RAM is entrenched in nursing practice, and is adaptable; demonstrating the ability to respond to the dynamic health needs of persons or groups such as families, communities, or societies. The model’s adaptability and success in improving nursing care and patient outcomes when utilized with varied patient populations, in diverse settings across many different cultures, over decades of time in healthcare, and education (Pamela,
Trust is essential element in nurse-patient relationship and it has direct relationship to improve patient wellness. Nurse-patient trust relationship it can be established in long time or in short time it depend on meet the needs of the client, not the needs of the nurse and how the nurse responsible for establishing and maintaining boundaries with pateint. Elaborate During orientation to the Rashid Center for Diabetes and Research (Ajman) I note that the client is entering the room of doctor, educator with happy face and no singe of stress. Also I notes that all the staff nurse in the center they know everything about the patient for example, their background , disease process, even if the patient miss or did not came to his appointment they know which mean nurse they follow up their patient. I think the most important in this relation is trust, which is essential to nursing practice.
Over 400 nursing articles were noted during a literature search by Biggs (as cited in Smith & Parker, 2015). According to McEwen and Wills (2104), SCDNT has been used to formalize care for inpatients and ambulatory care, as well as in community based programs, mother-baby and community nursing. While the use of SCDNT in current nursing practice is a strength, it bears noting that Biggs (as cited in Smith & Parker, 2015) observed an area of weakness that SCDNT has not always resulted in further development of nursing practice. Is the theory congruent with current nursing interventions or therapeutics? SCDNT is compatible with current nursing interventions, as can be seen by the number of instances these concepts have been used in nursing articles (Smith & Parker, 2015).
BOOK DESCRIPTION “Keto Diet for Cancer Care: Changing the Body’s Metabolic Balance for Your Health” is a complete resource for anyone interested in low-carbohydrate diets to kick off cancer. It looks objectively at the physiology behind such diets, including some negative effects, and gives particular recommendations on how to optimize such a diet assuming a specific person has chosen on to do. The Ketogenic diet has abetted doctors treat difficult-to-control epileptic seizures in thousands of children. It is a valuable diet for parents, physicians and dieticians wanting to implement this strict diet. This book has the following features that include; • What is keto diet?
Metaphors are used heavily in literature to describe and attribute meaning towards otherwise hard to describe objects and situations, as well as make comparisons and create a certain image. Medical metaphors do the same to describe diseases in a way which the general public can understand, but they have an even deeper impact as well. A study conducted in 2010 found that physicians use metaphors in almost 66% of conversations that they have when describing serious illnesses to their patients, and that the use of these metaphors truly enhanced the physician's ability to communicate (Casarett, 2010). These metaphors are used in order to relate the patients new feelings about an illness to feelings they already understand. Common medical metaphors
For example, CAQ’s have the potential to improve employment opportunities for many PAs. Dearani and Nowak (2015) argue that “Today’s health care paradigm has to reconcile millions of newly insured Americans with an aging population battling chronic conditions and a shortage of physician specialists… Certified PAs must have the education, experience and skills to deliver quality specialty care” (p. 6). CAQ’s are a way for specialty PAs to formally demonstrate their proficiency and advanced knowledge. In addition, according to Danielsen (2009), Governmental agencies like the Agency for Healthcare Research & Quality (AHRQ), and the National Institutes of Health (NIH) are heightening focus on patient safety and risk management. Therefore, the growing diversity of practicing PAs needs to ensure patient quality of care.
For this purpose, a multinational study was conducted across different economic and healthcare demographics with the aim to evaluate the utility of checklists in providing effective and safe care. The study indicated that the use of surgical checklists increased the compliance of therapeutic interventions by 65% and reduced the by 50% (Haynes et al, 2006). The use of checklists is vital in the medical sector due to the complexity of treatment options and the diversity of patients treated. Each patient has different personal needs which should be captured through checklists to maintain uniformity of care provisions. This means that a checklist must be flexible to change, modifications and recommendations under various circumstances.
The synergy model promotes the achievement of the best possible patient outcomes. As you mention, many of the nurses’ characteristics should be applied to all patients like advocacy and clinical judgement. The patients’ and nurses’ characteristics are leveled from 1 to 5 (Peterson & Bredow, 2013). One way to apply the synergy model in our practice is with the assignment. For instance, a hospice patient could be given to a nurse that is a level 5 (expert) on caring practices.
A recent survey of one thousand hospitals in the United States by the America Hospital Association found that nurses account for six percent of hospital board members, while Physicians account for twenty percent. It is time for nurses to see themselves as decision maker and be able to influence health outcomes. The campaign is fostering appointments of well- prepared nurses to public policy and health care organization boards at the national levels. To better prepare for this roles, you can find helpful resources, Nurse Leaders in the Boardroom—T he Skills You Need to Be Successful on a board, at
Queueing Theory has been studied in health care settings since 1952 . A considerable body of research has shown the use of queueing theory in real world health care situation. McClain  reviews research on models for evaluating the impact of bed assignments policies on utilization, waiting time and the probability of turning away patients. Nosek and Wilson  review the use of queueing theory in pharmacy application with particular attention to improving customer’s satisfaction. Customer satisfaction is improved by predicting and reducing waiting times and adjusting staffing.
Usually the medication advertised has more problems than the condition it is treating. In addition, advertisements have changed the doctor-patient relationship. DTC advertising has changed the way doctors and patients communicate for worse. Naomi Freundlich writes in her article about medication advertisements: “Fewer than 10% of physicians believe direct-to-consumer advertising (DTCA) is a positive trend in health care. Doctors report that they now spend more time explaining to patients why an expensive new drug is no better than the one they already take, or that the patient isn 't suffering from a nebulous condition like fibromyalgia, just the normal aches and pains of aging.” This pressures physicians to prescribe when patients come in requesting a particular newer (not necessarily better), more expensive medication by name.