This document discusses 7 scenarios relating to communication problems that may be encountered in healthcare settings. The scenarios involve issues such as communicating with a patient who has speech difficulties due to a stroke, checking patient schedules at a clinic, handling phone calls on a busy ward, interacting with an anxious family member of a patient with dementia, addressing unprofessional communication with dementia patients, responding to negative online posts about coworkers, and dealing with distracting phone use during lectures. The document prompts the reader to consider appropriate responses to improve communication in each situation.
Ito ay isang handout para sa aralin o paksang tungkol sa Cooper Act o Philippine Organic Act of 1902. Ito ay isinulat ni Henry Cooper. Dito din matatagpuan ang mga probisyong nakapaloob sa Philippine Organic Act of 1902.
lecture presented by Dr. Heidi Barcelo-Makahilig, Ph.D. at PAARL Academy’s 2-day Modular Training Program on Bibliotherapy Services through Book Prescription Shops in Libraries & Information Centers, held on 19-20 May 2011, at the Librarians’Center of the National Bookstore Superbranch, Cubao, Quezon City, Philippines
ASSIGNMENT 1IntroductionCase Study One Case of the Reluctant.docxsalmonpybus
ASSIGNMENT 1
Introduction:
Case Study One: Case of the Reluctant Associate
You are the chairman of the department of surgery at an urban community hospital and the head of a large general surgery practice. The oldest member of the group is about to retire, and you need to recruit a new partner. You are hoping to recruit a person relatively new out of training to provide succession planning for the group, because you know that in the next five to seven years you will be retiring.
You’re in your office when one of the junior surgeons, Dr. Simon, asks to speak to you. He presents you with several credentialing packets for out-of-state licensure. He is on the staff of your hospital; however, he primarily works at another hospital in the area. You ask Dr. Simon if he would be interested in staying and joining your practice. He states his family is in the area, but he’s not sure whether he wishes to be a junior associate in another practice or not. You spend time discussing how this particular practice runs and what his duties would be and inform him that in a very short time he could become a fully integrated member of the group with equal say in medical matters and compensation equal to the amount of work that he produces. He asks several unusual questions such as “How many times a day will you call me?” “Will you be checking up on me?” and “Will I be able to make my own clinical decisions?”
It becomes apparent from this discussion that Dr. Simon probably has been treated poorly in his existing practice. He has not been allowed to make his own schedule and his decision making was second-guessed. The senior member of the practice created extensive work for him, while Dr. Simon was compensated for a small percentage of the work that he actually performed and the senior partner was making a large profit.
At this point, you explain how this new opportunity would be different and that Dr. Simon would be a partner in two years, joining with the other three members of the group. The members of the group all feel that he is well qualified and would be an asset to the group. You are willing to offer him a position in the practice. After much discussion and cajoling, he finally agrees to join the practice.
Tasks:
Discussion Questions
· What are the main concerns in this case?
· Which of the organizational theories of management describes the behaviors of Dr. Simon’s first practice experience? The second? Provide a rationale for your response.
· Is succession planning important for medical practices? Give examples of the techniques that are available to recruit new physicians.
· Discuss the pitfalls of a new physician joining a practice. From the example in the case, outline what principles should guide a physician in taking on a new associate/partner.
· How long should a physician be in a practice before he or she becomes a partner? Should he or she ever become an equal partner?
As in all assignments, cite your sources in your work and provide references f.
