...The Effects of Self-Management on the Progression of Chronic Kidney Disease Keywords: Chronic kidney disease, self-management, patient education, end-stage renal disease The Effects of Self-Management on the Progression of Chronic Kidney Disease Kidney disease is one of the leading causes of death in the United States and was the 8th leading cause in 2010 (Arialdi M. Miniño, 2012). Approximately 20 million U.S. adults who are over 20 years of age have chronic kidney disease (CKD), and most of them are unaware of their condition ("CDC, National chronic kidney disease "). This number continues to grow every year due to an increase in the incidence of hypertension, diabetes, obesity, and the aging population. CKD can develop into end-stage renal disease (ESRD) rapidly without intervention, and the only treatment currently available is renal replacement therapy or kidney transplant. The cost of treating those in the United States with ESRD in 2009 was approximately $40 billion dollars, and this cost continues to grow each year ("National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) "). Moreover, patients who develop kidney disease pay an even higher price with their life. Studies have shown that CKD is associated with a higher rate of cardiovascular disease as well as all other related mortalities (Kurth, de Jong, Cook, Buring, & Ridker, 2009). An adult with CKD is 16-40 times more likely to die before reaching ESRD than an...
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...University of Texas MD Anderson Cancer Center organizational structure has allowed them to become one of the prominent organizations for treating cancer, research, and schooling. Since the early 90’s, they successfully restructured from being a physically organized cancer center in regards to clinical fields into a hospital that was structured into disease centered combined practice components termed multidisciplinary centers of care. These components were reinforced by an organizational structure plan in which doctors conveyed information both to management of educational units and disease centered care centers. As their ability to research and at the same time educate future health care personnel keeps them in forefront. Though these multidisciplinary centers of care do not operate simultaneously as one team focus on an individual patient they communicate focusing on particular cancer treatment and research with the same mission and goal. Keywords: cancer, research, students The University of Texas MD Anderson Cancer Center Organization& Stakeholder Relationship Knowledge and Comprehension The University of Texas MD Anderson Cancer Center being one of the United States most valued centers dedicated entirely to the care of patients with cancer, education and research. Located in Houston, Texas Medical Center, established in 1941 MD Anderson was a part of “The University of Texas System”. Further research shows The University of Texas MD Anderson Cancer Center is...
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...Multidisciplinary Teams In Health Care Martinez, Juan Grand Canyon University: UNV 515 December 16, 2015 Multidisciplinary Teams In Health Care Hospitals are integrating a variation of team-based health care delivery concepts for staff working in intensive care units, emergency rooms, and operating rooms. Team-based health care delivery often referred to as multidisciplinary teams, improve communication between different levels of healthcare workers. According to Epstein (2014), multidisciplinary teams are responsible for improvements in patient outcomes, improved patient and employee satisfaction, and most importantly a decrease in adverse events (AE). Case Description Peter, a 24 year-old male involved in a traffic collision has suffered internal bleeding due to liver trauma and is in need of a surgery and a blood transfusion. Past medical history includes asthma, diabetes, and a significant drinking problem that started at a very young age. It is important to note that the patient is a Jehovah’s Witness and his mother raised him without a father figure. Health Care Delivery Team The multidisciplinary team delivering care to the patient include: the paramedics that arrived at the scene of the accident, extracted the patient from the car, and transported the patient to the emergency department, the registered respiratory therapist that assisted in intubating the patient and was appointed to make sure the patient had ample respirations...
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...3 and 4 reported pressure ulcers. The Braden scale for predicting pressure sore risk is a universally accepted tool used to help nurses identify patients who are at risk of developing pressure ulcers. The scale evaluates each patient in the following six areas exposure to moisture, sensory perception, activity, and ability to change positions, nutrition, and exposure to shear (Rosenfeld, 2010). The identification of unit specific champions is a key strategy for the continued reduction of the prevalence of pressure ulcers. These leaders on the units serve as the educators for the remaining staff on the unit. These champions would be part of a multidisciplinary team, which reviews all new research, assistive devices, and evidence-based practice concerning the treatment and prevention of pressure ulcers. The multidisciplinary team would focus on key points the help take aggressive action against pressure ulcer prevention, some of the key points are education, documentation, setting benchmarks , and walk rounds. Education would focus on proper assessment, staging and accurate completion of the Braden scale. Consistent and thorough education would be provided to the patient and family. Documentation would be uniform and reduced to a...
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...Tom on the morning team brief, which was informed during the pre-assessment by Mrs. Jo. Mr. Tom took charge of the situation speaking with Mrs. Jo calmly and explaining the steps of an anaesthetic induction and the options she could have. After a long dialogue and discussed the best strategies in order to proceed with the anaesthetic induction, we then went through all the safety checks for a surgical procedure and attached the monitoring necessary. The venopuncture was done normally, with Mrs. Jo beeing distracted by me during the procedure and also with the use of local anaesthetic to numb the venopuncture site. The cannula was inserted sucssessfuly with no significant changes on Mrs. Jo's vital signs, and the anaesthetic induction occured without any incident. A team de-brief was done in the end of the day, where it was pointed Mrs. Jo's situation and the reasons for failure in communication, with Mr. Tom assuming is...
