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Patient Care and the Nursing Profession
From January of 2012 until the present day, I have worked as an LPN. During that time, I have been in pediatric homecare, where I monitored and cared for children on ventilators and with tracheotomies. My experience also includes hospice care for people of all ages, from children to the elderly. Doing this type of work has greatly influenced my career and the decision to continue my education, because I want to be able to do more and help a greater number of people. I enjoy the work I do, although it can be both physically and emotionally difficult, but I also realize that I could expand the work I am doing to cover a much wider scope of patient care. Nurses are in demand today, and they are always needed at hospitals and other medical facilities because of the current shortage. With so…… [Read More]
Patient Care Device
Upgrade of Patient Care Device
Advancements in medical care have always been in need since technological innovation can create wonders in improving health care facilities for the patients. Some of the advancements have helped the healthcare in expanding their reach out of the hospitals and integrating with user-friendly, handy devices. Technology is transforming the way humans live and behave. Better treatment with less suffering has been induced into the medical care and respective devices so that patients could have access to best possible medical facilities within the hospitals. Not only sophisticated practices in healthcare but also the advanced devices are proving valuable in providing more chances for the quick recovery of billions of patients all over the world. This paper focuses on the upgradation and replacement of an existing patient care device in our practice setting. In the following sections of the paper, the implementation and its…… [Read More]
AACN Synergy Model
for Patient Care
Case Study of a CHF Patient
Sonya Hardin, N, PhD, CCN, CS
Leslie Hussey, N, PhD
role as a clinical nurse specialist (CNS)/adult nurse practitioner (ANP). The advanced practice nurse with a CNS/ANP degree can have a significant impact on healthcare by preventing chronic illness and pro- moting healthy lifestyles and influ- ence the delivery, cost, and quality of healthcare to persons with chronic illness.2
Background of CHF
The AACN Synergy Model for Patient Care describes a framework for nursing practice. The key to this model is the linkage of patient char- acteristics with nurse competencies to achieve optimal patient out- comes.1 The Synergy Model is readily adaptable to the acute care or critical care setting when the patient is criti- cally ill and the intensive care nurse links his or her own competencies to the patient's characteristics. How- ever, not all acute…… [Read More]
Patient Care in Healthcare Organizations
Overview of the tracer methodology
When indulging in tracer methodology systems, the key word is flexibility. The surveyors involve staff members through many processes of service provision. The processes include how the staff makes decisions towards the patient's safety, provision of care to patients, communication to other staff and also patients, and many other aspects. In other cases, the surveyors indulge in patients and other care recipients so as to acquire extra insights on the feedback. When the discussions with both patients and the staff are recorded, together with patient records and other observations that may have been made by the surveyors, builds a strong survey process, which provides a clear indication of the general operations of the organization. The surveyors use different tracers; these could either be individuals, system tracers, environment of care tracers or even program specific tracers (Joint…… [Read More]
This idea is supported by a Journal of the American Medical Association. The study found that 60% of the teens surveyed said that their parents knew they were using a clinic for sexual health services. These statistics act as a counterweight to the contention that parental notification laws would improve communication on the subject between teens and their parents. Additionally, 18% of teens said that if they were legally required to tell their parents about their use of the clinic, they would not seek contraceptive services at all and instead engage in unsafe sex (Jones 2005).
Defenders of consent laws point out teens need parental notification for other medical procedures. However, the relatively few states in the union that demand parental consent laws suggest that the perceived harms of controls outweigh the potential benefits of restrictions. Ethically, if a healthcare provider is offering family planning services to a teen, it…… [Read More]
This performance data will be graphed to identify general trends and specific repeat offenders for corrective action, including contacting the individual(s) responsible for minute preparation to clarify requirements and reiterate their responsibilities. If specific problem areas are identified (i.e., failure to include an agenda, lack of attendee information, etc.), in-services that target these deficient areas could be developed.
The in-service would be repeated as deemed necessary but on an annual basis at a minimum in order to maintain compliance with the 30-day submission requirement for properly prepared minutes that contained all necessary information for use in the integrated quality assurance program.
Affeldt, J.E. (1980, February). The new quality assurance standard of the Joint Commission on Accreditation of Hospitals. Western Journal of Medicine, 132, 166-170.
Cummins, J.E. (2007, April 4). Letters in the editor's mailbag. The egister-Guard, 8.
Kuhn, .L. (1999). Generating creativity and innovation in large bureaucracies. Westport, CT:…… [Read More]
Nurse Leadership Literature
Cummings, et al. (2010) found that relational leadership led to greater productivity, effectiveness, and extra effort when compared to task-focused leadership styles. The importance of the study to the current research is that it found that the nursing workforce can achieve better outcomes for patients by promoting relational leadership styles (Cummings, et al., 2010). The research conducted by Cummings, et al. (2010) will be especially useful in the current research as it examined the contribution of nursing leadership styles in hospitals with the extremely important indicator of patient 30-day mortality. Cummings et al. (2010) controlled for patient demographics, co-morbidities and institutional and hospital nursing characteristics, their research is robust and can be confidently used to account for the association between patient outcomes and nurse leadership styles. Because the researchers teased out attributes of leadership that center on collegial interactions among professionals, Cummings, et al. (2010) added to…… [Read More]
Both older children and adolescents should be
participating in Asthma-Action Plan goals and taught self-management techniques.
Older adults have difficulty in administering the inhalers well, either due to arthritis or poor hand to mouth / nose coordination. They may also have concurrent emphysema or chronic bronchitis, creating a permanent non-reversible lung function impairment. They also tend to develop aspirin sensitivity and medications should be adjusted for this factor.
3) Stay hydrated and breathe properly.
