Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
Also, because they are believed to be the chosen ones by spiritual calling, the Hmong are less likely to question or blame them. On the other hand, given their long years of education, residency, and training, western medicine doctors are expected to successfully treat most of their patients. Because of this expectation, if something were to go wrong, it often results in the blame of the doctor, personal attacks, or even legal action. The typical biological causes of health problems, according to western medicine, make illnesses seem more controllable, in comparison to the abstract spiritual causes of the Hmong. This is what gives rise to the difference in patient reaction to failed medical
Some patients fail to realise that this step is necessary for the doctor to make an accurate diagnosis. Another reason why so many people praise the biopsychosocial model is because it allows the doctor and patient to work as a team when discussing outcome and treatment options. However, this can also be quite difficult for a physician if a patient decides against a treatment option which the doctor feels is best. At the end of the day, doctors are only human and it
Healthcare is becoming more dependent on technology. From advancements in hardware that help to save lives and cure disease, to software that allows for the transferring and storage of private patient data. Healthcare systems also rely on technology to control costs and ensure an optimal patient experience. The drawback to these innovations is that hospitals have seen a marked increase in the use of electronic information and a resulting increase in the level of exposure to cyberattacks, which target an organization's use of cyberspace to steal information or disrupt, disable, or destroy related information resources. These cyber threats have made most of healthcare's trusted technology less reliable and there is a race to find solutions.
Today many Americans are concern about health care. This includes individuals that have health care coverage and those who cannot afford health insurance. Unfortunately, health care premiums are rising, and coverage is limited. The care and coverage we are receiving as individuals is poor and it has become a sensitive topic in our country today. While the Affordable Act was meant to increase the quality of care individuals receive and to increase the number of individuals insured, today healthcare is not what it was meant to accomplish.
Moreover, doctors' altruism towards their patients and others has been less well examined and is understood, as opposed to express, in explanations about medicinal expert qualities and dispositions. Furthermore, the altruistic conduct by doctors may incorporate, for instance, keeping on working or giving casual medicinal exhortation outside contracted hours, giving free treatment to poor patients in charge for service health care frameworks, and a general eagerness to go the additional mile in expert working. There is much proof that numerous specialists work beyond their contracted hours, yet there is likewise a growing feeling that selflessness in medicine (Eby & Kelley,
Before I discovered the advantages of mindfulness, I would treat some patients in a rather harsh way with no compassion. Once I discovered about mindfulness I changed my perspective and started treating patients with love and compassion. Some patients are not mentally well and they need sane people like me to help them medically in order to gain their sanity. Mindfulness has enabled me and other professionals to bring many insane people back to normal by using medication and teaching them to practice
In more recent years, significant advances in diagnostic and therapeutic technologies have permitted more patients to be seen on an ambulatory basis. Management of many illnesses and diseases associated with the aging process are now addressed without admitting patients to the hospital. Considering the predicted reduced demand for institutional care, the ambulatory and home care become the focus for less acute health intervention. The ambulatory setting will become more capable and receptive to the diagnosis and treatment of our aging citizens than is possible now. Presently, we see the actual possibility of a pro-active and preventive
The article focuses on hospitalized older adults, but it talks about how the same can occur in a long term care facility if the patient has some sort of disease or is unable to move themselves. From this article I learned that many times nurses do not help with moving patients because they are not taught it is essential or they are not taught how to. I also learned from the article that increased mobility also leads to increased healing of certain injuries or diseases, and better overall health. An evidence based intervention the article discussed was better education and more theoretical framework for nurses about the knowledge or mobility. Another intervention the article discussed was using the knowledge and theoretical framework to change nurse’s attitudes about mobility.
Live cell therapy and treatment for aging diseases Cell therapists since the time of Paul Niehans have always emphasised on a holistic approach to treat aging diseases. Live cell therapy is not a cure for all ailments, but for many patients suffering from serious aging diseases, e.g., Parkinson’s disease, multiple sclerosis, macular degeneration, cardiovascular diseases, diabetic complications, etc., the quality of life can be considerably improved. Live cell therapy is a powerful harmoniser of the endocrine system. In the elderly with low sex hormone levels, hormone replacement therapy or live cell therapy may be prescribed. Get the advice of a cell therapist to help you with the prescription.
despite significant growth in the physician workforce and physician-to-population ratios (General Accounting Office, 2003). Maldistribution is influenced by personal, professional, organizational, economic, political and cultural factors. It is necessary to acknowledge the fact that even with certain communities experiencing challenging conditions such as high poverty rates and geographic isolation will continue to need federal and state assistance to attract physicians. We need to think differently and extend the reach of doctors to the community rather than spend their time on a lot of documentation, clerical activities, and tasks that can be handled by other allied health-care
These alarming statistics raise a huge concern with the effectiveness of the transitions of care. The main issue with transitions of care is that there are discrepancies that mistakenly occur during this process. As reported by Judith Kristeller, PharmD BCPS, “the transition between inpatient and community settings in particular is prone to medication errors related to a lack of communication between health care providers, missed patient follow-up, inadequate patient education, etc.” (6). Medicare services have even included a three percent fine on Medicare payment for hospitals that have unnecessary readmissions, and this percent has increased since 2014 (5). There are so many issues with patient safety that should not be occurring, so reforms must be made in transitions of
I found Dr. Van Der Kolk to have an interesting point of view for a medical doctor. He believed that people need more than medication in order to get well. In my opinion has taken more of a counselor’s position when it comes to his patients and that is something that I can identify with. I believe that not all mental health problems can be solved by medication alone. Our clients should be able to talk about different feeling and things they are going through.
Allow us to work in cohesiveness and as one unit. Work with us to change the things we can. I have a question with probably has no answer. Why do patients that are terminally ill with poor prognosis receive little or no pain medications and those with chronic back pain, renal calculi, and fractures receive higher doses of analgesics? As times change so must we.
Delbeke provides information that she thinks assisted suicide would become institutionalized and a certain routine would come about. She believes that it would be much easier to have a physician do it because they already have all the necessary means of performing the task. The physician could discuss the suicide with a psychologist, a social worker or a clergyman to make sure the patient truly wants the suicide. For now physician assisted suicide still depends on the patients state of health, but a new question arising is whether someone can have assisted suicide if they are just tired of life. If someone is tired of life because they have medical issues, but just not as severe as a terminal illness