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...Research Summary and Ethical Guidelines: Person-Centered Interactions Grand Canyon University: NRS-433V 8/23/15 There is an increasing focus on person-centered care in the literature and in the clinical setting. It is proposed that utilizing a person-centered approach during medication related activities has the potential to improve patient experiences and outcomes. This research summary and ethical considerations analysis is based on the article published in the International Journal of Nursing Studies by Bolster & Manias in 2010 “Person-centered interactions between nurses and patients during medication activities in an acute hospital setting: Qualitative observation and interview study.” Background of Study Despite the known benefits of using a person-centered approach to medication related activities nurses continue to routinely use a task-based approach to medication related activities. Most patients have medications administered to them by a nurse while hospitalized. This provides the nurse multiple opportunities to provide education and person-centered care. This is significant to nursing because “previous research has shown that the relationship between the nurse and the patient including how the nurse provides information is critical to enhancing medication adherence and management” (Bolster & Manias, 2010). The objective of the study was to investigate the following scenario: “How do nurses and patients interact with each other during...
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...Within this assignment I will critically reflect on my clinical knowledge to date and consider my future development needs with a focus on my final management placement and future career as a registered nurse. I have chosen two areas which I feel are relevant to my future development needs namely Quality Assurance and Multidisciplinary/Agency team working and using the Gibbs model (fig. 1)as a framework will reflect upon my own learning experiences and achievements to date and write an annotated reflection highlighting my development needs from which I will formulate a Personal Development Plan. This undertaking demonstrates my commitment to the need for continuing professional development in order to enhance my knowledge, skills values and attitude needed for effective nursing practice (proficiency 4.1) and will address deficits in my knowledge and skills and identify any shortcomings within my own or others practice and help me cope with practice related issues experienced within my previous placements. I have chosen Gibbs reflective model as a basis for reflection as I feel it is easily understood and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, conclusion and reflection upon the experience to consider a solution if the situation arose again (Brooker & Nicol 2003). It has been advocated that reflective practices are a method of bridging the gap between nursing theory and practice, and as a tool to develop knowledge...
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...distance and understanding personality in building an effective team. In this reflective essay, I will briefly explain above mentioned theories and link it to my experience in this group work and talk about how I can utilize my learnings in the future. Multi disciplinary decision making approach is one of the decision making models in which it attempts to take all role-players and stakeholders’ perspectives into account in reaching objectives. It is based on Singer and Churchman’s (1971) concept of unbounded systems thinking which assumes that any problem can cause effect to surrounding...
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...Introduction: ABC Hospital is a specialized hospital consists of 600+ beds, which has been designated as a trauma center. It provides evidence based emergency, specialized tertiary patient centered care for Dubai and Northern Emirates. The hospital is committed to its values in terms of services by providing its staff respect, empowerment, accountability, safety and transparency. Its manage-ment team is strongly committed to development of a benchmark hospital with a quality learning environment. It has achieved first Joint commission International (JCI) accreditation in 2007 and has been reaccredited in 2010 and 2013. The basic principles of Quality improvement Plan are those underlying all the quality improve-ment processes: a dedication to continuous improvement in the system and processes as well to identify and satisfy the patient’s needs and recognizing that it can be best attained through team work and employee empowerment (Deming,2000). These principles lead the progress and im-plementation of quality improvement plan. The goal of this plan is to attain organization wide exposure to quality fundamentals and to promote quality structure and processes. Quality Improvement Issues. Patient Satisfaction: As the health care environment is very complex and changes frequently (Gilbert, 1992) due to competition among providers giving more importance to the improvement in efforts and reduc-tion in costs, it makes patient satisfactionverychallenging. There are different kind...
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...Running Head: Postoperative Pediatric Pain Management Postoperative Pediatric Pain Management: A Multidisciplinary Concept Analysis Postoperative Pediatric Pain Management: A Multidisciplinary Concept Analysis Acute pain following a surgical procedure is one of the most common stimuli experiences by pediatric patients. Pediatric postoperative pain management has long been overlooked and treated differently than adult pain management. There tend to many misconceptions when it comes to pediatric pain management stemming from the belief that children do not experience pain the same way as adults. Since the pediatric population is not legally allowed to make medical decisions, guardians must make these decisions for them. Postoperative pain in the pediatric patient may be hard to assess and therefore healthcare professionals have begun to involve family members and caregivers in the pain management process. Pain can stem from many sources and thus must be holistic, involve multiple disciplines, provide education and apply to each individual patient. In practice, advocacy for these young children is important in helping them and their families understand about the situation and make education decisions on how to proceed with care. The concept of postoperative pediatric pain management must be analyzed to help resolve these misconceptions and not ignore the population who at times cannot speak for themselves. Review of Literature After a surgical procedure, the pediatric...
