Protecting Sleep in the Hospital, for Both Patients and Doctors • Hacker News Board

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#111

Post by Engineering-MD » Thu, Jun 06, 2019, 2:30 AM UTC

bregma wrote: post #80

Engineering-MD wrote: post #43

I’m a doctor and I agree lack of sleep is a huge problem for inpatient care. I (and most of my colleagues) try to avoid waking patients wherever possible. The main reasons I need to wake patients at night is: a) they are unwell. This is unavoidable b) recanullating for fluids/medication that need to be administered overnight. c) for new admissions I need to do more routine tasks (ensure regular meds are prescribed in…

> often shout at dead patients so they can hear me Do they usually respond? Have you ever had a reply "from beyond"?

It was a typo to deaf, but you do actually have to confirm death by checking a lack of response to loud verbal stimulus. Never had it when I thought someone was dead not respond to voice, but I have had it where they only responded once we started chest compressions.

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#112

Post by Engineering-MD » Thu, Jun 06, 2019, 2:32 AM UTC

koboll wrote: post #74

Engineering-MD wrote: post #43

I’m a doctor and I agree lack of sleep is a huge problem for inpatient care. I (and most of my colleagues) try to avoid waking patients wherever possible. The main reasons I need to wake patients at night is: a) they are unwell. This is unavoidable b) recanullating for fluids/medication that need to be administered overnight. c) for new admissions I need to do more routine tasks (ensure regular meds are prescribed in…

I don't know why hospitals don't invest in the very same technology I use every night as a downtown urban area dweller to stay asleep -- a sleep mask, and headphones with a continuous stream of pink noise. I can sleep through pretty much anything in that cocoon, and I'm a fairly light sleeper.

They probably should, but being in a public health system I don’t think funding will be improved (although it would be a worthwhile investment!)

Re: Protecting Sleep in the Hospital, for Both Patients and Doctors

#113

Post by lazyasciiart » Fri, Jun 07, 2019, 12:33 AM UTC

Theodores wrote: post #41

lazyasciiart wrote: post #30

Earlier quoted context omitted.

> ave had discussions about this with plenty of people and the idea of customer service in healthcare is poo-pooed. Is there anywhere in the world where it has been given a try? I spent several days in hospital for surgery as a teenager in Australia and my parents (with private health insurance) paid for me to have a private room, which I remember as being pretty comfortable and not filled with interruption. On the o…

Nice parents! But what if you were born into a family that were not able to look out for you? From the sibling comments I get the feeling that people in countries where private health insurance is needed that the concept of healthcare for all is not imaginable. I was writing in the context of the NHS, as introduced by the Labour government in the post WW2 UK when Britain was broke and broken. It goes against the NHS…

Australia has publicly funded healthcare for all. If my parents hadn't been able to pay for extra, I would have had the same operation in the same hospital in a room shared with someone else.