When the lungs are dehydrated, anything else that is wrong with the air, such as pollution, is going to make the lungs feel worse. The lungs function best at normal body temperature, and need the right amount of moisture.
It is important to emphasize with patients to breathe through their noses, not through their mouths. The major function of the nose is to filter the air and bring it to the right temperature…… [Read More]
Nurses and Abdominal Pain Patient Care
The people that make up a medical setting contribute immensely and provide the professional care they know to patients who visit the place, whether it's a clinic or a hospital. When the patient first walks in, he or she will meet the desk clerk and other people who will help her get settled in. However, none are the most important when it comes to first professional contact than nurses. The role of nurses is important when patients are in tremendous pain and agony. The purpose of this paper is to explore the different things, methods, and strategies nurses are expected to do in situations where patients are presented with abdominal pain. Overall, it is seem that nurses supplement and complement care on behalf of physicians and their patients.
Most of the people who come through the doors of a clinic, physician's office, emergency…… [Read More]
Evolving Models of Nursing and Patient Care Delivery
Globally there is a need for health reforms owing to the rising costs of health care, rise in chronic illnesses affecting the masses, and aging populations. To meet the need for health reforms nursing practitioners should take the lead, fully using their skills and capabilities in helping draft and implement health policies. This might involve nurses assuming leadership roles or even entrepreneurship roles. Even though nursing practitioners form the largest group of health care professionals, their scope of practice within the overall healthcare sector is often restricted. This need not be the case. Nurses can play important roles in enhancing healthcare services in cost effective ways. However, for this to be achieved there is a need to see nurses as equal partners in the provision of health care services. The best way to grow and restructure the field of nursing within the…… [Read More]
Chinese Medicine Impact on Patient Care
One may perceive traditional Chinese medicine (TCM), employed in Southeast Asian nations such as China, Japan, Korea etc., as a key CAM (complementary and alternative medicine) element. TCM in the field of therapy has been winning immense popularity worldwide, since decades. It can be regarded as one of human society's most priceless treasures; TCM practice is constantly improved through extensive hands-on experience in therapy and wellness maintenance. The UNESCO (United Nations Educational, Scientific and Cultural Organization) has, as a matter of fact, included moxibustion and acupuncture in the epresentative List of the Intangible Cultural Heritage of Humanity in 2010 (Zhang, Kong, Zhang & Li, 2012).
Introduction- easons for wide acceptability
The May 2009 World Health Assembly esolution on Traditional Medicine (WHA 62.13), owing to its extensive contribution and history in healthcare, encouraged all WHO member countries to formulate policies for integrating traditional therapies into…… [Read More]
Curricular instruction on what to expect both practically and emotionally from the patient and his or her surrounding support system will be instrumental in preparing to help these individuals navigate the difficult course of treatment.
Designed Nursing Case:
Instruction through the Electronically-mediated approach would ultimately segue into graduating involvement with real case management scenarios. The practical design of this aspect of the curriculum will revolve on breast cancer, which is useful for our purposes both because of its commonality and its high survival rate with early detection and properly stewarded treatment. Therefore, nurses undergoing the curriculum would follow up the GEM driven instruction period with engagement of several written case scenarios. Said scenarios would describe subjects undergoing chemotherapy for breast cancer treatment with differentials including age, additional health considerations, family circumstances, socioeconomic context and a host of other circumstances which might impact treatment. Nurses will be asked to compose treatment…… [Read More]
Introduction and background
Healthcare centers all over the US have been looking for cost- cutting techniques whilst simultaneously retaining the superior quality of their patient care delivery. Considering the present economic scenario, cost- cutting is vital for healthcare organizations’ continued functioning. An estimated growth in the number of patients lacking the funds to pay for services and Medicare/ Medicaid reimbursement decline together contribute to a financially trying time for the health sector. Facilities’ inability to be proactive in responding to the aforementioned shifting trends may result in dramatic cuts, capable, successively, of greatly limiting small communities’ access to health care. Such a scenario compels healthcare organizations to come up with creative solutions to save, financially. Making adjustments to a facility’s nurse assistant, registered nurse (RN) and licensed nurse practitioner skills mix in a given nursing unit may facilitate the delivery of more effective patient care, thereby enhancing both provider and…… [Read More]
Inpatient falls constitute a major clinical, supervisory, and legal issue, though not much information exists on the subject of successful fall reductions (Rosenthal, 2007). CMS (Centers for Medicare and Medicaid Services) has ceased to reimburse healthcare facilities for traumatic inpatient falls. With increased aging of the American population, preventing falls has become more important than ever before. Elderly, weak patients depict greater risk of falls, with more serious consequences. Fall prevention within the nation’s acute care facilities gives rise to distinctive challenges, considering the fact that it involves severely ailing patients with an average hospital stay of a mere 4.9 days. Such a compressed acuity increases healthcare practitioners’ burden to ensure patient safety; thus, fall prevention intervention results for long-term patient care organizations might not be applicable to facilities providing acute care. Likewise, international results might probably not be generalizable to the American context, as international hospitalization durations tend to…… [Read More]
A healthy population is often associated with a country's economic prosperity. As such, governments have often been in the forefront of supporting the healthcare sector through staffing and funding medical research. Patient safety is a vital component of quality nursing care. It has been shown that hospitals with low nurse staffing levels tend to have higher rates of poor patient outcomes such as shock, urinary tract infections, cardiac arrest, and pneumonia. This indicates that staffing levels often affect the quality of care accorded to patients. Proper staffing and physician levels can ensure the provision of quality health care in many ways.
