Contemporary Nursing Issues

Interdisciplinary team work is extremely important to ensure patients receive quality care that meets their individual needs (Nancarrow, et al, 2013). To achieve this a group of health care professionals work together by bringing their different professions, assessments and evaluations together in order to design a care plan for treatment of the patient (Korner, 2010). For example if a patient is dealing with a mental health disorder such as depression or schizophrenia, the interdisciplinary team would consist of the doctor, nurse, psychologist, psychiatrist, pharmacist and neurologist. The roles and responsibilities of each team member must be based on their scope of practice including the assessment of the patient, the treatment to be given,

The interdisciplinary team at the facility consists of the nurse, physician, social worker, speech therapist, physical therapist, occupational therapist, registered dietician, and unlicensed assistive personnel which are the certified nurse assistants. Each member has their unique supportive role and provide the patient with a different agenda. The nurse advocate the promotion of health, prevention of illness, and the care of the sick, disabled, and dying. They perform services in collaboration with other members of the interdisciplinary team. The physician is primarily responsible for the diagnosis of illness and the medical or surgical treatment of that illness. The social worker counsels patients and family members and also informs them of and refers them to various community resources. The speech therapist diagnose and treat swallowing problems in patients who have had a stroke or otherwise are affected by their severity of dementia. The physical therapist helps restore function or to prevent

A key aim of discharge planning is to provide good continuity of care to ensure good patient outcomes, hence effective handover to primary care. This is most often achieved through the immediate discharge document.13 Limited data are available on discharge documentation, but recent audits have shown that key facts and data such as follow-up arrangements, new diagnoses, and accurate medication lists are often omitted.14 15 16 The Scottish Intercollegiate Guidelines Network (SIGN) has recommended that senior staff should approve every immediate discharge document.13 Box 3 outlines the recommended minimum content for discharge documentation. In complex or unwell patients, contacting the general practitioner, community matron, or specialist nurse before discharge may be necessary to ensure an effective handover. See also the scenario box (Case study part 4).

Discharge planning starts immediately when the client is admitted to the hospital. It consists of the client, significant others, the environment, professionals, and information, which all can have either a positive or negative impact on discharge planning. A.D is a 13-month-old toddler who’s developmentally unable to care for herself, so her significant others become the most important element in facilitating her discharge. Both of A.D’s parents have steady incomes and are present throughout the day to take care of her. They participated in the treatment regimen by giving the nurse all the diapers to weigh, disclosing everything she ate and drank and performed suctioning using a bébé mouche. Also, her family asked a lot of questions in respects

Two problems exist in this exercise. The first is ventilator-dependent patients being discharged to home with multiple complex care needs, without a critical pathway for that transition of care. The second problem is the lack of multidisciplinary interest in providing input to developing a critical pathway. Successful implementation of a critical pathway depends on the involvement and investment of all relevant staff to ensure proposed aims are achieved (Lacko, Jarrett, McCrone, & Thornicroft, 2010). Patient care is a multidisciplinary team approach. Therefore, the responsibility for the development of this pathway falls on all members involved in the care of ventilator-dependent patients. However, it seems that the problem has ended up in the lap of Nurse Witte, many times I have witnessed problems like this default to nursing. Nursing embraces patient advocacy

I think it is important to first point out what we mean by philosophy. It is described best by Steven Edwards, “Philosophy is an attitude toward life and reality that evolves from each nurse’s beliefs” (Edwards, 1997). This paper contains my values and philosophy of the nursing profession as a whole. I hope it provides some insight to healthcare professionals as well as non-healthcare workers. In the paper below we will discuss: (a) what is nursing, (b) nursing philosophy in practice, (c) nursing models and frameworks, and (d) values and ethics of nursing.

The Question is: You are working on a busy orthopedic ward and notice that many of the patients (mostly women) following Total Hip Replacement (THR) surgery are found to have developed a urinary tract infection when their catheter was removed in the post-operative period.

