RTT Task 1 Western Governors University A. Nursing Sensitive Indicators As the medical field becomes more-and-more complex, it is crucial that the nurse does not overlook the day-to-day needs of the individual patients. It is very important that the nurse as a professional does not become so bogged down with the medical aspect that one loses touch with the patient as a person. What may seem very minute to the nurse, can be of great significance to the patient. If the nurse is not sensitive to these minute needs, it can cause the patient to be unable to trust the medical team meeting the needs, and understanding the importance of more serious issues.
The lack in education and experice results in lower levels of trust in medical care. They are skeptical about receiving care from physicians, nurses and the entire medical care regimen as a whole. Women who are skeptical about the care will reject prenatal testing. For example referring back to the story about tracy, she rejected getting an ultrasound because she believed that the radioactive rays would affect her fetus. If she was educated about the importance of prenatal testing Nahla might have been normal today.
Communication Style Regina Haney, Ann Crane, Farida Biobaku, Kendall Larsen HCS/ 350 July 11, 2011 Randall Webb Communication Style Effective communication in healthcare is essential to deliver good patient care. When delegating tasks to co-workers, one needs to be clear and precise. When people have a full understanding of what their job is, they will perform better and patients will get better outcomes. Without effective communication we are setting up our fellow co-workers for failure and our patients as well. Effective communication is necessary to convey the importance of instructions and task to co-workers so they can fully understand the importance of their task and the steps necessary to manage the task.
For example, I can delegate the task of emptying a catheter to a nursing assistant instead of having the nurse do it. Identifying the ability and skill is important as well. I will not be able to delegate a task of inserting an intravenous line if the nurse does not have training on it. To choose the right person we also need to consider the personality, reliability, and commitment because it can make the tasks of delegation easier. If a person is committed and reliable, then we know that the task will be done.
CONSCIENTIOUS AUTONOMY Displacing Decisions in Health Care by REBECCA KUKLA The standard bioethics account is that respecting patient autonomy means ensuring that patients make their own decisions, and that requires that they give informed consent. In fact, respecting autonomy often has more to do with the overall shape and meaning of their health care regimes. Ideally, patients will sometimes take control of their health care but sometimes defer to medical authority. The physician’s task is, in part, to inculcate patients into the appropriate good health care regimes. At crucial moments of choice most of the business of choosing is already over.
These individual steps are reviewing coding compliance, check billing compliance, and prepare and transmit claims. The reason these are related to compliance plans is because this information is required to be correct in order to be within compliance of the various laws. If there were something within these steps that was incorrect then it could result in problems with the patient’s care. Steps one through four are related to medical records. This is because these particular steps are the information that is entered into the patient’s semi-permanent medical record.
This nurse neglected the patient, therefore, neglected the responsibility in preserving the safety and integrity of the patient. When nurses neglect their patient is at risk for injury and even death. Nurses who put their patient at this risk should not be practicing nursing.
Genevieve Gayler Communication theories in Health and Social Care settings Theories of Communication Effective communication has an important role in a Health and Social Care setting, because the patient and health care professional need to be able to understand each other clearly so that the patient can receive the best possible care; which would be almost impossible if the patient’s needs can’t be clearly stated to the health care professional. Having communication eases the patient’s anxiety, removes the possibilities for mistakes to be made and lets each person know what is wanted from them. There are many ways to communicate, both verbally and non – verbal, for example interpersonal communication which is the method of which
Not only does this involve improving the working conditions of nurses but also involves political advancement in terms of agendas, policies and regulations that affect the profession as a whole. While these pose challenges for the APN as a leader in her profession, another challenge as a leader is the maintaining of an evidence-based identity separate from the other medical professions through self-regulation, role development and goal-setting. Some of the challenges advanced practice nurses face as leaders is that pertaining to establishing a solid professional identity. Bryant-Lukosius, Dicenso, Browne and Pinelli (2004) identified significant issues in the establishment of advanced practice nurses as indispensable catalysts in patient care: “confusion about APN terminology, failure to define clearly the roles and goals, role emphasis on physician replacement/support, underutilization of all APN role domains, failure to address environmental factors that undermine the roles, and limited use of evidence-based approaches to guide their development, implementation and evaluation” (p. 1). As time passes and the professional identity of the advanced practice nurse becomes more prominent, especially in the face of sweeping health care changes, these issues will eventually be addressed
Discrimination and stigma of dual diagnosis can be isolating, which often results in patients not seeking care in the first place. Individuals with a dual diagnosis face treatment challenges, this often relating to the lack of appropriate services available for patients with a dual diagnosis. Lack of funding for public substance abuse and mental health delivery systems consequently results in people with a dual diagnosis being placed on waiting lists, leaving them untreated or with the option of private mental health services. Patients may not be able to access private mental health services, due to their lack of money or inadequate private health coverage to cover the long-term treatments, which are required for patients with a dual diagnosis. Services available to a patient with a dual diagnosis are often restricted due to their co-morbid disorder, until this disorder is treated they are unable to access these particular services (Drake, Essock, Shaner, Carey, Minkoff, Kola et al, 2001).