First, it reduces the work overload. Groff and Terhaar (2010) posit that nurses are often dissatisfied with their work due to work-related stress such as staff shortages, tight work schedules, and poor-physician-nurse engagements. Therefore, employing adequate nursing staff and physician will reduce the ratio between…… [Read More]
"The United States is projected to have a nursing shortage that is expected to intensify as baby boomers age and the need for health care grows. Compounding the problem is the fact that nursing colleges and universities across the country are struggling to expand enrollment levels to meet the rising demand for nursing care…" (American Association of Colleges of Nursing).
Minimal Nurse Staffing - Negative Impacts for Patients
Agency for Healthcare Research and Quality (AHRQ) has published research on the impacts of nursing shortages in healthcare facilities. "Hospitals with low nurse staffing levels tend to have higher rates of poor patient outcomes," the report explains (Stanton, 2008). This situation is exacerbated by the fact that at the time of this report there was a "…vacancy rate of 13%" in U.S. hospitals, Stanton reports.
Some of the typical negative impacts in hospitals -- "adverse patient outcomes" -- due to…… [Read More]
Scholarly Product Proposal: Safe Patient Handling
Justification: Transfer, repositioning, as well as ambulation considerations are critical for not only patient comfort, but also employee safety given the prevalence of musculoskeletal disorders (MSD) associated with patient handling tasks. Many employees find it challenging to work in the spine unit where patients with spinal cord injury and related problems need significant physical support and treatment. This is more so the case given that spinal cord injury (SCI) impedes patients’ movements and affects their sensation. The risk of injury to patient care providers is often a direct consequence of patient handling tasks associated with the repeated performance of patient repositioning, ambulating, as well as lifting and transferring tasks. In the words of Teeple, Collins, Shrestha, Dennerlein, Losins, and Katz (2017), “lifting demands for patient care workers frequently exceed the 35 pound safe lifting limit recommended for patient handling activities…” (174). Many nurses on…… [Read More]
Geriatric Pharmacotherapy and Medication Challenges
Prescription Problems in Elderly Patients
In elderly patients, prescriptions, over the counter (OTC), and herbals may cause problems because they suffer from several chronic disorders resulting in the excessive use of drugs compared to any other age group. It can be understood by the diminished physiological reverse, which is mostly associated with aging and can further be depleted by the chronic or acute state of diseases and drug effects. OTCs like sedatives among the elderly patients are said to cause an increase in the number of falls. These are the major concerns for the older adults because the use of multiple medications increases the risk of drug-drug counteractions and other adverse effects (Adams & Urban, 2016).
Major Physiological Changes of Aging
· Renal functioning experiences potential decrease
· Hepatic drug metabolism is also affected by aging.
· Older patients become more…… [Read More]
Nursing Leadership and Management
Nurse handoff communication during shift change is one of the most frequent, though key, nursing duties which provides the basis for delivering safe, reliable care (Eggins & Slade, 2015). Study results reveal that ineffective nurse communication at the time of patient handoff is the main reason for sentinel events (Drach-Zahavy & Hadid, 2015; Eggins & Slade, 2015). Together with National Patient Safety Goals (NPSG) for improving efficacy of communication among caregivers, the WHO (World Health Organization), AHRQ (Agency for Healthcare Research and Quality) and other such health organizations recognize the significance of prioritizing the task of dealing with risks to patient safety linked to ineffective handoff communication; consequently, they have put forward recommendations for improving upon the above problem (Drach-Zahavy & Hadid, 2015).
Yolo County's North Caroky Hospital is a small 35-bed community hospital employing a score of 12-hour night shift nursing personnel. The hospital…… [Read More]
Computerized Provider Order Entry (CPOE) integrated with Clinical Decision Support System (CDSS) is regarded as a crucial system for enhancing the quality, safety, and efficiency of care (Simon et al., 2013). This system helps in enhancing care through preventing and/or lessening medication errors and promoting the use of evidence-based treatments. CPOE is basically defined as any system through which clinicians directly enter medications, tests, or procedure orders. Once these orders are entered, they are transmitted to the responsible clinician for executing it such as laboratory and pharmacy department. This paper will discuss the use of CPOE system integrated in a CDSS to address electrolyte replacements in patients who have undergone cardiac surgeries, which is a clinical issue involving medication.
Clinical Issue Involving Medication
The selected clinical issue involving medication for this assignment is electrolyte replacements in patients who have undergone cardiac surgeries given that electrolyte disorders are common after cardiac…… [Read More]
Evidence Based Practice
University of Illinois Evidence Based Medicine Resources: Lessons Learned
From the search resources I learned that in evidence based medicine, patient values comprising of their unique concerns, preferences, and expectations introduced to the clinical encounter ought to be integrated in determining the ideal care for patient. This integration will guarantee that the individual patient’s clinical state, the clinical setting and best patient outcome prevail in ideal decisions on optimal service delivery to the patient (Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996).
