...decision making process which has been chosen for the patient will be noted and this will be related to known theoretical models of clinical decision making. It will also critically examine the importance of managing risk in health care to enhance the patient care and outcomes and this will be related to the chosen patient and clinical scenario. Finally it will also critically appraise the evidence base that supports the discussion. The chosen patient is a 42 year old male who has been admitted to the current clinical placement, which is the local spinal injuries centre, after numerous complaints of recurrent urinary tract infections. All patient identifiable information has been changed to protect the patients’ identity in accordance with the Nursing and Midwifery (NMC) guidelines regarding confidentiality (NMC, 2004). Mr Scott had previously been an inpatient to the Spinal Unit following a road traffic accident in September 2004, the outcome was that Mr Scott is now a wheelchair user after obtaining a spinal cord injury at the thoracic levels of 6 and 7 of the spine. Mr Scott has been previously performing his own intermittent catheters due to the effects of the spinal injury on the bladder. In a spinal care bundle which was produced in 2009 by the Midlands centre for Spinal Injuries, it is recommended that all patients should be...
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...whether the storm. However after the initial registration the healthcare providers (2 nurses) are completing a walk through when they noticed 3 individuals that appear to be suffering from possible illness. Simulation Prebrief and Debrief question guide * Prebrief- Discuss the following ; o Discuss common/frequent community diseases and why/how they are transmittable. o Discuss triage process and disaster planning. Triage is identifying and separating individuals quickly according to injury severity and treatment needed. Disaster triage focuses on sorting the greatest number of people as fast as possible. Triage performed at the site and again at the treatment area is very different from triage that is routinely conducted in the emergency department. The focus of disaster triage is to do as little as possible, for the greatest number, in the shortest time. One triage system that is used by first responders is START. START stands for “simple triage and rapid treatment.” This system describes what to do when first arriving at a multiple casualty or mass casualty incident. Disaster triage of an injured person should occur in less than 1 minute. This system also describes how to use people with minor injuries to help. As a decision is made regarding the status of an individual, the person is labeled with a colored triage tag. Green on the triage tag is for the walking wounded or those with minor injuries (e.g., cuts and abrasions) who can wait several hours before...
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...difficult periods and to ensure vulnerable children are protected from harm. Social workers who work in child protection build and maintain professional relationships designed to facilitate the needs of service users. They act as advocates for service users and will have to use their professional judgement when making decisions, some of which may be difficult for service users and their families to accept.Social workers are different form child protection Police Officers because they look to protect children by investigating criminal activity that may be responsible for child abuse. Nurses, especially paediatric nurses in hospitals look after children who are unwell or injured. Their responsibility is to report any suspicious illnesses or injuries that may be a result of child abuse. This also applies to GP surgeries. Social groups and their leaders such as churches have a moral responsibility to alert responsible authorities when they suspect abuse. Child protection agencies designed to protect children such as the NSPCC have a role to investigate and report cases of child abuse.In Victoria Climbie(VC)’s case the social services of 4 local authorities failed to carry out their duties in protecting VC. The failings began from not providing adequate housing then ensuring VC was enrolled in school. Having received a complaint about the welfare of VC from a distant relative, they failed to investigate the concerns. When they did investigate, the investigations were not thorough and...
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...Therapy By: Corbin Felts By: Corbin Felts Communicating Effectively in the Field of Physical Therapy Communicating Effectively in the Field of Physical Therapy Injuries cannot be avoided in the world of competitive sports. Of course, when injuries occur, they must be treated. The significance and type of injury can vary but it is the physical therapist’s responsibility to insure quality treatment. The duties of a physical therapist include evaluating, diagnosing, and documenting the type of injury(s), as well as prescribing appropriate treatment. Writing in the field of physical therapy plays a key role to the success of a patient’s wellbeing as well as a physical therapist’s career. When giving your written diagnosis and treatment plans, the accuracy and articulation of your writing holds the key to either a speedy recovery or the risk of further injury. Physical therapists must stress the importance of being able to communicate with patients both orally and in writing. Injuries cannot be avoided in the world of competitive sports. Of course, when injuries occur, they must be treated. The significance and type of injury can vary but it is the physical therapist’s responsibility to insure quality treatment. The duties of a physical therapist include evaluating, diagnosing, and documenting the type of injury(s), as well as prescribing appropriate treatment. Writing in the field of physical therapy plays a key role to the success of a patient’s wellbeing as well as a physical...
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...administrators hope that we read and absorb. In all honesty, they are glanced at and tossed aside the majority of the time. On rare occasions, we are handed graphs and charts that explain what they expect and shows us specifically what needs to be improved upon. Since our jobs are to care for the sick and hurt, this information is not tossed aside and is typically taken more seriously. One main focus for the nursing staff at my facility is safety scores. We have two medical-surgical floors, one including oncology and the other orthopedics, one intensive care unit, and one step-down intermediate care unit. We all share the same safety goals that are in place to insure our patients not only receive the best possible care but also remain injury free while that care is being provided. Each unit is given a score from 0 to 100 percent based on quarterly fall occurrences and prevention measures. Comparisons are made between each medical floor...
