Introduction This paper will use a case study to look at the importance of patient focused practice, with reference to an elderly patient with other care responsibilities. It will also look at its relevance to interprofessional learning and working within the role of the radiographer and two other healthcare professionals. The need to apply this knowledge is shown by examples of failures, due the lack of engagement, commitment and understanding of the multidisciplinary team to provide good clinical care as shown by the enquiry into the Mid-Staffordshire Hospital between 2005 and 2009 (Slatyer et al., 2016 pp140). The subject of this case study is Mrs Betty Bradshaw an 89-year-old who lives with her husband Mr Ralph Bradshaw. Mrs B. remains …show more content…
displayed signs of a suspected left hip fracture. Clinical indications would most likely show that the leg is held in external rotation and abduction, and appeared shortened when the patient lay in the supine position (LeBlanc et al., 2014). The patient would be in a high degree of pain and discomfort. Due to her care responsibilities, Mrs B. is keen to return home, and may be concerned about her ability to provide the same level of care after her injury. Where uncooperativeness and non-compliance with the requests of the nursing staff results, Milne, 2018, advises that patient cooperation relies on patience and good interprofessional communication. Patient focused practice would be key to ensure the nursing staff in charge of her care at this stage are able to clearly explain any procedures and to administer pain relief. Frequent reassessment of the patient will identify early signs of confusion and delirium. Avoidance of the use of overly technical medical language and treating the patient as an individual can help to calm anxiety about the …show more content…
A radiographer would assess the request to confirm it was justified before commencing the exam. Clear communication of the clinical evidence from the referring clinician is necessary, and the implications of ambiguous or incorrect information may result in delays to the patient pathway or unnecessary imaging being performed. This need for the radiographer to make clear and informed decisions within the multidisciplinary team shows a necessity to utilise lifelong learning to both maintain specialist knowledge with clinical skills and problem solving, and the need to engage in interprofessional learning and working (Barrett et al., 2005,
By understanding nursing sensitive indicators, the nurses in this case could improve the structure, process, and outcomes of their nursing care. The structure of nursing care is indicated by the supply of nursing staff and the skill level of the nursing staff. By the nurses having increased knowledge of the issues hip fracture patients are prone to having, such as decrease mobility, increase need for surgical intervention, and increase risk of falls, could help improve the quality of patient care. A patient with decrease mobility is at higher risk for pressure sores. The nurses in this case may have prevented the one by proper
I am submitting this letter out in regards to your advertisement in The Journal of Specialized Health Care Operations on February 9, 2016. I am pleased to learn of your need for a patient advocacy specialist II, as my career goal and expertise are directly in line with this opportunity. I graduated from Bishop State Community College on May 7, 2013. I have obtained an associate in science and therefore, I am well qualified for this position. My education and experience have provided me with excellent skill in finding solutions and information that patient needs in regards to their rights, strong skills of negotiation and mediation in regards to problem solving and knowledge of family relations, patient care, and other relevant skills required
Mrs. Pink, aged 75 was admitted to the orthopaedic ward after suffering a fall at home, resulting in an intracapsular fracture of the hip at the femoral neck. Mrs. Pink has a history of cancer and cardiac diseases and has severe rheumatoid arthritis. Due to ageing patients putting a great deal of strain on the health care system, the incidences of hip fractures in the elderly are a major concern and requires careful consideration regarding treatment. Known as a major cause of disability in the elderly, hip fractures and their subsequent need for surgery result in chronic pain and an altered quality of life (Strike, Sieber, Gottschalk & Mears, 2013). Although important to improve a patient’s quality of life and physical independence, pain related to a total hip replacement (THR), also known as hip arthroplasty (HA) can lead to delays in ambulation, longer hospital stays, poor functional outcomes and quality of life. The purpose of this essay is to identify the rationale behind nursing interventions provided to post-operative THR patients as well as the pathology of a femoral neck hip fracture and their procedure for assessment and diagnosis.
Qualitative research is regarded as an inductive process, which within natural settings attempts to produce insights on the subjective experiences, meanings, practices and point of views of those involved (Craig & Smyth, 2007). The aim here was to investigate factors influencing the communication styles used by the radiographers, therefore, allowing a better understanding to patient-centred care within diagnostic radiography.
