high-dependency care

high-dependency care

An intensity of patient care and monitoring,below intensive care, which is intended for early detection of serious problems, detailed monitoring and control of symptoms.

Equipment
Pulse oximeter, non-invasive blood pressure monitor. Immediately available equipment includes EKG, nerve stimulator, some form of thermometer, capnograph.

High-dependency care

• Pregnancy-related:
• Women who require hourly monitoring.
• Severe pregnancy induced hypertension.
• Eclampsia.
• Severe antepartum haemorrhage.
• Major primary or secondary postpartum haemorrhage.
• Post hysterectomy following post-partum haemorrhage.
• Elevated Maternity Early Warning Score.
• Severe infection/sepsis.
• Sudden unexplained collapse.
• HELLP Syndrome (haemolysis, elevated liver enzymes and low platelet count).
• Disseminated intravascular coagulation (DIC).
• Uncontrolled diabetes.
• Certain cardiac, pulmonary, neurological or renal disorders.
References in periodicals archive ?
They first address general principles, including surgical biology and pathology, surgical approaches and technologies, risk assessment and prognostic indices, perioperative care, patient-reported outcomes, intensive and high-dependency care, anemia, hypovalemia, edema, cardiovascular pathophysiology, pulmonary and renal insufficiency, surgical infections and infestations, nutrition, interventional radiology in general surgery, trauma, and head injuries, then general surgery for disorders of specific organs.
In the pod, paediatric nurses will provide progressive and high-dependency care, while ICU nurses will provide ICU-level care.
The CQC said staffing levels were in line with those on a paediatric general ward - one nurse for every four children over the age of two during the day - but they should have been one nurse for every two children for high-dependency care.
Babies under 2lb 3oz who are well enough to be moved to high-dependency care also need close monitoring with no more than i two to every nurse.
Warwick Hospital has five intensive care beds, and will use the money to buy four high-dependency care beds for patients no longer requiring total intensive care.
High-dependency care is the next level down and is used for patients with single organ failure or those who need close monitoring.
Guidance from the BAPM advises the nurse-to-baby ratio should be 1:1 for babies requiring intensive care, 1:2 for babies requiring high-dependency care, and 1:4 for special care babies.
Consultant-led obstetric services will continue at Bronglais, Glangwili and Withybush and paediatric high-dependency care will be centralised at Glangwili.
The investment will create more capacity, especially for high-dependency care and post-operative support.

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