Risk management is the process of identifying, assessing, and prioritizing, risks of all kinds (whatisriskmangement.net, 2011). So what role does risk management play in healthcare? Any event that may cause an adverse effect on the healthcare facilities ability to perform is considered to be a risk. Risk management in healthcare may be the key for many organizations to reduce costs, improve surveys, reduce negative events, and have a lower professional liability cost. The Joint Commission (2012) defines risk management in healthcare as “the clinical and administrative acts undertaken to identify and evaluate the risk of injury to staff, patients and visitors and the risk to loss of the organization itself”.
The score from each category is added and assessed. The total Glasgow Coma Scale score helps doctors identify a person's conscious state and extent of brain injury. A lower score indicates more severe brain injury and poorer prognosis. The scale comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered.
This affects approximately 5 million Americans. (Levine, 2003) This paper will examine three articles that reflect differently on elder neglect and abuse. The first article estimates the prevalence and extent of elder abuse. The second article discusses signs and symptoms of elder abuse and what clinicians should be looking for and acting on when abuse is suspected. The third article focuses on a case study in which an elderly woman was abused and no proper investigation was completed within a nursing home setting.
Nursing Structure in Nursing Homes Versus Hospitals In nursing homes there are only 5.1 full-time RN's per one hundred patients. In contrast, hospitals maintain 1 RN for every 4.5 patients in hospitals (Strahan, 1988). The nursing aspect of the hospital hierarchy often begins at the top with Chief nursing officer or Chief nursing executive. The next levels are the
The changes in government programs such as Medicare caused a reduction of gross patient service revenue. Research funding was not covering 100% its own expenses, having to use clinical revenues to cover them and subsequently affecting education programs. Analysis Although well distinguished for their highly specialized tertiary and quaternary care, both hospitals faced similar rate drops in the percentage of utilized beds. BWH rate dropped from 88.7% in 1988 to 79.6% in 1993. At MGH the decline was 87.6% in 1988 to 78.4% in 1993 as well.
Objectives The aims of the proposed research will be: 1) To investigate whether compassionate fatigue influences the overall quality patient care, 2)To establish the need of structuring appropriate and multi-faceted interventions to combat compassion fatigue, 3) To establish the risk factors associatedwith compassion fatigue. Population The proposed study with utilise nurses who provide palliative care, intensive care, and psychiatric/mental health/addiction nurses. The population will include both male and female nurses. This population will have at least a ten year experience in their respective duties. Age will not be used as an inclusion/exclusion criterion.
Project Match study showed effectiveness of motivational interviewing (John, Veltrup, Driessen, Wetterling, & Dilling, 2003). There are two hypothesizes in this study. The first one is that participants in the motivational interviewing group do not do better than the participants in the group counseling group after the six month treatment period. The second one is that group therapy does not outperform motivational interviewing six months after treatment (John, Veltrup, Driessen, Wetterling, & Dilling, 2003). Participants were found at inpatient treatment in the psychiatric university hospital, alcohol dependent, home dependent within the last six months, twenty-one to sixty-five years old, located within reach of outpatient services after treatment, consenting to take part in a twenty-one day treatment program, no organic brain damage, no psychosis, and no more than ten previous inpatient stays (John, Veltrup,
Report changes to the provider. Hyperkalemia can result in EKG changes that include tall peaked T waves, prolonged PR interval, and widened QRS interval” (Ackley & Ladwig, 2011, pg. 343) The nurse monitoring an acute renal failure patient should implement safety precautions such as falls prevention protocol
Abstract The impact of stress on a person’s life is well documented. The effect of stress on cortisol and catecholamine levels leading to atherosclerosis and resulting in coronary artery disease may leave the person with a poorer quality of life. Medical interventions for heart disease include medication to lower cholesterol and vasodilator to assist blood flow to the heart. Treatments for stress are antidepressants and therapeutic techniques. In this case study, the personality of a heart disease candidate is discussed and the nature of the illness and its effects on the person.
The decline of falls in the third quarter of 2009 in which the goal was reached with 0 falls; however, the other three quarters the goal was not met because there was 5.97 to 9.19 reported falls. The percentage of patients who were at risk and on fall prevention protocols ranged from 80 to 100. Nursing Plan The elderly