Research Analysis And Application . Ana Bucio. Columbia

Anyone who has spent any time as a hospital patient knows that comfort is not generally going to be found, but instead, a patient may find themselves overwhelmed with anxiety and fear. This uncomfortable feeling may be fueled by uncertainty in many different forms. Patients may be uneasy about upcoming and unfamiliar procedures, they are concerned about recovery from their illness, and /or they may be plagued by thoughts of their mortality. In addition to dealing with these personal thoughts going through the patients’ heads, the patients are also forced to endure a hectic and chaotic hospital environment. They find themselves in a place where their rest is being constantly interrupted by hospital staff checking on their current health status. This could include from simple vital sign checks to uncomfortable and painful invasive procedures such as having chest tubes inserted or removed. In addition, a patient may experience humiliation due to a lack of privacy as well as the lack of freedom due to confinement within their hospital room. The resulting psychological effects can be harsh, creating issues further impeding the healing of the patients. This is a major concern because research has found that recovery and healing is at its optimum within a comfortable setting where resting can take place (Krinsky, Murillo, & Johnson, 2014, p. 147). In compliance with this line of thought, Katharine Kolcaba formulated the Comfort Theory, which holds, “the experience

Any of these issues have the potential to extend the patients length of stay in the hospital. The restraints have the potential to make the patient more agitated, thus increasing his risk of injury. Understanding the nursing-sensitive indicators can greatly contribute to a better outcome for all patients.

I was the conductor and subject of this study, which took place over a two week time period. I had collected my baseline data for five days from November 9th to the 13th. Then, I collected my intervention data for seven days between November 15th and 21st. The basic procedure I used during the collection of both of these data was, I set up timers on my phone in eight intervals of two hours throughout the day from 7am to 11pm each day. The timers were set ten minutes into each interval. For my baseline data, if I remembered to drink water before the timer went off, I would record my result as “Didn’t go off” on my data sheet. If however the timer went off before I remembered to drink

My intervention is to develop a health coaching model with an assessment tool that evaluates the client risk for admission and also identifies active issues that need to be addressed. In addition, I plan to assess how engaged the clients are in their care by implementing the patient activation measure. Lastly, implementing care coordination to

We started off by evaluating are current staff in the field measuring top and bottom performers to see what is working and what is not. We followed up by researching various models that would fit with are patient care delivery model; with the goal being standardization of a

When this client-centered approach is used, it promotes patient confidence in medical personnel and ensures that when the patient leaves the Emergency department (ED) they have a firm understanding of their follow up care and plan. This makes the patient more likely to be compliant with follow up care, and self-management of their chronic issues. (Cheryle Moss, 2014)

The subjects were given a survey on their health as to avoid injured or asthmatic variables. Also they were all required to be in the healthy BMI range and the athletes were from one sport and the non-athletes had a strict definition of exercise as less than twice a week. However, a few errors could have slipped through. For example when recording the participants heart rate. The pulse was sometimes hard to locate requiring more time to look for it after their lap run and perhaps lose data in the process. Another possible error that could have occurred was taking the recovery times. The majority of the participant trials were done by one project partner making it difficult to monitor the thirty second intervals while measuring and recording the heart rates as well. In future studies these errors may be avoided by requiring all the researchers be present for the experiment in order to secure more definitive results. Another issue that occurred was the participants failing to show up, more so in the athlete group, which left a hole in hour experimental data because we were unable to reach the intended six athlete total due to this issue. Future researchers should attempt to have all the athlete and non-athlete participants together at one time for each day. This would avoid having to come back day by day and remember who did one day and who’s

As the healthcare industry continues to shift away from inpatient care and more towards ambulatory outpatient care, due to lower insurance reimbursements, MedStar is rapidly opening outpatient treatment facilities throughout the DC, Maryland, Virginia and Delaware region to ensure their position as leading rehabilitation providers serving patients over a large demographic area (MedStar NRH, 2016). Ambulatory care is delivered to persons who go to a physician’s office or another setting, such as an ambulatory surgery center

