Patient Care: A Case Study

The court of appeal held patients should not be viewed incapable of understanding medical matters, society has change capable adults are able to make autonomous decisions to determine their future. Likewise therapeutic privilege should not be abused in deciding what and how much to tell patients we need to ensure we support patients in their choices. Nurses more than ever need to ensure the duty we owe our patients is fully met the NMC Code Professional Conduct (2015) now specifies a duty of candour to patients. This encourages an open and honest relationship in all matters therefore when patients ask specific questions nurses have a duty to answer within their scope of experience. Following Montgomery (2014) nurses are required to consider what the average patient would want to know about treatment and the material risk, what a reasonable person in a given situation would want to know about any risks involved in treatment or should know. The nurse is required to provide enough information for the patient what significance to give these risks in light of their own values beliefs and desire to determine their own future this can only work if patient and nurse work in close partnership. This goes in hand with NMC code (2015) standard 2 to listen to people respond to concerns

Provide limited direct patient care - Assist patients with mobility, grooming, and dressing - Answer patient call buttons - Act as a point of contact for families - Assist residents in transferring from bed to wheel chair and vice versa - Transport patients from to and from procedure rooms - Assist nurses in moving patients and providing supplies - Escort patients, families and visitors to their required destinations - Provide reception support and give general information to visitors and families - Assist patients in eating - Manage patient records and assist patients and families in filling out admission forms - Make frequent rounds in assigned departments to assess patients' needs - Ready patient beds and equipment for procedures such as

What if a single initiative could increase reimbursement revenue, make passing audits easier, and improve patient care? One industry expert estimates two-thirds of hospitals already have this type of program, and are currently reaping the benefits (Rollins). With the implementation of our own clinical documentation (CDI) program, we can join them.

 Delivering high quality care means using resources as effectively as possible to deliver the best outcomes for patients. Leaders at all levels of trust need to deliver high quality care including safe, patients care with financial balance, while striving to operate more efficiently and effectively.

Smith et al, (2010) state for successful partnership working a mutual understanding between of local context are required, as well as understanding the responsibilities and accountability around reporting mechanisms. It can ensure improvement in the quality of care by shared decision making, this can be done in ensuring a plan of care is put in place on transition when care is integrated (DH, 2013). The NHS organisations and local authorities are making progress in finding solutions to share service user’s information (Ham & Walsh, 2013).

In this assignment I will be exploring the issues around communication and assessment in relation to the care given to the patient. I will look at how care was delivered and how successful it was. The NMC (2008) states that healthcare professionals must respect a person’s right to confidentiality; to ensure this I will be using pseudonyms for the service users mentioned in this assignment. I will be referring to the patient as ‘John’ and his wife as ‘Brenda’. I have gained consent from Brenda to talk about her husband’s situation in this assignment, as he did not have capacity to grant consent himself due to dementia.

In one of the discouraging news, it can be stated that the vital care services for the disabled and older people remain at risk and this holds true despite the attempt on the part of the government to ensure the apt protection of people. It was only last month that George Osborne had announced plans that he would finance the care budgets and this is an aspect that appears to be the most encouraging among all.

In this research, 33.4% indicated that cost concerns have an impact in providing quality care, and one of four (25.3%) did not experience that they could make clinical conclusions without cost pressures. Greater levels of practice autonomy, ethics confidence, ethics preparedness, and physician cooperation was significantly associated with better understanding of quality care. Nevertheless, 31.6% of respondents described feeling overcome by the demands of their patients, and 40.8% reported patient relationships as becoming more opposed than they used to be. In general, those respondents who outlined higher patient demands (such as patients requesting unnecessary treatments and adversarial patient relationships) in their practice also given under quality care.

have clearly had some impact on his life as a result of the effect the question had left on him, as mentioned earlier. In one article, they discuss how family therapy can actually increase relatives provision to social support and overall reduce depressive symptoms often found in patients (Fredman, Baucom, Boeding, & Miklowitz, 2015). For this reason moving forward and in the future, it is so critical to always be conscious of a families role in overall patient care and consider the family a huge contribution to the system.

Having an increase in medication errors is evidence that change is needed. Patient safety takes priority in the care of a patient. Safety is part of Maslow’s Hierarchy of Needs. If safety of a patient isn’t met first, the patient can have poor outcomes during their recovery. Patients experiencing adverse reactions from medication errors not only affects their safety, but can become a financial burden on them. If a patient has an adverse reaction that affects their health/illness, they may need to stay hospitalized longer, increasing their hospitalization cost. Increase in medication errors is never a good situation, but in order to decrease the errors, Sarah must implement change. Change will help improve

Dr. Bartell tries to put across the point that, as much as we try, we cannot relate all aspects of the experiences we have had in life. Most of the details of how we live our lives are either forgotten or that sometimes, we just don’t want to disclose some details. The delivery of some kinds of information has to be censored. This is especially the case when addressing patients that are vulnerable to shock and mental stress. Dr. Bartell says, “Cancer patient information literature is developed within such paradigms, and offers vulnerable patients a narrative in which to situate themselves in a moment of disruption and destabilization” (Bartell, 6). Doctors have to be sensitive in their delivery of information to cancer patients to slowly guide them in the acceptance of their conditions.

Reducing ER visits for senior with two or more visits within the last six months begin with implementing programs that target this population. WISH is Montgomery County’s effort to begin to address this issue. The challenge is expanding the reach of the program. Currently, this program has isolated a small subset of the senior within Montgomery County. The statistics show this issue spans well beyond the population identified in Montgomery County. This is a national issue. CMS has developed several initiatives to begin to address the issues. While programs such as WISH are beginning to move the needle in the right direction, there are challenges within the program. Rapid cycle improvement measure ensures that the

I think that you made some extremely points regarding patient care and pain management. Patients should not be labeled as "drug-seeking," because it leads to discrimination and may cause a decline in the quality of care. Furthermore, untreated pain may lead to anxiety, depression, increased heart rate, increased blood pressure, decreased gastric motility, and decrease immune function (Wells, Pasero, and McCaffery, 2008). Therefore, accurately assessing and treating pain remains imperative to ensure quality care and patient satisfaction. I also liked that way you noted the concern of opioid overdose, but also highlighted the fact that the patient does not appear to be drug-seeking. The provider should discuss lifestyle and prophylactic changes

My recommendation to help with health care delivery system is to actually look to our past, when there were fewer specialist and the primary physician guided the majority of health care. Today this can also be accomplice with the utilization of Family Nurse Practitioners who are more than capable. The current trend toward the over utilization of specialist is not only more expensive it in leads to overlooked problems or co morbidities. This trend has happened for a variety of reason including fear of malpractice suites, and a demanding public think this would lead them to better care. Unfortunately this is not always the care and the patients are not treated as a whole. That is why I strongly recommend incentivizing our best and brightest

Communication, in healthcare, is a multidimensional concept that involves patients, family members, and a health care team. There is a direct correlation with communication, improving a patient's well being, and quality of care. Adequate communication among physicians and their patients is an actively growing research topic. Results supplied by such studies have provided effective recommendations for oncologists and their team. These recommendations include the patient-physician relationship, how physicians utilize medical information, how physicians deal with patient emotions, physician self-management, and educational conferences designed to sharpen communication. Communication is important during each phase of cancer care.