The second aspect learned is that in order to integrate Evidence-Based Nursing and clinical care, there is the need for a basic comprehension of the attributes related to the inherent published evidence. Resources in Evidence-Based Practice are categorized in a hierarchy relating to the quality of the research or evidence. In Evidence-Based Practice, decisions making on best care to patient are not just basically guided by…… [Read More]
1. Nursing Theorist Overview
Theory guides nursing practice and provides a framework for nurse leadership and healthcare management (McKenna, Pajnikar & Murphy, 2014). All prominent nursing theorists like the individuals covered in the multimedia presentation have influenced nursing practice in some way or another, and all do resonate with me on a personal and professional level. I will incorporate elements of all theorists into my practice in terms of interpersonal communications and attitudes towards health and healing. Of the theorists covered in the presentation, those of Florence Nightingale resonate the most because of her inclusion of environmental factors implicated in patient care. Environmental factors like lighting or ventilation can have a profound impact on perceptions of quality of care, too, which has a strong bearing on the efficacy of the healthcare institution (Sabza & Pirani, 2016). The environmental factors that Nightingale identified as being important to patient care also have…… [Read More]
Patient acuity system provides the nurses and other healthcare practitioners in health cares' information that can guide them in their attention towards the patients. The nurses track information and then weigh them in accordance to the urgency of assessment. The basis that the nurses use is the complexity of the level to which patients are unwell. An example is the determination of whether the patients immediately require ventilation and those who do not need any. The nurses are able to pick on the various patients in the healthcare and then record the data. In a single healthcare, there are many patients with different degrees of illnesses. As a result, they all require varying levels of evaluations from the nurses. It is, therefore, imperative that the nurses spread their attention appropriately to avoid any inconveniences. This system helps the nurses to determine the attention that patients require within a short period.…… [Read More]
The results of this analysis highlight the need for hospitals to fine-tune their discharge process to reduce readmissions, and support the expenditure of additional resources for this purpose as a cost-effective intervention; as an example, author cites a hospital in Iowa that implemented a rigorous post-discharge planning process for patients with heart failure and 30-day readmission rates were reduced by 3-9% during the 3-month period following implementation.
The research showed that many elderly patients who suffer from congestive heart failure also suffer from a wide range of comorbid conditions, including diabetes and hypertension. These patients can be reasonably expected to require periodic or even frequent treatment in emergency departments and/or hospitalizations for these conditions, making the need for effective and seamless post-discharge planning especially important. In this regard, the research also showed that there are some valuable evidence-based practice guidelines available, though, that can help clinicians better coordinate post-discharge…… [Read More]
Most of the literature deals with healthcare issues experienced in the United States or Europe. hat small amount of literature there is available on healthcare in Malaysia seldom has anything to do with the clinic(s) in specific. This study could help, in some small measure, to alleviate that problem.
Chowdhury, N., (1999) the Power of Towers, Fortune, Vol. 139, No. 7, pp. 110-112
Kurokawa, I., Takami, M., Cheriex, H., (1999) Futuristic flight plan - the Kuala Lumpur International Airport was designed for the new millennium, Lighting Design + Application, Vol. 29, No. 8, pp. 42-45
Manson, L.A., Baptist, a.J., (2002) Assessing the cost-effectiveness of provider-based status, Healthcare Financial Management, Vol. 56, No. 8, pp. 52-59
Romano, M., (2006) Physicians in pain, Modern Healthcare, Vol. 36, No. 4, p. 40
Shameen, a., (2004) Malaysia: Coining it in Kuala Lumpure - Start-up ECM Libra has capitalized on strong markets, hard…… [Read More]
In addition the effect of bill has changed the documentation awarded through the state as of a certificate toward a license and authorizes a doctor to pass on duties to a PA with the purpose of managing physician's scope of performance however Another effect of bill has enabled Indiana's doctor assistants to widen their area of the health care services and also provided an innovative average of patient care (Stephanie, Matlock (27 April, 2007). Health care bills gives right to patient to know what health care should be known by the plan as well as several limits on care, kinds of health care be not enclosed, any treatment diagram required to endorse in advance. Yearly planning about on disburse to physician and health providers, file a complaint regarding any, disagreement between patient and the plan, and also procedure to make complaint, allowance to access emergency room twenty four hours a…… [Read More]
Care Case Study
Slide 1 Footnotes
There have been enormous changes due to introduction of various cultural elements in the continuum of care. Before, when people were admitted to assisted living facilities or hospital settings, there were very little cultural elements outside of the majority culture which had sponsored the facility. For example, if a facility was associated with some sort of church or temple, there were elements of that religion present, but there was little alternatives for members of other cultures or religions.
Yet, today, there are now a much wider array of cultural elements available in assisted living homes and hospital facilities. Assisted living programs are regulated on the level of the state.
As such, different states have different types of programs and policies that impact the degree to which cultural characteristics are included or excluded within various assisted living facilities. Some programs encourage cultural elements of patients…… [Read More]
As well as expanding patient's abilities to obtain primary care, virtually, telemedicine can enable patients in isolated locations to see specialists. When rural patients are connected to a hospital network such as the Grinnell egional Medical Center, they are able to access high-quality physicians through some of the more advanced healthcare technology available, although this is not always possible in a local healthcare system with fewer physicians and less access to high-level technology. Technology can still enable patients in a variety of settings to keep track of vital signs such as heart rate, blood pressure, and blood sugar, and to alert their physician immediately if their readings are abnormal.
While some surgeons have even performed procedures through virtual consults, certain aspects of medicine remain challenging to provide rural patients, such as physical rehabilitative services, which may require the patient to travel to receive the full benefit of the services. Patients…… [Read More]
Caring in Nursing
Over time, nursing and caring have largely been regarded synonymous. With that in mind, it is important to note that quite a number of caring theories have been developed based on caring as a central concept. Some of these theories include the Cultural Care theory by Leininger as well as the Human Caring theory by Jean Watson whose development took place in 1970's. In this text, I will concern myself with caring as a concept in nursing. In so doing, I shall come up with a detailed evaluation of the nature of the practice theory gap most particularly in Bahrain as far as nursing is concerned.
