In article “Patient Satisfaction Surveys Not Accurate Measure of Hospitalists’ Performance,” the author makes the point that the survey generally rates its care by all doctors, so if they have a bad experience by one doctor, the patient taking the survey will state that all their care by the doctor was unfavorable, even though they may have received great care by other doctors. It is an unfair assessment of their care by the doctors, which holds true for the nurse’s part of the survey as well. Also, the surveys do not come out in a timely manner. In the same article the author states, “If a hospitalist receives a low score on the “Doctor Communication” domain, the scores are likely to be three to nine months old. How can we legitimately assign (and then modify) behaviors based on those scores?” (Winthrop Whitcomb, MD, MHM,
Throughout the novel the Lee’s struggle to effectively communicate with many doctors, nurses and social workers due to the language barrier and cultural divide between the Hmong and the Americans. This raises the question, how important is perspective taking when deciding between modern medicines versus holistic medicine? A common theme throughout the novel is trust or lack thereof. The Lee’s had a difficult time trusting the doctors who were supposed to be making Lia healthier, but to the Lee’s it was as if she was only getting worse. The Lee’s were very skeptical of modern medicine and felt more comfortable with the Hmong cures.
It started with just one mole, and later the cancer metastasized all in her body. I watched her endure such pain and witnessed the doctors give her such strong doses of medicine that made my grandma very unlike her usual vibrant self. All she prayed for was to peacefully pass. Why couldn’t we grant her that one last wish? C) Preview: “Death with Dignity” should be legalized as an option for terminally-ill patients because it alleviates the suffering one must endure, it’s freedom of choice, and it would prevent inhumane ways of suicides.
The lean methodology is one of the implementations that aimed at reducing wastage within the system, in order to create value for the services offered. However, the metric indicate that aspects such as consumer convenience and efficient handling of the patients have been noted. On the other hand, most of the employees are developing resistance towards the new system due to the high level of accountability required. The report therefore looks into the suitable decision that the hospital management should consider. What are the key decisions that have to be made at GGH?
Some patients, especially Lisa, are able to hide the medicine she is supposed to take, although, in real life it is common for psychiatric nurses to make sure to do tongue checks so they are still taking their medications. Furthermore, treatment in the movie is portrayed both in realistic and non-realistic ways. Before a retired psychologist sends Susanna to the hospital, he makes it seem like hospitalization is the only option for her. The psychologist claims that she “need[s] a rest” and that she is “hurting everyone around [her].” Not only are there plenty of options for treatment, this makes it seem like the treatment is not for Susanna, but for her loved ones. Treatment
that 60% of those with severe burnout were contemplating leaving the nursing profession. In focus, based on the study of Moss, M. et al. (2016), 25-33% of critical care nurses manifested severe signs and symptoms of burn out syndrome specifically emotional exhaustion, lack of personal accomplishment and depersonalization leading the list. However, burnout is only one of the two factors to determine the vulnerability of health care workers in experiencing a bigger problem: compassion fatigue. For the researcher, nurses enter the profession because they want to make a change to the lives of their patient.
This is the case with Susanna, who is the autobiographical main character of the book. She provides a perfect reason as to why it is important that mental illness must be talked about more. Susanna is admitted to the McLean Hospital after she attempts suicide and is then diagnosed with borderline personality disorder. She is at first convinced that there is nothing wrong for her, which is something that many patients go through, and is one of the important reasons that mental illness should be discussed more. Susanna says “I was trying to explain my situation to myself.
Good critical nurses possess the critical thinking ability to handle emergency situations and equipment but also are compassionate, helping patients and family members through stressful circumstances (Kirpal, 2004). It can be difficult for HR professionals and health care managers to screen potential critical nurse candidates that encompass both critical thinking and empathy characteristics. In addition, many experienced critical care nurses experience burn out from dealing with multiple previous stressful patient encounters and long hours, causing them to leave the nursing profession (Kirpal, 2004). Moreover, to increase efficiency many hospitals expect their nurses to float to other departments to help fill temporary staffing shortages—increasing the stress levels of nurses to learn new skills in unfamiliar environments in short periods of time (Kirpal, 2004). As previously mentioned, younger individuals are not choosing to become nurses, creating an age disparity among nurses in many hospitals (Kirpal, 2004).
Even though some types of nursing home neglect are noticeable, numerous cases of nursing home neglect go unreported and ignored. Reporting nursing home neglect can make a difference between life and death for the patient being mistreated. Malnourishment, thirst, and ulcers are noteworthy worries for a nursing home patient. These physical forms of nursing home neglect may be more definitely identifiable for the patient’s family when they come to visit their loved ones. Wounds from nursing home drops, or choking in a nursing home bed, are likewise both instances of physical nursing home neglect (Gil,
The main research question that the authors of this study sought to answer is if “hospice volunteers can facilitate communication about pain with family caregivers.” Studies show that, although there is a growing need for hospice nurses and physicians, there are not enough qualified workers to meet the demand. In hopes of curbing this shortage in workforce, the authors conducted this study to test their hypothesis that hospice volunteers can fulfill a communication role for family caregivers concerning pain management. 2. Methods & Evidence: Please briefly explain what kind of data the researchers collected (ex. : survey responses, interviews, focus groups, experimental).
(Cunningham). It 's a well documented fact that hospitals already have a very difficult time dealing with the uninsured burdening their hospitals for issues that could be treated by a primary care physician. There is an idea that a hospital is a place you can go to get quick treatment for literally any thing nice and quick. (Nelson) And since you don 't have to pay immediately or have to have patient records like a primary physician that can refuse a patient if they do not pay, hospitals seem more palatable for
The United States culture is a completely different experience for the Hmong people, something that is very foreign and unusual for them. The Hmong people and Lia’s family especially are faced with huge culture shock when it comes to the United States heath care system. They are use to more spiritual practices, while the doctors are focused on using strictly medication in order to heal patients. These completely different methods make it difficult to finding a common ground when trying to heal Lia. Many things that the Hmong culture is accustom to are not very well excepted in the US culture.
The nurses that are available are scheduled for extensive overtime, to the point that it is interfering with their family life. This also causes certain patients needs to not be met. There are excessively long waits to see the doctors. And even when patients are able to see the doctor, there is an overall reluctance to pay for important but costly services, such as MRIs and surgery. There is also a large problem with the distribution of medications.
Imagine being a nurse and additionally feeling nervous about taking care of a challenging patient or meticulously achieving all of the medical records. The exact opposite thing any nurse would need to be considering is whether their peers are going to make their time at work
The doctors believe there is a strong body/mind/emotional context to her problem. The hospital practices evidence based medicine and ask you to provide an evidence-based decision as to whether your programs could help in this case. Case 1: Louisa Age: 25 Presenting problem-Louisa has a history of allergies. Currently, she has a very stubborn and agonizing rashes on hands and arms. Doctors query eczema but would run more tests to be sure.