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Safe Patient Care
Hello Professor,
First of all, I do not think so nursing students allowed to provide safe patient care in the hospital
because they are still students. Also, professional nurse or RN might not trust that nursing students
can provide care to the patients. Nursing students can take case study from patients and learn about
learning environment during clinical experience, but I never see nursing students provide care to the
patient in the clinical setting. However, the nursing system here might be different from in my
country.
Secondly, If the student is unable to focus and provide safe patient care due to personal problems,
nurse educator should communicate with the student and give him/her opportunity to take the exam
on the paper related to
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Nursing Education and Quality Patient Care Essay
Introduction Adequate levels of nurses who are suitably educated and equipped are needed to
address the challenging quality and protection issues persistent in health care. Nursing deficiency
is not only viewed as workforce issue, but also as an issue of eminence care. In the health care
systems, 80% of registered nurses comprise the professions in place of 2.6 million jobs. This lays a
base under which their significance and impacts on health delivery to patients is underscored.
Among the common roles expected of a registered nurse is: providing patients in hospital with direct
care, setting emergencies, providing care in community health arenas, home health and other places
of care (Joint Commission, 2010). As indicated by (Delamaire&...show more content...
According to Lindeman (2000), the frequently mentioned forces include policy of market–driven
economy, technology, demographics, and explosion of knowledge. The four views will be
presented as the changes in the nursing education. Policy of market driven economy As argued by
Lindeman (2000), funding of public school and making education available to all between 12 and 14
years, funding Medicare and Medicaid with dollars of tax, and building roads and subsidizing
transportation, made people of United States believe that their government was a medium that
improved the lives of general public and that promoted common good in 20th century era. Due to
escalating demand in prisons, transportation, education, welfare, and health care, the situation had to
change around 1980s because there was inadequate fund to cater for the above named burden. As a
mechanism for regulating expenses and ensuring quality, the federal government as well as states
bowed to market place. This leads to a conclusion that, government should not be trusted. Profit
hospitals and plans of health are growing at a higher rate than non–profit competitors, making
enrollment in managed care rush forward with the crucial idea that, the market place will manage
costs and expenses. This implies that, nurse
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Patient Safety Essay
Introduction
Keeping patients safe is essential in today's health care system, but patient safety events that violate
that safety are increasing each year. It was only recently, that the focus on patient safety was
reinforced by a report prepared by Institute of medicine (IOM) entitled " To err is human, building a
safer health system"(Wakefield & Iliffe,2002).This report found that approx–imately 44,000 to
98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths
due to medical errors exceed deaths due to many other causes such as like HIV infections, breast
cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President
Clinton established quality interagency...show more content...
Wrong side surgeries are also increasing, which are highest in year 2008.
According to Health Grades, 2009, total Direct cost of unsafe infection practice to Unit–ed State is
$535 million while cost to patient safety events is 6.8 billion to federal Medicare pro–gram and also
leads to 92,882 preventable deaths in USA. Top 250 hospitals of US have achieved patient safety
excellence award, which has a potential to save 2 billion of federal money and 22,771 deaths from
Medicare patients (Health Grades, 2009). Institute of medicine (IOM) has estimated that adverse
drug reactions cost 1.5 million to the govt.which can be reduced with proper interventions (Classen,
Jaser & Budnitz, 2010). Total cost due to medical errors is 29 bil–lion annually, which includes
costs due to medical bills and due to loss of income and other dis–abilities. Seeing the severity of
patient safety events, it is necessary for the hospitals to take proper steps towards patient safety.
Each step towards patient safety saves hundreds of lives and thousands of dollars. Preventable
medical errors affect the trust of patient on health care person–nel (Health Grade, 2009).
National patient safety goals
National patient safety goals were established in year 2002 to help
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Essay on Providing Quality Patient Care
"Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a
preparation, as any painter's or sculptor's work..." (Nightingale, 1868)
In today's health care system, "quality" and "safety" are one in the same when it comes to patient
care. As Florence Nightingale described our profession long ago, it takes work and vigilance to
ensure we are doing the best we can to care for our patients. (Mitchell, 2008)
The World Health Organization outlines 6 areas of quality that help shape our definition of what
makes quality care. Those areas are; (1) Effective: using evidence bases practice to improve health
outcomes based on needs of individuals and communities. (2) Efficient: healthcare that maximizes
...show more content...
(Burhans & Alligood, 2010)
On a daily basis there is a lot of thought and focus directed at these patients to assure they are getting
quality medical care; you may have caught a medication error, made multiple phone calls, waited on
hold for what seems like forever, waited on doctors, ran to another floor all to get a patient something
they needed or wanted, or may the nurse noticed an important change in the patients status that could
dramatically affect their outcome. Most times the patient does not see or not even know about these
behind the scenes battles to ensure quality care. Conversely, most often, especially when considering
a patient in the hospital setting, our perception is our reality. Patients often do not know the ins
and outs of procedure and protocol and rely solely on their perception of the care they are
receiving. Studies have shown that patients desire to be perceived and cared for as individuals.
Lying in that bed waiting on a nurse for 20 minutes for pain medication may just translate into lack
of care on the nurses' part to the patient but in reality the nurse was caught in another room with a
different patient with a situation he or she couldn't walk away from. Often nurses are stressed which
can also convey a certain harshness to patients. In other cases maybe the job has become so
repetitive that the nurse
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Patient-Centered Care: A Case Study
and appreciating him as a human being, and partnerships between the patient, his or her family, and
health care providers. Moreover, they added that this model is being implemented in hospitals'
practices throughout the United States and can be found in the mission statements of many
healthcare facilities (Fredericks et al., 2012). In their study, Abdelhadi, and Drach–Zahavy (2012)
reported that the patient–centered care approach is based on understanding each individual'
perspective of illness and promoting mutually beneficial collaboration between patients, families,
and healthcare providers. In another study Maizes, Rakel, and Niemek (2009) argued that there are
different explanations of the patient–centered care approach, but there are common themes among
them such as forming a therapeutic relationship, a focus on the whole person, giving importance to
the patient rather than the illness, and a willingness to accept alternative therapeutic approaches to
conventional therapy....show more content...
It has been proposed that one of the barriers to the adequate integration of patient–centered care is
the vagueness of its definitions and key elements. (p. 51)
In his study, Hobbs (2009) argued that patient–centered care involves individualized patient care
based on patient–specific needs rather than focusing on health problems. This develops a
comprehensive healthcare approach, where health providers attempt to see the illness through the
patient's perspective and are responsive to the patient's needs and preferences (McWhinney, 1989).
