Poster del progetto Antares presentato al First International Congress "Narrative medicine and rare diseases" del 4 giugno 2012 organizzato dall'Istituto Superiore di Sanità a Roma
The document outlines the table of contents for the IAHPC Manual of Palliative Care 3rd Edition. The table of contents covers 7 sections: I) Principles and Practice of Palliative Care, II) Ethical Issues in Palliative Care, III) Pain, IV) Symptom Control, V) Psychosocial, VI) Organizational Aspects of Palliative Care, and VII) Resources. Section I defines palliative care and discusses the need, goals, principles, teams, communication, and integration of palliative care.
Impact of palliative care education on nurses' knowledge, attitude and exper...Alexander Decker
1) The study evaluated the impact of palliative care education on nurses' knowledge, attitude, and experience in caring for chronically ill children.
2) A questionnaire was used to assess nurses' knowledge, attitude, and experience before and after receiving education based on guidelines developed by the researchers.
3) The results showed that the majority of nurses had a bachelor's degree but none had cared for dying children in the past year. There were also significant improvements in nurses' knowledge, attitude, and experience regarding palliative care after receiving the educational intervention.
Knowledge of palliative care among bachelors nursing studentsAhmad Aydi
This document summarizes a study that assessed the palliative care (PC) knowledge of 198 nursing students in Palestine using the Palliative Care Quiz for Nursing (PCQN). The students scored an average of 40.58% on the PCQN. There were no statistically significant differences in PC knowledge based on gender, academic level, personal or professional experience with PC, or having taken a PC course. Age was highly statistically significantly related to PC knowledge. The study concluded that the nursing students lacked adequate PC knowledge and did not meet expectations for registered nurses regarding PC knowledge.
This document discusses palliative care in Virginia. It defines palliative care in Virginia law and federal regulations. It describes how palliative care differs from hospice care in focusing on symptom relief rather than being limited to terminal patients. The document discusses the growing need for palliative care due to an aging population living longer with chronic conditions. It provides examples of how palliative care can help patients with cancer and cardiovascular disease.
This document provides an overview of the history of medicine from ancient times to modern medicine. It discusses primitive medicine, Indian medicine including Ayurveda and Siddha systems, and Chinese medicine. It also covers Greek medicine and the dichotomy in modern medicine between curative and preventive medicine. The document then discusses theories of illness and introduces the nursing process, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. It provides details on each step of the nursing process and defines key terms.
Kristi McNanie is seeking a position that allows her to utilize her MSN degree and extensive nursing experience, including in nursing education and administration. She has over 25 years of experience in various nursing roles, including home health RN, travel RN, admissions RN, and nursing supervisor. She is proficient in areas such as wound care, IV therapy, medical equipment, and providing education. Her objective is to apply her clinical, leadership, teaching, and administrative skills in a healthcare setting.
Hospice provides palliative care to patients with terminal illnesses through an interdisciplinary team approach. It focuses on comfort care and quality of life rather than cure. Dame Cicely Saunders founded the modern hospice movement in the 1960s based on her experience at St. Christopher's Hospice in London. Hospice care can be provided in the home, nursing home, hospital, or independent hospice facility. The hospice interdisciplinary team includes doctors, nurses, social workers, chaplains, home health aides, and volunteers who provide holistic physical, emotional and spiritual support to patients and their families.
1) A hospital in Germany implemented Orem's Self-Care Deficit Nursing Theory (SCDNT) to improve nursing care quality and respond to changes in the healthcare system that emphasized patient responsibility.
2) Nurses were educated on SCDNT and trained to systematically collect data using an assessment tool to identify patient self-care deficits and needs.
3) Specifically selected nurses participated in a 2-year leadership training program to help integrate theory-based practice and facilitate organizational change.
The document outlines the table of contents for the IAHPC Manual of Palliative Care 3rd Edition. The table of contents covers 7 sections: I) Principles and Practice of Palliative Care, II) Ethical Issues in Palliative Care, III) Pain, IV) Symptom Control, V) Psychosocial, VI) Organizational Aspects of Palliative Care, and VII) Resources. Section I defines palliative care and discusses the need, goals, principles, teams, communication, and integration of palliative care.
Impact of palliative care education on nurses' knowledge, attitude and exper...Alexander Decker
1) The study evaluated the impact of palliative care education on nurses' knowledge, attitude, and experience in caring for chronically ill children.
2) A questionnaire was used to assess nurses' knowledge, attitude, and experience before and after receiving education based on guidelines developed by the researchers.
3) The results showed that the majority of nurses had a bachelor's degree but none had cared for dying children in the past year. There were also significant improvements in nurses' knowledge, attitude, and experience regarding palliative care after receiving the educational intervention.
Knowledge of palliative care among bachelors nursing studentsAhmad Aydi
This document summarizes a study that assessed the palliative care (PC) knowledge of 198 nursing students in Palestine using the Palliative Care Quiz for Nursing (PCQN). The students scored an average of 40.58% on the PCQN. There were no statistically significant differences in PC knowledge based on gender, academic level, personal or professional experience with PC, or having taken a PC course. Age was highly statistically significantly related to PC knowledge. The study concluded that the nursing students lacked adequate PC knowledge and did not meet expectations for registered nurses regarding PC knowledge.
