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2013‐03‐01
1
Co produktion - our reality
Dialysistreatment
Building a pavillion
Daily process
Learning together
network
Having fun
StructureSafety
FlexibilityHumor
Patient supportE health
CVHome HD
Sucessfactor: Individual concept
Self confidence
++++ effects
Patient examples
JonkopingAcademy for
Improvement ofHealth and
WelfareGMP
ManualsCompaniesLabouroffice
Qulturum
DesignWorkingtogether
goals
2013-03-01
Anette Abrahamsson Britt Mari Banck Patrik Blomqvist
Dialysis treatment
2013‐03‐01
2
How it started
2013-03-01
structure/safety/flexibility/humor
2013-02-28
2013‐03‐01
3
The Self‐Hemodialysis Staircase©
Out‐patient clinicEmergency carePeritoneal dialysisAssisted HD
Visitor at the Self‐Dialysis unit, receiving information about self‐dialysis.
”Dresses” and primes the machine at start‐up, with some supervision. Write protocol.
Manages the machine at start‐up and conclusion with supervision. Gets help with inserting needles or handling the CDK.Cleans up. Manages alarms.
Manages the machine independently. Inserts and withdraws needles/ manages CDK with some assistance.Cleans up.
Manages everything without supervision.Home‐HD
The staircase is not static. Changes can go both upwards and downwards depending on the patient’s condition and motivation. Training and information is provided along the entire staircase.
2013-03-01
(ange enhet via Infoga sidfot)
Building a pavilion
2013‐03‐01
4
2013-02-28
What is the perfekt dialysis pavilion?
Pavilion
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Co learning with patients -improveing health care
2013-02-28
• To come together is the beginning• Remain together progress• Working together is sucess• Positive impact – medically,
socially and emotionally
Co learning with patients
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• What means the word for us ?
• Why is it important?
• How do we createco – produktion?
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2013-02-28
Excellent design
Testing machines
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Goals we want to achieve
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• 75% in self care
• Patientsafety
• ”Good housekeeping”
• Satisfied patients
2013-02-28
Success factors
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8
A human being - not only a diagnosis
2013-03-01
(ange enhet via Infoga sidfot)
• Attitude – atmosphere
• Listened to
• Be taken seriously
• Feel safe - finding confidence
Partnership
2013-02-28
• Team in a honest and changing dialouge
• Enable them to be an active partner in care
• Competent staff are crucial
• Goals – need to be mutually agreedand realistic
2013‐03‐01
9
2013-02-28
Anette Abrahamsson Britt Mari Banck Patrik Blomqvist
Daily process
Patientsupport
2013-02-28
Anette Abrahamsson Britt-Mari Banck Patrik Blomqvist
Improve support for patients with chronic disease
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10
Learning café
2013-02-28
Anette Abrahamsson Britt-Mari Banck Patrik Blomqvist
• Name: • Run their own dialysis treatment
during:• Knowledge acquired• Cooperation/kommunication• Development area• Responsibility• Participated in the following projects• References:
Circulum Vite
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11
2013-02-28
Anette Abrahamsson Britt Mari Banck Patrik Blomqvist
Learning together
Together with….• Baxter: operation agreements.www.baxter.se
• Nordic MedCom: NxStage-HHD www.nordicmedcom.se
• Qulturum: education/develpoment. www.lj.se/qulturum
• E-hälsa: Mina Vårdkontakter. Qulturum/Callista (callistaenterprise.se)
• Labour Office: CV/patient support
• Jonkoping Academy for Improvement of Health and Welfare. www.jonkopingacademy.se
• Renal Association, Småland www.njurforbundet.se
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2013-02-28
Anette Abrahamsson Britt Mari Banck Patrik Blomqvist
+++++ effects
Effects
2013-02-28
2013‐03‐01
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2013-02-28
Anette Abrahamsson Britt Mari Banck Patrik Blomqvist
patientexamples
Di
DIALYSIS
LIFE
1999
Dialysis
LIFE
2011 ‐
2013‐03‐01
14
1999
Dialysis 3 times/week Monday, Wednesday and FridaySpecific times. At dialysis 7.30am, finished at around 13.00pm
You lay in your dialysisbed and aretaken care of by a nurse
It is the nurse´s problem to make sure I feel good
Difficult to find time for his job
2011
Dialysis 5-6 times/week. 2-3 daysdialysis than free and again dialysisfor 2-3 days.
Decide which days and do dialysiswhen it suits me
Manage everything by myself
It becomes my problem to make sure I feel good
If I want to ”live life” at some point, it is me who must bear the consequences of this
Can work as usual( 50%)
Thank you
Have a nice day !