...Running head: PREVALENCE AND ASSOCIATED FACTORS OF SPIRITUAL Prevalence and Associated Factors of Spiritual Needs Among Patients With Cancer and Family Caregiver December 11, 2011 Prevalence and Associated Factors of Spiritual Needs Among Patients With Cancer and Family Caregiver Problem Statement Identify cancer patients and their caregivers spiritual needs and measure the prevalence of these spiritual needs. The patients and their caregivers can have similar spiritual needs that may require care. However, a nurse’s help with these spiritual needs, may not always be wanted. So how does the nurse identify the spiritual needs? If and when these needs are identified, how is the nurse to approach these needs? Study Purpose This study is significant to nursing because it reveals “nurses must be educated to recognize and nurture various spiritual needs” (Johnston Taylor, 2006, p. 734). Research Questions 1.) How prevalent are the spiritual needs of patients with cancer and family caregivers, from their perspective? 2.) What demographic and illness-related factors are associated with type and frequency of perceived spiritual needs? 3.) What are the patients’ and family caregivers’ expectations regarding nurses addressing their spiritual needs? ((Johnston Taylor, 2006, p. 730) Hypothesis/Hypotheses The study hypothesis is all people have spiritual needs, but the importance varies as do their beliefs. The desire for nurses to assist in these spiritual needs...
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...Patient / Child / Adolescent and Family Education– the different type of methods in Patient Education Problem Based Learning (PBL) 1. What does mean the chosen method in PE (describe the phenomenon)? Problem based learning (PBL) is an educational method developed for medical teaching in 1968 in McMaster University in Canada (Tingström et al. 2002). It has been since utilized in undergraduate studies in various programmes all over the world and further transferred also to patient education. PBL embraces the main principles of adult education. Other educational methods in patient care seldom take under consideration patients’ own beliefs, previous knowledge and information needs (Kärner et al. 2012). PBL, however, allows patients to gain new knowledge restructure previously acquired information and apply their knowledge in practical context (Kärner et al. 2012). PBL thus does not mean problem solving but it provides its participants with problem-solving skills. PBL method is based on group meetings called sessions. During each session a problem (“trigger”) is presented to the group in a form of patient case description, video, pictures, etc. The patients then discuss to clarify all the unfamiliar terms and concepts, and basing on their previous knowledge they determine the main problems in the presented trigger. Further, they analyze those problems and prioritize them. Finally, they identify the learning objectives. Often one of the patients is chosen a discussion leader...
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...VENICE FAMILY CLINIC: Improving capacity and managing patient lead times PREPARED BY Professor Kumar Rajaram, UCLA Anderson School of Management Karen Conner, MD, UCLA David Geffen School of Medicine A case by the Johnson & Johnson/UCLA Health Care Executive Program and the UCLA Anderson School of Management Dr. Susan Fleishman, Medical Director at the Venice Family Clinic (VFC) returned to the clinic after her early morning meeting with CEO, Elizabeth Forer. It was a typically warm and sunny Southern California day as she approached the front door of the clinic. She walked past a line of six to eight people waiting to check in at security and then proceeded upstairs to the waiting room. Almost every seat was taken. The room was full of elderly people, homeless men and women, young mothers, babies, toddlers with runny noses, school-aged children watching TV and adult men and women dressed for work. Some clutched papers indicating they had been seen by either registration or a provider, but most were holding only their color-coded cards given to them as they passed through security. As she headed towards the patient rooms, she noticed two resident doctors holding charts and chatting about their upcoming ski trips, one attending physician talking to a medical assistant about lab work and another on the telephone impatiently waiting on hold. A quick walk by the patient rooms showed that despite the crowd in the waiting room, only about half of the rooms had patients in them...
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...performance that are used to make judgments about learning." How do health providers design educational programs to clearly articulate objectives to engage both patients as well as families? In order for health care providers to develop effective learning objectives, they must have a way of proving that the patient or family has received and understood the educational information presented. “The nurse and family should work together on a mutually agreed upon plan that in cooperates their individual and family values and beliefs.” (Edelman, C .L et al 2004). Therefore, in designing an educational programs health care providers, must first take into consideration the Humanistic side of their clients by creating an environment that is conducive to learning , which is based on respect, collaborative participation ,dignity and social interaction, thus making the transition through the learning process to change behavior easier for both patients and their families. When establishing a patient’s health care plan, a nurse must first ask themselves, “What do I want the participants to learn/accomplish”? “How will participants demonstrate that the desired information has been learned”? When writing objectives it is crucial to remember these key points, Audience: Who is the learner, this is where you design your objectives for patient family caregivers ect Behavior: The quantitative, measurable action verb describing the new capability to be achieved. Condition: Under which said activities...