This document discusses palliative care in Virginia. It defines palliative care in Virginia law and federal regulations. It describes how palliative care differs from hospice care in focusing on symptom relief rather than being limited to terminal patients. The document discusses the growing need for palliative care due to an aging population living longer with chronic conditions. It provides examples of how palliative care can help patients with cancer and cardiovascular disease.
This document provides an overview of the history of medicine from ancient times to modern medicine. It discusses primitive medicine, Indian medicine including Ayurveda and Siddha systems, and Chinese medicine. It also covers Greek medicine and the dichotomy in modern medicine between curative and preventive medicine. The document then discusses theories of illness and introduces the nursing process, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. It provides details on each step of the nursing process and defines key terms.
Kristi McNanie is seeking a position that allows her to utilize her MSN degree and extensive nursing experience, including in nursing education and administration. She has over 25 years of experience in various nursing roles, including home health RN, travel RN, admissions RN, and nursing supervisor. She is proficient in areas such as wound care, IV therapy, medical equipment, and providing education. Her objective is to apply her clinical, leadership, teaching, and administrative skills in a healthcare setting.
Hospice provides palliative care to patients with terminal illnesses through an interdisciplinary team approach. It focuses on comfort care and quality of life rather than cure. Dame Cicely Saunders founded the modern hospice movement in the 1960s based on her experience at St. Christopher's Hospice in London. Hospice care can be provided in the home, nursing home, hospital, or independent hospice facility. The hospice interdisciplinary team includes doctors, nurses, social workers, chaplains, home health aides, and volunteers who provide holistic physical, emotional and spiritual support to patients and their families.
1) A hospital in Germany implemented Orem's Self-Care Deficit Nursing Theory (SCDNT) to improve nursing care quality and respond to changes in the healthcare system that emphasized patient responsibility.
2) Nurses were educated on SCDNT and trained to systematically collect data using an assessment tool to identify patient self-care deficits and needs.
3) Specifically selected nurses participated in a 2-year leadership training program to help integrate theory-based practice and facilitate organizational change.
Development and evaluation of an intervention to support family caregivers of...beatriz9911
This study aimed to develop and evaluate an intervention to support family caregivers of cancer patients providing home-based end-of-life care. In Phase 1, interviews with 29 caregivers identified their needs for practical information and support skills. Based on these findings, the researchers created an informational booklet as the preferred format. In Phase 2, 31 caregivers and 14 nurses evaluated the booklet. Caregivers reported feeling more positive, reassured, and competent in their caregiving role after using the booklet. Nurses found the booklet useful and received fewer calls from caregivers who used it. However, caregivers indicated they would have benefited from receiving the booklet earlier in the care trajectory. The researchers concluded the
This document discusses key concepts in medical surgical nursing and the nursing process. It defines health according to the WHO as complete physical, mental and social well-being. It outlines Maslow's hierarchy of basic human needs and defines nursing as focused on maintaining or recovering optimal health. The nursing process consists of 5 steps - assessment, diagnosis, planning, implementation, and evaluation. Assessment involves collecting data on a patient's health needs. Nursing diagnosis is a clinical judgment about a patient's response to health problems. Planning identifies priorities, goals and interventions. Evaluation determines if goals were achieved.
2002 dignity in the terminally ill a developing empirical modelRUDVAL SOUZA DA SILVA
The document summarizes research on developing a model of dignity in terminally ill patients. Researchers interviewed 50 terminal cancer patients about their perceptions and definitions of dignity. Through qualitative analysis, three main categories emerged: 1) Illness-related concerns that influence dignity, such as loss of independence and symptom distress, 2) A dignity-conserving repertoire used by patients to maintain dignity, and 3) A social dignity inventory relating to how patients feel others impact their dignity. The study provides insight into how terminally ill patients understand and experience dignity as they near death.
Litigation issue on midwives profession and carrier pathwayKEBIDANANUIT
This document discusses litigation issues related to the midwifery profession and career pathway in Malaysia. It provides an overview of the laws and regulations governing midwifery practice in Malaysia, including the Midwives Act of 1966. The document outlines the code of conduct for midwives, which emphasizes maintaining high standards of care. It then defines litigation and discusses common causes of liability for nurses, such as issues with treatment, communication, medication administration, and patient monitoring. The document reviews literature on obstetric malpractice cases and the factors most often involved, such as fetal monitoring and shoulder dystocia. It concludes by examining some common areas of liability and patient harm in clinical practice, such as interpretation of fetal heart rate patterns.
Trends and issues in medical surgical nursingEDWINjose43
This document discusses trends and issues in medical-surgical nursing. It begins by defining trends as general directions of change and issues as important topics of discussion or problems. Some key trends discussed include increased reliance on technology, need for advanced nursing knowledge, emphasis on collaboration and communication, and development of new nursing specializations. Issues addressed include staff shortages, meeting patient expectations, long work hours, workplace hazards, and maintaining personal health in high-stress environments. The document provides examples and explanations for each of the trends and issues discussed in medical-surgical nursing.
Medical surgical nursing health and nursing processSalah Nazar
This document discusses key concepts in medical surgical nursing and the nursing process. It defines health according to the WHO as complete physical, mental and social well-being. It outlines Maslow's hierarchy of basic human needs and defines nursing as focused on maintaining or recovering optimal health. The nursing process is explained as having 5 steps: assessment, diagnosis, planning, implementation, and evaluation. Assessment involves data collection to identify patient needs. Nursing diagnosis is a clinical judgment about a patient's response to health problems. Planning identifies priorities, goals and interventions. Evaluation determines response to interventions and goal achievement.
