The development of integrated solutions within the context of the health care delivery system needs to focus on patient centered care. In particular, the efforts to prevent and treatment of diabetes. The health care social needs are emerging through Medicare and Medicaid delivery and payment initiatives. Over time, diabetes can damage the heart, blood vessels, eyes, kidneys, and nerves.
In this country, the healthcare system is struggling to incorporate a proper formula to insure an adequate transitions of care between different facilities. Due to these issues, hospitals and community practices are trying to develop better transitions of care systems to coordinate better care with their patients. Hospital readmission rates are becoming alarming, with almost 20% of discharged elderly patients returning to hospitals within a month for the same medical conditions (1). These readmission rates both hurt the hospitals, and more importantly, the patients involved; so, an effective system must be implemented that could ease this transition of care and help reduce readmission rates and healthcare expenses.
INTRODUCTION As the incidence of myocardial infarction is increased in modern era . Conduction defects are one of the most common complications which occur following acute myocardial infarction (AMI), which results in Increased mortality in these patients with Acute Myocardial infarction 1. conduction defects occur during Acute Myocardial infarction , have varied presentation. Atrio ventricular (AV) blocks associated with inferior wall infarction and bundle branch blocks are more commonly associated with anterior wall MI.
While there is a great deal of attention given to issues associated with senior hunger and food insecurity, there is a hidden epidemic that is on the rise within the senior community: This epidemic is malnutrition. One out of three seniors admitted to the hospital is malnourished: On average, seniors who are diagnosed with malnutrition remain hospitalized three times longer than those who are not. Furthermore, malnourishment can cause muscle loss (sarcopenia). Sarcopenia increases the likelihood that a senior will fall.
This deterioration causes many negative effects to be brought upon nurses. It is named Nurse burnout, in most cases, burnout is in which basically a worker is overworked to the point they cannot do positive work. When workloads of nurses become overwhelming and they go through hard enduring shifts, they are more likely to contract symptoms of burnout. Burnout is very deterring especially in a field of utmost importance. This is important because it not only affects lifestyle, it plays a very large role in the work that the nurse outputs.
Griffiths et al (2014) stated that frustration is a common problem for nurses who are caring for people with dementia. I think that Margaret’s emotions were the biggest factor that influenced my feelings. The frustration on her face upset me as I desperately wanted to resolve the problem for her. However, part of the problem was me not allowing her to go home. Marquardt (2011) acknowledged that care for people with dementia is made more difficult in the hospital setting as the busy environment can disorientate them and leads to
Promoting Healthy Aging: Depression in Older Adults Depression is a serious mental health problem which affects many areas of a person's health including social, physical, mental, emotional and spiritual health. It affects people of all ages and backgrounds and greatly diminishes their quality of life when health care is not sought. Depression can lead to lowered, depressed moods, social isolation and a loss of enjoyment in activities the sufferer usually enjoys, among many other negative symptoms (Canadian Mental Health Association, 2013). In particular, with 15% to 20% of older adults experiencing it in Canada, the Canadian elderly population is vulnerable to its' effects because mental health has many social stigmas which may prevent people from seeking
Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job, and is defined by the three dimensions of exhaustion, cynicism, and inefficacy. The past 25 years of research has established the complexity of the construct, and places the individual stress experience within a larger organizational context of people’s relation to their work. Recently, the work on burnout has expanded internationally and has led to new conceptual models. The focus on engagement, the positive antithesis of burnout, promises to yield new perspectives on the interventions to alleviate burnout. The social focus of burnout, the solid research basis concerning the syndrome, and its specific ties to the work domain make a distinct and valuable
Falls account for a majority of the injuries to patients in long term care facilities. With falls being such a prevalent problem in the geriatric population it is important for nurses to take into account many different aspects of the problem and make it a priority to reduce and even eliminate the problematic issue with the long term care setting. Nurses should be most concerned first about the safety and well being of their clients, injuries, lasting disabilities, and costs associated with the falls. “Falls account for a significant portion of injuries in hospitalized patients, long term care residents, and home care recipients. In the context of the population it serves, the services it provides, and its environment of care, the organization
To facilitate change within our healthcare system and in our nursing practice, the influences that will affect this current issue include the College of Registered Nurses of British Columbia (CRNBC) Standards of Practice (2016), and the Canadian Nurses Association (CNA) Code of Ethics (2008). Currently, all nurses must apply both the standards of practice and the code of ethics in their nursing care. In relation to the issue with mental health and addiction, patients who receive negative attitudes and discrimination within their care are from healthcare staff neglecting the standards and guidelines of practice; they are not acting in a professional manner and following CRNBC (2016) or CNA Code of Ethics (2008). One of the principles in
Again disease or chemicals are not the only factors, but musculoskeletal injuries and assaults or violence also plays a role in making nursing profession hazardous. There are many tasks like transferring a patient from bed to wheelchair or bed side commode, turning or repositioning a patient in bed and giving bath to a patient. All these tasks exerts a lot of pressure and strain on the nurses back, legs, neck, and shoulders, leaving a nurse with some minor injuries. But repeated injury of these type for over a long period along with aging leads to disability or severe spinal injuries. Now talking about assaults or violence.
The ANA (2017) recognizes three main factors that contribute the nursing shortage. The ageing RN workforce has become a concern in recent years that is only likely to grow. There are a large amount of experienced nurses within the baby boom generation (those born between 1946 and 1964) who are reaching retirement. The cost of this will be an alarming loss of experienced nurses when the demand is likely the highest.