products that are you friendly when we summarise
what we see we have and what we finds in clinical
practised we have more and medical system not healthcare system
what we have to go in which direction you have to
go it's in preventive we have to take care
an hour of the individual aspects of the
patient with in the living context
we have to have a great to focus on the onus
is illness prevention to health promotion has to begin
i say in childhood as early as possible
we have to recognise that chronic illnesses are the
ones that not only last a lifetime part
they are also to diseases that are driving to high costs of here
we need evidence based treatments this that means good solid start this
interventions that we can all for our patients be needs to cut up the
costs can uh brought down and can't be brought down quite substantially
through a better approach in a patient care so that everybody's
working together not each of us is doing something
that means we use a multi professionally team approach and
one thing i think that is more wishful thinking
that imploring needs to calculate enough time
for holistic assessment of each patient that for example room
to patients so that we can have an all
over the globe who who are you to pay she and then you have to do that
different uh management thank you very much for your

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Health care is more than medical care!
Prof. Dr. Sebastian Probst, DClinPrac, RN, Professor of tissue viability and wound care at the University of Applied Sciences Western Switzerland, Geneva, Switzerland
5 avr. 2017 · 2:07 après-midi
Q&A - Health care is more than medical care!
Prof. Dr. Sebastian Probst, DClinPrac, RN, Professor of tissue viability and wound care at the University of Applied Sciences Western Switzerland, Geneva, Switzerland
5 avr. 2017 · 2:29 après-midi