Caregiver Evaluation: Fill & Download for Free

It will force more businesses to perform a first hand experiment with employees working from home. Not all positions or employees are a good match for that, but it’s going to get attention.Tele-medicine (caregiver evaluations via video conferencing) will get a boost. Again, not appropriate for everything, but more people and organizations will get first hand experience with this.As a society we face a question - what are we willing to do/have done to contain such problems? People have noticed China’s success with containment and linked it to great authoritarian central power. I’ve seen a state governor issuing orders for various private businesses to stop (e.g.: restaurants to stop dine in service, only doing carry out, drive through or delivery) that I didn’t know governors had power to do.The pandemic made us aware such things can happen, and may from time-to-time going forward. Some fields (e.g.: restaurants, movie theaters) are very vulnerable to this. What happens to the cruise ship industry, which I understand is mostly shut down world wide for a month or two (per plan so far)?A lot of pressure to create systems that develop vaccines rapidly.The need for more societal cooperation may feed into the leftist worldview, but the perception that in a crisis you’d better be ready to look out for yourself will feed into the right (e.g.: gun ownership, be ready to protect what’s yours).The government will be caught between a rock and a hard place; be lenient in restrictions and get blamed for escalation, be strict and get condemned for government overreach, keeping people away from their jobs, etc…The huge loss in productivity comes at a bad time. I hear many states have pension system that were in bad shape before this. Going forward? And what about the National Deficit and Debt?

This answer may contain sensitive images. Click on an image to unblur it.When I first saw this question, I thought:“Oh, I could answer that— I worked in hospice for years, and met so many people. I’ll put this question to one side, then give a decent answer later, when I have a chance”.It bugged me for days that no answer to this popped up in my head. All that experience, all those hours of conversing with folks who were dying, why didn’t it just come to my mind?I finally realized that most hospice patients don’t talk about regrets at all. (They have something that is a top issue like regret, and I’ll get to that shortly).In ‘hollywood’ style death scenarios, it’s pretty common to have some character saying ‘I wish I would have told her the truth… (thud)’ or other examples of regret. One would imagine hospice patients voicing regrets, but usually…. they don’t.Real life hospice patients think differently. They’re not forming new resolves over how to be and how to deal with issues going forward. They’re dealing with evaluating, not re-evaluating. This time of life is unique in that respect.Hospice nurses know about, and talk about, a patient “doing the work”. That ‘work’ is about acceptance of their life experience as it was and is. They are doing the “letting go” they need to do.The one thing that is close to a regret, or mimics regret— the most common ‘disturbance’ that muddles “doing the work”, is almost always the same thing: Unforgiveness.The “I will NEVER forgive (insert name or relation here)” sentiment is the most common anchor to the past that hangs up their “progress”. Generally, any regret that resembles “Could’a, should’a, would’a” is totally irrelevant to their present.Refusing forgiveness to some person— that is the top active ‘regret’, their grappling partner, the thing they wrestle with. Sometimes, they reveal it and let it go, sometimes, perhaps not.When they do resolve, forgive, and let go, it’s beautiful.(PS: Thanks for receiving this so well. Here’s an example of that regret working out in a hospice patient’s life: Steven Bobulsky's answer to As a doctor or nurse, has a patient ever made a deathbed confession to you?)

Every hospital in the US has to have a disaster plan. So, whenever there is some sort of mass casualty event there will be a guideline for how to respond and what to do in any given situation. One of the things that most people don’t know (unless you have a military background) is there is a special triage guideline in a mass casualty event that necessitates neglecting gravely injured patients.Triage means to sort, and that is exactly what happens when you walk up into an emergency department. You are rapidly evaluated by a nurse or a mid-level provider and sorted based upon your perceived acuity. If you have a imminently life-threatening issue, you will get pushed ahead of pretty much everyone else in queue. The same thing happens in the field. The patients are rapidly assessed and then sorted into categories. Because the definitive care isn’t being delivered at the scene, they are being sorted into categories that correspond with how rapidly they need to be evacuated out. The categories are Red, Yellow, Green, Black and a special category called Yellow Prime. I will try to recall a specific patient in each category from a tornado to illustrate.Red patients have life-threatening problems that need definitive care within an hour. This would be a patient that we cared for that had a large piece of metal that was impaled in his torso. His vital signs were stable except for the fact that his heart rate and respiratory rate were elevated. He needed to go to surgery quickly and was among the first taken from the scene.Yellow patients have potentially life threatening problems. This would be the teacher that was shielding her students with her body at the grade school when the cinder block wall collapsed on her. She had an obviously broken lower leg but seemed to have no major torso injuries and her vital signs were stable. Sometimes patients in this class suddenly deteriorate and they require fairly constant re-evaluation. It is easy to miss a spleen injury for instance.Green patients are sometimes called the “walking wounded”. They have minor injuries and can wait for transportation until everyone else is cared for. Sometimes they can get themselves to the hospital. This would be the patient that has ruptured eardrums after the event and a number of lacerations with venous bleeding that are almost certainly going to require sutures.Black category patients are obviously dead. They are not going to be transported.Yellow Prime patients are a different category. These are patients with lethal injuries which are judged to be incapable of saving. They are dying but not dead yet. They are transported last, if at all. Usually, by the time everyone else is cared for, they have died. A hypothetical example of this would be a child that was brought up to the triage area by a rescuer. She was removed from the rubble and she was found to have a massive, open head injury. She had agonal respirations, a thready and evaporating pulse and impossibly pale skin. She would be evaluated, tagged with a yellow prime, visible triage tag and laid gently on the ground with the other yellow prime patients. The team would then move on to the other patients. In general, these patients won’t get re-evaluation.It can be very hard to understand that in these situations, it is all about the provision of the very limited resource to the patients with the very best chance of recovering. The other thing to know is that injured caregivers or rescuers tend to take priority as well. Not to say that a sprained ankle on a firefighter will trump an impalement. However, a firefighter with crushing chest pain might.