...acknowledging your own biases may be helpful when working with clients. As a future mental health professional being in the position of a client, that is seeing a therapist whose background is different from mine whether by ethnicity, linguistics or even sexuality I would crave for them to be understanding, non-judgmental and respectful of my beliefs and values. In reflecting an understanding attitude, it would be very important for me that the therapist displays keen listening skills; as these attitudes of listening can either assist in promoting a free flowing dialogue between myself and the therapist or build a wall which may prevent me from expressing my feelings on the challenges and issues I am currently facing. In the therapeutic relationship, it is important that the client feels that the therapist is not critical and judgmental towards them and displays a high level of "caring and compassion toward the client even if they have confessed their deepest secrets and hidden desires" (Brew and Kottler, 2008; p.115). Another aspect of being understanding on the part of the therapist is the therapist's body language. Especially with the therapist's cultural differences certain actions in relation to body language may have differing meaning and thus depending on the action may be construed as being offensive. With body language being so important Ivey, Ivey and Zalaquett (2010) noted that if the therapist faces the client squarely, leans forward slightly, has a positively...
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...Nurse Patient Relationship ------------------------------------------------- The nurse patient relationship is a central to patient satisfaction. Nurses spend most of the time with patient. Therefore nurses attitude toward their work, co-workers and hospital influences patients’ opinion and experience about the hospital. It is imperative to have positive nurse patient relationship to establish rapport and achieve healing. Patients and families count on nurses to keep them informed, to connect them to their physicians and other caregivers, to listen to them, to ease their anxiety, and to protect and watch over them during their healthcare experience. Because of these high expectations of nurses, it’s no wonder that nursing performance, and more specifically, the nurse patient relationship, is so central to patient satisfaction and a quality patient experience. ------------------------------------------------- ------------------------------------------------- It is a nurse’s job to care for a patient’s medical needs. However, caring for their emotional well-being can have just as beneficial an impact on patient care. The relationship between nurse and patient requires trust, as well as understanding. For a patient to disclose private or embarrassing details about their physical or mental condition, they need to first trust that their nurse will treat them with dignity and respect. Furthermore, patients will only follow the advice of their nurse if they trust in his or...
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...nursing are ‘necessary for achieving mastery in the discipline’. I believe that implementing those four patterns of knowing into daily nursing care is vital in order to provide best quality care for each patient. Nursing care should be implemented in flexible, thoughtful manner and should be carefully executed in unique situation with unique patients. Empirical Way of Knowing Empirical way of thinking is defined in article as a ‘factual, descriptive…exemplary, discursively formulated and publically verifiable which is ultimately aimed at developing abstract and theoretical explanation’ (Carper: 15). This way of thinking is executed using Evidence Based Practice. I have been a nurse for the past 10 years and I believe that empirical way of knowing is most familiar to me. For example, my facility is using Congestive Heart Failure protocol (policy created by facility based on clinical practice guidelines CPG) for patients admitted to hospital with either new onset of CHF or exacerbation of the disease. Each patient with CHF has comprehensive assessments, symptoms management, appropriate use of medications (ACE inhibitors), daily weight monitoring, resident and family education throughout the hospital stay. This is achieved by using multidisciplinary approach for patient care and by following Evidence Based Practice. Personal Way of Knowing Personal way of knowing is probably easiest for me to understand. As quoted in article this...
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...experienced an incident that I would like to reflect upon. I was assigned to a female patient with diagnose of third stage breast cancer. After taking her interview, I came to know that patient and even their family member didn’t know any thing about the patient prognosis and they were too worried to know about. For that reason, I went to doctor and inquired that whether doctor had told them about the patient prognosis or not. In response to my question, doctor got irritated and replied in a very rude manner. He said, “you want me to tell patient that when he would gone to die? Or how much life is remaining for him… six month or less then that?” why should I be bothered? Let the family deal with it. I have other number of tasks. On hearing that comment, I got astonished and remained silent in front of him. After some time, he again probe that we don’t get enough time to explain each and every patient about their diagnosis and prognosis and if we take such type of tension related to patient’s health status, one day we get burst out. After coming across this situation, several kinds of feelings came in my mind. First of all, I felt very strange on hearing that discourteous response of doctor. I thought that being a professional, how he could talk in such a pathetic manner? Not only as a professional but also as a human being, he must have understanding and empathy towards terminally ill patients. Secondly, I got confused because after looking at the apprehensive behavior of doctor...
