Patient Rating System

By carrying out an assessment nurses can identify the causes of problems that require medical involvement. Nettina (2006)

Through basic observations, health professionals are able to evaluate the performance of an individual’s health status. In relation to Casey, it is noted in her Observation Chart that in the time span of two hours the patient’s health status had changed from being relatively normal (to the patient) to an increased respiratory rate, heart rate and temperature as well as a decrease in blood pressure. It is also noted that the patient has a score of 8 in the pain scale (compared to the score of zero two hours previously), relating to the lower abdomen. Programs such as Between the Flags acknowledges the fact that the early recognition of deterioration of patients can reduce harm to patients through designing and implementing systems which provide a structural response in the event of a deteriorating patient, such as Rapid Response and Clinical Review. There are two phases involved in the rapid response, which includes the afferent phase and the efferent phase. The afferent phase focuses on the overall monitoring and recognising the deteriorating patient whereas

I was able to gather a lot of information on my patient when I was taking his health history, giving his shift assessment, and reviewing his charts. I used this step to offer effective nursing care to determine the priorities of what is the most important issue for which the patient should be treated.

quality of patient care, and can be implemented in practice, to provide solutions to nursing

Delivering quality care is the priority of the nursing profession as an institution and in order to facilitate this, data driven indicators are employed to measure how effective the care environment is. These nursing sensitive indicators include complications such as urinary tract infection, patient falls, surgical complications, length of hospital stay, restraint prevalence, incidences of failure to rescue, patient satisfaction, pressure ulcers and nursing satisfaction. In the case of Mr. J, the demented rabbi, who as a nurse supervisor I am responsible for, nursing sensitive indicators are crucial in monitoring the level of care and making adjustments so that the

contribute to the costly effect include the fact that nurses have, increased incidence of nurse burnout and patients have poorer outcomes increasing both mortality and readmission rates. Nurses are a large component to keeping readmission rates down through spending time with a patient and educating and empowering patients on self-care through helping patients understand importance of medication regimen adherence, importance of diet adherence, ways to reduce infection and various other skills to care for self at home" (Problem Memorandum Assignment, 2015) The documents exigence is crucial the audience to better the outcome of patients and that of the health

Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.

Over the past 30 years nursing has evolved from a task-oriented to a logical and systematic approach to care, using theories and models to guide practice. According to Jasper (2007, p117) theories of decision making in medicine tend to favour logical, precise analytical models which are held to be testable, unambiguous and repeatable, therefore satisfying scientific principles. These represent important ideas of certainty and rationality that are intended to provide a sense of security and reliability. When used correctly a nursing model should give direction to nurses working in a particular area, as it should help them understand more fully the logic behind their actions. It should also act as a guide in decision-making and so reduce conflict within the team of nurses as a whole. This in turn should lead to continuity and consistency of the nursing care received by patients according to Pearson et al (1999,p ).

Two types of data were collected through surveys, both before and after implementation of the combined approach (Sand-Jecklin and Sherman,2014). The first data was on nurses’ point of view with regards reporting process, and the second on patients view regrading nursing care. The baseline survey included 233 patients and 148 nurses, while the survey three months into the implementation period included 157 patients and 98 nurses. The final survey, 13 months into the impanation, was completed by 154 patients and 54 nurses. The patient survey also included responses from patient families. These were 70, 72, and 53 responses for baseline survey, three-month postimplementation surveys, and 13-month postimplementation surveys.

Ashton, C., Kuykendall, David H., Johnson, Michael M. (1999). An Empirical Assessment of the Validity of Explicit and Implicit Process-of-Care Criteria for Quality Assessment. 27(8). 798-808.

As a result of the introduction of computer technology and the combination of evidence-based practice in nursing; standardization of terminologies has become imperative in the classification of nursing diagnosis, interventions and expected outcomes. The most popular and successful systems are the North American Nursing Diagnosis Association International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) (de Lima Lopes, de Barros, & Marlene Michel, 2009). This paper aims to provide a brief outline of these standardized terminologies (STs) as they relate to a

Category one, the complex case management, is designed for members with multifaceted medical conditions/multiple conditions. These associates include adults and children with diabetes, asthma, chronic obstructive pulmonary disease, and/or congestive heart failure. associates are contacted by a care manager who evaluates their health status, develop a self-management plan, and assist in receiving appropriate care (Johns Hopkins Hospital, 2014; Johns Hopkins Medicine, 2015). In addition, other complex medical conditions include: high-risk pregnancy, cancer, HIV/AIDS, cardiovascular disease, end stage renal

Defining, identifying, and managing high-risk patient populations can be a very difficult task for healthcare organizations (HCOs). Should HCOs look at age, length of problem list, number of medications, number or specialist or subspecialist a patient sees, or number of recent hospital admission (Pelzman, 2014)? Whatever method HCOs decide to use,

Form the data collected the nurse, in direct consultation with Kelly will evaluate the assessment data gathered, and create nursing diagnosis that identify actual and potential nursing problems(Crisp, & Potter, 2013, p.86). NANDA International, Inc. provides a framework for developing nursing diagnosis and this is used by the nurse to provide a framework for developing appropriate diagnosis (Herdman, & Kamitsuru, 2014). A full list of Kelly’s nursing diagnosis is located in appendix one table four. The nurse identifies the following three priority nursing diagnosis.

The first three dimensions relate to the burden of illness presented to the hospital by the patient. The fourth and fifth dimensions, dependency and non-operating room life support procedures, have been included for internal monitoring purposes only. They are defined so as to be minimally influenced by the hospital staffand by practice patterns in an institution. We have found that they are the least significant variables in predicting overall Severity of Illness. The last two variables reflect the response of the patient to the hospitalization. It is important to note that it is not what is done to the patient that drives the Severity of Illness Index, but what the patient actually looks like. The signs and symptoms of the patient's principal