EBUS-TBNA Utility versus Mediastinoscopy

Over the course of decades medical treatment has advanced causing an increase in the wellness of patient clinical outcomes. A large portion of the improvement is due to the vital role nurses play in the delivery of safe and quality care to their patients. For many years different methods of treating patients have evolved due to the continued research for the best practice. Nurses, researchers and people with questions have always tried to find better and efficient solutions to treat their patients detailing the best possible evidence-based practice. Evidence-based practice is an important tool to use for clinical decision making however one must understand it first. Interpreting Evidence-based practice allows nurses to comprehend the steps to determine if new evidence is needed and realize there are some benefits to utilizing up to date research and obstacles that may impeded the research into practice. .

The environment part could affect the health of the person, the process of adjustment results complicated when ecological, real physical environment, cultural and monetary parts surrounding the patient cannot be change. This component is related to everything that impacts the patient’s wellbeing. The adaptation model, it has three levels which are compensatory, integrated, and the comprised life forms. The three adaptation models don’t stay consistent as change is unavoidable every once in a while (Marchuk, 2014). When the practitioner notify the patient of the diagnoses and provide a plan of care, assuring patient’s environment is not only supportive, but accepting is key for compliance. Understanding the surroundings around the patient’s and make the pertinent changes will avoid a futile impact on outcomes and recuperation will be accomplished.

In the first hour of today’s lecture, Dr. Schommer introduced today’ topic by an interesting exercise. Actually my English is not that fluent, so I know how difficult it is for a foreigner to understand Americans thoroughly. Regarding patient experience, health care providers should make medication and therapy decisions with the patients equally, and, what is more important is to consistent of the decisions and follow up.

Evidence-based care does not command a clinician’s decisions but it could be used in making decisions about patients and the care that is needed and can be provided. Even though there are lots of different strengths to evidence- based care, there are also a lot of weaknesses. Weaknesses of evidence-based care are: - there can be a limitation to what can be researched, people who do research, still have to make a medical decision for that individual patient. Evidence-based care is only there to be used as a guideline. The fact that information develops very quickly and beyond one person therefore protocols are useful, the fact that it needs new skills from clinicians, may in fact raise the cost of health care and not lower the charge of health care, it cannot change a person’s experience, and the lack of proof that evidence-based care does in fact work.

To rise to the challenge of treating this difficult population it is necessary to adapt treatment to meet their needs rather than requiring them to adapt to therapies that may not be a good fit (Bernhardt, 2009).

The importance of informed consent and physician-patient communication was highlighted. The procedure to be performed or other treatment options must be well-explained, and the implication and possible conflicts that may arise should be discussed in order to minimize the occurrence of difficult situations like the cases presented in this session. With the current healthcare system, however, where physicians are severely limited in how much they can spend time with the patient

The interventions will be aimed at reducing as far as possible all factors that decrease the threshold and promote those that increase it. It is of no use to judge the pain of others. Nursing care should recognize the presence of the painful experience of the patient, listen carefully and evaluate the factors that condition. Assess the response to analgesics as important as identifying the intensity of pain at the start of the intervention, it is reassessing its evolution time and under the treatment plan is implemented. In hospitalized patients should ask about pain at frequent intervals, every four hours or at least once per shift, and always after administration extra to check their adequacy and effectiveness dose. What drug it was effective and what dose is information that should not be left to memory for later transmission. Its systematic registration history is essential for inter-coordination. Moreover, the patient transmits real interest on the part of professionals and reinforces the therapeutic relationship and

There are several reasons stated, in the article as to why this research needs pursuing. As mentioned previously, is incorrect usage delaying patient healing and recovery times? Is there a way to aid

Sometimes good intentions can prove to be a barrier. For instance, fear of what healthcare professionals will do with the information that is disclosed can keep a patient from being honest about their problems, thus the wrong treatment can be given, or no treatment given at all. This can be detrimental for the patient and the community. To give accurate care it is imperative that as much information concerning the crisis that is presenting be given and a detailed history. This could impact the healthcare team as well.

It is important as a nurse or a doctor to talk with the patient one-on-one to determine if the patient’s decision is genuinely theirs or if only choosing this option due to pressure from family members. It is also important as a healthcare providers to explain all medications, procedures, and instructions in a way for the patient to understand and to the best of their ability. It is crucial to have the patient explain back what the provider stated to check understanding. By doing this, the healthcare provider can correct or provider more information to the patient to prevent injury. Lastly, it is important for a nurse or doctor to use an objectively-based professional opinion when providing recommendations to patient and to respect a patient’s wishes regardless if they agree or disagree with the patient’s

According to Freudberg (2013), treating the whole person is described as considering nutrition, exercise, mind-body connection, spirituality, human relationships, physical environment, and personal and professional developments (p. 3). It is a system that is focused on helping people become healthy using their own body rather than managing diseases with pharmacological drugs. Escape Fire also adds non-pharmacological treatments, disease prevention, and health promotion as part of treating the whole person (Heineman and Froemke, 2012). The root of the health problem needs to be identified in order to treat the patient effectively and prevent the patient entering the hospital. Eliminating the root of the problem will help the person to become healthy again. However, the healthcare system in the U.S. thrives on the chronic patients and does not support the patient in finding the cause of the health issue. The doctors focus on reducing the symptoms associated with chronic disease due to the limited time spent with each patient (Heineman and Froemke, 2012). Medical students and nursing students are at an advantage since they are not required to follow such strict guidelines because they are still students. The students can be the catalyst in the healthcare industry to help the

As medical care has advanced the ability to care for patients that are very ill has also increased. One major issue that this has created is defining the difference between what we should do and what can we do. Often patients need to decide what interventions they want done and when quality of life is more important than quantity.

Every industry consists of code and or indicator for certain level of references. When it comes to a patient’s health and or treatment strategy it’s important to make sure all parties understand the ultimate mission. For instance, risk red flag can conclude that advance measures should be taken based on one’s health circumstances. Best presented by, Kavaler & Alexandra (2014), “One or more “red flags” in connection with a patient’s care should alert healthcare providers to take actions to remedy the situation (p. 11).” It’s vital that, each patient has an update chart and remedy towards the given health condition. The doctors, nursing staff, and other medical professional should be knowledgeable on the patient health. For patients that have

The environment part could disturb the health of the person, the process of adjustment results difficult when ecological, real physical environment, cultural and monetary parts surrounding the patient cannot be change. This component is related to everything that impacts the patient’s wellbeing. The adaptation model, it has three levels which are compensatory, integrated, and the comprised life forms. The three adaptation models don’t stay reliable and change is inevitable every once in a while (Marchuk, 2014). When the practitioner notify the patient of the diagnoses and provide a plan of care, assuring patient’s environment is not only supportive, but accepting is key for compliance. Understanding the surroundings around the patient’s and make the pertinent changes will avoid a futile impact on outcomes and recuperation will be accomplished.

Design of a Treatment Plan: Considering the uniqueness of the patient and his/her diagnosis, a treatment plan is developed that first and foremost treats the disease. (e.g., surgery), but also suggests what other things must be done alongside that “cure” to ensure the treatment will work (e.g., pain relief and bed rest) and that the best possible health is restored to the patient (e.g., physical therapy). In this process, any potential side effects of the treatment are identified, and the means for preventing or mitigating them become key elements of the treatment.