The misdiagnosis of a patient is an occurrence that happens quite frequently within clinical practice for various reasons. Many times these misdiagnoses are due to unintentional errors. However, there are times when practitioners intentionally misdiagnosis patients (Kirk and Kutchins, 1988). Deliberate acts of misdiagnosis exist that are universally viewed as being unethical such as blatant use of fraud or abuse. However, there are forms of deliberate misdiagnosis that are viewed less objectively, and are often justified as being in the best interest of the client. The inclination to justify the use of misdiagnosis is often intensified for clinicians due to internal and external
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
As a little girl, all of my art projects and writing assignments were full of ambitious promises to cure the sick of all their ailments. Watching my mother care for my ill grandmother, who lived with us when I was young, ignited my passion to help those in need. It then became my fierce determination to make an immediate difference in the quality of life for others. I could not wait to start. I began volunteering as a candy striper at the age of fourteen, rotating through nearly every department in the hospital. From the beginning, I was drawn to the geriatric patients and their families in the adult oncology
The information processing theory is a structure which rationalises how people obtain; process and store information and knowledge (Tangen & Borders 2017, p. 99). The Information processing theory involves the clinical reasoning cycle and the information processing model.
Growing up in Eastern Europe in the midst of the social and political turmoil, I learned very early that success in life depends on the availability of opportunity coupled with personal efforts, determination, and hard work. I was inspired by the “American Dream,” which, ultimately, became a part of my dreams and aspirations. Coming to the United States opened up that door of opportunities I had desired for so long. Having no family or source of financial support in the foreign country, I completed the Basic Life Support course and became an Emergency Medical Technician. Working on the front-line of Emergency Services, I enjoyed that rush of adrenaline of being able to provide medical aid and emotional support to the people in the worst times
No matter how hard we may try, the importance of interprofessional collaboration in the healthcare system cannot be stressed enough. Of course, interprofessional care has a wide range of advantages in the smooth operating of a team. What is also to be taken into account, however, is the unbounded benefits from the patient’s perspective. As we all know – unfortunately many from our own experiences – the road to recovery requires not only the carefully calibrated skills and expertise of the individual but also the cooperation and constant communication of a vast team of healthcare providers. Through this complex operation come the many advantages to the patient’s treatment and overall health.
better informed, but have also helped the clients to be better informed. Informed patients and families can help the nurses and HCPs by speaking up about symptoms they have noticed that the health care team may have been unable to witness or may have look past. Technology being available to everyone is mostly a good luxury, at the same time, many people can be misinformed and cause more trouble demanding treatments or care that are unsuitable for them because they read about it online.
The transition from an Associate Degree (AD) nurse to a Bachelor’s of Science in Nursing (BSN) is a rewarding time during a nurse’s career. There are many reasons why nurses return to college to get their BSN degree. Some return to meet a personal goal others return for professional advancement or are mandated by their employer to do so. Over the past few years many organizations stopped hiring AD nurses or drastically reduced the number they hire. Many AD nurses who delayed returning to school regret not doing so sooner when they realize the wealth of knowledge gained from getting their BSN degree. This knowledge opens up an endless number of opportunities for professional growth.
Susannah Cahalan’s battle with a rare autoimmune disorder can be used as a perfect case study for misdiagnosis with patients, biases that doctors may encounter and the sick role. Firstly, for those that have not read Brain on Fire, it is about the journey Susannah, a reporter for the New York Post, underwent with trying to find an answer to her perplexing medical mystery. Early on in her journey Susannah started experiencing subtle symptoms that she dismissed as the flu and the common blues everyone experiences from time to time. Her primary doctor that will play a major role in the story, Dr. Bailey, also thought Susannah had symptoms along the lines of a virus like mono. She continued with her daily life not putting much thought to her symptoms. Her health continued to gradually decline, and her colleagues began noticing something was wrong with her. At one point her supervisor, after noticing a lack in her performance, gave her one last shot to have the chance to interview John Walsh, famous for America’s most wanted. In short, the interview was a disaster and cut short after Susannah began having an array of symptoms that were observable as being intoxicated.
In recent times, studies have investigated in the divergence of nursing and social work and the overlapping activities (Kronenfeld, 2009). The MHN principally deals with the physical and psychological well-being of patients in terms of clinical diagnoses, medication and reviews, adherence and psychological therapies.
Communication is an important factor in determining patient outcomes, patient experiences, and healthcare costs, both positively and negatively. In fact, communication breakdown accounts for two thirds of sentinel events, the most serious of errors reported to the Joint Commission, making it the leading cause of medical errors (Starmer et al., 2014). The Institute of Medicine (1999) conservatively estimates that between 44,000 and 98,000 patients die each year from medical errors. More recent estimates predicted this number to be upwards of 400,000 deaths annually, making medical errors the third leading cause of death in the United States (Makary & Daniel, 2016). Miscommunication and handoff errors are the primary point these errors occur. The electronic health record (EHR) provides a platform for communication with checkpoints
Maintaining hope is key for long-term survivors of diseases such as HIV infection and breast cancer. Healthy coping, however, differs from the common societal notion of “positive thinking.” Having the capacity to tolerate and express concerns and emotions not just the ability to put anxieties aside, and additionally, discussing these as well as uncertainties and fears, losses and sadness that usually accompany severe illness is generally
While visiting my friend in the hospital, I hear rumours of a patient who lacks a normal human brain, but otherwise seems to be completely normal. As I over pass two of the doctors, one of them says that “I think it’s pretty clear. Since the patient lacks a normal human brain, she does not have any mental states, since mental states are token-identical to states of the human brain," while the other one seems to argue that “You’re all focused on what’s in her skull. That simply does not matter. Having mental states is not having something that is “a mind. It’s just behaving or being disposed to behave in ways that constitute having mental states.”
Nursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).
Patients must continuously adjust to the threat to their own identity: at first, when they find out the diagnosis, and later, to the treatment, to various physical symptoms and to the emotional distress. This adjustment is considered by the Common Sense Model of Self-Regulation, where the patient with cancer is considered to be actively seeking and processing the information about the disease, building his/her own cognitive and emotional representations with regard to the disease and finally selecting and applying those coping procedures that will help him/her face the threat of disease [14,15]. If the adjustment efforts that focus on the problem or on the emotion are inadequate or inappropriate, individuals will experience fear or worry, according to Leventhal’s Common Sense Model of Self-Regulation, which originally did not include worry and risk perception; these concepts were later included in the extended versions of the self-regulation framework