...Older Adults Patient Education Issues Essay and Interview HLT 306 There are many issues that arise when teaching older patients. These barriers include; chronic illness, sensory changes, cognitive changes, medications and third party teaching. A patients life experiences can also affect patient education. It is up to the clinician to make adjustments to best suit each individuals needs and provide the best outcome possible. I conducted an interview with Mr. Bonds, a 79-year-old war veteran, and his daughter. Mr. Bonds was diagnosed with small cell lung cancer 2 weeks prior and was at the hospital to have a Super Dimension bronchoscopy for fiducial marker placement. After starting the bronchoscopy, the physician discovered Mr. Bond’s tumor had progressed and was constricting the left lower lobe. We ended up having to use argon, cut back the tumor and place an endobronchial stent in the airway to keep it open. The fiducial markers were unable to be placed at that time. Mr. Bonds’ simple outpatient procedure became an ICU admission with ventilator support. The following statement became very true in this situation. The patient’s initial condition may lead to a cascading effect of a secondary complication or problem, which then contributes to yet a third problem (Falvo, 2011, p.307). The physician had to readdress his teaching to the daughter and explain the severity of Mr. Bonds’ illness. Mr. Bonds’ fiducial markers were placed two days later, he was then extubated and started...
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...(Ljunggvist&Soreide, 2003) Ljungvvist&Soreide (2003) explains that surgical authorities recommended that patients have fluids containing carbohydrates, for example, beef tea, during the preoperative period. In spite of this, later studies revealed anaesthetic related aspiration. This resulted in progressively firmer rules for preoperative fasting, in which case patients were informed not to consume solids and liquids prior to sugery- ‘Nil by Mouth’ from midnight. (Ljunggvist&Soreide, 2003) Over the past two decades, authors have questioned the need for such intense fasting regimes. Following this, studies have been completed, which showed that guidelines which are less intense can be used to benefit the patient. (Ljunggvist&Soreide, 2003)Ljunggvist&soreide (2003) explain that following the studies, healthy adults who are undergoing surgery, can consume clear fluids up to two hours prior to surgery. However, this does not apply to people who have got gastrointestinal deficiencies or diabetes. This is because, gastrointestinal deficiencies affects gastric emptying time. (Ljunggvist&Soreide, 2003) Given the amount of literature available and the author’s interest in this topic, it is the intention tolook at the length of time patients are being fasted for, and to look at evidence which supports whether these lengths of time are based on evidence or preference.The essay will discuss...
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...Running head: OLDER ADULTS PATIENT EDUCATION ISSUES ESSAY AND Older Adults Patient Education Issues Essay and Interview Older Adults Patient Education Issues Essay and Interview As healthcare professional, caring for the older adult as a patient is an important and sensitive matter, which requires respect and tolerance because of the generational differences that usually exist between the health professional and the patient. In this 20th century the number and proportion of older persons living in the United States has increased dramatically (Falvo 2011 p.297) representing more than 26% of the United States population. These older adults, including baby boomers place tremendous demands on healthcare due to aging and pathological changes, but they also require lots of support from their professional caregivers and their own children. Studies have shown that the incidence of illness and associated disability increase with age and that over 80% of older adults suffer from multiple chronic illnesses such as diabetes, cardiovascular diseases, arthritis or chronic obstructive pulmonary diseases. In addition to these diseases the older adult is confronted to the normal physiological changes that occur with aging such as cognitive and sensory changes. The older adult who is challenged with visual or hearing problems but is sick will promptly require medical attention and treatment thus the involvement of a healthcare professional with the help of a third party such as a family...