Community health centers often see patients with open wound infections that can become serious without proper treatment and prevention. A team of nurses, assistants, and observers at one health center conducted a quality improvement project to address wound infections by observing hand hygiene compliance and providing patient education. They utilized a PDSA cycle approach of planning interventions, implementing changes, analyzing data, and refining their approach. Key factors like hand hygiene, dressing procedures, patient knowledge, and available resources were examined to identify areas for improvement and reduce infection risks at the community health center.
This document discusses a study that assessed the effectiveness of demonstrations on feeding techniques for hemiplegic patients among caregivers. The study included 60 caregivers, with 30 in an oral feeding group and 30 in a nasogastric tube feeding group. Both groups showed significantly higher post-test knowledge scores after the demonstrations. The demonstrations were effective in increasing caregiver skills for feeding hemiplegic patients. Proper feeding is important for hemiplegic patients due to risks of malnutrition and complications from improper techniques. Caregiver education through demonstrations can help improve feeding practices and care for these patients.
This document provides clinical practice guidelines for the management of community-acquired pneumonia (CAP) in infants and children older than 3 months. It was created by an expert panel to assist clinicians in caring for children with CAP. The guidelines address site-of-care management decisions, diagnostic testing, antimicrobial and surgical therapy, and prevention. Specific recommendations are made regarding criteria for hospitalization versus outpatient treatment and appropriate diagnostic tests. The goal is to decrease morbidity and mortality from CAP in children by presenting management strategies that can be applied based on individual cases.
Infection control in healthcare facilities aims to prevent the spread of microorganisms between patients and staff. It is important as healthcare associated infections can significantly increase a patient's length of stay and risk of death. Standard precautions like hand hygiene and use of personal protective equipment are the primary methods for preventing transmission. Ongoing education of staff and monitoring adherence to policies is also key to effective infection control.
Impact of Intervention Program on Quality of End of Life Care Provided by Ped...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
This document discusses the growing recognition of integrating patients and families into healthcare planning and delivery through a model of patient- and family-centered care. It provides examples from individual hospitals and healthcare systems that are partnering with patients at all levels from direct care to policy-making and education. The key aspects of patient- and family-centered care involve dignity and respect, information sharing, participation in decision-making, and collaboration between patients, families and healthcare providers.
Palliative care - Advance Nursing PracticeJaice Mary Joy
Palliative care aims to improve the quality of life of patients facing life-threatening illnesses by preventing and relieving suffering through comprehensive care that addresses physical, psychosocial, and spiritual needs. It focuses on symptom management, support for patients and families, and care that affirms life and dying as a normal process. Palliative care teams provide services like pain management, counseling, therapies, and equipment to help patients live as actively as possible.
This document provides guidelines for the management of diabetes in childhood and adolescence developed by the International Society for Pediatric and Adolescent Diabetes (ISPAD) and the International Diabetes Federation (IDF). It covers topics such as the definition, classification, and epidemiology of diabetes in children and adolescents; phases of type 1 diabetes; types of diabetes including type 1, type 2, and monogenic diabetes; diabetes education; structures and processes for ambulatory diabetes care; assessment and monitoring of glycemic control; insulin treatment; assessment and monitoring of hypoglycemia; sick day management; exercise; management of children requiring surgery; psychological care; diabetes in adolescence; microvascular and macrovascular complications; and other complications and associated
The document discusses a meeting between health plans and the Center to Champion Nursing in America to support the IOM's recommendations. It describes how health plans are driving innovations through nurse-led programs that improve quality of care, consumer experience, and health outcomes. Examples are provided of single nurse care manager models and personalized care plans that have led to measurable improvements such as reduced healthcare costs, fewer emergency visits, and better diabetes management.
Nursing Practice Field Experience Essay
Unit 2 Health And Social Care Study
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Nursing Concept Analysis Essay
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PACU Nurse Observation Essay
Nursing Case Studies Essay
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Essay On Acute Care Nursing
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Essay Nursing Care Plan
The development of gerontological nursing began in the early 20th century with the first articles on care of the aged published in nursing journals. Gerontological nursing established itself as a specialty area through the mid-20th century with the publication of textbooks and the formation of professional organizations focused on care of older adults. Gerontological nursing roles include healer, caregiver, educator, advocate, innovator and standards were established for nursing practice with older adults.
The development of gerontological nursing began in the early 20th century with the first articles on elder care published in nursing journals. Gerontological nursing established itself as a specialty area through the mid-20th century with the publication of textbooks and the formation of professional organizations focused on elder care. Gerontological nursing roles include healer, caregiver, educator, advocate, innovator according to holistic principles addressing elders' biological, psychological, social and spiritual needs to promote health and independence.
Discussion 2 – End of Life CareEduardo RoquesoFlorida Nationhuttenangela
Discussion 2 – End of Life Care
Eduardo Roqueso
Florida National University
Advanced Family Practicum III
Jacqueline Alonso DNP, Family ARNP
The ability to provide primary palliative care is a skill set that nurse practitioners should acquire, develop, and refine. Primary palliative care skills include thorough and effective symptom assessment and management, initiating and guiding conversations around advance care planning, and completing medical directives that guide care with life-limiting/life-threatening illness (Wheeler, 2016). Although sometimes confused with hospice, it’s important to remember hospice is a specific type of palliative care designed to address the needs of those who have 6 months or less to live. In other words, hospice care is always palliative, but not all palliative care is hospice care. (IPC, 2018).