In their study Saha, Mary, and Cooper (2008) indicated that the concept of patient–centered care
includes many sub–themes which are the following: patient– centered communication,
patient–centered access, patient–centered interview, and
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The purpose of this research paper is to find evidence–base data to improve the quality and safety of
patient care and to prevent patient falls in the hospitals. It will include three evidence–based research
reports related to fall preventions and patient safety, examine a national initiative to support my topic
of falls in the hospital, and discuss Orlando's Nursing home testing Process Theory. The Joint
Commission, TJC (2013) requires accredited hospitals to conduct fall risk assessments for
hospitalized patients in order to identify fall risks in each patient, so prevention measures can be
implemented into their plan of care. TJC began to monitor sentinel events in 1995. Through the end
of 2012, there have been 659 fall–related events which resulted in death or permanent loss of
function. This number reflects voluntary reporting and represents only a small portion of actual
events. The actual number is unknown, but is most likely much greater, demonstrating the
importance of fall prevention intervention (The Joint Commission, 2013). The TJC requires every
accredited organization to define what they consider to be a patient fall but there is no universally
accepted definition of a patient fall. The Veterans Health Administration (VHA) define a fall as, "loss
of upright position that results in landing on the floor, ground or an object or furniture or a sudden,
uncontrolled, unintentional, non–purposeful, downward displacement of the body to the floor/ground
or hitting
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Nursing Care Study Essays
This assignment will present a nursing care study of a patient on a cardiac ward. The patient will
be referred to as Ann to maintain confidentiality (NMC, 2008). Ann's consent was gained prior to
starting this care study. The care study will be developed using the Nursing process and the Roper,
Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment
process and one problem identified during the assessment and the nursing care which followed this.
I was placed on a cardiac ward within the Trust for my phase four placement. The ward deals with
patients who have acute cardiac conditions including myocardial infarction. The ward also
accommodates those with chronic cardiac conditions such as...show more content...
The cardiac ward used Roper, Logan and Tierney model to assess the patients being admitted to
the ward as a way of comparing how a patient's life has changed due to illness or admission to the
hospital (Roper N, 1980). This model was the first to be developed in the United Kingdom. Tierney
(1998) claims the contribution that the model has made to nursing is that it has encouraged nurses to
refocus on health rather than ill health. The model also shows the complexity of nursing. The model
covers the patient's whole lifespan. In the model patients are seen as engaging in twelve basic
activities of living (Pearson et al 2005). The twelve activities of living are maintain a safe
environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and
dressing, controlling body temperature, mobilising, working and playing, expressing sexuality,
sleeping and dying. Each activity is seen to have five influencing factors, those being, biological.
Psychological, socio–cultural, environmental and politico–economic. A copy of my own assessment
of Ann using this model is included in the appendix. Minardi (2007) maintains that assessment is an
evolving, incremental gathering and processing of information relevant to the clients situation or
needs. Assessment must take place firstly to get a picture of the patient before setting out
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Quality of care and patient care management are most important and essential for a hospital to
increase its value. For most of the people 'quality of care of a hospital' means proper and
dedicatedly treatment to patients by doctors and other staff, at right time, in right way (Burns, et.al,
2012). The purpose of this paper is to write a report for Sunlight Hospital, California on certain
improvements in quality of patient care considering important measurements of quality of care and
main features used to design a successful quality improvement plan in hospital for increasing
efficiency and value of Sunlight Hospital.
Five measurements of quality of care in a hospital In the process of improving health care quality,
measuring the quality of care in hospital is most essential step. Quality measurement can help to
improve patient care management. Quality measures provide information about how well a hospital
offers care for its patients (Burns, et.al, 2012). This information can help to compare with other
hospitals. There are various measurements of quality of care used in hospital, which include: 1)
structure of hospital, 2) process of care, 3) outcomes of care, 4) patient safety, and 5) patient
experience (Burns, et.al, 2012).
Structure of Hospital Settings: This measurement evaluates the both hospital building and staff
infrastructure, such as hospital's administrative office, doctor chambers, patient wards, outdoor
wards, patient waiting rooms, capable staffing
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This essay discusses and reflects upon patient care in the post anaesthetic care unit (PACU) and
is linked to my experiences on placement. It discusses how my approach to patient care has been
challenged and analyses how evidence based practice can create a change in the way patients are
cared for. It reviews the processes of managing the perioperative environment and evaluates the
implications for practice when applying a change in healthcare. Wicker and O'Neill (2010) state
that "The lack of immediate medical support in the recovery room means that practitioners work in
a more autonomous role than any other area of the operating department" (p.379). By reflecting
upon my experiences I am able to link practical and theoretical aspects of the operating department
practitioner (ODP) job role. This will provide me with a greater understanding of professional
practice and it will develop my personal knowledge and self–awareness (Forrest, 2008). Using a
model of reflection is important as it provides a framework that can be systematically followed
and acts as a guide through the process of reflection. For this essay I have chosen to use the
Gibbs' Reflective Cycle (1988) as it provides a methodical guide to reflection using a series of
ordered questions that each lead to the next stage of the cycle (Forrest, 2008). My experiences have
covered a variety of patients and surgical procedures and the majority of patients have been cared
for appropriately. Occasionally I have
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Quality Patient Care Essay
Personally, I believe that Quality Healthcare is something that can be measured and improved with
time in order to provide better service and quality to our patients. Examples of good Quality
Healthcare are: ensuring that medical professionals are licensed and knowledgeable in their
profession and are staying up to date with developing diseases, treatments, and last but certainly not
least, pharmaceutical alternatives.
In addition to being knowledgeable in their profession, Quality Healthcare feels to me, like it also
refers to having complete and accurate documentation on the patient's records (Quality and Quantity
as we learned last semester). By establishing good Quality Healthcare, it minimizes errors or
maleficence such as: unnecessary/wrong surgeries, allergic reactions due to drug administration,
even death.
Lastly, I think that having a very low percentage or even eliminating Hospital Acquired Conditions
(H.O.A) would also fit perfectly in my definition of Quality Healthcare. I understand that although
this has probably always been a battle in most facilities, it affects facilities greatly on how patients
choose their preferred hospital facility.
All in all, there are a lot of things that fit into the definition of...show more content...
