... Introduction Motor accidents can cause severe physiological consequences, mainly when they result in injuries to the nervous system (Smith, 2018). In this essay, I will focus on a case study of a motorcycle accident victim who is experiencing a loss of sensation and control in the lower half of their body. My essay aims to provide insights into this debilitating condition through a detailed physiological analysis, assessment, and recommended corrective measures. Dissecting the Physiology of Motor Sensation Impairment & Assessment to Identify the Problem. According to Mayo Clinic (2021), In the unfortunate...
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... Introduction Motor accidents can cause severe physiological consequences, mainly when they result in injuries to the nervous system (Smith, 2018). In this essay, I will focus on a case study of a motorcycle accident victim who is experiencing a loss of sensation and control in the lower half of their body. My essay aims to provide insights into this debilitating condition through a detailed physiological analysis, assessment, and recommended corrective measures. Dissecting the Physiology of Motor Sensation Impairment & Assessment to Identify the Problem. According to Mayo Clinic (2021), In the unfortunate...
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...CANCER: MAINTAINING PATIENT QUALITY OF LIFE Introduction Cancer is one of the most prevalent diseases in the U.S. Case (2011) noted that the 2010 report of the American Cancer Society (ACS) indicated that more than a million an d a half new cases of cancer are diagnosed every year. Along with physical disease, cancer also brings a significant impact on the patient’s overall quality of life (QOL). This paper asserts that for optimal patient outcome, healthcare workers, particularly nurses, need to attend to the cancer patient’s overall QOL rather than simply focusing on the physical disease of cancer. This essay will first address the issue of understanding what constitutes the patient’s QOL. Then key factors that directly affect the QOL are reviewed in the context of current best evidence. That will be followed by a section that addresses the nursing implications of this subject. The paper concludes with a brief summary and conclusion about the importance of maintaining patient QOL in cancer patients. The first element, is thus to define what is meant by “quality of life.” The next section of this paper addresses that specific issue. Defining Patient Quality of Life Before patient QOL can be addressed in a nursing practice, it is essential to understand what is meant by QOL. Bahrami (2011) has noted that no specific, well accepted definition of patient QOL exists. One reason for this lack of consensus on QOL is that life quality is a highly individual concept...
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...NUR2300: Burn Injuries Ali Almalki University: Date: Burn Injuries Burn injuries often have a significant impact on all aspects of the patient’s life, leaving them with a variety of psychosocial as well as physical handicaps. Extensive research evidence indicates that burn patients suffer profound social and psychological effects such as anxiety and depression, with long-term implications on the patient’s recovery and quality of life. Accordingly, it has been suggested that burn patients should undergo both long and short term systematic mental health care, in order to minimize and avert these psychopathological responses. Moreover, psychological interventions helps burn patients and staff to reduce burdensome as well as decline depressive symptoms. Notably, dissatisfaction tendencies with post-burn body image and appearance, have been pinpointed as a leading cause of psychological impacts, resulting to protracted recovery and impaired social life. According to Thombs et al. (2007) burn scars following a deep dermal injury are often cosmetically disfiguring and impel the scarred individual to deal with an alteration both in body image and appearance. The patient is also forced to adjust to significant impairments in motion and limitations of activities. However, according to Henry (2011), it is the disfigurement or change in appearance and body image that has a profound impact on the patient. Lau & Van Niekerk (2011) note that the alteration...
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...On Being Sane in Insane Places Zehra Morgan 21737604 February 17, 2016 Introduction to Sociology 125 1. Immediately after admission, the pseudo patients acted normally (asymptomatic) while discreetly taking notes for the experiment. The pseudo patients acted normally and told staff that they felt fine and had no longer experienced any additional hallucinations. All were forced to admit to having a mental illness and agree to take antipsychotic drugs as a condition of their release. The average time that the patients spent in the hospital was 19 days. All but one was diagnosed with schizophrenia "in remission" before their release. The second part of his study involved an offended hospital administration challenging Rosenhan to send pseudo patients to its facility, which its staff would then detect. Rosenhan agreed and in the following weeks out of 193 new patients the staff identified 41 as potential pseudo patients, with 19 of these receiving suspicions from at least one psychiatrist and one other staff member. 2. In 1973, psychiatrists were embarrassingly bad at distinguishing the mentally ill from the normal. Today, psychopathology is still very subjective and arguably as much of an art as it is a science, with questionable criteria as to what is considered a mental "illness" or not. Despite constantly and openly taking extensive notes on the behavior of the staff and other patients, none of the pseudo patients were identified as impostors by the hospital staff...