As frontline clinicians, APRNs, along with their RN colleagues, spend the most time with patients at their bedside. All APRNs must have fundamental palliative care skills. This includes understanding illness trajectories from diagnosis to death, appropriate assessment and management of pain, particularly in the current opioid misuse epidemic b (Dahlin & Coyne, 2019).
The most recognized area of leadership for APRNs is Clinical Care. To be successful, APRNs must understand the diagnosis and the natural course of illnesses and diseases along with the critical decision-making points to manage and treat these conditions from diagnosis to end-of-life care, based on best available evidence. APRNs are in a key position to deliver collaborative interdisciplinary palliative care for patients with serious illness and move palliative care upstream to caring for populations across the lifespan and across the health care continuum (Dahlin & Coyne, 2019).
In palliative care, when presenting with a symptom complaint, disease progression must always be considered. Disease progression needs to be identified to help with the ongoing goals-of-care discussions. Often-cited symptoms include pain, breathlessness, fatigue, anorexia, nausea/vomiting, constipation, depression, dry mouth, and sleep disturbance (Wheeler, 2016)
In a perfect palliative care world, advance directives for care at end of life would be documented, medical powers of attorney would be named, and these documents would be shared with all health care providers. The reality is that this does not happen, and many hospitalizations are for a crisis when decisions need to be made and there has not been an open and honest discussion of the illness trajectory. NPs enter into these discussions without an agenda for what are the “correct” decisions. The desired outcome is to have the patient understand the issues and make informed choices based on their goals and their definition of quality of life. NPs need to be prepared to discuss disease trajectory, realistic interventions, and prognosis. Palliative care advoca ...
Knowledge of staff nurses on management of deconditioning in older adultsAlexander Decker
This document summarizes a study that examined nurses' knowledge of managing deconditioning in older adults. 130 nurses from 3 hospitals completed a 65-item questionnaire assessing their knowledge. Overall, nurses demonstrated good knowledge but some gaps. Years of nursing experience, hospital affiliation, and continuing education affected nurses' knowledge. The study concluded it is important to establish continuing education programs on deconditioning to improve nurses' knowledge and the care of older adult patients.
A Career in Nursing Essay example
Nursing Exemplar
What Is Nursing? Essay
The nursing process Essay
Public Health Nursing Essay
Essay on Nursing Care Plan
1. NPs primarily addressed periodic health examinations and acute respiratory infections, while FPs primarily addressed cardiovascular diseases and musculoskeletal conditions.
2. NPs provided more disease prevention and supportive services per FTE than FPs, while FPs provided more curative and rehabilitative services per FTE than NPs.
3. Referral patterns showed that FPs were more likely to recommend follow-up with another FP, while NPs were more likely to recommend follow-up with another NP, indicating little evidence of shared care between NPs and FPs.
Development and evaluation of an intervention to support family caregivers of...beatriz9911
This study aimed to develop and evaluate an intervention to support family caregivers of cancer patients providing home-based end-of-life care. In Phase 1, interviews with 29 caregivers identified their needs for practical information and support skills. Based on these findings, the researchers created an informational booklet as the preferred format. In Phase 2, 31 caregivers and 14 nurses evaluated the booklet. Caregivers reported feeling more positive, reassured, and competent in their caregiving role after using the booklet. Nurses found the booklet useful and received fewer calls from caregivers who used it. However, caregivers indicated they would have benefited from receiving the booklet earlier in the care trajectory. The researchers concluded the
This document discusses key concepts in medical surgical nursing and the nursing process. It defines health according to the WHO as complete physical, mental and social well-being. It outlines Maslow's hierarchy of basic human needs and defines nursing as focused on maintaining or recovering optimal health. The nursing process consists of 5 steps - assessment, diagnosis, planning, implementation, and evaluation. Assessment involves collecting data on a patient's health needs. Nursing diagnosis is a clinical judgment about a patient's response to health problems. Planning identifies priorities, goals and interventions. Evaluation determines if goals were achieved.
2002 dignity in the terminally ill a developing empirical modelRUDVAL SOUZA DA SILVA
The document summarizes research on developing a model of dignity in terminally ill patients. Researchers interviewed 50 terminal cancer patients about their perceptions and definitions of dignity. Through qualitative analysis, three main categories emerged: 1) Illness-related concerns that influence dignity, such as loss of independence and symptom distress, 2) A dignity-conserving repertoire used by patients to maintain dignity, and 3) A social dignity inventory relating to how patients feel others impact their dignity. The study provides insight into how terminally ill patients understand and experience dignity as they near death.
Litigation issue on midwives profession and carrier pathwayKEBIDANANUIT
This document discusses litigation issues related to the midwifery profession and career pathway in Malaysia. It provides an overview of the laws and regulations governing midwifery practice in Malaysia, including the Midwives Act of 1966. The document outlines the code of conduct for midwives, which emphasizes maintaining high standards of care. It then defines litigation and discusses common causes of liability for nurses, such as issues with treatment, communication, medication administration, and patient monitoring. The document reviews literature on obstetric malpractice cases and the factors most often involved, such as fetal monitoring and shoulder dystocia. It concludes by examining some common areas of liability and patient harm in clinical practice, such as interpretation of fetal heart rate patterns.