Caring in Nursing: A Definition
To begin with, it is important to note that caring behaviors in the context of nursing can be taken to be those approaches as well as practices that are evidenced by nurses as they seek to…… [Read More]
Issler is a patient who recently moved with his daughter-in-law who is no longer married to his son. As part of her interest in helping to take care of Mr. Issler, she noticed that he was pale and diaphoretic after a two and a half hour flight. The daughter-in-law took him to an emergency room where he was attended to by a cardiologist and set a follow-up check up for an echo cardiogram next week. Mr. Issler has complained of congestive heart failure and a history of deep vein thrombosis. The cardiologist recommended that he seeks out a primary care provider and check up of his thyroid. As the primary care provider, the patient has also expressed his uncertainties on whether he has hyper of hypo thyroidism though he has been under thyroid medication for several years. In addition to being very pale, he has a large bag of…… [Read More]
Evolution of Health Care Information Systems Physician's Office Operation
Filling in the hole of health care information technology will endorse safe, capable, patient-centered, and patient care that is fruitful in a timely way. In this essay, the theme is to look into two modern health
care organizations and then compare and contrast many characteristics that will involve the kind of evidence systems are using at the moment, investigate the transmission of information 20 years ago and how the substitute of data today. Furthermore, this essay will cover two major events and technology developments that have inclined present Health Care Informational Services practices.
Compare and Contrast Doctor's Workplace Operation
These day's doctor's office operation is familiarizing to the health care reform that was sanctioned in 2010 by the Obama organization. During sometime in October of 2013, the exchanges in health insurance was available on the market for customers on order to…… [Read More]
Merrill, in the UK. Following his experience with heart surgery using innovating surgical techniques, the physician noted the problems he experienced in understanding all of his alternatives compared to a simpler earlier procedure, and finally trusted to the advice of his cardiologist to surgically intervene. In response to the experience, Dr. Merrill emphasized that, "As a physician talking to colleagues, I had the best information possible under the circumstances. But it wasn't the same as my hernia repair. The experience brought home to me the realization that the progress of medicine has made informed consent impossible -- even for me" (Merrill 1999: 190).
ationale of Study
Taken together, the foregoing issues indicate that there is an ongoing need for an assessment of knowledge levels of informed consent among perioperative nurses and operating department practitioners. Perioperative nurses and operating department practitioners, though, are frequently subjected to an enormous amount of stress…… [Read More]
I.M. King adds that a nurse should attempt to avoid during the interview process "the use of technical language, stereotyping and interrupting the patient when he/she is trying to answer the nurse's questions" to the best of their ability (1981, 256).
Some of the questions which a nurse might ask a patient during the interview process includes finding out if the illness was sudden or developed gradually, the duration of the illness, the physical site of the illness, how it might be aggravated, associated symptoms, such as pain or discomfort in another part of the body, and the frequency of the illness. According to A. Crumbie, these and other pertinent questions must be "carefully thought-out beforehand and after the initial interview, the nurse should recap his/her questions for accuracy and specificity" (2006, 216).
In conclusion, the authors of this article maintain even an experienced nurse should be required to achieve…… [Read More]
Caring for ody and Soul
Critiquing Research Report
Modern nursing practice has focused more and more on treating the whole person, through four domains (Chan, 2009). These are physical, mental, social, and spiritual. Of the four, the spiritual domain is the most neglected. A retrospective study recently found that nurses with religious beliefs are more likely to extend spiritual care. The greater their spiritual perceptions, the more frequently they include a spiritual dimension to their care of patients (Chan). However, not many nurses are able to extend care in this domain.
Jean Watson's Theory of caring is applied as theoretical framework. Her concept sees caring as a process of transpersonal caring. It is something exceeding the self and recognizing the relationship as "mutual and reciprocal (Goliath, 2008)." It is in this environment that the nurse connects with the patient under his specific circumstances. Watson uses 10 carative factors in applying…… [Read More]
Eliza, a patient aged eighteen, is enrolled at the City University and resides in a dorm with friends. The patient is currently seeking treatment for stress/anxiety and low self-image (Eliza Intake Document Provided by Customer). Eliza has not indicated any life stressors. Her father, Burt, drives a truck for a living, whereas her mom, Joan, is an elementary school secretary. While the father-daughter relationship appears to be quite strong, Eliza appears to have issues that need working on, when it comes to her relationship with her mother. As of now, Eliza is not taking any mental health medication.
Psychosocial assessment forms a key component of all nursing evaluation, as it aids nursing professionals by informing the disorder management and patient care plan. Individuals usually display diverse kinds of surgical or medical issues. Further, social or psychological aspects might impact their adherence to therapy and their recovery (Conducting…… [Read More]
Patient-centered care is the goal of many healthcare organizations, but the ability of an organization to deliver patient-centered care is influenced by a number of factors both internal and external. Business practices, regulatory requirements, and reimbursement all can impact patient-centered care in any healthcare organization. Promoting patient-centered care requires an organizational culture committed to this paradigm, which also needs to be embedded in the mission and values of the organization.
Executives and administrators create the organizational culture that promotes patient-centered care. All leaders in the organization are responsible for using patient-centered practices and communications styles in their interactions with patients and their families. Furthermore, administrators oversee the policies and procedures that directly impact the culture of care. Analyzing areas of weakness within the organizational structure and culture via established assessments like the Patient-and Family-Centered Care Organizational Self-Assessment Tool, it is possible to create multidisciplinary teams that promote the organization’s…… [Read More]
Patient’s chief complaint, reason for visit
Ms. Richards arrived complaining that she was experiencing severe anal pain, so much so that using a tissue was also proving impossible. She claimed the pain began a couple of days earlier and has aggravated considerably since.
History of Present Illness
Ms. Richards arrived complaining of anal pain which commenced a couple of days earlier and has aggravated since. With regard to her intimate relationships, Ms. Richards states that though she has a boyfriend, their relationship isn’t serious as the two are also seeing other people. According to internal assessment reports, patient has normal hair distribution, an intact perineum, and intact urethral meatus without any discharge or inflammation. However, patient experiences unbearable pain on vaginal opening palpation, redness, and edema. Further, a mass has been identified on the right, with spontaneous, dark-yellow, smelly secretion with palpation over the Bartholin's glands.
