A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation. Thus, I will discuss the impact of inadequate nursing documentation that leads to malpractice lawsuits. Purpose of Medical Record Documentation Understanding the purpose of medical documentation was the first step in teaching how to prevent inadequate documentations that leads to liability and malpractice lawsuits. Monarch (2007) supports the purpose of Medical Record Documentation as the following: • Substantiating the health condition or illness or presented concern for the patient. • Effective communication among health care staff.
Heritage Assessment Grand Canyon University October 19, 2013 Heritage Assessment The United States is known as the melting pot, made up of diverse cultures from all around the world. Each culture has their own unique, individual set of values, beliefs and traditions that influence and shape their life choices, including those related to health. Cultural values “shape human behaviors and determine what individuals will do to maintain their health status, how they will care for themselves, and others who become ill, and where and from whom they will seek health care” (Edelman & Mandle, 2010, p. 32). This paper will compare how three families’ from different cultural backgrounds approach health practices. Heritage Assessment Tool Cultural beliefs and values are as unique and special as each individual.
Heritage assessment offers an affirmative holistic structure for measurement and provision for racially proficient care. Health tradition evaluation form visualizes health as “the state of equilibrium inside the body, mind, and spirit, and with the family, community, and the powers of the natural world (Spector, 2004b). It helps nurses detect one’s classification with hereditary traditions. At first, nurses need to understand their own beliefs in order to respect each individual’s wishes to facilitate communication that can lead to healing process. Nurses intermingle with people from diverse branch of the world with a mixture of civilizing practices, so cultural alertness seems essential in creating a patient-nurse relationship during the interview phase of the health assessment, initial step of the nursing process.
Running head: IMPROVING QUALITY PATIENT CARE AND SAFETY Improving Quality Patient Care and Safety Betty Miller Western Governors University RTT1 Task 1 Improving Quality Patient Care and Safety The American Nurses Association developed nursing-sensitive indicators for the purpose of improving quality patient care and safety. Nursing-sensitive indicators are the patient outcomes that have been clinically researched and proven to be directly linked to nursing care. Nursing-sensitive indicators are based upon the organization of care, nursing care process and results of patient focused outcomes. The organization or structure of nursing care is reflected by the quantity and quality of nursing staff. The structure indicators are related to nursing staff characteristics such as the skill mix, experience, certification and education of the nurses.
Healthcare is an important area where the cultural practices of an individual have got lot of influence. Therefore it is important for nurses as healthcare providers to know how to assess a person’s heritage in order to build up a healthy client- provider relationship and provide holistic care. Heritage and ethnicity are in a way inter-related as ethnic groups have a common or similar heritage. Different cultures or ethnicities have different life values about spirituality, relationships, wellbeing or illness and life and death etc. The use of heritage assessment tools helps one to understand the values and
Nursing Knowledge Through Nursing Process Jeremy, Gina, Krystal, Pearl, Renee NUR/403 January 25, 2015 University of Phoenix Belen Malayang The nursing process is a system of exploration, evaluation and planning aimed at delivering individualized patient care. The goal is to identify the existing or potential health needs of the patient and the best way of providing care to overcome problems and promote wellness. The nursing process has five steps, assessment, diagnosis, planning, implementation, and evaluation. Today we will discuss the nursing process and how it applies to John’s case study on page 379. We will further consider the nursing skills needed by the nurse (RN) and the scientific basis in each part of the nursing process.
Through health education, the nurse can raise awareness on mental health related issues as well as the appropriate intervention services. In addition, the nurse can play the role of an advocate. The nurse can advocate for improved accessibility of mental health and other health services to those in need (Kemppainen, Tossavainen & Turunen, 2012). References Kemppainen, V., Tossavainen, K. & Turunen, H. (2012). Nurses' roles in health promotion practice: an integrative review.
Running head: CULTURAL SENSITIVITY 1 Cultural Sensitivity in Professional Communication with the Amish Kathy U. Walker Grand Canyon University: NUR 502 May 8, 2013 Cultural Sensitivity in Professional Communication With the Amish It is a well-known fact that disparities in healthcare exist among minority groups. The nursing profession, in an effort to deliver more appropriate and individualized patient care, is continually gathering data that can influence the patient’s experience. One very important arena is that of culture. Culture can be a determining factor in the care delivered, and therefore should be included in the approach to maintaining and restoring health (Barker, 2009). One such minority culture is that of the Amish.
Additionally, “The health belief model and social learning theory assist the nurse in formulating an action plan that meets the needs and capabilities of the individual making health behavior changes” (Edelman & Mandle, 2010, p. 248). This model states important points that serve as guidelines for nurses to help enable them to determine an individuals’’ willingness to change health behaviors and to understand the factors that contribute to their state of health (Edleman & Mandle, 2010). They are as follows: • Individual perceptions or readiness for change • The value of health to the individual compared with other aspects of living • Perceived susceptibility to a health problem, disease, or complications • Perceived seriousness of the disease level threatening the achievement of certain goals or aims • Risk factors to a disease attributed to heredity, race or culture, medical history, or other causes • Perceived benefits of health action • Perceived barriers to promotion action As nurses, we must always act on the opportunity to educate and recognize those opportunities as they arise. We must be able to evaluate the willingness of individuals to learn and to accept new ways that they can improve their health. We do have such a large amount of face-to-face contact with people that it is only in our benefit to take advantage of educational situations.
Family Health Assessment Vann Joyner Grand Canyon University: NRS-429V May 9, 2015 Family Health Assessment One of the factors in planning care and health promotion for a patient is overall family support system . When a patient is ill it not only affects them but their family members as well. One tool used by a nurse to help collect family data is the family health assessment. Family health assessment aims at using a holistic approach to ensure the health of individuals, communities and families to ensure that care remains client centered. It focuses on ensuring that families acknowledge their health needs and address them by planning proper intervention strategies.