Experts by experience 2014: A compilation of patients’ storiesInspire
Experts by experience 2014: A compilation of patients’ stories: A special report by Inspire, developed in cooperation with the Stanford University School of Medicine, featuring columns written by patients as part of a monthly series in Stanford University School of Medicine’s Scope medical blog.
Experts by Experience 2015: A compilation of patients’ storiesInspire
In cooperation with Stanford Medicine, Inspire presents "Experts by Experience 2015: A compilation of patients’ stories." The special report is the third in an ongoing series.
Experts by experience 2014: A compilation of patients’ storiesInspire
Experts by experience 2014: A compilation of patients’ stories: A special report by Inspire, developed in cooperation with the Stanford University School of Medicine, featuring columns written by patients as part of a monthly series in Stanford University School of Medicine’s Scope medical blog.
Experts by Experience 2015: A compilation of patients’ storiesInspire
In cooperation with Stanford Medicine, Inspire presents "Experts by Experience 2015: A compilation of patients’ stories." The special report is the third in an ongoing series.
Experts by Experience 2016: A compilation of patient storiesInspire
In cooperation with Stanford Medicine, Inspire presents the special report, "Experts by Experience 2016: A compilation of patient stories," the fourth in an ongoing series.
Facing Forward: When Cancer Changes the Road Aheadbkling
A breast or ovarian cancer diagnosis brings unimaginable changes to a woman's life. Join us for a webinar as Julie Larson, LCSW, helps you reflect upon the psychological impact of this diagnosis. Learn how to develop strategies to face the challenges and emotions of your new normal.
Lecture on the definition and the principles of Breaking Bad News in clinical practice, prepared and presented by Prof. Faisal Ghani to Alfarabi Medical College Students
Experts by Experience 2016: A compilation of patient storiesInspire
In cooperation with Stanford Medicine, Inspire presents the special report, "Experts by Experience 2016: A compilation of patient stories," the fourth in an ongoing series.
Facing Forward: When Cancer Changes the Road Aheadbkling
A breast or ovarian cancer diagnosis brings unimaginable changes to a woman's life. Join us for a webinar as Julie Larson, LCSW, helps you reflect upon the psychological impact of this diagnosis. Learn how to develop strategies to face the challenges and emotions of your new normal.
Lecture on the definition and the principles of Breaking Bad News in clinical practice, prepared and presented by Prof. Faisal Ghani to Alfarabi Medical College Students
AETCOM module: Bioethics for Undergraduate Medical Studentslavanyasumanthraj
The Attitude, Ethics & Communication module introduced by the National Medical Commission is being followed in Medical Colleges. Here's a simple understanding of aspects on Bioethics & solution to Phase 2 MBBS modules
How useful are advance directives in directing end of life care and do people really understand or want to know the true status of their health as the end nears?
I managed the UK campaign for this fun and informative survival guide for first year medical students. I also contributed to the editorial of this publication.
For this assignment, consider the following case and then using th.docxbudbarber38650
For this assignment, consider the following case and then using the internet, course materials, and the Library, compose reasoned responses to the questions that follow.
In the mid 1970s, a nursing educator in Idaho had contact, through a student, with a female client who had chronic myelogenous leukemia. This form of leukemia can often be managed for years with little or no chemotherapy. The woman had done well for about twelve years and ascribed her good condition to health foods and a strict nutritional regime. However, her condition had turned worse several weeks before and her physician had advised her that she needed chemotherapy if she were to have any chance at survival. The physician had also advised her of the potential side effects of the therapy including hair loss, nausea, fever, and immune system suppression.
The woman consented to the therapy and signed the appropriate forms, but later, she began to have second thoughts. The nursing educator and student had given the patient one dose of the therapy when the woman began to cry and express her reservations about the therapy. She questioned the nurse about alternative treatments to the use of chemotherapy. The patient related that she had accepted the therapy because her son had advised her that this was the best treatment. She related that she had not asked about alternate forms of treatment as the physician had indicated that chemotherapy was the only treatment indicated. The nurse did not discuss the patient's concerns with the physician, and later that evening, she talked to the patient about alternate therapies. In the discussion, rather nontraditional and controversial therapies were covered including reflexology and the use of laetrile. During the talk, the nurse made it very clear that the treatments under discussion were not sanctioned by the medical community.
