Throughout the time I spent in a pharmacy school, the concept of patient-centered care was reinforced constantly. As healthcare is moving towards patient-centered care, healthcare providers are empowering patients to make healthcare decisions for themselves. The third Code of Ethics for Pharmacists states, “A pharmacist respects the autonomy and dignity of each patient”. This statement explains, a pharmacist should recognize individual self-worth and encourage patients to participate in making health decisions. In this semester’s Ambulatory Care IPPE, I am in a perfect setting to see the third Code of Ethics for Pharmacists. Jefferson Home Infusion Service is a leading provider of home infusion therapy in Philadelphia area, providing excellent …show more content…
It was interesting to see my preceptor contacting various healthcare providers in the hospital to gather information and formulate therapy for his patients. Home infusion advocates go around the hospital to ask patients, who are about to be discharged, if they want to try home infusion. If a patient agrees to it, a nurse would come to set up a peripherally inserted central catheter (PICC) line for the patient so they can receive the infusion treatment intravenously. It was very interesting to actually see the PICC line inserted in a patient. I did not expect the procedure to be that simple, and did not think that tube would slide into a vein that easily. Also, when I was rounding with a dietician, I was able to meet a patient who was battling infections due to cholecystectomy and urostomy. The patient, who was a farmer, could not wait to go back to her house and be with her husband and do what she loves, farming. Although wearing infusion bags during treatment may be cumbersome, home infusion services allow patients to be out of the bed and give them freedom to be mobile and carry on their daily lives. Giving freedom for patients to choose where they want to be treated can impact the progression of patients’ conditions, since patients will be less stressed in their home than hospitals. I am glad that I am doing my Ambulatory Care IPPE at Jefferson Home Infusion because I learned whole new field in pharmacy and how infusion pharmacists can impact patients’ lives in patient-centered
The committees involve individuals from diverse backgrounds who support health care institutions with three major functions: providing clinical ethics consultation, developing and/or revising policies pertaining to clinical ethics and hospital policy and facilitating education about topical issues in clinical ethics. The goals of ethics committees are to promote the rights of patients; to promote shared decision making between patients and their clinicians; to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; and to enhance the ethical environment for health care professionals in health care
Assess for prothrombin time during treatment (2 sec deviation from control time, bleeding time, and clotting time); monitor for bleeding, pulse, and BP. Assess for nutritional status: liver (beef), spinach, tomatoes, coffee, asparagus, broccoli, cabbage, lettuce, greens. Administer IV route after diluting with D5, NS 10 ml or more give 1 mg/min or more. IV route only when other routes not possible (deaths have occurred). Perform/provide Store in tight, light-resistant container Evaluate
It’s agreed that Shivonne was a key player in the transitioning of Infusion Clinic to Outpatient hospital. The transition was not an easy task – but Shivonne managed through professionally. Shivonne was once described as an “overachiever” during the transition. Shivonne received an email asking her to check on auth status for one of the patient listed in email.
The committees involve individuals from diverse backgrounds who support health care institutions with three major functions: providing clinical ethics consultation, developing and/or revising policies pertaining to clinical ethics and hospital policy and facilitating education about topical issues in clinical ethics. The goals of ethics committees are: to promote the rights of patients; to promote shared decision making between patients and their clinicians; to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; and to enhance the ethical environment for health care professionals in health care
Medicine has changed in ways over the years that one might have never thought twice about having anything like that happen to them. People today have increased their knowledge overall about their health situations and how to treat themselves. Patients are stepping up and making decisions about their healthcare choices each day with physicians. And in this process it has turned out to be so important for people to understand what is truly being done before medical treatment is given. We have talked this semester about informed consent and how important it is that our patients understand the meaning of what they are having done.
