Health Care Professionals : The Provision Of Clinical Care

In this piece of coursework I will select two demographic factors which have influenced the planning and provision of services. I will use written expression which uses appropriate specialist vocabulary to comprehensively describe how relevant demographic trends are used to assess local needs and inform the planning and provision of services.

The patient’s history is the most useful component when evaluating chest pain, as both normal and abnormal investigations (such as the ECG, cardiac biomarkers and chest radiograph (CXR)) must be interpreted in the context of the patient’s history. The mnemonic SOCRATES (Site Onset Character Radiation Association Time Exacerbating/relieving factor and Severity) helps differentiate cardiac v. non-cardiac (respiratory, gastric or musculoskeletal) pain. Also, this wills the nurse gauge the emergence of the patient’s complaints of chest pain.

Uncle Gary, a single firefighter captain and grandfather of four, has recently been experiencing chest pain. Having a background as an emergency response provider, he is not unaware of what the condition could lead to. A trip to the doctor’s concluded that he has angina, high blood pressure, and does not exercise enough. While these symptoms are modifiable, he also has a non-modifiable risk factor; he is male over the age of forty-five. The doctor stressed the seriousness of his conditions and put him at an increased risk for Congestive Heart Disease that, if not treated, could lead to a stroke or myocardial infraction.

In today’s world of rapidly advancing medical technology, the health care consumer is demanding high quality care. Additionally, the face of the health care consumers is also changing at a rapid pace. At the same time regulatory and governmental agencies are pushing health care providers to not only provide this high quality care in a cost effective manner, but to do so in a way that ensure equality to all clients. To meet these challenges, it is imperative for health care professionals to provide this level of care in a way that is effective, efficient, and patient-centered. A patient-centered approach is a method of incorporating collaborative practice, resulting in improved care just not for

Chest pain has many definitions ranging from a sharp stab to a dull ache. Chest pain can be described as crushing or burning. In certain cases, the pain travels up the neck, into the jaw, and then radiates through to the back or down one or both arms. Many different problems can cause chest pain. The most life-threatening ones involve the heart or lungs. Because it can be difficult to determine the exact cause of chest pain has been associated with a short-term mortality of 2%, as well as major risk of liability. Identifying patients with chest pain who are at risk of adverse events is important not only to ED physicians but also to all physicians who evaluate such

In this essay I will be discussing the nature of professionalism and how this can be contested. Next, I will be discussing relevant legislation and theory between being a professional and professionalism. Furthermore, I will highlight and discuss personal development and its relation to being a childcare worker. I will support this through theory and literature in relation to my personal experiences. Finally, I will discuss the importance of being a reflective practitioner and how this relates to professionalism.

As a provider, one will take care of many females with varying degrees of chest discomfort. Therefore, one must be able to assess, diagnose, and treat this problem. For the purpose of this discussion, I will evaluate a patient that presents with chest pain. I will evaluate a case, consider the signs and symptoms presented by the woman, and develop differential diagnoses for the issue. I will also evaluate treatment options and education strategies for the patient.

The goal of this assignment is to define the diverse forms of integrated care and to provide evidence on their impact both on the patient and also the future of the registered nurse. An integrated care pathway contains many elements in order to make it function. There must be a clear declaration of the aims, objectives and key elements of care founded by evidence, the best practice available and a consideration of patient expectations. The records, 24-hour care and assessment of changes and outcomes must be monitored. The assistance of communication, good organisation of people’s roles and sequencing the actions of the relatives, multidisciplinary team, and most importantly the patients. For an integrated care pathway to be truly multidisciplinary, it should never be developed by one staff group. At the outset, all staff groups involved in the patient journey should be identified. A typical working group should include doctors, nurses and allied health professionals, with input from administrative and managerial staff where it is necessary. If the pathway exceeds boundaries of care, such as, discharging patients to services outside the hospital or healthcare setting, reps of these groups should be involved with their integrated care plan. It is the integration of health care, social care, and other external agencies such as voluntary groups and private sectors that impact on the patients care and health professional’s quality of care giving. It does not need all

