Developing an Inter-Professional Education Program in Disaster Medicine
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2019 International Conference on Disaster Medicine and Hurricane Resiliency Presentation by Wesley Bissett, PhD, DVM Director of Veterinary Emergency Team and Associate Professor of Emergency Medicine, Texas A&M Veterinary Medicine and Biomedical Sciences
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- Registered nurses play a key role by maintaining patient health and records, administering medications, monitoring for side effects, and coordinating with healthcare teams on patient care plans. Their job faces challenges like generational differences, technological changes, ethical dilemmas, and legal issues that can lead to stress and turnover.
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Care Coordination in a Medical Home in Post-KatrinaNew Orlea
Care Coordination in a Medical Home in Post-Katrina
New Orleans: Lessons Learned
Susan Berry • Eleanor Soltau • Nicole E. Richmond •
R. Lyn Kieltyka • Tri Tran • Arleen Williams
Published online: 14 July 2010
� Springer Science+Business Media, LLC 2010
Abstract This is a prospective study to evaluate ability of a
nurse care coordinator to: (1) improve ability of a pediatric
clinic to meet medical home (MH) objectives and (2)
improve receipt of services for families of children with
special health care needs (CSHCN). A nurse was hired to
provide care coordination for CSHCN in an urban, largely
Medicaid pediatric academic practice. CSHCN were iden-
tified using a CSHCN Screener. Ability to meet MH criteria
was determined using the MH Index (MHI). Receipt of MH
services was measured using the MH Family Index (MHFI).
After baseline surveys were completed, Hurricane Katrina
destroyed the clinic. Care coordination was implemented for
the post-disaster population. Surveys were repeated in the
rebuilt clinic after at least 3 months of care coordination. The
distribution of demographics, diagnoses and percent
CSHCN did not significantly change pre and post Katrina.
Psychosocial needs such as food, housing, mental health and
education were markedly increased. Essential strategies
included developing a new tool for determining complexity
of needs and involvement of the entire practice in care
coordination activities. MHFI showed improvement in
receipt of services post care coordination and post-Katrina
with P \ 0.05 for 13 of 16 questions. MHI demonstrated
improvement in care coordination and community outreach
domains. Average cost was $36.88 per CSHCN per year.
There was significant improvement in the ability of the clinic
to meet care coordination and community outreach MH cri-
teria and in family receipt of services after care coordination,
despite great increase in psychosocial needs. This study pro-
vides practical strategies for implementing care coordination
for families of high risk CSHCN in underserved populations.
Keywords Care coordination � Medical home �
Children with special healthcare needs (CSHCN) �
Title V CSHCN � Hurricane Katrina
Eleanor Soltau has relocated to Atlanta, Georgia, after her
involvement with this research.
S. Berry (&) � N. E. Richmond � A. Williams
Department of Pediatrics, Louisiana State University
Health Sciences Center, 1010 Common Street Suite #610,
New Orleans, LA 70112, USA
e-mail: [email protected]
N. E. Richmond
e-mail: [email protected]
A. Williams
e-mail: [email protected]
E. Soltau
Children’s Hospital Medical Practice Corporation,
New Orleans, LA, USA
e-mail: [email protected]
S. Berry � N. E. Richmond � A. Williams
Louisiana Office of Public Health, Children’s Special Health
Services, New Orleans, LA, USA
R. L. Kieltyka � T. Tran
Department of Pediatrics, Louisiana State University Health
Sciences Center, 1010 Common Street Suite #2710,
New Orleans, LA 7011 ...
Nursing process by raj kumar mehta
to encourage nursing professional to provide sound, effective and holistic nursing care to the client by using nursing process. Nursing process is the both heart and brain of the Nursing.
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Nursing Process Essay
The nursing process consists of five phases: assessment, diagnosis, planning, implementation, and evaluation. Assessment involves collecting both subjective and objective data to establish a database about the patient's health status and needs. Diagnosis involves analyzing the data to determine nursing diagnoses. Planning involves establishing measurable goals and expected outcomes. Implementation involves carrying out the planned nursing interventions. Evaluation involves determining if the goals and outcomes were achieved in order to revise the plan if needed. The nursing process provides an organized framework to guide nursing care and develop clinical reasoning and judgment skills.
Dr. Kristen Swanson Theory of Caring” Prepared by Amira .docx
Dr. Kristen Swanson
“Theory of Caring”
Prepared by: Amira Mansoor
Course Instructor Dr: Maria Charito Indonto
Learning Objectives..
Background of Theorist
Theoretical Sources
5 Domains on Knowledge of Caring
Major Assumptions
The Structure of Caring
Acceptance by the Nursing Community
Further Development
Analysis
Conclusion
References
Theory of caring
“ Caring is a nurturing way of relating to a valued whom one feels a personal sense of commitment and responsibility ”
(Swanson, 1991)
Dr. Kristen M. Swanson RN PhD FAAN (1953 to present)
Born in Providence, Rhode Island
Bachelor of Science in Nursing (Magna Cum Laude) University of Rhode Island, College of Nursing 1975.
RN, University of Massachusetts Medical Center, Worcester.
Master Degree in Adult Health Illness Nursing, University of Pennsylvania, Philadelphia, 1978.
Dr. Kristen M. Swanson RN PhD FAAN (1953 to present),con.