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...“Exclusive Interview with Billy Best.” ii. Personal Narrative II. Body A. Background Information iii. “Carcinogen.” Wikipedia. iv. “Cancer.” Wikipedia. B. Opposing Perspectives v. Schorr, Andrew. "Interview with Amie Blanco: Hereditary Colon Cancer." vi. Joe Chemo. Image. vii. Phillips, Gavin.“Interview with Dr. Burzynski.” C. Thesis + Support viii. Holistic vs. Medical treatment: medical treatment seems to be a better shot at surviving. ix. Kelly. “Adenoma/Glioblastoma multiforme/Anaplastic astrocytoma/Glioma Cured.” x. Cousins, Emily. “Life after Treatment Can Be Almost As Hard as the Chemo.” xi. Messoria, Josie. Personal interview. 15 November 2012. III. Conclusion xii. Personal. Abstract In this essay the author discusses cancer, what causes cancer, holistic vs. medical treatments. The first part of the essay the author presents a piece of an interview conducted with a young cancer patient who was going against the grain and refusing treatment. The essay then goes into a personal narrative on how the author feels about cancer then from there goes into a great descriptive paragraph about cancer and carcinogens. Her thesis is clearly surrounding the argument whether or not holistic or medical treatments such as surgery, radiation, and chemotherapy are ideal in treating/curing cancer. She explains that there are some cancer patients who swear...
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...Running head: Adult Patient Education Issues Essay and Interview Adult Patient Education Issues Essay and Intervie June 29, 2012 There are many issues that arise when teaching older patients. These barriers may consist of barriers such as chronic illness, sensory changes, cognitive changes, and medications. A patient’s life experiences may also affect patient education. It is up to the educator to make adjustments to best fit each individual’s needs and provide the best outcome possible. I conducted an interview with Mrs. L., a 89 year-old homemaker, and her daughter, Ms. L, a 63-year old mortgage broker. Mrs. L. was being admitted for congestive heart failure after her daughter noticed a marked increase in weight gain over a period of one week. Mrs. L’s BNP was 863 and neither the patient nor the mother understood the significance of this level; moreover, they did not understand the nature of the blood test or what it represented. They were told in the emergency room that the BNP was 863 and “your mother is going to be admitted to the telemetry unit.” Mrs. L.’s hemoglobin was 7.2 and both women understood the meaning of hemoglobin level as the patient suffers from chronic anemia. Not being satisfied with the information they received in the emergency room and the lack of the physician to address the issue and potential complications, the daughter opted to wait until mom was situated on the telemetry unit. At this time she stated, “the teaching began.” The...
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...into the community." The mission of a healing hospital is to improve health," adds Mather. "Mendocino Coast District Hospital is embracing the future of healthcare and taking the lead to create a healthy community. There are very few hospitals that have truly made it their mission to heal and not just treat the signs and symptoms of illness." A healing physical environment. This concept takes into consideration not only how we care for patients, but also how our staff engages with families as caregivers. We have learned that by creating a loving, compassionate, and aesthetically pleasing environment, we are able to help patients and families cope with stress and illness. Mercy Gilbert Medical Center promotes a quiet environment that supports healing for patients, in addition to providing a calmer, more stress free environment for staff and The second component of a healing hospital enables the staff at Mercy Gilbert Medical Center to work more efficiently while providing additional privacy and security for patients. Utilizing the most advanced technology available today also assists in providing a healing environment. The third and most critical component of a healing hospital is embracing a culture of Radical Loving Care, a philosophy championed by healthcare industry leader Erie Chapman. By embracing this \philosophy, Mercy Gilbert Medical Center has developed a strong culture of compassionate care, taking healthcare workers back to their roots and...
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...INTRODUCTION This essay is a critique based on a pilot study carried out on ‘patient stories of living with a pressure ulcer’ and I will be using Caldwell, K. et al. (2005) as a structured research framework to carryout the evaluation on this study. First and foremost a definition of what research, (nursing research in particular) and research critique entails will give a greater understanding of what this essay aims at addressing. On one hand, Polit and Beck (2006, p4), defined research as a systematic inquiry that uses disciplined methods to answer questions or solve problems, while on the other hand they define nursing research as a systematic inquiry designed to develop knowledge about issues of importance to nurses, including nursing practice, nursing education and nursing administration. The importance of having research carried out in the nursing field can only be emphasised as it is the key element in generating and guaranteeing evidence to guide nursing practice and improvements to care and quality of life of both clients and service users as claimed by Polit and Beck (2006, p4). However once the research is undertaken and published, great emphasis is placed in finding out or identifying the strengths and weaknesses through critique. Polgar and Thomas (2000), point out that critiquing research entails identifying the strengths and weaknesses of research publications to ensure that patients/clients receive assessments and treatment based on the best available evidence...
