What Are The Challenges Of Care Transitions

Witnessing the patience, strength, and compassionate attributions that nurses convey within their care was remarkable. Having the opportunity to make a positive difference in the life of another human being was a very overwhelming and humbling experience for me. Therefore, these encounters set the foundation towards my pursuit of a nursing career.

Nurse Practitioner Interview 901218868 Texas Woman’s University Introduction For my interview, I spoke with one of the Nurse Practitioners (NP) that I interact with while working my shift at the hospital. I will call her Terri Smith because although I asked to use her quotes in my paper, I did not think to ask for permission to use her actual name. Where I work, many of our internal medicine physicians are hospitalists. During the night, they are covered by the umbrella of Quest Care. There are several NPs that work under the afore mentioned physicians and are there, on-call, when needed for their clinical expertise. It is nice, because even though I can’t develop much of a relationship with the doctors whose patients I work so hard to take care of, I get to have the opportunity to grow strong bonds with the NPs that I see almost every shift.

Standard 16 of the American Nurses Association (ANA) Scope and Standards Practice, directs nurse leaders to advocate not only for patients but for all members of our healthcare community. As a discharge planner, I am in a unique position to advocate not only for patients but for caregivers as well. As part of my responsibilities, I participate in daily multi-disciplinary team rounds. The meetings take place so that all disciplines can openly discuss patient care needs. They provide the perfect opportunity for anyone to bring to light problems or concerns.

　　This week I have fully grasp the work that goes into being an RN, case manager and what it entails to fully review a patients’ stay at the hospital in order to discharge them in the most effective and efficient way. I understand the need for these professionals in the

The person I interviewed is Raegan. Raegan is a patient advocate in a nursing home. Raegan received her Bachelor’s Degree in psychology at Western Michigan University. She received a Graduate Certificate in patient advocacy from the University of Toledo. Raegan has been a patient advocate for 5 years. She became a patient advocate because she likes helping patients with their direct care needs, and enjoys helping patients navigate through the complex health care system. As a patient advocate, she helps patients in numerous ways. Raegan ensures that patients see the correct doctors, coordinates care between doctors, ensures the patient has access to all available treatment options, and that the treatment plans are being followed. She also educates the family on how to

Nursing Reflection Paper John Mwangi St Joseph School of Nursing Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.

First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their

If you’re a caregiver you know that some days are better than others, but when you’re caring for a person who suffers from Alzheimer’s it can feel like things change from minute to minute. The professionals at Senior Care Transition Services provide free resources and senior living advice to people in the Dayton, OH, area who are looking for in home care providers, medical services, senior services, and assisted living communities. They know how trying caring for someone with Alzheimer’s can be and they have 3 valuable tips for all of the dedicated caregivers out there:

Out of the twenty-three workers interviewed, the overall complaint seemed to be about time. They each have totake care of an average of six residents, and with their work schedule there is no way they cancomplete the required tasks. In training, none of the nurse assistants were prepared to deal withtime limits. Gravely, as a team they were left with no choice other than to choose workefficiency over patient care. This is not right, however seeing their side of the situation, it wouldbe extremely difficult. However, patients and residents always come first. Assuming the issue oftime not only affects those who work in long term care facilities, but could affect those workingin hospitals (where I plan to work), is very eye opening. It prepares me to not only learn what

The transitioning to a long-term care facility can be scary and stressful for residents, and some may find it difficult to adjust. I agree with you that the enabler role can be of great assistance to the resident and their families to help reduce the stress of entering a new facility. The frequent visits and encouragement from the social worker will let both the patient and their family know they will not be alone during this transition. Have you ever had to utilize the services of a social worker? In my current position, I come into contact with patients who require the support of a social worker typically for help with resources that they need to attain. Being a social worker is a demanding position since they are there to assist the patient,

Most nurses decide to take this journey to transition because acute care settings are switching towards an overall RN health care provider, and this makes it harder for the LVN to find a position in the hospital. In my case, transitioning to a role of an RN means becoming more knowledgeable and confident as a nurse, as well as being able to do more for my patients. The expectations are higher of the RN’s even if they have some of the same duties as the LVN’s. In my understanding, the RN’s have to analyze issues even further and use critical thinking to determine what certain conditions are and how they relate to the patient. As an LVN with one year of experience working in home health, I have some experience with situations that require critical

Globally, unlike in the past, it is rare for a patient to consult with the same healthcare provider over their lifetime, often referred to as healthcare provision “from the cradle to the grave” of a patient (Mostert-Phipps, Pottas & Korpela, 2012). This rarity is credit to the fact that currently patients move between healthcare providers due to various reasons (Medical School, 2003; Naylor & Keating, 2008; National Transitions of Care Coalition, 2010; Picton & Wright, 2012; Masango-Makgobela, Govender & Ndimande, 2013). The Joint Commission (2013) terms this movement as the “transition of care”. However, this transition of care results in the fragmentation of provision of patient healthcare, and thus challenges continuity of care (CoC) (Haggerty

Several of the roles which I observed this morning were expected: the nurses took vitals for incoming patients, performed focused assessments, and were the main communicators between family, the patient, and the physician. I realized when the first patient came in around 10:00 am, the RN’s role in assessments, gathering blood work, and carrying out all the necessary steps to situate and stabilize the patient as soon as possible. It was incredible seeing the nurses work together, in sync, in those first moments when the patient was brought in. And though expected, I appreciated seeing just how much communication was held and information was gathered from the patient or family members by the nurse. Jessica asked the right questions from both parties, while still showing incredible empathy and not making the whole situation seem rushed and flustering. I understood this as another essential role of the nurse in the ED; he or she must maintain even in such a fast-paced environment empathy and focus in each interaction.

Here are some numbers for tomorrow’s meeting. Between all of the providers from June 2016 until now, 51 percent are choosing MD Navigate to Coordinate of that 51 percent, 48 percent have MD Navigate in the To field. I have compared against referrals following the same workflow that have passed and the only difference that I have been able to extract is that on the ones that are failing, a Transition of Care does not look like it is being triggered. I have reached out to Patrick for an update over the course of this month, but to no avail. He stated he would be available next week and has access to email, so if I hear anything before next week I will keep you

This DM experience I felt was challenging in that my client is an older adult whom has always made her own decisions about how she lives her life (which was impacting her life) and developing specific goals, objectives and initiatives that focus on making change. It felt is would be challenging around her lifestyle habits to make change. My plan for this was to develop a nurse client relationship where p felt comfortable and allowed me to share information about ways in which we could improve her health. I felt the first step was ensure I involved I shared with her information to diagnosis, contributing factors to her illness and supportive initiatives in which she could move forward to develop change thought educated decision making.