Bed sore Seminar Proposal that might be of benefir to the nursing Institute as well as the nurse's knowledge

Intensive Seminar on
“BED SORE”
(Decubitus)

CAUSE, PREVENTION and MANAGEMENT


Conducted by

Mr. Yakob Abdul Rahman Wilhelm Scholer

State Registered Nurse in GERMANY & MALAYSIA
Applied Psychologist
Nursing Director, Home Nursing Providers
Former Lecturer in Health Psychology UiTM

Intensive Seminar on “BED SORE”
(Decubitus) - cause, prevention and management HNP 2008

“OUR QUEST THEIR BEST”

BED SORE

The population of older citizen is rapidly increasing world wide. This creates a whole range of health problems directly related to aging. While Health Science has developed into a more sophisticated science with apparatuses oriented level of patient care, some of the basic knowledge of nursing has seemingly drifted into the background in the daily care of bed ridden patients.
As a result, many patients do not receive the required attention and care to prevent one of the most torturous nursing neglects = BED SORE.
Unfortunately, many teaching institutes do not put enough emphasis to the aspect on the development and prevention of bed sores, to the extent that many nurses mistakenly believe that development of bed sores is “normal and unavoidable”. Few do understand that the development of bed sores is the result of neglect in patient care, and can be a criminal issue. In many countries this is becoming a source of worry and concern as criminal proceedings are not just causing a serious damage to the good image of competence of an Institute, but are also costing huge sums of money in compensation and legal fees. Nurses can also be held personally responsible and eventually lose their licenses.

At least in 85% of all cases of bed sores is preventable. However to be able to prevent the development of bed sore one needs to have a comprehensive knowledge of the actual causes and circumstances that may lead to the development of bed sores.

THE MALAYSIAN SENIOR CITIZEN'S CHARTER AFFIRMS THAT THE OLDER PERSON HAS A RIGHT TO:
· Safe shelter, proper healthcare and income-generating opportunities that are elderly-friendly;
· Clean, hygienic, stress-free environment and adequate nourishment that promotes a healthy quality of life;
· Recreational facilities, family-care and community-harmony that promote physical and emotional well-being.

Life expectancy in Malaysia has increased from 55.8 years for men and 58.2 years for women in 1957 to 70.2 years and 75 years respectively in 2000. The increased longevity helped by declining mortality rates has resulted in an increasing older population, from 5.2% in 1970, 5.7% in 1980 and 5.9% in 1991, to 6.2% in 2000 (Source : Social Welfare Dept., 2004). It was projected that by 2005, Malaysia would enter the ranks of the 'Ageing Nations of the World' with 1.7 million or 7.2% of the population being senior citizens (United Nations source, 1993). By further projections, 15% of the Malaysian population would be old by 2025

As a nurse and “Care Provider”, you have the responsibility to understand the essentials of illness of an aged and bedridden person. Without such basic knowledge the patient will lack the necessary care and nursing competence leading possibly to nursing deficiencies and neglect of appropriate patient care.
Supervision and coordination of subordinates will be very difficult unless the responsible persons themselves have sufficient knowledge and skills in the field of gerontological patient care and specifically in the prevention of decubitus patient care as required.

Course Philosophy:

Knowledge and competencies in all form of nursing work is the personal responsibility of each individual nurse as well as of every institute that provides nursing care service.

Every patient who is admitted to an institution for the purpose of medical and/or nursing treatment has the right to the best of nursing care and competence. This however can only be provided if the care providers have the knowledge and skills needed to provide the optimal service.

Proper knowledge in decubitus preventive nursing and care is essential as it is very beneficial to both, the care giver as well as care receiver.

In this, the Activities of Daily Life (A.D.L.’s) are the basis of attention.
The Body, Mind, and Spirit are a unity and need be considered when attending to a sick person in particular senior citizen with gerontological symptoms.

