...The patient always needs to be number one when nurses are providing care. Collaboration between providers and staff members goes a long way in patient care because taking care of a patient can become a team effort. I run ideas past other nurses or providers to make sure I am giving the best care possible for that patient. To trust and respect other providers to be included in the care of your patient is beneficial to that patient. When I have a laboring patient that does not have great heart tones on their baby I make sure that I have a NICU nurse and a respiratory therapist there for delivery incase the baby needs assistance after delivery. I cannot stress enough how important using your resources is because in turn it will increase patient...
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...Care Management Model Based on My Philosophy Care Management A shift from encounter based care to continuums of care is one of the biggest changes occurring in health care today. This change is driven by governmental legislation, payer incentives, and the recognized need by providers and healthcare systems. The lack of coordinated care results in medical errors, unnecessary procedures, and other forms of waste. This also creates higher costs for the patient, lower quality, and produces an unsatisfactory patient experience. A study performed by the Midwest Business Group on Health in collaboration with the Juran Institute revealed that 30% of all health care expenses result from poor quality care. In 2009, total health expenditures in the U.S. were $2.5 trillion. This means that $750 billion was the result of poor quality (Ralston & Park, 2011). Care Management Model Based on My Philosophy Case management and clinical pathways are strategies used to manage patient care. Although they use different approaches, both are related. The primary function of a case management program is to enhance the coordination of needed resources for patients and their families. Case managers facilitate access to services, both clinical and non-clinical, by connecting the individuals to resources that support him/her in playing an active role in the self-direction of his/her health care needs. Clinical pathways, on the other hand, are tools and systems. The tool reflects only part of the case...
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...The Liverpool Care Pathway: Does it improve the quality of dying? The Liverpool Care Pathway (LCP) is an integrated care pathway developed in the late 1990’s (Ellershaw et al, 1997) as a means of transferring best practice in care of the dying, from the hospice environment to other sectors starting in the acute setting. Currently the LCP is a recognised tool used by clinicians in the United Kingdom as well as over twenty countries, to give appropriate care to patients who have reached the last hours or days of their lives. Described to provide comfort to the dying and also address the needs of the carers (Chapman 2009). During this assignment the author will highlight and explain how a data search was conducted, and will analyse the data retrieved, explaining and evaluating the data to build a discussion based on the chosen topic of end of life care, with a focus on the Liverpool Care Pathway. The author will conclude by producing recommendations for practice. Although described above that the Liverpool Care Pathway is an appropriate tool for providing adequate care for patients, it can also be seen as a controversial pathway, being described as a ‘tick box’ approach rather than a humanistic approach (Chapman 2010). It has been referred to by the UK’s Daily Telegraph as ‘sentenced to death on the National Health Service’ (Devlin 2009). The author has a keen interest in palliative care, after researching is interested in enhancing knowledge surrounding the LCP as there are many...
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...avert a government shutdown[->0] after midnight action in the House to delay President Obama[->1]'s healthcare law[->2], with both parties trading accusations Sunday about who would be to blame for an impasse. Neither the House nor Senate[->3] planned to meet Sunday, with fewer than 36 hours left to approve a new stopgap spending measure. Instead, members of Congress[->4] fanned out to the TV networks' Sunday news shows to react to mostly party-line votes the House took overnight to again send the spending bill back to the Senate with provisions to undermine the Affordable Care Act. Republicans[->5] have insisted that such provisions be part of any deal to keep federal agencies open once the new budget year begins Tuesday. Sen. Ted Cruz[->6] (R-Texas), who has assumed a lead role among conservatives in pursuing the “defund or delay” strategy, repeatedly argued Sunday that Senate Majority Leader Harry Reid[->7] (D-Nev.) now stands in the way of a resolution. Cruz accused Reid of using "brute political force" to resist any changes in the healthcare law, which Cruz described as the "biggest job-killer in this country." "So far Majority Leader Harry Reid has essentially told the House of Representatives[->8] and the American people, 'Go jump in a lake,' " Cruz said on NBC's "Meet The Press." "If we have a shutdown, it will only be because when the Senate comes back, Harry Reid says, 'I refuse even to talk.' " Reid on Saturday called the Republicans' latest offer — a one-year...
