Patient Centered Care Observation Paper

The patient is a 12 year old female who presented to the ED with thoughts of self harm and cutting behaviors. The patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. The patient reports that she has been sad lately. Per- documentation the patient reports to peers at her school that she was trying to kill herself, which the school sent her to DayMark. Further, Daymak IVC the patient and requested further evaluation.

the school age children understanding of the concept of nice and fair. According Kohlberg many adults continue to function at this level (Pillitteri, 2007). Joe seem

(Weinberg, Auerbach, & Shah, 2009) This may prove especially important as the assessment and care of critically ill children is particularly stressful for providers. Debriefing after the simulation experience also provides a time for reflection. Concepts taught in lecture become more tangible as a result of their application during the simulation. Simulation has the potential to enhance pediatric nursing education, improve patient safety and provide additional experiences when clinical sites are limited. The student has an opportunity to build and practice a pediatric skill set. (Bultas, 2011)

The last visit I had with the patient on June 7th, I elected to start him on antihypertensive therapy. He was given a prescription for Zestoretic 10/12.5 mg one p.o. to take daily. He says that he did take one as recommended. That same day in the afternoon, he noted that he was short of breath in the afternoon. He says that he attributed it to the work that he was doing out in the yard and later that day, it seemed to resolve. A few days later, he had the same thing happen again. He eventually went on to see Dr. Lilly on June 25th. Please see that note for complete details. She did have him go through a series of testing, including laboratory studies, which were normal

I have placed a binder with 27 polices out for staff to read and sign off

I wouldn’t say that cost is the only downside of this model. I agree and believe that patient-centered care is important and that when people do into health care, they enjoy working and helping their patients get better and be healthier. However, in order for good quality of patient-centered care to be effective, we need to be able to meet the demand of having enough professional staffs for each patient. We have to consider whether or not we have people to actually implement the model, because patient-centered care comes in different shapes and sizes that can take different length of time. A bad unintended consequence of this, is the amount of patients that can stay at the centers will decreased because of the limited professional staffs. This

In the physical realm of patient-centered care pain, comfort, sleep, and rest are important aspects of the fourth dimension of patient-centered care. Patient-centered care is the complete focus of the medical team on providing respectful care to meet patient needs, preferences and values guide decisions on each individual patient care. To understand the subjective view of the patient, these four aspects are at the forefront of their needs within the hospital setting to provide the best patient outcome. Nurses provide good patient-centered care by actively partnering with patients to determine care priorities and plans to tailor their level of involvement, according to their preferences, and being flexible by changing the care plan as the situation changes including providing smooth transitions between care goals. By doing this, nurses can assist patients with all pain by providing comfort and assuring the patient that there will be no deficiency of their quality of sleep.

This essay aims to describe briefly what is meant by patient-centred care. It will also focus and expand on two key aspects of patient dignity - making choices and confidentiality. Patient-centred care (PCC) is an extensively used model in the current healthcare system (Pelzang 2010:12). PCC is interpreted as looking at the whole person and considering their individual values and needs in relation to their healthcare. By implementing a PCC approach it ensures that the person is at the very centre of any plans that are made and has a dynamic role in the decision making process (Pelzang 2010:12).

Since the 8:00 AM appointment that I was scheduled to observe was cancelled, Sarah spent a half hour with me sharing the details of the three very different patients they were to see that morning. Although they were all males, they ranged in age from 2 – 12 years old, one being a new referral and the other two follow-up appointments. After this instructive conversation, I then observed one of the follow-up appointments with a 12-year-old patient with partial trisomy 15Q who came to the visit with his adoptive mother. This patient is very medically complex and currently followed by many disciplines in the hospital, including Developmental Pediatrics, Urology, Colorectal, Psychology, Pulmonology, ENT, Endocrinology, Orthopedic Surgery, PT, Neurology and Audiology, in addition to a community ophthalmologist. Even though he participates in an age-appropriate, sixth grade classroom, his mother reports that his adaptive behaviors and intellectual functioning are commensurate with a 4-5 year-old.

In my current research, I get to visit senior’s apartments to conduct surveys about the relationship between nutrition and oral health. These seniors receive home delivered meals and most are homebound and have disabilities. My job is to recruit the seniors, make home visits and help to conduct surveys, oral exams, and provide oral hygiene instruction. I struggled and still struggle the most with calling and making appointments with the seniors. On lucky days, I would call seniors who are very kind, actually listen, and willing to participate. On not so lucky days, I would call seniors who would just hang up before I try to explain or scream and hang up (probably because they can’t hear well). I knew I shouldn’t feel upset but I felt terrible whenever this happened. What changed my mind was the actual home visiting. I got to meet these seniors and realized that many of them were old, live alone, homebound, and lonely.

The population on the day of the walk through was 230 (140 females, 90 males). This includes a young adult male population as well as inmate workers in the kitchen area. All meals for both facilities are prepared at the north facility. Services provided are similar to those provided at the Jail central; however, there is no infirmary area in the north facility. Any inmate in need of infirmary or detox services is transferred to the main jail facility. The ACA team made the following observations and recommendations.

This essay is based on the Case study of a patient named as Mrs Ford. It will be written as a logical account, adopting a problem solving approach to her care. She is elderly and has been admitted onto a medical ward in the hospital, following a stroke. This essay analyses the care that she will receive and focuses on the use of assessment tools in practice. Interventions will be put in place directly relating to the assessment feedback and in line with best practice.

I’ll never forget a particular patient encounter I had in medical school was with a college student diagnosed with schizophrenia and major depression disorder. I was working with a mobile intensive outpatient treatment team, IMPACT, that focused on helping high-risk individuals and specifically those with psychotic illness get their medications and resources in the community. With IMPACT, the team met him at his college to give him his medication refills and to see how he was doing. We brought him containers of more than 10 different medications and asked him if they were working or if he was having any problems. He stated many of them were making him tired, making it difficult for him to study and to listen during class. As the encounter went on, the patient became more comfortable with us. He

Patient centred care and holistic approaches is an essential part of the collaborative practices (Steenbergen et al, 2013). In patient centred care the care team puts patient at the centre of systemic outflow that designed from the patient’s perspective(Thislethwaite, 2012). The patent is at the centre of the care means that contribution from the service user to the provision of care. Patient centred care leads to improve the physical, social and emotional well being and it includes respecting patents beliefs and values (Steenburgen etal, 2013; mcCance etal, 2009). According to the NHS England (2013) the patient centred care s defined as the, the care on the needs, convenience and choice of the people and their families and carers. The government

I am a believer of excellent service through continued education and training. An effective induction comprises of face to face lectures, presentations, discussions, hands-on demonstration, and of course, evaluation. Taking notes is essential during the training so leaflets and handouts should be made available too. The care industry at large, is also a dynamic environment considering the advent of clinical research. Hence, reviews and updates are integral for each individual to be oriented and reoriented. This introductory training can be done on a one to one basis or in group in relation to job requirement. Before the induction training starts, it would be helpful if the type of learners and learning needs are identified. In fact, identifying