...Leadership SMART Goal Sherri Love Chamberlain School of Nursing Christle Shavers NR 447 Collaborative Health Care Team-building Leadership Core healthcare competence According to the Institute of Medicine, patient-centered is “health care that establishes a partnership among practitioners, patients, and their families (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they need to make decisions and participate in their own care” (2001). There are many attributes that can be associated with patient-centered care. First, there is the requirement for education and shared knowledge; second is the requirement for the involvement of a patient’s family and friends; and third is collaboration and management of a care team. Since patient-centered care connotes healthcare that is solely focused on the needs of the patient, there is need for nurses and other health care providers to be sensitive to the spiritual dimensions of care as well as to other non-medical attributes of human nature. The patient should be respected and his needs and preferences should form the core of the decisions made by health care providers. As a requirement, and to streamline care, there is need for information to flow from the experts to the patients and to the family and be accessible to the relevant parties. Leadership SMART goal I will learn how to handle a patient’s members...
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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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...identified various ethical issues. At the forefront is the disregard for patient consent when Henrietta Lacks cells are taken from her without her knowledge and sent to a lab where they grow and continuously sold to other labs all around the world. Informed consent is a patient right, however, at that time for a black woman no one thought twice about asking her permission or even informing her that samples were taken. Now looking back and think what occurred we cringe. Knowing that HeLa cells are in labs all around the world and were used in various vaccines and research without her permission is thoroughly chilling. “With Henrietta unconscious on the operating table… Wharton picked up a sharp knife and shaved two dime-sized pieces of tissue from Henrietta’s cervix” (Skloot, 2010, 33). This vivid account of the cells being taken from Henrietta’s...
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...Patient-Centered Health Care Home Many people in the United States do not have access to high quality primary care. There is substantial evidence indicating that sufficient access to high quality primary care results in lower overall health care costs and lower use of higher cost services, such as specialists, emergency rooms, and inpatient care. A large amount of the nation’s dollars are spent on health care. This large budget affects providers, patients, employers, and payers such as Medicaid, Medicare, and private insurers. This is a primary concern in many states including, Minnesota. There are significant gaps in the quality of health care that patients in the United States receive. The current health care payment and delivery system is particularly poor at providing care for people with chronic conditions. As a result of these factors, policy makers debated over proposals that can actually be effective. Some of these proposals aimed for reducing cost, focusing on patient, and improving quality of care. An example of a proposal that focused on patient-centered care and increased quality of care is the creation and introduction of Patient-Centered Health Care Home (PCHCH), also known as “Medical Home.” The introduction of the PCHCH in Minnesota will increase patients’ accessibility to health care services, give them power to be involved in decisions regarding their care, have continuity of care with their physicians, prevent duplication of services, reduce health care cost...
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...symptoms Reduces Involves Results to Involves Involves Involves Involves Limiting interactive conflict Effective treatment Cause of condition Presence of pain From Medical professionals Seek advice Collaborative care Monitor reaction Quality medicine principles Path physiological processes Seeking counsel Monitor patient Quality care right Physical condition threat Threat to body Threat to life Patients’ privacy Coping with patients needs Care planning Ethical responsibility Chronic illness/ disability Nursing a Person with Chronic Disease or Disability Introduction The disease process affects when a person suffers from a chronic illness or disability, the entire family and the community and the medical care offered to the patient. Chronic diseases or disability dictates that the infected person have to acknowledge the disease process as well as direct his or her attention towards leading a positive life. In similar magnitude, the community and the family of the person have to give care throughout the disease process (Manley et al. 2011). Nevertheless, accepting the condition of chronic disease or disability is a major to both affected persons and the family. The family must be ready to encourage the infected person, arrange medical care and in some instances, the disease condition may force the family or the community to assume the role of the breadwinner. In this sense, impacts of chronic disease or disability would affect the entire society...
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...person-centered care given to a patient by the student and her supervisor during a clinical placement. The assignment will explore effective communication skills when working with other professionals, the patient, and their families. For clarity, the assignment will also explore the ethical, legal and professional values underpinning nursing practice with a special focus on how professional issues can impact the person-centered care given. It must be acknowledged that the assignment relates to the person-centered care provided by the student to a patient during her stay in the hospital. The person’s confidentiality will be protected in this assignment, with the use of a pseudonym...
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...INTRODUCTION In recent years, patient-centeredness and cultural competence have been promoted as integral to improving health care quality. Although patient- centeredness and cultural competence have grown out of separate traditions each with its own focus they have many similarities. Health care that is patient-centered is likely also to be culturally competent, and culturally competent care is likely to be patient-centered. Proponents of patient-centeredness may therefore view cultural competence as within its purview; likewise, proponents of cultural competence may view patient-centeredness as an essential element. THE EVOLUTION OF PATIENT-CENTEREDNESS Patient-centered care supports active involvement of patients and their families in the design of new care models and in decision-making about individual options for treatment. The IOM (Institute of Medicine) defines patient-centered care as: "Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions." The term “patient-centered medicine” was originally coined by Balint in 1969 to express the belief that each patient “has to be understood as a unique human being (Balint)".The concept has evolved and expanded, and today, no one would deny that health care should be patient-centered.2 However, despite universal endorsement of patient-centeredness, there is considerable ambiguity in its definition and use across settings...