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...Assisted Suicide: Governmental or Personal Decision? Assisted suicide is a widely argued ethical issue. A lot of the debate on this subject stems from either different viewpoints of when this act is appropriate, or what the resulting consequences would be if such an act were ever permissible. The point mostly debated between opposing sides is life-worth. What constitutes a life worth living and who is to ultimately decide this? The main problem with this question is that suffering cannot be measured unless one is to endure that same suffering themselves. The view that life is a special gift bestowed by God is held highly by many religions and it is of most importance to them when the debate on assisted suicides arises. A gift from God should not be tampered with let alone destructed. Although the number of ethical issues involved is endless this paper will be focusing on three points. The first point engages in the ethics of assisted suicide and will involve the psychologically vulnerable and the elderly. The second ethical issue to be mentioned will be the presence and/or lack of a definition for a terminal illness. The last point is concerned with the human will to power and how this creates a problem should assisted suicide be permissible. These ethical issues, although strong convictions on their own, can lead to slippery slope arguments and must be looked at very carefully. In addition depending on the standpoint that one would take, these arguments have both strengths and...
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...Technology’s impact on health care is noted in the use of health care beyond the clinic or hospital setting. With the expansion of the capabilities of technology involvement in health care and the increased positive outcomes for all the patients affected by the use of technology and the improved patient care. The term telemedicine is used to describe multiple technology systems and programs within use in the medical field. Definition of telemedicine “The use of medical information exchanged from one site to another via electronic communications for the health and education of the patient or healthcare provider and for the purpose of improving patient care. Telemedicine includes consultative, diagnostic, and treatment services” (MedicineNet, 2011). Telemedicine had impacted health status by improving the quality and efficiency of health care received by patients. The impact is also seen with the ability to reach remote places where health care professionals are not available, in having the availability of health care in remote places has impacted the health status by improving the health of the public without the need to have patients being seen in a traditional clinic. Physicians can assist the patient’s medical needs with the use of telemedicine programs and systems (Roine, Ohinmaa, & Hailey, 2001). Areas that have had an impact from technology are teleradiology, echocardiographic images can be viewed outside the facility, consulting specialized health care professionals using e-mail...
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...health care is limited in the rural setting so it becomes imperative to educate the patient regarding their illness, treatments, management, medications and when to seek medical assistance. Providing this information to the patient and educating them, the patient is better able to self-manage their condition. Kouame (2010), identified the key challenges facing the rural population as: low population density, limited to no services, disproportionate numbers of elderly, low-income, and minorities, social isolation and a high incidents of chronic illnesses. Health promotion is defined as the process of enabling people to increase control over and improved their health. Improving health literacy is key in empowering the rural community...
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...Improvement Plan Part II Quality improvement is a hospitals process to advance the quality of care and outcomes for patients using an explicit set of philosophies and procedures (Walker, 2012). This paper attempts to describe some of the areas of potential advances for quality improvement at Washington County Regional Medical Center (WCRMC) nursing unit. One principle of quality improvement is measurement, which is the collection of data to improve patient care. Using these measurements and tools can help leaders understand the direction of quality in the organization. Areas of Potential Improvement for the Organization. The areas of consideration for improvement at WCRMC are emergency room wait times and discharge instructions. Both of these improvement areas have financial and influence for the health care organization. Emergency room wait times can reduce the market share and financial stability of the health care organization. Discharge instruction if given appropriately by the nursing staff can reduce the readmission rate for WCRMC, along with financial gain and improve the satisfaction of the patient experience. These are just of couple of measures WCRMC can use to align the mission of the organization and the commitment of improving performance. There are several models and tools for collecting data. Models There are several models for collecting data in the health care organization determining the method is responsibility of the organization. One model is the Plan...
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...With this rapid growth of patients who are seeking health care, it is inevitable that wait times to see a healthcare provider have lengthened. For this reason, an intervention for improvement of the existing flow process must be implemented to enhance the quality of care that is provided to the patients as well as improve patient satisfaction. Lean technique was implemented by eliminating any nonvalue-added activities in the current workflow, decreasing wait times, creating a quicker throughput, and improving patient satisfaction and quality patient care. Throughout this process, the information that was gathered for the lean technique solution made the trial days of implementing lean technique successful in urgent care. A second solution was developed as a backup plan, consisting of having a dedicated nurse practitioner and a...
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...considered of good functional ability, patients/clients are expected to perform typical daily activities, health care facilities and teams call these, activities of daily living (ADL's), these activities can be measured and assist in patient care. Activities of daily living include things like; brushing one's teeth or hair, taking a shower, being able to eat without assistance, etc. There are other activities known as instrumental activities...
