Patient In The Environment Analysis

Hospitals regularly measure patient care, which is defined as any health care service provided to an individual. It is measured in different ways according to the type of health care service provided. However, there are basic principles that guide how all patient hospital care is measured.

Within this case study I am going to use two of the Chapelhow et al. (2005) enablers to discuss and reflect on the care of a patient I have been involved with on placement over a period of 5 weeks. ‘Enablers are the essential and underpinning skills that come together to provide expert professional practice’ (Chapelhow, C et al. 2005, p.2). These include; assessment, communication, documentation, risk, professional decision making and managing uncertainty. The enablers work together to provide a holistic approach to the care of patients in health care settings. I am going to focus on and discuss two of the enablers, linking them both together, which will be assessment and communication as I believe these two enablers can be related most to my patient.

he lesson that I can take during patient interactions are to try find the best way to accommodate patient's needs and know my limitations. For example I cannot speak Russian and my patients are Russians with limited English, however, I know they need so much help and education. I rather talk to the nurse manager and refer them to another nurse that can speak Russian or to get an interpreter to help me. It might be seem "I am washing my hands" and try to get rid of them, but my attention was to help them better.

On Monday, August 29, 2016, at approximately 1:38PM, I, Officer Larry Thomas, was contacted by medical staff to come to the peep area, in reference to a patient control assist.

This is a 68-year-old gentleman who presents to the ED stating that his legs are really swollen and draining yellow stuff. It is to be noted this patient was originally placed in observation status by the attending physician. After my clinical review of the chart and discussion with him I believe this patient warrants acute inpatient hospitalization. In the ED on presentation he is found to be anemic with a hemoglobin of 8.9, hematocrit of 27.1. He is also dehydrated with specific gravity urine greater than 1030. He has a low-grade temp of 99. On his physical exam he is noted to have a 2+ bilaterally pedal edema from his feet up to his knees, as well as chronic bilateral stasis changes in his legs with erythema and increased warmth.

The precedence of personal autonomy in healthcare is a distinctive characteristic in Western medicine that allows people to be free from controlling interference by external factors. Modern bioethicists believe that patient autonomy should not be exhausted, but rather prioritized over all other bioethical principles, which are beneficence, nonmaleficence, and justice (2008, Tsai). Though patient autonomy is a cornerstone in Western medicine and bioethics, the extent to which patient autonomy should be exercised remains undefined. Currently, patient’s desires are deemed “autonomous” when assessed under a certain procedural criteria; however, different views on how these criterias can be formulated leads to ambiguous moral conclusions on patient

The aims and objectives of this assignment are to reflect on an incident and to explore and discuss research and theory with my understanding of the incident. Within this study the client referred to will be called Mr Bloggs, this is in order that his real name is protected and that his confidentiality will be maintained, in line with the UKCC code of conduct (1992). This contributes to one of the four NMC outcomes (Professional/ethical practice). My critical incident took place at a local Hospital during my thirty weeks placement.

Ascension Hospice medical director has overall medical responsibility for your care, working with your physician and other medical professionals to develop a care plan that meets your specific needs, providing personalized care focused on a higher level of comfort and quality of care. The Medical Director oversees the entire team, as well as the protocol for pain and symptom management.

Even though my philosophy differs from yours, I agree to your point of a holistic approach in the patient care. There is a connection between the paradigms. The person cannot separate from the environment or the universe. People always interact with their internal and external environment. It is the need of human beings to interact with the environment and the world. Interactions meet many human needs. Through their interaction, human beings connect to the universe (McEwen & Wills, 2014). This shows that human beings are integral to the universe. If the needs are not fulfilled enough, people can end up with diseases. People need to be in harmony with their environment (Nursing Theorists, 2013).

This month at the Durham VAMC, almost 300 hospital employees attended the Safe Patient Handling Annual Competency Fair. During the training, the Unit Peer Leaders used multiple evidence-based adult learning concepts to train the staff. According to evidence-based practice, there are many factors to incorporate when developing an effective Safe Patient Handling educational plan for adults, such as adult learning theories, different learning styles, and generational factors. Andragogy and social cognitive learning are just a few of the adult learning theories that were utilized by the Unit Peer Leaders. For example, andragogy is an adult learning theory that is based on the knowledge that the learner already has a foundation of knowledge based

While attending a typical pharmacy setting. I observed several pharmacists and patient interaction cases, focusing on the counseling and communication aspects. I am going to reflect on one of these cases, which was about worried and distracted old man who has been diagnosed with congestion on the heart and need to leave as soon as possible.

 Therapeutic design is an approach to architecture that seeks to connect building occupants more closely to nature. Building designs based on Therapeutic Architecture incorporate things like natural lighting and ventilation, natural landscape features and other elements for creating a more productive and healthy built environment for people.  The building industry as a whole is undergoing an evolution in sustainability. Within healthcare facilities there has been a particular focus on energy efficiency, indoor air quality, and improving delivery of care. There are ample opportunities for architects and designers to create conditions that productively bond natural and human systems to fulfill the social, economic, and health needs for future generations.

When looking back at the situation I wish I would have stopped the CNA from giving the patient a cold shower in front of me and made sure the patient take a shower at a desirable temperature for her. This situation makes me think about how to not treat my patient. That situation made me want to become a better nurse. I realize as a nurse we have to advocate for the patient, especially if they are not able to advocate for themselves. Thinking about that day I failed to advocate for the patient. Overall, I believe at any moment I feel something is wrong try to intervene to make sure everything goes the correct way.

Patient is a word used throughout the Bible and has come from latin, to Old French, and Middle English.  It can be used in multiple ways.  As a noun, patience is defined as the capacity, habit, or fact of being patient (patience, Merriam-Webster).  Patient, on the other hand, is an adjective and means to be able to remain calm and not become annoyed when waiting for a long time or when dealing with problems or difficult people (patient, Merriam-Webster).

In this patient population, another factor to consider is the patient’s home environment. Falls generally occur in the patient’s home. Environmental assessments are vital to ensure risk factors are identified. Factor such as how the client maneuvers around the home, is there adequate lighting and are the appropriate accommodations throughout the home. These are a few examples of environmental contributing factors.