1.Describe how highly functioning interdisciplinary teams enhance the quality and safety of care provided in today’s complex healthcare organizations. Provide an example of a team approach used for quality and safety within your organization and discuss why you believe the team was or was not successful in achieving its goals. Use theoretical perspectives about team formation, membership, and tools to substantiate your response.
Hospice and palliative care can be easily intertwined; they are both concerned with promoting comfort and relieving patient pain. Hospice and palliative care, however, are different in some aspects. Patients who receive hospice care are nearing the end of their lives and there is no effort to cure their disease; the goal is to provide pain relief, a sense of belonging from family and friends if desired, support through the dying stages, and to assure that the person is able to die with dignity. Palliative care is also focused on reducing discomfort; however, the patient receiving care can be at any stage in their disease. Additionally, palliative care can also be administered during a time when a patient is receiving treatment to cure their illness.
In the United States alone, 19 people die every day waiting on an organ transplant that could have saved their lives. The only solution to this problem is getting more drivers registered as organ donors. It has been proposed that the states automatically register their drivers as donors and it is up to the drivers to go through the procedure of opting out if that is what they wish. I agree with this proposal because you still have the freedom to make your choice but most people would not want to go through the process of opting out, so the number of organ donors would be greatly increased.
Choosing a career can be difficult especially when you have always been indecisive with most of the decisions in your life. I have always changed my mind regarding what I want to do when I grow up. I even worked a minimum wage job, which I knew would have no benefit for my future, for five years because I still did not know what I wanted to do with my life. Until I had to go to the hospital because I had been in a car accident. My back was in severe pain, but the nurses helped keep me at ease. If I needed something they were quick to get it. It did not feel like they were there to get a pay check; instead, it felt like they were helping a friend out. It made me want to become a nurse and help
Emory Transplant Center states, “Donor families take some consolation in knowing that some part of their loved one continues to live”. The family feels that their loss was not in vain if the organs were transplanted into a young and deserving person. They could go to bed knowing that their loved one did someone out there some good by donating their heart or their liver or any other vital organ. While donating a loved one’s organs can be a safe haven of goodness, it also is a nightmare. The family may not understand why the donor must continue to stay on life support while the tissues are being removed. Some may even confuse life support with the reality of living because the heart continues to be pumped and the lungs continue to have air pushed in and out of them. It gives the illusion of life in a time of death, and that could be extremely difficult for the family, especially when it’s time to take their loved one off of life support. It is also difficult on the recipient because while the family holds hope for their loved one to recover, especially when there is little brain activity left, the hope of the recipient begins to
The ethical issue of “Do Not Resuscitate,” or DNR, is prevalent in society today. Do Not Resuscitate Orders first found their origin in the healthcare system in the 1970s when it was decided that cardiopulmonary resuscitation, CPR, may not be beneficial for all patients who go into cardiac arrest and could cause more harm than good as CPR can be very rough, sometimes to the point of ribs being broken. (Yuen, Reid, & Fetters, 2011). The number of DNR orders has increased prominently, to the point where they are no longer limited to patients with terminal illnesses or those going into a possibly life-threatening surgery as was the case when DNR first came about. Nancy Crigger and Jeri Sindt (2015) explain in their article, “Respecting patient’s
The definition of right to die according to Cambridge Dictionary is “Right to die is the belief that a person should be allowed to die naturally rather than being kept alive by medical methods when they are suffering and unlikely to get well (Cambridge Dictionary).” While other websites have definition for right to die, some don’t have a definition because they claim that there is not definition for it. Right to die could be active euthanasia, passive euthanasia, suicide, and an assisted suicide. Active euthanasia is when a person is intervening to end someone’s life while passive euthanasia is when a person is withholding and withdrawing treatment to maintain life. “Assisted suicide is suicide committed by someone with assistance from another
A certified registered nurse anesthetists (CRNA) is an advanced practice nurse who works together with anesthesiologists, surgeons and other physicians and medical professionals to deliver anesthesia for medical and surgical procedures. CRNAs administer anesthesia before, during, and after surgical, therapeutic, diagnostic, and obstetrical procedures. They also provide pain management. Patient Assessment – The CRNA will perform an evaluation of the patient and talk with them about their procedure. They may refer the patient to other specialists if they have conditions that might affect the anesthesia experience.Anesthesia Plan – This plan notes the various medical conditions to be aware of for anesthesia and recommends the type and levels of anesthesia for the procedure.