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...RVH uses a patient-centered comprehensive care approach for patient management. All considerations of the patient’s personal preferences and values, their family situations, and their lifestyles are made. The patient and their loved ones are an integral part of the treatment team in that they collaborate with their health care professionals in making clinical decisions for patients. This is evident across the continuum of care with all focus on the patient and by extension to their family. When analyzing this organization using the Patient- and Family-Centered Care Organizational Self-Assessment Tool, low marks are received across the board except in the area of communication with hospital staff. RVH spear headed a Patient-Center bedside report years ago and encourage patients and their family to be actively involved during nurse to nurse report. This has become a standard of care across the continuum of all hospitals and proven to save time, improve communication and care, but most important save lives. Daily meetings or phone calls with family are the expectation for doctors while patients are in the hospital. This coupled with 24 hour visitation on all units encourages family involvement in patient care. In RVH outpatient settings, patient/family centered care is evident with the introduction 3 years ago of MYChart where patients and family can receive up to date information specific to their care, and have direct communication with their doctors. However, patients...
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...Inter-professional Team Development I. Introduction Patient and Family Centered care evolved a relationship that involved the patient and the family in the treatment, decisions and potential outcomes in their medical plans and care. The patient is encouraged to take part in every aspect of their treatment and is empirically empowered through education and understanding to make the best decisions possible in their care and management of their disease process. This evolution has moved the health professional into an open, honest, communicative relationship with the patient and empowered them with a tool that had, until recently, been devoid; they have been given choices. The patient-centered care model addresses the patient's concerns by providing resources and communication concerning the options available to them, and to evaluate their understanding of their diagnosis and how to utilize these resources and understanding to meet their needs. II. Self-Assessment Tool III. Setting Description The present setting where I am employed is a 300 bed academic Level One Trauma Center residing in the heart of the city. We provide many specialties of care which include trauma, stroke--being in the minority as a comprehensive stroke center--high risk obstetric and a state of the art cancer care center, to name of a few of the services provided to a tri-state area. The hospital sees a very diverse population of patients, with a large amount, around 26%, being indigent...
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...To Intubate or Not To Intubate: Families vs. Physicians Debate on Health Care Ethical Issues SHARON COLES University of Phoenix JANUARY 30, 2012 To Intubate or Not To Intubate: Families vs. Physicians The top healthcare ethical issue in the United States is the disagreement between patients/families and health care professionals about treatment decisions. It is not uncommon for health care professionals to clash with the family of the patients for whom they care for over treatment decisions. Some patients will inevitably suffer the consequences of an error made during their care or hospitalization. Many people in need of diagnostic tests or surgical procedures are forced to wait months, and perhaps even years, to receive these services. These are just some examples of the kinds of ethical challenges that patients and their families may confront in the health care setting. Disagreements typically take one of two forms. Either the health care professional might push a treatment option for more or less treatment that patients and families deem unacceptable, or conversely patients/families may push a treatment option, whether it is more or less treatment, or different treatment, as an alternative, or complementary treatment that health care professionals deem unacceptable (Breslin, MacRae, Bell, & Singer, 2005). Ethical Issue According to research studies, it is the end-of-life critical care cases that tend to be the most emotionally charged, and...
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...Family values paper Health begins at home, if family adapts healthy life styles, eat healthy meals, and involve exercise regime, then it benefits every member of the family. Applying this principle of family health to nursing practice, gives us a concept of family nursing. In this set up nurse develops care plan which revolves around client and his family. Involving family in care helps patient and family members bond better during the critical times and it also results in improved patient outcomes. Nurses can use multi-disciplinary team approach to educate family members and introduce them to different aspects of patient needs post discharge. Family members can be educated regarding dietary needs, swallowing and aspiration precautions, mobility issues and patient transfers, assistive devices and lastly and most importantly medication regimen. This education can be further classified into categories such as wound care, tubes and drain care. Community resources and community services need to be included in plan. Resources such as community health services and public health clinic are added value to family nursing. As these services work for not just the client but the welfare of the whole family and they help prevent hospital visits and ER visits. Family nursing is relatively new concept in patient care but it is showing growth in the patient care area. Since we have new healthcare restructuring in process, this has introduced rapid growth of managed care systems. Part of...
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...care for patients who are near the end of life from a terminal illness. This is a group of professional health care workers that are there to take care of the patient and the patient’s family. They work as a team to make sure these patients have as less pain and problems dealing with the end of life as possible. They provide the family of the patient with the knowledge of how the dying process works. They will inform the patient and family stage by stage of what is happening. They will let the family members know the details of the sounds a person may make when the process begins so the family is well aware of what is going to happen. Although hospice helps the family deal with the loose of the patient, hospice caregiver’s main focus is to make the patient feel comfortable, by easing any discomfort possible during the process of dying. They also help the patient pass with as much dignity as possible. Hospice can start caring for a patient as early as six months, the physician of the patient has to recommend for services to be start. A patient may be on hospice for as little as a few days, no matter the length the services and care given is always important for the patient and family. Most of the patients on hospice are older, however hospice services will be provided to any patient in their final stages of life young, middle age or old. Many patients dealing with the final stages of their illness receive hospice care; there are also on the other hand, many patients and families...
