...Introduction Palliative care (PC) provides a better comprehensive health care for patients with cancer and their families. Supportive care, pain management and symptom control at the end of life are valuable and common services provided by the PC team (World Health Organization [WHO], 2002). However, there are many challenges and barriers for PC in developing countries such as: health care and public literacy about PC, opioid phobia, policies and regulations to access and prescribe opioid, limited resources and adequate education and training (Bingley & Clark, 2009). The presence of these problems plays a major role in providing suitable and accessible symptom management for many oncology patients. In Saudi Arabia, between 2007 and 2011,...
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...Needs Assessment Spirituality is an important aspect of providing holistic care to patients. The word spiritual is derived from the Latin root, spiritus, which means breath or life. According to Bryson (2013), spirituality is an inherent predisposition toward the search for meaning or value in life. Spirituality may mean different things to different people. The Joint Commission, the governing body that provides accreditation to hospitals, requires a spiritual assessment to be performed as part of the overall assessment of patients. The goal is determine if a more comprehensive assessment is needed, and whether the patient’s spiritual view has the potential to affect health outcomes (The Joint Commission, 2005). It is well established that spirituality can have a positive effect on patient outcomes, such as providing coping abilities when faced with illness. “Studies generally support the hypothesis that spirituality is correlated with favorable health outcomes” (Anandarajah & Hight, 2001, p. 85). This paper will analyze a spiritual assessment performed and provide a summary of the assessment interview. Any significant discoveries about the individual, barriers, and/or challenges to the assessment will be discussed. It will also describe the experience and provide feedback on the use of the spiritual tool and how it can help meet the needs of the patient. Spiritual Needs Assessment Summary In assessing the spiritual needs of L. Deutsch, the HOPE spiritual assessment...
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...Ineffective Patient Handoff: A Clinical Issue Ineffective Patient Handoff: A Clinical Issue Patient care errors occur in health care due to lack of effective communication. It is estimated that 80 percent of serious adverse events involve ineffective handoff between medical providers (Joint Commission Center, 2013, para. 1). “The majority of avoidable adverse events are due to the lack of effective communication” (Solet, Norvell, Rutan, & Frankel, 2005, p. 1094). Varying styles of communication and interruptions are barriers to the effective handoff and can be a detriment to successful implementation of an effective communication strategy. The inquiry for this investigation is attempting to reveal that implementation of a systematic tool for communication as well as performing the handoff at the bedside are considered best practices in decreasing adverse patient events. It is necessary to perform an investigative research using quantitative and qualitative studies to help describe a problem that is an important clinical issue in health care. Defining the elements to a process change through a systematic research study will help to find solutions for best practice. Implementing successful communication strategies will help to reach out to the patient community who seeks out best care practices and who know more from technological advances. The problem faced by health care personnel is the lack of a standardized tool for communication. When nurses attempt to give report to...
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...Pingtung, Taiwan Deborah L. Volker PhD RN AOCN Associate Professor The University of Texas at Austin School of Nursing, Austin, Texas, USA W U H . L . & V O L K E R D . L . ( 2 0 0 9 ) The use of theory in qualitative approaches to research: application in end-of-life studies. Journal of Advanced Nursing 65(12), 2719–2732. doi: 10.1111/j.1365-2648.2009.05157.x Abstract Title. The use of theory in qualitative approaches to research: application in end-of-life studies. Aim. This paper is a report of an analysis of the use of theory in qualitative approaches to research as exemplified in qualitative end-of-life studies. Background. Nurses researchers turn to theory to conceptualize research problems and guide investigations. However, researchers using qualitative approaches do not consistently articulate how theory has been applied, and no clear consensus exists regarding the appropriate application of theory in qualitative studies. A review of qualitative, end-of-life studies is used to illustrate application of theory to study design and findings. Data sources. A review of theoretical literature was carried out, focusing on definitions and use of theory in qualitative end-of-life studies published in English between 1990 and 2008. Discussion. The term ‘theory’ continues to be used in a variety of ways by theorists and researchers. Within the reviewed end-of-life studies, the use of theory included theory creation or provision of a comparative framework for data analysis and interpretation...