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...Patient-Centered Care Delivery Model, a Multidisciplinary Team Approach NR532 Healthcare Operational Planning and Management Patient-Centered Care Delivery Model, a Multidisciplinary Team Approach Increased emphasis from the Institute Of Medicine (IOM) and the Patient Protection and Affordable Care Act (PPACA) on improving quality, safety and reducing care cost has brought forth challenges among hospital executives (Cama, 2009). Nurse executives must develop low cost, innovative and effective ways to deliver patient care. The focus of this manuscript is to develop and implement a care delivery model emphasized in a patient-centered care delivery model using multidisciplinary team approach. Patient-centered Care Delivery Model According to the Institute of Health Improvement (IHI), “patient-centered family care is care through a patient’s experience that is coordinated, informed and grounded in respectful interactions with providers that are consistent with the patient’s values, expectations and care decisions” (Balik, 2011). Evidence-based practice has drastically increased this past decade with one of its cornerstones being “patient-centered care and nursing being at the frontline to lead this change. Professional nurses are prepared to effectively lead the healthcare team to achieve patient and organizational goals. Patients are unique in every facet of their needs and therefor multiple disciplines are critical to best deliver patient-centered outcome (Cama, 2009)...
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...Improving Quality of Care Ottawa University Abstract Assessing and improving quality health care in the United States is a high priority in this day and age of health care. As health care providers we have an obligation to serve as leaders and visionaries and actively demonstrate and document the advances to patient-centered care. Many agencies and organizations have developed initiatives to advance patient care through quality improvement measures and patient safety programs. Evaluating quality health care is important for consumer, providers and society. Developing a quality measure of health care is an important objective for organizations that value health care quality. Improving Quality of Care The continuing growth of technology in healthcare is ground breaking at this time. With the advancements in technology and health care, there has become a rift between providers and patients. Patients want the best quality care from the health care system. Despite this justifiably positive view that, overall, quality of care is high in this country, many factors point to the fact that the quality of care is declining. It is believed that patient-physician relationships are not as strong as they once were, causing distrust and uncertainty. The health care field is ever changing and health care providers need to stay current on those changes, both now and in the future. Quality patient care will greatly remain impacted from the health care provider shortages and in return...
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...Evidence Based Practice Task 1 Western Governors University Evidence Based Practice and Applied Nursing Research The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk. Part A The article being analysed is: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal of Clinical Nursing, 22, 192-200. The analysis of the primary research report is done in the form of a graph (figure 1). Each of the four analysis areas is rated within a scale of 1-10; 1 denotes extremely weak while 10 denotes very strong. Table 1 then gives justifications for the rating by explaining why each area of analysis was rated that way in the analysis chart. [pic] Figure 1 Table 1 |A1 Article: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal | |of Clinical Nursing, 22, 192-200. | |A2 Background or introduction |The researchers provided an in depth introduction of the research topic outlining | | |important issues, previous research on the topic and their findings. The introduction | | ...
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...Evolution of Health Care Information Systems Looking back twenty 1990’s and now in 2010 health care has changed extremely. Health Insurance Portability and Accountability Act (HIPAA) did not exist until 1996. HIPAA made it possible for everyone to qualify for health insurance and setting privacy and they established health information standards and regulation. Veterans Health Administration’s (VHA) had a reputation of poor quality of care and the 90’s were the beginning of a major transformation of VHA that was aimed at improving the efficiency and quality of care that was being provided to their patients. Capability to do data analysis in 1990 was impossible most of the data was collected and stored in a room untouched. Advanced in technology made it possible to do research and do data analysis. The advantages in technology are beneficent to health care information in providing electronic medical records, medical billing, telemedicine and teleradiology. Evolution of Health Care Information Systems Compare/contrast of either health care facility or physician’s office operation with the same 20 years prior To look back twenty years ago in the 1990’s and now in 2010 health care has changed tremendously. In the 1990’s Health Insurance Portability and Accountability Act (HIPAA) did not exist. Prior to HIPAA, which was passed in 1996, there were no regulations or standards for health care delivery in making it more efficient for patients. There were no...
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...Technology’s impact on health care is noted in the use of health care beyond the clinic or hospital setting. With the expansion of the capabilities of technology involvement in health care and the increased positive outcomes for all the patients affected by the use of technology and the improved patient care. The term telemedicine is used to describe multiple technology systems and programs within use in the medical field. Definition of telemedicine “The use of medical information exchanged from one site to another via electronic communications for the health and education of the patient or healthcare provider and for the purpose of improving patient care. Telemedicine includes consultative, diagnostic, and treatment services” (MedicineNet, 2011). Telemedicine had impacted health status by improving the quality and efficiency of health care received by patients. The impact is also seen with the ability to reach remote places where health care professionals are not available, in having the availability of health care in remote places has impacted the health status by improving the health of the public without the need to have patients being seen in a traditional clinic. Physicians can assist the patient’s medical needs with the use of telemedicine programs and systems (Roine, Ohinmaa, & Hailey, 2001). Areas that have had an impact from technology are teleradiology, echocardiographic images can be viewed outside the facility, consulting specialized health care professionals using e-mail...
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