NMCP's mission is very simple: ""doing the right things right and making continuous improvements"
(Portsmouth). They believe Quality Patient Care is accomplished by implementing the following:
"Risk Management, Patient Safety, Continuous Quality Improvement, Accreditation and
Certifications, Infection Prevention and Control, Culture of Safety, and Partnership for Patients"
(Portsmouth). I will post the website link at the end of my post if in case anybody wants to check it
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Patient Centered Care Essay
Patient centered health is surrounded by aspects of healthcare. Unfortunately, people just think
about the physician providing care to his or her patient. People never think about the essential
aspects of now hospitals provide safety. The purpose of this paper is to examine the overall
process of whom is responsible for patient safety, and how the process is achieved on a day to day
bases. Patient Centered Care There are so many important areas in health care that play an important
part to providing quality health care to patients. Hospitals try every day to ensure the safety of all
their patients. Patients centered care is essential to the overall experience. Hospitals aim for one
hundred percent satisfaction, however some hospitals,...show more content...
Risk Management issues are often handled at the facility where the problem(s) exist. One of the
duties of Risk Manager's is to communication and collaboration between departments within an
organization in question. In addition, to sinking risks, and cutting costs in order to promote process
efficiency .By analyzing incident reports is one way to correct current problems, and future problem
areas. Risk managers are also responsible for certain criteria that must be met in order for full
participation in certain government and state reimbursement programs ("World Health
Organization," "n.d."). Risk Management is a structured approach to managing improbability,
related to a risk, through a structure of human interaction. Who is involved? Risk Management
responsibilities are not constant their duties can change depending on the facility. A lot of risk issues
can be corrected with adequate education and training. Due, to proper training of physicians, and
staff decline in risk management issues. Although, in a lot of saturations require that patients should
also have education on their health. By taking time out to educate patients on his or her health can
also be beneficial to the overall health of that individual (Funnell, 2000). Charges to the
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Essay On Patient Centred Care
This essay aims to describe briefly what is meant by patient–centred care. It will also focus and
expand on two key aspects of patient dignity – making choices and confidentiality. Patient–centred
care (PCC) is an extensively used model in the current healthcare system (Pelzang 2010:12). PCC
is interpreted as looking at the whole person and considering their individual values and needs in
relation to their healthcare. By implementing a PCC approach it ensures that the person is at the
very centre of any plans that are made and has a dynamic role in the decision making process
(Pelzang 2010:12). Service users of NHS Scotland are no longer being looked upon as being inactive
receivers of care and are invited to have more involvement in...show more content...
(NMC Code 2008:3) Patient's decisions may sometimes be affected by various factors i.e. Their
surroundings, they are often vulnerable and out of their normal environment. A conventional health
care setting may be in a hospital environment where patients are most likely feel sensitive and
insecure. Matiti and Trorey (2008:17) conducted interviews involving 102 patients in 3 different
hospitals across the United Kingdom, over a period of 18 months. The purpose of these encounters
was to annotate what was being said and also the fundamental meaning of how patients believed that
their dignity was being put in jeopardy. One of the key aspects of patient dignity is making choices.
Whilst conducting these interviews Matiti and Trorey (2008:17) discovered that despite the fact that
patients accepted the loss of a little independence within the hospital surroundings, they wanted the
freedom to participate in the decisions about their healthcare. Patients' understanding in terms of
choice, authority or participation in care and autonomy varied extensively. A number of patients
were grateful that they were given the option to make decisions and that these were acted upon. On
the contrary others considered that their right to making choices was contradicted and often their
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The Importance Of Patient Care And Quality Care
Introduction
The importance of patient care and quality care is essential for an organization to remain in business.
It is often understood that quality over quantity is indispensable and imperative for an organization
to succeed. In most cases, costs are not the determining factor and should be of concern when it
comes to patient safety and quality care. Therefore, the measurement of the quality care is more
valuable than state–of–art facilities, costs, and specialized fields of medicine.
Quality Measures
The quality of care can be measured in so many different ways but to ensure effectiveness and
efficiency; Memorial Hospital would need to further review what techniques can empower their
brand and their competition. Firstly, Memorial Hospital can evaluate the structure of the
organization i.e. the setting, personnel, and policies that are related to the healthcare delivery.
Hence, is Memorial Hospital providing resources within the hospital that impacts patient care?
Secondly, Memorial Hospital can further evaluate the outcome measure. Outcome measure can help
the hospital to understand what the result of the care received was. This is can also include what the
survival rate is for patients that have chronic illness or suffer from a detrimental disease. According
to Rymer, et.al. (2014), "It would be a useful goal to create metrics that would reflect worldwide
improvements in access to care and outcome, based on the current available evidence" (p. 3).
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Patient Centred Care Essay
Patient Centred Care Essay
This essay is based on the Case study of a patient named as Mrs Ford. It will be written as a
logical account, adopting a problem solving approach to her care. She is elderly and has been
admitted onto a medical ward in the hospital, following a stroke. This essay analyses the care that
she will receive and focuses on the use of assessment tools in practice. Interventions will be put in
place directly relating to the assessment feedback and in line with best practice.
Mrs Ford is a 70 year old lady who has been admitted following a stroke. She is accompanied by her
husband. Mrs Ford is a fictional name used in this essay due to confidentiality (Nursing and
Midwifery Council (NMC), 2010). A holistic approach to...show more content...
Evidence based care is objective and does not use practices that are based on tradition and/or habit
(Jolley, 2010, p.47). The National Institute for Health and Care Excellence (NICE, 2005) encourages
Risk Assessment scores (RAS) to be used in conjunction with the nurses clinical judgement not
instead of it.
Mrs Ford is vulnerable and will need restorative care. A vulnerable adult is defined as someone
over the age of 18 who is not able to look after themselves or protect themselves from harm and
might need help from care services (Lord Chancellors Department, 1997). Although DOH et al.
(2009) state that there are people who want to change the term vulnerable adult to a person at
risk. As stated by the Safeguarding Vulnerable Groups Act (2006), Mrs Ford is a vulnerable adult
because she is elderly, needs assistance and has a new disability. She is anxious and knowing that
the nurses are treating her individually and with compassion will make her feel safer. Although
she is vulnerable and at risk there is nothing to indicate that Mrs Ford does not have capacity.
Mental capacity is assumed unless proven otherwise and patients should be able to make their
own decision even if it is an unwise one (Mental Capacity Act, 2005). Therefore Mrs Ford can
make informed decisions and consent to all aspects of her care. With Mrs Ford 's consent, her
family can be involved in her care and they may be able to assist with
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Patient-Centred Care Essay
Nursing has a crucial responsibility when it comes to managing, treating, diagnosing, and pinpointing
evidence–based strategies to tackle quality of life in persons who suffer from chronic illness (Gies
2016). To have effectual nursing practice, patient–centred care, and improved patient outcomes,
understanding the correlations and distinctions of self–perceived health, health–related quality of life,
and quality of life is essential (Gies 2016).