Physical examination…… [Read More]
There are a number of concerns faced by patients in the hospital. One that is not often discussed but that can play a real factor in treatment is the burnout experienced by nurses. Even during short-term hospitalization, the burnout that nurses face can potentially result in improper care to the patient. Addressed here is whether this is something that has been seen with patients experiencing short-term hospitalization, based on how satisfied they are with their nurses. Literature regarding burnout will be examined, and a survey will be undertaken in order to discover whether patients are having good experiences with the nurses who care for them during their short-term hospitalizations. By discovering whether the patients are happy with the care they are receiving and determining whether that nurse may have been suffering from burnout, it will be possible to draw conclusions regarding whether the nurse's burnout status affected proper…… [Read More]
Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting the patient with as much attention and medical care in order to maximize his/her health outcomes.
Over the years the PCMH model of health care has become widely adopted and preferred. This is because of the philosophy and approach that the model adopts in organizing and delivering the health care initiatives. The PCMH model is based upon delivering medical care and attention to patients with team-based health and medical experts that are focused strongly on the quality and the safety…… [Read More]
Patient Centered Medical Homes
In the 1960s, the medical home concept referred to as patient centered medical home was developed.In order to reform the healthcare in the U.S.; the patient centered medical homes are evolving as a centerpiece of efforts (Bates, 2010). Basically, PCMH can be defines as a primary care model that offers coordinated and comprehensive care to the patients in order to improve health outcomes. PCMH is also recognized by the National Committee for Quality Assurance (NCQA). Patient centered medical homes can be portrayed as a team of people working together in form of a community. The purpose is to improve the health as well as healing of the people in that community. In comparison with the primary care, PCMH is more responsive towards the needs of local patients.
PCMH offers a number of benefits including complementary nutrition as well as wellness counseling along with providing prevention education…… [Read More]
Patient-Centered Medical Home
How the Patient-Centered Medical-Home reducing cost and improving quality and safety for patients.
The patient centered medical home is a platform that fills a need in the current healthcare system. The U.S. healthcare system has been plagued for quite some time with a trend of substantially rising healthcare costs as well as another trend of slipping quality standards. These two trends are argued to be a phenomenon that has emerged at least partly from poor planning and ineffective use of resources. One solution to some of these issues can be found in the patient-centered medical home (PCMH) model of primary care. This model has been developed with the coordination of long-term physician-patient relationships in mind. Developing these relationships further can not only reduce costs in unnecessary procedures that are the result of the missed opportunity for preventive care, but also have been shown to improve…… [Read More]
Many advocates of the move feel that lower patient to nurse ratio would lead to additional savings because it would reduce nurse turnover rate, lawsuits, complications and length of stay. Nursing unions in the state of California have asked for a PTN ratio of 3 to 1. The health association however agreed on 5 to 1 which sound more reasonable than the originally proposed 10 to 1. (othberg, 2005)
Patient to nurse ratio when it is too high can definitely adversely affect care. And with baby boomers aging and needing healthcare, we know that number of people looking for healthcare will continue to rise in the coming years. However staff shortage continues to pose a serious problem. And unfortunately, the problem doesn't always lie with cost control. While it is true that most of the problems with staff shortage can be attributed to hospitals cutting down their costs and hence…… [Read More]
This can be as relatively minor as a night without sleep every few weeks or a continual struggle to sleep every night. Curing insomnia by just trying to Google a response to the problem only unleashes a flood of websites that offer all sorts of over-the-counter and prescription medications. The person wants to find relaxation techniques and also understand how they can overcome the insomnia on their own without having to take the trouble of going into a physician's clinic. In choosing which website to trust, using the evaluation criteria provided will be very useful. An example of a website that meets the criteria as defined is WebMD.com. Let's take a look at this website to see why. First, the website makes it clear they have an editorial policy, and their mission and purpose are to provide accurate, valid healthcare information to its website visitors. The WebMD Medical eview Board…… [Read More]
To wit, power is a huge influence in any social interaction, and in a study reported by the University of California Press (est, 2008, p. 87), men often interrupt women during conversations because men are generally viewed as the power in any male-female interaction. "Physicians interrupt patients disproportionately" in doctor-patient interactions, est writes, "except when the doctor is a 'lady'; then, "patients interrupt as much or more than physicians, and their interruptions seem to subvert physicians' authority" (est, p. 87). In other words, the stratification of male doctors having the power to interrupt is reversed when a woman is the doctor.
Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:
Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).
Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care
Units. Journal of General Internal Medicine, 16(5), 283-289.
Donovan, Jenny L., and Blake,…… [Read More]
These studies demonstrate that there are several factors associated with patient noncompliance, regardless of the disease being treated. Medication side effects represent only one of these issues. Nurse practitioners could help to resolve many of these issues by being proactive and asking questions about side effects in patients at risk for becoming noncompliant. They may also be able to predict noncompliance in patients that are prescribed medications with known side effects. By informing the patient of the side effects and giving them practical ways to cope with them, the nurse practitioner can play an active role in helping to eliminate patient noncompliance.
Education was found to play an important role in patient noncompliance. The overall educational level of the patient was found to be important. The nurse practitioner can take positive action by being aware of the patient's overall educational background. Extra care must be taken with those of low…… [Read More]
A Patient's Rights
There are a number of lists to go by when it comes to the patient's "Bill of Rights," including a patient's rights under the Affordable Care Act. In the American Cancer Society "Patient's Bill of Rights" it begins with the right every patient has to "…accurate and easily-understood information about your health plan, health care professionals, and health care facilities' (www.cancer.org). Of course a patient also has the right to choose health care providers and when it comes to emergency services, a patient has a right to be "…screened and stabilized using emergency services" when injured or seriously ill; so that when one's health is in jeopardy, access to emergency services can be a vital and stabilizing experience (www.cancer.org).
