The actions and aids I supply for communication needs should benefit not just the individual, but the group of service users as a whole, and encourage interaction, inclusion, and social contacts. Regular reviews should be performed, to ensure that communication techniques and aids, are still adequate and addressing the individuals communication needs. Different groups who may have communication support needs could include: * A resident may have suffered a stroke, resulting in dysphasia. As a result, they may become frustrated and angry. * A resident may be suffering from confusion, either temporarily because of an acute medical problem, or as a result of dementia.
Basic elements of effective communication construct patients and caregivers by sharing concerns and building trust. There is so much information available now that is making people build their self-confidence and part of effective communication distinguishing between helpful and harmful information. The basic rules of health care communication involve costs. Since there have been stricter review processes, referral systems, and reimbursement guidelines, many people worry about getting optimal care because they opt for managed care which saves them money (du Pre, 2005). Even Medicaid has accountability for quality.
There is also the option to create a Castor Enhanced Minor plan, which is a customizable version of the Castor Enhanced plan. With the percentages of medical issues that already affect the ConstructIt staff, it is beneficial to choose a plan that covers their pre-existing conditions. However, in an effort to minimize cost for the recipients and to maximize profit for Castor Collins, it is also important to scale down some of the coverage provided by the Castor Enhanced plan – leaving the best option for the ConstructIt staff as the Castor Enhanced Minor
Patients quite rightly expect to be well cared for by the NHS across all healthcare settings. Care should be high quality, focus on the patient and be safe. However, recent publicity has highlighted that in some cases these goals are not met. In addition, patients and carers may be anxious that the current financial pressures might affect the care they receive. The NHS Institute for Innovation and Improvement has been working with a wide range of NHS trusts to improve patient care.
Utilization of this process will provide a mechanism for staff to have input into the required changes and may promote a positive working environment, tearing down the barriers faced by this department. Units that are enabled to act autonomously and define for themselves how to carry out their mission will be less receptive to changes suggested by an unknown entities (invisible policy makers) than will units in which commanders define the mission (Bazerman, 1984). The TQM model empowers employers by empowering employees. In health care, continuous quality improvement (CQI) is used interchangeably with total quality management (TQM), (Bailey, 2007). CQI has been used as a means to develop clinical practice and is based on the principle that there is an opportunity for improvement in every process and on every occasion (Bailey, 2007).
Although the growing importance of these social value judgments may be acknowledged, we must not neglect individual patient values (Moore 2010). However, in daily practice, it is doctors who may incorporate these factors in their clinical decisions. Doctors make therapeutic decisions based on the available information for average patients, but they are aware that, sometimes, individual patient values may modify these decisions (Moore 2010). Patients may refuse a cancer treatment that is backed by clinical trial evidence and has positive cost-effectiveness, simply because they are reluctant to suffer the side effects of the therapy, or they may prefer avoiding an inconvenient preventive intervention because they are willing to take the bigger risk of getting the disease, or suffering the complication that the intervention sought to prevent (Moore 2010). Just as the scientific value judgments of organizations should be individualized for each patient by the doctor, social value judgments should be put within the perspective of individual value judgments (Moore 2010).
This allows the patient to have a more active say in their health care and the tools to help improve their own health situation. Health care providers have noticed the value of engaging patients to have more said in their health care. Health care providers have noticed that by managing health care plans will streamline services and cut cost and shortened hospital stays and show patients and their families how to provide care for themselves. By using electronic communication it allows for more interaction, between consumers, business, it allows for two way communication. This allows a new way of thinking on advertising and a new way of handling public relations.
Legal – process and capacity of making decisions and the ability to carry out evaluative action diminishes with the progressive nature of dementia. Ethical & Cultural – Self-identity is communicated through life long-held values and concerns that should be reflected in the process of decision-making following the person’s diagnosis. Clinical Practice & Family – A person can be globally amnesic and still retain an intact Self, a social identity. One cannot construct a particular social identity without the cooperation of another person. Cooperation with the person with AD in the construction of a valued social identity is vital.
The implementation of EHRs in LTC facilities or home health can manage patients care to promote improvements in the patients outcome and possible help decrease medical cost. In this forever changing healthcare industry, which stresses continuity of care, the movement to push for EHRs in LTC facilities is necessary. Review of another study stressed that the healthcare team is vital in the implementing of EHRs. The healthcare team approach is vital to the success of the EHRs and vice versa. If done effectively, care coordination puts patients at the center of the care process, encouraging, engaging as well as responsibility.
Bearing with a patient, especially an elderly patient who might be a little slower at comprehending medical terminology can make all of the difference in the world. Medical terminology can be overwhelming to those who study medicine, so to a carpenter or super market manager it can be extremely flustering, so it is important to break down the meaning of the diagnosis to avoid the patient feeling lost. Doing this adds to the patients comfort which is crucial. Developing a trusting, healthy, doctor-patient relationship can take healthcare to a whole new level. One can describe this phenomenon almost as a 'slippery slope' affect in the fact that having a positive, friendly bed side manner with a patient makes the patient more willing to trust the advice of the physician, leading to a faster treatment, ultimately making the patient better with ease.