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...Bilal_badrnaga@yahoo.com Case scenario Abstract Euthanasia is one of the issues that has been the subject of intense debate over time. It has been a pertinent issue in human rights discourse as it also affects ethical and legal issues pertaining to patients and health care providers. This paper discusses the legal and ethical debates concerning both types of euthanasia. It focuses on both the supporter of euthanasia and the opponent of euthanasia. Several statements for the Euthanasia argument arediscussed: a merciful response that alleviates the suffering of patients which is sometimes wrongly perceived to be otherwise unrelievable; the autonomy in which the patient has the right to make his own choices; the regulation and legislation of existing practices of euthanasia to protect health care providers and patients. In this heated debate religious, political, ethical, legal and personal views are also included. Among all these, those who desperately want to end their lives because they simply cannot go on in any way, are the ones who suffer. Every individual or group has a different viewpoint regarding euthanasia. Euthanasia is considered a practical, emotional, and religious debate. Key words: euthanasia, palliative care, type of euthanasia. A 56 year old female patient, divorced 5 years ago, a mother of one daughter, lives with her 20 year old daughter. She was working as a maths teacher, was well and very active until six months ago; she started to complain of...
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...A Spirituality Assessment Sanda Stanhope Grand Canyon University Spirituality in Health Care HLT 310V Patricia Mullen February 02, 2011 A Spirituality Assessment Spirituality is an imperative component in a patient’s assessment and care that can enhance the quality of life. Acknowledging and supporting a patients’ spirituality can make their health care involvements more encouraging in promoting health, reducing depression, it aids in patients coping with challenging illnesses, and increases the quality of life. Patients do want their health care providers to discuss their spirituality with them. A study found that 40% of patients felt that physicians should discuss pertinent religious issues with their patients, however only 11% of physicians frequently or always did (Maugans, 1991). Assessment Participant One has always worked with the adult population, so to enhance the experience; a fifteen year old female, which has been brought up in the Baptist faith was given a spiritual assessment. Summary of Assessment Findings As with most youth, life consists of the here and now with a philosophy regarding life to be “live life to the fullest without breaking rules”. While there is a true belief in God, family and peers would be sought for support and comfort. Prayer is something best done with family and a familiar pastor, but would be too prickly with a hospital provided clergy. Suffering means to have physical and emotional pain. Instances of emotional were explained...
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...Name: Elise Perkins Phone: 773-241-**** E-mail: *********@rocketmail.com Health Status and Health Care Services in the United Kingdom with comparison to the United States HSM310 Introduction to Health Services Management Course Project Date submitted: 11/29/2015 Table of Contents Executive Summary………………………………………………………………………………………………. 3 Population and Health Status………………………………………………………………………………………………………………... 3 Demographic characteristics of population Mortality, Infant mortality data, causes of death Other data of health status Related information (such as on quality if life); analysis Availability of Health Services………………………………………………………………………………….. 4 Basic organization/general description of services institutions, providers of care Issues related to access Utilization of services (data, if available) Other related information/analysis Expenditures………………………………………………………………………………………………………. 5 How are health services paid for; any roles for the government here Data on total expenditures Other related information/analysis Macroenvironmental influences on the health care system……………………………………………… 6 Political Socioeconomic Cultural Technological/Other relevant influences Summary comments…………………………………………………………………………………………….. 7 Problems Opportunities Other related comments regarding this country's health care services Comparison to the United States: what works better, what is not working as well Concluding comments: Lessons...
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...of learning domains to learning in health and social care…………03-06 3.2 Different ways of learning in Health and social care workplaces…………….06-07 3.3 Analysis on the relation of learning theories to the development of understanding and skills of health care…………………………………………………………….07-08 3. Understand the impact of learning styles on learning by individuals……………..08-11 4.4 Factors influencing the effectiveness of learning……………………………08-09 4.5 Concepts of learning Style…………………………………………………..09-11 4.6.1 David Kolb’s Model………………………………………………..09-10 4.6.2 Peter Honey and Alan Mumford’s Model…………………………10 4.6 Assessing preferred learning style………………………………………..10 4.7 Influence of Learning Theory on own learning…………………………10-11 4. Ability to suggest strategy for delivering and assessing learning in a health and Social care workplace……………………………………………………………………12-13 4.1 Factors considered in planning a workplace learning program:……………..12 4.2 Relevant teaching strategies for learning health and social care workplaces:….12. 4.3 A strategy for delivering and assessing learning in health and Social care workplace:……………………………………………………………………………….13. 5. Understanding ways to support the individual learning needs of health and Social Care Workplace:………………………………………………………………………………13 5.1 Barriers of Learning in health and Social Care Workplace:………………………13 5.2 Methods for identifying learning...