A patient also has the right to be part of decisions regarding what treatment is appropriate, and a patient has a right to be respected and treated…… [Read More]
Patient Satisfaction in Quality of Managed Care
Aspect to be compared
Gender and Patient
Satisfaction in Managed Care, etc.
Stakeholder Perceptions of Quality in Managed Care Plans
Two Steps to Enhance Managed Care Quality
Emily eisman, MS
Jacobs Institute of omen's Health
Carolyn M. Clancy, MD
Paul L. Grimaldi, Ph.D.
To determine what the differences are and what variables might affect women patients' perceptions of the quality of managed care
To find out what attributes three different health care stakeholders, physicians, employers and consumers, value most in determining their assessments of the quality of managed care health plans
To explain the ramifications of two developments in managed care: the new application form for MCOs to become Medicare risk contractors, and the National Committee for Quality Assurance plan to begin performance-based accreditation.
Determining what the differences between men's and women's perceptions of the quality of…… [Read More]
The author also explains that the data stored in the system can be used to help public health officials identify medical issues facing the community as well as track various trends from the community and public health perspectives.
(How does this article relate to you as doctor?)
As a physician, I recognize that my time will be in very short supply. Therefore, any system or resource capable of saving time and increasing the efficiency of the healthcare services that I provide will be greatly appreciated. Similarly, patient safety, elimination of medical errors, and patient outcome are always paramount concerns for any physician. Therefore, I would welcome the opportunity to use EHR systems to the extent they address those issues positively. Moreover, as a physician, I am always interested in any approach that might be beneficial to human welfare and community and public health issues. According to the article,…… [Read More]
Patient, Mr. D., is a 74-year-old male Caucasian, married and retired. Mr. D. complains of dizziness and weakness. Type-2 diabetes was diagnosed in 1994, hypertension in 2002, and arthritis in 2007. Mr. D. is currently taking 20mg Lipitor/daily; 81 mg Aspirin/daily; 333mg Calcium/daily; 5mg zinc/daily, and 500mg Vitamin C/3X day. He denies any drug or herbal use, and uses 650 mg of Tylenol for pain as needed. He has no known food allergies, does not use tobacco or illicit drugs, but has a family history of diabetes and heart disease with both mother and father. His general health acuity is strong (bowels, urinary, etc.), but has occasional slurred speech, weakness in right lower limb, syncope, vertigo, and vision fluctuations. Mr. D. reports that his wife complains he asks the same question repeatedly within a short time period.
Areas for Focused Assessment- The combination of syncope, vertigo, vision, and memory issues…… [Read More]
PATIENT & HEALTH POFESSIONAL PESPECTIVES
Patient & Professional Perspectives
Quality of care is a massive concern when it comes to healthcare in general. The issue is so multi-dimension and complicated. Even further, there are a lot of ideological bents and perspectives that further shape and form the issue as it exists today. A significant part of the paradigm mentioned above would be the perspectives of both patients and healthcare professionals as it relates to the aforementioned quality of care. Obviously, there are going to be some differences and similarities when talking to any large swath of patients or healthcare providers. The differences could be huge divides in some cases due to what is being expected being too different than what is able to be delivered given the resources or even the perspective or opinion of the healthcare professionals or providers. While there is no simple or neat answer to how…… [Read More]
Patient Guide to the Worldwide Web
Mr. Atkins, 64, arrives at the hospital with his wife complaining that he has not had a bowel movement in over a week, and that he has significant pain in his abdomen. Mr. Atkins has an MI which shows a significant blockage in his colon. Surgery is suggested and when this is completed Mr. Atkins is told that he has colon cancer and a mass was removed from his colon along with eight inches of the diseased organ. It is then relayed that the cancer has also metastasized to his liver. The Atkins are farmers who have very little to do with computers other than checking weather reports. They both want to learn about the diagnosis and what can be done, but with their limited knowledge of the internet ask a nurse for help.
The patient is very motivated to learn how to…… [Read More]
Patient Education Decrease Anxiety Undergoing Invasive Cardiac Procedures
In this case, one of the main areas of topic is based on the role played by initial patient education on the anxiety of patients undergoing noninvasive cardiovascular surgery. It has been reported that the initial education provided by the nurses to the patient in relation to the noninvasive cardiac surgery helps the patient, as there is a great reduction in stress and level of anxiety in relation to the surgical procedures and the outcomes.
Riegel, B (ed). Journal of Cardiovascular Nursing. Philadelphia, U.S..
The journal is a complete online source for the information needed by the nurses in accordance to the procedures that can be used to reduce anxiety levels in the patients undergoing noninvasive cardiac surgery. These days it is important that the patients be taken into complete confidence by making sure they are aware of the procedures…… [Read More]
Care work or social work akin with any other human endeavor has a host of different perspectives that are used either in unison or in combination to direct it.
Its dominant perspectives are the following:
This is the view that all systems interact and that when, for instance, one works with a patient one needs to involve the family and community too and take all of the patient "s life into consideration for each impacts the other. The whole works as a holistic whole and, for instance, the child's school can effect the child as much as the child can the teacher and so forth. ystems have interrelated parts, and tend towards equilibrium.
