Clinical Educational Needs Assessment-Hepatitis C Knowledge Hepatitis C (HCV) is a disease of the blood, caused by a history of intravenous (IV) drug abuse, blood transfusions received that were infected with HCV prior to 1992 when screening started, healthcare workers suffering from a needle stick, and recipients of donor organs that tested positive for HCV (Lewis, Heitkemper, Dirksen, & Bucher, 2014). A challenge that I have encountered in the office with getting treatment started for a patient is that not everyone in the clinic understands the clinical documentation and tests needed to receive therapy approval. The result of decreased knowledge of HCV treatment is the patient having to return to the clinic two or three times to obtain all required clinical data, which is prolonging the start of treatment. The purpose of this paper is to improve patient satisfaction with their treatment of HCV. I began with my pre-assessment of the novice to expert nurses, by asking them 30 questions. In the assessment, it tested the current knowledge that each individual had on HCV. After obtaining the needed data to come up with a program for the clinic, I was amazed at the different answers. I will be discussing the educational needs for improvement of HCV screenings, listing the questions used in the interview, listing the staff and their titles, listing educational needs I found during my assessment, and discussing what my case study topic will entail. Self-Educational Needs
This research paper is going to review today’s silent killer, the Hepatitis C virus. This paper will talk about the description of the disease, the signs and symptoms, the etiology and risk factors, diagnostic studies, treatments and prognosis of this disease. I had lived with this disease for over ten years before diagnosed so it is important to understand the signs and symptoms so the disease can be identified and a treatment plan can be identified as the sooner it is treated the more likely it will eradicate the disease.
Grundy G, Beeching N . (2004). Understanding social stigma ii women with hepatitis C. Nursing Standard. 19 (4), 35-39.
Lab test results show a positive anti-HCV and confirm that Chad has Hepatitis C. The nurse explains to Chad that Hepatitis is liver disease with inflammation of the cells of the liver. Chad states "I can't have Hepatitis. I had all three of the vaccinations before I started working as a paramedic."
The medical home model is viewed as resonating well with the new and highly effective regimens of Hepatitis C Virus (HCV) treatment and could reduce the prevalence of the disease. The authors used statistical data in demonstrating the challenges faced by patients with chronic HCV infection against the limitation of the existing healthcare system besides the ACA. The study considered the ACA as beneficial in this regard, owing to its integration of the behavioral and medical healthcare, and also on account that ACA expands the eligibility of Medicaid and offers consumer premium subsidies. The study recommended that by maximizing ACA, the public would benefit more in dealing with such serious infections as opposed to relying on the ordinary healthcare
Lab test results show a positive anti-HCV and confirm that Chad has Hepatitis C. The nurse explains to Chad that Hepatitis is liver disease with inflammation of the cells of the liver. Chad states "I can't have Hepatitis. I had all three of the vaccinations before I started working as a paramedic."
Liver cirrhosis, which is the end product of liver disease caused by HCV, is the leading cause of organ transplants in the United States (Hirsch, 2000).
Although it is alarming about how expensive these drugs may cost, an inescapable idea that would have passed our brains several times already would be “Why should I care?” and that patients are only willing to pay this price because they need it because they are sick. Even if it may seem that we don’t empathize them, the overall perception is that since we don’t have hepatitis C, we would not have to worry about these price tags because we would never have to pay this fee. Because of this, although we may feel sympathy towards these patients, we are rarely able to perceive their problems at a personal level.
