1. Patient in the hospital Jana Hermanova

2. The admission Planned ◦ Elective Unplanned ◦ Acute ◦ Urgent

3. Reception

4. Heliport

6. Emergency

7. Types of units General Specialized Acute care Long term care Intensive care Critical care Other services

8. Nursing Station

10. Hospital Room

11. Patient ´s Room

12. Intensive Care

13. Basic Equipment ICU

14. ICU/ARO

15. Long Term Intensive Care

16. Long-Term Intensive Care

17. Social Care Services

18. Social Care

20. Laboratory

21. Magnetic Resonance

22. Radiology CT

23. Operating Theatre

24. Eye Surgery

25. Sterilisation

33. Occupational Therapy

34. Spiritual Care

35. Volunteers

36. Practice

37. The healthcare team Doctors Nursing staff Physiotherapists Occupational therapists/ergotherapist s Nutritional therapists Social workers Pharmacists Respiratory therapists Speech therapists Spiritual support persons Who is missing?

38. The four R’s Roles Rules Responsibilities Lines of reporting Each has different role to play, subject to different rules related to their different responsibilities Each will be responsible, accountable to different arbiters of their performance

39. The patient is a human – he/she has Human needs …according to Abraham Maslow…

40. Physiologic needs Air Food Fluids Sleep Rest Sex Shelter Exercise and activity Elimination Pain avoidance Maternal response Stimulation Excitement Manipulation Exploration Novelty

41. Safety needs Security Stability Dependency Protection Freedom from fear and anxiety Structure Safety needs incorporate the need for structure, law, order, limits and the strength of a protecting person

42. Love and belonging needs The need to be with others To have a wife, husband, children, colleagues, friends, acquaintances Important for adequate mental health If not met the person can feel ◦ lonely ◦ separated ◦ rejected ◦ friendless ◦ abandoned ◦ restless

43. Love and belonging needs are expressed through our desire for: ◦ tenderness ◦ affection ◦ contact ◦ intimacy ◦ togetherness ◦ face-to-face encounters

44. Esteem needs The need for firmly based wholesome self-evaluation and for respect and esteem of self and esteem for others Need for feeling a confidence, for independence, for freedom, reputation, dignity, appreciation

45. Esteem needs Fulfillment results in: Self-confidence Feelings of worth Strength Capability Usefulness Adequacy Deprivation results in feelings of: Inferiority Helplessness Weakness Discouragement When serious, it leads to compensatory or neurotic behavior

46. Self actualization The person is self fulfilled He must be what he can be He must fulfill his purpose in the world Self actualization is confined to adults

47. Characteristics of a self actualized person Is realistic, sees life clearly Judges people correctly Has clear notion of right and wrong Is usually accurate in predicting future events Understands art, music, politics and philosophy Listens to others carefully Is dedicated to some work, task, duty or vocation Is highly creative, flexible, spontaneous, courageous, willing to make mistakes

48. … Is self confident, has self respect Integrated personality, low degree of self- conflict Possesses a feeling of self control Is highly independent, desires privacy Can appear remote and detached Is friendly, governed more by inner directives Can make decisions contrary to popular opinion Is problem centered rather than self centered

49. How do we meet our needs? Healthy ways – not harmful to others or self, conform to socio-cultural values, are within the law x Unhealthy behaviors Independently x with assistance It may all change during hospitalization Each member of the team contributes by their special way to the patient’s needs being met