...At the end of life, patients and their families are faced with many difficult choices. One of these choices is deciding whether to withdraw or continue enteral feedings that their loved one has been receiving. Some researchers argue that withdrawing enteral nutrition at the end of life allows the natural dying process to occur and increases comfort because patients are not administered feedings that the body can no longer absorb. Other researchers argue that providing nourishment during palliative care enhances the course of treatment and can improve patient outcomes. The goal of this paper is to demonstrate in palliative care patients, what is the effect of withdrawing enteral nutrition compared to continuing enteral nutrition on quality of...
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...Reflection for Patient Care Visit 10-29-15 Emily, who is a P2, and I went on our first patient visit without our P3 Brook. Brook was busy with meetings on this Tuesday afternoon and had asked if Emily and I were up for the task of going on our first patient visit alone. Emily and I shared a glance of concern before we both agreed. How bad could it be? When we arrived to our patient’s house, I immediately began my weekly task of refilling the pill boxes. Our P3, Brook, usually establishes communication with the patient while Emily and I take notes and take care of other small task, like getting the blood pressure, filling pill boxes, and changing the pain patch. Emily actually got to learn how to change the patient’s pain patch. Brook taught...
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...Patient Care Improvement Tracer methodology is an evaluation method used by Joint Commission surveyors where they select a patient (resident or client) and use that individual’s record as a roadmap to move through an organization to assess and evaluate the organization’s compliance with selected standards and the organization’s systems of providing care and services. Surveyors retrace the specific care processes that an individual experienced by observing and talking to staff in areas that the individual received care. As surveyors follow the course of a patient’s treatment, they assess the health care organization’s compliance with Joint Commission standards. They conduct this compliance assessment as they review the organization’s systems for delivering safe, quality health care. ("Tracer Facts," 2012, para. 1) For this assignment I have reviewed the tracer patient summary information and there are several outstanding patient care issues. Some of these are related to documentation, such as history and physical exam not completed timely, lack of documentation pertinent to functional assessment, plan of care documentation outdated, and the lack of pain assessment documentation following medication administration. I have elected to address the patient care issue of documentation since many elements of the patient tracer revealed documentation to be a concern. The old motto goes, “if it is not documented, it was not done”, therefore, appropriate documentation is critical not...
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...healthcare, patients call in for different types of complaints and sicknesses. Due to the high volume, the hospital organization decide to centralize the inflow of calls by using a general call center. Based off my healthcare experience, I can really passionately relate to this scenario. I have worked in a high-volume call center for an ophthalmology medical group of 32 surgeons. In this case, our IDS has received multiple complaints that has lead up to upper management. There has been an increase in emergency room visits as well. Patient complaints can play a big role on overall healthcare satisfaction. This will affect an organization reviews via online and word of mouth. Call center are typically the first overall interaction...
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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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...Issues in Patient Care Student Name School Name ABSTRACT Healthcare transformation is recently an issue which has attracted the public attention in the global world and is being discussed not only in statehouses but also in public. Though it is believed that any rising issue in patients should be catered in the health checks but the aspect can also be undertaken in the homes. In essence, the care of patients should be prioritized and emphasized by the practioneers to be done in homes, since it is cost effective and a better component reform effort undertaken (Guadagnino, 2008) Patients should be empowered in taking care of their health without merely depending on the decision given by the health practioneers. Health issue is a critical subject which should be prioritized and taken with a lot of caution since it means one contemplating between life and death. Therefore, apart from one being empowered to take care of him/herself it is also vital for one to adhere to the prescriptions and steps given by the health checks (Guadagnino, 2008) ISSUES IN PATIENT CARE A patient is therefore obliged to take care of his or her health regardless of the circumstances and situations which they encounter and thus the issues involved in the patient care should not be a hindrance towards the practioneers taking an extra care to the patients. A considerate care to the patients should therefore be an imperative and vital aspect and thus the practioneers...
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...THE PATIENT There is a growing expectation of patient centered humanization of expert practice that turns health expertise into a collaborative professional relationship rather than an expert empowered, technically superior, practitioner centered approach (Higgs p9). Literature suggests patient- centered-care, professional relationship, Patient empowerments are the main components of collaboration in healthcare decision making. Atkins and Ersser (2008) mention that according to UK department of health the concept of “expert patient” is being promoted among health care communities. Which gives clear indication of the importance in including the patient in the decision making process. Patient centered care The patient is respected and is considered...
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...Technology in patient management has become progressively complex, altering how nursing care is provided. Before technology became a major tool in patient care, nurses depended greatly on their senses of touch, sight, hearing, and smell to monitor patient health status and to identify variations. “Over time, the nurses’ unaided senses were replaced with technology designed to detect physical changes in patient conditions. Consider the case of pulse oxymetry. Before its widespread use, nurses relied on subtle changes in mental status and skin color to detect early changes in oxygen saturation, and they used arterial blood gasses to confirm their suspicions. Now pulse oxymetry allows nurses to identify decreased oxygenation before clinical symptoms appear, and thus more promptly diagnose and treat underlying causes,” (Powell-Cope, G., et al. (n.d.). No one would deny that technology has had a significant impact on the healthcare industry. From new testing techniques to surgical equipment, today's medicine is very different from that of just 10 years ago. And now, with the explosion of the Internet and other digital communications, a wealth of health-related information is more accessible to patients than ever. Patients seek information immediately and often research both disease and cure on their own. In many cases, this results in better-informed patients and makes it possible for them to take greater responsibility for their healthcare. But in other cases, when patients access inaccurate...