Ito ay isang handout para sa aralin o paksang tungkol sa Cooper Act o Philippine Organic Act of 1902. Ito ay isinulat ni Henry Cooper. Dito din matatagpuan ang mga probisyong nakapaloob sa Philippine Organic Act of 1902.
lecture presented by Dr. Heidi Barcelo-Makahilig, Ph.D. at PAARL Academy’s 2-day Modular Training Program on Bibliotherapy Services through Book Prescription Shops in Libraries & Information Centers, held on 19-20 May 2011, at the Librarians’Center of the National Bookstore Superbranch, Cubao, Quezon City, Philippines
ASSIGNMENT 1IntroductionCase Study One Case of the Reluctant.docxsalmonpybus
ASSIGNMENT 1
Introduction:
Case Study One: Case of the Reluctant Associate
You are the chairman of the department of surgery at an urban community hospital and the head of a large general surgery practice. The oldest member of the group is about to retire, and you need to recruit a new partner. You are hoping to recruit a person relatively new out of training to provide succession planning for the group, because you know that in the next five to seven years you will be retiring.
You’re in your office when one of the junior surgeons, Dr. Simon, asks to speak to you. He presents you with several credentialing packets for out-of-state licensure. He is on the staff of your hospital; however, he primarily works at another hospital in the area. You ask Dr. Simon if he would be interested in staying and joining your practice. He states his family is in the area, but he’s not sure whether he wishes to be a junior associate in another practice or not. You spend time discussing how this particular practice runs and what his duties would be and inform him that in a very short time he could become a fully integrated member of the group with equal say in medical matters and compensation equal to the amount of work that he produces. He asks several unusual questions such as “How many times a day will you call me?” “Will you be checking up on me?” and “Will I be able to make my own clinical decisions?”
It becomes apparent from this discussion that Dr. Simon probably has been treated poorly in his existing practice. He has not been allowed to make his own schedule and his decision making was second-guessed. The senior member of the practice created extensive work for him, while Dr. Simon was compensated for a small percentage of the work that he actually performed and the senior partner was making a large profit.
At this point, you explain how this new opportunity would be different and that Dr. Simon would be a partner in two years, joining with the other three members of the group. The members of the group all feel that he is well qualified and would be an asset to the group. You are willing to offer him a position in the practice. After much discussion and cajoling, he finally agrees to join the practice.
Tasks:
Discussion Questions
· What are the main concerns in this case?
· Which of the organizational theories of management describes the behaviors of Dr. Simon’s first practice experience? The second? Provide a rationale for your response.
· Is succession planning important for medical practices? Give examples of the techniques that are available to recruit new physicians.
· Discuss the pitfalls of a new physician joining a practice. From the example in the case, outline what principles should guide a physician in taking on a new associate/partner.
· How long should a physician be in a practice before he or she becomes a partner? Should he or she ever become an equal partner?
As in all assignments, cite your sources in your work and provide references f.
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Running head Benchmark-Professional Capstone and Practicum Reflec.docxtoddr4
Running head: Benchmark-Professional Capstone and Practicum Reflective Journal 1
Benchmark-Professional Capstone and Practicum Reflective Journal 8Benchmark-Professional Capstone and Practicum Reflective Journal
Lorena F. Toro Cruz
Grand Canyon University: FNP690
November 25,2019
Benchmark-Professional Capstone and Practicum Reflective Journal
Week One
New Practice Approaches
The writer and the mentor choose this topic on the first week since the writer was explaining to the mentor what the project was on, how the mentor can help and most important how the writer was planning to execute it. The health care system is changing every day for that reason all individuals that work on it need to keep their mind open for constant change. The writer had work on the medical field for a couple years and even that is just a couple she/he already see the change. This conversation gives the writer and the mentor the idea of going around and asking nurses what was the most drastic change that they have seen in their carriers. The writer notice that most nurses had said that doctors are starting to respect the work they do for the patients but unfortunately the patients and their family members had lost the respect for them. When the writer heard that she/he realized that the topic she chooses is perfect and they need to create a new approached for this problem.
