What Makes A Proper Nurse Participation

Improving the quality of discharge planning in acute care include addressing the lack of appropriate staff and patient education about appropriate planning for discharge (4). This includes implementing proper discharge teaching regarding signs and symptoms to seek medical attention, management and care of medical equipment, and access to community resources (4, 5). Other challenges are patients with complex comorbidities too difficult to discharge as well as lack of community supports and equipment for newly discharge patients and lack of rehabilitation and nursing home beds (4). Consequently, acute care units are pressured to vacate hospital beds in response to the growing elderly population. Hospital professionals tend to focus discharge teaching and preparation on medical areas such as diet, activity, treatments, and medications (5). Community referrals to appropriate services at the time of hospital discharge does not often happen contributing to poorer patient outcomes and re-hospitalizations

Discharge planning is used to create a plan of care for a patient who is leaving a care setting. An evaluation is done to determine the patient’s continuing care needs once they have left the care facility. When patients are send back home or to a facility that does not require full time nursing care assistance, programs need to be put into place to ensure that the patient is receiving the proper continuation of care post discharge. Proper discharge planning can decrease the chances of a hospital readmit, help in recovery, ensure medications are prescribed and given correctly, and adequately prepare family or caregivers to assume proper post discharge care. According to the Family Caregiver Alliance, “It is important, not only for patients, but family

The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

Ineffective discharge teaching often leads to unnecessary admissions to the hospital resulting in negative patient outcomes and decreased patient satisfaction. This negatively impacts the well-being of the patient and creates a financial burden on institutions. As a result, this universal practice issue requires a call to action on the part of the nursing profession. Nurses can proactively assist in assuring incidents of readmission do not occur. Nurses as educators play a critical role in the successful transition of patients from hospital to home. The overall goal of discharge education is to ensure there is an exchange of critical information between the patient and nurse in which plans of care are understood and followed. The research

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.

The nurse supposed to be aware of time consuming techniques and avoid those in emergency cases. For example, techniques that takes a long time, such sitting next to the patient and listening to the patient’s concerns must be avoided in emergency situations, instead the nurse can make eye contact with the patient and reassure him or her that everything will be done for the patient. Therapeutic communication must be used for all patients regardless of their ethnicity, race, age, sex, and religion. All nurses must apply these techniques in practice for all their patients in the same manner. Mostly all therapeutic techniques are under nursing scope of practice due to the reason that they are done psychologically and there is no specific use of medications, physical tasks, or decision making involved. Therefore, all nurses can apply these techniques freely since they are all under the scope of practice. Nurses must be aware of external and internal regulations while using therapeutic communication techniques. Sometimes, the techniques take time to be done and nurses must make sure they will do all other tasks that the organization assigned to them on-time. Potential breakdowns in these areas can be the low amount of time to apply the techniques at bed-side or in emergency situation. Nurses have multiple patients and multiple tasks to perform at all times and applying

contribute to the costly effect include the fact that nurses have, increased incidence of nurse burnout and patients have poorer outcomes increasing both mortality and readmission rates. Nurses are a large component to keeping readmission rates down through spending time with a patient and educating and empowering patients on self-care through helping patients understand importance of medication regimen adherence, importance of diet adherence, ways to reduce infection and various other skills to care for self at home" (Problem Memorandum Assignment, 2015) The documents exigence is crucial the audience to better the outcome of patients and that of the health

Integrating an Advanced Practice Nurse into the discharge process to help guide proper understanding of discharge instructions to help decrease non-compliance, along with re-admission rates. The best types of research evidence will include clinical practice guidelines (CPG), Random Controlled Trials (RCT), Primary Research Studies. I included other types of studies but come up with small results. I used different variables when searching the literature. Some of these included, literacy level, different types of a disease process, use of pictograms, re-admission percentages, along with non-compliance.

It is essential for nurses to understand which appropriate method and tools should be utilized for an individual and their families when performing discharge teaching in order for the patient education to be successful which in turn will promote proper healthy healing (Bastable, 2014). The purpose of this discussion board is to develop two objectives from my teaching plan and describe the instructional methods that will help Tina with meeting these objectives, identify which evaluation method I will utilize to help determine if the objectives were met and explain why I chose this particular evaluation method for Tina. And further discuss any potential barriers that might be expected and discuss how I plan to address these potential barriers.

All medical professionals, certainly all nurses are familiar with the phrase “discharge planning begins on admission”. However, during my tenure as a case manager on the floor, patients were frequently surprised that I wanted to discuss discharge planning so soon. I frequently had to reassure patients that we were not “trying to kick them out”. Continuing my research related to the implementation of multidisciplinary rounds (MDR), I wondered what the patient’s perception of having an entire group of people at the bedside discussing the discharge plan would be. My qualitative research question is: What is the patient’s perception of MDR during the first six months of implementation? Because I am interested in MDR from the patient’s perspective without regard to cultural context, a phenomenological research study would best answer my question (Melnyk & Fineout-Overholt 2015).

Nurses should be full partners, with physicians and other health professionals, in regarding health care in the United States(Institute of Medicine, 2011).Nurses should be full partners because who knows nursing and what nurses need better than a nurses themselves? In care environments, being a full partner involves taking responsibility for identifying problems and areas of waste, devising and implementing a plan for improvement, tracking improvement over time, and making necessary adjustments to realize established goals (Institute of Medicine, 2011).The expense of certain supplies and equipment could be decreased over time if nurses had more say in their environment and resources. On many floors in hospitals, certain supplies are not needed

This assignment is going to outline and prioritise Mr Wilson’s health problems. It will also state what would be the best care a nurse can provide taking into consideration his ongoing health condition in order to provide a safe and high quality care plan. The assignment will focus in three main health problems. Providing at least two desired outcomes based on his current heath condition. At the same time, this document is going to identify the interventions needed in order to provide the best possible outcome for the patient. It will also discuss and consider different situations that the patient might face after discharge and which strategies can be used in order to address these issues properly.

Discharge planning and management with an elderly person can become very complicated and should be approached with an open mind and the willingness

Using the seven key principles of the hospital discharge process devised by the Department of Health (DH, 2003), this case study will critically analyse the process of an elderly patient who was discharged from a local acute trust. It begins by providing a definition of discharge planning, before providing a brief biography of the patient, including a rationale of why this patient was selected, details of her past medical history, reason for current admission, any issues raised and details of any care provided. Throughout this case study, in accordance with the Nursing and Midwifery Council (NMC, 2008) and the Data Protection Act (1998), the patient shall be referred to as Mrs. Blue to maintain anonymity. Although the

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.