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Introduction
Hospital is an institution providing medical care and other services for sick and injured persons.
The modern hospital has three major functions: patient care, education and medical research. The
total number of hospitals around the world is estimated to be about 1,25,000. In the United States
there are about 10,000 hospitals providing services and facilities for the humanity. There are also
more than 10,000 nursing homes providing care to the chronically ill and the aged. Thus hospital
provide a great service to the society.
Healing Hospital
The first and foremost duty of the hospital is to provide healing to the patients who have reached
there with an intention of a healing either of physical or mental sickness. As far as the hospitals are
ready to provide this service the hospitals are doing a great service to the humanity. The famous
doctor Carolyn C. Ross describes the difference between heal and cure. The definitions aren 't that
different apparently.
Heal is defined as:
1.To restore to health or soundness; cure.
2.To set right; repair:
3.To restore (a person) to spiritual wholeness.
To become whole and sound; return to health.
Cure is defined as:
1.Restoration of health; recovery from disease.
2.A method or course of medical treatment used to restore health.
3.An agent, such as a drug, that restores health; a remedy.
To become whole and sound, to restore to health, is what the health care providers strive for the
patients. What she learned in
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Quality Patient Care Essay
What is Quality Patient Care
Quality patient care is extremely important throughout the health care community. While caring for
each patient, they should have a sense of feeling welcomed and involved in making decisions
revolving around their treatment. Every patient is different, each will require an alternative method
of care. While quality care playing a passive role in health care not only should the patients receive
this care, but physicians, nurses, caretakers and many other modalities of health care should be fully
prepared to meet each patient's needs with the care they deserve.
Often patients lack knowledge pertaining to their health. Exams aren't being explained, patients
aren't included in decisions concerning their treatment. Patients enter departments with questions
such as, "Why am I having this test done?", or "What is this test for?", these types of questions
shouldn't be heard from a patient. Exams should never go unexplained and patients should never feel
as though they have been left in the dark when it comes to their health. Involving patients gives them
a sense of security and acknowledgement when it comes to their concerns and questions. When it
comes to meeting patient care needs it not only pertains to conscious patients. Patients who...show
more content...
Sometimes all a patient needs to receive proficient care is compassion, kindness, and comfort.
Listening to a patient while they express concerns, is an important part of quality care. Comforting
a patient entails being there when they are scared, possibly going through a procedure that wasn't
explained to them, makes a big difference, from a patient's point of view. An act of kindness goes a
long way with patient's maybe they need a drink or help to restroom, volunteer assistance and assure
them their need's will be meet throughout the duration of their stay in the health care
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Nurses Provide Excellent Patient Care Essay
Nurses provide excellent patient care, teach patients about health conditions, and give advice and
support to patients and their families. Nurses have a variety of duties. They must monitor and record
patient symptoms, take vital signs, watch patients diet and physical activity, supervise less skilled
nurses, and order and interpret tests to access the condition of the patient. Nursing can be a
wonderful, caring, and thoughtful job. However, to other nurses: nursing can be a difficult, tiring,
and stressful job. Any job can be tough but nursing is emotionally and physically draining on a
person. Nursing can be such a burdensome and demanding job sometimes because of the long hours,
the exam to become a nurse, and dealing with other people.
To begin with, nurses must work long hours at a time. Nurses, RN's, must work long hours. They
would have to work long shifts, weekends, nights, and holidays, if possible. The RN 's can only
get around the long hours by working for a private company. One of my friends is a nurse, she
works at St. Lucie Medical Center on the night shift. However, because she works nights she feels
like she is not a real person, like her life is consumed with sleeping. So, she has decided to switch
her hours to the day shift instead of the night shift. If one nurse feels like she was not a real person,
then many other people must feel that way too. Another story about my friend, she just finished
working a thirteen–hour night shift. She did not get much
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Essay Patient Care Plan
Introduction
Care planning is very important part of nursing. According to the Department of Health (2007) it is a
holistic approach that recognises that medical needs are not the only issue with a person that is in
hospital. It helps people to achieve the outcomes they want for themselves through truly personalised
services and promoting health and well being. According to Leach (2007) care planning generates
great benefits to client and staff by organising care by establishing common treatment objectives and
as a result this will improve the continuity of care as the objectives will have relevance, clarity and
control. The names of all people and the care setting mentioned in this assignment have been
changed to ensure that they cannot...show more content...
His condition has worsened over the last six weeks and the family state they can no longer look
after his needs at home. He is an 84 year old gentleman and is a very pleasant man. He lives with
his wife Mary and he has one son who lives nearby. John has had a hip replacement in 2007. He
also has had a coronary artery bypass graft in 1994.He has had his left earlobe removed due to
cancer in 2006 and is non insulin dependent diabetic. He is currently on the following
medications.(Appendix 1).John is unable to give the author much information as his cognitive
ability has decreased greatly over the last number of weeks. His wife and son gives the author
most of the information. He has times of lucidness where he can give some information but when
asked how he is he says 'fine and what am I doing here, let me out the fire has to be put out'. When
asked does he know where he is he states 'I am at home'. When asked who his wife is he says 'she is
my mother'.
Assessment
According to Kozier et al (2008) assessment is a continuous and systematic collection and
documentation of data. It is important to assess a patient when they come into your care. As a nurse
this is a good way to get a baseline of your client. You can observe the client and see do any changes
occur during their time under your care. Any changes from the baseline must be acted on and
reported to your supervisor. Good communication skills are needed to conduct a patient
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My Experience With A Patient Essay
INTRODUCTION
Throughout clinical I have faced countless new experiences. From performing new tasks to having
two patients, the last two weeks of clinical have been nothing short of exhilarating. Facing a difficult
patient has tested my abilities and how well I am able to adapt to various situations. Moving then to
two patients created a busy environment. Having one patient being independent and the other being
dependent on me, made for a good balance. However, with the countless medications needing to be
administered the past few weeks have been stressful. Learning to manage my time, between the new
patients, allowed me to focus on each of their needs. Through this experience I have gained new
insight, tied theory together between classes and clinicals as well learned how to handle difficult
patients. I have learned where I need to work on, how I intend to better my practice and how I will
take my previous experiences and apply them to the future ones. Understanding where I need to
improve my practice will give me a better understanding, herby benefiting both my patients and I.
