...of them" (Walker, L.D & Avant, K.C., 2010, p. 164). The following is a borderline case for the concept of accountability. Failure to Monitor Patient for Obstructive Sleep Apnea; Physician Implicated in Death Following Surgery: The patient was a 4-year-old male who presented to an outpatient surgery center for a tonsillectomy and adenoidectomy. He had a history of OSA and enlarged tonsils, and he was mildly obese; however, the patient was otherwise healthy. The duration of the surgery was 8 minutes, and it was unremarkable. Following the surgery, the patient was transferred to the Phase 1 PACU in stable condition. He was still intubated at that time. After a period in the Phase 1 unit, the patient attempted to self-extubate, and the nurse extubated him....
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...Outline 1) Introduction – a. Thesis statement -- However, if the patient is irrational or uninformed, it could have profound implications for the health care professionals treating the patient, and they could end up in court if they do not have the proper documentation of consent. 2) Argument – a. The patient has the right to fee will with their own mind and body. b. Religious reasons may be a larger deciding factor to refuse. c. One's cultural norm is not the same as another's and there for treatment cannot be forced. d. Irrational patients, their guardians, and treatment. e. Specific case examples. 3) Counterargument – Examples of invalid arguments. 4). Response. a. Examples to prove the argument valid. 5) Conclusion. Patient Decisions Not to Treat The purpose of this paper is to introduce and analyze the topic of patient decisions on the health care professional. Specifically it will discuss whether a patient's irrational decision to refuse treatment is binding to a health care professional. A patient's consent to treatment has become a thorny issue in the courts and in the nation's health care facilities. A patient has the right to refuse medical treatment for moral, religious, or cultural reasons. However, if the patient is irrational or uninformed, it could have profound implications for the health care professionals treating the patient, and they could end up in court if they do not have the proper documentation of consent...
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...maintain a personal and individual relationship with all patients and their families. This approach will not only to direct patient care but also to the equally important role of patient and parental education. The organization firmly believes in anticipatory guidance and hope that by offering advice on such subjects as nutrition, developmental issues including speech and language, immunizations, safety, and appropriate antibiotic use, they can provide a foundation that will enable families to feel confident and comfortable with regards to maintaining good health practices. In order to meet these goals, the physicians and staff will be deeply involved with continuing medical education, and it will be achieved by staying abreast of new diagnostic and therapeutic information, that will enable the team at Care4Kids to maintain a level of excellence. Goal of the Site – Strategic Analysis Primary Use The site is intended to be multi-purposed, firstly to be an information center for external users, such as patients and their families, potential employees as well as medical vendors. and an information center for internal users (employees). The goal of the web-site is to guide patients directly to the website for credible health information, increase patient and caregiver satisfaction, save staff time by offering information that answers common questions and comply with Joint Commission standards related to staff, patient...
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...For such an undertaking, it is critical that the patient and the family prepare for this transition. This preparation involves physical preparation including the medical or hospice team, advanced directives, and knowing how to recognize the final stages of physical death. Another aspect of the preparation is assessing the financial means available for the care of the patient. And still another area involves emotional preparation. All areas should be considered prior to coming home. “As awkward and anxiety provoking as it may be to contemplate illness and dying, preparing is essential” (Feldman & Lasher, 2007,...
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...that we have come one full circle to integrate and merge spirituality, alternative and complimentary medicine with traditional practices to enrich patient care. In today’s world that is so commercialized, this integrated approach revitalizes the very intension of the medical mission by considering the subject as a whole person. It does not renounce the modern medicine but recognizes the spiritual components of healing and wholeness. None of us would disagree with the fact that compassionate care is a golden thread for complete cure. Characteristics of Healing Hospital:(components of healing hospitals) ‘Healing Hospital’ is a formalized approach to healing and it has three vital components as follows: 1.A healing physical environment 2.Integration of work design and technology and 3.A culture of radical loving care. This is a holistic approach that meets not only patient’s physical needs but their emotional and spiritual needs as well. As per wftv.com news(Feb, 2008), Parrish Medical Center was the #1 Healing Hospital for third straight year, and its CEO George Mikitarian was awarded too. According to Erie Chapman the President of the Baptist Healing Trust, the Trust uses six criteria to define a Healing Hospital as follows. 1. Work is done out of a passion to care for others. 2. Every employee, physician and volunteer treats patients with respect, dignity and loving care. 3. Every single leader, physician, director, manager or supervisor treats employees, volunteers and each...
