Health Care : The Last 10 Years Over the last ten years health care has seen many changes with one of the biggest changes being the use of technology. Health care organizations such as hospitals and physician offices have gradually began converting patient medical records from paper to electronic, utilizing one of the many EMR software programs available. With the recent HITECH meaningful use initiatives which are giving Medicare and Medicaid incentives to health care organizations who adopt an
This decision was reached after the consultant, named nurse, patient and the patient’s family discussed together and based their decision on the patient’s age, condition, quality of life and wishes. The UKCC ‘Code of Professional Conduct’ (1992) states that every registered nurse, midwife, and Health Visitor should act, at all times, in such a manner as to … promote and safeguard the interests and well-being of patients and clients [and to] ensure that no action or omission on your part, or within your sphere of responsibility, is detrimental to the interests, condition or safety of patients and clients. Therefore, how does withholding life-saving treatment, comply with the ‘Code of Professional Conduct’? The decision not to resuscitate conflicts with this clause of a document that aims to define and develop professional standards to protect the public and offer direction regarding the suitable conduct of the profession (Kenworthy et al, 1999). The conflict arises because the decision not to resuscitate could be seen as not promoting the well being of the patient and an omission on the nurse’s part, causing detrimental consequences (Rumbold, 1999).
The hospital plans to emphasize prevention of injury and disease by providing community education, screening and risk assessment and outreach services to underserved communities. The targeted growth and profitability for the orthopedic center is expected to be 2100 surgical cases, 6500 physical therapy visits and a profit margin
The emergency department still failed to abide by medical ethics of practice. (Funnell & Rogers, 2011) Change theory is fundamental in developing an improvement plan that decreases the likelihood of a reoccurrence of the outcome of the scenario. My plan to implement a procedural and organizational change would be to make a video involving the ED employees, respiratory
A Summary of “Professional Love in Palliative Nursing” In the article “Professional Love in Palliative Nursing: An Exceptional Quality or an Occupational Burden”, Jane Catherine Rollings (2008) discusses the importance of professional love in the relationships between palliative care nurses and their dying patients, and whether the effect on the nurses is a positive achievement or a distressing, emotional strain. Rollings believes that The care a nurse provides for a patient should be based on love, compassion, and empathy. She suggests that By providing a similar level of love and support to the patient as the family does, the palliative care nurse is allowing them to feel secure knowing that their loved one is well cared for. Rollings describes her belief of professional love as a combination of a compassionate, selfless love and a familial, bonding love that families display amongst themselves. She asserts that palliative care nurses, who spend longer periods of time at the patient's bedside, are more likely to express this love than nurses in other specialties.
The yearly health care spending for an individual or household is more than doubled what it used to be a decade ago. When you look at the current situation, there is no way the spending will go down but the cost will continue to grow as the year go by given the current arrangements for health care delivery and as the population ages. It is important to know that the aging population is expected to have dramatic impact in the nursing workforce. One of the identifying innovative care delivery models is the nursing care delivery model, or interdisciplinary care delivery models with a nursing component and an acute care interface, including transitional care to home setting. Through new roles for nurses and professionals, new roles for allied health professionals, students, and new graduates, use of technology and redesign of physical layout, inventory or other support systems, innovation will improve caregiver’s efficiency, quality and or cost.
Whereas by definition, paternalism restricts a person’s right to autonomy, and takes another person’s autonomous right away and makes decision on their behalf, even if it is contrary to the wishes of the patient (Beauchamp and Childress 2001). Paternalism with Mrs Jones was not the case, yet with regards to safeguarding her from further harm justice, beneficence and non-malfeasance would have been insuring long term interest. To be deemed competent professionals work within trust guidelines and trust protocols and must treat patients fairly, without discriminating against them; ensuring that the patient is able to make autonomous decisions regarding their own care (NMC
Evidence based practice emerged in the early 1990s. It has developed over the last 10 years and has a huge impact on health professionals all over the world, in the form of the Cochrane Collaboration. Not only is it just medicine based but it’s also supported in different professional activities such as social work, probation, education and human resource management (Trinder & Reynolds, 2000). There are two main purposes of nursing research, the first one is that it improves the nurse’s clinical judgement and decision making and the second is that it helps to expand an exclusive body of nursing knowledge for the development of the profession (Miller & Babcock, 1996). Review of Evidence The article which has been selected to review is titled “Are sedatives and hypnotics associated with increased suicide risk of suicide in the elderly?” The authors of this article are Anders Carlsten and Margda Waern.
From their analyses of key elements of palliative care which included theoretical principles and goals of palliative care as the main element, four aspects were discovered; target groups, structure, tasks and expertise. World health organisation ( ), defined palliative care as a way that improves the quality of life of patients and families facing life-threating illness through early identification and excellent assessment and treatment of pain as well as physical, psychosocial and spiritual problems to prevent and relief suffering . Many palliative care definitions describe target population. Target groups – for whom? The earlier definition of the WHO included patients ‘whose disease is not responsive to curative treatment’,43 which in one sense could be conceived as a relegation of palliative care to the ‘last stage of care’.52 The newer definition of the WHO extended the potential
According to the World Health Organisation (WHO) (2002), palliative care is the total care of patients whose disease is not responsive to curative treatment and includes control of pain, other symptoms, and psychological, social and spiritual problems. Palliative care is not limited to patients at the end but applies earlier in the course of illness, provided in conjunction with active treatment. Patients with end stage renal disease (ESRD) are especially appropriate candidates for palliative care as defined by the WHO. Patients who have irreversible kidney failure face certain death unless they receive active treatment in the form of renal replacement therapy (RRT). Even with RRT, patients live with the reality of a shortened life span.