Thank you for your insightful post. I enjoyed reading it. To answer your question: How can you promote patient-centric approach in your present clinical setting? Great question. I am currently working in the intensive care unit at the Veterans Hospital in California (VA) with an outstanding group of dedicated nurses, respiratory therapist, physicians and of course me the lone physical therapist. Patient-centric in my interpretation means how to improve the quality of life of the patient, with the patient being the core of our care, and not only focusing on keeping the patient well. In the ICU, it is used to be stabilizing the patient and keeping them alive mantra, but now it is different. My facility adopted the ABCDEF bundle to address
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).
Thank you for your analysis of the many contributing factors of poor quality health care. As you mentioned, patient centered-care must become the standard of care. According to
The life cycle of a claim form begins when a patient calls a physician’s office and requests an appointment. The administrative staff member must determine if the patient is new or established, and the reason for the visit. Establishing financial responsibility is the next step in the claims process. Verification of the patient’s insurance information, if any, should be done prior to scheduling the patient for an appointment. Once the appointment is scheduled and the patient arrives to the office, the patient is checked-in. This step is known as registration. Any missing or incorrect information is updated at this point. Co-pay is collected, if required. In addition, if the patient is new, authorization forms or other administration forms
During the ICU rotation, there was an opportunity to interview an intubated patient, with whom I was assigned to for 2 consecutive clinical days. As per the patients and reports given by the nurse, the patient came to the emergency department complaining of right abdominal pain. Furthermore, the patient's lungs were unable to compensate making it difficult to breathe due to the patient being morbidly obese. In addition to this, the patient had a past medical history of Coronary Artery Disease, Diabetes Mellitus and Hypertension and a left atrium enlargement. Therefore, the patient was admitted intubated on 10/22/2017 and taken to the ICU, as a result of a perforated viscus ulcer.
The ratio's and proportions will fit into my career as a medical coder and biller in many instances, such as medication adherence, as far as maybe taking a request from a patient for a refill. I would have to be aware and check for the date last prescribed before sending the message on to the nurse. Since the introduction of health information technology tools within the medical market place, the medical industry is hard pressed to discover effective methods of implementation and use of these new tools to improve the care for all patients. The tools under examination are ones that track a patients adherence (or compliance with) taking their medications as prescribed by their physician.
Improving patient care has become one of the main priorities to health care providers with the whole idea of achieving a high level of patient satisfaction. Sometimes, we have a very good idea to do this which is considered as the most important task in health care management, and with our research and everything, to put forward our ideas to the management for consideration and possible approval has always posed a challenge. To be able to present my idea to improve patient care that I would like upper management to support and fund, I would use some kind of communication tools that would be concise, clear and convincing. One communication tool I would use to present my idea is written communication. As old as it might
For nurses, patient-centered care has always been an important factor when providing effective and quality medical care to an individual. These patients form the very core of the profession and as such, it is important that nurses care for every aspect of that patient. Each patient is a different person with different needs that need to be addressed. Every day, these patients are challenging nurses to look beyond the physical condition presented before them, so that the patient-care encompasses the individual as a whole.
I would like to discuss an experience a patient in our ED shared regarding her patient experience. Her name is Trinidad Teodorica prefers being called Dorica. She has three kids, a daughter with a 16 month old baby, a son that is a navy seal, and her other son who works on airplanes and builds drones. She is a grandmother to a set of five year old twins (cute!). This individual loves to gamble and travel with her husband. She is in room J and is being admitted to the hospital, her primary nurse is Marsha. She told me, she had never been in a community hospital because she has always been a Kaiser patient. She did not know what to expect, but her primary physician recommended RCH to her. She states “I am amazed; I never thought a community
The purpose of the interview was to serve as an opportunity for me and other classmate to practice and observe the basic communication processes that are involved in such interaction using the Basic 7 Questions. As a student pharmacist, I know the first impression with patient is important, so I dressed up professionally with black dress and the white coat.
patient centered, and understanding of the patient’s values and beliefs. There were some staff on
The concept of patient centered care has many interpretations in today’s literature. In the simplest terms, it means that the patients are not an interruption to our work they are our work. A key component is seeing and caring for the patient as a person, not a set of symptoms or a disease process. This means having the time to get to know the patient as a person and spending more time at the bedside time. Another component of patient centered care is evidence based practice. The best way to care for our patient is to use those methods that have been proven through the scientific method. This is where experience and knowledge come into play. Experience and knowledge are an ever growing, dynamic component of emergency nursing.
Followed my mentor closely on history taking, physical examination and assessment/plan in his clinic. I was also allowed to take histories, perform relevant physical examination and participate in case discussions. Achieved good diagnostic and management expertise in common cases like congestive heart failure, acute coronary syndrome, hypertension, cardiac arrhythmia and peripheral vascular disease. Participated in electrocardiogram recording and achieved expertise in interpretation of electrocardiograms of various diseases like acute coronary syndrome, heart block and rhythm disorders. Direct patient contact and hands-on experience of history taking and physical examination helped enhance my communication and interpersonal skills as well
and appreciating him as a human being, and partnerships between the patient, his or her family, and health care providers. Moreover, they added that this model is being implemented in hospitals’ practices throughout the United States and can be found in the mission statements of many healthcare facilities (Fredericks et al., 2012).
Patient A presents several different types of injuries caused by strangulation. Patient A is a female who has signs of abrasions on the left side of her neck, scratches on her chin and lots of redness on her chest. As proof of possible strangulation you can see a bruise in the shape of a thumb on the side of her neck. She also has present a bite mark on her chest, scratches and petechiae all throughout the areas of her neck chest and chin. Yellow bruising is also present throughout the front of neck from probably a previous strangulation.
A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.