Last semester in Acute Care, I had a great patient experience when I prepared and accompanied an eighty-nine-year-old lady for her hiatal hernia surgical repair. At Banner Estrella, on the medical surgical unit, my nurse was very busy taking care of her five other patients and knew she did not have enough time to prep her patient nor walk her down for surgery. She delegated the task to me and I was more than willing to do the job. As I took the patients vitals, helped wipe down her body in cleansing clothes, removed unnecessary jewelry, got her into a new gown we made small talk to pass the time. I discovered a lot about her life though casual conversation. She lives by herself in Pine, Arizona, she still burns her trash every Wednesday, shovels snow off her driveway, gets on her roof
The main key issues in case #5 is that the MMG system had not achieved its overall financial performance goals; therefore they experienced a big loss secondly the transition of new leadership became an issue. The difficulties of implementing the MBS business model in the Hospitals and Clinics division also became a very important issue. Having to come up with a strategy to improve the financial side and being able to focus on customers and relationships was not an easy task for them. Hospitals had a different approach of helping customers in
It was the aftermath of the Friday night game that I’ve given any signs of an injury, and my family and close ones felt sorrow for me and the following Monday. Throughout my life, peers and elders engraved an image onto me being that sports held a bright future for me, and it will lead to the true path of greatness, and one single injury puts me an aggravating, melancholy rut. Viewing my teammates playing angered me since the injury forced me into a world of therapy for the rest of the season. All the promises I made for myself were undone, athletic scholarships, the path to greatness, and my only school pastime and passion flowed throughout my body and into a pipe dream.
Being part of the Sports Medicine program at Citrus Hill High School has given me so many new opportunities. I´ve been part of this program for two years now and I can not see myself doing anything else beyond this point. When I first joined, I never thought I would care so much for it and actually want to take the next step and do this in college. I have learned so within these two years and I want my life to be surround with it.
In the summer before my senior year, I tore my ACL while playing a small soccer scrimmage. The doctor explained my injury as very common in female soccer. But the heartbreaking reality made me feel much more than the statistic on the dry erase board that Dr. Mayer held. I loved waking up, going to school, and finishing the day with some type of sports practice! After the incident happened, I cried and whimpered for hours as my leg swelled to the size of a balloon. But the pain was much more than skin and muscle deep. With a post-surgery recovery time of nine months, I realized my high school athletic career had come to an abrupt and expeditious end. I had also ran out of college credits at my small school in the same year. Because of this,
Washington, DC was among the first metropolitan areas to be affected by the HIV/AIDS epidemic. According to recent data from the D.C. Department of Health’s HIV/AIDS, Hepatitis, STD, and Tuberculosis Administration (HAHSTA), the total number of District residents living with the HIV disease was 14,465. This accounts for approximately 2.7 % of the population 13 years of age and older.
As with any other department or unit, the least invasive measures are attempted firsthand and invasive measures are reserved as a last resort. With that being said, it has been shown that dexamethasone sodium phosphate for injection (DSPI) is effective given orally as well as the intramuscular route (Toledo, Amato, Clarke, Reitz, & Salo, 2015). So when dealing with pediatric patients the oral route is preferred. The problem arises when there has not been proper training beforehand for the staff that administers the medication. Many pediatric urgent care clinics stock DSPI, and the vial is intentionally and clearly labeled for injectable use only. So if a provider requests this medication to a new nurse or a nurse that does not have prior
If you find yourself dealing with an unexpected injury or illness, then you may not be able to make an appointment with your doctor. The good news is that you can visit a urgent care Coral Gables to get the care that you need. The urgent care is made up of highly-qualified medical doctors, nurses and technicians who can treat a wide range of illnesses.
The high percentage of unnecessary ED visits should be redirected to alternative care sites allowing individuals that truly need emergency care to receive it in a timelier manner. Introducing alternative care sites such as urgent care centers, after-hours clinics, telemedicine, and work-site clinics can prevent incongruous use of the ED. Unfortunately hospitals must create a balance between generating revenue from the ED and increasing quality in the ED. The revenue that hospitals generate from ED visits may dissuade hospitals from establishing urgent care centers even though these centers could drastically reduce overcrowding in the ER. Choudhry et al. (2007) found that health centers could save Medicaid approximately $4 billion annually if they are implemented properly. The implementation of specialty programs that redirect patients to appropriate primary care settings rather than ED for ambulatory care sensitive medical issues is one way that Medicaid is proactively seeking cost saving solutions (Choudhry et al., 2007). Ultimately, hospitals must determine if these alternative solutions could establish enough financial incentive for the hospital to counter the potential decrease
I am most familiar with the Urgent Medical Center. In my opinion, it is very well-structured place with a diverse staffing. It was always a pleasant environment when I had to visit the center for an illness. The center has at least two physicians and nurses on-site at all time. Also, there are several medical assistants to help provide quality of care as patient wait to be seen by a physician. This organization promotes health and wellness services to all patients. Theirs mission is to provide an affordable, quality healthcare with respect and compassion to all patients. The urgent medical center mainly focuses on treating common illness and non-life-threatening injuries. One thing that they do not have on-site is an equipment for diagnostic,
When I was twelve years old, I enrolled in my local Catholic school after being homeschooled my entire life. In the spring of seventh grade, I decided that I wanted to try track and field. This seemingly minuscule decision would become something that would greatly impact me for the next few years when I fell while jumping over a hurdle and tore my ACL and meniscus. I was told that I would need surgery, and I was devastated. To my twelve-year-old self, it seemed as though the world as I knew it was coming to a drastic end. However, my outlook on the situation would soon change in an unlikely way.
Chronic care refers to patients with medical and possibly mental disorders which will require long term care. The patients may have a pre-existing or a long term illness that plays a daily role in their lives. Patients have ongoing health issues which can develop into other illnesses over time. A patient may have a condition that requires frequent appointments, where they may receive a considerable amount of information along with orders to follow which they must incorporate into their daily routine. The ultimate goal is to suppress the progression of the disease. Individuals have to recognize that they are living with diseases that will not get better, and that they will need to adapt and learn how to live a normal life. Patients will need
Relatives are the principal caregiver to the patients, they provide different crucial cares. These are, helping with toilet, feeding and washing, bringing food and medicine from outside, assisting with administering medicine and with monitoring exercise, negotiating with hospital staff, mediating between the hospital and outside world, they also provide emotional support to the
A performance scorecard is constituted by an organization of patient outcomes into groups based on the various actions that predict the patient outcome. Acute care geriatric patients seeking attention from the facility were considered for this study. The study also targeted the caregivers attending to those geriatric patients with acute conditions. The greatest challenge of forming the scorecard is decision-making on the aspects of performance to be included in the performance scorecard. When identification and selections of objectives are done carefully, then the structure becomes useful in organizing the measures. On a routine perspective, the scorecard is expected to measure daily operational success, while in the long-run, evaluate the strategic success in preparation for the future. Below is an example of a performance scorecard for acute care patients.
Flashing red and blue lights accompanied by an alarming siren in the distance is signaled when the double doors of the emergency room burst open. Pushed by several nurses, doctors, and other medical staff, a lone hospital stretcher with a bloody, wounded patient flies through the medical center towards the doors to the operating room. This image is what generally comes to mind when you think about an emergency room. Many people believe that the hospital’s emergency room is a dark and scary place. While this is true, the common misconception is that the emergency room is a place clear of humor, when in reality humor is present, even necessary, for many reasons. Many television shows, like the show ER, are based in the setting of the