...individual patient. All patients are not treated the same. Every patient is unique and needs their own kind individualized care. This allows the patient to feels safe, secure, and comfortable with their particular surroundings. It is important to give this sense of security to the patient because it will allow him to respond to their treatment or medication more effectively. Additionally, it can allow them to feel good about their selves. Another advantage is the development between the doctor and patient. One way of doing this is by using active listening skills. “This means hearing every word, noting the emotion behind the word, hearing the tone of voice, observing facial expressions, dress, posture and demeanor, being aware of one’s own emotions and reactions, and being able to follow the patient’s story plus the unspoken story, the subtheme, that underlies the story” (Branch, 2014, p.3.) This helps to add to their safe, secure, and comfortable feelings. Individuals like to be heard, remembered, understood, and have relations with their particular physician. A difference in one’s culture could alter effective communication and understanding them would allow them for more appreciation for the doctor. Thus, the patient is more likely to follow the doctor’s instructions. However, there are barriers and challenges that may occur during the implementation of the individual-focused care in nursing homes. One of these barriers may include one’s religion. It is vital for the patient to have...
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...Case Assignment 3 Comprehensive Assessment Comprehensive assessments are a foundation of high acuity nursing as it allows nurses to establish a baseline for the patient, determine oxygen supply and demand, make sound clinical decisions, and promote personalized care (House-Kokan, 2012). Components of a comprehensive assessment include the patient’s story, a physical assessment, and corroborative diagnostic data (House-Kokan, 2012). A comprehensive assessment for both patients in the case study will be presented. Patient’s Story The first patient was not a patient on our assignment for the day. He was a patient we found lying on the floor after we heard a loud thud and crash from across the hall, and we initially knew very little about the patient. We learn from another nurse that the patient is post-op day 2 following an amputation of his right great toe secondary to gangrene and should not have been out of bed. Immediately following the fall the patient was alert and oriented...
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...hospital is one concentrate on the recovery and complete welfare of a patient. Traditional type of health care concentrate on cures of illness by using medication and other type of medical procedures. But healing hospitals has focused on the physical, mental and spiritual wellbeing of a person. This paper discuses about the various aspects that consist of a healing hospital, role of spirituality in improvement of health and the challenging factors of creating a healing environment. Healing hospital environments include patient, family members and the total health care members. The patient care involve in all aspects of patients life. The main attraction of healing hospital is the fundamental love and honor of everybody’s eminence. In healing hospital patients receiving compassionate care through a chain of love that happen in organization with trained health workers. There are some factors contributing to the successful foundation for a healing hospital. Responsibility is the main thing to build up a successful healing hospital. The leaders and workers are faithful and honor to their duties. The hospital system itself should undergo some changes in order to mix the clinical care and loving care. The third factor is respect that brings trust and acceptance. Even if all these factors help to have a successful healing hospital, love is the main focus. Biblical reference There are many stories in bible about the healing touch of Jesus. According to the gospel...
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...still had a point of view that the Big Nurse should be the winner. First of all, when the Big Nurse asks them to take medications, the patients will take them even they don’t want it. While Mc first take his medicine, he just find that patient try to avoid of taking those. And the second point, the Big Nurse try her hardest to create the fear among the patients, and in many ways decrease the influence of Mc. When Mc try to make all the patients vote for the baseball game, Big Nurse still use her power to let Mc fail but Mc can not find any excuse to refute her decision, the failure of the “uprising for the baseball game” let the patients thought that the Big Nurse had more power than Mc did. Some of the patients, just like Cheswake, influenced by Mc and talk against to Big Nurse because she keep his cigarette and make him crazy. What the big nurse do was just send him to the disturbed. After back from the disturbed, Cheswake suicide when he was having a shower. Another example, chief, the one who support Mc most, fight with the black boys for Mc, also be sent to the disturbed because of this. So it is not hard to found that the Big Nurse want every patient to know what they will have if they don’t follow the rule that the Big Nurse made and try to against her with Mc. Thirdly, the Big Nurse know clearly what were the weakness of the patients. After Candy’s party, while she found Billy naked with a girl, she just told Billy“I was your mum’s good friend, she will be really pleased...
