Patient #1: Mr. Jones, a forty two years old African American old male with a diagnosis of lumber 4 to lumber 5 abscess and partially paraplegic, unable to move bilateral lower extremities, sensation present. These problem was found out from the CAT scan result in emergency department. The patient refused to do MRI of his spine and he stated he is claustrophobic.
Education topic: The MRI of spine needs to get done, because without having the MRI done, the doctor cannot proceed any other treatment, whether any surgical or medication management treatment. As a nurse, I explained him the option of having a tranquilizer medication (which was prescribed by doctor) prior to the MRI procedure, which would help him to relax and they would be able to do the procedure. The doctor can decide which treatment option is best for him ether he needs surgery or only medication regimen depending on the result. The overall goal and result to cure the patient as much as possible.
Learning objectives: By the end of the lesson, Mr. Jones will verbally …show more content…
Elena needs to get out of bed, sit on bedside chair, and ambulate inside the room and outside of the hallway as much as she can. She may feel more pain while getting out of the bed. My teaching was that increase activity will eventually help her to recover faster without any complications.
Learning objectives: By the end of the lesson, Mrs. Elena will compare the possibilities of having any complications of not doing any activity postoperatively verses increase activity and ambulation (cognitive).
By getting out of the bed, Mrs. Elena will express of feeling better with the signs of able to pass gas, breathing with ease, and able to move all her extremities (affective).
By the end of lesson, the patient will be able to get out of bed with minimal or no assistant, stay out of bed for fifteen minutes or more to bedside chair and able to ambulate inside the room and hallways for ten minutes and more
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There have been many instances of unauthorized viewing of medical records. Unauthorized viewing of patient records is a violation HIPAA. The HIPAA Privacy Rule requires that “protected health information should not be used or disclosed when it is not necessary to satisfy a particular purpose or carry out a function” (Health and Human Services.gov). The case study in which Joe, a staff member accessed medical information after he was allowed access to the hospital to change lightbulbs and the case study in which the daughter of a nurse accessed medical information as a result of the mother leaving the computer unlocked and unattended, are HIPAA violations (i.e both people accessed the medical information illegally). Joe was tasked with changing a lightbulb, but was curious about a patient he knew on a personal level, his neighbor.
Hope is not lost for our nations veterans, there are initiatives that may be implemented in order to improve the quality of care. We have identified four key areas that we feel will improve the quality of care for our nations veterans. These areas are; Patient Aligned Care Teams (PACTS), the program of vocational rehab, positive media relations, and universal electronic medical records. PACTS are formed when a veteran works together with multiple care disciplines in order to achieve whole person care and sustain life long wellness (VHA, 2015). These teams focus on patient medical partnerships, access to care, coordinated care among disciplines, and team based care with the veteran as the focus (VHA, 2015).
Why do LTCF/nursing homes play an important role in the continuum of care? Goldberg, T., (2014), explained how Medicare and Medicaid supports nursing homes in the continuum of care for the elderly. He stated that from their establishment in 1965 as a part of the Social Security Act both Medicare (Health Insurance for the Aged and Disabled) and Medicaid (Medical Assistance for the Poor) cover aspects of long-term care (LTC) but in different ways. He added, that Medicaid covers long-term nursing home care for those who qualify financially and medically, but generally does not cover residential care/assisted living. The coverage provided under Medicare is more complicated because of its four different parts: • Medicare Part B covers physician services and therapies, generally regardless of location (i.e. physicians bill Medicare Part B for patients seen in hospitals, outpatient or LTC settings, but using different billing codes based on setting).
Doctors and physicians have more and better knowledge than normal people about human body and they are able to assist their patients while making tough decisions. However, they can not always make the right decision. Doctors can not predict the result of a surgery or a treatment and they do not have enough confidence of the result because sometimes the surgery could go in a way they didn’t expect. Although patients have the right to decide their treatments, doctors and patients should share
Every patient is handed-over to the next set of clinical staff at the start of every shift. This is to ensure the patient get conternuaty* of care and is always getting the best care possible. It also means everyone understands the plan and end goals for the patient as well as there
Patient centered care is an approach of forming a therapeutic relationship between care providers, older people and families, mainly focusing on the values and respect (lenus). Care of which is respectful to an individual’s needs, values, social circumstances, lifestyles and family situations by putting them at the centre of care is a priority. This is a way of thinking and doing things in a way of using health and social services as partners. Meeting the needs of the older person include personalising the care of preference, taking account the physical comfort and safety of the individual and Making sure patient has access to appropriate care when they need it. Involvement of families is important as the centre of decisions, whilst working along side professionals for the best outcome.
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.
Upon arriving to the unit this morning, I quickly realized today was going to be a chaotic day with the current patient census, and all of the new admissions. I was able to assist the night charge nurse with today’s assignments, while she helped with the code, and the day began. I informed my team that today was going to be a long day, and encouraged them to use each other and myself for help. I recommended they taking a few minutes to coordinate their work after receiving report. At 0745, when Jane informs me that the patient in 408 has fallen, I am quick to get into the room and do an assessment again.
However, his false bravado and self-created grandiose image, will most likely impede his ability to accept the needed treatment and potentially diminish the likelihood for a positive prognosis. A thorough familiarity with his diagnoses, background, cultural influences, treatment history and motivation to fully engage in the process are needed to develop an effective treatment plan for this young man. II.
Najla Morshidi NURS 301 Case Study Health History and Analysis of Finding A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8?? , has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year.
Discuss the ethical implications of “medical necessity” in patient care. Ethical Implications of Medical Necessity When it comes to medical necessity can often refers to the determination that is made for the insurance purposes. For example, If the patient has a condition that is chronic or terminal, the treatment could be considered medically necessary whether then the patient can afford the treatment or not. Networked doctors may face ethical dilemmas when recommending treatment or specialist referrals. When it comes to medical necessities it can be controversial, it can be the use of marijuana when there can be others that are more a moral ethical in which it can be in manage care and network providers.
Being formed in 1948, the Universal Declaration of Human Rights helps recognize “the inherent dignity” and the “equal and unalienable rights of all members of the human family”. Based on this very concept of the person, and the fundamental dignity and equality of all human beings, that the notion of patient rights was developed. Patient rights involve those basic rules of conduct between patients and medical caregivers as well as the institutions and people that support them. A patient is anyone who has requested to be evaluated by or who is being evaluated by any healthcare professional.
PATIENT CARE EXPERIENCE AND PARTNERING IN CARE Name of Student Institution Affiliation Patient care experience and Partnering in care Health care is continuously evolving with improvements in cures and medical equipments. Nevertheless, this does not transform into better health care delivery. To ensure proper and satisfactory services in the health care industry, it is important to focus on patient care experience and partner in care along with the families. We discuss this approach and its benefits, especially for the elderly like Mr. Taylor and how it helps them overcome the barriers they face for healthcare delivery.
CASE: Mrs Tan, 80 year old Chinese lady admitted to hospital post fall- was found on the bathroom floor and was unable to get up. Before falling, she attempted to get up from toilet bowl after passing motion but her knees buckles after one to two steps. There was no loss of consciousness. As she was unable to get up and did not have a pendent-alarm, she had to wait four hours before daughter come home from work. Ambulance was called and she was brought to accident and emergency unit.