The Hospital Visit Scale

Dear Readers:

Because of my many  trips to the hospital to visit family member or other loved ones,  I started to think about my variety of stress levels I experienced upon making an entry  or upon departing the hospital. One (1 ) being least stressful of visits, five (5) being most. My perspective is from being the primary caregiver of the hospitalized patient. General visitors are likely to be less stressed, except when they have first time entry into specialized units such as Burn Centers, Cancer Units, Pediatric NIC units.

 

I created The Hospital Visit Scale by Terry Prince 2016© to help visualize this.

 

hospital-visit-scale-v1

 

 

I am calling myself a Covert Hidden Hero. Covert because end stage caretakers of military disabled veterans are not necessarily the ones at the onset of a military disability.  From 2002 to 2013,  I served as my father’s primary caregiver. My father was a WWII veteran who lost his leg at age 20  (as well as hearing ability in one ear) in military service in 1944 from a V2Rocket while in Belgium.  He was British and in the RAF and deemed 80 percent disabled but was able to live a full life (marrying, pursuing a career in aerospace engineering, having 3 children, sailing and motorcycling). However in his late 70’s  his medical care became much more complex when his meniscus in his only “real” leg tore and he had to have surgery. In his later years he had stage 4 kidney disease with dialysis for 2 years (likely caused by high use of over- the- counter pain medication for his osteoarthritis in his remaining leg and normal use of prescription medicine when he had phantom pains in his missing leg), neuropathy, steroid induced type II diabetes and heart issues. My father in his last 4 years of life had an annual average of 2 major hospital visits (all exceeding 1 week), with follow on transitional care in rehabilitation facilities and follow on skilled nursing either in home or in a facility.  He had at least 12 doctors or specialist services  (primary PPO Doctor, Cardiologist, Neurologist, Nephrologist(kidney)  Pulmonary, Orthopedist, eye doctor, audiologist, dermatologist, US Veteran System Primary Doctor, Sleep Apnea Specialist, Wound Care Clinician, Anticoagulation Clinic)  as well as many revolving hospitalists each time he was hospitalized.  

Having experienced hospitalization exceeding 10 months of a loved one in many ways, in many different times and hospital settings, I feel confident that this scale reflects most of the instances of hospitalization. But I am open to suggestions, any thoughts out there?

 

 

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Filed under Caregiving, Client Management Strategies, Communication, Knowledge, Terms, Thinking

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