MEMO From: Joshua A. Burger (Gibbs), Phlebotomist, Genesys Regional Medical Center To: Office of Susan K. Kolka, Hospital Administrator, Genesys Regional Medical Center Subject: Excessive needlestick complaints and proposed corrective action 11/11/2009 Introduction Statement of Problem Inpatients of Genesys Regional Medical Center are complaining of excessive needlesticks during their stay at our facility. After receiving dozens of complaints, policy changes were made to allow the patients to receive a heparin lock as standard procedure, but the complaints continued. To promote patient comfort, safety, and well being, the hospital needs to take immediate action to reduce the number of needlesticks that our patients must endure
The article Management of Cocaine-Associated Chest Pain and Myocardial Infarction : A Scientific Statement From the American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology (Circulation. 2008), impresses the importance of ascertaining whether the patient has been using cocaine in connection with reported chest pain because the therapeutic interventions will be completely different. If the patient fails to self-report drug use it is important to use diagnostic testing, such as a urine analysis, to determine the presence of cocaine. Patients with cocaine-associated chest pain, unstable angina,or MI should be treated similarly to those with ACS, with some exceptions. Unlike patients with ACS unrelated to cocaine use, cocaine users should be provided with intravenous benzodiazepines as early management.
In particular, critics state that diagnosing death and putting people on end of life care pathways is a form of euthanasia – one newspaper story featured the headline ‘Sentenced to death on the NHS’ (Devlin 2009). This type of criticism is founded on the myths outlined above, particularly those relating to passive and active euthanasia and to withdrawal of treatment. It is worth restating that care pathways allow healthcare professionals to try out treatments and withdraw them if they are not effective, and to reintroduce treatments if patients respond in unexpected ways. A clearer understanding of the ethics and law in this area should help nurses to address these criticisms and reassure themselves that the guidance set out in care pathways is legally and ethically sound. NURSING
Coates (1999), claims that when people are in a highly aroused or socked condition in the clinical environment, they are often unable to process and retain important information. Advantages of written information as described by Coates (1999) include being permanent, consistent and easily reproducible, it also gives the patient time to reflect on the information and share it with others. Little et al (2004) found in their trial that giving clients’ information leaflets encouraged patients to raise issues with healthcare professionals, giving them a sense of empowerment, support and improved satisfaction. The Department of Health (DH) (2004) express that information gives patients power and confidence, helping them to build trusting relationships with clinical staff and work in partnership in their
My second solution may well eliminate more and more cases of TBI if number of soldiers decrease. Third solution will be a lifesaver. It is known that TBI patients, if not treated, may commit suicide in some cases. So if patients are diagnosed earlier, some lives might be saves and also tension and anxiety will be reduced on families of those who suffer TBI. A counterargument in regards to TBI would be the long-run treatment.
CMH might well improve quality of care, decrease the cost, and get better access. From the viewpoint of those getting care at the CMH that is a pleasing result. From the viewpoint of the general hospital that depend on area of expertise care to cross support financially unbeneficial patients and services, and from the viewpoint of such patients and maybe others that the hospital serves, the same result is unwanted. Competition has a figure of special effects on hospitals, as well as the possible to get better quality and lessen the costs (Levit, 2004). Opposition will also challenge the capability of hospitals to connect in cross-point, again within the community and cites throughout the U.S. is the key to health care delivery system.
This is why, most home health programs have standard health protocols, plans of care, interventions and routine evaluation measures to assist people suffering from moderate and severe dementia of late onset. But early onset Alzheimer’s disease affects people who are most likely young, employed, physically robust, sexually active and who have different leisure interests than their elder peers. Chaston D. (2010) suggests that: “numerous barriers continue to prevent younger adults with dementia accessing support and services. Their voices are not heard and their needs overlooked, often because nurses and other health professionals fail to recognise that dementia exists in this age group.” So, to make sure young individuals affected by dementia get the home care they need, “Care for memories initiative’s” focus is to create a comprehensive home care program for families whose first degree relative has been diagnosed with early onset Alzheimer’s disease. Within this program, where the expertise of various professionals will be required, people suffering from early onset Alzheimer’s disease will be followed up regularly and according to their needs.
They fear becoming dependent on others or having a very poor quality of life. Sadly, our current health care system and its practices leave people suffering unreasonably and unnecessarily at the end of life. Too often, people suffer from avoidable pain and other symptoms in their final days. And such suffering can occur even with good care. People advocate for more reliable euthanasia/physician-assisted suicide to guard against these possibilities.
They believe that it would be better if nurses only practice under the guidance and supervision of the doctor. They believe that allowing them to practice independently would be detrimental to their patients (Mills, 2009). They would be prone to some misdiagnosis, failure to attend to less obvious, but potentially life-threatening problems as well as prescriptive errors. In fact, they maintained that many deaths in the hospital would be realized due to errors made in prescriptions. According to them, nurses however much trained and experienced lack skills to manage and deal with complex living with multi-system diseases.
There are many forms of possible discriminatory practice in Health & Social Care, for example: • Labelling or stereotyping people e.g. making assumptions, being prejudice • Avoiding service users because they’re different • Using negative body language to service users because they’re different