Reading this article for the elderly care, I feel that ethical issues commonly occur anywhere in the treatment of older patients. I had a clinical experience both in an acute-care hospital and in a long-term care facility. Before working in a long-term facility, I was not aware of how many ethical principles were violated in the treatment of older patients as a daily routine as stated in the article. In reality, there are many situations in which older patients don’t completely exhibit their autonomy because they are vulnerable physically and emotionally and dependent on others. Therefore, they become more conscious of caregivers or healthcare professionals.
Furthermore, there is a vast need for additional research. There is a necessity to gain knowledge on risk factors and on ways to prevent suicide in order to aid nursing home residents (Bugeja et al., 2015, p. 811). The knowledge of preventing suicide in a nursing home can be helpful for residents as well as for social services. Suicide occurs in nursing homes partially fur to the lack of knowledge on depression. Current research depicts that physicians fail to recognize depression and tend to provide inaccurate treatment (Allgaier, Fejtkova, Hegerl, Kramer, & Mergl, 2009, p. 355).
Hi Mia, It is interesting to read how SBAR is utilized in other areas. AT YRMC in Yuma we use SBAR, but is relayed face to face or via phone. I agree with you that although it is a convenience to have the patient’s information faxed from the ED to the floor the patient is going to, I can see where this can pose a problem. There are many obstacles that the nurse may face in receiving or relaying a patient hand-off, these being “communication challenges [which] can be a result of human factors, such as poor communication skills; lack of resources to support communication training; lack of support for active communication in the clinical setting; or an inappropriate environment for handoff due to interruptions” (Cudjoe, 2016, p.1) all factors
In recent times, studies have investigated in the divergence of nursing and social work and the overlapping activities (Kronenfeld, 2009). The MHN principally deals with the physical and psychological well-being of patients in terms of clinical diagnoses, medication and reviews, adherence and psychological therapies. Sommers et al (1992) emphasised on the communication techniques of MHN and Social workers in their interactions with General Practitioners (GPs). Sheppard pointed out that MHN contacted GPs more frequently than Social workers and the rationale for contact often differs. Generally, MHN get in touch with the GPs for the patient’s condition and treatments.
The hospitals receive incentive payments under the Hospital VBP by either how well they perform each measure or how much they improve their performance during a baseline period. A few examples of how quality is measured are nurse communication, doctor communication, pain management, discharge information, and a few other aspects (Hospital Value-Based Purchasing Program, 2011). Healthcare can be very confusing to consumers. New practices and policies never make understanding healthcare any easier. The new Affordable Care Act has many parts and uses Value-Based Purchasing.
The monetary effect on medicinal services has taken its toll on the quantity of enlisted attendants giving bedside consideration to patients, trading off patient wellbeing and drastically expanding the potential for negative results. A few variables have monstrously added to the nursing deficiencies throughout the years, including social insurance associations scaling back, expanded workloads, deficient staffing arranges and occupation disappointment. Ordered medical attendant to-patient staffing proportions have been actualized in a few states to date with numerous all the more attempting to pass some kind of enactment. Have these proportions influenced the nature of consideration or is it more reasonable to make staffing boards of trustees
As a healthcare Manager, strategic planning to possibly mitigate short staffing can be quite challenging. Sometimes healthcare managers are face with these experiences unexpectedly. However, making the possible preparations for these unforeseen instances can enable a healthcare manager better planning (Sultz, 2014). However, my list as a healthcare manager delineates as the following: Teamwork- I think one of the main keys of dealing with a short staff is to emphasize teamwork. Responsibilities and job roles can be achieved more efficiently and fruitfully; however, when individuals work together as a closely-knit team unit.
In addressing the crucial issue of nurse understaffing, there are some evidence-based interventions which can be implemented. Some of the evidence-based interventions include improving nurses working conditions, lowering the patient to nurse ratio and introduction of some staffing models. One of the evidence based intervention is enhancing the working conditions of the nurses. This is due to the evidence that bad working conditions have led to high rate of absenteeism and nursing shifting their profession paths. In improving the working You mention cost here but a better impact to your paper would have been to locate some hard numbers Citations to back your EBP?
The nurses are the main perpetrator in this case, as they are the one handling most of the care of the patients. The current situation right now is that there are incidences of missed follow-ups, incorrect diagnosis and poor management of chronic diseases happening in the hospital. I must evaluate if the nurses are neglecting their duties to provide optimal care to the patients or whether it is unintentional. I must also determine whether the hospital management is also to be blamed for the sub-optimal care being provided to the patients admitted in their
Psychological care: According to Thomas (1995), Jones & West (1995) and Crowe, et. al (1996) the link between depression and increased mortality has led to increased concern about a patient’s psychological well being in the repercussion of having a MI and losing their love ones. Nurses play a major role in monitoring the psychological status of such patient’s. However, there is limited evidence of the best methods of providing psychological support. I believe one of the best ways is by counselling and this can be delivered by any healthcare provider.