St. Peter's Hospital used the Mission Statement as a foundation upon which to build a new "Least Restraint Policy." The Mission Statement guided the change process by assisting us to 1) identify the need for change, 2) identify the values and beliefs on which a new policy should be based, 3) identify the need for interdisciplinary planning, and 4) identify the need for staff and family education before implementation of the new policy.
This article describes a small (38 bed) tertiary mental health facility in the community developed as part of the downsizing and replacement of a large provincial mental hospital in British Columbia. Development took place in two phases: an initial pilot project comprised of 12 beds in two open units (1994-2002) and the subsequent rebuilding as a 38 bed facility which included two secure units (2002 - present). The project has attempted to demonstrate the feasibility of integrating a rehabilitation focus into a program that treats some of the most difficult patients. The planning process and philosophy, the patients, program and staffing are reported, together with the informal results from phase 1 and some of the early results from a formal 5-year evaluation of phase 2.
Organization of health care for victims of radiation accidents requires well-adjusted organizational activities, including an inpatient clinic with well-equipped reception, dosimetric, karyological and bacteriological laboratories, an intensive care department, a surgical (burn) department, a blood transfusion laboratory and equipment for plasmapheresis and hemosorption. Therapy of such patients should be developed along the following lines: 1) prevention and therapy of infectious complications: 2) blood cell substitution therapy; 3) bone marrow transplantation; 4) detoxicating therapy; 5) correction of water-electrolyte metabolism; 6) therapy of local radiation injuries.
In this study +the purpose to improve diagnostic precision in preclinical forms of late toxemia, the central and peripheral circulation and hemostasis have been evaluated in women during their four day-stay visits scheduled for a pregnancy. Transition of normal pregnancy to "++pre-toxemic" was most commonly seen in the second trimester. Platelet counts and levels of fibrinogen and beta-fibrinogen proved to have the highest predictive value. A decision-making rule was designed for categorization of pregnancies into normal and "++pre-toxemic" and was found to have a 90% efficiency.