Assessments of Head, Ear and Throat The nurse who assesses the patient initially usually is the one who detects signs of more serious underlying pathology (Reynolds, 2004). The health assessment histories, SOAP notes, and findings of two patients with HEENT problems will be discussed in detail. This paper will also cover tympanic membranes findings and examination of the thyroid glands. With competent and diligent nursing assessment knowledge and application, both acute and chronic HEENT problems can lead to the discovery of underlying conditions crucial to planning and treatment. Some HEENT problems can also be life-threatening requiring prompt nursing and medical interventions (Reynolds, 2004).
This assignment will critically discuss the nurse’s role in assessment and care planning for a patient in a case study. Confidentiality which is required by the NMC (Nursing Midwifery Council, 2008) and the Data protection Act (1998) will not be broken through out the assignment because the case study used is a scenario not a fictional character. The care plan will focus on Jean’s incontinence needs using The Roper, Logan and Tierney model (2000).
Introduction Change Planned In order to eliminate the inefficiencies witnessed in many public and private hospitals that serve a number of patients, an integrated approach to handling the daily workload is necessary. There is need for all departments within the hospital to work closely together in ensuring more effective and efficient service deliveries. In this paper, a planned change is going to be carried out involving designing a new system that incorporates all the departments within the hospital. This includes the surgery department, pediatrics department, dentistry department, nursing department, pharmacy departments, laboratory and testing department, X-ray and Physiotherapy departments, Equipment maintenance and Engineering department, Information Technology
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.
In this assignment I am going to deliberate the care of a patient that I have looked after when working in placement on a hospital ward .I will use the Chapelhow framework to discuss two of the perspectives in relation to the patients care needs. In the Chapelhow
Jenny is an patient advocate" "Always verifies medication orders" "Always performs double checks and is conscious" "Never afraid to speak up, does what is right for the patients needs, attentive to her patients" "Repeats verbal orders, always verifies med dosages, asks improtant questions" "Alerts MD, CN and team leader of critical patients, always supporting new hires as well as nursing students by answering questions" "Anticipates patients and family needs" "helpful to peers" "always leadning a hand" "constiently checking on patients Qhr/VS, Throuogh documation" "Curteous to patient and family" "always addresing patients needs" "Actively checks on patients" "Always addressing patients concerns" "Answering any questions thoroughly" "Gives accurate/detailed report" "Asks patients if they needs anything before leaving patients rooms" "Patience" "Great bedside manner" "Jenny uses theraputic communication" ' Actively listens and addressess patients concerns" "Jenny is always paying attn to detail, she always thinking and acting in ways of safety (for patients and staff)."
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.
With the help of his son Jon, we can give him other people to help be accountable for his healthcare.
Patient Flow in Waiting Room Haik Janoian MGT/554 Operations Management University of Phoenix Group PA04MBA10 April 5, 2006 Patient Flow in Waiting Room Healthcare clinics are under a great deal of pressure to reduce costs and improve quality of service. In recent years, healthcare organizations have concentrated on preventive medicine practices and have
This project illustrates a RAD approach for designing a patient decision support research platforms (web-based). This web-based research platform is designed with three components: an introduction of shared decision making, a patient decision aid (web-based), and items for decision process data collection. A feedback on paper drafts and online prototypes is also provided by this research platform (web-based). Consider a shared decision making (SDM) process that allows the health care providers and patients to make decisions collectively on the basis of an evidence-based scientific knowledge and the patient’s preferences. Consequently, this process provides both the provider’s practiced knowledge, and the patient’s right to be informed of all
Some questions that I will ask a patient who loss a love one during the medical and history review, I will ask about the patient love one, and what the patient need. I will also ask, if the patient want to speak with a doctor about any questions that have
Study and analysis of the health care systems have become a necessity to improve its performance over time as it must meet a number of often conflicting objectives such as providing better and more efficient patient care while minimizing the cost of health care and resources (1, 2). Hospital management as an important component of healthcare systems may face with numerous challenging tasks while achieving these goals (2-4). In a hospital system, the flow of patients is a determinant factor that affects the performance of healthcare delivery processes. The decision problems of a hospital are directly related to and affected by the month to month changes in patient flows. The short-term forecasting of patient flows is the fundamental input of short-term decision making and planning on hospital and laboratory equipment, staff resources, food and laundry service demands, and like it. Furthermore, the long-term forecasts of patient flows are vital to long-term planning decisions about resources and capital budgeting which it’s positive gains, in the long run, will lead to a sequence of capital expenditure (5). In this context, the knowledge gained from an accurate prediction of patient flows would provide valuable information for resource allocation and strategic planning and also has the potential to minimize patient care delays,
Queueing analysis has been used in hospitals and other healthcare settings, but not fully utilized. There has been no proper approach in dealing with queues theory and models and accompanying risks, some of which will be still contentious. Due to the myriad of health risks that come with patients taking long on queues, there is need to investigate and unravel untold sufferings among the patients, The results of this study will be used to a larger extent by the medical practitioners in the Ministry of Health, County Governments and Iten County Referral Hospital management to ensure that queuing theory is properly
A patient’s Care Recommendations should provide information that is relevant to a patient’s treatment in an ED setting, including care considerations, care coordination details, pain management information, suggested ED-based interventions, and any other information that is appropriate and applicable to the setting.
Introduction: In today’s healthcare environments, Emergency department wait times are notoriously long, this not only decreases patient satisfaction, but also decreases throughput and therefore decreases the income of the hospital (by decreasing number of patients serviced), which has obvious consequences for a hospital’s financials. Designs must optimize patient throughput without compromising the quality of patient care.