The content of this Course is based on the general experiences we meet in daily activities when attending to the sick members in their home settings.

The Seminar will deal with the scientific aspects of:
1. What is a decubitus (bed/pressure sore)?
2. What are the factors that lead to decubitus?
3. How does a decubitus develop?
4. Prevention of decubitus development
5. Nursing management in treatment of decubitus

PREREQUISITES

The course is aimed at providing knowledge for:
· Nurses,
· Nursing aides,
· Care givers.


Objective:

· To provide an objective understanding of the problem of decubitus

· To understand the basic causes that are related to the development of decubitus

· To be able to identify potential areas that could lead to the development of decubitus.

· Understand the basis in the prevention and intervention of decubitus management.

· Psychosocial components related to the needs of elderly persons at risk to decubitus development.

· Provide basic understanding of appropriate nutrients in decubitus prevention.

· Have an overall understanding of the complexity of caring for elderly persons with gerontological symptoms and the ability to provide adequate sensibility towards the prevention of decubitus development.


PROGRAM: ·
Duration: 6 hours (1 day)
· Course contents include:
Introduction
· Provide the participants with an insight of the concept and philosophy of decubitus prevention.
Course Structure
· Lecture supported with Power Point slides
· Demonstrations
· Discussions
Lectures
· Basic introduction: What is a decubitus and how does it develop?
· Prevention of Decubitus (Pressure Sore = Bed Sore): What are pressure sores, how do they develop, identification of early signs and symptoms, and preventive measures.
· Gerontology: Who are candidates especially prone to decubitus development?
· Nutrition: What role does nutrition play in the prevention of decubitus?
· Prevention: What role does nursing play in the prevention of decubitus development?
· Intervention: The correct approach to prevent, or minimize the risk of decubitus development.

CORE PERFORMANCE REQUIREMENTS



At the end of the Course the participants will be able to:

· Identify patients at risk or prone to develop decubitus

· Develop intervention measures to prevent the development of decubitus

· Interact with “doctors and other nursing personnel” in the prevention of decubitus development

· To be able to detect early signs and symptoms of decubitus development

· Assess intervention requirements

· Supervise other “care-givers”: nursing personnel and eventually family members and/or volunteers

YOUR INVESTMENT

In the professional management of sick “Warga Emas” it is crucial that the involved personnel have a basic understanding of decubitus prevention of senior citizen.

The early detection of potential decubitus risk and accurate nursing needs does not only prevent a lot of suffering of the elderly sick it also saves a lot of cost with early intervention in the correct nursing management.

We are looking forward to give you and/or your staff the needful training to achieve your institution’s goal in providing optimal service to sick senior citizens in the prevention of decubitus development.

Number of Participants: Should not exceed 20 participants per group
Duration of training: 6 hours (1 day)
Training & Consultant Investment: RM 3000.00 for a maximum of 20 participants.
Individual participants will be charged RM 180.00 per person.
Special arrangements can be made for nursing students.

This investment includes:
· Qualified Lecturer and Assistant
· Information materials
· Lecture materials
· Demonstration equipments
· Supplementary hand outs
· Certificate of Participation


Excludes:
· Accommodation
· Conference Room/Hall suitable for approx. 30 pax.
· LCD projector or rental of RM 50.00
· Writing Materials
· Mileage from the companies office to training venue (80 per Kilometer distance)
· Air passage and airport transfer where applicable.

Please Note the following conditions:

All arrangements on venue, accommodation, refreshments and meals for participants and trainer(s), equipments such as LCD projector, white board and flip charts will be borne by the inviting institution.

Terms:
Payments shall be made upon submission of the Invoice at the end of the training.

Training:
a) The training program will be conducted in an interactive mode. There will be team exercise, role-plays, presentations and individual work. Some individual work requires to be handed in to the trainers and management.
b) There will be Experimental Learning activities to facilitate learning and skills transfer to the workplace.
c) The materials used will be customized to the requirement of your institution. The focus is to understand immediately what has been shared with the participants.
d) The participants will be encouraged to use the trainers as mentors for guidance and evaluation of the knowledge.