The patient's feelings toward alternate therapies were strengthened by the evening's conversation; however, she continued with chemotherapy. The treatments, however, did not bring remission to her crisis and she died two weeks later. Upon hearing about the conversation between the off duty nurse educator and his patient, the physician brought charges against the nurse for unprofessional conduct and interfering with the patient-physician relationship. (In re Tuma, 1977).
1. What, if anything, did the nurse do wrong?
2. Had she moved beyond her scope of practice?
3. Could the nurse's conduct be justified under the patient advocate portion of her role?
4. If you were a member of the state board for nursing and had to decide the issue of unprofessional conduct and interference with the patient-physician relationship, would you sanction the nurse?
Support your responses with evidence and cite your sources.
Length 4 pages not counting the case. At least 4 references; scholarly sources
COURSE MATERIAL INFORMATION
: Ethical Principles and Dilemmas of Confidentiality, Veracity, and Fidelity
Health care .
Join international leader in Palliative Medicine, Dr. Cleary, as he discusses a variety of unique issues faced by late stage colorectal cancer patients, including the integration of palliative care, end of life planning, keeping hope alive, and more.
Promoting Person Centred Approaches Support Workers 2014
1. Promoting Patient Centred Approaches
We need a patient centred culture, no tolerance
of non compliance with fundamental standards,
openness and transparency, candour to patients,
strong cultural leadership and caring,
compassionate nursing, and useful and accurate
information about services.
Robert Francis QC – Press Release Feb 2013
2. The patients perspective
Jono Broad
185068 – The patient
A Relative
Clinical Commissioning Group Clinical Policy
Committee
Or just Jono
I may have been the 20th
person you have seen today
day, but I want to feel like I am the first.
8. Patients are people first and patients second.
People
Relationship – more than just a number
more than just a name
Responsibilities – more than just a disease
Patients
Physical – more than just a body
Psychological – more than just a mind
9. What type of patient are you!
Positive
“I live my life to the full but I have an illness”
Negative
“I have a disease and my life is controlled by it”
Yo-Yo
“today I am ok tomorrow is another thing”
14. Multi Disciplinary Teams
Everybody, Somebody, Anybody and Nobody.
There was an important job to be done and
Everybody was asked to do it. Everybody was sure
Somebody would do it. Anybody cold have done it,
but Nobody did it. Somebody got angry about that,
because it was Everybody's job. Everybody thought
Anybody could do it, but Nobody realised that
Everybody wouldn't do it. It ended up that
Everybody blamed Somebody when Nobody did
what Anybody could have done.
Single point of contact and good communication
with each other and the patient
17. Trust that patients can make the right choice
Patients want to be involved in their care
Clear facts (lead to)
Clear decisions (lead to)
Clear Pathways (lead to)
True patient involvement
18. Laughter is good medicine
From Patient notes
Discharge status: Alive but without permission.
The patient has no past history of suicides.
The patient expired on the floor uneventfully.
Between you and me, we ought to be able to get
this lady pregnant.
Occasional, constant, infrequent headaches.
Patient was alert and unresponsive.
Personal notes
The patient feels Anorexic (should of said lethargic)
Patient discharged with Hemlock (should of said Heplock or
Hepsal)
19. Recommendations
Get to know the person behind the patient (holistic
approach)
Get to know the history (not just the medical one)
Communicate care don’t just give it! (talk through
what you are doing as you are doing it)
Identify the best way to improve the individual
patient pathway.
One size does not fit all - (just try on a hospital
gown to prove it!!!)
20. Next of Kin - It’s all Relative
Know the NOK but if the patient is competent and aware
they are in charge.
Not all families situations are normal. Don’t allow family
members to get you to breach a patients confidential
information or clinical information.
Don’t sugar-coat things and use plain English or language
line!
Kiss theory works well in all situations. Keep It Short and
Simple
21. Whilst all government claim to improved the
NHS the truth is that the only way the NHS gets
better is because the people in it continue to learn
and grow in their professional knowledge and
implement that learning.
A patient is only a patient when they are being
cared for at all other times they are people.
You are in the NHS and I thank you but I also
challenge you to make it better for your patients
and one day possibly for yourself.
Final Thoughts
22. Questions?
Over to you and I leave you with these alternative
definitions whilst you think about it!
Artery - The Study of paintings
Barium - What you do when CPR fails
Benign - What you be after you be eight
Cauterize - Made eye contact with the nurse
Impotent - Distinguished, well known
Nitrate - Cheaper than the day rate
Rectum - Darn near killed him