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...Organization (WHO) and is stated as “health promotion is the process of enabling people to increase control over, and to improve their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions”. To understand health promotion we must review the primary, secondary and tertiary levels of the health promotion in the nursing practice. Primary health education starts prior to birth with prenatal care and education, routine screening and testing. After birth primary health promotion continues with educating the parents on the importance of immunizations against diseases, regular physical screening and exams to monitor for risk factors and illnesses. Primary health promotion has focused goals that protect healthy people from developing a disease, or experiencing an injury. For example educating the population/patients on healthy nutrition and the importance of regular exercise, safety precautions while driving .i.e. wearing a seat belt, along with the dangers of drugs, alcohol, tobacco and there effects on morbidity and mortality. Secondary health promotion is the prevention/interventions that happens after an illness or serious risk factors have already been diagnosed. At this point in the disease process the goal is to slow down or halt the progression of the disease if possible. When a patient has been diagnosed with coronary artery disease or associated risk factors; under secondary health promotion, that patient will be educated...
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...mission trip to Honduras. I joined students from the University of Connecticut Health School to provide free healthcare to inhabitants of small villages and cities in the area. The trip taught me the importance of providing healthcare to poverty stricken areas and the effect it can have on the communities. The experience also really cemented the importance of being tolerant of different cultures and areas of the world. You need to be truly passionate about providing a better life for the people that come from less fortunate circumstances, but also understanding of their ways of life. If you are doing something just because you think it looks good and would benefit yourself; your goals become very transparent and those you are helping can tell right away you aren’t really there for them. There was no greater feeling then seeing the smile on the children’s faces while we worked with them to get them better or the clear look of thankfulness on the people who will never take what we provided them for granted. I would love to have the opportunity to provide physical therapy to similar areas of need, which I can successfully contribute to the program at MGH IHP. I have also had different experiences relating directly to the field that have all been quite diverse. My first experience in the field was as a patient of physical therapy after a traumatic shoulder injury the required two surgeries. From there I participated in an internship in a sports-heavy physical therapy...
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...There is no single solution for the improvement of patient safety as per IOM. This is true in the case of the quality of care too. Due to these facts public, private and not-for-profit organizations got involved in the safety and quality of patient care (Department of Health, 2008). Expanding the use of information technology (IT) and investing in human capital are the two important factors to improve the quality and safety of patient care (Clancy, 2004). Accreditation is the process that confirms the standards of performance or the quality of service of any organization. Through acquiring the accreditation, both public and private sector organizations, establish their standards of performance in the service quality. Almost every service...
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...Health Policy Letter Prepared Remarks: J. Jones, M.S.N., R.N. Compliance Officer, Impact Medical Group Safe Patient Handling and Mobility Program February 1, 2015 Impact Medical Group (IMG) has for several years been advocating for a Safe Patient Handling and Mobility (SPHM) program to create a safer culture within healthcare. Healthcare workers have been consistently identified by the United States Bureau of Statistics, based on the information from the Department of Labor Occupational Safety and Health Administration (OSHA), as having one of the most dangerous of all jobs in the United States (Fitzpatrick, 2014). The most frequent injury within this field is muscle strains and sprains to the back and shoulder during patient handling. Research-based evidence shows that lifting/handling tasks are physically demanding actions and result in injury and pain (Fitzpatrick, 2014). This is because of the frequency they are carried out and the weight involved. Spinal loading when performing various patient lifting tasks has been researched. No technique, including two-person lifting, was found to be safe (Fitzpatrick, 2014). The National Institute for Occupational Safety and Health (NIOSH) recently reviewed a lifting formula from the perspective of manual handing of patients. It concluded that the maximum weight for lifting in patient handling tasks was thirty-five pounds (Fitzpatrick, 2014). Currently, OSHA does not have a specific regulation about ergonomic hazards...
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...Advance Directives for Medical Decisions The Living Will [Type the author name] 12/13/2014 Advance directives for medical decisions Advance directives define your choices for end-of-life care and Living wills express your wishes and choices when you're not able to express them yourself. A living will is a written, legal document that provides instructions for the medical care that you want or do not want to be used to stay alive, as well as other decisions on your pain management, and if you want to donate your organs. These documents are so valuable in healthcare situations because they determine your wishes and what you value in life like the importance of being self-sufficient and independent. You can express what situations would make your life not worth living and what procedures you would want if they provided a cure. Your healthcare provider or doctor can arrange for consultation and information about discussing your personal requests. There are many situations and decisions that should be addressed about potential end-of-life care and your doctor can provide information about these issues. Some situations in which a Living Will might apply and would be of benefit to those involved would be if you stated that you would like to be resuscitated by cardiopulmonary resuscitation (CPR) or by a defibrillator to shock you heart to start beating again. You can also have a provision for use of a ventilation so you can breathe and list for how...