Trends and issues in medical surgical nursingEDWINjose43
This document discusses trends and issues in medical-surgical nursing. It begins by defining trends as general directions of change and issues as important topics of discussion or problems. Some key trends discussed include increased reliance on technology, need for advanced nursing knowledge, emphasis on collaboration and communication, and development of new nursing specializations. Issues addressed include staff shortages, meeting patient expectations, long work hours, workplace hazards, and maintaining personal health in high-stress environments. The document provides examples and explanations for each of the trends and issues discussed in medical-surgical nursing.
Medical surgical nursing health and nursing processSalah Nazar
This document discusses key concepts in medical surgical nursing and the nursing process. It defines health according to the WHO as complete physical, mental and social well-being. It outlines Maslow's hierarchy of basic human needs and defines nursing as focused on maintaining or recovering optimal health. The nursing process is explained as having 5 steps: assessment, diagnosis, planning, implementation, and evaluation. Assessment involves data collection to identify patient needs. Nursing diagnosis is a clinical judgment about a patient's response to health problems. Planning identifies priorities, goals and interventions. Evaluation determines response to interventions and goal achievement.
Community health centers often see patients with open wound infections that can become serious without proper treatment and prevention. A team of nurses, assistants, and observers at one health center conducted a quality improvement project to address wound infections by observing hand hygiene compliance and providing patient education. They utilized a PDSA cycle approach of planning interventions, implementing changes, analyzing data, and refining their approach. Key factors like hand hygiene, dressing procedures, patient knowledge, and available resources were examined to identify areas for improvement and reduce infection risks at the community health center.
This document discusses a study that assessed the effectiveness of demonstrations on feeding techniques for hemiplegic patients among caregivers. The study included 60 caregivers, with 30 in an oral feeding group and 30 in a nasogastric tube feeding group. Both groups showed significantly higher post-test knowledge scores after the demonstrations. The demonstrations were effective in increasing caregiver skills for feeding hemiplegic patients. Proper feeding is important for hemiplegic patients due to risks of malnutrition and complications from improper techniques. Caregiver education through demonstrations can help improve feeding practices and care for these patients.
This document provides clinical practice guidelines for the management of community-acquired pneumonia (CAP) in infants and children older than 3 months. It was created by an expert panel to assist clinicians in caring for children with CAP. The guidelines address site-of-care management decisions, diagnostic testing, antimicrobial and surgical therapy, and prevention. Specific recommendations are made regarding criteria for hospitalization versus outpatient treatment and appropriate diagnostic tests. The goal is to decrease morbidity and mortality from CAP in children by presenting management strategies that can be applied based on individual cases.
Infection control in healthcare facilities aims to prevent the spread of microorganisms between patients and staff. It is important as healthcare associated infections can significantly increase a patient's length of stay and risk of death. Standard precautions like hand hygiene and use of personal protective equipment are the primary methods for preventing transmission. Ongoing education of staff and monitoring adherence to policies is also key to effective infection control.
Impact of Intervention Program on Quality of End of Life Care Provided by Ped...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
This document discusses the growing recognition of integrating patients and families into healthcare planning and delivery through a model of patient- and family-centered care. It provides examples from individual hospitals and healthcare systems that are partnering with patients at all levels from direct care to policy-making and education. The key aspects of patient- and family-centered care involve dignity and respect, information sharing, participation in decision-making, and collaboration between patients, families and healthcare providers.
Palliative care - Advance Nursing PracticeJaice Mary Joy
Palliative care aims to improve the quality of life of patients facing life-threatening illnesses by preventing and relieving suffering through comprehensive care that addresses physical, psychosocial, and spiritual needs. It focuses on symptom management, support for patients and families, and care that affirms life and dying as a normal process. Palliative care teams provide services like pain management, counseling, therapies, and equipment to help patients live as actively as possible.
This document provides guidelines for the management of diabetes in childhood and adolescence developed by the International Society for Pediatric and Adolescent Diabetes (ISPAD) and the International Diabetes Federation (IDF). It covers topics such as the definition, classification, and epidemiology of diabetes in children and adolescents; phases of type 1 diabetes; types of diabetes including type 1, type 2, and monogenic diabetes; diabetes education; structures and processes for ambulatory diabetes care; assessment and monitoring of glycemic control; insulin treatment; assessment and monitoring of hypoglycemia; sick day management; exercise; management of children requiring surgery; psychological care; diabetes in adolescence; microvascular and macrovascular complications; and other complications and associated
The document discusses a meeting between health plans and the Center to Champion Nursing in America to support the IOM's recommendations. It describes how health plans are driving innovations through nurse-led programs that improve quality of care, consumer experience, and health outcomes. Examples are provided of single nurse care manager models and personalized care plans that have led to measurable improvements such as reduced healthcare costs, fewer emergency visits, and better diabetes management.