CRNAs will encounter palliative care patients in the OR as more and more high-risk, terminal patients are seeking surgical treatment for their symptoms. Palliative surgery is non-curative surgery intended to improve a patient’s quality of life. The primary indications for palliative surgery are pain and uncontrolled bleeding (Desai et al., 2007). Surgical palliation should be considered a treatment option available to patients along with other palliative treatments such as pharmacology, chemotherapy, and radiation. Surgeries can include: surgical resection of gastric tumors (i.e. tumor debulking), cordotomy, dorsal rhizotomy, myelotomy, and deep brain stimulation (Desai et al., 2007).
Organs can be obtained from a deceased person, a living donor, in infant donor or from a human fetus. Decease donors in most cases write a will prior to their deaths permitting their own organs to be given to someone else. Apparently, this is considered to be the most appropriate because it does not cause any harm, especially physical harm to the donor. Furthermore, it is the will of the deceased that the living should respect and not go against. However, this kind of donation is against cultural and religious beliefs of some individuals who feel that dead people deserve their last respect. Other issues arise when a person is declared dead when they really aren’t because sometimes mistakes can be done in authentication. Living donors are not left out either in ethical discussions. Some think it is wrong to mutilate a person for the sake of another. For instance, the catholic denomination consider organ transplantation unethical because it goes against the totality principle which states that one part of the body can be sacrificed for the well-being of the rest of the body. No one is obliged to give their organs as a donation and therefore the informed consent has also been an ethical issue. Before harvesting an organ, the donor has to be fully informed about the procedure, the consequences and only after they confirm themselves as donors should the harvesting be
The importance of increasing the consent rate of organ donation as many countries are trying their maximum effort to boost the rate as the need is dramatically increasing annually.
It is centralised under the Ministry of Health and removal of organs requires either a donor card signed by the deceased or family consent. 7 Organ procurement organisations and brain death identification units identify potential donors and procure organs, ensuring transparency in the process of matching donors and recipients. In university hospitals, each case of brain death is determined by five physicians, one of them being a specialist in forensic medicine appointed by the Ministry of Health. The cadaveric programme is “purely altruistic” according to the Transplantation and Special Disease Centre, with no money given to families, except funeral expenses in a few
The nurses on anesthesia process administrate their patients, monitor the vital signs of patients and supervise his recovery from the anesthesia. Anesthesiologists, Surgeons, Doctors and Dentists assists them. They must be graduated nurses with a diploma of specialized education. Their job is to manage the airways of patients or the pulmonary status using techniques such as intubation, endotracheal, mechanical ventilation, pharmacological support, respiratory therapy, and extubating... also select, prepare, or use computers, monitors, or medication for the administration of anesthetises. Anesthetises are responsible for establishing empathy with the patient for when the anesthesia decrease your anxiety and nervousness, explaining every moment
There are many myths that people still believe about organ donation. Many of these myths come from television, movies, and ignorance. There are certain things that can stop me from being an organ donor such as age, illness or physical defects. Each person’s medical condition is assessed at the time of death to determine which organs and tissues are usable for donation. People living with incurable diseases or those who have a history of cancer or other deadly diseases are still encouraged to join and register for organ donation. There is no age limit for organ and tissue donation. That means that people of any age wishing to become organ and tissue donors should indicate it on their driver’s license, inform their family of their wishes, and make sure they are registered. If doctors see that I am registered as an organ or tissue donor, they will not work as hard to save my life, this turns out to be one of the most common myths to be believed. The primary issue of a medical professional is to save the lives of the sick or injured that come to the hospital. Organ and tissue donation isn’t even considered or discussed until after death is declared. The doctors and nurses involved in a person’s care before death are not involved in the recovery or transplantation of donated corneas, organs or tissues. An individual must also be in a hospital, on a ventilator and pronounced brain dead in order to donate organs. The Gift of Life Donor Program is not notified until life-saving
After the donor is declared brain dead, the organs are input into an online database where a recipient is found. First, the top priorities on the waiting list are compared with the donor’s genes to see if the organs are a match. The first person to match with the organ they need will get it. They recipient’s hospital will send a team to harvest the organ and bring it to the hospital while the recipient is prepared for surgery. This is usually the protocol for a deceased donor, however, live donors usually donate to a person they