For e.g. if an individual has a heart attack then in this situation the need of the individual is to prevent them from getting worse. It helps people become experts in managing their own condition, therefore stops diseases developing. Government health promotion initiatives The Department of Health is a government department responsible for health protection, health improvement and health inequalities issues in England. So, in an action to improve the health of an individual the Dept of Health
MSN 6008 Research and Technology for Advance Nursing Practice U02a1 Research Problem Topic and Question Submitted by: Adrienne Jenkins 01/22/2012 Cesarean delivery has become the most common major surgical procedure in many parts of the world. The national rate of cesarean delivery in the United States has increased more than 50% since 1996 to 31.8% in 2007. This upward trajectory appears likely to continue in the near future (Jhang et al., 2010). The consistently high cesarean section rate has been attributed in part to maternal request. Evidence suggests that nonemergent elective cesarean delivery may have several negative outcomes for women and their newborns.
They can also be classified from a contextual perspective, in terms of the medicines, time, place and people involved (Spath, 2011). Modal classification is the third type, which refers to the manner in which the error took place, for example, errors can occur by substitution, omission or repetition. Patients’ safety and medical errors represent a subject that has recently gained both public and scientific attention. This is due to the fact that numerous medical errors have occurred, and lately on a regular basis (Jox, Schneider, Borasio & Dietz, 2010). These errors are accompanied by an increased cost in treatment, in addition to a number of moral consequences.
Cardiac arrhythmias affect more than 700,000 people in England is one of the top ten reasons for hospital admission (Department of Health 2005). Atrial fibrillation (AF) is the most common and important cardiac arrhythmia, it the most common of all the arrhythmias seen in general practice. AF affects 5% of the UK population over the age of 65 years, rising to 10% in those over 75 years of age (Kirby 2005). The principal significance, both to the patient and the healthcare system is the increased risk of embolic stroke. Atrial fibrillation is associated with 15% of all strokes and with 36% of strokes in patients over the age of 60 (Hobbs 1999).
Importance of vascular access for cost containment Multiple studies have shown that a fistula is the best on most cost-effective vascular access, followed by a graft, and that having a catheter as hemodialysis access is by far the worst, having not only the highest initial cost, but also the highest re-admission rates for serious events such as catheter-related bacteremias, which in most cases have to be born by the hospital system given that a large number of patients are uninsured or underinsured. 70% of all patients starting hemodialysis at Jackson Memorial Hospital do so with the worst possible access, namely a tunneled venous catheter. Barriers for decreasing the number of catheter-dependent hemodialysis patients Currently, there
This paper will explore factors that contribute to medication errors and their effects on mental health nurses. In addition this paper will offer some future recommendation in order to decrease medication errors. Medication errors Medication administration is an essential aspect of nursing, however, failure to consider the details of adverse reactions, drug interactions or administration schedules may compromise the efficiency of the therapeutic medication regime (Jordan, Jones, & Sargent, 2009). According to Haw, Stubbs & Dickens (2007) and Ramanujan &
The average age of the general population at the author’s clinic is 60 and above. All of them have end-stage renal disease and a majority suffers from multiple underlying medical conditions. The majority of the patient’s receive an average of 3 hours of treatment per visit. In a root cause analysis study done at VA dialysis centers in 2008 it was observed that a high percentage of patients who experienced venous needle dislodgement were either confused, restless, agitated, cognitively impaired, and suffered from dementia. (Axley, Speranza-Reid, Williams 2012).
The overall goal is for the client to return to pre-hospital living condition in an improved state of wellness. The theory of self-efficacy is based on the belief that what people think, believe, and feel affects how they behave. So, if the patient is taught to believe that they can take care of themselves and actually practice how to do it will help in maintaining good health. Nursing diagnosis: Anxiety and fear related to new diagnosis, lack of understanding of medical condition and disease process. The patient needs to understand his new medical condition in order to gain understanding of the disease process, signs and symptoms, complications, medication regimen, follow-up appointment as well as the benefits of physical activity, diet and weight control.
Usually earlier detection may be difficult because adults may think that that is a normal sign of aging. Diagnosing infection is very challenging in older adults as changes in the elderly people are very subtle and nonspecific. UTIs are caused by a bacterial infection and are the major cause of bacteremia in adults. Issues that predispose the aged to UTIs include use of condom catheters, neurological bladders, and use of urethral catheters. For women there are other causes like vaginal atrophy due to postmenopausal depletion of estrogen and not completely emptying the bladder providing the opportunity for bacteria growth and colonization.
The symptom is usually what brings the patient to seek out health care (Humphreys et al., 2008) and adherence to treatment by the patient is crucial. The nurse who provides a biopsychosocial view of the symptoms to help the patient better deal with their symptoms is imperative to this adherence. The Theory provides many target areas for research and furthers our knowledge of the development of symptom management. To provide a greater understanding