Sharp Health Care Case Study

A person’s life can end at any age. They can depart quickly or slowly. End of life care, also known as palliative care, is the care of patients that are not only in their final hours or days but the patients with a terminal illness that has become incurable. End of life care takes into mind what the patient desires so it is recommended that they consider an advanced care plan also known as an advance directive and living will. These documents allow the patient to formulate decisions on the future of their care if, at any point, they cannot vocally express themselves.

1.1 Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.

Caring for patients at the end of life is a challenging task that requires not only the consideration of the individual as a whole but also an understanding of the

Caring for patients at the end of life is a challenging task that requires not only the consideration of the patient as a whole but also an understanding of the family, social, legal, economic, and institutional circumstances that surround patient care.

The topic of end-of-life care may seem daunting and uncomfortable, and yet most individuals do have unique desires and concerns regarding their provision for the future. Providing the opportunity for that communication, the advance directive and POLST forms allow an individual to explicitly state their wishes before the future. Developed to lessen the apprehensions concerning patients undergoing any extensive and unwanted measures to preserve life at any cost, these medical directives lighten the decision-making burden for physicians and families alike and help comply with the patient’s utmost end-of-life wishes.

Sharp, Scripps and Kaiser are the major stakeholders in San Diego Healthcare market. The main competitor for Scripps is the Sharp Healthcare, with both hospitals having around 25% of Inpatient discharge, Sharp has the slight edge over Scripps. Kaiser Permanent, UCSD and other hospitals have approximately 10% of market share. (Tu et al., 2013).

The importance of end of life issues and decisions are now being discussed at the time of admission to most acute care and long term acute care facilities. More attention is being placed on these specific decisions to ensure that the patient's

This paper will explore what would entail “A good Death”. I will discuss Pain Control, No Excessive Treatment, Retention Of Decision Making By The Patient, Support For The Dying Patient And His/Her Family And Friends, Communication Among All Parties And Acts Done Out Of Love That Make Dying More Difficult.

The good that came out of the situation was that the care plan for the last days of life had been met. The patients and the family's psychological, social and spiritual needs had been addressed, and the patient was comfortable and free from pain (Kemp 1999). The care that was carried out protected the patients' dignity and respected him as a human being, with his family being involved as much as possible with his care.

Since the inception of the Patient Self-Determination Act (PSDA) in 1990, Modan and Brill (2014) stated that modification has been made to reflect the true intention of clarifying and protecting the patient’s wishes for his end of life care. However, despite the improvement in advanced care planning (ACP), Modan and Brill (2014) reported that public participation remains low. Moreover, due to the fact that ACP requires communication strategies, Modan and Brill (2014) also commented that there is a disconnection between the patient and providers – when health care workers tend to focus more on protocols than the patient’s experiences. Thus, to effectively engage the patient in ACP conversations, a nurse must look into his

With an increasing aging population and growing numbers of individuals with chronic conditions, it is important for individuals to prepare for end-of-life care. An Advance Directive is a defined as a “legal document that provides data to critical care staff about patients’ wishes, especially when critical illness decreases decision-making ability” (McAdam, Stotts, Padilla, and Puntillo, 2005). An Advance Directive also allows for better communication between the patient and doctor, and preserves the autonomy of patients. It may also alleviate one’s family from any possible burden of uncertainty of one’s wishes. It provides guidance, which may avert arguments with family members concerning treatment choices (Cedars Sinai, 2015). The Patient

End of life care does not just begin at the end as the name suggests, but it is the care a person receives once they have accepted the prognosis of a rapidly approaching end. The elderly population with multiple comorbidities may be “living, and dying” at the same time. This was a new idea brought about by this very class; The patient may be living with one or more chronic illnesses and may require a lot of assistance and care for days, weeks, and sometimes even months leading up to their death. The continuity of care is even more pertinent at this late stage in life. Continuity of care is, at its most basic of definitions, the quality of care over time. Establishing continuity of care is based on promotion continuous, caring relationships between patients and healthcare providers. It also includes ensuring a safe, coordinated transition of patients between healthcare environments, either from

The content of the Five Wishes document can be applied to practice by giving healthcare professionals words to use in the dialog that occurs when having a discussion related to end of life desires. Many times, during these challenging topics and moments staff, patients, and families do not know how to discuss dying or what to ask for during the days leading up to death. Additionally, this document can serve to offer an unbiased conversation. Lastly, Five Wishes can help to translate allowing natural death, end of life moments, comfort, and dying with dignity. Specialized areas of care such as intensive care settings can utilize this document to help patients and families make decisions and understand the kinds of care that will be given to their loved one.

Sharp HealthCare implemented different elements towards their approach for motivated employees. The key factors was the focus on purpose, worthwhile work, and making a difference in the workplace that led to patient satisfaction and improved outcomes (Burns, Bradley, & Weiner, 2011). Therefore, their approach was successful due to the positive results from the key factors. The only weaknesses in the sharp approach would be the retention of current employees instead of hiring new ones (Burns, Bradley, & Weiner, 2011). Sharp goals are to retain loyal employees to promote morale in the organization, but it can also bring disadvantages. Those disadvantages could include employees becoming too relax (non-working), no diversity, and even creating

The following case study was based on the positive and negative aspects of a delivery system named Sharp Healthcare. Sharp Healthcare was integrated serving a population of about three million (Burns, Bradley, & Weiner, 2011). The delivery system was located in San Diego, California, in which it had several hospitals, facilities, and services as well as being the largest employer. Sharp sought out to be one of the top places to work and 2007 won an award. Sharp promotes six pillars in order to make the company successful overall: organizational goal setting, priority setting, performance evaluations, as well as setting high standards for the employees. Sharp has been determined to target quality, service, and people through employee standards