Patients Like Me: A Case Study

The event that stood out the most to me during my clinical experience this month was when my assigned patient and her family began asking questions about the care the patient was receiving and other non-medical related questions.

During my first day of clinical, I encountered an issue that I believe is very significant. As a student nurse, our duty for this day was to follow our health care aide around the ward and assist in completing resident care. The resident required assistance in many of her daily tasks. The health care aide asked if I would perform one of those and do perineal care for her. I turned down her offer because I did not feel comfortable with my skill level. The resident had a bowel movement during the night. There was a significant odour in the room that overwhelmed me. I really wanted to leave the room because it was so unpleasant, but I stayed in the room so that the resident would not be embarrassed. This feeling of embarrassment, I assume,

Throughout my clinical experiences, there have been quite a few circumstances I have been placed in that have remained with me whether good or bad. All of them have been learning experiences for me whether it is how to improve and to do better next time from a mistake, for me to learn that this is or is not how a patient should be treated, how to handle family situations, and many others. One experience that I was able to participate in that will remain with me because I had not experienced this before was during my critical care rotation in the fall of 2015. This patient was dying and we were implementing comfort care for him.

Demonstrate a responsible way to share health data among other hospitals and academic researchers that will develop new medical therapies and drugs.

After the release of ResearchKit, Medidata revealed an open- source connecter linking the Apple ResearchKit to the Medidata Clinical Cloud. This integration will further help to use the data that is collected through the ResearchKit to improve the study designs. “Medidata has developed a mechanism allowing study builders to map the data generated from ResearchKit apps to studies in Medidata Rave” (NASDAQ:MDSO, 2015). The connection of software will give birth to a new level of productivity; expanding the quality, study designs, management and reporting of the clinical trials. “With the use of semantic web technology, a researcher will be able to create a data file using tags that identified which data items identified the researchers, the inclusion criteria, the aim of the study, the baseline tests to be performed, the details of the treatments to be compared and so on. And such data can be analyzed

The goal of the organization is to develop a single patient engagement platform across all care settings. This platform should contain predictive healthcare management tools that will empower patients to better manage their health and coordinate with all of their providers.

How good it would be for you as dentist, for your dental practice as a business, and for the dental health and well-being of your patients, if you could offer more than just verbal reassurance about the state of your patients dental health?

The book The Personalized Medicine Revolution: How Diagnosing and Treating Disease are About to Change Forever is an interesting journey through the evolution of our scientific knowledge and subsequent technologies followed by a final foray into the most current accomplishments in personalized medicine and where it’s going.

In the case that I became a terminally ill patient, I would strongly consider the different types of end of life care that are available to me. I believe that both passive and active euthanasia are reasonable end of life treatment options for terminally ill patients. If an individual is in unbearable pain and they have already been diagnosed with a terminal disease, it is inhumane to keep the individual alive longer than they need to. If I knew that I was going to die why would I want to bear not only the physical pain of the illness, but the pain of watching my family and friends suffer as well. They would have the burden of taking care of me, paying my medical expenses, as well as dealing with an extended amount of grief in watching me suffer. The last thing I would want is to be remembered in that way and cause a sense of grief and sadness whenever I am remembered in that state. All of this pain and suffering is completely unnecessary and can be resolved by quickly and painlessly through acts of passive, and when necessary, active euthanasia. Mill’s Utilitarian theory focuses the concept of happiness in terms of the gain of pleasure and the avoidance of pain. Utility implies that actions overall should have a higher proportion of pleasure that outweighs the overall pain caused by the action. By choosing to end my life I eliminate the unnecessary prolonged pain associated with my terminal illness. I also eliminate the overall pain and suffering that my family

A patient centered medical home (PCMH) could integrate patient care. A patient centered medial home is a team of healthcare providers coming together to improve the health of a specific population. A PCMH is designed to integrate primary care and specialists into improve care coordination, safety and quality.(Stange, et al 2010) A PCMH would also improve physician training and development to provide a commitment to treat the whole patient, rather than just one part.(Stange, et al 2010) Healthcare fragmentation can also be limited through improved communication between providers using e-mail and social media tools such as facebook and twitter.

Comparing my clinical experiences from last semester to this semester, I would say that I have already experienced more this semester than I would have at this time last semester. Even though I am doing LNA work while incorporating RN aspects, I feel the work that we are doing this semester is more RN aspect based rather than LNA work. Clinical was my favorite part of last semester, and it is still my favorite part of the semester. Over the past couple of weeks at Riverside, I have had numerous new experiences, including following a nurse, following the wound care nurse, and going in on my day off to follow both the wound nurse and the nurse practitioner of the facility.

More so, the usage of the Internet and other global media has expanded the ability of patients to have access to an enormous amount of information about diseased previously thought “too technical” requiring government policy that sought to limit the control and influence of physicians.

Also, the objective is to find patient’s document finding and correlate it with chronic disease process of elderly adults. With this reflection, I will discuss what I’ve learned, and my strengths and weakness in my clinical experience.

These personal companions are able to monitor every human reaction to physical and emotional stimuli, as well as, how a specific disease process is affecting the different systems of the body, and how medications are systemically treating any disease process. This system will detect disease processes much earlier than is capable at the present time. This information is then transmitted to this global health care network, as previously mentioned, and the data used to better understand disease processes and help to find cures for these diseases. The human genome has also been decoded by computers, for the cost of around one-hundred dollars. With this technology, medical professionals can better understand why some people, and who these people are specifically, are more susceptible to different types of cancer, heart disease, diabetes and so on. These chronic conditions and diseases will be cured and prevented and the larger problem will be mutating viruses and “super bugs”, for which pharmaceutical companies have put very little effort into developing curative or nonresistant medications.

Facebook helps people to share one’s information to others through posting and photon on his or her Facebook wall. Dr. Marry Marrow has syntheses her findings about Facebook and wrote, “Social media; staying connected.” She mentions that Facebook can bring happiness when you actively connected to our beloveds. Additionally, Facebook gives opportunities to health care as mean to communicate and to instruct communities (Marrow para 3). Social media like Facebook can enhance