WHAT
The past two weeks of clinical have been unlike any other. I started each clinical off by completing
patient and medication research. This gave me a better understanding on everything that was going
on. Following research, I began my clinicals and have since then experienced one in particular
instance that will stick with me for a while. I encountered a very difficult patient and
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Patient Care Essay

  • 1. Safe Patient Care Hello Professor, First of all, I do not think so nursing students allowed to provide safe patient care in the hospital because they are still students. Also, professional nurse or RN might not trust that nursing students can provide care to the patients. Nursing students can take case study from patients and learn about learning environment during clinical experience, but I never see nursing students provide care to the patient in the clinical setting. However, the nursing system here might be different from in my country. Secondly, If the student is unable to focus and provide safe patient care due to personal problems, nurse educator should communicate with the student and give him/her opportunity to take the exam on the paper related to Get more content on HelpWriting.net
  • 2. Nursing Education and Quality Patient Care Essay Introduction Adequate levels of nurses who are suitably educated and equipped are needed to address the challenging quality and protection issues persistent in health care. Nursing deficiency is not only viewed as workforce issue, but also as an issue of eminence care. In the health care systems, 80% of registered nurses comprise the professions in place of 2.6 million jobs. This lays a base under which their significance and impacts on health delivery to patients is underscored. Among the common roles expected of a registered nurse is: providing patients in hospital with direct care, setting emergencies, providing care in community health arenas, home health and other places of care (Joint Commission, 2010). As indicated by (Delamaire&...show more content... According to Lindeman (2000), the frequently mentioned forces include policy of market–driven economy, technology, demographics, and explosion of knowledge. The four views will be presented as the changes in the nursing education. Policy of market driven economy As argued by Lindeman (2000), funding of public school and making education available to all between 12 and 14 years, funding Medicare and Medicaid with dollars of tax, and building roads and subsidizing transportation, made people of United States believe that their government was a medium that improved the lives of general public and that promoted common good in 20th century era. Due to escalating demand in prisons, transportation, education, welfare, and health care, the situation had to change around 1980s because there was inadequate fund to cater for the above named burden. As a mechanism for regulating expenses and ensuring quality, the federal government as well as states bowed to market place. This leads to a conclusion that, government should not be trusted. Profit hospitals and plans of health are growing at a higher rate than non–profit competitors, making enrollment in managed care rush forward with the crucial idea that, the market place will manage costs and expenses. This implies that, nurse Get more content on HelpWriting.net
  • 3. Patient Safety Essay Introduction Keeping patients safe is essential in today's health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled " To err is human, building a safer health system"(Wakefield & Iliffe,2002).This report found that approx–imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency...show more content... Wrong side surgeries are also increasing, which are highest in year 2008. According to Health Grades, 2009, total Direct cost of unsafe infection practice to Unit–ed State is $535 million while cost to patient safety events is 6.8 billion to federal Medicare pro–gram and also leads to 92,882 preventable deaths in USA. Top 250 hospitals of US have achieved patient safety excellence award, which has a potential to save 2 billion of federal money and 22,771 deaths from Medicare patients (Health Grades, 2009). Institute of medicine (IOM) has estimated that adverse drug reactions cost 1.5 million to the govt.which can be reduced with proper interventions (Classen, Jaser & Budnitz, 2010). Total cost due to medical errors is 29 bil–lion annually, which includes costs due to medical bills and due to loss of income and other dis–abilities. Seeing the severity of patient safety events, it is necessary for the hospitals to take proper steps towards patient safety. Each step towards patient safety saves hundreds of lives and thousands of dollars. Preventable medical errors affect the trust of patient on health care person–nel (Health Grade, 2009). National patient safety goals National patient safety goals were established in year 2002 to help Get more content on HelpWriting.net
  • 4. Essay on Providing Quality Patient Care "Nursing is an art, and if it is to be made an art, requires as exclusive a devotion, as hard a preparation, as any painter's or sculptor's work..." (Nightingale, 1868) In today's health care system, "quality" and "safety" are one in the same when it comes to patient care. As Florence Nightingale described our profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008) The World Health Organization outlines 6 areas of quality that help shape our definition of what makes quality care. Those areas are; (1) Effective: using evidence bases practice to improve health outcomes based on needs of individuals and communities. (2) Efficient: healthcare that maximizes ...show more content... (Burhans & Alligood, 2010) On a daily basis there is a lot of thought and focus directed at these patients to assure they are getting quality medical care; you may have caught a medication error, made multiple phone calls, waited on hold for what seems like forever, waited on doctors, ran to another floor all to get a patient something they needed or wanted, or may the nurse noticed an important change in the patients status that could dramatically affect their outcome. Most times the patient does not see or not even know about these behind the scenes battles to ensure quality care. Conversely, most often, especially when considering a patient in the hospital setting, our perception is our reality. Patients often do not know the ins and outs of procedure and protocol and rely solely on their perception of the care they are receiving. Studies have shown that patients desire to be perceived and cared for as individuals. Lying in that bed waiting on a nurse for 20 minutes for pain medication may just translate into lack of care on the nurses' part to the patient but in reality the nurse was caught in another room with a different patient with a situation he or she couldn't walk away from. Often nurses are stressed which can also convey a certain harshness to patients. In other cases maybe the job has become so repetitive that the nurse Get more content on HelpWriting.net
  • 5. Patient-Centered Care: A Case Study and appreciating him as a human being, and partnerships between the patient, his or her family, and health care providers. Moreover, they added that this model is being implemented in hospitals' practices throughout the United States and can be found in the mission statements of many healthcare facilities (Fredericks et al., 2012). In their study, Abdelhadi, and Drach–Zahavy (2012) reported that the patient–centered care approach is based on understanding each individual' perspective of illness and promoting mutually beneficial collaboration between patients, families, and healthcare providers. In another study Maizes, Rakel, and Niemek (2009) argued that there are different explanations of the patient–centered care approach, but there are common themes among them such as forming a therapeutic relationship, a focus on the whole person, giving importance to the patient rather than the illness, and a willingness to accept alternative therapeutic approaches to conventional therapy....show more content... It has been proposed that one of the barriers to the adequate integration of patient–centered care is the vagueness of its definitions and key elements. (p. 51) In his study, Hobbs (2009) argued that patient–centered care involves individualized patient care based on patient–specific needs rather than focusing on health problems. This develops a comprehensive healthcare approach, where health providers attempt to see the illness through the patient's perspective and are responsive to the patient's needs and preferences (McWhinney, 1989). In their study Saha, Mary, and Cooper (2008) indicated that the concept of patient–centered care includes many sub–themes which are the following: patient– centered communication, patient–centered access, patient–centered interview, and Get more content on HelpWriting.net
