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.

We then divided into two groups and moved to the hands on content. By dividing the students I was able to complete two different scenarios in each lab session. The scenarios took place in an emergency department setting. We utilized the cardiac monitor, the pediatric resuscitation cart, the Broselow Tape, IV supplies and medications.

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

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

Throughout this course, I received exposure to valuable lessons that I can use in my clinical practice of patient care. One experience generated the greatest impact in my ability to provide safe, high-quality patient care – lab simulation. Lab simulation stands as a technique that “allows the educator to control the learning environment through scheduling of practice, providing feedback, and minimizing or introducing environmental distractions” (Durham & Alden, 2008, p. 222). Simulation is a technique used to prepare students for real experiences in clinical practice; simulation stands as an opportunity for students to provide nursing care in a simulated, safe environment. From personal experience, I can claim that lab simulation positively impacted me in various mannerisms – increased my confidence, assisted in my stress management skills, improved my care management of a patient, transferred my skills learned in the simulation to the clinical setting, improved my communication skills, and enhanced my critical thinking abilities.

Simulation in the field of medicine and nursing has become a significant function of education for students and practicing healthcare providers (Aebersold and Tschannen, 2013). Also, the Institute of Medicine (IOM) recommends simulation as a strategy to support nurses in the ongoing accomplishment of knowledge and skills as well as interprofessional education. The activities of simulation also mimic the reality practice when training is too expensive, rarely occurs, or cause an unnecessary risk for patients (Billings and Halstead, 2012). Furthermore, simulation promotes critical thinking, problem-solving, clinical reasoning and diversity of care in a non-threatening environment (Billings and Halstead, 2012). Therefore, it is essential to prepare

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

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.

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

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.

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

One important reason for implementing simulation is for bringing to life rare and unexpected scenarios, otherwise not experienced during clinical experiences. Traditionally nursing students experience classroom based learning and develop technical skills, enhanced critical thinking, and learn the art of care in clinical environment. Clinical Environments are usually institutions apart from the classroom experience, such as Hospital, Nursing homes, local Clinics, and community centers. Students are assigned patients and practice care under the supervision of a clinical instructor. While Nursing programs hope that students are receiving a wide breadth of learning opportunities and developing practical skills and critical thinking, not all learning experiences are guaranteed for nursing

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.

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

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