Nursing Practice Field Experience Essay
Unit 2 Health And Social Care Study
Nursing Case Study Sample
Nursing Concept Analysis Essay
Nursing Case Report Essay
Nursing Care Study Essays
PACU Nurse Observation Essay
Nursing Case Studies Essay
Diabetes Care Study Essay
Advanced Practice Nursing Essay examples
Acute Care Nursing Essay
Activities of Living-Case Study
Advanced Nursing Practice Essay
Nursing Assessment and Patient Care Essay
Essay On Acute Care Nursing
Masters Prepared Nurse Essay
Reflective Essay: My Role As A Care Assistant
Essay on Nursing Care Plan
Caring Nursing Student Analysis
Essay Nursing Care Plan
The development of gerontological nursing began in the early 20th century with the first articles on care of the aged published in nursing journals. Gerontological nursing established itself as a specialty area through the mid-20th century with the publication of textbooks and the formation of professional organizations focused on care of older adults. Gerontological nursing roles include healer, caregiver, educator, advocate, innovator and standards were established for nursing practice with older adults.
The development of gerontological nursing began in the early 20th century with the first articles on elder care published in nursing journals. Gerontological nursing established itself as a specialty area through the mid-20th century with the publication of textbooks and the formation of professional organizations focused on elder care. Gerontological nursing roles include healer, caregiver, educator, advocate, innovator according to holistic principles addressing elders' biological, psychological, social and spiritual needs to promote health and independence.
Discussion 2 – End of Life CareEduardo RoquesoFlorida Nationhuttenangela
Discussion 2 – End of Life Care
Eduardo Roqueso
Florida National University
Advanced Family Practicum III
Jacqueline Alonso DNP, Family ARNP
The ability to provide primary palliative care is a skill set that nurse practitioners should acquire, develop, and refine. Primary palliative care skills include thorough and effective symptom assessment and management, initiating and guiding conversations around advance care planning, and completing medical directives that guide care with life-limiting/life-threatening illness (Wheeler, 2016). Although sometimes confused with hospice, it’s important to remember hospice is a specific type of palliative care designed to address the needs of those who have 6 months or less to live. In other words, hospice care is always palliative, but not all palliative care is hospice care. (IPC, 2018).
As frontline clinicians, APRNs, along with their RN colleagues, spend the most time with patients at their bedside. All APRNs must have fundamental palliative care skills. This includes understanding illness trajectories from diagnosis to death, appropriate assessment and management of pain, particularly in the current opioid misuse epidemic b (Dahlin & Coyne, 2019).
The most recognized area of leadership for APRNs is Clinical Care. To be successful, APRNs must understand the diagnosis and the natural course of illnesses and diseases along with the critical decision-making points to manage and treat these conditions from diagnosis to end-of-life care, based on best available evidence. APRNs are in a key position to deliver collaborative interdisciplinary palliative care for patients with serious illness and move palliative care upstream to caring for populations across the lifespan and across the health care continuum (Dahlin & Coyne, 2019).
In palliative care, when presenting with a symptom complaint, disease progression must always be considered. Disease progression needs to be identified to help with the ongoing goals-of-care discussions. Often-cited symptoms include pain, breathlessness, fatigue, anorexia, nausea/vomiting, constipation, depression, dry mouth, and sleep disturbance (Wheeler, 2016)
In a perfect palliative care world, advance directives for care at end of life would be documented, medical powers of attorney would be named, and these documents would be shared with all health care providers. The reality is that this does not happen, and many hospitalizations are for a crisis when decisions need to be made and there has not been an open and honest discussion of the illness trajectory. NPs enter into these discussions without an agenda for what are the “correct” decisions. The desired outcome is to have the patient understand the issues and make informed choices based on their goals and their definition of quality of life. NPs need to be prepared to discuss disease trajectory, realistic interventions, and prognosis. Palliative care advoca ...
Knowledge of staff nurses on management of deconditioning in older adultsAlexander Decker
This document summarizes a study that examined nurses' knowledge of managing deconditioning in older adults. 130 nurses from 3 hospitals completed a 65-item questionnaire assessing their knowledge. Overall, nurses demonstrated good knowledge but some gaps. Years of nursing experience, hospital affiliation, and continuing education affected nurses' knowledge. The study concluded it is important to establish continuing education programs on deconditioning to improve nurses' knowledge and the care of older adult patients.
A Career in Nursing Essay example
Nursing Exemplar
What Is Nursing? Essay
The nursing process Essay
Public Health Nursing Essay
Essay on Nursing Care Plan
1. NPs primarily addressed periodic health examinations and acute respiratory infections, while FPs primarily addressed cardiovascular diseases and musculoskeletal conditions.
2. NPs provided more disease prevention and supportive services per FTE than FPs, while FPs provided more curative and rehabilitative services per FTE than NPs.
3. Referral patterns showed that FPs were more likely to recommend follow-up with another FP, while NPs were more likely to recommend follow-up with another NP, indicating little evidence of shared care between NPs and FPs.
Indicators and Information Standards for Frailty ManagementAnnaSeebergHansen
Frailty is a multidimensional condition affecting older adults that can lead to frequent and complex transitions between different health care settings. These transitions often involve multiple providers but lack coordination, resulting in failures to meet patient needs and preferences. Developing standardized patient summaries that consolidate key health information may help coordinate care during transitions and improve outcomes for frail older adults.
This document provides an overview of medical surgical nursing. It defines medical surgical nursing as nursing care for patients from adolescence through end of life in various inpatient and outpatient settings. Nursing is described as assisting patients to recover health through promoting independence. The scope of nursing practice involves holistic, patient-centered care through assessment, intervention, teaching, and collaboration on an interprofessional team. Standards of practice and performance guide competent nursing care based on the nursing process. Influences on nursing include expanding knowledge, diverse populations, consumerism, and health care financing.