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...Results The data collection procedures for this research is by observation of 118 health care professionals preparing medication preparation of intravenous narcotic preparation. Researchers were focusing on 2 potential approaches to reducing medication error, individual error focus and systematic error focus. Observing the health care professionals with different procedural changes, process design, to see if it reduces the possibility of error is the appropriate data collection. This research did not directly involve patient identifiable health information. This study was based off of the data from the original study that used some patient protected health information. This research studied the two possible approaches that would possibly effect the reduction in medication errors. The principles of validity and reliability are essential bases of the scientific method. Validity of research must have been randomization of the sample groups and appropriate care and diligence shown in the allocation of controls (Shuttle, 2008). The research is validated since the sample group is randomized with professionals within their field such as RN’s that are licensed to prepare IV mediations along with hospital pharmacists. Also controls were allocated with diligence. For example, the group in the research were randomly selected and the controls, such as the same medications and stations, were kept the same for each participation as much as possible. The reliability of the research is...
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...MLH purpose of existence is to be a leader in health through “quality, cost-effective-and family-centered care”. Because the mission of MLH holds all associates accountable for providing quality healthcare to our communities, it has to be concise, clear, and easily remembered. MLH is committed to its mission. In fact, the mission serves as the foundation for the organizational culture experienced at each MLH facility. Through continuous training and accountability, associates are energized, thus buying in and taking ownership of the mission of MLH. MLH is not only the abbreviation for the...
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...Family Health Nursing Nur 464 – Concepts of Family Nursing Theory October 6, 2005 Family Health Nursing Nursing has been an integral part of patient care forever, though not considered as a part of medical profession in the early days. Nursing care has evolved from the time of nursing pioneers like Florence Nightingale and Dorothea Orem to today’s health care environment where, health care system has become more complex and fragmented with specializations. The growth of sophisticated medical technology has further changed nurses’ roles in taking nursing care to nursing profession. Today’s nurses have to focus on the psychosocial and physiological environment of a client along with the physical aspect of care. Individual’s personal circumstances play a very important role on their overall health and welfare. Family environment, family values, economic and financial support and education or knowledge base are few important factors that contribute in making individuals react. To provide optimal care, the patient has to be treated as a whole. Patients family should be included ‘as client’ rather than the background for care. What is an ideal family? There are multiple definitions of family. One definition according to The Bureau of the Census is, “two or more persons who are related by birth, marriage, or adoption and who live together as one household” (U.S.Census Bureau, 2005). Another definition of family is “two or more individuals...
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...strongly that the patient (Sarah) has a mental illness that requires hospitalization to ensure her safety. Although she is not agreeable to psychiatric admission, Sarah has demonstrated significant acts of self-harm and has lost the ability in her situational stress, mood disorder, and intoxicated state to make decisions that are in her best interest. She is clearly a danger to herself, and in good faith the medical team feels that it is their duty to provide services that will protect and rehabilitate the patient, Sarah. The nurse feels as if she needs to advocate for the patient’s best interests. However, there is always...
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...participating IPE event. Students from different professional programs attended this event as well as faculty members, such as pharmacy, nursing, physician assistant, respiratory care and social work. We worked in teams with realistic scenario and tried to figure out who would be the best candidate for liver transplant in respects of autonomy, beneficence, non-maleficence, and justice. This experience was special to me because I never worked with other professionals before. The IPE event was also helpful to me because I learned how to communicate with other...
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...PHILOSOPHY OF HOLISTIC CARE AND SPIRITUALITY IN PATIENT-CENTERED APPROACH Patient-Centered Approach: The level of increasing competition, technology, education, logistics and communication opportunities of our age made it necessary to focus on the expectations and desires of the patients in health care. With the humanistic approaches in the health care, the necessity has increased even more. And with the patient-centered approach, it became the contemporary approach, which is regarded as the presentation of the health care. The patient-centered approach is an approach, which guarantees the patient values in clinical decisions at a certain extent and is respectful of the individual preferences, needs, and values of the patient. The approach...
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...Concept of Care from a Nursing Perspective Student’s Name Institution’s Name Concept of Care from a Nursing Perspective Care is a universal concept that applies primarily to health. From time immemorial, women have been considered as the primary caregivers in family units. Women always have been responsible for the well-being of the family and the community. If a member of the family or the community fell ill, the women were the only ones tasked with the responsibility of caring for this individual until he/she got better. This narrow definition of care has expanded over the years and has been inculcated fully into the medical profession. Care and nursing have become so intertwined up to the point that they can be considered synonymous. Currently, nurses are the care-givers to patients in hospitals and homes for the elderly. As a critical element in nursing, it is essential that the concept of caring is thoroughly analyzed. The subject cannot be taken as a small matter as it has a crucial impact on the process and outcomes of nursing. The purpose of nursing is to render health services that will ensure that the patients get better and are able to continue with their lives. Care is essential in ensuring that this purpose of nursing is met in the hospital, health center or home. Concept and Purpose The concept under study in this paper is care. This paper seeks to investigate the concept of care from a nursing perspective to determine...
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...are four references that I consulted to develop ideas for the project. I have clear memories of visiting the doctor’s office as a child. The frosted glass partition between the receptionist and the waiting area created a boundary that clearly stated “keep out.” When I asked my mother why it was there, she said because the people working in the office wanted peace and quiet. I don’t think I fully understood that explanation at the time, but I did understand that it meant they didn’t want to be bothered. The breaking down of these boundaries is the heart of the Planetree Patient-Centered Care Philosophy. The Planetree website states “Planetree is a non- profit organization that provides education and information in a collaborative community of healthcare organizations, facilitating efforts to create patient-centered care in healing environments.” (Planetree, 2012) In the course of my employment as an imaging technologist at the U.S. Department of Veteran’s Affairs, two coworkers and I were picked by management to create a Planetree Project for the radiology department. We were told that we should keep in mind that it was the end of the fiscal year and that money was tight. I shrugged my shoulders in disbelief and complained to my peers that we were being set up to fail. I knew very little about Planetree and I knew less about what resources I had access to. We had a month to come up with some...
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