Welcome back to the course vigilance during the hospital stay of a loved one. Here is an outline for the second part of the course related to alertness, which has to do with certified nurse aides attentiveness related to social workers and case managers and finally watch for less related to hospital environment. CNAs our certified nurse aides are there to obtain vital signs such as blood pressure and temperature, but they're also there to help with the overall hygiene and basic needs of the patient, such as providing toothbrush, toothpaste, and such basic needs and also helping with bathroom needs. The aides can help us communicate with the nurses when needed and they can also fulfill some simple requests, one has to be alert about the vital signs that the CNAs obtain from the patient. Now, let me mention about social workers and case managers. Social workers can be helpful in providing necessary information.

When the patient is admitted and when he's discharged. He or she, they can provide valuable names addresses, contact information for durable medical equipment for assisted living, for nursing homes, for home health and other resources. Now case managers are the ones that know or they can find out more about the medical insurance benefits and in network and out of network benefits of the patient according to the insurance Children's coverage, one has to be attentive to what social workers and case managers have to mention about the patient's case. hospital environment which has to do with watchfulness. Finally, in this last topic of the second course, let me focus on hospital environment in the US as it is expected in any part of the world. The hospital environment is very conducive to well being, recovery and healing of the patients from the ailments they have been suffering.

And that has to do with the medical staff including doctors, nurses, CNAs lab personnel therapists have, doing what they can towards that healing and well being of the patient. in such an environment it is easy to be carried away. And the thing that no input is needed except for the patient or His or her family member or friend asking questions such as what is next or when Can he or she be discharged. However, there are several aspects of the stay in the hospital that can be inquired upon this cursed and even challenged under the right circumstances and with sensible motives, and right motives are simply be recognized for the sake of the well being of the patient. One need not be of medical background to be curious about simple changes in the course of a treatment, or to be involved in the discussion of the list of differential diagnosis.

That is the process of ruling out other causes of disease with similar signs and symptoms. Although it certainly helps to be of medical or scientific background, curiosity, and basic observation skills can also do the job of being visualized. vigilance is of utmost importance when the patient is in the hospital setting. It may mean a turn in the course of the condition of the patient to the better to the worse. In this aspect, patience is very important for both the patient and the patient's family and friends, as only the doctor knows the best time to release the patient. For a complete recovery at home, one has to be watchful while remaining in the hospital environment so as to not to interfere with the patient's recovery.

In the next few parts of the course I will go over several different scenarios in which communication, discussions, inquiry and accumulation of knowledge of all help in the recovery and well being of a patient