If Hepatitis C is caught in the early stages it is curable with medication. Watson points out that the medications that is used to treat Hepatitis C is very expensive and that people have a hard time paying for the cost. This results in people not getting the treatment due to the cost and this ultimately results in the person getting chronic Hepatitis C. Watson explains, “chronic Hepatitis C leads to cirrhosis of the liver, liver cancer or scarring of the liver” (personal communication, February 27, 2017). Watson states that within the past couple of years, drug companies have taken the cost of these medications into consideration and have set up payment plan options for people who suffer from Hepatitis C. Along with, some drug companies are now covering the entire cost of the medications depending on the person’s income level. Another development that has recently emerged is financial counselors. Watson explains that, “once a person tests positive for Hepatitis C they will be notified, control measures will be discussed and the nurse will refer them out to a financial counselor to figure out which route is best for them to get treatment” (personal communication, February 27, 2017). Surry County Health and Nutrition Center work closely with the financial counselors through Wake Forest Baptist Medical Center to get these
KV is a patient who was recently diagnosed with Hepatitis C. She is a 27 year old, English speaking, Caucasian female who grew up and still lives in Minnesota. KV is a bartender and nursing student who loves anything outdoors, cooking, gardening, and being with family and friends. KV contracted this disease from her previous partner and is now single. She has plans of marrying and having kids someday in the future. She has a support base consisting of her family and friends. KV’s parents and family are very involved in all aspects of her life and have supported her through this diagnosis. KV has shown an interest and readiness to learn, which she does best, hands-on. Being a college student, KV is cognitive about her situation and has the capability to understand what is happening to her body and the material that I will teach her.
A health assessment is an important part of the nursing process. The components of a comprehensive health assessment include the collection of both subjective and objective data from the patient to establish their overall level of health. It is important to develop a trusting nurse-patient relationship when interacting with all patients, especially with patients that have not had prior health care provider interactions. A patient who had never been seen by a healthcare provider may be nervous and apprehensive of what to expect in the situation. The nurse should use effective communications skills including eye contact and active listening and try to gain the trust of the patient. Systems used in the collection of data include, “active listening, restatement, reflection, elaboration, silence, focusing, clarification, and summarizing” in my verbal communication with this patient (Jensen, 2015, p. 19). The nurse needs to make clear any part of the history where there are questions.
This is an analysis of a taped interview between a nurse and a patient who is taking pre-employment medicals. The information given during the interview, including her name, Pink Cloud is fictitious because of the need of confidentiality. During the interview, objective and subjective data will be collected. The areas of communication focused on in the analysis are verbal, questioning and listening skills. Analysis will be made and later suggestions and recommendations will be made on how to make improvements in the future. To achieve this, direct quotations from the will be used to make references to the three theories being analysed and will be supported by the literature.
Hepatitis C is a prevalent health care problem. According to the Centers of Disease Control and Prevention (CDC, 2016), approximately 2.7-3.9 million of the adult population in the United States is infected with hepatitis C virus (HCV). Some groups of people are at risk for Hepatitis C infection, including current injection drug users, people who received the blood transfusion before 1992, organ recipients from a donor who tested positive for hepatitis C virus, hemodialysis patients, and children born to a hepatitis C mother (CDC, 2016). Hepatitis C causes embarrassment and isolation from the society. Self-esteem and understanding of the
Did you realize when you wrote your post, that May is Hepatitis Awareness Month and that May 19 is National Hepatitis Testing Day? Testing is important because so many people have the disease and don’t’ even know it. Evidently, people born between 1945 and 1965 are in a high risk category along with Asians and Pacific Islanders. Rates of Hepatitis C were very high in the late 1970’s and early 80’s. Blood supply screening and universal precautions did not begin until 1992. Once blood supply screening was initiated Hepatitis C was eliminated from the blood supply. The Viral Load is a test administered to see how much of a specific virus is present in an individual. The test will detect how much of the virus is
Hepatitis is inflammation of the liver. There are currently five known viruses that cause can hepatitis (Microbiology, 10e). The hepatitis C virus (HCV) is transmitted through contact with the blood of an infected person; however, it is now more commonly spread among IV drug users that share needles. Healthcare workers are also at risk for contracting HCV, but with standard precautions, the risk is low. “Prior to 1992, some people acquired the HCV infection from transfusions of blood or blood products. Since 1992, all blood products have been screened for HCV, and cases of HCV due to blood transfusion now are extremely rare. HCV can be passed from mother to unborn child. Approximately 4 out of every 100 infants born to HCV-positive mothers
Hepatitis C has been referred to as a "Silent Epidemic," since it usually progresses slowly over many years. Most people who are infected with hepatitis C are not aware of any noticeable symptoms for as long as one to two decades after they are infected. In fact, by the time symptoms appear, the virus has probably already begun to damage the liver. If the liver is injured and stops functioning, death will always be the outcome (Lieber). Liver failure from chronic hepatitis C is one of the most common causes of liver transplants in the United States.