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... Disclaimer: This document represents part of the author’s study programme while at the Institute of Social Studies. The views stated therein are those of the author and not necessarily those of the Institute. Research papers are not made available for circulation outside of the Institute. Inquiries: Postal address: Institute of Social Studies P.O. Box 29776 2502 LT The Hague The Netherlands Location: Kortenaerkade 12 2518 AX The Hague The Netherlands Telephone: +31 70 426 0460 Fax: +31 70 426 0799 Acknowledgements I give my sincere gratitude to Jehovah God for his love and care throughout my life and the fifteen months I have been here. With much honour I sincerely thank my Supervisor, Prof M.Grimm, truth be told it was a blessing to have a supervisor like him, I am short of words to describe him, I would simply say he has been tremendously wonderful. Always there for me and giving me feedback in less than I expect, all I can say is that, ‘thank you very much’. I am equally humbled and grateful to my reader Dr Bridget O’Laughlin for her guidance and wonderful suggestions which largely contributed to the progress of this paper. Thank you To the NZP+ women, I feel indebted to you for your wonderful...
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...components namely: i. Primary: Essentially pertaining to area specific point ii. Secondary: Common requirements for the area This checklist can be used for practical guidance. The assessor should not limit the assessment only to this checklist and can add more points based on their experience and observations. This will help out in updating this checklist and making it more comprehensive in the 2nd version Version 1 Issue Date: 17/05/11 Page 2 of 53 NABH Assessment Checklist CONTENTS Clinical Areas S. No Department/Area Page Number 1. Emergency and Ambulance 5 2. Out Patient Department 6 3. Wards 7 4. Specialized wards 11 5. Palliative Care 12 6. Dialysis Unit 13 7. Intensive Care, Neonatal/ Paediatric ICU and High Dependency Units 14 8. Operation Theatre 17 9. Recovery Room 19 10. Endoscopy 20 11. Rehabilitation 22 12. Imaging: X Ray/ USG/ CT Scan/ MRI 22 13. Nuclear Medicine 24 14. Cardiac Catheterization lab 25 15. Laboratory: Haematology/ Microbiology 16. Blood Bank 27 17. Radiation therapy/Radioactive drugs 28 18. Nutrition 29 19. Research 30 20. Hospital Infection Control 30 Version 1 Biochemistry/ Issue Date: 17/05/11 Pathology/ 26 Page 3 of 53 NABH Assessment Checklist Non Clinical Areas S. No Department/Area Page Number ...
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...A CLINICIAN’S HANDBOOK Talking With Your Older Patient NAT I O NA L INS TITU TE O N AGING NATIONAL I NS TI TUTES OF HEA LTH DEPARTM EN T OF HEA LTH A ND HUMA N S ERV I CES Contents Foreword 1 1. Considering Health Care Perceptions “I’m 30 . . . until I look in the mirror.” 3 2. Understanding Older Patients “Tell me more about how you spend your days.” 6 3. Obtaining the Medical History “What brings you here today?” 13 4. Encouraging Wellness “I’d like you to try this exercise routine.” 19 5. Talking About Sensitive Subjects “Many people your age experience similar problems.” 23 6. Supporting Patients With Chronic Conditions “Let’s discuss living with . . .” 36 7. Breaking Bad News “I wish I had better news.” 40 8. Working With Diverse Older Patients “Cultural differences, not divides.” 44 9. Including Families and Caregivers “What would you like your family to know?” 48 10. Talking With Patients About Cognitive Problems “You mentioned having trouble with your memory.” 51 11. Keeping the Door Open “Effective Communication” 58 Publications At-a-Glance 60 Services At-a-Glance Tear-Off Card Foreword Good communication is an important part of the healing process. Studies find that effective physician-patient communication has specific benefits: patients are more likely to adhere to treatment and have better outcomes, they express greater satisfaction with their treatment, and they are less likely to bring malpractice suits. Research also shows that...