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...Patient-Centered Care and Communication in Critical Care Pikes Peak Community College Patient-Centered Care and Communication in Critical Care Introduction Communication is a key component in nursing care. As nurses we must communicate with our patient’s, patients’ families, and a wide variety of healthcare team members. Communication can be vital to patient’s lives, informative to physicians, and calming or educational to families. The communication method, or theme, that a nurse uses as part of her care can positively, or negatively, affect every aspect of patient care. Communication plays a huge role in the way I care for patients and their families. Without positive, supportive communication I would have a very difficult time building a trusting relationship with my patients. My nursing career goal is to one day become a critical care nurse. I chose this article to further educate myself about affective communication and how I can apply this knowledge in a critical care setting. As a nurse working in the Intensive Care Unit, communication has a critical role in patient-centered care. The objective of this study was to perform a qualitative analysis of nurses’ communication behaviors to develop interventions that will improve patient-centered communication in the critical care setting. The theoretical model of patient-centered care contains five domains. The five domains include: the biopsychosocial perspective; the patient-as-person; sharing power and responsibility;...
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...alone “Each day in 2007, there were an estimated 1,459,900 home health care patients” (p. 2). With so many individuals choosing home care there needs to be nurses available to care for them. For many patients at home care provides comfort and piece of mind, but what affects does it have on the care providers? This paper is intended to show the stressors of being in patients homes, caring for the patients themselves, and the patients families on the nurses caring for them. Stressors of Home Care Devlin and McIlfatrick (2010) research shows that a majority of end of life patients would prefer to leave this world within their homes. Wanting to live out their final...
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...Interprofessional Team Development: A Patient and Family Centered Care Western Governor’s University: C158 May 11th, 2016 Interprofessional Team Development: A Patient and Family Centered Care Approach Approach to patient care has changed over the last three decades from patient treatment-focused model to include comforting, engaging, and empowering patients. The new approach implements patient-centered care environments. It has been adopted by care providers, research bodies, funding agencies, and regulatory agencies, among others. To enhance patient-centered care, business practices, regulatory requirements, and reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals annual due...
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...Terminally Ill Patients' and End of Life Care: A Multidisciplinary Concept Analysis Jennifer Thompson UTA Analysis of Theories in Nursing Nurs 5327 Ronda Mintz-Binder, RN, MSN, DNP April 19, 2014 Terminally Ill Patients' and End of Life Care: A Multidisciplinary Concept Analysis With an aging population in our country we are facing an increasing number of patients’ that are coming to the end of their lives and are presenting with terminal illness. As life expectancy increases we are seeing more and more patent that are 65 year old and older in need of end of life care. Research and medical developments have provided a vast array of treatment options available to our patients’. After patients’ have exhausted all available treatment options for their disease processes they face the reality that their life is coming to an end. Patients’ near the end choose between quality of life over quantity of life. One service available to terminal patients’ is hospice care which offers palliative care to patients’ at the end of life. Health care providers must be able to face and appropriately care for patients’ with terminal illness and end of life care. At times it may be difficult for health care providers to face or present the truth to a patient that further treatment is futile and end of life care would be appropriate. Advanced practice nurses’ will face terminal illness and it is required of them to be able to sufficiently treat, manage, and discuss end of life care with these...
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...According to Winthrop university hospital, patient and family-centered care gives patients a voice in the planning, delivery, and evaluation of their care which leads to better adherence to the patients’ plan of care (“Winthrop University,”2016). Children’s Mercy Hospital in Kansas City also incorporates the concept of patient and family-centered care in their practice. Children’s mercy hospital define patient and family-centered care based on four key elements which include dignity and respect for patients’ and families’ values and beliefs; information sharing to promote effective participation in health care decisions; encouraging patients and families to participate in decision-making; and collaboration, which incorporates patients, families, healthcare providers along with different departments in the hospital in order to provide the best possible care (“Children's Mercy,”...
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...Organizational Leadership and Interprofesional Team Development David Beck Western Governors University Organizational Leadership and Interprofesional Team Development Patient Family Centered Care Organization Practice Setting Currently I have the privilege to work for the largest Not-for-Profit healthcare system in Texas. Memorial Hermann Health System is more than a hospital system, we are designed to be a healthcare delivery model, incorporating affiliated physicians with care delivery hospitals, effortlessly working together with one goal in mind, the goal of advancing health. By setting our focus on evidence based medicine, the constant pursuit of healthcare quality, and patient safety, Memorial Hermann Health System has been recognized as a national and regional leader in quality healthcare. As an integrated healthcare system, Memorial Hermann has surrounded the city of Houston with 12 acute care hospitals, three heart and vascular hospitals, a neuroscience institute, two sports medicine institute locations, a chemical dependency treatment center, a home health agency, a retirement community, a nursing home, several surgical, and cancer centers. Working in conjunction with our physician network Memorial Hermann also offers local employers with health solutions and health benefits through its wholly owned insurance company. (Memorial Hermann Houston Hospital, Institutes & Centers, n.d.) Within this vary large framework of a healthcare system, I work within one of...
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