3/26/2013 Shouldice Hospital Limited (Abridged) Summary of case discussion Indicators of success • Profits – Revenue = 7600 * (320*4 + 650 + 300*20%) = $15 mil. – Costs = $8.5 mil for hospital + $3.5 for clinic $ $ – Profits = $3 mil • Word‐of‐mouth advertising – Afraid of advertising for fear of generating too much demand • Backlog of demand – Currently 2400‚ growing at 100 / 6 mo. • High percentage of doctors as patients • L Low recurrence – 0.8% vs. 10% at other hospitals
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surgical hospital which specializes in external abdominal wall hernia repair with holistic recovery services. The Shouldice facility located near Toronto‚ Canada‚ was founded by Dr. Earle Shouldice in 1945 and is the world’s leading center of excellence in abdominal hernia repair. Shouldice Hospital employs nearly 160 employees with an average tenure of 10 years. Shouldice Hospital‚ with an 80% referral rate‚ conducts more than 7‚000 hernia surgical repairs annually with a 99.5% lifetime success rate
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A sports hernia is a tear in the muscles of the groin. This commonly occurs in high level athletes that are involved in twisting or turning activities at full speed‚ such as soccer‚ hockey‚ lacrosse‚ baseball‚ track‚ and basketball and football players. Typically this injury occurs from hyper-extension of the abdomen with hyper-abduction of the thigh. Patients with groin pain that occurs following an athletic activity are evaluated with rest‚ analgesics and anti-inflammatory medications. If symptoms
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septic fluid from a confined tissue space in the body. An incision is made‚ and any necrotic tissue is removed. The wound is irrigated‚ loosely packed and left open to heal. If necessary‚ a drain is inserted. Incisional Herniorrhaphy- (Aka ventral hernia) Where fat or viscera may protrude through the scar of a previous abdominal surgical site. Inguinal Herniorrhaphy- The repair of a protrusion of abdominal contents through the inguinal canal. Insertion of Insfusion Cathethers/Ports- To access
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Umbilical Hernia‚ Pediatric An umbilical hernia is when a section of your child’s intestines pushes through a small opening in the muscles surrounding the belly button. This can happen when a natural opening in the abdominal muscles fails to close properly. Most umbilical hernias close over time. If the hernia does not go away on its own‚ surgery may be necessary. There are three types of umbilical hernias: • A hernia that can be pushed back into the belly (reducible). • A hernia that cannot
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First‚ diaphragmatic hernias can either be congenital or environmental. Congenital hernias happen due to a problem in the development of the animal embryo. Environmental diaphragmatic hernias are often traumatic and they occur at a larger rate than congenital diaphragmatic hernias do. The condition observed was a traumatic diaphragmatic hernia. A traumatic diaphragmatic hernia occurs when the diaphragm is unsettled to the point that the stomachic organs move up into the chest cavity. Usually‚ the
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Case Study 1: Shouldice Hospital Limited 1. What has the leadership of Shouldice been excellent at? Shouldice leadership has been able to develop one of its surgical service lines‚ inguinal hernia repair‚ to an “internationally-recognized” brand. This has allowed Shouldice to dominate the market share and create a demand for its specialized services resulting in financial stability. The creation of this brand also has a strong influence with how the organization functions and how it is perceived
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surgeon-in-chief and chairman of the board of Shouldice Hospital Limited and under his leadership‚ the volume of activity continued to increase‚ reaching a total of 6‚850 operations in the 1982 calendar year. And primaries represented approximately 82% of all hernias operations performed at Shouldice in 1982. It has been very successful. And now it tries to meet people’s needs and make this as good a place to work as possible. It has been a comfortable place for patients to stay. During their stay‚ patients were
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experienced hernia operation in Shouldice‚ can return their normal daily lives much before the other patients that had experienced the similar operation at other hospitals. And the recurrence rate for all operations performed at Shouldice is about 0. The Unique Selling Point of the Hospital “There is No Substitute for Experience”. Shouldice Hospital has been dedicated to the repair of hernias for over 55 years. The trained team of Shouldice Hospital surgeons have repaired more than 300‚000 hernias with
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Assignment 3.2- Assessment of organs of pelvis The presenting complaint: Patient reports that he is unable to pass urine independently therefore a suprapubic catheter had to be inserted. Nursing diagnosis based on your findings: Impaired urinary elimination related to anatomical obstruction as evidenced by inability to void independently and presence of suprapubic catheter. This assessment has been adopted from Weber‚ Kelly and Sprengel’s (2010) Health
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