Escape Fire “Escape Fire: The Fight to Rescue American Healthcare” is a documentary concerning the state of health care in the United States. It alleges that the American healthcare system is a broken system that mainly focuses on getting as many people treated the healthcare system, without actually treating their true medical issues. It challenges that the healthcare system is more about bringing in revenue than providing adequate medical care. It further contends that the healthcare system is more about increasing healthcare numbers than improving health. Escape fire is defined as a fire intentionally set to provide protection against a larger uncontrolled fire (Heineman & Fromke, 2012). This documentary maintains that in order to …show more content…
One of the first discussed was the number of patients that a physician at a community clinic was expected to see daily. The physician in the film maintains that she is constantly scrutinized by administration to increase her productivity. The physician however does not feel that increasing the number of patients she sees allows her to properly care for her patients. She is more concerned about the quality of care she provides versus the quantity of patients she sees. She gives this as a reason for her quitting this job. This is illustrated in several of the patients she is providing care for. During the documentary she is simply treating the presenting symptom rather than focusing on preventative measures or patient education. An example of this is one female patient that is tearful, who states that her son it’s her son’s birthday and he is out to the country, she is working six days a week and she just broke up with her boyfriend. The patient states that Celexa has worked in the past. While the doctor acknowledges that medication is not the fix to the patient’s problem, the insinuation is that she prescribed it anyway without attempting find solutions to the patient’s issues. Another issue that was identified was demonstrated by a woman who by the age of thirty-five had over 40 stents placed. It was easier for her providers to continue to recommend stent placement because this procedure …show more content…
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017). As there continues to be an initiative to improve quality healthcare while simultaneously reducing costs, the importance of the nurse with advanced education in transforming healthcare delivery and healthcare policy will continue to grow. Opportunities for nurse managed health clinics, quality nursing research to improve evidence based practice, leadership of multidisciplinary health management teams and change agents in health policy and improved patient outcomes make the nurse with advanced education the “escape fire” in health care now and in the
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The building only had one fire escape, that was one fire hazard, and it broke during the fire because so many people were trying to get away from the screaming flames. Long tables and big machines trapped many of the workers from escaping. Panicked workers were crushed as they struggled with doors that were locked by Blanck and harris to prevent theft, little did they know that they were trapping there employees from eascaping the roaring flames. “Only a few buckets of water were on hand to douse the flames. They didn't have sprinklers or anything else to put fires out.
CNN nominee Daniel Ivankovich is a man who is willing to step out and help his community by reaching out to those in need. Daniel is an orthopedic surgeon who wants to “heal Chicago’s mean streets one patient at a time”. Dr. Ivankovich’s main focus is to help the community in a different way than just helping the one’s who need medical care as he has witnessed terrible things in his community for 20 years. Dr. Ivankovich says it is not only the crime rates that make the living issues tough, but also the medical side of things. Dr. Daniel Ivankovich wants to reach out to the people who cannot seek medical attention since they do not have money to pay for it.
In 2013, California physician Daniel J. Stone wrote an article for the Los Angeles Times titled “Our Big Appetite for Healthcare.” Stone wrote this article because he wants people informed about the growing addiction that people in Southern California have for healthcare. He outlines how the problem is bad for both doctors and patients. By publishing this article, the Los Angeles Times hopes to have people more knowledgeable about the reality of overusing healthcare. Stone uses two persuasive strategies to interest readers.
The documentary film "Escape fire" is a simple truth that sets out issues about the cracked US healthcare system. The authors used the firefight scene as a metaphor to emphasize and make more visible and reachable the reality about US healthcare system and make people to that we have to fight against the defects of US healthcare system. We have to be aware and find even unthinkable solutions to save our healthcare system. To me the hospitals, doctors offices and other medical institutions should be the only place where saving human lives is considers number one priority not the moeny that dominates and rules the whole world.
In the film Escape Fire the Fight to Rescue American Healthcare, there were many insightful examples of why our Unites States healthcare revolves around paying more and getting less. The system is designed to treat diseases rather than preventing them and promoting wellness. In our healthcare industry, there are many different contributors that provide and make up our system. These intermediaries include suppliers, manufacturers, consumers, patients, providers, policy and regulations. All these members have a key role in the functionality of the health care industry; however, each role has its positives and negatives.