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...A number of reported result regarding the effect of pharmaceutical promotion in this literature will be discussed. Quality of life as well as number of surveys results and econometric indicate positive effects of Direct-to-consumer advertising. Pharmaceutical promotion has such informative view to consumers and their physicians. Consumer ads is more effective at teaching consumers, expanding the celebrity of drugs and inducing physician's relationship with their patients. The studies also show that Direct-to-consumer advertising motivate complete consultation between patients and their doctors by re-teaching the patient with providing respect to the ads' message and patients' outlooks. Researchers and involved doctors prove that the efficacy...
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...Records (EHR) is the quintessence of a trend changing the health care system. Because more medical facilities are adopting the use of electronic health records, members are receiving faster more efficient care whereas the medical facility is saving money. EHRs are “digital repositories of patient data accessible to multiple stakeholders” that include “patient’s health history, medical conditions, test and treatments, medication, demographics” and other pertinent information about the patient (Otto & Nevo, 2013. p. 165). Electronic health records eliminate misplacement of documents, destruction of the documents via handling, and to retrieve documents for continuity of care providers needed to seek information from multiple places. EHRs streamline processes; place the information in one place, and the “USA could save $162 billion annually. Potential cost savings include, increased efficiencies, improved health quality via disease prevention and disease management, and reduced prescription errors” (Otto & Nevo, 2013. p. 166). Improved patient care is pertinent not only to prolonging the person’s life but also because patients are the main source of...
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...and providers to comply with Meaningful Use requirements while increasing productivity and enhancing cash flow and revenue. PrimeConnect offers a full suite of services including: PrimePen, a digital pen that can easily transfer data directly to the EMR; PrimeConnect Mobile, a cellular phone app allowing access to records anytime and anywhere; PrimeConnect E-prescribing, a unique way to capture patient allergies, drug interaction and the capability of easily prescribing and refilling patient prescriptions electronically; and finally, PrimeConnect ProHealth, “an integrated, protocol-based communications, patient engagement, and measurement solution that empowers providers to succeed in every aspect of collaborative care” (NextGen, 2013). Quality of Care “When health care providers have access to complete and accurate information, patients receive better medical care. Electronic health records (EHRs) can improve the ability to diagnose diseases and reduce—even prevent—medical errors, improving patient outcomes” (HealthIT.gov, 2013, para. 1). PrimeConnect ensures that providers have reliable access to patient records anytime and anywhere. With an easily accessible, complete and comprehensive medical record, the provider can diagnose and begin a patient treatment plan sooner which may result in a more favorable patient outcome. EHRs have had an extremely positive impact on the quality of patient care because they “can reduce errors, improve patient safety, and support better...
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...The Impact of leadership Styles on Quality Management in Health care Effective and strong leadership is one of, if not the most important and critical component for any organization’s success, particularly in health care facilities. Leadership also plays a major role in enhancing an organization’s competitiveness as confirmed by various academics (Rowe, 2001; Riaz & Haider, 2010). Many argue and suggest that there is a connection between an organization’s leadership style and its ability to implement and manage quality initiatives. That being said, researchers still encounter difficulties when assessing the effect of leadership styles on healthcare quality management, as most of the available theories were developed outside of healthcare setting. This paper aims to present an evaluation and a review of published scholarly articles discussing three styles of leadership and their association with quality management initiatives. The three leadership styles chosen for this evaluation are: Transformational leadership, servant leadership, and situational leadership. The paper will also describe my current leadership style, then compare it to the transformational model, and finally outline the changes I need to implement in order to incorporate its key characteristics into my own style. Research Summaries In the first article titled “Knowledge Management as a Mediator for the Efficacy of Transformational Leadership and Quality Management Initiatives in U.S. Health Care”...
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...AFT Task 4: Periodic Performance Review Accreditation Audit Case Introduction The accreditation process is designed to assist healthcare establishment to identify and enhance the patient’s safety and the quality of service delivery. This paper presents a review of the readiness Nightingale Community Hospital for accreditation audit. The paper comprises of a periodic performance review of the establishment. The review has focus of several priority areas. These areas include; assessment and care; quality improvement; patient safety, and staffing effectiveness. Trend within the hospital indicates the Nightingale has made significant progress towards fulfilling the standards of the Joint Review Commission. However, the trends in staffing effectiveness are limiting the organization’s compliance. Periodic Performance Review (PPR) The PPR is based on data collected in the Joint Commission Survey. The survey utilized the priority focus methodology to evaluate the compliance of Nightingale Community Hospital. The priority focus process is a methodology that makes use of data to establish priority areas for reviewing compliance. This process has utilized of both external and internal data to evaluate the compliance of Nightingale Community Hospital. This methodology identified several priority areas. These include; assessment and care services; quality improvement activities, and patient safety. This paper evaluates Nightingale’s compliance in these three priority areas. Compliance...
