A long-standing issue within the community of nursing is an inconsistency of care related to patients who present multiple times to the emergency department. The journal article, Patient experience in the emergency department: inconsistencies in the ethic and duty of care, explores the issue of multiple presentations to the emergency department, the ethics and duty of care they receive, and how it directly affects the patient’s ongoing management of health needs. The article addresses a study where 34 people with a chronic illness who have multiple presentations to the emergency department are interviewed regarding the appropriateness or inappropriateness of care they received during these visits. From these interviews four “moral …show more content…
When this client-centered approach is used, it promotes patient confidence in medical personnel and ensures that when the patient leaves the Emergency department (ED) they have a firm understanding of their follow up care and plan. This makes the patient more likely to be compliant with follow up care, and self-management of their chronic issues. (Cheryle Moss, 2014)
We should all be striving to provide this holistic approach that leaves the patient not only treated competently and completely, but also leaves them feeling as though they understand what has been done, and what needs to be done to improve their health and well-being. This will not only lead to better outcomes, but less waste because the patient will be more involved and informed of their healthcare needs and decisions.
The next category of experience that the article identifies is: ‘consistent duty of care’. This level of care describes a caregiver who is competent and efficient, but does not base the care on a “patient-centered” model. The article identified a higher percentage of care scenarios that matched this description at 37%. Many of these patients were acutely ill patients that required immediate stabilization and efficient treatment. Some of the patients fitting this category may have had an altered level of consciousness during treatment as well, but they recall the efficacy of their care and are appreciative. The patients that typically receive this type of care have trust that
This author’s personal philosophy in practice is to provide holistic care to my patients and their families. This author feels that encompassing the whole family or the patients support framework in the plan of care is the best approach to returning the patient to their optimum state of health. It is important to this author to evaluate the all of the aspects of the patient’s lives that they will share. It is important to evaluate the patient’s learning style,
The care staff face many challenges even though they know just about everything about the individual; the carers still deal with many situations. It’s of importance that families and other health professionals develop a professional working relationship with carers because the carers are the one who are more involve with the individuals and supporting them as well as knowing the individual everyday activities.
Colon cancer is a lethal disease and remains one of the leading causes of cancer related deaths in the United States (Williams et al, 2016). Despite the overall decline in colorectal cancer (CRC), African Americans (AAs) continue to lag behind and have a higher prevalence, mortality, and the lowest survival rate among any other racial group (Williams et al., 2016). For this reason, some professional organizations recommend screening for AAs start at the age of 45 rather than age 50 (Jackson, Oman, Patel & Vega, 2016). However, endorsement of earlier screening among AAs alone does not equate to an increase in the uptake of CRC screening.
Patients seek care and treatment in hopes of receiving confidential, unbiased, honest, and respectful treatment. They also expect that care providers maintain their personal values and beliefs related to their care. As healthcare
Consequently, one nursing theory does not fit every individual’s need. However, while nursing theories encompass many different beliefs, policies, and procedures, nurses can choose from many theories and can utilize some, all, or none of the concepts of each theory.
The national nursing shortage is an ever-growing concern, and it is essential for healthcare organizations to confront the looming issue. Possible solutions to the nursing shortage include retaining older nurses who are looking to retire, increasing the amount of students graduating from nursing schools, and drawing nurses back to the bedside who have left the nursing workforce (Hatcher, 2006). Leaders must assess the nursing turnover in their organization, and they must strategize on ways to retain those nurses. Organizations must implement techniques to retain older nurses to help combat the national nursing shortage and prevent a national healthcare disaster (Keller & Burns, 2010). The purpose of this paper is to identify the demographic breakdown of an organization, explain how the organization’s environment is conducive and non-conducive for older workers, and describe tactics to retain older workers.
Patient-Centered Care: Patients should have control over the care they receive. By involving patients and family members in their care it will result in better health outcomes. “The response of health care professionals to patients’ questions, concerns, and feedback directly influences how comfortable patients are with speaking up” (Spath, 2011, p. 236). As nurses we need to respect our patients’ wishes and give each
The patients perception is important. For the most part the patients see their health care provider as being accountable for their consideration. Patients need to feel they are not surrendered in their troublesome time.
Implementing interventions to reduce ED encounter for the senior population begins with identifying barriers. The number one issue that contributes to these encounters is the lack of education surrounding what constitutes an emergency (Uscher-Pines, Pines, Kellermann, Gillen & Mehrotra, 2013). Using patient activation measures to assess how engaged clients are in their care. This can give the care providers a starting point on what areas of education are lacking and where more attention needs to be focused (“Patient Activation Measure”, 2017). These measures allow patients to set goals and develop a plan for achieving the goals. In addition, these patients would benefit from a coaching model to assist with identifying medical and
Patients and their families must feel supported rather than cast adrift during hand-offs and transitions in care. As care becomes increasingly team-based, we must better understand patients’ experiences and outcomes when cared for by a known, compassionate clinician, and when compassion is “distributed” across clinicians in both consistent and emergent teams. We must also offer inter-professional, team-based training on what constitutes compassionate care in a team environment and build information systems that capture patients’ and families’ illness-related emotional and social needs as well as their physical concerns.
Professional caregivers who care for the dying must professionally employ high level technical skills while maintaining a compassionate focus on the problems facing the dying person and their families, often immersed in institutional politics, all the time suppressing their own anxieties. Meanwhile, providing a supportive environment that meets the needs of the terminally ill individual with confidence, whilst cultivating trust and feelings of dignity in the dying patient (DeSpelder & Strickland, 2005, 2015).
Caregivers, and of course all heath care professionals, have a role and duty to their patient.
In the Nursing field there are many things that people don’t know because they are not in the field or they have no interest in learning about it. As a child I wanted to be a Registered Nurse and help people get better and feel great from any sicknesses. The topic’s that are big issues in the RN field are long working hours, Work violence, and Workplace hazards. Within these three topics we will learn what happens in a nurses life and what risks they face on a day-to-day bases.
Part of the caregiver or nurse's duty is to provide emotional support and understanding to the patient. Swanson (1993) proclaims that being with assures patients that their reality is appreciated and that the nurse is ready and willing to provide emotional support. Emotional support can come in many forms, such as providing a shoulder to lean on and listening attentively. By using the process of 'being with', nursing professionals can convey messages such as, "you are not alone, what happens to you matters and that we are here for you" (Swanson, 1993). Conveying these messages can help with the healing process and overall well-being of the patient by decreasing anxiety and providing the patient with a caring relationship when family support is unavailable.
There are many healthcare fields that rely on the performance of certain variables, such as customer satisfaction, bedside manner, and trust between caregiver and patient. These factors are only a few constructs, but important ones, that can be measured to improve the many disciplines throughout the healthcare system (Gok, Sezen, 2013). In comparison to a teaching hospital team of caregivers versus teams of caregivers in a private practice setting, which is more effective to attain better end-results from the caregivers and the patients? Is there a significant relationship between the amount of caregivers a patient has in a teaching hospital environment versus a private practice setting when it comes to patient satisfaction, bedside manner, and trust between caregiver and patient (Lin, 2004)? Are there factors beyond these aforementioned variables that may play a role in whether quality healthcare is considered successful between patient and their caregivers (Tzeng, Yin, 2008)? Using self-administered, cross-sectional surveys of patients, on the path of being discharged from a particular unit or the hospital versus similar surveys of patients going to a private practice visiting their primary care provider, what is considered excellent quality of care from both the perspectives of the patient and the different caregivers involved? In other words, what are the main factors, in the eyes of the caregiver and the patient, represent excellent care based on past and