Nov 13

I am no stranger to minor accidents at home and outside. Slips, trips, and falls happen to a lot of people of all ages, from all places, and in all walks of life. These would sometimes lead to injuries which would require hospitalization, or at least a visit to the nearest doctor.

What a lot of us do not realize is that these falls happen to patients in the hospitals and medical facilities, too. There is nothing worse than injuring a person who is already sick, and the cause of such injury is the person who is supposed to be taking care of the patient, like the doctor or nurse. It is like adding injury to an existing injury.

Patient safety has been constantly one of the most pressing challenges in the health care industry, and a significant part of patient injuries come from falls while confined in the hospitals and nursing homes. Reducing harm from falls is becoming one of the top priorities of hospitals and health care organizations around the world. Patients, regardless of age, fall. While certain risk factors are common in younger people, falls are most likely to occur in older patients and they are much more likely to experience serious injuries. A significant number of falls result in injury, or even death, costing millions per annum for immediate health care treatment alone, not to mention the additional costs of rehabilitation and social care. In addition to these financial costs, there are additional costs that are more difficult to quantify. It not only includes the obvious distress, pain, injury, but also loss of confidence and independence to the patient.

There are lots of researches and reports around the internet on patient safety, specifically on how to reduce harm from falls, but it seems that there is not one single guide for all. What is apparent is that non-profit organizations from countries like the UK, Sweden, Australia, Canada and the USA are at the forefront when it comes to these initiatives with The Institute for Healthcare Improvement IHI in Cambridge, Massachusetts providing the main thrust. In the UK, there is Patient Safety First Campaign sponsored by the National Patient Safety Agency, the NHS Institute for Innovation and Improvement and The Health Foundation. In Australia, there is the Australian Patient Safety Foundation. While in Canada, there is the Canadian Patient Safety Institute.

The approaches are varied, localized, and sometimes isolated depending on the case. But what is common is the need to recognize these harms, identify patients prone to falls, record, monitor, and measure these incidents to be able to come up with actionable plans. These are for more organizational solutions though. Ultimately, it all boils down to the care and dedication given by our doctors, nurses, and caregivers that would spell a big difference.

Accidents do happen but a lot of them can also be avoided with the right actions and presence of mind. For those that cannot be avoided totally, there are ways to reduce the harms and risks brought about by these accidents. While this is easier said than done, it is doable with a little effort and good luck.

Aug 8

August is known to be a month when the temperature is higher than normal. The summer months can definitely be bothersome because of the heat, but even more so when a heat wave strikes. Six years ago, one of the worst and deadliest natural disasters in Europe for the last one hundred years struck the continent and took more than 30,000 lives. Majority of the casualties belong to the most vulnerable groups of the population: the chronically ill, the very young and the elderly.

While the recent weather has been rainy and overcast, it pays to still be prepared for whatever consequences that extreme weather conditions can bring. The weather can be very unpredictable, and so it wise to remember August 2003 and the lessons we can learn from that disastrous heat wave.

One of the Worst Natural Disasters in Europe

In France, the temperature soared to 104°F in some parts of the country. Paris, the capital of France, recorded the highest temperature that year since the government began recording temperatures in 1873.

On August 10, 2003, in the UK, a record-breaking temperature of 101.3 °F was recorded in Brogdale Orchards 1.6 km southwest of Faversham, Kent. London, on the other hand, experienced its first three-digit temperatures (in Fahrenheit) for the first time. An estimate of 900 people died from the heat that day.

Lessons Learned

The average body temperature of a person is at 98.6°F. The body tries to maintain this temperature even when subjected to extreme heat. This is done by adapting to the extreme temperature by varying blood circulation and perspiring. However, the body can only do so much. When body temperature gets past 104°F, vital organs become affected. The body can be dehydrated, some organs may begin to shut down or malfunction. If the temperature is not immediately brought down and stabilized to the ideal, death occurs.

The elderly are more are more susceptible to dehydration and have higher risk of heart attacks due to their old age. The risk increases as age increases. A research conducted in Athens, Greece, found an increase of mortality in people over the age of 70. And this is linked directly to a consistent rise in temperature and humidity. The elderly, when subjected to extreme heat, suffers a great blow to their circulatory system. This is among the many causes of death during the European Heat Wave of 2003.

Now government officials across the European have learned their lesson – to give adequate attention to heat wave planning and go the extra mile to make sure that the elderly are given specialized medical attention and assistance. The United Kingdom, as a preventive strategy, has begun to pay visits to the elderly – through inspecting nursing homes and occasionally visiting those who live alone.

Heat Wave Plans

Every year, the UK’s Department of Health releases Heat Wave Plans to inform the public and get them ready for the summer. In spite of the recent rainy and overcast weather, it is still very much important to be educated on these Heat Wave Plans. The weather can be very unpredictable, and it really pays to be prepared than sorry.

The following are the Heat Wave Plans for this year, courtesy of the Department of Health. Feel free to download the PDF files and share them with your family and friends. Remember, knowledge and preparedness can lessen the effects of what can be an even bigger disaster.