Work as Clinical Instructor of Medical Surgical Nursing Dept. University of Pennsylvania School of Nursing
Ph.D. in Nursing, University of Colorado, Denver, Colorado.
Dean and Alumni Distinguished Professor , University of North Carolina (UNC), School of Nursing at Chapel Hill; Associate Chief Nursing Officer for Academic Affairs UNC hospital, 2009
Theoretical Sources
Caring
Knowing
Being With
Doing For
Enabling
Maintaining Belief
Caring- is a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility.
Knowing – is a striving to understand the meaning of an event in the life of other, avoiding assumptions, focusing on the person cared for, seeking cues, assessing meticulously, and engaging both the one caring and the one cared for in the process of knowing.
Being With – means emotionally present to the other. It includes being there in person, conveying availability, and sharing feelings wihtout burdening the one cared for.
Doing For – means to do for others what one would do for self if at all possible, including anticipating needs comforting, performing skillfully and competently, and protecting the one cared for while preserving his or her dignity.
Enabling – facilitating the other’s passage through life transition and unfamiliar events by focusing on the event, informing, explaining supporting, validating feelings, generating alternatives, thinking things through, and giving feedback.
Maintaining Belief – is sustaining faith in others capacity to get through an event or transition and face a future with meaning, believing in other’s capacity and holding him or her in high esteem, maintaining a hope filled attitude, offering realistic optimism, helping to find meaning, and standing by the once cared for no matter what the situation.
6
5 Domains on Knowledge of Caring
1st – persons capacities to deliver caring.
2nd – individuals concerns and commitments that lead to caring actions.
3rd – conditions (nurse, client, organization) that enhance or diminish the likelihood of ...
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Issl 2015 demchak
The collaboration between Indiana State University and the Wabash Valley Health Center started in 2009 to provide rehabilitation services and an exercise program. Over 4,000 patient visits have occurred, with students gaining experience through 300 patient evaluations, 2,500 rehabilitation sessions, and 2,200 clinical hours. The program has benefited patients by providing over $600,000 worth of free medical care and positively impacting their health. Student reflections show they have improved their clinical skills and developed empathy through this community-engaged learning experience.
Cardon Outreach_GoodMedicine_Winter2016_DRAFT 11 4 15
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Concept Synthesis Paper on Personal Nursing Philosop.docx
Concept Synthesis Paper on Personal Nursing Philosophy
Ancelle Jackson
South University
Advanced Theoretical Perspectives for Nursing
NSG5002 S09
Dr. Susan Stear
Running head: CONCEPT SYNTHESIS PAPER ON PERSONAL NURSING
CONCEPT SYNTHESIS PAPER ON PERSONAL NURSING
Concept Synthesis Paper on Personal Nursing Philosophy
The purpose of this paper is to identify, describe, and apply the concepts that underlie my personal nursing philosophy. I will give a brief overview of my nursing background, identify and describe the four metaparadigms of nursing, provide two other practice specific concepts that apply to my practice, and include a numbered list of five propositions that apply to those concepts.
Nursing Autobiography
When I was little, I dreamed of becoming a flight attendant, a lawyer, an architect, and a doctor. I never saw myself become a nurse someday. I must admit that my only motivation for pursuing a nursing degree in college was to get to the United States and make good money. But I didn't think that I would someday love the profession I never even imagined doing. It is for this reason that I believe that nursing is a calling. Being a nurse has its bittersweet moments and surely takes a lot of compassion, patience, empathy, and strength. While it's true that the long hour shifts can be physically exhausting, it's witnessing the most devastating situations in life that make this profession very challenging. On the contrary, our ability to heal, save lives, and make a difference in our patients' lives and their families, truly is very rewarding and incomparable to nothing. Being a nurse for almost five years has opened my eyes and changed my views about life and all other things. I first started working on a Telemetry/Neuro floor for about a year and a half before I decided to venture out and ended up working in an extremely busy ER in downtown Jacksonville, FL. I worked there for two years, and though it was a highly stressful environment, I enjoyed almost every minute of it. The ER has the kind of culture that is fast-paced, task-oriented, informative, and team driven. Having passed my certification in emergency nursing (CEN) recently, I can say that my knowledge base, assessment, and critical thinking skills, which I often use to guide me in my clinical decision making, have significantly improved since I became an ER nurse. It has molded me into a strong, hard-working, and competent nurse that I am today.
The Four Metaparadigms of Nursing
A metaparadigm is referred to as the global concepts and propositions that define a particular discipline and describes their distinction from other professions (Fawcett, 2000, p. 4). It consists of four stipulations: (1) a domain different from other disciplines, (2) all phenomena of interest to the discipline (3) a neutral perspective, and (4) a scope that’s international in nature
(Fawcett, 1996, p. 94). In nursing, there are four common interconnected basic concepts that include patient, ...
curriculum vitae 082416
Gail R. Magsaysay is a registered nurse with a Master's degree in nursing. She has over 30 years of clinical experience as a nurse, including experience as an admissions nurse for hospice care and providing inpatient care at a hospice residence. She also has experience working as a substitute nurse and teacher. Magsaysay is licensed to practice nursing in Indiana and Illinois and has taught as an adjunct clinical faculty member. She is involved in her community and several professional organizations.
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