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...culture. She followed, observed, and interviewed nurses, physicians, therapists, patients, family members, social workers, and others while trying to understand the factors that led to the prevailing practices. She was particularly interested in how hospitals organized dying as a result of acculturated behavior that was regarded as normal and unproblematic by practitioners who did not understand the origins of the behavior. She discovered how hospitals shape medical practices, how shared medical rhetoric frames decision making about dying patients, and how cultural factors determine the way death occurs in the hospital and even which patients are considered to be dying by physicians and nurses. Kaufman was particularly intrigued by patterns of social behavior. She observed that today death usually is orchestrated by professionals in hospitals and no longer is waited for, a transition that has markedly shortened the “waiting time” for dying. She found that hospital procedures and bureaucracy produced the imperative to “move things along,” mandating that health care professionals expedite decision making and produce the conditions for death. She identified “pathways” for moving things along, such as heroic intervention, and discussed how and why patients may stop moving along a pathway. Her ethnographic study features the detailed case histories of 27 patients culled from more than 100 dying patients she observed. In their clinical and social detail, multidisciplinary approach, and...
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...chapters. Parts two and four have eight and four chapter, respectively. The story is told in chronological order over the course of what seems to be a few months, but it is impossible to be entirely sure how much time passes in the story. The story is narrated by a patient in the ward, known as Chief Bromden. Though Chief, as he is often called in the story, is six-foot seven-inches, he is described by his fellow ward mates as “scared of his own shadow.” Also, everyone in the ward believes Chief is deaf. In the beginning of part one, the characters are introduced, and the daily routine of the ward is explained. Each day is generally the same, starting with breakfast and showers, followed by chore time, group therapy, and free time. The patients are split into two groups: Acutes, people who are are thought to be curable, and the Chronics, those who are thought of as incurable. The days in the ward are very monotonous, but this all comes to an end when Randle...
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...Miranda, play the main roles in Making Rounds With Oscar; including Oscar, of course. Dr. Dosa is a Geriatrician who works with Mary on the third floor at nursing and rehabilitation called the Steere House, located in Providence, Rhode Island. Although he is inevitably surrounded by death, Dosa couldn’t love his job more if he tried. One of his favorite parts of the job is listening to all of the stories his patients have to tell and being able to apply them to his daily life. Every story Dosa tells is about a patient and how their death somehow ends up connecting to Oscar. Oscar’s death-sensing abilities have been a hot topic of all the nurses in the Steere House for a while now. Dr. Dosa wasn’t a believer of this phenomena until he talked with various nurses on his floor and families of deceased patients. He has developed an intense curiosity about the cat and is determined to find a logical explanation, although he knows he may never find one. Dr. Dosa is a character in his own book, which gives readers a whole new point of view on geriatrics and the lives of the elderly. His stories make you feel more empathetic toward the elderly, instead of judging them for something that’s completely out of their control. Dr. Dosa Dr. Dosa loves his job and can’t seem to understand why anyone would think otherwise. Most people think of geriatrics as being a depressing job because you’re surrounded by people who are either healthy...
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...The art of nursing is very critical in caring for new patients, especially those with newly diagnosis. Quality nurses use theories of caring and compassion as they listen to their patients’ stories, while learning from their patients best ways to provide quality nursing care. Mrs. Levine’s case study is a great example of patient and nurse’s interaction that demonstrate ways nurses can engage patients in way that improves data collection, planning for a successful nursing care plan and alleviate some of the anxiety that newly diagnosed patients might have. In the case of Mrs. Levine case study, we will look at her situation and analyze her first interaction with her nurse as they discuss her new medical diagnosis, her worries and the type of...
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...to become a pediatrician. I continued on to complete a Bachelors of Science in Biology, setting course on a premed track. While in progress of my senior year classes, I decided medical school was no longer my goal. Instead, I was flirting with the idea of other areas of healthcare. After college, I landed a position as a Recruiter in healthcare staffing. It was a side of patient care that was completely new to me. I decided to move my career to California, where...
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...individual pursuits to gain dominance allows the author to enhance the meaning of his story. Even though Mrs. Ratchet and Mr. McMurmphy are both fighting to gain power over the other, they have diffrent reasoning for wanting control. Mrs. Ratchets desires dominace over Mr. McMucrty because that will allow her to manipulate the other pationts in the story to fall into her perfect idea of socity or humanity. In one instance when Bramdon, the narorator of the story, stated how the nurse will hold Therapeutic Community meeting in order to help patients transition...
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...|IT Consultation Team Proposal | | | |Rural Community Hospital | | | | | | | | | |IT Consultation Team Proposal | | | | | | ...
