Patient Education Can Be Received Positively Or Negatively?

A visit to the emergency department (ED) is usually associated with negative thoughts by most people. It creates preconceived images of overcrowded waiting rooms and routine long waits for treatment (Jarousse, 2011). From 1996 to 2006, ED visits increased annually from 90.3 million to 119.2 million (32% increase). During this same time period, the number of EDs has declined by 186 facilities creating the age old lower supply and greater demand concept (Crane & Noon, 2011). There are many contributing factors that have led to an increase in ED visits. A few of these key drivers include lack of primary care access, rising of the uninsured population, dwindling mental health services, and the growing elderly

| In the nursing education the student should be helped to appreciate that not all patients are going to leave the hospital disease free, and that as nurses there is a need to learn that we need to help them in any way we can to achieve their maximum amount

The author cites qualitative research articles and nursing education manuals and training manuals from many different authors and time periods. There were no quantitative studies cited. All research article referenced were relevant to the study, most were greater than seven years old and older. No evaluations of strengths or weaknesses were available for referenced material. The limitations of this study were named as: “data was exploratory, It was not the specific intention to explore the management of the patient who refuses care; the topic came from the inductive data analysis.(Aveyard, 2004, p. 349) It is relevant as this is a previously unexplored area of nursing.(Aveyard, 2004, p. 349) The author builds a logical argument through discussion of nursing education, and the fact that nursing education and the focus of informed consent in nursing education is on the nurse’s role in obtaining consent prior to medical procedures and research procedures, and not prior to nursing care procedures. The author uses the argument that the lack of discussion on informed consent does not negate its importance and it purpose which is to protect a patients autonomy .(Aveyard, 2004, p. 346)

An emergency room nurse may assist in moving patients, taking blood labs and must use care and compassion while treating or informing patients of their condition. They may help physicians during exams and treatments, and monitor and record patients conditions, evaluate patients response to treatment and notify the doctor when appropriate. The information collected will be used by the emergency room nurse to identify factors related to discharge and advise the patient and family on how to continue their proper health care after leaving the hospital. Upon discharge the ER nurse will provide referrals to other health care individuals for follow up treatment to ensure continued care.

    The modern day emergency room is a department that is constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted.

With so many cases of unfilled position in the hospital patients is not obtaining great services. Patient not receiving proper cares leads to closures, because of prolonged postponements that have led to deaths. Patient complaints at the emergency room have increased in recent years. Numerous patients that were admitted to the hospital’s emergency room are at high risk of dying. Six percent of emergency rooms in the U.S. have closed. These closings took place in the inner-city and low-income areas, but with an emergency room visit increasing by nearly 51%, the overwhelming amount of closures.

“The patient is Adam Rudd, a 78 y/o white male with a history of hypertension. He has been diagnosed with hypertension past 15 years and is on anti-hypertensive medications and aspirin. He is very weak and short of breath. He is accompanied with his longtime friend Jennifer, who reports that Rudd was looking very weak and was complaining of severe headache and blurred vision before coming to the hospital. He is 5’9” and weighs 270 lb. Vital signs recorded were: oral temperature 98.20 F, BP 224/120 mm Hg with a heart rate of 102 beats/minute and respiration of 24 breaths per minute. The pulse oximetry reading was 94% on room air. He is complaining of severe headache and blurred vision. Rudd said that he did not take his antihypertensive medication or aspirin since he ran out of pills. He has not been taking his medication for past 15 days. He reports no known allergies to any medications or other substances.”

Moreover, Moulton (2009) found that African Americans are more susceptible to a number of conditions related to hypertension (including: heart disease, stroke and kidney failure). This is used to illustrate three main points from the article to include: the higher number of cases among this segment of the population, the role of health care professionals and the importance of education. (Moulton, 2009)

Therefore, it is my responsibility as a nurse to always educate my patient in a matter that is understanding to him/her. As mentioned earlier, I must also know enough about my patient to provide a meaningful education that pertains to his/her specific needs. For me to be able to educate my patients, I must remain humble in my profession, avoid stagnation and approach each opportunity as a chance for growth. The marvelous thing about nursing is that each day you work, you are guaranteed to learn something new, whether it be a new procedure or learning more about one of your patients’ lives, however, it is up to me to be open to learning and embrace

Working in the Emergency Department for the past five years I have seen the need for improved health care access. As much as we like to believe that our health care is universal and equal to all, I have seen that this does not ensure that everyone gets the care or the access to care that they need. The geriatric population, people of low Socio economic status and marginalized populations often end up using the Emergency Department because that is how they see they can get the care they need.

This problem statement was based on observation and discussions with the ED management team within the primary investigator’s (PI) place of employment at a facility in the mid-southern United States. The acuity levels of patients at this facility were assigned by ED nurses having no formal education or training in Emergency Severity Index Algorithm. These nurses were noted to consistently over-triage and or under-triage patients. Consequently, patients were being assigned inaccurately, slowing down efficiency, frustrating providers, and tying up resources, rooms and nurses.

In today's’ era, nurses have more responsibility than before. They are held responsible for their actions. Today’s nursing is based on basic needs of patients. Critical thinking plays an important role in nursing. Nurses are required to think and act immediately in the emergency situations. A good communication between provider is must. This could avoid the incidents to happen. Although technology has been improved as well in the past years. Now a day hospitals are more equipped than past years. The science has gone beyond the inventions to cure untreatable diseases. The art of nursing depends on how to promote wellness, to prevent illness, to facilitate coping, and to restore health. Nurses can achieve all those goals by taking a role of caregiver, educator, collaborator, advocate, and manager (Dewit O’ Neill. 4th Ed. Pg. 3-4). No one else beside nurses can better know their patients.

Patient education enables patients to assume better responsibility for their own health care, improving patients’ ability to manage acute and chronic disorders.

In this paper I discuss how holding patients in the Emergency Department (ED) has a negative effect on patients. To many patients in the ED , medication errors and patients lingering in the ED instead of being in the Intensive Care Unit (ICU) are the main cause of mortality and morbidity. For this assignment, I gathered information to figure out if the increased number of patients in the ED, medication errors, and the length of time ICU patients are held in the ED at Ohio Valley Medical Center (OVMC) is an actual issue that is effecting our patients. After doing a complete assessment and gathering the needed information, a plan will be put together to cut back

I have been told that an emergency room nurse must possess an unmeasurable amount of knowledge in every medical situation to properly care for the clients that seek the emergency services, and I have to say after researching The Process of Cultural Competence in the Delivery of Healthcare Services, that I do not totally agree with that statement. I do agree that one must be knowledgeable in most, if not all, medical conditions as well as how to treat any emergency that could arise with any medical conditions. Emergency room nursing is a fast-paced, ever-changing profession, but knowing how to deliver that emergency care in a culturally sensitive manner is not usually a concern when a life is on the line. Through research, I have learned that