Describe the elements of a comprehensive health assessment of a geriatric patient. What special considerations should the nurse keep in mind while performing this assessment? Nurses and healthcare professionals need to pay close attention to different things while performing a comprehensive assessment on the older population. The comprehensive assessment includes mental and functional status, social and economic status and the actual assessment of the body functions (Jarvis, 2012). It’s important to observe mental status changes and functional status changes, this can determine how well the patient can take care of themselves and deal with their health promotion on their own.
When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian. The most common symptoms that resulted in the transport of residents to a hospital emergency room were respiratory distress, altered mental status, gastrointestinal symptoms, and falls (Ackermann, Kemle, Vogel & Griffin, 1998). The changes in mental status could
Quality Management in Healthcare The article I chose to summarize is healthcare associated infections (HAIs) which occurred during a hospital stay. These HAIs are a worldwide problem and is linked to the quality of care the patient receives from his or hers healthcare staff. HAIs are extremely dangerous; this is because they are typically caused by multi-resistant microorganisms whose line of action and therapeutic terms may be exhausted. The exhaustion of care is due to the overuse of antibiotics, environmental conditions, or the microorganism has evolved. (Baylina, 2011).
Root Cause Analysis of a Case Study Alice Holliday Western Governors University Organizational Systems and Quality Leadership RTT1 Root Cause Analysis of a Case Study Healthcare presents numerous opportunities for patients to be helped by healthcare personnel. Unfortunately, there are also numerous opportunities for patients to be failed by healthcare personnel. When patients are failed by healthcare personnel, it is required by the Joint Commission for hospitals to carry out a Root Cause Analysis in order to understand the systems within the organization that failed so that improvements can be made and the failures can be prevented from happening in the future. (Cherry & Jacob, 2011) This paper will describe how a Root Cause Analysis (RCA) can be used following the death of a patient, and how Change Theory and Failure Mode and Effects Analysis (FMEA) can be utilized to come up with ways to prevent the failure from being repeated. A. Root Cause Analysis A Root Cause Analysis is an organized process used to determine the processes that lead to sentinel events.
Many barriers/problems in the continuum of health care can arise that may affect the entire healthcare experience and effect patient outcomes. One barrier/problem is communication between health care providers as well as nurses and other medical staff about patients. For many reasons, such as needing a specialist, a patient may see more than one physician as well as different nurses; when this occurs a patient’s medical record is transferred between all medical staff responsible for the care of the patient through a process known as a handoff. According to the Agency of Healthcare Research and Quality a handoff is defined as “The transfer of information (along with authority and responsibility) during transitions in care across the continuum;
3) Describe the common adverse reactions to medication, how each can be recognised and the appropriate action(s) required. Common adverse reactions are diarrhoea, skin rashes, sickness, facial swelling, blistering of the skin and wheezing. These can all be recognised by reading the side effects on medication packets or contacting a pharmacist. The appropriate action to take if a person supported is having an adverse reaction is to contact doctors/hospital so they can be treated appropriately. 4) Explain the different routes of medicine administration.
For HA-MRSA (healthcare-associated MRSA) include residing in long-term care facilities, hospitalization, and invasive medical devices. MRSA is common in nursing homes. Carriers of the disease can spread it, without being sick themselves. Being hospitalized is also a risk factor as MRSA is a concern in hospitals because it can attack the most vulnerable people such as older adults and those with weakened immune systems. Last, having an invasive medical device such as intravenous lines or urinary catheters can act as a pathway for MRSA to enter the body.
Infections of the nervous system such as cytomegalovirus may cause blindness or demnetia. The accompanying disabilities necessitate LTC services as dictated by the patients changing health condition over time. An increasing number of AIDS patients are receiving care in nursing
A person who has these diseases could be embarrassed by symptoms such as constipation, stool leakage and urine leakage. These bowel and bladder dysfunctions are common in both Fibromyalgia and Multiple Sclerosis (PubMed Health 1747) (PubMed Health
Next will be the discussion regarding the responsibilities of administrators and how to address employee problems. Finally, the essay will end on possible resolutions to confidentiality problems to limit future issues. Affected Population While exploring the concept of patient confidentiality, there are many individuals who are affected all across the country, particularly anyone in the health care field. The most notable are patients but physicians and health care employees run a close second mainly because they are handling patient files. Patient confidentiality includes any information such as test results, treatments, diagnoses, and personal information like name, age, and SS#s.