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...Original article | Published 3 February 2011, doi:10.4414/smw.2011.13157 Cite this as: Swiss Med Wkly. 2011;141:w13157 Do not attempt resuscitation: the importance of consensual decisions A qualitative study Lorenz Imhofa, Romy Mahrer-Imhofa, Christine Janischb, Annemarie Kesselringc, Regula Zuercher Zenklusend a b c d Zurich University of Applied Sciences ZHAW, Institute of Nursing, Winterthur, Switzerland Department of Education, Training and Professional Development, Stadtspital Waid Zurich, Switzerland Institute of Nursing Science, University of Basel, Switzerland Department of Medicine, Pourtalès Hospital, Neuchâtel, Switzerland Correspondence: Lorenz Imhof PhD RN Zurich University of Applied Sciences Institute of Nursing School of Health Professions Technikumstr. 71 CH-8401 Winterthur Switzerland lorenz.imhof@zhaw.ch pivotal. Therefore, leadership by experienced senior physicians and nurses is needed and great efforts should be made with regard to multidisciplinary education. Key words: decision-making; multidisciplinary collaboration; end-of-life issue; resuscitation orders Introduction Since the 1980s, “do-not-attempt-resuscitation (DNAR)” orders have become common in medical practice. DNAR orders are given for 50–60% of patients who die a non-sudden death, with wide variations among countries. DNAR orders apply to only 19% of hospitalised patients in Italy, but to as many as 83% in Sweden and 86% in Switzerland [1, 2]. The frequency of DNAR decisions in...
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...Dementia Supporting people with dementia and their carers in health and social care Issued: November 2006 NICE clinical guideline 42 guidance.nice.org.uk/cg42 NICE has accredited the process used by the Centre for Clinical Practice at NICE to produce guidelines. Accreditation is valid for 5 years from September 2009 and applies to guidelines produced since April 2007 using the processes described in NICE's 'The guidelines manual' (2007, updated 2009). More information on accreditation can be viewed at www.nice.org.uk/accreditation © NICE 2006 Dementia NICE clinical guideline 42 Contents Introduction................................................................................................................................... 4 Person-centred care ..................................................................................................................... 6 Key priorities for implementation .................................................................................................. 8 1 Guidance ................................................................................................................................... 11 1.1 Principles of care for people with dementia ...................................................................................... 11 1.2 Integrated health and social care ..................................................................................................... 17 1.3 Risk factors, prevention and early identification...
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...ID # A00293212 Program: Ph.D. Health Services Specialization: Health Management and Policy Faculty Mentor: Dr. Robert Hoye, robert.hoye@waldenu.edu Faculty Assessor: Dr. Jim Goes, jim.goes@waldenu.edu Walden University May 10, 2013 Abstract Breadth Component In this age of rapidly evolving technological advances, many of the legal and ethical issues that are challenging the delivery of health care and the health care profession are new. As we confront the legal, moral, and ethical aspects of health care, we are seldom faced with decisions that require or are resolved by simple right or wrong answers (Edge & Kreiger, 1998). In the Breadth component of KAM VI, I focus on several ethical theories and how those theories influence the way ethical issues and concerns are addressed and managed in the allocation and delivery of health care services. I critically assess and evaluate those theories, concepts, and derivative principles as they impact important decisions and the implications of those decisions within the context of social change and with special emphasis on health care management and policy. In addition, I discuss the key assumptions on which the selected theories are constructed, compare and contrast the writers’ interpretations across theories, and conclude by providing a critical commentary on the merits of the selected theories. Abstract Depth Component In the Depth Component of KAM VI, I review and critically analyze selected articles on contemporary...
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...Management Focusing on Acute Pain: A Multidisciplinary Concept Analysis The concept of managing acute pain is extremely significant to nursing as pain is one of the most common problems for which patients seek out health care resources. Pain is a complex and abstract concept that encompasses sensory, emotional, psychological, social, and spiritual perceptions of pain that may occur in combination with physical pain. Pain is difficult to describe and often hard to measure; although, most healthcare providers agree that pain is subjective and is to be measured qualitatively and quantitatively as the patient perceives its intensity. Pain can affect the quality of life of the individual by impacting them physically, emotionally, and financially. Pain can also impact the family and support systems. The treatment of pain and the loss of income due to pain increases the costs for health care, the individual, and the population. Analyzing and clarifying the concept of managing acute pain can increase the healthcare provider’s knowledge of acute pain management, define the concept of managing acute pain, and expand the understanding of the concept of managing acute pain. The aim of this analysis is to clarify the defining attributes of managing acute pain, identify antecedents that influence the perception of pain and the possible consequences of acute pain. Review of Literature To increase the understanding of the concept of managing acute pain, it is important to explore the definitions...
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