Evaluation Of A Patient Care

They can commit to excellence by creating a great working environment for physicians; through efforts such as having plenty of medical supplies in the hospital and offering reasonable pay. When there are available equipment physicians, and other hospital staff remain motivated to carry out their duties and, therefore, will put effort to excel in all their duties; to promise patient satisfaction. Again, medical facilities can create excellence by having a suitable environment for continued learning; seeing as the medical world is full of new discoveries and research findings. Continued learning ensures that the practices that physicians undertake remain important; thereby ensuring that patients feel that they receive high quality services when they visit a hospital (Marley, 2004,

This assignment will critically discuss the nurse’s role in assessment and care planning for a patient in a case study. Confidentiality which is required by the NMC (Nursing Midwifery Council, 2008) and the Data protection Act (1998) will not be broken through out the assignment because the case study used is a scenario not a fictional character. The care plan will focus on Jean’s incontinence needs using The Roper, Logan and Tierney model (2000).

The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and

This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has

These three areas, patient satisfaction, staffing, and medical errors would be the big ones that I would have to focus on in order to improve the overall quality of service provided by the hospital. I think that better or more efficient staffing and increased patient safety via the reduction of medical errors would greatly help to resolve some of the existing patient satisfaction issues. Adequate staffing is a very important part in promoting positive patient experiences and outcomes. According to Sultz and Young (2010), “there is increasing evidence that nurse staffing is related to patient outcomes in both medical and surgical cases. Studies indicate a direct link between the number of registered nurses and the time they spend with patients and the number of serious complications and patient deaths”(Sec 3.16, Quality of Hospital Care). I would suggest that the hospital work closely with its existing nursing staff to ensure that there are enough nurses and that they have enough time for their patients.

The aim of this assignment is to explore the four stages of APIE, explaining their importance in nursing, as well as identifying possible problems within the stages, in relation to the videos of Joe. These issues will then be anaylsed using theory, to create possible explanations and consequences for the behaviour and actions shown by Joe and the nurses.

Throughout this course I have learned about the various challenges that impede productivity and efficiency at today’s hospitals. These issues facing the modern healthcare organization come in varying forms from technological, staffing, and financial to name a few. There are no limits to what hospitals can face in these modern technologically savvy times. Below are the major issues that today’s hospitals are facing, though there are many facets to these topics it will be described as best as possible to meet overall challenges:

Hospitals regularly measure patient care, which is defined as any health care service provided to an individual. It is measured in different ways according to the type of health care service provided. However, there are basic principles that guide how all patient hospital care is measured.

Adequate staff is vital in keeping Patient safe and keep up a positive patient Outcomes

The managers from the position of observer were critically analyzing differences of service provision between a service and patient’s perspective. The ward manager by reviewing the findings will make recommendations for the service which builds on the positives and address any issues which impact upon the patient care provided.

In this assignment I am going to deliberate the care of a patient that I have looked after when working in placement on a hospital ward .I will use the Chapelhow framework to discuss two of the perspectives in relation to the patients care needs. In the Chapelhow framework there are six perspectives that are used to help reflect and discuss patient care. These six perspectives are assessment, communication, documentation, risk management, professional decision making and managing uncertainty(Chapelhow, 2005).The two perspectives I am going to use in this assignment are assessment and communication.

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

The 1st Lesson: Hospital values must be in line with what patients want. The key driver for patient satisfaction is the courtesy, not efficiency of the hospital. Patients judge the service received by courtesy, but employees are managed according to efficiency and safety. Although provide safe care is paramount, the hospitals do not learn any credit for providing safe clinical practice and environmental safety.

With the continuous changes in healthcare, evaluation of students’ clinical knowledge and skills relies on the need for continuous evaluation. Evaluation is the process of using data to make judgements about students’ individual performance. Evaluation of clinical performance provides data from which educators use to judge the extent to which students have acquired specific learning outcomes (Billings & Halstead, 2016). With the use of best practice evaluation methods, clinical performance can be evaluated to ensure quality patient care. Educators face a challenging task when providing evaluation that is fair and reasonable. Tasked with evaluating students in the clinical setting, educators can evaluate how students integrate theory and apply it to real-life situations. Observations of performance in the clinical setting should focus on the outcomes to be met and competencies to be developed (Oermann & Gaberson, 2014). Developing a clinical evaluation tool to determine whether students can think critically, prioritize problems, and complete patient care procedures correctly is essential. There are a variety of evaluation methods to use in nursing education. Depending on the learning outcomes to be measured will determine which tool best evaluates the students’ performance. Clinical practice is an essential and highly significant component of nursing education. Education programs are obligated to respond to government requests for well-educated healthcare professionals.

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