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...Given that my research is geared toward depression, a woman’s health issue, I decided to interview Trish Holsten, a brilliant women who is experienced in the mental health field. On October 8, 2015, I conducted a personal interview with Mrs. Trish Holsten a former therapist, who worked at Johnston County Mental Health Center. Her relevant skills were essential to my research given that she has worked as a therapist for nine years at a mental health facility. Mrs. Trish obtained her Masters in Women’s Health. Altogether she has about 10 years of relevant work experience. During the interview, I asked her several questions, related to major depression. The topics discussed throughout the interview were on symptoms of depression, tests performed...
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...introduced by Albay 1st district Representative Edcel Lagman, and Senate Bill No. 2378 or An Act Providing For a National Policy on Reproductive Health and Population and Development introduced by Senator Miriam Defensor Santiago. THESIS OR CONVICTION: Yes, COUNTER ARGUMENT: No, because SUPPORTING ARGUMENTS 1. No, because Philip Nitschke, MD, Director and Founder of Exit International, commented in his June 5, 2009 interview with Kathryn Jean Lopez titled "Euthanasia Sets Sail" that appeared in the National Review Online: "Over time the Hippocratic Oath has been modified on a number of occasions as some of its tenets became less and less acceptable. References to women not studying medicine and doctors not breaking the skin have been deleted. The much-quoted reference to 'do no harm' is also in need of explanation. Does not doing harm mean that we should prolong a life that the patient sees as a painful burden? Surely, the 'harm' in this instance is done when we prolong the life, and 'doing no harm' means that we should help the patient die. Killing the patient--technically, yes. Is it a good thing--sometimes, yes. Is it consistent with good medical end-of-life care: absolutely yes." 2. No, because Sherwin...
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...EN 101. A process essay is a document of one’s procedures and observations, it can also explain a series of steps and events. In order to write a proper essay, is crucial to for the paper to contain a clear and firm thesis or purpose. This essay contains a narrative called, “Stripped for Parts.” Published by Jennifer Kahn, a graduate of Princeton and the University of California. Kahn’s purpose of writing this article was to enlighten the people of today’s society of the hazardous process of an organ transplant harvest procedure. A majority people assume that harvesting organs is a simple task, Kahn even mentioned early on in her documentation that she expected the procedure to be a fast paced surgery that would immediately heal the patient miraculously. When she observed the process and came into the realization that it was an extremely complicated procedure, it was almost as if Kahn felt as if she had a duty or responsibility to bring light to the subject. Kahn tried to get in touch with the audience’s emotions by stating a quote from a surgeon she interviewed, Charles Murray, “You tell yourself it’s for a good cause, which it is, a very good cause, but you’re still...
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...University HLT- 310V February 23rd, 2014 This essays purpose is to finalize the spiritual needs assessment of a person that is to be selected to regulate his/her spiritual needs. Religion as well as spirituality do not contain the same definition, although they have been utilized regarding many opportunities. “The primary purpose of a spiritual assessment is to identify a need in the patient and formulate a care plan (Power, 2006, p. 17)”. This assessment plays an essential role within the patient’s care and assessment. The experience of health care is also something that can become as progressing or positive as for a patient as they can give and receive spiritual support that is satisfactory. This assists in promoting the health of a patient, preventing sickness or illness for example anxiety or depression, and to also assist patients to deal with difficulties in times during sickness. A spiritual assessment tool to gain a guide assistance for the health care professionals to cope and embrace the patient’s spiritual needs will be discussed in this paper by the author. According to “(Joint Commission, 2005), the main purpose of the spiritual assessment should be to identify the patient’s needs, hopes, resources, and possible outcomes regarding spirituality (p. 6)”. The best holistic care to patients should be provided by health care providers through well and proper spiritual assessments. Miss Nina, was interviewed...