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...patient-centered, safe and effective care for improved patient outcomes. This focus is not only important for the patient’s health, but has become vital for the financial well-being of healthcare organizations. The United States has consistently ranked among the highest in healthcare costs and the lowest in improving patient outcomes when compared to other industrialized nations (Davis, Stremikis, Squires, & Schoen, 2014). There are multiple national organizations and initiatives designed to improve the state of healthcare in the U.S. and this topic is often debated at all levels of government. The Centers for Medicare & Medicaid Services (CMS), along with the Agency for Healthcare Research & Quality (AHRQ) developed a standard set of survey questions which are publically reported designed to measure patient’s perceptions of their “hospital experience.” The survey instrument is called the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) which allows hospitals and consumers the ability to compare hospitals to one another on topics important to patients. The survey also serves as a tool to enhance accountability through transparency and creates incentives for hospitals to improve the quality of the care they provide (Centers for Medicare & Medicaid Services, 2014). Nursing plays a vital role in the hospital’s HCAHPS comparison measures. The patient’s perception of the hospital “experience” includes several nursing-specific areas: communication, responsiveness...
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...Pain The management of pain can be tricky as sometimes-healthcare professions struggle between objective pain and associating the subjective pain which is what the patient says, “It is.” Understanding the Pathophysiology of pain and the cause of acute pain that lead to chronic pain is an essential aspect of managing pain. The nociceptive pain pathway is series of neurons that detect noxious stimuli that end up with pain; however, the pathway starts at the peripheral to the spinal cord and the brain (Stahl 2013). Knowing the pain pathway will help the PMHNP to understand the use of certain psychological drugs for the manage pain like Selective norepinephrine reuptake inhibitors (SNRI) for depression (Mehalick et al. 2016). According to the case study, the patient suffered from right hip pain that has been going...
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...MORAL COURAGE IN NURSING Objectives: 1. Recognize the characteristics of moral courage. 2. Discuss the concept of moral courage in nursing. 3. Identify steps to recognize moral courage. 4. Discuss strategies for developing moral courage. 5. List inhibitors of moral courage. 6. Ways to enhance the ability to demonstrate moral courage in nursing. 7. Describe organizational Structures that Support Moral Courage 8. Case studies "Stand up for what is right even if you stand alone." Anonymous Examples of unethical behaviors are seen today in academia, politics, sports, entertainment, banking, and the legal system. Healthcare professionals working in clinical practice, education, research, and administration are not immune to these unethical behaviors. They face ethical dilemmas on a regular basis. Shortages in the numbers of clinicians to deliver patient care, inadequate staffing levels, cost containment measures, consolidation of healthcare organizations and ineffective leadership have resulted in the escalation of ethical dilemmas nurses face today in healthcare environments. How individuals respond to these ethical dilemmas depends on their previous experiences with unethical behavior, their individual personality traits, their ethical values as well as their knowledge of ethical...
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...a patient care situation in which you describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse (BSN versus a diploma or ADN degree). Introduction Nurses are prepared in two different educational backgrounds, the baccalaureate degree level of nursing and the associate-degree level of nursing. Though they are prepared in two different settings when completion of these programs both sit for NCLEX-RN exam. The NCLEX is the state board to license and RN for competency to work as a registered nurse. There are few differences in competencies between associate- degree nurses and baccalaureate degree level nurses including their level of commitment, leadership skills and their quality of patient care. Education is an infinite process. Every day, new developments emerge and new deceases and remedies discovered. The overall outlook of healthcare professions has dramatically changed in the past few decades. Nursing plays a very critical and important part in efficient care and patient safety. Nurses work shoulder to shoulder with physicians in treatment planning and management. Legal and ethical responsibility of the care provided is also increasingly shared by the Nurses. Nursing profession thus calls for better qualified and well groomed nurses. Even though associate degree programs prepare nurses for patient care in a hospital setting, that training is insufficient for a variety of nursing roles. Comparison ...
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...Psychological factors such as behaviors due to chronic pain, stress, depression, and cultural beliefs can have an adverse affect on the body’s physical condition making the treatment of both the patients’ psychological and physiological aspects of health crucial in increasing the success of the patient’s treatment outcomes, one’s adherence to medical regimens and maintaining and improving one’s wellness. Therefore, in the attempt of improving overall patient health, measurable by shorter hospitalizations and improved adherence to medical regimens, a psychiatry division comprised of five specialists specializing in substance abuse psychology, inpatient-only psychology, child psychology, adult psychology, and pain management has been developed with the responsibility of improving patient health through the use of psychological methods. The implementation of these methods are targeted to concentrate on the weaknesses and strengths of those needing psychological help in the hopes of improving the health and well-being of all those involved. Substance Abuse Counselor The substance abuse counselor is one, which helps individuals dealing and suffering from a variety of different addictions such as those of alcohol and drugs. The substance abuse counselor is to counsel individuals who are addicted to these substances, helping him or, she to identify and understand the behaviors and problems associated with his or, her addiction. Addiction can become a very debilitating disorder...
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