Survey bedsores and nosocomial infections in two rehabilitation centers in Lebanon and profile of inpatient

Autor: S. Ibrahim, G. Sleilati, K. Ghoussoub, A. Hage, J. Sakkal, R. Choueiri-Medlej
Rok vydání: 2013
Předmět:
Zdroj: Annals of Physical and Rehabilitation Medicine. 56:e276
ISSN: 1877-0657
DOI: 10.1016/j.rehab.2013.07.1091
Popis: international data. Patients and methods.– Descriptive study with prospective collection. Survey on the state of play of Physical Medicine and Rehabilitation (PMR) established two institutions in Lebanon MPR: The RRTC Beit-Chabab and hospital Mgr Cortbaoui. A grid reference to the quality charter MPR rehabilitation facility and the criteria for accreditation RRTC is developed. It includes all team members present and their job profile and policy of the institution. Results.–Doctors: presence once aweek, nowell-defined contract, the job profile is not clear. The meetings of the Board are often without doctors. There is no complementarity between doctors. Everyone has their own patients. No work within well-defined or inter-services. No weekly meeting study records. The evaluation of the patient is done with physical therapists during the visit but traceability is incomplete. The medical record is incomplete, does not contain all the elements.Physiotherapistsworking in the absence of rehabilitationphysician who evaluates andmodifies the program every week. There is more solidarity and complementarity intra-teamwork. Sometimes insufficient, given the limited time to an hour a day patient. Little cooperation with the occupational therapist and speech therapist,which areonly three half-days perweekon request.Theorthotics are from outside experts on demand. No role of the social worker. Conclusions.– This study shows that the qualified personnel of the multidisciplinary team work well in their respective fields. But the lack of physical medicine doctors presence is an obstacle for multidisciplinary work. In addition each specialty team tends to work in isolation for reasons which will be set if the hospital policy is made according to quality charter.
Databáze: OpenAIRE