What does a palliative approach look like in residential careBCCPA
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Adults with Spina Bifida: Transitional Care or leaving patients alone? Two differents points of view
1. Adults with Spina Bifida: Transitional Care or leaving
patients alone? Two different points of view
Authors Maria Giulia Marini , Paola Chesi , Luigi Reale , Maria Cristina Dieci , Patrizia Signani
[1] [2] [3] [4] [5]
Affiliation ISTUD Foundation, Milan – Italy | Italian Spina Bifida Association (ASBI), Parma – Italy | Astra Tech Spa, Casalecchio di Reno (BO) – Italy | Italian Continence Foundation, Milan - Italy
Project ANTARES: objectives What is Transitional Care?
The Italian multicentric study called “ANTARES” Transitional Care is defined as a set of actions designed to ensure the coordination
3
investigated pathways of patients with Spina 56 and continuity of health care as patients transfer between different locations or
Bifida through narrative medicine. The study 1
4 different levels of care within the same location. Transitional Care is based on a
involved 12 Italian Spina Bifida Centres and 61 2 comprehensive plan of care and the availability of health care practitioners who are
stories were collected among persons with 7 well-trained in chronic care and have current information about the patient’s goals,
Spina Bifida, their carers and physicians. preferences, and clinical status. It includes logistical arrangements, education of the
patient and family, and coordination among the health professionals involved in the
The objective of the survey was to evaluate pathways for this rare disease, transition. Transitional Care, which encompasses both the sending and the receiving
89 10
focusing on the phase of Transitional Care - a delicate changeover from the aspects of the transfer, is essential for persons with complex care needs.
childhood to the adolescence and the adult age - and to investigate the meaning (Source: Improving the Quality of Transitional Care for Persons with Complex Care
and consequences of this from the different points of view of patients’, families, Needs. Journal of the American Geriatrics Society. 2003)
paediatricians and other providers of care. A redefinition and reorganization 11
The Transitional Care program is used also for assisting adolescents and young adult
phase, in fact, is in place to face the emerging fact: the increase of the average (15-25 years old) with chronic condition to adult healthcare (American Academy of
age of the persons with Spina Bifida. Pediatrics “A consensus statement on health care transitions for young adults with
special health care needs”, Pediatrics, 2002 - Betz et al. 2010 - Holmbeck et al.
12
Two interview forms were structured, for patients and physicians respectively; the 2010; Sawyer & Macnee 2010).
items were chosen to facilitate the openness the patients to tell their own living
with the illness, describing their pathway not only through the clinical steps list,
1. Spina Bifida Regional Centre, Regina Margherita and CTO Maria Adelaide Hospitals - Turin | 2. Multidisciplinary Centre for children with spinal pathologies study
but also narrating their feelings, fears, achievements, criticisms. The stories were and treatment, Gaslini Hospital - Genoa | 3. Spina Bifida Centre, Niguarda Hospital – Milan | 4. Spina Bifida Centre, Parma University Hospital - Parma | 5. Pediatric
collected and transcribed in presence (in full compliance with privacy law), to Surgery Department, S.Bortolo Hospital - Vicenza | 6. Spina Bifida Centre, Padua University Hospital – Padua | 7. Spina Bifida Centre, Meyer Hospital – Florence | 8.
establish a dialogue with the person. Spina Bifida Centre, Bambino Gesù Hospital - Rome | 9. Spina Bifida Centre, Gemelli General Hospital – Rome | 10. Urology Department, Casa Sollievo della Sofferenza
Hospital - S.Giovanni Rotondo | 11. Pediatric Urology Department, Brotzu Hospital - Cagliari | 12. Spina Bifida Centre, Caltanissetta Hospital - Caltanissetta
The physicians’ point of view The persons with Spina Bifida’s point of view
The primary concern for physicians is the Transitional Care organization, because adults with Spina Patients living with Spina Bifida, on the contrary of physicians, are not well disposed to the Transitional
Bifida represent on average almost 50% of the patiens and currently this phase has been not defined and Care, because they prefer to maintain the paediatric referents; changing health centre and physicians is
there is a lack of specialized Spina Bifida centres for adults. Spinal Cord Injury (SCI) Unit could be the often perceived as a left alone and a possible shock for the family.