Evidence can also be used as a basis for care of individuals. Patient ends are usually very complex and clinicians sometimes wonder if evidence can ever be applied to an individual patient. There is so much uncertainty in the healthcare process and evidence helps quantify that uncertainty. Evidence is not meant to be rigid but rather it is integrated with clinical experience and the patient’s unique values to arrive at optimal outcomes. Evidence in clinical practice is not limited solely to patient care. Healthcare professionals might be interested in evidence because it relates to team functioning, models for utilizing research, way of communicating change and even the effects of insurance on healthcare usage. It may seem obvious that implementing EBP as the basis of clinical decision-making is the optimal way to deliver clinical care. Implementing EBP without allocation of resources may be possible in the short run but sustainability of EBP needs ongoing commitment of staff, rime and support. It is imperative that top leadership actively support a shift to EBP and provide the resources to do so

Evidence based practice (EBP) is the utilisation of best available, contemporary research in the management of individual patient care (Sackett et al. 2000). Combined with the personal experience of the healthcare professional, EBP facilitates problem-solving that takes patient preferences and values into account (Melnyk and Fineout-Overholt 2005). The approach respects the patient as an individual and as a partner in the planning and receiving of care. EBP aims to reduce the use of ineffective healthcare interventions and encourage clinical decision-making that is based on modern credible evidence (Stevens 2013). Concisely, it aspires to achieve best outcomes for patients hence increasing the standard of care nurses provide to their

1. In your own words, define professionalism and how it relates to you as a health care provider? The essay must be limited to 250 words.

Chest pain is a frequent cause of emergency department presentation. Many times, chest pain can be an indicator of myocardial infarction. Yearly, about 600,000 people die of heart disease in the United States, with a total of about 700,000 having a myocardial infarction. The leading source of death for both men and women is heart disease ("Heart disease facts," 2014). Managing the challenging clinical problems of those presenting with chest pain can be demanding. While clinical judgment is imperative in managing these patients, rapid treatment protocols to evaluate risk

Mr. Simons had history of myocardial infarction and atrial fibrillation. Moreover, he complains of chest pain radiating down his left arm during night, and his pain score is 6 out of 10. The vital signs at 6:30 show blood pressure is 130/80 and pulse is irregular. Ask patient to describe more about the chest pain—the duration, frequency characteristics and way to relief pain used before. () The causes of the chest pain are varied because of the complex system of the body (Skinner, 2010). It is crucial to clarify the symptoms of the chest pain to relate with disease. Plus, ask the patent if he has other cardiovascular diseases and peripheral disease or family members who have. () The reason causes the cardiac disease including heredity. Therefore, understanding the past clinical history and family history of the patient can give clues to

One the main roles healthcare workers (HCWs) can do is to provide patients with a safe environment whilst they are in the healthcare setting. In providing clinical safety to patients HCWs are ensuring that the patient will be safe from preventable adverse events occurring to them whilst they are in the hospital setting. Patient safety should be a of high priority to the healthcare setting and HCWs. Nursing staff are the main providers of care to patients whilst in the healthcare setting and have many responsibilities in delivering safe patient care. Whilst in the healthcare setting patients are vulnerable and at the hand of healthcare workers, thus it is extremely important for healthcare workers to maintain hand hygiene. To maintain a

Over the course of Trimester A, I had the opportunity to be a part of an interesting module known as “Interprofessional Context of Practice”. This module continually challenges the biomedical approach of western medicine by examining the collaborative practice of various professions (Robertson, Kinrade, and Green, 2015). The knowledge and understanding of the interprofessional realms of health care was assessed through group presentations. It was during this assessment where I have gained the most amount of interprofessional experience. As such, I will reflect upon an event that occurred during the presentation process.