Perfusionists employ artificial blood pumps to propel open-heart surgery patients' blood through their body tissue, replacing the function of the heart while the cardiac surgeon operates. When a patient's blood is continuously removed and returned through plastic tubing to allow
As the years have passed, technology plays a significant factor in improving patient safety. For instance, infusion pumps have prominently been enhanced to
The primary motivation that has led me to pursue an advanced degree in bioethics at Columbia University is the direct applicability the field has to my interests in medicine. Today, the physician needs to contend with an increasingly pluralistic and multicultural society that can create pressure to compel him or her to accommodate patients ' diverse values. Each person and each physician who come together in the medical relationship have expectations, hopes, and needs. Only after these are understood and respected can appropriate technical measures be applied. My decision to apply to Columbia University is based on the belief that this program provides the optimal environment for me to investigate ethics as it pertains to medicine to prepare myself for the ethical requirements of a physician.
The documentary, A Death of One’s Own, explores the end of life complexities that many terminal disease patients have to undergo in deciding on dying and dignity. It features three patients, their families, and caregivers debating the issue of physician-assisted suicide or pain relief than may speed up death. One character, Jim Witcher has ALS and knows the kind of death he is facing and wants to control its timing. Kitty Rayl is suffering from terminal cancer and wants to take advantage of her state’s Death with Dignity Act and take medication to terminate her life. Ricky Tackett, on the other hand, has liver failure and together with his family and caregiver agrees on terminal sedation to relieve his delirium and pain.
To create an environment where these errors are a rare occurrence, all healthcare professionals must dedicate themselves to implementing QSEN's six core competencies each and every day. These professionals must also speak up when they see room for improvement in their workplace. Regardless of the healthcare setting or demographic of patients, safe outcomes are the purpose of providing patient-centered care. Since nurses are the largest subgroup of healthcare professionals, their ability to make strides towards improved medication administration is undeniable. As the nursing code of ethics states, nurses have the duty to protect the health and safety of those in their care (Winland-Brown, Lachman, O'Connor Swanson, 2015).
Given that this is not a trauma center, I’ve also been able to have considerable interaction with what I regard as an “average patient”. Rather than someone being rushed in with a gunshot wound, I’ve seen the devastating effects of poor primary care and chronic illness
Military Nurse’s Dilemma Chi Tiet University of Michigan - Flint Nurses are a group of professionals who faces a variety of ethical dilemmas while working. Therefore, these dilemmas cannot only impact on their personalities but also affect their patients. However, ethical dilemmas are argumentative and difficult to deal with, so there is no “right” or “wrong” answer for them. In a military nurse’s dilemma, a military RN is ordered to force feeding a terrorist prisoner while he is undergoing interrogation, and the prisoner is on a hunger strike protesting. The nurse is torn, but fearing of reprisal if orders are disobeyed, so the nurse is appalled at the over-riding a patient’s wish by force feeding him agains his wish.
The practice of health care includes many scenarios that have to do with making adequate decisions when it comes to a patient’s life, and the way they are treated. Having an ethical code in all health care organizations is very important, because it helps health care workers with reaching a suited and ethical decision when it comes to the patient. In health care, patient will always be put first, and their autonomy will always be respected. Nevertheless, when there is a situation where a patient might be in harm, or might be making their condition worse because of the decisions they made. Health care workers will always be there to
The practice of medicine connects the space between health sciences and society. However, a physician’s worth cannot be reduced to licenses, certificates, and stethoscope around their necks. A doctor is more than that. The weight of improving or maintaining the safety of patients rests upon their shoulders. Traditionally, there are a multitude of benefits of being a doctor but it calls for certain ethical demands as well.
Behind the countless chief complaints presented to me were real people, each with a story that shaped who they were and how they had come to that point in their lives. My curiosity and patience in learning about each patient’s background helped me better treat each individual. It would have been unknown that the patient presenting with anemia and weight loss was actually a 65 year old male with chronic mesenteric ischemia, who stopped taking meals for his fear of postprandial pain, if I would have not known that he had an attack of MI five years back and his father also had similar complaints. My curiosity peaked; the more I learned, the more I wanted to learn. The experience of assisting my attending physicians in various procedures like endoscopy and colonoscopy as a resident in Gastroenterology department and echocardiography as a resident in Cardiology department, continued to challenge me to learn the art and science of medicine.