Week Two
Interprofessional Collaboration
The writer had the opportunity to observe a code gray which is when a patient gets violent towards the staff members. The patient was an alcoholic and had stop drinking two days ago. He was confused and acting irrational, he was saying things like “you people have me here against my weal “” you guys want to kill me “etc. This patient tries to punch one of the nurses and she yelled for help and the code gray was call. All male nurses and security personnel attend to the code and try to calm the patient down. he was given some medication and was put on restrains. The hospital security guards stay with the nurse until the patient calm down. I was surprise on seen how they all collaborated with this horrible situation and got the patient to calm down and prevent for that nurse not to get hurt. In this topic Interprofessional collaboration is the mayor key, everyone must help and try to learn how to manage these situations. Also, we must work together so management see that there is a problem that needs to be fix. If that nurse would it have the proper training, she could it got hurt and force to go out of the job as.
Week Three
Health Care Delivery and Clinical Systems
This week the focused is on health care delivery and clinical system, which the writer had to do some research on before she got to the place her mentor works. Healthcare delivery systems main job is to help individuals to have access to quality and cost-effective healthcare. Every unit try to create a plan that work good for the organization ,the writers mentor work betw.
Running head Benchmark-Professional Capstone and Practicum Reflec.docxhealdkathaleen
Running head: Benchmark-Professional Capstone and Practicum Reflective Journal 1
Benchmark-Professional Capstone and Practicum Reflective Journal 8Benchmark-Professional Capstone and Practicum Reflective Journal
Lorena F. Toro Cruz
Grand Canyon University: FNP690
November 25,2019
Benchmark-Professional Capstone and Practicum Reflective Journal
Week One
New Practice Approaches
The writer and the mentor choose this topic on the first week since the writer was explaining to the mentor what the project was on, how the mentor can help and most important how the writer was planning to execute it. The health care system is changing every day for that reason all individuals that work on it need to keep their mind open for constant change. The writer had work on the medical field for a couple years and even that is just a couple she/he already see the change. This conversation gives the writer and the mentor the idea of going around and asking nurses what was the most drastic change that they have seen in their carriers. The writer notice that most nurses had said that doctors are starting to respect the work they do for the patients but unfortunately the patients and their family members had lost the respect for them. When the writer heard that she/he realized that the topic she chooses is perfect and they need to create a new approached for this problem.
Week Two
Interprofessional Collaboration
The writer had the opportunity to observe a code gray which is when a patient gets violent towards the staff members. The patient was an alcoholic and had stop drinking two days ago. He was confused and acting irrational, he was saying things like “you people have me here against my weal “” you guys want to kill me “etc. This patient tries to punch one of the nurses and she yelled for help and the code gray was call. All male nurses and security personnel attend to the code and try to calm the patient down. he was given some medication and was put on restrains. The hospital security guards stay with the nurse until the patient calm down. I was surprise on seen how they all collaborated with this horrible situation and got the patient to calm down and prevent for that nurse not to get hurt. In this topic Interprofessional collaboration is the mayor key, everyone must help and try to learn how to manage these situations. Also, we must work together so management see that there is a problem that needs to be fix. If that nurse would it have the proper training, she could it got hurt and force to go out of the job as.
Week Three
Health Care Delivery and Clinical Systems
This week the focused is on health care delivery and clinical system, which the writer had to do some research on before she got to the place her mentor works. Healthcare delivery systems main job is to help individuals to have access to quality and cost-effective healthcare. Every unit try to create a plan that work good for the organization ,the writers mentor work betw ...
Workplace violence is the current worldwide norm that encompasses di.docxdunnramage
Workplace violence is the current worldwide norm that encompasses different forms of violence in different working environments. In the nursing profession, health workers face the simultaneous occurrence of health hazards, such as injuries and contagious diseases, violence, and stress. In the nursing profession, prevalent bullying behaviors, which range from physical assault, sexual harassment, racial discrimination, and verbal abuse, pose a major threat to nursing practitioners. Etienne (2014) denotes that workplace bullying encompasses different aspects, such as harassment, violent behavior, and intimidation, resulting from senor officials' aggressive behavior to control everything in the work environment. Mostly, the people who face workplace bullying in the nursing profession are lower in the power scale relationship and usually have no force to defend themselves from the act. Workplace bullying in the nursing profession has devastating impacts on the health care system of different countries. According to Etienne (2014), the bullying acts in the nursing profession contribute to difficulties in recruitment and maintenance of stable nurse turnover rate in different health care facilities. The bullying act contributes to nurse shortage, leading to a decline in the quality of patient care.
