There are many factors that can influence outcome. These include the acuity of the patients’ injury or illness, the location of the patient, the wants and needs of the patient and their family, the resources available to the paramedic and the number, complexity and time dependence of interventions required, both on scene and en route to
Patients and families dealing with potential end-of-life issues is a very common problem in health care today. The Research addresses the following questions: 1. How can we assist our patients with ESRD with end-of-life issues? 2. Is the topic a priority for the organization 3.
According to the United States Census Bureau, roughly 55% obtain insurance through an employer, while about 10% purchase it directly. About 31% of Americans were enrolled in a public health insurance program: 14.5% (45 million – although that number has since risen to 48 million) had Medicare, 15.9% (49 million) has Medicaid, and 4.2% (13 million) had military health insurance (there is some overlap, causing percentages to add up to more than 100%). The percentage of non-elderly workers with employer-sponsored coverage has been falling, from 68% in 2000 to 61% in 2009, the latest year for which data is available. While the primary cause of falling rates of insurance is the rising cost of health care for employers, the economic downturn since
Holistic Care Plan: Mrs. Thomas Western Governors University HAT Task 2 Holistic Care Plan Stressors come in many forms during a person’s life and at the most inopportune times; a number of factors determine how one handles the stress; their emotional, physical, spiritual, mental, social health, and support systems. Nursing incorporates holistic care while developing a care plan for patients and their support system. Holistic care looks at all of these factors and the impact the stress is having upon the patient and their support system. The nursing care plan is not only a tool for the nurse to use but also can act as a guide for the patient and family in gathering information and provide realistic expectations regarding the current diagnosis and prognosis. Nursing care plans are used whether prognosis is good, as when a patient is expecting a healthy baby without complications or when prognosis is poor, such as when a patient has terminal cancer and shortened life expectancy.
placement can put the lives of the patient in danger. It is very important for nurses to know how to use
The way in which a nurse practices can greatly affect the outcome of the patient (Potter & Perry, 2006). For this reason, nursing practices based on theories and concepts should be researched. The process of using concepts, theories, research and practices to form rationales usually begins with a concept or theory and is cyclic in nature, as each component may lead to the other (see Appendix A). In the nursing profession, several concept-directed theories guide both research and practice. The purpose of this paper is to select and analyze one of the many nursing theories that exist.
Infections of the nervous system such as cytomegalovirus may cause blindness or demnetia. The accompanying disabilities necessitate LTC services as dictated by the patients changing health condition over time. An increasing number of AIDS patients are receiving care in nursing
L o n g -Te rm Ca r e Sy st em s Long-Term Care In The United States: An Overview A complex system of public and private funding often leaves elderly persons at risk of financial catastrophe and inadequate care. by Judith Feder, Harriet L. Komisar, and Marlene Niefeld PROLOGUE: Elderly Americans are just about the only group of U.S. citizens whose health care is universally insured as an entitlement. However, elders who need long-term care have much less protection. Medicare, the federal program for the elderly and disabled, covers many of the costs of acute medical care but only tangentially covers some long-term care services. Medicaid, the federal/state health program, covers long-term care but only for people who are poor or who
Yet the contribution of each component will be specific to each individual and his or her situation. Palliative care utilizes an interdisciplinary approach to patient care, relying on input from doctors, pharmacists, nurses, chaplains, social workers, psychologists, and other allied health professionals in formulating a plan of care to relieve total pain and suffering in all areas of a patient's life (Krouse, 2008). In this essay I will discuss the impact that the interdisciplinary team may have on total pain in a patient suffering from a life limiting illness. Total Pain: Pain is a common symptom of end-stage illness, affecting between 70 and 90 percent of patients with advanced cancer and large numbers of patients experiencing other life-threatening illnesses (Hospice of the Western Reserve, 2003). It is a complex and individual experience, often requiring creative approaches to identify causes and seek solutions for relief (Middleton-Green, 2008).
Vulnerable Populations and Self-Awareness Karen Kennedy NUR 440 January 9, 2012 Dolores Martinez Vulnerable Populations and Self-Awareness When speaking of a vulnerable population, one could think that vulnerable population could be anyone or anything. Patient sub-populations who are at enhanced risk for harm resulting from a disease or condition, or by the effects of a drug, such as people with compromised immune systems (Health Canada, 2011). It also can be thought of as, in the context of an emergency, a person who might need additional assistance because of language barriers, a disability, limited resources or other reason (APHA, 2012). Then it has been said that a group of people with certain characteristics that cause it to be at greater risk of having poor health (Endowment for Health, 2011). Any way that vulnerability is looked upon the bottom line, is that there is a person that is in need of help or assistance.