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...meant by patient-centred care. It will also focus and expand on two key aspects of patient dignity - making choices and confidentiality. Patient-centred care (PCC) is an extensively used model in the current healthcare system (Pelzang 2010:12). PCC is interpreted as looking at the whole person and considering their individual values and needs in relation to their healthcare. By implementing a PCC approach it ensures that the person is at the very centre of any plans that are made and has a dynamic role in the decision making process (Pelzang 2010:12). Service users of NHS Scotland are no longer being looked upon as being inactive receivers of care and are invited to have more involvement in the decision making. The Healthcare Quality Strategy for NHS Scotland was launched in May 2010 and one of the three Quality Ambitions is person-centred care:- “ mutually beneficial partnerships between patients, their families, and those delivering the healthcare services which respect needs and values, and which demonstrates compassion, continuity, clear communication and shared decision- making” (NHS Scotland healthcare quality strategy 2010). It is evident from the above aim that shared decision making plays a significant part within the patient-centeredness approach that is emphasized continuously within NHS Scotland at present. By encouraging a more active patient role in making decisions it is said to have a positive impact and improve the relationships between patients and healthcare...
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...Importance of Patient-Centered Care It has been a goal of many healthcare providers to achieve patient-centered care in their facilities. At the Cleveland Clinic, they have come up with a program that will help create better communication between the physician, nurse and patient. Rimmerman (2013) said that their hopes are to eliminate misunderstandings, create a better environment for the patient and their families to ask questions and to achieve a plan of care that will fit to the patient’s needs. Why is a patient-centered program important? At many facilities, patients often spend about 30 minutes or less a day with their physician during their stay. According to Rimmerman (2013), the nurse devotes their time with the patient and their family more than any other staff member. The relationship that nurse develops with the patient is a vital component to the patient’s care. This allows the nurse to create an environment for the patient and their family to ask questions or state any concerns they may have. According to the Rimmerman (2013), “In many respects, they know the patient better by virtue of their time spent and reflect an in valuable source of clinical information with respect to, patient progress, personal needs, skin wounds, IV status, activity level, nutritional status, independent ambulation, emotional concerns and family dynamics. Nursing is in a position of strength by virtue of its continuity of care.” That statement sums up why it is an important key for...
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...which in turn contributes to the reduction in avoidable emergency hospitalisation among patients with T2DM. Reference emphasised that this could result in significant reduction in financial cost to the NHS. Clinical studies suggest that specialist diabetes inpatient teams can reduce prescribing errors, improve patients’ outcomes, reduce length of stay, increase day case rates and reduce the number of admissions. This suggests the multifaceted role that the DSNs play in patient care. Bostrom et al (2012) conducted a study to evaluate the perception of DSNs on their multifaceted roles in 23 primary health sectors at a suburb of Sweden with a sample size of 29 DSNs with mean age of 51. Five focus group interviews were conducted to collect data...
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... 1 Essential Care of Frail Older Adults Mary Anne V Wheeler Lane Community College Abstract This paper explores the Institute for Healthcare Improvement’s map for the patient process of essential care for the elderly. It summarizes the IHI map and then discusses the specific goals of The Joint Commission (TJC) and how they relate to the IHI map. The paper then continues on to discuss how the standards of TJC are put into effect at McKenzie Willamette hospital to provide the essential care for the older patient. Essential Care of Frail Older Adults Overview On the improvement map from the Institute for Healthcare Improvement’s (IHI) website, the patient process “Essential Care for Frail Older Adults” is outlined. IHI states that the purpose of this process is to “Ensure coordinated, reliable, and safe care for frail older patients as they enter the hospital.” As the title of the map indicates this patient process is related to the care of our older adult patients. The IHI website indicates that it would be moderately challenging to implement this patient process for the following reason “Either it involves multiple units or disciplines OR requires a substantial shift in culture an/or operations, but not both of these.” This patient process will need to be implemented in any medical facility that may treat the frail older adult including medical, surgical and emergency departments of hospitals along with nursing homes and intensive care units and also in...
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...Providing patients with compassionate, patient-centered care, and a healing environment, should be the hallmark of service in all healthcare settings. All these components are attainable with the implementation of the right programs. Programs by themselves cannot produce the desired outcome and the success of any plan requires the input of workers at all levels of the organization. Shaller, D., (2007), supported this idea that the single most important factor contributing to patient-centered care, in any healthcare setting, is the commitment and engagement of senior leadership. It is his expert opinion that to sustained delivery of patient-centered care is only possible with the participation and support of top leadership. Sakallaris, B.,...
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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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...Substandard Patient Care Paper University of Phoenix What is Substandard Care The level of patient care is a high priority for most health care professionals. Both the professional and patient desires smooth procedures and positive results. Unfortunately, every situation doesn’t end up on a positive note. This paper will examine the meaning of substandard patient care, discuss a professional experience with substandard patient care, and describe how it relates to quality care. Every organization in the health care field should avoid delivering substandard care to their patients. According to the Collins English Dictionary (2003), substandard is defined as, “falling short of some prescribed norm”. In other words, substandard patient care is care for patients that are below the facility’s standards. Substandard care can be a result of multiple factors. Negative situations can get worse from actions of the patient or their family members, which can be outside of the controls of the healthcare professional. Shortage of staff members such as nurses can also add to substandard patient care. Administrative failure is another factor that can add to substandard care. Wrong decisions made by the administrative staff can at times affect the patient as badly as a physician’s mistake. According to Cohen, Placitella, & Roth (2007), “The medical industry overall contributes to higher than necessary rates of [substandard patient care]. Although some errors are unavoidable, the industry...
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