In the health care system, workplace violence asserted to nurses forms the major source of discrimination, conflict, inequality, and discrimination in the working environment. Consequently, workplace violence disrupts interpersonal relationships, negatively impacting the working environment, and may instantly contribute to organizational failure. Ideally, the most affected population of workplace bullying are usually women. Wolf et al. (2018) explain that most women globally compound more than half of the population in the nursing profession and are usually prone to experience post-traumatic stress disorder associated with violent acts, such as rape and terrorism. Workplace violence asserted to nurses causes depression, self-doubt, irritability, sleep disturbance, absenteeism, and decreased motivation towards work. Nurses face violence not only from their seniors but also from clients who are usually health care receivers (Wolf et al., 2018). In most cases, nurses failed to report assault done on them due to fear of the employer's choice of action, lack of proper reporting channels, and the assumption that assault is part of the job. This aspect leads to ineffective service delivery and compromises the quality of health services.
The application of various actions can address workplace bullying and incivility in the nursing profession. In most health care facilities, there are no clear policies and guidelines on workplace violence. Etienne (2014) asserts that establishing appropriate legislation and policies will reduce workplace violence instances. These include zero tolerant behaviors on bullying acts and other uncivil acts, such as intimidation and di.
Running head SOCIOLOGIC SCIENCES 1SOCIOLOGIC SCIENCES 2.docxtodd521
Running head: SOCIOLOGIC SCIENCES 1
SOCIOLOGIC SCIENCES 2
Sociologic Sciences
Name
Institutional Affiliation
Sociologic Sciences
Natalie is a new graduate nurse who now has to face some negating appropriate behaviors with the patients, co-workers and medical staff. There is a lot she needs to learn such as role strain that includes the incongruity, and some other major roles such as the requirement in learning to get used to managing complicated equipment and medications. In her line of work there, some issues may occur such as power/authority and domination. Two nurses are trying to hold on to their power as they are observing Natalie as a threat since they are more experienced, but Natalie holds an advanced degree. Natalie has noted that she lacks reciprocity in their relationships with the other two experienced AND nurses. At this time she feels as though she should withdraw from the scene. In her quest to resolve the issue she meets her professor to discuss the issue.
Her professor offers her some recommendations which he thinks will be of assistance to her. She should not do anything at this time. The behaviors of the other nurses are common, especially to a novice. Time will prove how ready she will become. She should try and embark on the conflict and try to think about the other two nurse’s perspective. She should speak about her sentiments now to the other two nurses that she is a brand new Registered nurse and have a prolonged learning period (McEwen, 2014). The department of sociology can assist in understanding people and groups of people when interacting with one another in some social settings. There are sociological concepts such as utilitarianism, which dates back to hundreds of years, and have influenced some of the theorists into working in the areas of the exchange theories and others such as the interaction theory, conflict theory. When trying to understand how the hospital nurses work the sociological theory can assist in understanding the underlying conflicts and behaviors between employees.
One specific theory that can be utilized in the case is the Role theory. Natalie is feeling the “role strain or role stress.” As a brand new nurse in the hospital, she is overwhelmed with the numerous tasks that she must complete during her shift; she is also in conflict since the other two nurses that she has met there are unhelpful, and not welcoming at all. The role theory points out to both parties that are involved, in the case Natalie is a ‘Newbie,’ although likely to get a higher remuneration than the nurses she has met. Natalie is uncertain about her role since it is her first time to practice, but her coworkers are not assisting her to get used to the new role (McEwen, 2014). As a new nurse, it is essential to negotiate appropriate role behaviors with the patients, co-workers and the general medical staff.
