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The fact, however, that only 33 participants responded renders the sample small and detracts from its reliability making it difficult to replicate to other instances. This renders the outcome measures unreliable. (2006). The AACN Synergy Model for Patient Care. Retrieved November 15, 2006, from http://www.certcorp.org/certcorp/certcorp.nsf/vwdoc/SynModel? Opendocument
On the other hand, similar online and offline research, both quantitative and qualitative, time and again, indicates the importance of communication in terms of hospice patient care. Cancer patients, it is shown, too profit from improved doctor-patient communication (e.g. Jaffe & Ehrlich, 1997). Studies and experience indicate the importance of the hospice nurse possessing excellent interpersonal skills with the patience and ability to listen to their patients and to help them through their challenging time. Elisabeth Kubler-Ross, for instance, time and again reiterated the importance of excellent clinician-patient communication skills in all processes of their dying. The AACN (American Association of Critical-Care Nurses, 2006; Hardin, 2005) model, likewise, which addresses importance of communication between clinician and patient also reinforces the salutatory benefits of clinician-patient communication lending further credence to this study and to outcome measures. The brunt of her job depends more on listening to, being with, and making the patient feel good than actually treating the patient. Consistent research in the nursing field in general and in the cancer domain in particular support the importance of clear, empathetic, patient-centered communication (e.g. McClain & Rosenfeld, 2003; Sandoval-Cros, 1999; Watson et al., 1999). This guideline delineates the descriptors of such communication. Since the sample of respondents is small, the study needs to be conducted on wider and reiterated populations.
Summarize evidence-based guidelines relevant to hospice inpatient care unit.
In short, the practice of clear, supportive, emphatic communication with hospice patients is urged. Recommendations are many, but reduction to key points relevant to hospice inpatient care unit may include the following:
Communication should be patient-centered with needs and preferences of patient considered
Hardin, S. (2005). Introduction to the AACN Synergy Model for Patient Care. In S.R. Hardin & R. Kaplow (Eds.), Synergy for clinical excellence: The AACN Synergy Model for Patient Care (pp. 3-10). Sudbury, MA: Jones and Bartlett Publishers.
Jaffe, C. & Ehrlich, C.H. (1997). All kinds of love: Experiencing hospice. New York,
NY: Baywood Publishing Co.
McClain, C.S. & Rosenfeld, B. (2003). Effect of spiritual well-being on end-of-life despair, The Lancet, 36, 1603-1607.
Rodin, G. et al. (2009) Clinician -- patient communication: evidence-based recommendations to guide practice in cancer Current Oncology -- Volume 16, Number 6
Sandoval-Cros CJ. (1999) Common psychological problems in the cancer patient Moffitt Cancer Center
http://www.moffitt.org/moffittapps/ccj/v6n5/dept6.htm
Watson M, Haviland JS, Greer S, Davidson J, & Bliss JM. (1999). Influence of psychological response on survival in breast cancer: a population-based cohort study. Lancet; 354:1331 -- 6
references
Significant news should be given carefully, one-to-one, in a quite place
Communication should be honest and optimistic, showing concern for patient and willingness to be there for him or her
Use memory heuristics, such as visual aids, or recording the consultation to help patient remember details.
Allow patients to express feedback and articulate their feelings
American Association of Critical-Care Nurses (AACN). (2006). The AACN Synergy Model for Patient Care. Retrieved November 15, 2006, from http://www.certcorp.org/certcorp/certcorp.nsf/vwdoc/SynModel? Opendocument
http://www.moffitt.org/moffittapps/ccj/v6n5/dept6.htm
Conclusion If AIG would not have been helped by the Federal Reserve, it is more than obvious that the financial group would have declared bankruptcy. Although the bailout reached an enormous sum, the action was justified. Given the current market conditions, an eventual collapse of AIG would contribute even more to the fragility of the financial market. Also, it would have led to a reduction of public wealth, and it would have reduced economic performance. The opinion of
Further, eBay's gross merchandise volume - the amount of goods passing through eBay's various marketplace platforms -shrunk by 22% in the last quarter (Buley, 2009). The company had misjudged the potential compatibility between Skype and the Marketplace business (Burrows, 2009). EBay sellers were uninterested in phone chats with customers (Barret, 2009). Although the company has announced that it will spin off Skype via an IPO, next year, the economic environment
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normal size). You Face Mob The scores of teenagers and adults who have turned the character and film Scarface into a universal symbol of a cultural icon would more than likely be shocked to know that there is nothing new about Tony Montana, his relish for his enemy's girlfriend, or several other facets about the motion picture that has earned a devout cult following in the several years since its opening.
ADHD, or attention deficit hyperactivity disorder, is a common childhood problem affecting as much as 3-5% of the school-age population. The core symptoms of ADHD are inattention, hyperactivity and impulsivity. Children with ADHD exhibit functional impairment across multiple settings and engage in disruptive behaviors, thus inviting criticism from adults and peer rejection. Psycho stimulant medication has been shown to be reasonably successful, but may produce significant side effects in a
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