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...choose to organize patient files and how loose papers are handled. Regardless of the size of the medical facility; each facility prefers to have all of the patient’s paper work to be anchored securely in each patient’s chart. By having all of the patients paperwork secured in the patient file, this will eliminate the possibility of losing or misplacing paperwork. This also allows for each patient record to be neatly organized and can be easily viewed by all medical staff. Medical facilities file patient records differently. Depending on the size of each facility there are a few different ways to file patient records. Some facilities use the patient’s last name, and others may choose to file by patient number. Facilities may also organize patient files differently; again, depending on the size of the medical facility medical records can be organized in the following ways. A patient’s chart can be organized by visit with the most recent visit filed on top (or first). Other facilities may choose to file patient charts by report type, and or by categories. Large facilities such as a hospital may choose to file patient charts by categories or report type instead of by each patient’s visit. You may see in a patient’s chart that is organized by categories or report type, headings such as, lab reports, physician notes, and physician orders. Even though there are many similarities and differences on how medical records are organized and file patient records, it is up to...
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...communicate with the patients/consumers. Electronic medical records is fairly new and very beneficial to not only the organization but for the patients as well. Benefits The electronic medical records is much more efficient over having paper charts because they are easier to access as well as share with others that are involved in the patients care. With this being said if a patient has a sudden emergency where they are required to go to the hospital then those records can be sent and shared with that ER staff as well so that it may help with any complications the patient may encounter. With such catastrophic events in our nations past like 9/11, and the tornadoes that have been plaguing our heart lands this comes in handy so that information is easier to share with other medical personnel. Safety In today’s crazy world we patient’s privacy is very important because there has been such rapid identity theft with the electronic medical records system in place it will help to eliminate that for the most part. There are no perfect systems out there but it does help to cut down on this. There are laws in place to help with stiff laws and penalties for not protecting patients could be very costly to the organization. No practice should give out any patient information without for getting the okay from that very patient. Organization must also make sure that the laws are clearly spelled out and displayed for all to read and understand and if that patient asks for a copy they...
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...specifically deal one on one with patients, so I am going to go back to when I worked in a Physician’s office where I was handling patient information on a daily basis. As a medical biller at that time, we were trained regarding what HIPPA regulations were all about and how to stay within those regulations and not accidently or on purpose expose any personal information regarding our patients. We had volunteers, as well as interns that would come and go. And they as well had to be trained to follow the HIPPA laws, some were not aware of what HIPPA even stood for so it was imperative that they be trained immediately so that no personal information was released to unauthorized entities. There was strict communication within our facility as far as when and where we could discuss any patient information while the office was open, we were instructed to talk in hushed tones and behind closed doors. Even after hours we were instructed not to shout across the hall any personnel information on any patient, the physicians frowned upon that highly. “The dramatic changes in health care delivery and administration over the past several decades have resulted in increased consumer concerns about privacy (Applebaum, 2002; Gostin, 2001).” There is a huge impact when it comes to dealing with different ethnic groups among the co-workers, patients, caregivers, managers and families. There had to be Spanish speaking personnel on staff at all times, so any patient that did not speak English we...