Care workers use this system in a practical way by forging networks between the different ecosystems (for instance between child's school, community, and family) and by drawing ecomaps and genograms for understanding the dynamics of…… [Read More]
Patient Perceptions of Maternal HIV Testing
Ob-Gyn Maternal HIV Testing Study
Coleman et. al., (2009) Patient Perceptions of Obstetrician-gynecologists' Practices Related to HIV Testing. Maternal Child Health Journal 13: 355-363.
The study objectives were to identify the percentage of women who had been tested for HIV, explore the perceptions of women patients about HIV testing and ascertain their knowledge about their own HIV risk status, to determine the primary reasons patients refuse to be tested for HIV, and to learn what patients recall about how their obstetrician-gynecologists' introduced the topic of HIV testing.
The authors hypothesized that pregnant women, women seeking preconception care, and women with risk factors for HIV infection would recall their obstetrician-gynecologists recommending HIV testing" (Coleman, et al., 2009)
Overall research goal & recommendation. The purpose of the study was to identify if patient-physician communication about HIV risks and testing to pregnant women is consistent with current…… [Read More]
There is also relevant information for specific sectors of society such as women and seniors. The MedlinePlus Magazine includes several links to asthma information. The bottom of the page includes links that contain information such as disclaimers, copyright, and privacy information. It also contains links that provide information on the contributors of information to the Website. The privacy statement clearly provides visitors and subscribers with the assurance that their information will not be shared. All the information on the site is therefore provided on the basis of full disclosure, both of the information itself and on information providers.
This Website is therefore very reliable, and also includes information on a myriad of other health topics, which will be helpful for Amy if she wants more information on her other conditions as well.
Suspicious Website: http://www.asthmaanswersonline.com/cures-asthma/
This Website indicates that asthma can in fact be cured. Prominently displayed at the top…… [Read More]
I also added, honestly, that the family members who had changed their ways actually felt better on a daily basis, as well as had a better prognosis in terms of their health. This was the true essence, I stated, of "loving life" in my opinion. I tried to make him see what he was going to have to do after his operation as a gain, rather than a loss. He would be regaining control over his health, and would feel younger and better.
I tried to help this patient feel empowered, by going into detail what would happen to him during the operation in layperson's terms. I could see that feeling in control was very important to him, and I tried to facilitate that sense of control. After the operation, I saw the patient again, when he was going to see his grandson who had had some minor surgery on…… [Read More]
Patient Management -- Heloma Durum
Presentation and Management
The patient suffering from heloma durum typically presents with complaints of discomfort from the formation of hardened tissue in localized areas of the foot such as the on the dorsolateral aspect of the fifth toe or the dorsum of the interphalangeal joints of the lesser toes (Dunn, Link, Felson, et al., 2004; Taylor, Lillis, & LeMone, 2008). While the condition is normally benign (Dunn, Link, Felson, et al., 2004; Freeman, 2002), it can also be the source of physical discomfort that causes patients to alter their choice of footwear and activities, and in extreme cases, it can cause changes in their gait which can also precipitate other physiological problems such as of the knees, hips, and spine (Dunn, Link, Felson, et al., 2004; Taylor, Lillis, & LeMone, 2008). The condition is normally managed through the most conservative means possible (Hamric, pross, &…… [Read More]
Patient Access to Experimental Drugs
Experimental drugs are being used in treating cancer and other life-threatening diseases in the hopes that effective cures and treatments can be identified. There are however, ethical questions relating to the use of experimental drugs and this work seeks to answer the question that asks whether patients should have access to experimental drugs and to answer why or why they should not have this access.
Experimental drugs have carved inroads to treating cancer patients and most recently; this has been reported in the form of a drug that serves to "neutralize two mechanisms cancers need to survive." (Coghlan, 2012) The new drug is Cabozantinib. This drug is reported by one individual interviewed in this study to have been used by a family member who died while taking the drug for non-small cell carcinoma in the form of lung cancer. When asked the question…… [Read More]
" (Morris & Woodcock, 2004)
V. Murakami et al. (2003)
In the work entitled: "Deep Venous Thrombosis Prophylaxis in Trauma: Improved Compliance With a Novel Miniaturized Pneumatic Compression Device" the authors state that: "Intermittent pneumatic compression (IPC) devices prevent lower-extremity deep venous thrombosis (LEDVT) when used properly, but compliance remains an issue." (Murakami et al., 2003) the study conducted by Murakami et al. (2003) is stated to be a."..prospective trial in which trauma patients (mean age, 46 years; revised trauma score, 11.7) were randomized to DVT prophylaxis with a standard calf-length sequential IPC device (SCD group) or a miniaturized sequential device (continuous enhanced-circulation therapy [CECT] group). Compliance rates for all subjects were averaged in each location: emergency department, operating room, intensive care unit, and nursing ward." (Murakami et al., 2004) the study results state that: "Total compliance rate in the CECT group was significantly higher than in the SCD group…… [Read More]
DIAGNOSIS AND TREATMENT PLAN
Diagnosis and Disease Processes
Using an appropriate patient assessment form (Sample Forms, 2013), D.M. has been found to have uncontrolled Type 2 diabetes, hypercholesterolemia, uncontrolled hypertension, chronic anemia, and probable hypothyroidism (Sample Forms).
Diabetes Type 2
is most probably on a poorly controlled diet of high cholesterol and high simple sugars. Diabetes mellitus type 2 is a metabolic disease wherein the body is not able to properly use ingested food because of insulin resistance. If more simple or refined sugars are consumed, the less the body is able to process them as nutrients. These tend to stay and float in the blood stream, un-used, and in this condition, they cause trouble in the different parts of the body. These include the end organs, such as the brain, the eyes, the kidneys, the heart, and even the feet. A poorly controlled diet and the lack…… [Read More]