WHO conducts awareness campaigns, each year focusing on an issue. Here we are looking at the World Blood Donor Day Campaign and focus this year is to ensure safe bold for saving mothers. The pregnancy and childbirth related complications are high and India ranks highest in neonatal and maternal deaths. One major cause of being severe bleeding after childbirth. The WHO campaign this year focuses on timely access to safe blood and blood products is essential for all countries ad a part of comprehensive approach to prevent maternal deaths. History about blood donations. The first successful blood transfusion was accomplished in 1818 but as the knowledge and research was insufficient there were failures. It was only 80 yrs later that the variation in RBC was discovered. With this discovery came the procedure of matching blood before donating it. the blood groups are A, B, AB and O then came the discovery of the Rh or the rhesus factor, which came up with +Rh or –Rh grouping. During the World War I the issue was preserving and transporting blood, for the soldiers, the process of effectively preserving, transporting and transfusion blood was achieved only during the 2nd world war. Major cities of United States saw blood banks in 1947 and blood donation was campaigned as a civic responsibility. Centrifuging and freezing of the blood now allows us to use each element to treat different disease. With all this advancement we have new regulations governing the donations and transfusion of blood as it has been identified as the pathway of transfer of Hepatitis C, HIV and other diseases. Human blood is precious and cannot be manufactured outside the human body. Millions of times each year, human blood is required to save the lives of people who suffer from disease or who are victims of accidents. WHO commemorates June 14th as world blood donation awareness day.
Health care transportation is a systemic process by which patients, critical materials like specimens pharmaceutical supplies and medical records are transported through multiple touch point within a healthcare organization or between healthcare organisations. In which health care during the transition plays a major role.
Healthcare in transition is the movement of patient between the healthcare settings. This particularly in the elderly becomes exacting.
When we talk of health care in transit we are addressing three different areas here.
• The care of a patient when being transported from one destination to other
• Patient information being handed from within organization and from the primary care centre to the health care centre.
• Transportation of specimens or health care products from research or production site to destination.
The increase in life expectancy increases chronic disease and the burden of care giving also proportionately increases. As extensive hospitalization would mean emotional disturbance to the patient and uptake of hospital resources to more acute cases the need to reduce the number of hospitalization days has come about.
Decreased days of hospitalization does not mean decreased healthcare cost. For this has given rise to the need for post hospitalization physician, professional caretakers, physiotherapists, after care and rehabilitation institutes.
Germany is one country which has tackled this by creating a chain of healthcare centres appropriately equipped, and covered with health care insurance. The government has made provisions for long-term professional homecare and assignments are made depending on the severity of need.
The transportation of patients involves transformation of information which is understandable to the healthcare expert who takes over. This not only becomes complex but there is also a need for standardization. Standardization would mean
• Information between the healthcare practioner and hospital should be precise and should mean the same thing to both.
• Checklist from the healthcare practioner,before handing the patient to the hospital
• Checklist for hospital discharge.
• Standard transition form
• Short but precise, standard discharge summary that is legible.
Many practioners tend to use their own check lists or short forms causing miscommunication. Standardization helps to overcome this.
A discharge interview is important so that both the patient and the caregiver are aware of the level of care giving needed.
In geriatric cases in addition to hospital and care centre maintenance of the patient’s independence also is an issue. Helping the patient retain his/her independence would mean helping him/her maintain his/her dignity. Curb to curb transport facility, home to destination care becomes important.
WHO has adopted towns worldwide as senior citizen friendly towns, these are designed to let senior citizens walk by placing open spaces with sitting felicities. A chain of emergency healthcare felicity is also provided with the citizen being assigned the nearest centre.
To be continued…