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...Death with Dignity Act Kleta Shinn HSC/430 September 26, 2011 Professor Smith Death with Dignity Act In Washington State, the people voted and passed a law to legalize assisted suicide, called Death with Dignity Act in 2009. This law is for terminally ill patients, diagnosed by their physician to have less than six months to live. There are several steps before the patient is allowed to receive the medication for assisted suicide .“The patient must be a resident of the state, be at least eighteen years old, declared mentally competent to make the request, and two doctors have to certify that he or she has less than six months to live” ( Medical News Today, 2009 ). The representative for Compassion and Choices, an aid in dying advocacy group for assisted suicide, is very supportive of the new law, which gives terminally ill patient other option and helps he or she decide how they wish to live their last days. The Death with Dignity Act allows physicians to prescribe lethal doses of medications to the terminally ill patient. Barbara McKay is terminally ill from advance ovarian cancer and she said “I have watched both my parents suffer with few choices at the end of their lives. I want to be able to decide what time and the way I wish to die.”(Medical News Today,2009). Death with Dignity Act has placed a considerable load of ethical and unethical consequences of emotions on the health care professionals, who will be performing this request. Death with...
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...every practice, hospital, healthcare facility in the United States will be using Electronic Medical Records to keep track of a patient’s information. These facilities will still need to keep a paper record of a patient’s information for those times when the power may go out, and the system is not available to input what the doctor has said about the patient. Electronic Medicals Records are the same as a paper file in the sense that we input information in different sections, like a patient’s personal information, medications, vital signs results, lab work, x-rays, physician notes, diagnosis, etc. Major Features and Benefits of EMR No more repetitive typing, once an individual’s information is entered into the system it will automatically be on any documents or forms. Any information the physician puts in a progress note – such as medications, vital signs results or lab results – will be updated automatically to an individual’s chart. Some of this information can be added to an individual’s chart while the physician is seeing that individual, which I believe can give the physician more time with each patient and the patient won’t feel anxious or scared about going to the doctor. How many of you misplace or forget to take your prescriptions to the pharmacy? You don’t have to worry about that happening, the physician can send them straight to the pharmacy whether it is a new prescription or a refill. It...
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...Education); and nurses should partner in full with doctors and professionals in health care in the redesigning of practices (Transforming Leadership). Impact of Report on Transforming Education The report recommends five core competencies to be integrated in the nursing education. They are, patient centered care, working with other interdisciplinary teams, emphasize practice based on evidence, seeking improvement in quality, and informatics. Computer skills and information management are required for nurses in order to keep up with the technological advancement in the medical field. The need for highly educated nurses and improved and improved education system are a must to keep up with the drastic changes and challenges the healthcare field in the United States has shifted in this century. Patient care in the 21st century is not the same as last century. The need and patient care have become more complicated and complex so nurses have to obtain competencies and skills in order to deliver high quality care. The need for expansion in their roles for higher levels of education and an improved system of education are required for nurses now for meeting the diverse needs of the patients and to provide better care. Improving the education system and achieving a more educated work force is increasing with nurses having baccalaureate degrees, that is, a traditional Registered Nurse to Bachelor of Nursing program or a traditional 4 year Bachelor of Nursing program or a program that...
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...Guasha(yuan dynasty) Gua means “to scrape” and Sha means “red skin rash” (in other words, the result of the Gua).So The essence of Guasha is the scraping of the back and other areas to release blocked Qi (energy) and to cure other illnesses. When is Gua Sha used? Gua Sha is used whenever a patient has pain whether associated with an acute or chronic disorder. It can resolve musculo skeletal pain, Gua Sha is used to treat as well as prevent common cold, flu, bronchitis, asthma, as well as any chronic disorder involving pain, congestion of Qi and Blood. Where is Gua Sha applied? Sha is raised primarily at the surface of the body: the back, neck, shoulders, buttocks, and limbs. On occasion, Gua Sha is applied at the chest and abdomen. How is Gua Sha applied? Doctors their patients to find areas that feel tight. They then rub them with a spoon or similar tool until they turn red. “Essentially, you are scraping the restriction in their skin,” What kind of instrument is used to Gua Sha? A soupspoon, coin, or slice of water buffalo horn is used in Asia. I have found that a simple metal cap with a rounded lip works best and is by far more comfortable to the patient. What does the type of Sha indicate? The color of the Sha is both diagnostic and prognostic. Very 1.light colored Sha can indicate Deficiency of Blood. 2.If the Sha is purple or black, the Blood stasis is long-standing. 3.If brown, the Blood may be dry. 4.Dark red Sha can indicate heat...
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... | | | | | Thank you for choosing our practice! Here at Joliet Pediatrics we are committed to the success of your medical treatment and care. Your understanding of our financial policy is an essential element of your care and service. Please understand that payment of your bill is part of this treatment and care. “All charges you incur are your responsibility regardless of your insurance coverage. We must emphasize that as your medical care provider, our relationship is with you, our patient, not with your insurance company. Your insurance policy is a contract between you, your employer, and the insurance company. Our office is not a party to that contract.” (Brown & Kushner DDS) Full payment is due...