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...1. Which of the HR objectives facing Mr. Brush are really the most important to the success of the business? Prioritize them and justify your list. The success of the business would be best helped by the recruitment of new workers to meet the additional demands on the company, followed by training of the new recruits and management of healthcare cost. Any initiative undertaken must follow the objectives of the organization. It is critical that organizational objective and HR initiatives support each other. The business is growing and it is facing a tight labor market. In a tight job market employers face the growing problem of attracting and retaining the work force necessary for their businesses to grow and thrive. Once the HR department clearly understands their company's current (and future) employment needs, the next step is to decide on the appropriate recruiting strategies. Job recruiting has evolved beyond the newspaper job ad and paper resume. Today, companies and job seekers have an abundance of information at their fingertips. From social media and Internet job boards to recruitment firms, the broad scope of recruiting possibilities is endless. With so many options available to companies, it may be hard to pinpoint where to best focus company efforts and resources, but each option needs to be thoroughly researched and resources as needed should be applied. Once the perfect employee is hired the next step in ensuring retention is training. Organizations that challenge...
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...Patient Safety Project Week Six Dawn Frizell NURS/588 Linda Horton University of Phoenix Patient Safety Project Week Six Executive Summary One out of five falls results in major injuries such as fractures and head trauma. Medical cost for such falls are $34 billion yearly, and hospital cost account for two-thirds of the total of falls (CDC, 2013). Along with this information, hospital losses from falls occurring as inpatients have lost millions of dollars in revenue. Many of these fall can be avoided, and can also decrease extended inpatient care along with decrease profit loss. A process must be developed here at Davis Healthcare System (DHS), in response to patient falls, injuries and profit loss. In the Mission and Vision statement at the DHS, it states several key words: high-quality care, safety, innovation, patient-centered care, and that is the reasons that we must initiate the quality improvement plan immediately. Safety deals with lack of harm to the patient and Quality is an effective, efficient and focused direction that to get to safety. Our team of experts in quality improvement will use our mission, tools, communication along with collaborating with the patients to get to the root and cause of this problem. There are several ways to accomplish this goal, 1). Purchasing an item called Radio Frequency Identification...
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...Heart Failure Prevention Daniel Ruiz Grand Canyon University: NRS-429V March 16, 2014 Heart Failure Prevention There has begun a shift from acute care in the hospital setting to a more preventative approach, taking place in the community. With this shift, nurses will be taking a more involved role in preventing disease and promoting health. As healthcare evolves and changes over time, so has the role of the nurse. They will be seeing an increase in their responsibilities in implementing health promotion and disease prevention that can be approached in three different levels, primary, secondary and tertiary health promotion prevention. Health promotion is the process of helping people improve their lifestyle and taking steps towards more optimal health. The purpose of health promotion in nursing practice is just that, to help those they care for increase their health and quality of life. The nurse implements this improvement in several different areas. The nurse collaborates with those around them, other nurses, physicians, social workers and other interdisciplinary staff. The nurse advocates for individuals to ensure they are receiving the care they deserve and to help the individual learn to advocate for themself. The nurse is a case manager, collecting information and passing it along. They are a consultant and educator, teaching and providing information to help promote the health of the individual, family and community. The nurse provides direct...
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...Management Instructor: Jan Carell December 5, 2012 Introduction In the healthcare field there are several risks whether it involves the patient directly or the staff of the medical facility, but it is essential to manage these risks as much as possible to ensure a safe working environment that renders quality health care and services. Healthcare risk management is defined as the way in which a healthcare organization identifies, manages, mitigates and responds to risks (Sheahan, 2012). With all things taken into consideration this management of risks is compulsory to assist in not only the reduction, but also the prevention of risks that have the potential to cause catastrophic results. Sources of Information Used by Risk Managers Risks managers are able to identify potential risks from a variety of sources such as the assessing the working environment itself, the staff, and also the patients. These sources provide valuable information that enable risks managers to make decisions that affect the organization structurally and financially. When assessing the overall environment there may by changes that need to be made to ensure the safety of the patients that will cause the medical facility to spend more money such as adding additional wheelchair ramps, ordering more wheelchairs, or ordering more supplies to ensure that the patients receive adequate care. The main priority in the area of healthcare risk management should be patient safety (Melone, 2012). Proper review of patient...
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...home must be carefully planned and implemented through a restorative healthcare model to ensure her health and wellbeing, in addition, to prevent hospital re-admission. To ensure Mrs Fields health and wellbeing, different community resources may prove beneficial in her transition, coherently working towards hospital avoidance through health promotion and strategies. Home-Delivered Meals As revealed prior, Mrs Field was presented to hospital malnourished, overall impacting her recovery time, health and discharge planning due to her social isolation and need for a balanced and healthy food intake (College of Nursing & Health Sciences 2015; Siddique et al. 2017,...
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