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...the importance of the physician-patient and hospital-patient relationships. The relationships of the physician –patient and hospital-patient are both extremely important and equally impact the health of the patient as well as the success of the hospital and physician. The physician-patient relationship is the center of health care due to the fact that one of the main aspects of a patient’s care is his/her discussion with the physician. In the past, patients had to rely solely on the directions and information provided by the physician in order to make important health care decisions. Patients were also limited in their access to health care facilities as well as hospitals. In today’s society this is not the case because most patients have the ability to seek second opinions, research alternate conditions/treatments, as well as rate physician care/hospital services through social media on the internet. A cancer patient in TN may travel to TX to receive treatment from a specific specialist and/or a highly recommended facility. Since the dynamics of the physician-patient and hospital-patient has changed, the relationship has changed but its importance has not. Therefore, it is essential that both the physician and the hospital facility itself have a good rapport with the patient in an effort to continuously build the relationship. A poor relationship between the patient and the hospital and/or physician could compromise the ability of the patient to trust the physician’s assessment...
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...quality of the sick patients life is affected. Barron H. Lerner explains in the article about how her father came across many different types of situations with patients, from patients with infections like pneumonia to elderly people. Lerner’s father explains that many of his patients died on intensive care units on respirators since they were offered interventions that had no possible way of curing the problem. The article provided by Lerner argues that futile medicine is necessary to be legal and also the futility movement to improve the quality of death.! ! The author clearly states that he agrees with what his father thought and believed in. Berner's father wanted to relieve the pain of his patients that had no chance of being saved. His father believed that medicine was ideal for the appropriate care for the patient even if that means denying a treatment that is requested by the patient. Medical Futility occurs when a physician can deny a treatment that is requested by the patient if the physician thinks it will only prolong death. Lerner described that his father agreed with futile medicine but he wanted them to also be more bold and courageous. His father wanted them to view their job as providing the best care for his or her patients even if it was denying specific commands of prolonging their death.! ! Lerner’s article “When Medicine is Futile” is about the authority doctors should have when it comes to the decisions being made on the patients...
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...Procedures Darlitta Rose Shepard HCR/220 Claims Preparation: Clean bills of Health 10/11/2015 Lydia Cavieux Eligibility, Payment, and Billing Procedures * Describe a factor that determines patient benefits eligibility. Verify the patient’s eligibility for benefits. As a medical insurance specialist you are to abstract information about the payer/plan from the patient’s information form (PIF) and the insurance card. Then contact payer to verify three points: 1. Patients general eligibility for benefits 2. The amount of the co-payment or coinsurance required at the time of service. 3. Whether the planned encounter is for a covered service that is medically necessary under the payer rules. These items are checked before an encounter, except in a medical emergency when care is provided immediately and insurance is check after the encounter. * What are the appropriate steps to take when insurance does not cover a planned service? As a medical insurance specialist attempt to determine whether the planned encounter is a covered service. If the service will not be covered, that patient can be informed and made aware of financial responsibility in advance. * Relate these steps to the eligibility factor you identified and provide two examples of patient charges with corresponding billing transactions. According to our reading Ch.3 Medical insurance. As a slightly older woman I can relate to the both. I have called my clinic to set up an appointment...
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...Space * Time Noise In a health and social care setting such as a Hospital, noise would be appropriate to drown out the sounds of private conversations. For example, if a receptionist was speaking to a patient about an issue regarding their health, they wouldn’t want their personal issues to be heard by other patients in the waiting area. Having background noise would be necessary for digression purposes. This in other words 'takes them out of the spotlight' and keeps the attention between their own conversations. This is a positive factor. A negative example would be the opposite, if a couple needed to get important information from the receptionist or any other professional in a sexual health clinic and cannot be heard by the background noise. This is if all the public waiting are speaking above a normal tone, in which case the couple couldn't hear correctly, they could miss vital bits of information or not get any at all. When being in public places, there should always be a moderate level of noise to balance the needs of both parties, and not have one drowning out another. Space Space is very important to patients, because it is used as our indicator of being in danger, which affects the way you react to people. When a councillor is speaking to a patient, it is advised to keep a good distance, not too far away that they are both yelling at each other but close enough so...