Discharge planning is a process that begins upon a patient’s admission to hospital. It is not a single event that occurs upon discharge and must be planned for as early as possible to enable patient’s and their carers to be involved in their discharge plan. Discharge planning takes time but if managed well, can ensure that the patient integrates appropriately back into the community. Discharge planning should be started within twenty-four hours of admission to hospital, or during pre-admission for elective procedures. Patients require information about their condition, what to expect when they go home and when to seek help. Most patients are discharged home with new medications and instructions must be given verbally and written down for the

In evaluating possible approaches to make the discharge process clear, easy and convenient for the patient and the staff, I looked into other

Discharge instructions and planning are vital components of patient care and when properly done, ensure that patients meet the needs requires to restore or maintain their health (Reddick & Holland, 2015, p. 1).

In many colleges, there are various philosophies on what nursing philosophy should be with a different emphasis on multiple components. These are made up with a combination of both the spirit of the program with the spirit of the college. After exploring Immaculata’s mission statements on both the nursing philosophy and the overall institution’s philosophy, I believe nursing philosophy should be based on compassion, professionalism, and safe patient care.

According to case Word, Jenny’s family have been well supported by their families, friends and the wider community during this difficult period, however it has not specified what kind of support they have been provided (School of Nursing & Midwifery 2014). Future Moore, Discharge plan information from case world should be identify the what kind of support they get, when and where they get. Moreover, it Has not been explained clearly about the details of current medication prescribed at the time of the client’s discharge if she continued or stopped (Care Quality Commission 2009). What kind of medications Jenny having, name of the medications, purpose of those medications and short term or long term medications have not explained in the discharge plan? According to discharge plan information from case word has not mention how and who administer those medications or if has been arranged the community nurse visit as required in timely manner. Importance of required information and education being provided about medication’s benefits and risks to a jenny and her family member (Duguid 2012; Goncalves-Bradley 2016). In a discharge plan has to mention about the family could afford the cost of hire a caregiver and purchase of medication in ongoing basic (Care Quality Commission 2009; Gill 2013). That information’s could be beneficial because of to get a better outcome from patient health by providing quality of care which will decrease the length of hospital stay, unexpected readmission in hospital, improve the classification of services and increase client and professional’s satisfaction following discharge from hospital to patients admitted with a variety of medical conditions. The Unclear discharge plan will decrease the cost to healthcare services (Clemans-Cope et all.

Rationale: Anticipating possible obstacles that may be present at the time of patient discharge, may prevent the anxiety/fear felt by patients at the time of discharge, and avoid the feeling of not being prepare to be discharge. Assessing potential barriers, such as lack or limited family support, home care support and even transportation to continue with follow up visits would aim towards discharge preparedness. In addition, active participation during the discharge planning process, would also prepare for discharge, make informed decisions about transitional care.

how the patients are managing. Inquiring about their life style, previous medical history, smoking habit and current problems are essential. It is important to care for patients in a holistic, patient-centred way. Treatment should take into account people’s preferences and they should be allowed to make informed decisions. Patients with heart failure require close monitoring while in hospital, furthermore all through discharge patient’s preferences have to be taken into account. During discharge, patients are routinely referred to other parties such as palliative care team, occupational health, and physio therapy and district nurses, therefore it is essential that all health care professionals are aware of other organisations and their roles

Electronic PHRs hold a great promise in improving health in today’s society of evolving technology. In simple terms, PHRs are “internet-based tools that allow individuals to access, manage, and share their health information” (Czaja, Zarcadoolas, Vaughon, Lee, Rockoff, and Levy, 2015, p. 492) that come with various functionalities such as communicating electronically to health care providers, scheduling future appointments, requesting prescription refills, accessing health management information, and reviewing and tracking personal health information and laboratory results (Czaja, et al., 2015). With such a convenient program on the tip of the our fingertips, PHRs are believed