“
destination, but our analysis reveals that each Centre is adopting its own solution: 30% of them carry out
the Transitional Care to the SCI Units, 20% have established an outpatient’s department for adults with
Spinal Bifida, and 50% continue to care the patients over eighteen with the same team, although the
pediatric background: Now I’m adult, but I continue to refer to the Even if my son has grown up, he needs of a
same physicians, also because I don’t know if constant reference point, like all our family. I
20% Outpatient’s Department for adults with Spina Bifida there are other experienced professionists in believed that the biggest problems were in the
my territory; sometimes I think what I’ll do paediatric phase, but now I know that there
Adults with when they won’t be anymore are many problems during the adolescence as
Spina Bifida: 50% The pediatric Center continue to care adult patients well. When my son will be 18 years old, I want
30-60% because of the lack of experienced referents for adults to be oriented, I don’t want to looking for new
I am 51 years old but I continue to refer to this
Centre, despite the paediatric context, because in referents blindly
30% Transitional Care to SCI Units the past I visited many other places, but only here
physicians could solve my urological problem, after My son is 17 years old. Last year we were at
Most physicians consider their team not prepared to cope with the teenagers and adult people questions, some not correct surgeries made by Urologists for a SCI Unit and I was really satisfied, because
especially regarding sexuality; furthermore, they perceive the difficulties, shyness and embarrass of adults not experienced in Spina Bifida physicians could solve his urological problems
families to talk about this topic. Together with the worry for the lack of turnover among experienced and he improved his autonomy, but now we
providers - when a physician retires, the hospital management often does not replace the competence have come back at the Spina Bifida Centre,
The doctor is my only real referent for me; he
on caring of Spina Bifida - physicians are wondering about the future of Spina Bifida Centres and their becase here there are other persons with
knows me since I was born and he’s my reference
reorganization. Spina Bifida, while at the SCI Unit patients do
“
for everything. He does much more than he
a different pathway and have different stories
There is a general lack of specialized
figures on sexuality, which is faced by our
team with a clear inadequacy, although
the good intentions, also because patients
requirements are often linked neither to
paediatric age, nor to adult age
Generally, we expect that families require a
counseling on sexology, but this is often delayed
and we still receive a few requests. Sexuality is
difficult to face for persons with Spina Bifida and
their families, they often would like to ask some
questions but they are ashamed. To offer better
services and give complete answers to adult
must to do, and compensates for the lack of
experienced referents. I am 19 years old; until my
physician will take care of me, I will continue to
refer to this paediatric Centre; when this will not
be possible anymore, I will look for a solution
My daughter’s physician said to us that we have to
from my son
When my son was born, 21 years ago, in a few
days I knew all the physicians who are still
taking care of him; the Centre is the same and
this is reassuring. For adolescents with Spina
Bifida the continuity of care is important,
“
patients, I think that we have to specialize more prepare for the Transitional Care and I’m worried
Because of the strong attachment by the the situation is already too hard
on sexuology about this; the Spina Bifida Centre is like our
families to the paediatric Centres, we report for them
home
some difficulties in carrying out the Transitional
Care to the SCI Units, which generally at When patients with Spina Bifida are 18-20 years,
the beginning is not accepted; families feel they have to refer to different health care
professional with new figures, persons are more Only 22% of adults with Spina Bifida report to have been changed their physicians after a Transitional
abandoned because, after almost 20 years, they Care phase, 45% refer to the same paediatric team and 33% to the same paediatric Centre but with
have to change referents, going to a centre stimulated to confide their new requirements,
especially regarding sexuality. Referring always to some new figures.
with a different organization and a different
approach to Spina Bifida. We are trying to the same physicians is a limit for their autonomy.
In fact, when persons with Spina Bifida reach 18 This is not the only “maternage” revealed by families. Although the 62% of the subjects with Spina
formalize the Transitional Care to the local SCI Bifida were between 16-50 years old, in fact, in the 84% of the interviews only parents were involved,
Unit, but currently there is still a dichotomy years, they are generally less autonomous than
they should be giving their witness instead of their sons’ and daughters’ one; this might be a sign of a hyper protective
between the Spina Bifida Centres and the SCI which does not foster the young patients with Spina Bifida towards autonomy.
Units, which should increase their attitude A double maternage is revealed, as a matrioscal wooden Russian doll, one carried out by the reference
towards patients with Spina Bifida
In our paediatric Centre we continue to take
care of adults with Spina Bifida because of the
lack of experienced referents in the territory;
when I will know that there is some physician
at disposal, I will be glad to do the Transitional
The number of over 18 years patients with Spina
Bifida is increasing and we are questioning how
to set up an appropriate pathway for them.
In particular, we are thinking to organize a
Transitional Care to the SCI Units, because when
persons with Spina Bifida become adult, they
have totally different needs from the paediatric
age; furthermore, SCI Units can offer to adults
“ centre, one by the family.
Interviewed persons
16% Persons with Spina Bifida
Care with Spina Bifida training pathway to
84% Parents
increase their autonomy
] ] “
Final remarks Persons with Spina Bifida can’t be
From the interviews, two points of view emerge, different between physicians and persons with Spina Bifida.
Into the Spina Bifida Centres the physicians, aware of the increasing of adults with Spina Bifida (almost 50% of the patients) and their
new requirements, are questioning about the future of the centres, the need of new organizational models and new expertise. The
totally cared, but many things can
be done to improve the quality of
“
Transitional Care to SCI Units seem to represent the better answer to these changes (for 69% of them). their life
On the contrary, persons with Spina Bifida and their families reveal to be not well disposed to change referents, although more compe-
tent on adult age, showing a strong “maternage” both with the paediatric Centre and the family.
Are the two points of view incompatible? Is the Transitional Care to SCI Units the right answer to adults with Spina Bifida requirements?
And how to conciliate the persons’ expectations with the physicians’ ones? The question is open. Maria Cristina Dieci, President of
Italian Spina Bifida Association
[1] Responsible for ISTUD Foundation’s Health Care & Wellbeing Area
[2] Researcher at ISTUD Foundation’s Health Care & Wellbeing Area
[3] Project Coordinator at ISTUD Foundation’s Health Care & Wellbeing Area
[4] President of Italian Spina Bifida Association
[5] Field Sales Manager at Astra Tech SpA