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...details of why we are so confident in our new idea, and why involving Triangle Solutions Company is a smart idea. IT’S NOT JUST FOR YOUR FACE “It’s Not Just for Your Face†Not too long ago, the photochromic, or transition lens, made its introduction to the world. In our amazement of the product, numerous glass wearers went flocking to their optometrist, to purchase these ultraviolet light reactors. This innovation is quite the impressive product; the lenses contain a certain dye, which react to UV sunlight (“How Can…†2000). Our Idea is to implement this type of photochromic glass into automobiles. The transition glass, consumes 100% of all UV rays, not only protects our eyes, but assists in night vision as well. Our team is compiling information and research that will breathe life into our new innovative idea. Today’s automobile manufacturers, install a windshield that inhibits an antiglare property, or laminate, which obstructs a small percentage of sunlight. This characteristic is the hindering thwart, in the merging of photchormic glass in vehicles. Improving on this idea, we are formulating a new revolutionary glass product, and including it in the manufacturing of the newer model automobiles. During its introduction phase, the photochromatic lenses had a coating on the outside of them....
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...replicated with and extended to clinical populations and problems. Translational research is broader than the traditional term applied research. Applied research is any research that may possibly be useful for enhancing health or well-being. However, through translational research, the same studies (research) would include some action steps in addition to what is normally done in applied research. In translational research the researchers would partner with the community and ask for ideas about how their findings might apply there. Together, they would come up with an intervention plan that would also include scientific evaluation of its effectiveness. Translational research has evolved as an alternative to the traditional Experimental Analysis of Behavior (EAB). Mace and Critchfield (2010) stated that yet despite many scientific successes, EAB has been both in scholarly and societal influence wane. The demise of EAB may be due to the lack of...
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...Education and Practice http://www.pakinsight.com/journals/IJEP.htm POSTER PRESENTATIONS COMMUNICATION SKILLS IMPROVE ENGINEERING STUDENTS’ Tharwat M. EL-Sakran English Department American university of SharjahSharjah, United Arab Emirates David Prescott English Department American university of SharjahSharjah, United Arab Emirates ABSTRACT This research reports the procedures the writers have employed in teaching several academic and workplace communication skills through engineering multidisciplinary projects (EMDPs). In these projects students are divided into teams, with each team comprising a minimum of three and a maximum of four students from different engineering majors. The students choose and appoint a team leader, choose a research topic/problem in the surrounding environment that requires input from all team members and collaboration from all students, each in his/her respective discipline, in finding a solution to the situation/problem. Team members choose the topics, obtain approval of the topics from cooperating engineering faculty and the course instructor, and then prepare detailed research proposals. They receive specialist feedback on their proposals, and based on how detailed their proposals are, are given the go ahead to proceed with their research. The execution of the research project requires the use of several technical communication skills such as, internet searches; sending email messages; writing formal letters; meeting with officials...
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...Patient and Family Centered Care Kimberley Masterson WGU0713 Stacy Stratton-Mentor Practice Setting Wellington Regional Medical Center is located in Wellington, Florida. It is a 233-bed, acute-care hospital, owned by a subsidiary of Universal Health Services, Inc., a highly respected, healthcare management organization. Wellington Regional Medical Center is owned and operated by a subsidiary of Universal Health Services, Inc.(UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation. Wellington Regional is proud to have provided high-quality healthcare("About Wellington Regional Medical Center - Palm Beach, FL | Wellington Regional Medical Center," n.d.) services to the residents of Palm Beach County since 1986.The Village of Wellington has an approximate census of 60,000 in 2013. (Census.gov). Wellington is located in western Palm Beach County and borders the Florida Everglades. Initially, the land area known today as Wellington, Fl. was developed in 1953 to provide drainage and flood control suitable for agriculture. The area was once the world’s largest strawberry patch. Nevertheless, over time the land has been purchased and sold until 1985 when Lennar homes built on 500 lots. Today, Wellington is an affluent and thriving community that is willing to stake its future on being different.(“Wellington/History of Wellington”.nd) Wellington is recognized as the winter equestrian capital of the world. Wellington...
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...SWOT ANALYSIS Strengths Friendly approachable staff Different exposures to multidisciplinary team (nurse endoscopists, cancer nurse specialist, surgeons, consultants and endoscopy nurses) Student resources (student board and welcome pack) Weaknesses As endoscopy is specialised there’s not much opportunity for students to undertake new skills Student pack feeds students a little too much Opportunities To work with different members of the multidisciplinary team To observe specialised nursing care and observe endoscopy procedures To observe emergency procedures To gain knowledge about endoscopy and the procedures undertaken To learn and participate in decontamination Threats Environment Equipment Liaising with new people and surgeons and consultants Session title: Having a gastroscopy Target group: first year second placement nursing student Time allocation: 15 minutes Aim: to educate a student on what is a gastroscopy and some of the reason why we carry out the procedure | Indended learning outcomes: * To be able to explain what a gastroscopy procedure is * To be able to explain why we perform a gastroscopy * To be able to tell us some of the reasons a person may be refered for a gastroscopy | Content- BSG gastroscopy guidelinesTeaching method- powerpoint presentationTime-10 minutes | Tools and/or resources needed: Computer, powerpoint | Any useful references bsg national guidelines | Evaluation: reflection of the session | Name…………………………………...
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