https://www.yenepoya.edu.

in
Yene(pMosry. Nathi NyaushrrseeinBgV)College
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 Unit VI: Progressive patient care

Presenter:
Ananda.S
Asst. Professor
Department of Community Health Nursing
Yenepoya Nursing College

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 Reviewers

Reviewer 1: Reviewer 2:
Mrs. Benazeera
Assistant Professor, Dr. Sasikumar
Department of Child Professor, Department of
Health Nursing
Yenepoya Nursing Medical Surgical Nursing
College Yenepoya Nursing
College
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 Specific learning objectives

At the end of the class students will be able to

• Define progressive patient care

• State the characteristics of PPC

• Enumerate the philosophy of PPC

• Discuss the benefits of PPC

• Describe the stages of PPC

• List down the steps in conducting PPC

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 Introduction

• The nursing care is delivered based on the patient

needs.
• The continued care of the patient is directed towards
the prevention of complications, rehabilitation and a
return to normal living
• A system of care in which patients are placed in units
on the basis of their needs.
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 Definition

The American Association of Critical Care

Nurses recognizes progressive care as part of

the continuum of critical care.
Progressive patient care is defined as nursing practice

based on the needs of the patient and the

characteristics of the nurse to attain optimal patient
outcomes.
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 Definition contd..

• Progressive care defines the care that is delivered to

patients whose needs fall along the less acute end of
that continuum.
• Progressive care patients are moderately stable with
less complexity, require moderate resources and
require intermittent nursing vigilance.

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 Characteristics of PPC

Decreased risk of a life threatening event,

A decreased need for invasive monitoring,

Increased stability and

An increased ability to participate in their care

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 Philosophy of PPC
Initially, progressive care units housed post
myocardial infarction patients requiring cardiac
monitoring, but not requiring intensive care and
observation.
With changing healthcare environment,
the
acuity of the patientsadmitted to hospitals
increased and caused an increase in the demand for
steadily
critical care beds.
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 Philosophy contd..

With the increased demand and decreased

availability of critical care beds, patients were often

transferred from critical care units while still requiring
an increased level of nursing care and vigilance.
Patients admitted to critical care units five to ten

years ago are now routinely admitted to progressive

care.
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 Philosophy contd..

• Progressive care is the term the American Association

of Critical‐Care Nurses (AACN) uses to collectively
describe areas that are also referred to as
Intermediate Care Units, Direct Observation Units,
Step‐down Units, Telemetry Units, or Transitional Care
Units as well as to define a specific level of patient
care.
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 Benefits of PPC

Patient

Benefits
Hospital Nurses
of PPC

Physician

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 Benefits of PPC- Patients

The patient receives the specialized

care.
The patients who are not critically ill are

not deprived of nursing and medical

attention.

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 Benefits of PPC- doctors

The physician is given a greater assurance that

his patient is receiving a high quality nursing

care.
Emergency treatment if necessary is in the

immediate vicinity.

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 Benefits of PPC- nurses

The nurse makes an effective use of her

special capabilities.
The problem of providing services by the nurses to
critically ill patient is reduced when the patients are
divided to various groups according to the degree
of illness.
It helps the nurses to plan the nursing care for the
patients better as the needs are of almost same
degree in each unit.

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 Benefits of PPC- hospital

The beds, physical facilities, supplies and

funds available may be used efficiently.

Improves public image of the hospital
incommunity.
Home care program as a part of PPC helps the

hospital to coordinate its activities with the

community health and social services.
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 Stages of PPC

1. Intensive care,

2. Intermediate care

3. Minimal care.

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 Intensive care unit

Type of Patients :-
Any patient in a serious
Type of ICU :-
condition who has the
Generalized ICU
slightest chance of
Specialized ICU
recovery.
It is desirable not to admit

patients here who are in

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the terminal stage of
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 Intensive care unit

Equipments:
Sound-proofing and
ICU Layouts: Air Conditioning.
Patients Area Centrally Placed
Ancillary Area Nurses’ Station.
Auxiliary Area Sterile Equipments like Trays
etc.
Piped Oxygen and
Piped Suction
Apparatus.
Multi-parameter
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 Intensive care unit

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 Intermediate care unit

For Moderately ill Patients or Palliative Care.

May also have patients transferred from ICU.

Itaccommodates 60 – 70% of total

hospitalized patients.
 A large number of patients are admitted
and discharged directly from this unit.

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 INTERMEDIATE CARE UNIT

Intermediate Care Layout: – Ancillary

Area •
Nurses’ Station
Bed Arrangement – • Clean Room

Single, Double and 4-6 • Treatment

beds in a room. Room, etc.
– Supportive Area, like:
• Clinical
Teaching Room
• Side Laboratory
• Doctors’ Room, etc.

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 Minimal care unit

Can be classified into

Self Care

Long Term Care

Home Care

Ambulatory
Care

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 Self care

For Ambulant and Self Sufficient Patients.

Primarily for Supervisory or Health Education
purpose.
More of Home Like Environment as patients for
diagnostic procedures, special treatments (like
radiotherapy) or preparation for major surgery are
admitted.
Helps in easy transition of Patient between Hospital &
Home environment

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 Long term care

For Restorative or Rehabilitativecare.

When care is required fora Prolonged Period.
Nurses’ Role :
Serves as administrator.
Coordinates care provided by others.
Provides direct care
Makes referrals.
Teaches patient and family.
Plans, implements and evaluates plan of
care.
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 Minimal care unit- home care

For Preventive and Promotive Care of the

Community.
Hospital based Home Care programs for

patients can best be cared at home with

extended services from the Hospital.

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 Nurses’ Role in home care

Assesses home environment and patient.

Develops relationship based on mutual trust.
Provides direct care.
Plans, implements and evaluates planof care.
Makes referrals.
Teaches patient and family and provide support
to them.

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 Minimal care unit- ambulatory care

Care of the ambulatory patient requiring

diagnostic, curative, preventive and
rehabilitativeservices.
Categories:

General Outpatient

Referred Outpatient

Emergency Outpatient
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 Steps in introduction of PPC

1. Familiarity with the PPC 6. Formulation of Policies

2. Development of 7. Provide Flexibility

Team work 8. Adequate Staffing
3. Evaluation of 9. Instruct Patients
Needs
10. Inform or Communicate
4. Orient Staff
Public
5. Estimation of
Costs
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 Summary

Progressive patient care

• Definition

• Characteristics

• Philosophy

• Benefits

• Stages

• Steps in introduction of PPC

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 Evaluation

• Define progressive patient care

• List down the benefits of PPC

• Discuss the steps in introduction of PPC

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 Conclusion

• PPC is a system of nursing care in which patients are

placed in units on the basis of their needs for care as
determined by the degree of illness rather than on
the basis of a medical specialty. Organization of
medical and nursing care according to the degree of
illness and care requirements in the hospital

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 Assignment

1. List down the objectives of PPC

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 Reference
s
1. Basheer SP. A concise textbook of Advanced nursing
practice. Emmess. Bangalore.
2. Potter, Perry. Fundamentals of Nursing.

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