Critical Care service

Service users who are critically ill are people who are admitted to intensive care units (ICU) or critical care units (CCU) in hospitals because they need constant, close monitoring and specialist equipment to support them. The monitoring may be of one or more vital organs such as the lungs, the heart, kidneys, the liver or even their brain.

In addition to their ‘personal care’ duties, Health and Social Care staff such as Healthcare Assistants can also be trained to help with such monitoring as hands-on practical assistance to busy Nurses. For example, to sit, observe and call the attention of nurses whenever a patient wakes up after a surgical operation; to make a cup of tea for such a patient; to observe them for any indication of any of the ‘significant seven’ of the National Early Warning Score (NEWS).

Critical illness could also include illnesses that are chronic and terminal in nature such as chronic diabetes with its associated organ failures, cancer and even dementia which require constant, close monitoring of the patient or service user in or out of hospital by Health and Social Care staff such as Nurses, Health and Social Care Workers, Support Workers, Healthcare Assistants et cetera. Such care service may be one-to-one or as part of a collective team effort.

Hospital Discharge and Re-ablement Care services

Whether critically ill or not, a patient discharging from hospital will have a Discharge Note and a care package for the purpose of continuing their care treatment either in their homes (domiciliary care) or in care homes.

To enhance safety, the Discharge Note will require careful reading, understanding and implementing by Health and Social Care staff such as Community Nurses, Health and Social Care Workers, Support Workers, Healthcare Assistants et cetera.

However if such patients lose mobility, or have impaired mobility or impaired ability to resume performing their normal daily living activities, the  National Health Service (NHS) usually includes a six-weeks re-ablement programme in their Discharge Package which is normally free as part of NHS Continuing Care.

Critical Care Follow-Up

Following discharge from hospital, some critically-ill patients or service users in care homes or in domiciliary care settings may make a full recovery while some others unfortunately continue to experience physical and psychological problems such as: musculoskeletal problems, pain, scar problems, sexual dysfunction, anxiety, post-traumatic stress and even depression.

NOTE: Our staff have the knowledge and professional competence in these issues to be able to provide needed holistic care service that will ensure necessary follow-up treatment.

Palliative and End-of-Life Care services

When patients’ or service users’ illnesses are confirmed as ‘terminal’—meaning that it is certain to end at some point in death in spite of medical or surgical intervention—palliative care steps in at this point.

It is a waiting game because the aim of medical experts at this point is not to cure the illness but to care for the patient or service user in the most humane, compassionate and dignified manner that will reduce their pain and prolong their life as far as practically or legally possible.

When the prognosis of a critically-ill or terminally-ill patient or service user is death within the next three months, Palliative care is normally replaced by End-of-Life care which requires the formulation of an End-of-Life Care Plan. This has to be implemented professionally and sensitively in co-operation with family and friends of the patient or service user until the latter ultimately yields to inevitable death.

NOTE: Palliative care, End-of-Life care, funerals of every description and working with family and friends of a deceased service user professionally and sensitively through the bereavement process can only be effectively and efficiently done by staff trained specifically for that purpose and our Nurses, Health and Social Care Workers, Support Workers, Healthcare Assistants and Care Assistants et cetera are also trained to deliver these services excellently.

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