Communication is key to effective healthcare practices. According to American Journal Of Critical Care (2014), Patient-centered care starts with “effective communication, being empathetic and available, avoiding personal prejudges, and listening therapeutically are integral parts of patient-centered care” (Riley, White, Graham, Alexandrov, 2014, p. 320). This will improve communication; promote patient involvement in care, which creates a positive relationship with the healthcare provider and medical team. This results in improved adherence to treatment plan. Clinical practice guidelines need to be implemented for the patient and family members to be able to be involved in informed decision-making regarding healthcare needs. The fundamental core of nursing is to have a partnership with the patient and their family regarding the patient’s outcome.
Mrs Smith, 5 days prior to visiting hospital tripped and fell, her injury’s prevented her from standing up. At hospital she was diagnosed with a left fractured neck of the femur (L NOF) and required an immediate left total hip replacement surgery. Mrs Smith is 85 years old, lives with her husband at home, has no children however has a strong social support network through her church. She is involved in her community and continues to teach piano. Mrs Smith only known medicine issue is urinary incontinence. 10 days’ post-surgery Mrs Smith developed a urinary tract infection increasing her length of stay in the hospital. This led to the diagnosis of delirium, worsening of her continence issues impacting negatively on her mental health. This has resulted in slow progress in mobility and delay of her rehabilitation plan. Mrs Smith’s anxiety levels are heightened as she is fearful of falling again and is concerned whether she will be able to return home as her mother passed away shortly after she broke her hip. This case study will examine if Mrs Smith will be able to return home with an effective management & discharge plan based on a multidisciplinary team using a person centred approach. The treatment plan will endeavour to assist Mrs Smith to return home. A full health, coordination and function analysis is scheduled to assess to identify any underlying medical condition and possible risk factors for further falls.
There are not any gasps in the knowledge base and the author seems to be well informed about communication in radiography, from first view the content of abstract is well organised with clear rationale aims to perform a qualitative study (Bassett,2004).
The diagnosis, prognosis, interventions and medications that surround a nurses everyday practice can be very similar. Although the diagnosis is the same the patients are not. Each patient has difficulties grasping a portion of their clinical situation. It is up to the nurse to identify these barriers, find ways to overcome them and make certain the patient is in full understanding of the plan of care. Barriers could be as simple as the patient speaking a different language which would prompt the nurse to find an interpreter. Other barriers may compel the nurse to print out pictures,
operate as a service provider. From this I will be able to gain a greater understanding of patient care. This collaboration between disciplines and the resulting improvement for the patient was identified by Hill (2006). Since I have started working within the NHS over the last year, I have had more opportunities to work with members of different professions both in the NHS and voluntary sector. This experience has helped me develop a better understanding of how patient care is made up of a multitude of smaller parts.
One treatment session that was observed involved a male client with a left hip fracture. The cause of their left hip fracture was when the male client tripped and fell down while bringing out garbage. Their goal is to return to their life prior to their injury.
Multidisciplinary working is an important factor when delivering healthcare to patients (Royal College of Nursing, 2006). However, failures in interprofessional collaboration have led to public inquiries for instance, the death of Peter Connelly (Jones, 2009) and the Mid Staffordshire report (Francis, 2013), highlighting improvement in collaboration is required. The Centre for the Advancement of Interprofessional Education (CAIPE) acknowledges interprofessional education as students from multiple professions, who come together; share knowledge and gain a broader understanding of the different professions (CAIPE, 2016). Interprofessional Education has been identified as an important element in the education of healthcare professionals and
S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%
By adopting these, a more familiar atmosphere can be created where a radiographer knows what is expected of him and who is he working with. This will help in minimizing the risk factor and improving efficiency(NHS National reporting and learning service 2008).( National Patient Safety Agency, 2009).
A surgical nurse is responsible for monitoring and ensuring quality healthcare for a patient following surgery. Assessment, diagnosis, planning, intervention, and outcome evaluation are inherent in the post operative nurse’s role with the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable (Haynes et al., 2009). The foundations of Mrs Hilton’s nursing plan are to ensure that any post surgery complications are circumvented. My role as Mrs Hilton’s surgical nurse will involve coupling my knowledge and the professional
Who is to choose in this situation? The problem of conflicting professional duties is also present in this case. On one side, the doctor is a professional colleague within the same hospital, and also the expert in understanding the radiographic image and diagnosing the problem. A radiologic technologist should not cross the professional boundary by questioning the doctor about his/her diagnosis.