Clinical equipoise looks at the balance through the scientific community, whereas therapeutic equipoise looks at the balance through the judgment of a single physician (Weiger et al., 2013, 93). In this paper, it will be proven that equipoise, specifically clinical equipoise, is valid through the comparisons of the different types of equipoise and the focus on trust relationships. However, it will be made evident that clinical equipoise fails to acknowledge the patient’s autonomy because of the high focus on the medical research aspect. For research to be valid, it must consider beneficence. Brody and Miller believe that researchers must respect autonomy for the research to be ethical.
During a clinical shift, I would be responsible for providing care to patients with malignant hematological diseases, completing pertinent assessments and teaching skills, such as how to care for the mouth when experiencing mucositis and how to avoid infections. Self-reflection on Professional Practice All nurses registered in the general and extended classes are required to complete their self-Assessment every year. Self-Assessment is a self-directed, two-part process that results in a learning plan (CNO self assessment 2018). Through the process of self-assessment, you identify your areas of strength and learning needs (CNO
I believe that even if the hospital leadership are able to understand the climate and culture theory, it would be very difficult for them to translate to nurses, physicians and other professionals who already have a professional and organizational culture they are used to. Consequently, the implementation of creating or improving the climate or culture separately to aid stemming the crisis would be difficult. Although, I believe if it is introduced as trying to create a better organizational climate for the hospital or clinic in general with special focus on opioid addicted patients and organizational culture is treated as a component of the climate it may be easier to deploy and get good response. This is because as discussed/suggested in many of our readings people tend to hold on to culture so resisting change. But I believe people generally want a better climate to work in whatever the culture.
Summary of Problem and Legislation One of the health care issues in today's health care system is inequities. Starfield (2011) wrote that there are two types of inequities: horizontal and vertical. Horizontal inequity indicates that people with the same needs are unable to access the same resources (Starfield, 2011). On the other hand, vertical inequity exists when “people with greater needs are not provided with greater resources” (Starfield, 2011). Eliminating inequities is the fundamental challenge in achieving the best of care given to patients.
Although the movie credited antineoplastons as the “most important discovery in cancer treatment – ever” (Burzynski), clinical evidence as well as dangerous results do not support this biased claim. Upon further research, the antineoplaston treatment did not follow proper protocol for the clinical trials, and the treatment was found to be dangerous in some cases. Because of these omissions, the documentary manipulates the viewer into believing its embellished claims. The real travesty is that Dr. Burzynski was selling false hope in a medicine bottle, and desperate families were willing to blindly take the treatment instead of seeking protection from the
Excessive power of autonomy changes a beneficent doctor-patient relationship to a client-consumer type relationship. I contend that this form of doctor-patient relationship will perpetuate the provision of inadvisable, harmful therapies. Without a beneficent objective, advances in technology and care provision of modern ICU would become ineffective for society. Care would be provided merely on request and provided excessively where it is unlikely to produce a meaningful benefit. I will argue that while the term “meaningful benefit” is open to discussion, it must consist of a significant component of medical judgement.
The Use of Placebos in a Clinical Setting Placebos are a controversial topic in the medical and the ethical world. Placebos are what doctors have given to patients or participants as the ‘control group” to see if a drug works properly. Placebos are also given to see if the patient or participants need an active medication to heal. In this essay, I, will argue against the use of Placebos in a clinical setting. I will do this by using three reasons to explain why placebos should not be used in a clinical setting.
My Field as Occupational Therapy I described Occupational Therapy as the field to help all kinds of people with disabilities or who need help to have more prosperous standard of living. This career has a complex concept but the main goal of the Occupational Therapists is understand the different need of the client and improve their daily activities. I always been interested in the medical field especially in the pediatric setting. When I came to this country, I spent almost two years finding what I wanted to study. While I was doing research, I am taking class to improve my English and gain time to be sure my future career.
This is a real thing that is happening in the United States, and we can’t keep ignoring it. Effective communication relies on both individuals being good listeners and good communicators, it is a two-way street that many people fail to realize is essential to follow to get the best medical care. Both doctors and patients need to realize their roles in the interaction and do whatever possible to make sure communication is effective and comprehensible, whether it be dulling the terminology down to a scale that people with no medical literacy can understand, or the patient asking more questions or better explanations from their doctor; the medical community and regular citizens need to come together and create solutions on how we can decrease these tremendously high number of deaths per year. It has been proven that better communication and implementing programs which personalize medical discharge documents as well as having documents scanned and re-written in terms that people without medical literacy can understand bring readmission rates in hospitals down 30%. Decreasing readmission rates are a factor in this that is crucial to the health of patients, which leads to less people having complications that lead to
The theory of evidence based practice is not only an approach that targets for quality of patients but also highly improves the level of accountability in the health care sector by promoting a life-time learning process. Evidence based practice addresses the compulsory need for quality research evidence and quality practice all in struggle to support the care of a patient. Below is a brief description of the five models of evidence based practice(“ LibGuides at Oregon Health & Science University,” n.d.). Ask: Get some information about the consideration of people, groups, or populaces. Acquire: Secure the best accessible proof with respect to the inquiry.
I have learned that I will do the two years residency program in infectious disease. I like to work with doctors and I can use my clinical knowledge to help patient in their need. I will make sure that patient receives the higher positive health outcome from their
Week 3: Objective 3-Analyze the literature search of a selected topic (Continued). This week I focused my research on obstacles present, in our current healthcare system, which may inhibit the implementation of holistic care practices. Unfortunately, I believe in order to effectively incorporate holistic practices understanding of their importance, in caring for the whole individual, will require a new mind-set from the “top down” within medical facilities. If these practices are to flourish, and be utilized alongside traditional medical practices, education regarding their importance in gaining patient compliance and in their uses in augmenting treatment protocols must be stressed among practitioners and administrators. For this reason,
It is crazy thinking about all the resources we have now to help people return from injuries. We have come such a long way in helping people with technology over the years. I learned that ultrasound can help warm muscles up in spots that are hard to warm up. Since I will be taking kinesiology next semester and I am really looking forward to it. I asked Nicole what some of the content will be like in the class.
CMO continues to meet weekly and as needed with division leaders to identify issues and factors that need to be addressed in order to ensure the appropriate operational approaches that should impact clinician as well as client satisfaction and therefore better outcomes. 1. Ongoing in-services for our prescriber staff in the use of our Electronic Health Records (EHR) continue to translate into improvement of the required content in order to justify appropriate billing codings to enhance our collection rates. Chief Medical Officer has personally being reviewing a random number of cases per provider and meeting with them individually to provide feedback and improve their performance. This should also impact obtaining the documentation needed for appropriate coding and improved collections.