  • 6. The purpose of this research paper is to find evidence–base data to improve the quality and safety of patient care and to prevent patient falls in the hospitals. It will include three evidence–based research reports related to fall preventions and patient safety, examine a national initiative to support my topic of falls in the hospital, and discuss Orlando's Nursing home testing Process Theory. The Joint Commission, TJC (2013) requires accredited hospitals to conduct fall risk assessments for hospitalized patients in order to identify fall risks in each patient, so prevention measures can be implemented into their plan of care. TJC began to monitor sentinel events in 1995. Through the end of 2012, there have been 659 fall–related events which resulted in death or permanent loss of function. This number reflects voluntary reporting and represents only a small portion of actual events. The actual number is unknown, but is most likely much greater, demonstrating the importance of fall prevention intervention (The Joint Commission, 2013). The TJC requires every accredited organization to define what they consider to be a patient fall but there is no universally accepted definition of a patient fall. The Veterans Health Administration (VHA) define a fall as, "loss of upright position that results in landing on the floor, ground or an object or furniture or a sudden, uncontrolled, unintentional, non–purposeful, downward displacement of the body to the floor/ground or hitting Get more content on HelpWriting.net
  • 7. Nursing Care Study Essays This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann's consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this. I was placed on a cardiac ward within the Trust for my phase four placement. The ward deals with patients who have acute cardiac conditions including myocardial infarction. The ward also accommodates those with chronic cardiac conditions such as...show more content... The cardiac ward used Roper, Logan and Tierney model to assess the patients being admitted to the ward as a way of comparing how a patient's life has changed due to illness or admission to the hospital (Roper N, 1980). This model was the first to be developed in the United Kingdom. Tierney (1998) claims the contribution that the model has made to nursing is that it has encouraged nurses to refocus on health rather than ill health. The model also shows the complexity of nursing. The model covers the patient's whole lifespan. In the model patients are seen as engaging in twelve basic activities of living (Pearson et al 2005). The twelve activities of living are maintain a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, mobilising, working and playing, expressing sexuality, sleeping and dying. Each activity is seen to have five influencing factors, those being, biological. Psychological, socio–cultural, environmental and politico–economic. A copy of my own assessment of Ann using this model is included in the appendix. Minardi (2007) maintains that assessment is an evolving, incremental gathering and processing of information relevant to the clients situation or needs. Assessment must take place firstly to get a picture of the patient before setting out Get more content on HelpWriting.net
  • 8. Quality of care and patient care management are most important and essential for a hospital to increase its value. For most of the people 'quality of care of a hospital' means proper and dedicatedly treatment to patients by doctors and other staff, at right time, in right way (Burns, et.al, 2012). The purpose of this paper is to write a report for Sunlight Hospital, California on certain improvements in quality of patient care considering important measurements of quality of care and main features used to design a successful quality improvement plan in hospital for increasing efficiency and value of Sunlight Hospital. Five measurements of quality of care in a hospital In the process of improving health care quality, measuring the quality of care in hospital is most essential step. Quality measurement can help to improve patient care management. Quality measures provide information about how well a hospital offers care for its patients (Burns, et.al, 2012). This information can help to compare with other hospitals. There are various measurements of quality of care used in hospital, which include: 1) structure of hospital, 2) process of care, 3) outcomes of care, 4) patient safety, and 5) patient experience (Burns, et.al, 2012). Structure of Hospital Settings: This measurement evaluates the both hospital building and staff infrastructure, such as hospital's administrative office, doctor chambers, patient wards, outdoor wards, patient waiting rooms, capable staffing Get more content on HelpWriting.net
  • 9. This essay discusses and reflects upon patient care in the post anaesthetic care unit (PACU) and is linked to my experiences on placement. It discusses how my approach to patient care has been challenged and analyses how evidence based practice can create a change in the way patients are cared for. It reviews the processes of managing the perioperative environment and evaluates the implications for practice when applying a change in healthcare. Wicker and O'Neill (2010) state that "The lack of immediate medical support in the recovery room means that practitioners work in a more autonomous role than any other area of the operating department" (p.379). By reflecting upon my experiences I am able to link practical and theoretical aspects of the operating department practitioner (ODP) job role. This will provide me with a greater understanding of professional practice and it will develop my personal knowledge and self–awareness (Forrest, 2008). Using a model of reflection is important as it provides a framework that can be systematically followed and acts as a guide through the process of reflection. For this essay I have chosen to use the Gibbs' Reflective Cycle (1988) as it provides a methodical guide to reflection using a series of ordered questions that each lead to the next stage of the cycle (Forrest, 2008). My experiences have covered a variety of patients and surgical procedures and the majority of patients have been cared for appropriately. Occasionally I have Get more content on HelpWriting.net
  • 10. Quality Patient Care Essay Personally, I believe that Quality Healthcare is something that can be measured and improved with time in order to provide better service and quality to our patients. Examples of good Quality Healthcare are: ensuring that medical professionals are licensed and knowledgeable in their profession and are staying up to date with developing diseases, treatments, and last but certainly not least, pharmaceutical alternatives. In addition to being knowledgeable in their profession, Quality Healthcare feels to me, like it also refers to having complete and accurate documentation on the patient's records (Quality and Quantity as we learned last semester). By establishing good Quality Healthcare, it minimizes errors or maleficence such as: unnecessary/wrong surgeries, allergic reactions due to drug administration, even death. Lastly, I think that having a very low percentage or even eliminating Hospital Acquired Conditions (H.O.A) would also fit perfectly in my definition of Quality Healthcare. I understand that although this has probably always been a battle in most facilities, it affects facilities greatly on how patients choose their preferred hospital facility. All in all, there are a lot of things that fit into the definition of...show more content... NMCP's mission is very simple: ""doing the right things right and making continuous improvements" (Portsmouth). They believe Quality Patient Care is accomplished by implementing the following: "Risk Management, Patient Safety, Continuous Quality Improvement, Accreditation and Certifications, Infection Prevention and Control, Culture of Safety, and Partnership for Patients" (Portsmouth). I will post the website link at the end of my post if in case anybody wants to check it Get more content on HelpWriting.net