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...Concierge Care In today’s healthcare climate, concierge medicine is gaining ground and increasing in popularity. Patients are opting to either pay in cash for services rendered or pre-pay a monthly or annual fee for more personalized services and 24/7 access to their physician. Both physicians and patients are driving much of the growth attributed to concierge medicine (Spooner, 2007). Many physicians are dissatisfied with their reimbursement contracts and heavy patient loads that limit the amount of time spent with their patients. Patients feel that the level of quality of care provided by traditional medicine is declining and are increasingly dissatisfied with impersonal care, long waits for appointments, short duration of appointments and the greater use of mid-level practitioners (Spooner, 2007). Despite the growing trend of concierge medicine, simply opening up an office will not guarantee success. There are many variables to be considered when deciding to form a concierge practice, including market competition, customer demand, ensuring value, continuity of care as well as financial, staff and ethical considerations. Competition exists in every industry and the concierge care industry is no different. Certainly, being the first concierge practice in the area to market more personalized services will be an advantage. The risk of losing existing patients looking for a higher level of service to other concierge practices in the vicinity significantly decreases (Specialdocs...
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...unprofessional behavior and poor communication skills during the first patient interaction scenario when she speaks to the pregnant women. She asks about the patients insurance even before being concerned about if the possibility of active labor. She informs the patient that she needs the patient’s husband’s number so she can call him about her being in the hospital. The nurse should have asked if there was anyone the patient wanted contacted, and she should only ask that after the patient has been sent back to the examination room. The nurse also makes a snap judgment about the laboring women when she finds out that she isn’t married. The nurse decides that the status of the child is such that the religious hospital won’t see her. The federal government enacted several laws that the nurse in this video has ignored. The First law is the Emergency Medical Treatment and Labor Act that says that a Medicare-accepting hospital has to take patients in emergency situation, including active labor, regardless of their ability to pay. They have to stabilize these patients before they can be discharged or transferred. By asking about her insurance while the women was in active labor she broke this law. She also was going to violate the HIPPA law by contacting the women’s husband without getting her express permission to do so. The HIPPA law prohibits releasing medical information to anyone without written permission of the patient. Besides the nurses clear violation of medical laws, she also...
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...medical terms are in English. In order to become a doctor, I have to make a constant effort. There are few things for me to work on. First, I have to love and serve for those who are sick. Doctors need to give extra care for their patients because they need to know well about each patient. Second, all doctors have to be diligent. If the doctors are lazy, and do not care to know about the patients, they cannot help them to become healthier. There are many other things for me to work on, but I think these two are the most important things for me to become a good doctor. My dream job is a doctor because I want to help sick people to become healthier. I can also help my parents when they are sick. To become a doctor, I have to read a lot of books because doctors are required to know well about the human body. Also, I have to study English very hard because most of the medical terms are in English. In order to become a doctor, I have to make a constant effort. There are few things for me to work on. First, I have to love and serve for those who are sick. Doctors need to give extra care for their patients because they need to know well about each patient. Second, all doctors have to be diligent. If the doctors are lazy, and do not care to know about the patients, they cannot help them to become healthier. There are many other things for me to work on, but I think these two are the most important things for me to become a good doctor. My dream job is a doctor because I want to help sick...
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...POLICY: It is the policy of Mercy Clinic Family Medicine and Obstetrics to define the designation of Primary Care Physician for the patients that they serve. PURPOSE: The policy will define designation of Primary Care Physician. The policy will also define when and how it may be appropriate to change or delete the designation of a Primary Care Physician from a patient’s chart. Definition of Primary Care Physician (PCP): • A PCP may be designated either by a patient’s insurance company, or simply as manually entered into the patient’s electronic medical record. • The PCP is the provider who will ultimately be responsible for measures through health maintenance, and will be responsible for follow up and coordination of care for the patient. General Guidelines and Steps in Designating a PCP 1. A patient who does not have a PCP assigned in Epic will first be asked if they have a PCP established. If so, the appropriate designation will be made within Epic. 2. If the patient is requesting to add their appointment provider as PCP, a message will be sent by the coworker to the physician and nurse for approval. 3. If the provider agrees, the appropriate designation will be made within Epic. 4. If the provider chooses not to continue as the patient’s PCP, the provider will explain that to the patient and request that they establish care with a different provider. A note will be made in the patient’s chart that the provider has chosen not to...
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