Through structural theory, it is apparent that experience plays a huge role compared to the .
Choose one of the four scenarios below and compose your thoughts o.docxchristinemaritza
Choose one of the four scenarios below and compose your thoughts on how you would handle the situation as the manager of the health information services department
I recently started a job as the manager of an HIM department. I've learned that the current assistant manager had also applied for the job and is very unhappy about not getting the position. She has been undermining my authority in the department and often goes behind my back to do things her way. How can I resolve this problem?
1. Sarah, one of my best medical coders, came across the medical record of a woman she knew from college and learned that this woman had presented to the ER due to complications from cosmetic surgery. Sarah told her roommate about this woman, and her roommate then told several other people. The woman who had been to the ER called the hospital to complain and threatened a lawsuit. When confronted, Sarah admitted to the breach of confidentiality. She hasn't made any other mistakes, though, and I really depend on her. How should I handle this situation?
2. The stack of loose filing grows by several inches in my HIM department each day. I can't hire any more staff to get this under control. What should I do?
3. Jeff has been working at our facility for 25 years. He is a talented coder and a model employee. In the past few months, however, I have noticed that Jeff's work is not being completed at the same pace as it used to be and that it is occasionally incomplete. He is often late for work and is missing in meetings quite frequently, often without realizing it. I think Jeff's symptoms are the early stages of Alzheimer's disease, but I am afraid to bring it up to him. How should I handle this?
When you respond to another student, think of ways to encourage them in their comments. What other ideas come to mind that both of you could consider?
...
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
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How many patients does case series should have In comparison to case reports.pdf
Communication scenarios
1. BY : GROUP 2
RENI ROSITA
1414401D078
VICTIYANA
1414401D086
Nursing Academy Of East Kotawaringin
www.akperkotim.ac.id
2. Below are example scenarios relating to
communication problems which you may encounter
in the healthcare setting.
SCENARIO ONEYou are looking after a
patient whose speech has been badly affected
by a stroke (dysphasia).
1. How would you approach the other members
of the team to highlight this patient’s
difficulties?
2.What suggestions for improvement might you
make?
3. How can you involve the patient in making this
improvement?
3. SCENARIO TWO You are working in a clinic and
check the list for who will be attending that
morning.
1What action will you take?
4. SCENARIO THREE You are working on a
very busy orthopaedic ward when the
phone rings.
1 How do you overcome this barrier to
effective communication
5. SCENARIO FOUR Mohammed is visiting his
wife in hospital following her minor operation.
She has dementia and cannot fully
understand what is happening to her, which
makes both of them feel anxious. He hovers
around the nurses’ station, hoping to speak to
someone about her progress, but they all
seem too busy.
6. Eventually a nurse looks up and in a rather
dismissive way asks him what he wants.The
nurse answers his questions but appears
distracted, saying his wife is ‘doing as well as
one would expect’. He then asks her if she is
being given a halal diet and is told, ‘I expect so,
if that’s what she requested’.
1 List different reasons why Mohammed needs to
communicate.
2 How could the nurse improve her
communication skills?
7. SCENARIO FIVE As a student nurse you have
recently commenced working on a placement
looking after older people with dementia.
Karen, a healthcare assistant, has worked on
the ward for many years and you overhear her
speaking to the patients as if they were
children and referring to them as ‘love’ and
‘sweetheart’.When you speak to her about this
she informs you that they are like children and
are always spilling food and being incontinent.
1What do you think about Karen’s
communication skills and why?
8. SCENARIO SIX
You see on Facebook that someone you know
has written that they have had a really bad
day at work because of a certain person, who
is actually named.
1What should you do in this situation?
9. SCENARIO SEVEN During a tutorial you are
listening to a lecturer but you are fi nding it
very hard to concentrate because the person
sitting next to you sending and receiving lots
of text messages, and his phone bleeping
constantly.
1What should you do?