  • 11. Patient Centered Care Essay Patient centered health is surrounded by aspects of healthcare. Unfortunately, people just think about the physician providing care to his or her patient. People never think about the essential aspects of now hospitals provide safety. The purpose of this paper is to examine the overall process of whom is responsible for patient safety, and how the process is achieved on a day to day bases. Patient Centered Care There are so many important areas in health care that play an important part to providing quality health care to patients. Hospitals try every day to ensure the safety of all their patients. Patients centered care is essential to the overall experience. Hospitals aim for one hundred percent satisfaction, however some hospitals,...show more content... Risk Management issues are often handled at the facility where the problem(s) exist. One of the duties of Risk Manager's is to communication and collaboration between departments within an organization in question. In addition, to sinking risks, and cutting costs in order to promote process efficiency .By analyzing incident reports is one way to correct current problems, and future problem areas. Risk managers are also responsible for certain criteria that must be met in order for full participation in certain government and state reimbursement programs ("World Health Organization," "n.d."). Risk Management is a structured approach to managing improbability, related to a risk, through a structure of human interaction. Who is involved? Risk Management responsibilities are not constant their duties can change depending on the facility. A lot of risk issues can be corrected with adequate education and training. Due, to proper training of physicians, and staff decline in risk management issues. Although, in a lot of saturations require that patients should also have education on their health. By taking time out to educate patients on his or her health can also be beneficial to the overall health of that individual (Funnell, 2000). Charges to the Get more content on HelpWriting.net
  • 12. Essay On Patient Centred Care This essay aims to describe briefly what is meant by patient–centred care. It will also focus and expand on two key aspects of patient dignity – making choices and confidentiality. Patient–centred care (PCC) is an extensively used model in the current healthcare system (Pelzang 2010:12). PCC is interpreted as looking at the whole person and considering their individual values and needs in relation to their healthcare. By implementing a PCC approach it ensures that the person is at the very centre of any plans that are made and has a dynamic role in the decision making process (Pelzang 2010:12). Service users of NHS Scotland are no longer being looked upon as being inactive receivers of care and are invited to have more involvement in...show more content... (NMC Code 2008:3) Patient's decisions may sometimes be affected by various factors i.e. Their surroundings, they are often vulnerable and out of their normal environment. A conventional health care setting may be in a hospital environment where patients are most likely feel sensitive and insecure. Matiti and Trorey (2008:17) conducted interviews involving 102 patients in 3 different hospitals across the United Kingdom, over a period of 18 months. The purpose of these encounters was to annotate what was being said and also the fundamental meaning of how patients believed that their dignity was being put in jeopardy. One of the key aspects of patient dignity is making choices. Whilst conducting these interviews Matiti and Trorey (2008:17) discovered that despite the fact that patients accepted the loss of a little independence within the hospital surroundings, they wanted the freedom to participate in the decisions about their healthcare. Patients' understanding in terms of choice, authority or participation in care and autonomy varied extensively. A number of patients were grateful that they were given the option to make decisions and that these were acted upon. On the contrary others considered that their right to making choices was contradicted and often their Get more content on HelpWriting.net
  • 13. The Importance Of Patient Care And Quality Care Introduction The importance of patient care and quality care is essential for an organization to remain in business. It is often understood that quality over quantity is indispensable and imperative for an organization to succeed. In most cases, costs are not the determining factor and should be of concern when it comes to patient safety and quality care. Therefore, the measurement of the quality care is more valuable than state–of–art facilities, costs, and specialized fields of medicine. Quality Measures The quality of care can be measured in so many different ways but to ensure effectiveness and efficiency; Memorial Hospital would need to further review what techniques can empower their brand and their competition. Firstly, Memorial Hospital can evaluate the structure of the organization i.e. the setting, personnel, and policies that are related to the healthcare delivery. Hence, is Memorial Hospital providing resources within the hospital that impacts patient care? Secondly, Memorial Hospital can further evaluate the outcome measure. Outcome measure can help the hospital to understand what the result of the care received was. This is can also include what the survival rate is for patients that have chronic illness or suffer from a detrimental disease. According to Rymer, et.al. (2014), "It would be a useful goal to create metrics that would reflect worldwide improvements in access to care and outcome, based on the current available evidence" (p. 3). Get more content on HelpWriting.net
  • 14. Patient Centred Care Essay Patient Centred Care Essay This essay is based on the Case study of a patient named as Mrs Ford. It will be written as a logical account, adopting a problem solving approach to her care. She is elderly and has been admitted onto a medical ward in the hospital, following a stroke. This essay analyses the care that she will receive and focuses on the use of assessment tools in practice. Interventions will be put in place directly relating to the assessment feedback and in line with best practice. Mrs Ford is a 70 year old lady who has been admitted following a stroke. She is accompanied by her husband. Mrs Ford is a fictional name used in this essay due to confidentiality (Nursing and Midwifery Council (NMC), 2010). A holistic approach to...show more content... Evidence based care is objective and does not use practices that are based on tradition and/or habit (Jolley, 2010, p.47). The National Institute for Health and Care Excellence (NICE, 2005) encourages Risk Assessment scores (RAS) to be used in conjunction with the nurses clinical judgement not instead of it. Mrs Ford is vulnerable and will need restorative care. A vulnerable adult is defined as someone over the age of 18 who is not able to look after themselves or protect themselves from harm and might need help from care services (Lord Chancellors Department, 1997). Although DOH et al. (2009) state that there are people who want to change the term vulnerable adult to a person at risk. As stated by the Safeguarding Vulnerable Groups Act (2006), Mrs Ford is a vulnerable adult because she is elderly, needs assistance and has a new disability. She is anxious and knowing that the nurses are treating her individually and with compassion will make her feel safer. Although she is vulnerable and at risk there is nothing to indicate that Mrs Ford does not have capacity. Mental capacity is assumed unless proven otherwise and patients should be able to make their own decision even if it is an unwise one (Mental Capacity Act, 2005). Therefore Mrs Ford can make informed decisions and consent to all aspects of her care. With Mrs Ford 's consent, her family can be involved in her care and they may be able to assist with Get more content on HelpWriting.net
  • 15. Patient-Centred Care Essay Nursing has a crucial responsibility when it comes to managing, treating, diagnosing, and pinpointing evidence–based strategies to tackle quality of life in persons who suffer from chronic illness (Gies 2016). To have effectual nursing practice, patient–centred care, and improved patient outcomes, understanding the correlations and distinctions of self–perceived health, health–related quality of life, and quality of life is essential (Gies 2016). Get more content on HelpWriting.net