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...Records Organization The similarities that I found for the organizations of patient files are that most of the paper files between the small and medium facilities are handled the same way. With the demographics and administrative filed on the left and medical on the right. Such as reports of labs, patient progress notes, prescription documentation, and any miscellaneous reports. Some of the small and medium facilities seem to use this filing method. This filing works well in a small to medium facility because there are not many files for the staff members to handle on a daily basis. I believe this system would not work with large facilities because the large facilities will need to use a filing system that is beneficial to the facility to keep track of patient’s files. The difference that I saw with the patient files are there organized by different departments and chronological, oldest to newest in small facilities and also organized using filing alphabetically this filing system will work because it will help keep these facilities organized and help maintain the patients records efficiently. In large facilities numerical filing will work to keep track of all patient files. The similarities I found with all three facilities are that loose documentation remains loose until the attending physician or the patient signs the required documentation needed. All this is done before anchored into patient files. Any remaining administrative documentation is anchored when found loose....
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...Healing Hospital Paradigm The Healing Hospital paradigm does not only bring love and care back to health care but radical loving care to the bedside. This concept, although seemingly progressive, borrows and puts into action theories of such great theorist as Jean Watson that believe in treating the mind, body, and soul (Watson, 2009). The average hospital mission statement is filled with promises of caring compassionate health care, but as with society today, they are mostly talk and no action. The Healing Hospital brings the talk into action bringing the radical care from the management down, believing that each person has a calling not a job that simply ends in provision. The spiritual aspect is brought back into health care for the patients as well as the staff, where each meeting is considered a sacred encounter. Although this sounds like a hospital made in heaven, it is a reality for such hospitals as Baptist Trust in Nashville, Tennessee and Mercy Gilbert Hospital in Gilbert, Arizona (Chapman, 2007). Mind, Body, and Soul So what are the mind, body and soul? The mind is defined as the part that processes reason, thinks, feels, wills, perceives, and judges the processes of the human brain. It is the totality of the conscious and unconscious thought processes and activities (Dictionary.com, 2011). The body is the physical being that can be seen with the naked eye. This brings us to the question of: what is a soul? According to the dictionary the soul is “the principle...
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...writer will identify and discuss any recommendations that could be made. Article/Case Law Search Facilitating patient choice has always been fundamental to palliative care. However, the choice agenda challenges us to question what this truly means for palliative care now and in the future (Kite and Tate, 2005). With this in mind, the writer has chosen an article found in The Atlanta Journal-Constitution, June 28, 2009, entitled, System was deaf to pleas; mother died. For the purpose of this paper, the writer will provide sufficient background on the article and discuss the major points. Next, the writer will discuss the legal issues involved in the article. In conclusion the writer will identify and discuss any recommendations that could be made. The article was about a case involving the Georgia Regional Hospital/Atlanta. In January of this year, a patient, Na Young, with a history of psychotic behavior was released. The patient requested not to be released and refused to sign the release forms. The patients bother also pleaded with the hospital to reconsider releasing her and even delayed picking her up for almost a week. Prior to the Na Young being admitted to the facility she had physically abused her mother several times. She had even told physicians and nurses, if released she would kill her mother. With this in the mind the doctor still released the patient. 12...
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...identifies and explains how the Patient Bill of Rights applies to Nancy giving Mrs. Jones an extra dose of narcotic. It also discusses three ethical and three legal considerations. It also identifies and explains three business considerations. Finally it explains what the manager should do in this situation and why. Improving the end of life and advocating for a “good death” has become the mission of many dedicated individuals and organizations, and is also a frequent subject of research and focus for policy improvements (Jennings, Runder, and D’Onofrio, 2003). Assisted Suicide Effective health care requires collaboration between patients and physicians and other health care professionals. Open and honest communication, respect for personal and professional values, and sensitivity to differences are integral to optimal patient care. As the setting for the provision of health services, hospitals must provide a foundation for understanding and respecting the rights and responsibilities of patients, their families, physicians, and other caregivers. Hospitals must ensure a health care ethic that respects the role of patients in decision making about treatment choices and other aspects of their care. Hospitals must be sensitive to cultural, racial, linguistic, religious, age, gender, and other differences as well as the needs of persons with disabilities (A patient’s bill of rights, 1992). To participate effectively in decision making, patients must be encouraged to take responsibility...
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...community, health communication improves the public health information infrastructure and facilitates clinical decision-making while building health skills and knowledge. As an essential component to improve patient understanding, health care communication further establishes a line of communication between health care professionals and patients that influence the outcome of care and health wellbeing (Nelson, 2011). Effective Personal Health Care Communication Effective communication between patients and health professionals is challenged by personal experiences, attitudes, and values, which influence patient comprehension and ability to absorb health-related issues. Whereas ethnic and cultural backgrounds influence personal understanding and expectations, they also generate the increased risk of low health literacy. Poor health knowledge increases the likelihood of noncompliance with medications and treatments furthering the patient’s disadvantage of comprehending all aspects of disease prevention and health promotion (Williams, 2007). Trust plays an essential role in the human communication process and represents a patient’s expectations of building a relationship that forms unique qualities confined within the health care process. Interpersonal trust between patients and professionals reduce the fears of uncertainty projecting...
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