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Light Impact

Light Impact. Health Care Environment of the Future Group 7 Geetanjali Ningappa, Jeff Jopling, Adriana Fuentes, Luxmi Saha, Lars Christensen. Light is very critical in Health Care settings Visually Emotionally Biologically. Importance of Light in Hospitals. Affects Patients well-being

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Light Impact

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  1. Light Impact Health Care Environment of the Future Group 7 Geetanjali Ningappa, Jeff Jopling, Adriana Fuentes, Luxmi Saha, Lars Christensen

  2. Light is very critical in Health Care settings • Visually • Emotionally • Biologically

  3. Importance of Light in Hospitals • Affects Patients well-being •  Increases visual performance of the staff resulting in enhanced work performance •  Healing Property; Light therapy is used as treatment to cure many diseases • Induces alertness in staff • Errors by staff is reduced •  Reduces number of falls by patients

  4. Visual Impacts of light Enabling Performance of Visual tasks • Light enables us to see things ahead of us • Higher levels of light helps reduce staff error • Age related performance errors are reduced • Day lighting is preferred for fine color discrimination

  5. Visual Impacts of Light Sleep quality of residents and number of fall incidents during night time • Patient falls reported inspite of wall mounted luminaire over the bed • can not reach the switch or can not see the switch in the dark • Light near the head disrupted the sleep of the patient at night

  6. Emotional Impacts of Light Affecting Moods and perceptions • affects behavior and performance at work • Daylight has better impact in a work environment than the artificial lighting • Patients exposed to bright daylight experienced lesser perception of light

  7. Emotional Impacts of Light Exposure to Colored light • long exposure to a particular color is not advised • Causes over saturation • creates an emotional state of mind

  8. Biological Impacts of Light Controlling body's Circadian System • Higher levels of light suppress Melatonin causing alertness • Daylight is a better source as it provides higher levels of light at eye level • Very important to staffs as they work in night shifts • Controlling the Circadian system helps combat • depression • sleep • circadian rest activity rhythms • length of stay

  9. Biological Impacts of Light Facilitating direct absorption for critical chemical reactions within the body • Light radiation is directly absorbed by body stimulating chemical reactions in the blood and other tissue • Vitamin D metabolism • Jaundice prevention

  10. Right selection of light critical • Factors important in selection of light: • Technical needs • Soft lighting for relaxing • Night lighting • Location, Intensity and Controllability of light • Natural light is the best preference due to its natural healing properties and economy.

  11. Family and Communication

  12. Family and Communication Family • 'a group of persons with close familial, social or emotional relationship to the patient.'  • religious, cultural and social factors influence who is considered family, and how those family members understand illness. • family members are more than just visitors - they, too, experience the processes of care... • ...and can suffer from anxiety, PTSD and/or depression as a result

  13. Effective Communication • Communication • 'As a result of treatment and the seriousness of the illness, the ICU patient's body sends signals that the next of kin neither recognize or understand.' (Eriksson 2010) • Aspects of good communication • appropriate timing, style, and wording • message effectively received and understood • allow family to stay during times of crisis • support and appreciate family's contributions in caring for the patient.

  14. Role of Communication in Family Satisfaction • Satisfaction - influenced by gap between needs and expectations and perceived fulfillment of those expectations. • Need to make health professionals aware of the needs and expectations of patients and their families.

  15. End of Life CommunicationWhy is needed? • One out of five or 22% of Americans die in an ICU  • Need for clinicians and families to make decisions about withdrawing or withholding life supporting therapies has become standard • 54% of family/patients may misunderstood patients diagnosis or treatment if meetings last less than 10 minutes • Perceived to lack hospitality towards dying patients and their family members • Doctor communication is not taught in an ICU

  16. Good CommunicationAdvantages Goodcommunication makes a difference. • improved clinical outcomes: •  Reducing psychological trauma symptoms •  Reducing depression and anxiety •  Decreased length of stay • More frequent referral to hospice • earlier orders for DNR and withdrawal of life support •  Improving quality of death and dying • Critical care training may also change significantly if there is some data that demonstrates improvement of patient/family outcome as a result of communication skill training

  17. Assessing Communication in the ICU • Validated tools primarily based on questionnaires can assess communication and satisfaction: • critical care family needs inventory (CC-FNI) • critical care family satisfaction survey (CC-FSS) • family satisfaction in the ICU (FS-ICU) • Results from individual ICU used to drive improvements in that same ICU • Next steps:  • develop means of tracking effective communication over time. • further develop tools for NICU and PICU settings

  18. Electronic CommunicationWhat is the need? • Advances in information technology have led to an increase in the options for mode of communication • Increasing need for patients to read doctors' notes which can help on: • Understanding their health • Foster communication • Ease and promote shared decision making process • Lead to better health patients' outcomes

  19. Electronic Communication Results Positive: • Communication improvement through: • internet portals with secure electronic messages • display medications, tests results, problems lists and facilitate communication refills • ease on appointment scheduling  • Efficiency in relating laboratory findings and doctors notes  • Helps remind patients what happened during visits Negative: • More questions raised about doctors' writing • Doctor's concerned about patients reactions from notes Conclusion: • Current literature suggests positive results may be greater than negative

  20. Things to Consider • Role that the built environment plays in facilitating or hindering communication • Make patient rooms less obviously dominated by loud, mechanical medical devices • Allow for 'open access' to the unit • Effective discussion of prognosis and goals of care • Family members use various types of information from a wide array of sources for prognostication • Shared decision making based on patient's and family's values and preferences  •  Develop patient-specific triggers for palliative care consults 

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