  • 16. Introduction Hospital is an institution providing medical care and other services for sick and injured persons. The modern hospital has three major functions: patient care, education and medical research. The total number of hospitals around the world is estimated to be about 1,25,000. In the United States there are about 10,000 hospitals providing services and facilities for the humanity. There are also more than 10,000 nursing homes providing care to the chronically ill and the aged. Thus hospital provide a great service to the society. Healing Hospital The first and foremost duty of the hospital is to provide healing to the patients who have reached there with an intention of a healing either of physical or mental sickness. As far as the hospitals are ready to provide this service the hospitals are doing a great service to the humanity. The famous doctor Carolyn C. Ross describes the difference between heal and cure. The definitions aren 't that different apparently. Heal is defined as: 1.To restore to health or soundness; cure. 2.To set right; repair: 3.To restore (a person) to spiritual wholeness. To become whole and sound; return to health. Cure is defined as: 1.Restoration of health; recovery from disease. 2.A method or course of medical treatment used to restore health. 3.An agent, such as a drug, that restores health; a remedy. To become whole and sound, to restore to health, is what the health care providers strive for the patients. What she learned in Get more content on HelpWriting.net
  • 17. Quality Patient Care Essay What is Quality Patient Care Quality patient care is extremely important throughout the health care community. While caring for each patient, they should have a sense of feeling welcomed and involved in making decisions revolving around their treatment. Every patient is different, each will require an alternative method of care. While quality care playing a passive role in health care not only should the patients receive this care, but physicians, nurses, caretakers and many other modalities of health care should be fully prepared to meet each patient's needs with the care they deserve. Often patients lack knowledge pertaining to their health. Exams aren't being explained, patients aren't included in decisions concerning their treatment. Patients enter departments with questions such as, "Why am I having this test done?", or "What is this test for?", these types of questions shouldn't be heard from a patient. Exams should never go unexplained and patients should never feel as though they have been left in the dark when it comes to their health. Involving patients gives them a sense of security and acknowledgement when it comes to their concerns and questions. When it comes to meeting patient care needs it not only pertains to conscious patients. Patients who...show more content... Sometimes all a patient needs to receive proficient care is compassion, kindness, and comfort. Listening to a patient while they express concerns, is an important part of quality care. Comforting a patient entails being there when they are scared, possibly going through a procedure that wasn't explained to them, makes a big difference, from a patient's point of view. An act of kindness goes a long way with patient's maybe they need a drink or help to restroom, volunteer assistance and assure them their need's will be meet throughout the duration of their stay in the health care Get more content on HelpWriting.net
  • 18. Nurses Provide Excellent Patient Care Essay Nurses provide excellent patient care, teach patients about health conditions, and give advice and support to patients and their families. Nurses have a variety of duties. They must monitor and record patient symptoms, take vital signs, watch patients diet and physical activity, supervise less skilled nurses, and order and interpret tests to access the condition of the patient. Nursing can be a wonderful, caring, and thoughtful job. However, to other nurses: nursing can be a difficult, tiring, and stressful job. Any job can be tough but nursing is emotionally and physically draining on a person. Nursing can be such a burdensome and demanding job sometimes because of the long hours, the exam to become a nurse, and dealing with other people. To begin with, nurses must work long hours at a time. Nurses, RN's, must work long hours. They would have to work long shifts, weekends, nights, and holidays, if possible. The RN 's can only get around the long hours by working for a private company. One of my friends is a nurse, she works at St. Lucie Medical Center on the night shift. However, because she works nights she feels like she is not a real person, like her life is consumed with sleeping. So, she has decided to switch her hours to the day shift instead of the night shift. If one nurse feels like she was not a real person, then many other people must feel that way too. Another story about my friend, she just finished working a thirteen–hour night shift. She did not get much Get more content on HelpWriting.net
  • 19. Essay Patient Care Plan Introduction Care planning is very important part of nursing. According to the Department of Health (2007) it is a holistic approach that recognises that medical needs are not the only issue with a person that is in hospital. It helps people to achieve the outcomes they want for themselves through truly personalised services and promoting health and well being. According to Leach (2007) care planning generates great benefits to client and staff by organising care by establishing common treatment objectives and as a result this will improve the continuity of care as the objectives will have relevance, clarity and control. The names of all people and the care setting mentioned in this assignment have been changed to ensure that they cannot...show more content... His condition has worsened over the last six weeks and the family state they can no longer look after his needs at home. He is an 84 year old gentleman and is a very pleasant man. He lives with his wife Mary and he has one son who lives nearby. John has had a hip replacement in 2007. He also has had a coronary artery bypass graft in 1994.He has had his left earlobe removed due to cancer in 2006 and is non insulin dependent diabetic. He is currently on the following medications.(Appendix 1).John is unable to give the author much information as his cognitive ability has decreased greatly over the last number of weeks. His wife and son gives the author most of the information. He has times of lucidness where he can give some information but when asked how he is he says 'fine and what am I doing here, let me out the fire has to be put out'. When asked does he know where he is he states 'I am at home'. When asked who his wife is he says 'she is my mother'. Assessment According to Kozier et al (2008) assessment is a continuous and systematic collection and documentation of data. It is important to assess a patient when they come into your care. As a nurse this is a good way to get a baseline of your client. You can observe the client and see do any changes occur during their time under your care. Any changes from the baseline must be acted on and reported to your supervisor. Good communication skills are needed to conduct a patient Get more content on HelpWriting.net
  • 20. My Experience With A Patient Essay INTRODUCTION Throughout clinical I have faced countless new experiences. From performing new tasks to having two patients, the last two weeks of clinical have been nothing short of exhilarating. Facing a difficult patient has tested my abilities and how well I am able to adapt to various situations. Moving then to two patients created a busy environment. Having one patient being independent and the other being dependent on me, made for a good balance. However, with the countless medications needing to be administered the past few weeks have been stressful. Learning to manage my time, between the new patients, allowed me to focus on each of their needs. Through this experience I have gained new insight, tied theory together between classes and clinicals as well learned how to handle difficult patients. I have learned where I need to work on, how I intend to better my practice and how I will take my previous experiences and apply them to the future ones. Understanding where I need to improve my practice will give me a better understanding, herby benefiting both my patients and I. WHAT The past two weeks of clinical have been unlike any other. I started each clinical off by completing patient and medication research. This gave me a better understanding on everything that was going on. Following research, I began my clinicals and have since then experienced one in particular instance that will stick with me for a while. I encountered a very difficult patient and Get more content on HelpWriting.net