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...Edition Author who cites another author (secondary citation) Summarising several authors Bibliographic management tools Page 5 5 5-6 6 6 7 7 7 7 7-8 8 9 9-10 10 10 10 11 11 11 12 12 13-14 14 14 14-15 15 15 16 16 16 16 17 17 17 18 18 18 18 18 19 19 19 20 20 20 20 3 Section 2: Hard copy texts: books, journals, reports, etc. Conventions for titles Book with one author Book with two authors Book with three or more authors Chapter in an edited book Fictitious author Book review Translated book Foreign language book Diary or book of letters Dictionary Encyclopaedia Journal Article Art image from a book Newspaper article Report Government report Act of Parliament Exhibition catalogue Leaflet Pamphlet PhD or dissertation Conference paper Interview (face-to-face) Letter Section 3: Electronic Resources Website E-book Book review (online) Journal (online) Newspaper (online) Dictionary (online) Encyclopaedia (online)...
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...In Deserae Peck’s argumentative essay about female circumcision, she uses various rhetorical strategies in order to inform and to persuade her readers to stand against the act. Though she lacks a clear thesis in her introduction, she does take the time to define what exactly female circumcision entails as well as stating “there are three forms of FGC.” Her introduction can serve as a rough start to a road map, but it definitely does not suffice for not having a concrete thesis. In terms of how I would improve her first paragraph, I would definitely incorporate a thesis and define the boundaries for what the paper covers. Peck follows up with an interview conducted by an expert in anthropology concerning a victim of female circumcision. This serves to provide a first-person account of the event being discussed and uses pathos to persuade the reader to feel strongly against the event. Her last sentence serves as a topic sentence and as well as a wrap-up, “...female circumcision is an inhumane...
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...Advantages and Disadvantages of Euthanasia Discursive Essay Diara Utebay ID 20140542 Academic Reading and Writing 1 Yelena Zhacheva SEPTEMBER 23, 2014 Discursive Essay Outline Essay question: Should the whole world recognize physician-assisted suicide? I. Introduction Thesis statement: Euthanasia would be recognized by the entire world because physician-assisted suicide leads to easily leaving our world without any pain and suffering and it is another case of freedom of choice. However, mercy-killing is contrary to the Hippocratic Oath. II. Body A. Main idea 1: Euthanasia changes view of life, thereby helps not to be afraid of pain before death 1. It improves quality of life. 2. The best way to relieve the pains. 3. Death is the opposite of life, but the process of dying is part of life. B. Main idea 2: Physician-assisted suicide is another case of freedom of choice 1. If the dying process is unpleasant, people should have the right to shorten it. 2. Countries which protect rights of their citizens. C. Main idea: Mercy-killing is contrary to the Hippocratic Oath. 1. Doctor’s job is to protect and save life. 2. Providing deadly drugs is contrary to the oath. III. Conclusion Everything goes to the fact that euthanasia will be recognized by the entire world, however, medical professionals are not in hurry to make the most important decision, which is related to euthanasia. It has been argued that euthanasia is one of the most...
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...strategies that encourage the patient to express feelings andideas and that convey acceptance and respect they are achieved through advancing the physical and emotional well-being of a patient in a non-judgmental way, while showing empathy and concern. The aim of therapeutic communication is to increase self-worth or decrease emotions such as anxiety and anger by putting together information to determine the illness. Ufema, J. (2008). More than just hand-holding. Nursing, 38(12). doi:10.1097/01.nurse.0000342039.82567.3a All health care professional study techniques of therapeutic communication, these techniques help the patient and health-care professional develop rapport and trust with one another during each other’s company for example when going to an appointment. For therapeutic communication to be successful, a mutual understanding between both the patient and the health care worker needs to be met. It is very important for the health care workers to use proper communication to prevent a misunderstanding between the health care worker and patient. This open communication shows a genuine and continual concern for what the patient is expressing. Throughout this essay I will be using the Driscoll model of reflection in nursing to express my understanding of the vignettes and making reference to the midwife pregnant stroke vignette. Driscoll's Model of Reflection in Nursing. Anti Essays. Retrieved March 17, 2015, from the World Wide Web: http://www.antiessays.com/free-essays/Driscoll-s-Model-Of-Reflection-In-Nursing-507640...
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