MISCELANEOUS

The list of participants with their full names, sex, and NRIC number should be submitted to the Home Nursing Providers Sdn Bhd. at least TWO WEEKS before the start of the program to enable the timely printing of Certificates.

The time schedule mentioned in our programs is standard time schedules. Depending on the participants of the group and their skills the time schedule might need adjustment, this however does not affect the training schedule.

Reservations:

Reservations can be made through telephone, fax or e-mail to the address below.

Special condition: In case a registered participant is unable to attend the training, the institution can replace her/him with a substitute participant.

* The organization reserves the right to postpone or cancel the training program due to unforeseen circumstances

Home Nursing Providers Sdn Bhd.
34 Jalan SS 7/18 Kelana Jaya
473001 PETALING JAYA
SELANGOR D.E.

TEL: 03 7877 7202
Fax: 03 7877 8202
E-MAIL: nursing@hnp-mobilenursing.com


ABOUT THE LECTURER

Yakob Abdul Rahman Wilhelm Scholer currently works with Home Nursing Providers sdn bhd. He can look back to over 50 years of nursing experience.

Mr. Yakob came to Malaysia in 1963 and worked under the Catholic Welfare Services, visiting rural areas and providing medical service to the people in the vicinity of Ipoh City, Perak.
In 1967 he assumed the responsibility of the building and management of Hospital Fatimah in Ipoh.

His engagement to help Drug users and Alcoholics started in 1973 in Ipoh, establishing the Yayasan Pusat Pertolongan and Yayasan Alcoholisma Malaysia of which he was the managing director and principal therapist.

From 1980 to 1983 he returned to Germany to study Applied Psychology and was employed as a nurse in Federal Prison in Wittlich, and Daytop Germany.

On his return to Malaysia he re-assumed his previous positions and established Malaysia’s first Addiction Therapist Training Program, as well as the first all Female Drug Users Rehabilitation Centre in Kg. Bercham, Ipoh.
In 1989 after returning from the International AIDS Congress in Montreal he initiated Malaysia’s first Aids Awareness Committee, which developed into the presently known Malaysia’s Aids Council. The first Hotline on AIDS information was set up and was managed 24 hours a day, 365 days. Talks throughout the country and in all prisons in Malaysia were held by him.

Returning to Germany in 1990 Mr. Yakob worked and continued improving his knowledge and skills in the management of AIDS patients, Gerontological nursing and Mobile nursing; assisted in setting up, and later working in a Mobile Nursing Agency, Ambulanter Dienst Gesundheits-Pflege in MAINZ, Germany. Expanding his knowledge in the field of patients nursing management, he placed great emphasis on holistic nursing and decubitus (bed sore) prevention.

After returning to Malaysia in 2004, he was responsible for the setting up of Malaysia’s first “comprehensive and structured” Mobile Nursing Program: Home Nursing Providers Sdn Bhd of which he is still the Nursing Director and Nursing Consultant.

He was lecturing “Health Psychology” at the University Mara, Faculty of Health Sciences, at Jalan Othman Petaling Jaya.

Mr. Yakob has in the span of his work, visited countries all over the world, attending Seminars and International Congresses, presenting working papers and sharing his experience in the fields of Addiction, Psychology and Mobile Nursing.

He has attended various seminars and workshops in the field of prevention of decubitus the latest in January 2008 in Berlin Germany
Mr. Yakob is also the Author of the BOOK GUIDE TO NURSING AT HOME
The Author can be reached by e-mail: yakob@hnp-mobilenursing.com


Treatment and management of bedsore,MOBILE NURSING/DOCTOR available from. Home Nursing Providers
006 0378777202
nursing@hnp-mobilenursing.com
www.hnp-mobilenursing.com