Safety, Communication, and Placement for the Older Adult In the case of Mr. Trosack there are a variety of healthcare issues that must be addressed when determining the most suitable discharge plan. One of the first concerns of the case manager is the issue of Mr. Trosack’s medications related to his new diagnoses of hypertension and diabetes, as well as his newly prescribed pain medication. The two major concerns are non-adherence to the medication regime and polypharmacy. Mr. Trosack and his family seem to be in denial regarding the diagnosis of diabetes which may result in his failure to take the medication correctly. He may also not be compliant regarding taking his medications and checking his blood sugars as he seems aggravated
Doctors who lack proper training or those who have impairment problems tend to believe that their patients are honest about issues concerning prescriptions. These may include certain issues such as losing prescriptions, or early refills. This, however, only happens when the doctor fails to identify a drug abuse problem in the patient. Another ethical dilemma in the same field occurs when doctors do not disclose full patient history in the medical file of the patient. This may cause other doctors to prescribe the wrong drug thus putting the life of the patient at risk, either due to possible
Ethics Case Study Jerry has the credentials to write a prescription and to authorize a refill. In this circumstance, although Jerry has the medical training that allows him to make requests for medication and refills, Jerry should not put in the refill or authorize a new script. Jerry should take the patients information and make sure this information is correct. Once confirmed Jerry could have this authorized by the Doctor and contact the patient as to what will take place. The patient may be on a time constraint but this liability is much more important to weigh.
The Spirit Catches You and You Fall Down The barrier of communication that results from cultural collusion is one of the most commonly-seen obstructions in providing timely and appropriate medical care for the patients. The cost is doubtless immense not only to the health of the patients themselves but also to the professional ethics of the hospital staff involved if delay or mistreatment occurs due to cultural difference. Therefore, it becomes extremely important to understand the difference between cultures so as to ensure quality medical treatments to all patients and ,in some extreme cases, prevent treatable illnesses from becoming life-threatening ones. The book" The Spirit Catches You and You Fall down " vividly illustrates the difficulties, brought about by cross-cultural misunderstanding, in providing medical treatment to a child from Laos, Lia, who is diagnosed with epilepsy, who, unfortunately, belongs to a religion that asserts epileptic attacks are perceived as evidence of the epileptic's ability to enter and journey momentarily into the spirit realm------hence the title "The Spirit Catches You and You Fall Down". In chapter 3 of the book, it reveals that Lia began having epileptic seizures when she was about 3 months old.
Effectiveness affects the healthcare quality because with the science and knowledge needed to prevent CLABSI, it continues to occur more than it should. It lies in the healthcare staff’s hands to be able to prevent CLABSI from occurring and use of effective science and knowledge to maintain sterile technique when inserting a catheter. Patient centeredness is affected by central line infections because the healthcare staff is not fully giving their quality of care to the patient when inserting a catheter, maintaining
For example, side effects of appropriately prescribed and administered chemotherapy are an example of adverse events not caused by error (Hoy, 2006). Medical errors should be disclosed to patients for a number of reasons. Because of their fiduciary relationship with patients, physicians have an ethical responsibility to disclose errors to them. To withhold this information undermines the public trust in medicine and damages the therapeutic relationship between physician and patient. In fact, patients may be caused additional, avoidable harm by failure to disclose because they lack information that would allow them to receive appropriate treatment should further complications arise (Hoy, 2006).
Argument for Change Stacy Powell Kaplan University College Composition II Argument for Change "Rules in the healthcare setting are very important to ensure proper care of the people being treated there by the healthcare staff responsible for their well being while they are being treated. " Some people would argue that some of the rules set in a healthcare facility are ridiculous and refuse to follow them. Such as cell phone use or taking excessive smoking breaks or longer breaks than assigned. These rules are set to ensure the safety of the patients that live there. If someone is on their phone they tend to ignore call lights or other duties they are supposed to attend to.
In this research project, the nurse’s proved that they lacked evidence in their practice. They chose to believe it was acceptable to have omissions of medication for certain medications and diagnosis in patients than with others. In nursing, if a medication is prescribed as an order, you are to give it. If the patient is having a change in medication that requires you not give that medication i.e. low blood pressure for an anti-hypertensive or patient is lethargic and unable to swallow medication, you should be communicating these findings with your physicians to receive further directions.
Latasha Clark BIO 2923-VA Mrs. Leslie Hood January 31, 2010 The Aseptic Technique The aseptic technique refers to the overall sterilization of most clinical settings, but is used most strictly in an operating room environment. This technique is used to minimize the spread of pathogenic organisms and protect patients from infection. The patient himself is the most common source of these pathogens; therefore nurses must shave and sterilize the area of the patient set to be operated on. For nurses and doctors, hand washing is considered the most important step in the aseptic technique. Pre-op and post-op hands must be scrubbed thoroughly from 2 to 5 minutes with warm water and antimicrobial soaps.
Example | Strength | Weakness | Related Theory | Prevents confusion | Having an interpreter to communicate socially if the person is deaf or blind. | Not having an interpreter will make it so that they are unable to communicate socially, which will make them feel isolated and frustrated. | This can be related to Tuckman’s Theory of Group Interaction because the interpreter and blind or deaf person have to work as a team so that they can interact socially. | | Doctor explaining how a Patient should take their medicine. | If the patient has to take more than one type of medication at the same time; they will get confused if the Doctor hasn’t clearly explained how they should take it.