It is common for hospitals to evaluate PU rates through prevalence surveillance methods.
Prevention of PUs in acute care hospitals is certainly not new, but it is an area of heightened focus and several recent papers report efforts to reduce or prevent HAPUs ( Armstrong et al., 2008 Chicano & Drolshagen, 2009 McInerney, 2008).
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Physicians often see PU detection and prevention as a nursing issue and fail to include this data in their discharge summaries, which are used by coders for billing purposes. However, this may be a serious underestimation of the problem, because physician discharge diagnoses may not include presence of a PU even when the patient has a Stage III or Stage IV ulcer ( NPUAP, 2001). In 2007, CMS reported 257,412 cases of secondary, Stages III or IV PUs, at a cost per case of US$43,180 ( CMS, 2009). PUs documented in hospitalized patients are often a secondary diagnosis rather than the primary reason for hospitalization ( Armstrong et al., 2008). Private insurers are also adopting these reimbursement restrictions ( Mattie & Webster, 2008). Since October of 2008, hospitals no longer receive higher Medicare payments related to the ulcer specific care of patients who acquire Stages III or IV PUs during their inpatient stay. Pressure ulcers (PUs) acquired during hospitalization, evaluated as either Stages III or IV are considered among the eight preventable conditions identified by the Centers for Medicare and Medicaid Services (CMS) ( Centers for Medicare and Medicaid Services, 2009). This is stimulated in part by new state and federal initiatives that impact mandatory reporting and reimbursement for these conditions that have in recent years been defined as avoidable or “never events.” In the state of Washington, mandatory reporting to the Department of Health of Stages III and IV hospital-acquired pressure ulcers (HAPUs) began in 2006 ( Washington State Deparment of Health, 2006). In acute care settings, there is increasing focus on preventable adverse events in an effort to improve patient safety, reduce medical errors, and meet regulatory requirements. Comparison of 1993 to 2006 data indicates an increase of 86.4% in hospitalizations where PUs were noted ( Russo, Steiner, Spector, 2008). Bear with me.Chronic wound, including pressure ulcers (PUs), are a growing concern in healthcare delivery. ~ Unfortunately, I am both a perfectionist and a procrastinator, and so between that and managing my various disabilities/problems, I am not always good at answering messages or updating quickly. ~ A massive (multi)shipper, but not ever a fan of wars or bashing. ~ Harry Potter nerd (Hufflepuff primary, Ravenclaw secondary) ~ Writer (mostly of fanfiction at the present, but hopefully also of original works in the future.) ~ Black Lives Matter (if you're a bigot of any stripe, just.leave) ~ I have white and cis privilege, but I try to be the best ally I can in these areas. ~ Physically disabled, suffer from constant, chronic pain and depression, and possibly un-diagnosed anxiety. ~ I'm a cis woman, so you can use she/her pronouns when referring to me.
HAPU BATTLE SERIES
so really, this would have been a tough battle for ash no matter which pokemon he chose (and since i’m pretty sure his next pokemon is going to be a meltan, and the other pokemon he’s had on his team was poipole (and perhaps you could count solgaleo into this as well)….basically, ash’s team as a whole has a serious weakness against ground types in this series XD) rowlet would be the superior choice by type (plus mudsdale’s ground moves wouldn’t be able to affect rowlet), but then again, it’d still be running into the problem with stamina raising mudsdale’s defense, bc as far as i’m aware, all of rowlet’s moves are physical (plus…idk if a clear distinction has been drawn between physical and special stats in the anime?).
“hapu’s giving this battle all she’s got”, huh? idk, i think it’s been pretty lackluster so far, especially after the incredible rival battle we got from ash and gladion, and even the brief battle between ash and kiawe….but here’s hoping it’ll pick up soonĪlso, as far as ash choosing pikachu for this battle against mudsdale….yeah, it’s a bit of a stupid choice, but in all fairness, torracat and lycanroc would both have a type disadvantage as well.
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