Hypotension, flushing and hemoglobinuria 5. Reaction developed 30 hours after the transfusion 6. Hypertension, flushing and hemoglobinuria Rational for Answers to NCLEX Question #2 Correct Answers The question is asking about the need for further education, meaning the student provided the wrong answers; therefore, the correct answers are as follows: • 1. Braydcardia is incorrect, as the patient would present with tachycardia (Menendez & Edwards, 2016). • 5.
Depersonalization refers to treat other as objects rather than people through uncaring attitudes and behaviors. Diminished personal accomplishment is to evaluate oneself negatively because of failure a result it occurs when the individual’s external demands become higher than their coping ability. (Maslach, Schaufeli, leiter., 2001) . Many studies revealed that there is a high prevalence of burnout among nurses worldwide, it can affect approximately 45% of medical and nursing staff . (Abdo, El-Sallamy, El-Sherbiny, & Kabbash., 2015) .
Patients’ perceptions of the quality of the healthcare they received are highly dependent on the quality of their interactions with their healthcare clinician and team. There is a plethora of research data and reports that support the benefits of effective communication and health outcomes for patients and healthcare teams. The connection that a patient feels with his or her clinician can ultimately improve their health mediated through participation in their care, adherence to treatment, and patient self-management. Yet, it is estimated that one-third of adults with chronic illnesses underused their prescription medication due to cost concerns; yet they fail to communicate this information to their physician. Another study found that less than half of hospitalized patients could identify their diagnoses or the names of their medication(s) at discharge, an indication of ineffective communication with their physicians.
I also had the chance to attend the clinic’s monthly staff meeting where a representative from the health department gave a presentation on a smoking cessation program. It was a great example of how medicine and public health can be integrated in order to improve the quality of patient care.
In contrast, advocacy is valuing the patient’s freedom and self-determination, promoting and protecting the patient’s rights, and interceding between the patient and others. Defining Attributes “Defining attributes of a concept is the heart of concept analysis” (Walker & Avant, 2011, p.162). Attributes that are associated with the concept allow additional insight into the concept. Three defining attributes were expressed throughout the literature review. The first was that of acting on behalf of the patient which implies the nurse represent patients who are unable to or those that feel they are unable to represent themselves.
For instance, an inexperienced nurse may not be conversant in the alternative forms of labor pain control such as the utilization of a birthing ball, position changes, Lamaze breathing techniques, massage, and warm showers (Gayeski, Brüggemann, Monticelli, & dos Santos, 2015). Another area of the data to explore is the 39% decrease in inadequate pain relief of the laboring patients. This may be due to an experienced nurse laboring the patient, or the patient experienced pain for less than three hours then delivered. Another possible reason for the decrease is the retirement of a nurse anesthetist in the second month of the studied data. The LDU nursing staff noticed that more patients experienced poor labor pain relief was from epidurals placed by this particular nurse antitheist in comparison to the other nurse anesthetists.
The care process includes the interaction among doctor, patient and (healthcare) structure, which leads to two distinct processes: technical interventions (use of clinical care) and interpersonal interaction (humanism, sensitivity) among users and healthcare workers (Campbell et al, 2000). Moreover, in the same article the two dimensions of effectiveness are named as the following: clinical dimension and interpersonal care dimension. The service provider should attempt to perform the service in a convenient way, comforting and pleasing, as patients perceive these characteristics as indications of care (Donabedian, 1988). Donabedian (1988) underlined the importance of the relationship between doctor and patient, as patient and doctor can have
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
Resolution of these dilemmas requires a thorough understanding of the underlying principles that allow the clinician to make informed decisions and to offer considered therapeutic options to the patient. Some conditions that could propose challenging cases would be those of mental health. Either way, I don 't think there is an easy straightforward answer when it comes to such situations, as it puts a great amount of demand on the physician and care team regarding the correct measures to take- while ensuring patient autonomy, justice, veracity etc. The article I decided to mainly
It may be important in certain situations and the health care facilities need to maintain the ongoing requirements so as to maintain the accreditations. Health care facilities should meet the ethical or legal requirements and responsibilities in order for the health organization them to pass the assessments and test provided by the processes of certification, licensing and accreditation. Even though certification is voluntary and is not that important it also has some requirements that are needed to help certify the facilities to handle the health care issues. One assessment that needs to be maintained is that the health care facilities need to maintain the quality of the services that is rendered to its patients. The health care sector faces rapid and dynamic changes but this should not affect the quality of the services offered and the quality of the health care