Advance Care Planning: A Case Study

Beneficence the action that protects and prevents harm of others and improves their situation (Pantilat, 2008). By changing the code status of this resident with treatment that is futile can improve the resident’s situation. The health care providers can concentrate on pain control and comfort management verses forcing treatment on the resident that will not improve their situation or relieve their suffering. Giving CPR and breaking her ribs to an actively dying resident could be considered doing physical harm which does not not result in improving the resident’s condition. Fidelity is loyalty, fairness, truthfulness, advocacy, and dedication to our patients.

Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care. The knowledge that I have attained now and my background in patient navigation will help me as a future oncology nurse practitioner, to manage the complex needs of cancer survivorship. I will be able to support my patient’s transition into their new way of life as effective transition management can translate into less hospitalization, lower health care cost and less physical, emotional, spiritual, social and financial stress to patients and their support system. Hope comes in many forms other than with the cure, it comes with control, relief, comfort; to a dying patient, it could mean living another day with their loved ones and

fall risk patients. Result of this targeted patient intervention results in more efficient outcome as it reduces unnecessary burden on the healthcare team and cost to the hospital management. Working in the multidisciplinary team results in the more effective prevention strategy for the fall of the elderly patient. Multidisciplinary team has more accurate diagnosis and treatment of the said condition. Administration of vitamin D in the patient with risk of fall, results in less number of fractures and less severity fractures in the hospital.

Also hospitals would need to determine where the best and most efficient care in the community is occurring prior to contracting will local SNFs. The hospital or ACO would choose the SNFs based on metrics involving care. ( aha article). Critics of the bundled payment program feel that bundle payments are prolonged fee for service and will not result increased efficiencies. ( Harvard

Involving the patient in goal setting was found to give patients a sense of ownership for their goals. Setting both short-term and long-term goals is more effective than setting only long term goals (Wade, 1998). In my clinical experience I know it is very important in practice to link goals one to another so the patient can see the connection between long-term aspirations and the more immediate suggested rehabilitation goals. In goal setting it is important to document any goals set and to

By using balanced scorecard in healtcare management,which is the Office of Strategy Management,it can help the healtcare industry such as hospitals,pharmaceutical company and many more in focusing on strategy execution and alignment.From this,it can help against cost overruns and ineffificient implementation,as example the cost or fees at hospitals.Bob M.D,(2012). In hospital’s management,Balanced scorecard will get the focus towards the patient and meet the expectations.The patient(customer) are the perspectives that build the strategy map.This also will meet the patient at the hospital with the satisfaction of measurement of progress towards the target.So,when there are issues and problem happen in management,some approach of balanced scorecard can be used and solved,but balanced scorecard (BSC) is not the solvers that will fix everything.By having the innovative and skilled management teams such as the workers itself at healthcare service such as nurses,pharmacist and also human resource department,it can play the good role in helping healthcare organisation in having success in their mission and perform outstanding healthcare services to their patients which is their customers and also to the communities as

Luc de Scheeper Readings Chapter 1 Samuel Hahnemann founded the Organon. In his first two aphorisms he discusses how modern medicine does not treat or cure choric disease, it is all systematic treatment. Modern medicine has side effects and high cost of medicines, thus more medicine is needed to fix the problems caused by the first one. Neither doctors nor patients end up satisfied using modern medicine. Homeopathy has the best answers to crisis’ facing modern medicine.

Thus, engaging in meetings where opinions, researches and other relevant knowledge is shared allows comprehensive learning, effective research and crafting or invention of better approaches to ensure patients and nurses enjoy the services and the health care environment as implied by Munhall (2012) and Torrey et al. (2014). Wallis (2012) makes implication that the prime objective of EBP is to provide approaches that can be applied effectively to prevent, detect and provide care of health disorders. Thus, obtaining a magnet status and evidence-based projects and should integrate current best evidence from research with clinical policy and practice to improve healthcare

This is stressed so heavily because an adequate patient caregiver communication is the key to positive treatment and results. Communication About Health: Current Issues and Perspectives, it explains in the cases where health professionals and patients do not see eye to eyes various negative outcomes come into place; treatment failures, frustrations, wasted time, avoidable expenses, loss of professional permutation or privileges, and there is

Breakthroughs in technology has revolutionized the way healthcare is delivered. Modern technology changed the way structure and organization is seen in the medical field. Many methods allow technicians and physicians to examine the anatomy of a patient without invasive procedures. Advances in software and programs give health care professionals the chance to quickly diagnosis medical issues within patients. According to John Morrissey, “Eye-popping medical technology provides earlier diagnosis personalized treatments and a breathtaking range of other benefits for both patients and healthcare professionals.” With the innovation of diagnostic technology, advances in biomedical engineering, modern healthcare and its delivery methods are changing at increasing rates (Banova).

New health care environment needs experts with current knowledge and charisma to bring an alignment incentives, innovation, and intrinsic distrust among stakeholders. I am glad that a firm evidence shows that Kaiser Permanente’s patients have trust in their hospital leaders, including providers, and the medical staff.

Although, every patient should be treated equally no matter their condition because one may never know that they may actually save a life against all odds, it has happened before. Medical technology and technology in general is constantly evolving every day with many new breakthroughs. With more sophisticated technology making work for us easier, it is inevitable that the evolving technology will be used in emergency rooms whether we like it or not because it can only make the job for doctors easier and more efficient. I’d like to believe that we will not let it make decisions for us, but eventually it just might. Overall I think the most ethical way to use this technology is more as a reference, rather than a decision

Many states are experimenting with different models of integrated care to develop the best-case collaboration for patients and healthcare workers. In order to reduce the complications of the current health care system the integrated care offers methods of reducing long-term health cost and create better healthcare outcomes. For example, allowing shared patient medical records will increase efficiency and improve physicians understanding of their visiting patient. Having the full medical access for patients allows health care providers to make informed decisions on their patients overall care. This collaboration allows providers to work together in combination therapy more seamlessly and transparent to have better outcomes.