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...of the journal Tips for Cancer Patients: Promising Treatments, the editorial board and I have reviewed and decided to accept your article. With our primary audience being cancer patients, your article does a great job of talking in a voice that is encouraging while also giving them hope to continue living. What strengthens your article is how you back up your claims with formal and informal research, adding to the legitimacy of them. Most importantly, the board and I agree that the strongest part of the article was how your ideas can be useful and compatible with today’s cancer treatment. We liked how you kept everything positive for the patient. One of your best examples of having a positive voice was the story of Harold. He was refusing treatment and didn’t want to live because he was afraid of becoming old and senile like his father. You convinced him that if he could take control of his own life and death, then he didn’t have to become this way. With this encouragement, he was able to accept treatment and live the way he wanted to (p. 23). This is great for cancer patients to hear, as many of them are depressed and just want to give up. It’s great the way you find something important in their lives, capitalize on it, and have the patient use that as their motivation to get better. This can be practical for the people who will be reading this article. We strongly agree with the way you explained how a doctor should be honest with a patient, without being brutally honest with...
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...my daughter several times (more than usual) to make sure she was safe. It was an overcast, dark, very quiet Saturday morning as I made my way into Shriner’s Hospital. All the way to the hospital from my home, the only thing on my mind was “who is waiting for me today”? Is the patient going to be a toddler, infant, or adolescent? Can he or she speak English? If not how am I going to communicate with him or her? My heart started beating even faster, while I was waiting for my instructor to come and take us to the patient floor. At 6:30, we went up to the 3rd floor and our instructor assigned each of us a patient. My patient Flora, is a thirteen year old adolescent female from Guatemala. She has sustained 70% body surface area flame burn including face, chest, and back, upper and lower extremities in November of 2001. It was a total mystery what had happened, how she was burned. The person who saved her stated that the patient’s legs were tied together by her sister. Some others stated that she was burned from the flames of the fire crackers. After going to the 7th floor I got the patient’s report from the night nurse and made my plan for the patient care. It was time for me to meet the patient and to do morning care. I walked down the hallway and came to my patient’s room. I knocked on the door although it was open, when I went in I saw a cute adolescent girl lying on the bed who had beautiful hair, a pretty smile, and whose face was covered...
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...provide the patients with a “healing environment”. The goal of the healing environment is to remove the patient from all the toxic and hazards to give them time to heal. Three concepts that help creating a stable environment will be explain in this paper. These concepts are the seen environment, the unseen environment, and the storied environment. Three concept of the Healing Environment The seen environment is the physical environment that pertains to all the objects that can be touched, seen, smelled, measured, etc. Painting the rooms with neutral colors help keep patients calm and relaxed. Keeping the patients room clean also helps the patient feel more in a healing environment, bad smells can be detrimental to a patient during hospital stay. If there is no adequate space inside the patient room this can create uneasiness in the patient mood. Providing the patient with food that taste good and that looks nutritious, helps the patient to feel more inside the healing environment. The unseen environment is the spiritual and psychosocial part of the healing environment. This unseen environment is the energy released by the interaction or the thoughts of people. This energy could be positive thoughts and positive actions of people to create a more healing environment and helping the patient recover faster. In the other hand, if there is negativity, gossip or fights near patient rooms, this creates a toxic or negative environment causing the discomfort of patients that can potentially...
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...making the most amount of money possible while making the patients believe that they are valued. Let’s not confuse value with importance because they are different. People are necessary for health care insurance companies to make money, but that does not mean that the health care providers care. This paper will illustrate the picture of a man John Q, who is suffering from high blood pressure and has Medicaid but is forced to deal with unreasonable circumstances. There is a steady decline of doctors who will accept new Medicaid patients. Location, location, location is the most important factor at this point. For example, new Medicaid patients would have an easier time getting accepted in Wyoming than in New Jersey (Galewitz, 2012). This produces a significant problem because new Medicaid patients who need vital medical attention or even preventive measures may not be able to get the care they need. The next option for these individuals would be to go to a free clinic. Even though in some cases this may be their only options, but this does not guarantee the patient will be seen or get the care that is needed. According to Andersen (1995), there are three important elements when looking at a health services utilization model: predisposing, enabling and need. Predisposing concerns makes the patient away ahead of time concerning the care that can be received. Enabling is the ability given to the patient to receive that care. The need is based on the patient’s...
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