Throughout their lives this group will require specialised tests and examinations to prevent damage to the bladder and kidneys. Methods of voiding and medications will be discussed with the client, continence nurse and other agencies to provide a package of care. As spina bifida is considered a neurological condition it is covered by the National Service Framework relating to long term conditions. The NSF has divided neurological conditions into four categories and spina bifida generally fits into the ‘stable but with changing needs’. The Framework is to be used by both clients and professionals and identifies targets for both health and social care service providers to assist clients in their daily living requirements.
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.
Capstone Project Annette Marlar Grand Canyon University NRS441V Sonya Williams RN, MSN October 14, 2010 Abstract The Joint Commission and International Association for the Study on Pain agree that even though a patient may not be able to verbalize pain does not indicate that they do not have, or feel pain (M Terese Verklan, 2010). As medical professionals we have access to numerous tools and methods for rating pain, however the need to educate those who use these methods require further investigation. Standardizing Policy and Procedures for units that care for the neonate/infant should address pain by using NIPS or PIPP instrument/tool as well as the timing
“The extensive efforts to develop personalized and/or targeted therapies hold some promise as they take into account the complex molecular composition and gene expression profiles of individual tumors” (ACS, 2012). Early detection methods and guidelines for people with genetic predisposition are also going to help reduce incidence of cancer. 3. Select a research program from among those funded by the American Cancer Society. Describe the program and discuss
For example, a patient may be in a care facility as a result of a chronic illness, other health needs will also be addressed. For example an Alzheimer patient may need the service of a hematologist, the interrelation of services will permit consultation with the specialist. Functional independence is promoted by allowing patient to implement responsibilities that can still be done, with or without adjustment or adaptive devises. How do affordability, physical accessibility (delivery), and acceptability (quality) of services affect access of care? The affordability of long-term care depends on the type of facility, length time spent at the facility, and the provider.
Philosophy and Meaning of Palliative Care Deborah Prior 1 Objectives Identify the philosophical values that inform the palliative approach Distinguish between populations, primary and specialist models of palliative care Discuss the transition phases of care for the elderly Analyse concepts of holistic care as these relate to context of elderly residents 2 Definitions The World Health Organisation (2000) An approach that improves the quality of life of individuals and their families facing the problems associated with life threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. 3 Palliative
This paper will compare three different cultures, Mixed American, Hispanic and Jewish-American, and how these cultures affected the patient’s health maintenance, protection and restoration. The Heritage Assessment Tool Retired Professor Rachel E. Spector PhD, RN, CTN-A, FAAN, created the HAT to assist healthcare workers to predict health practices and beliefs of their patients. She has focused her work on developing and teaching culturally competent health care for over 35 years (Spector, 2008). Professor Spector contends that for health care to be appropriate, it must be culturally competent, and it must consider all the facets of a person’s complex needs. Considering a person’s religion, living situation, heritage, culture, beliefs and practices will help nurses to provide effective individualized healthcare for their patients.
This centre incorporated a multidisciplinary and a structural approach for the total cancer care programme. The main programmes involved are early detection, health management, rehabilitation, pain relief and terminal care. During the practise as an oncology nurse in the mentioned cancer research centre the author came across many patients with severe chronic pain resulting from metastatic cancer. Some of the patients were at the end of their life and on orders of not to be resuscitated. It was particularly overwhelming to work with such patients as the author at times felt emotional.
This includes administering medication, undertaking venepuncture, recording ECG’s, siting intravenous cannulea, removing venflons, leading counselling sessions, making decisions about wound dressings and when patients will be seen in A&E departments’. (Johnson/De Souza, 2008, p.152) The quote above taken from ‘understanding health and social care – second edition’ would all be resolved if the correct training were to be given, whether that was to be in-house or out-house, and for correct policy and procedure guidelines to be followed. From my own knowledge and understanding, if all carers, whether that be paid, or unpaid, were to be given set boundaries to follow, and were given the correct training for the specific role in which they play, it would make the job role a lot easier, and therefore less room for any mistakes to be made. In conclusion, I feel that I have talked in depth regarding the difficulties in which those may face when providing and receiving care, and I have also explained in reasons as to how the difficulties may be
The definition of the word “holistic” will be described. Learning about holistic assessment made me aware of the importance of noting all the information about the patient's condition, not only physical but also the emotional, psychological and other factors in order to get a complete assessment. Several nursing priorities will be identified and explained, then a nursing priority will be chosen to explain in detail. This nursing priority will be the “Up to date pharmacological treatments of Chronic Heart Failure (CHF).” A scenario will be used that is based on a real patient, and I will explain all the relevant medical information, eg. CHF, STEMI and NSTEMI, ECG, Biomarkers, vital signs and pharmacotherapy.