The mannequins were dressed to resemble a critically ill hospitalized patient on a ventilator. Endotracheal tube, egg-crate, headrest, cervical collar, hospital gown, blanket, and one pillow was used to imitate a critically ill patient. (Hiner et al., 2010). This object was placed lying on the back with head of bed increased to 30 degrees. Joint commission, Centers for Disease Control and Prevention and the institute for Health care Improvement and five million campaign as well as the hospital’s standard guidelines recommended HOB elevation. This study took a two week duration, within these two weeks, these mannequins were moved to 7 intensive care units of the hospital at various times throughout the day both nights and evening. To determine the angle of elevation, the clinicians were told to stand two feet away from the foot and side of the bed. The clinicians documented their observations and answered questions in a survey regarding their knowledge of HOB elevations and how to prevent VAP. (Hiner et al). 50% of nurses and 535 of clinicians were able to demonstrate accurate perception of HOB elevation. Estimation of correct range was between 25 to 35 degrees. The nurses, respiratory therapist, followed by physical and occupational therapist, and physicians were able to recognize why the HOB should be elevated.

Several databases were used in order to obtain information and research on these topics. The specific databases implemented in this search included PSU Online Database, CINAHL, Health Source - Consumer Edition, Health Source: Nursing/Academic Edition, MEDLINE, PsycARTICLES, Psychology and Behavioral Sciences Collection, and PsycINFO. For the first search, the terms “seclusion affects patients” were used. This generated over two thousand six

The plan and aim of this project is to select a group of six people and record their blood pressure, temperature, pulse and respiration whilst at rest. When they return from a brisk walk I will then record the same observations and analyse, evaluate the results. With this information I will then draw my conclusions and make recommendations.

The first main limitation of this evaluation is the fact that the researchers were limited in their study because they only assessed one specific facility. The study of only one specific facility cannot provide interested parties with conclusive results that demonstrate the “effectiveness of the physical therapy services in rehabilitating elderly patients recovering from knee or hip replacement surgery.” Another reason why assessing one facility may be a potential problem is because some of the factors that may exist in other locations may not exist at Shady Trees. The second limitation is the use of surveys because the design of surveys can sometimes restrict patients to only revealing certain bits of information rather than the whole experience that may prove to be useful in the study. The third limitation is the time constraint to not only complete the study, but also the time constraint involving the patients who are surveyed. Conducting surveys of inpatients in the first week and “upon discharge” only provides researchers with an incomplete assessment. It was also mentioned that they surveyed former inpatients six months after they were discharged which again provides an incomplete assessment because six months only reveals short-term effectiveness as opposed to long-term effectiveness. The last limitation is the

Receiving treatment within a hospital setting can be scary for anyone, especially if you have an undiagnosed issue, or have to remain under residential hospital care. The environment, the smell, the strange faces and medications, all contribute to the experience. As an adult, we have a lot more ability to comprehend the on-goings on hospital procedures. But, for a moment, imagine you were a young child, or even a youthful teenager who may not fully grasp things that may be happening to their bodies or mental abilities during their stay at the hospital. Now, not only are you faced with the presenting problem that brought you to the hospital, but you also have additional stress, nervousness, and fears that may present. For this reason, it is extremely important to focus on all aspects of an individual’s well being. This includes their mental, physical, emotional, and spiritual care, otherwise known as the bio-psycho-social perspective in Social Work.

During surgery, the nursing care is not just dependent on one nurse. A patient’s care is comprised of a perioperative, intraoperative, and postoperative nurse. Dependent on the type of surgery depends on the number of nurses a patient will have throughout their procedure. For a typical inpatient hospital surgery, the patient will have three different nurses, compared to a single day surgery in which the patients perioperative and postoperative nurse may be the same person. There are minor differences between the nursing role in each of these phases when comparing single day to inpatient surgery. Each of these nurses plays their own important role in the quality of care a patient needs when undergoing any type of surgery. Although taking

The OR unit is unlike all the other hospital settings. It is another world within the OR unit. First of all, everyone has to change to the surgical scrub in order to be in the OR unit. Then there is a preop unit, operation unit, and the postop unit. After I pick the patient I wanted to follow throughout the day, I went to introduce myself to the patient and the preop nurse that is taking care of the patient prior to the surgery. I observed the preop nurse, MD, operation room nurse, anesthetist, and surgeon came in one after another to ask questions regarding patient’s past and present medical history. The preop nurse monitors the patient’s vital signs and tells the patient to do the lung expansion activity. Then the nurse started an IV line and draws two tube of blood out for the lab. The nurse then asks the patient to sign the consent form and explained to the patient that he is performing tasks to