Y our doctor works with hospital staff and professionals in your community. You and your family also play an important role in your care. The success of your treatment often depends on your efforts to follow medication, diet and therapy plans. Your family may need to help care for you at home. You can expect us to help you identify sources of follow-up care and to let you know if our hospital has a financial interest in any referrals.
Systematic Research Review Rebecca Harty Chamberlain College of Nursing NR505: Advance Research Methods: Evidence-Based Learning Spring A, 2015 Introduction Before a patient may present with Cardiopulmonary arrest, they will often exhibit signs and symptoms of their worsening condition hours or days prior to the event. This is considered “failure to rescue” where the caregivers lack the skill to identify signs and symptoms of a decline in a patient’s condition, or a delay in intervening to prevent a cardiac arrest. Failure to rescue.is used as a measure of the overall performance of a hospital though some feel its an act wrongdoing, or negligence. Cardiopulmonary arrests have up to a mortality rate of 80% (Winters et al., 2013). Often,
13 4. Further information 17 4 1. About this booklet You have been given this booklet because doctors or health and social care professionals are thinking about changing the way a family member, friend or someone you provide care for is looked after in hospital or in a care home. They are thinking about introducing a care plan in which your family member or friend will be deprived of their liberty in a hospital or care home. The doctors or other professionals are thinking about this because they believe that: • this care plan would be in the best interests of your family member or friend • your friend or family member does not have the capacity to consent to the care plan themselves, and • it would not be possible to deliver the care they recommend without depriving your family member or friend of their liberty.
There are good nursing homes, and there are some elderly that need them. Another thing that the article mentions is how some senior citizens need regular monitoring due to their conditions that assisted living can not provide. The writer states that “those whose use of blood thinners involves regular testing to adjust the dosage. Assisted living doesn’t provide much health care, so residents risk becoming ‘frequent fliers’ — they’re going in and out of hospitals for conditions that could perhaps be treated in a nursing home.” The main purpose of assisted living is to reduce clients from going in and out of hospitals. If professionals that are involved in assisting the elderly cannot fulfill that need of providing health care, then the best thing for the senior citizens is to place them in a nursing home.
Skin breakdown can be prevented by turning Mr. J every 2 hours and by propping with pillows side to side. Skin assessments should be preformed frequently on this patient to assess for breakdown. Patients with dementia may not be able to verbalize pain. When the daughter observed the redness, it should have been reported to the nurse in charge. Most CNA’s do not have the knowledge to assess the skin breakdown to know the proper treatment plan.
There are new rules and regulations on Hospital Readmissions that will now push Hospitals and Nursing facilities to work side by side to avoid penalties and loss of profit from CMS’ (Center for Medicare and Medicaid Service) One out of every five Medicare beneficiaries discharged from the hospital is readmitted within 30 days, which costs Medicare more than $17 billion a year, CMS is about to put a stop (Readmissions Reduction Program) to this. Readmissions are an issue between nursing facilities and Hospitals. If a Medicare patient discharged from a hospital, the odds are about 1 in 5 that they will end up back in the hospital within 30 days. CMS is stepping in because Healthcare costs are rising and CMS is going to start by holding hospitals and nursing facilities accountable for readmissions. The Hospital Readmission Reduction Program (Affordable Care Act) From Oct 2011- Oct 2012, CMS is tracking each hospital’s readmission rate.
I have witnessed that hospitals treat anyone that show up in the emergency department whether the patient is insured, underinsured or uninsured. In saying this, it is always my question that to what extent hospitals provide services for those who do not have health insurance and/or for those who cannot afford to pay for the care provided. A journal article published by Lancet in 2002 explains "when uninsured admitted to hospital, they do not get the same level of care as that provided to the insured" (Lancent, 2002). It is unambiguous that an individual would get an emergency medical treatment but he/she is required to pay back for the service provided. For this reason, I believe healthcare in United States is more of a privilege than it is a right, and It should be a human right to have access to health care.
When someone is dying there are legal concerns that a nurse must keep in mind when caring for the patient. Many times family members are the caregivers during the end of life process and this can place a real strain on the family. There are many nursing diagnosis associated with end of life care, and nurses must keep in mind special nursing considerations and implications. “End-of-life (EOL) care is defined as an active, compassionate approach that treats, comforts, and supports persons who are living with, or dying from progressive or chronic life threatening conditions” (Ross, MM., Fisher, R., & McClean, MJ., 2000). Unfortunately, the issue of death has been denied, hidden, and thus feared by our current society.
Imagine someone you dearly love; a relative, friend or partner is in hospital but isn’t receiving the care they deserve. How would you feel if you found out that they weren’t receiving their medication on time? How would you feel if they hadn’t been cleaned in a week? What about if their dressings weren’t changed when they should be? Or what if they were completely and utterly neglected for hours?
And so many people go without even getting tested for AIDS or HIV. It is estimated that 230,000 with undiagnosed infection. Which endangers those on getting this disease from the effected person. One health care related challenge is in-home medical care, hospice is a in home care and specialized centers, it is high-technology that is an alternative to hospital care for patients who are dying. It is challenging because AIDS progression is less predictable than other diseases such as cancer.