MUTUALLY IDENTIFIED CONCERNS: M.H was recently diagnosis with hydrocele and presented with scrotal swelling and moderate pain. The major concern identified was pain that was occurring and that will occur post-surgical. The patient is currently receiving Ketorolac and will need to monitor for adverse side effects that can occur with this medication. This is especially concerning due to the fact that the patient has a history of peptic ulcer disease and this medication can cause gastrointestinal bleeding
healthcare delivery more patient-centered is not an easy process. Patient centeredness is one of the six interrelated factors constituting high quality-care identified by 2000 Institute of Medicine report. Patient-centered care can be defined as a healthcare setting in which patients are encouraged to be actively involved in their care, with a physical environment that promotes patient comfort and staff who are dedicated to meeting the physical, emotional, and spiritual needs of patients (Charmel & Frampton
of an adverse outcome. The reasons for using the ED for non urgent care are varied. Pine et al (2015) identified several causal factors for non-urgent ED visits the most significant seemed to be low income, lack of insurance, access (availability), convenience and poor health status. David Boyle (2013) suggested that Emergency Departments serve as primary care provider and some patients used the ED due to lack of access and even out of habit. Kubicek, et al (2012) suggested non urgent visits
discharge and outcomes managers, hospital leadership, insurance companies and last but not least patients and their families. In this project, the stakeholders that have a key role will be the core hospital staff that consists of nurses, physicians and the discharge and outcomes managers. Leadership has already pledged support of processes that provide opportunities to improve patient care. Patients and families may affect the project with their willingness to participate in a new process and provide
one post-operatively or as soon as medical condition would allow. All patients had radiographs post-operatively as soon as possible and prior to discharge. There was no routine follow up organized for patients following their discharge from the hospital. All ASA grade I patients with intra-capsular fracture neck of femur, who live active life, were offered total hip replacement as per guidelines from NICE. Similarly, patients with significant osteoarthritis and rheumatoid arthritis were offered total
information into the computer and copied insurance card, she did not obtain any parental photo identification or inquire about custody arrangements. Patient and her mother were taken to the pre-operative area to prepare for surgery and
Knowing a Patient During a hospital stay, a patient can have a myriad of nurses taking care of them. It is interesting to see which nurses have had the same patient before and which are new to the nurse. It seems that the nurses are being rotated between patients almost randomly. A nurse that takes care of the same patient will assumedly have a better opportunity to get to know the patient, grow in the relationship, and understand the baseline, leading to better care for that patient. Although each
The knowledge level of nurses to provide providing palliative care to patients in the intensive care unit (ICU) setting was an area identified as an area requiring further of investigation for this quantitative research study. Review of literature revealed that Uutilization of palliative care has been associated with a reduction in direct hospital costs as well as an improvement in patients’ quality of care and quality of life. The purpose of this study was to assess knowledge levels of palliative
Intrinsically linked to oral health, nutrition and hydration can be influential to a patient’s recovery and overall disposition during care. Encouraging a patient to participate in healthy nutrition and hydration supports person-centred care. A carer’s priority is safeguarding against malnutrition, dehydration and overhydration, but a patient’s wellbeing depends on a comprehensive view of nutritional care. To deliver person-centred care in this situation requires appropriate systems and protocol
structured process for case management to provide handoff to the primary care offices when patients are discharged from the hospital. The transition of care from hospital to home is a critical time, during which the risk of adverse event occurrence is high. According to Shivji, Ramoutar, Bailey, & Hunter (2015), 19%-23% of patients experience an adverse event following discharge to home. Elderly patients are at greater risk due to functional and cognitive limitations; this is compounded by the