As an advanced practice nurse (APN), I am committed to providing patient-centered care by using evidence based practice to treat and manage co-morbidities, direct care to the appropriate resources, and work among a multi-disciplinary team to provide quality service. My education reinforces me to be an ethical, compassionate provider who is committed to promoting a high standard of patient care. During my time as a healthcare provider, I have learned the importance of listening and tailoring the goals to promote compliance and increased knowledge among patients. I personally believe that through health education, effective assessment, and disease prevention, I can deliver competent care to the patients that I encounter.
As an increasing number of nurses pursue doctoral education and new conflicts arising it will be important to remember these issues and keep them in mind when thinking about what the future holds as for nurses as a result of the affordable care act. (Lathrop,2014). Nurses have always been at the forefront of healthcare and have always been out front providing the upmost standard of care to patients with diverse needs and this reform will only impact our nurses at the forefront of healthcare more and more. DNP nurses have the ability to provide leadership in the use of evidence-based clinical care; the restructuring of the healthcare system; the greater focus on prevention; and the utilization of new care delivery models, community outreach
How will you incorporate this knowledge into your practice? Evidence-based nursing practice is essential to the delivery of high-quality care that optimizes patients’ outcomes (Norton, 2015). Studies continue to help nurses improve outcomes when best evidence is used in the delivery of patient care. First of all, the relationship between patient and primary care is very important; performing assessment of risk factors, a physical examination, and a diagnostic evaluation are some of the ways nurses can identify patients who are vulnerable. For instance, when performing a physical examination, nurses should pay specific attention to conditions associated with increased risk for sexually transmitted infections (STI).
Introduction Nurses as a professional, we are obligated to deliver the best care to patients. Every interventions that we performed are expected to be based on evidences and underpinned by rationales. In recent years, the idea of evidence-based practice is prevalent (G). To promote the development of evidence-based practice, we have to address the barriers and facilitators (B). In the following, I am going to give a description on evidence-based practice.
The Doctor of Nursing Practice (DNP) program focuses on the doctoral degree that influence the direct care of patients, health policy, and healthcare outcomes (Matthews, 2014). The DNP program prepared me for the role of leadership in solving complex clinical problems, interdisciplinary collaboration, health care engineering and systems approaches, as well as new knowledge that results in uniquely qualified providers. I discovered the activities of knowledge, behaviors/attitudes, and skills in the DNP IV while utilizing the Bloom’s Taxonomy to master the competencies of these outcomes (Huitt, 2011). As an educator, I can relate knowledge to future nursing students and utilize evidence-based practice. Billings and Halstead (2012) suggest
It was through my experiences, from working as a volunteer in a city-wide event to my research and clinical experiences, that helped me to not only emphasize and expand upon my interests, but also better understand what a doctor really was and the intimate relationship formed between patients and doctors. Like the doctors I met, as a doctor, I hope to emphasize the importance of positive patient communication as a part of the patient’s overall
Not only the risk of absorbing a single point of view implies the loss of important features that can come from others’ stories, but absolutizing one’s perspective is not fruitful in a strict sense. Of course, the patient knows better than others what she is going through, but her opinion might also be blurred by many other feelings, motives, and desires. For instance, the desire to make a good impression and “trying to be a good patient” in the doctor’s eyes, and to her family and closest friends. Sometimes, this is the last chance they feel they have “to do a good job” and perform well.
Innovation and change have become critical components of nursing care, because healthcare is rapidly transforming. Nurse practitioners are expected to play leading roles in innovating, as well as participate effectively improving practice and patient outcomes for various populations. Thus, they need to be well trained, knowledgeable and prepared as change agents in order to meet the expectations and challenges of healthcare now and in future (Hain & Fleck, 2014). Particularly, advanced practice registered nurses (APRNs) need to be well trained on how to become change and innovation agents, not feasible without deep knowledge of how to use decision support tools grounded on evidence based research. At no time in history other than current times,
Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016).