Health care is in a constant state of change. For a long time, care was dictated by the physician and the patient was expected to treat the diagnosis or treatment plan as final. Nurses served the physician, while providing the beginnings of holistic care to the patient. Today, the industry is rapidly evolving. Terms such as medical home, evidence-based practice, patient-centered care, nursing science, advanced practice providers and so forth dominate the academic publications.
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
According to Lampe (2013) a clinical nurse specialist (CNS) is a graduate prepared advanced practice nurse that provides expert clinical care in a specialty population and practice in a variety of settings. Generally speaking their practice is specialized in a clinical area that can be identified in terms of: population, setting, disease or medical subspecialty, type of care, or type of problem. The main difference between a CNS and NP is that the CNS practices in a specialty population, and the NP can treat a larger population. Rules and regulations vary for CNS depending on the state in which they choose to practice. Rights for prescribing medications to patient range from independent prescribing authority to no prescribing authority.
Our society has been leaning more towards the ambulatory service lately because it is more cost effective to the hospital and the patients. Both inpatient and ambulatory care have different scopes of services. As stated previously, inpatient care is a service that
Patients receive short-term treatment in acute care while in rehabilitation hospitals they receive longer care for things like speech therapy, occupational therapy, and physical therapy. Acute care for a patient may require them to stay in a hospital emergency or surgery department. Acute care encompasses a range of clinical health-care functions, including emergency medicine, trauma care, pre-hospital emergency care, acute care surgery, critical care, urgent
However, one focuses on management and delivery of healthcare, and the other focuses on patient’s healthcare. Although they vary differently, they also have similar pathways. (“Top Masters in Healthcare Administration,” 2018) indicates, a Health Services Manager is responsible for the decision-making and strategic planning that takes place in a hospital, long-term care facility and other organizations that are related to medical or health care (2018). Mental Health Counselor should be one that specializes in caring for others by providing assistance, medical attention, and emotional support for patients, and coworkers, and as part of a Mental Health Counselors job they must document patient information written or electronically, yet also maintain patient confidentiality (“Mental Health Counselor,” 2018). The ultimate goal of these two careers is a form of management, such as managing a facility, and teaching one-self management.
Nursing is concerned with all the variables affecting a patient‘s response to stress, which is interpersonal, intrapersonal and extrapersonal in nature. The concepts of the metaparadigm of nursing under the Betty Neuman system model aim towards the development of a person in a state of wellness having the capacity to function well by adapting the patient’s self to the environment. The theory focuses on the concept of the whole person as an open system.
Primarily, it is written in relation to this type of therapy for patients who receive this treatment and the ones who administer the therapy. The request for the research proposal is addressed several times throughout the document. For example, in the background of this document, the author acknowledges that “Nursing instructions are important for improving patient knowledge related to their diseases and treatments.” The document was clearly written while the therapy treatment was being conducted on separate occasions. This is evident by a few
Another very interesting part of primary care nursing is the job roles of the nurse, which is divided into two roles, Pod nursing and Care Coordination. The responsibilities of the pod nurse include, performing daily needs of a set group of patients such as vaccinations, medications, telephone work, messaging and triaging. Pod nurses work closely with the primary care provider, medical assistant and on site behavioral health provider. Care coordination nursing involves creating care plans for patients in conjunction with the primary care provider to improve disease outcomes and prevent hospital stays. Unlike pod nursing, care coordination nursing focuses on capturing data by panel review sessions and dash board data to develop a plan to care
The main purpose of this assignment is to evaluate the effectiveness of bedside handover in nursing for treating patients. Clinical handover practices are considered as significant in the transmission of clinical care between health physicians. It is noticed that when the patient is handed over from one clinician to another, it is important to make sure that continuity of care is maintained because problem in this can give rise to various safety issues. A nursing handover is known as the process in which information related to a patient is exchanged between nurses, which includes transfer of responsibility or control over for the patient. It is noticed that at the start of the shift, the nurses get general report related to the patients, which
Patient with critical condition need to be considered as they need to be closely monitor by health professionals in the hospital. The Consultation document ‘Care in the Community’ (DHSS, 1981) made several suggestions for moving people who do not need nursing care out of long -stay hospital (Social Policy and Social Welfare, 1983). By limiting services, NHS is trying to increase its care to what it may be refer as ‘treatment’. Giving priorities to both conditions are necessary but doing this by choosing the right environment and what is best for patient is more important. In family members, it might affect elderly people that might require help such as nursing care.
“Neonatal nurse can expect to work in a hospital environment” (neonatal nurse career guidance). As it also says hospitals may be in a less than desirable location and safety might be an issue. So some nurses are mostly needed in a hospital. A nurse who desires to be advanced in careers will find themselves working in larger hospitals. In bigger hospitals in larger cities to help with the same placement they were in the hospital.
NUR 300 Case Study Since the recognition of patient safety as a healthcare priority by the World Health Organization (WHO) in 2007, healthcare organizations have put many efforts in ensuring the quality of services and the safety of the patients. The Quality and Safety Education for Nurses (QSEN) are recommendations meant to equip nurses with the necessary skills, knowledge, and attitudes that are critical to the improvement of patient care quality and safety (Sherwood & Barnsteiner, 2013). In the current case, Mary has new nurses who want to become part of her team in the ICU. Integrating new nurses into the ICU department requires helping them on how to efficiently execute their mandates without compromising on the quality benchmarks in place
In this case study the primary nurse, Amelia Wilkerson, is caring for a patient, Katy Palmer who has recently been admitted to the hospital for fatigue and abnormal lab counts. The patient asks Amelia for information regarding her diagnosis. Amelia has seen Katy’s results and knows that she has been diagnosed with acute myelogenous leukemia. The ethical dilemma seen in this situation is that it is outside of the scope of practice for Amelia to discuss Katy’s original diagnosis with her.
The biggest difference between Medicare and Medicaid healthcare is that Medicaid is a state-run, federally funded program. Other identifiers of Medicaid include; low-income health care for qualifying individuals, primary health care coverage for office visits and hospital visits. Sometimes Medicaid will have a copay or even cover expenses not covered by Medicare healthcare. While Medicare has an age requirement of 62 and older, Medicaid does not.