Pressure ulcers leave patients open to infection, slow healing time, and cost the US somewhere between $9.1 - $11.6 billion dollars per year (Berlowitz, 2014). An issue this large should be drawing attention from health care professionals everywhere. In the article, 'Pressure-ulcer management and prevention in acute and primary care', authors Newham and Hudgell discuss pressure ulcer management and what research is being conducted to reduce pressure ulcers. The study that they focused their research information on was a study done in the UK. This study was part of the English government's 'Outcomes Framework' which focused on change of culture and behavior to prevent health care acquired pressure ulcers (Newham, 2015).
The Effect of Computerizing Physician Orders to Prevent Medication Errors Background: Medication errors at the time of hospital admissions and discharges are common and can lead to preventable errors. The objection of this paper is to show how computerizing physician orders can help alleviate that problem and reduce it remarkably. Problem: The pt. was given the wrong dosage of 2 weeks supply of medication. Solution: Computerizing Physician Order Entry Proposed Improvement Plan: I choose this cause because it happen so often at my facility that pts.
Respiratory Care, 58(10), 1704-1706. This article addresses the reluctance of healthcare facilities to change their practices even thought there are evidence based practice studies showing things that can prevent VAP. Also it shows that in their study, the single most important change a facility can make is the implementation of use of the ETT which provides continuous suctioning of subglottic secretions. Also discussed is the fact that some patient populations will not allow VAP to be prevented, such as Trauma ICU’s where the patient was intubated in an unsterile setting or likely aspirated on intubation since this population has rarely been kept NPO prior to
Through the hospital and Ms. Martinez’s eyes Kevin neglected the patient; leaving the patient in the gurney for an unacceptable duration of time for another staff member to move. However, According to Nurse Kevin the reason behind not moving the patient from the gurney to the bed is due to Nurse Kevin’s on-going back issues that have been in existence since he began working for the hospital. The patient that was to be moved was also extremely large and heavy. As we all know typical duties of a nurse on a unit in most hospitals may sometime require physical exertion of one’s body. With that being said, Nurse Kevin seemed to be able to perform most other physical duties excluding moving a patient from a gurney to a bed.
My shift started at 7 a.m. There was a patient needed to be admitted during the shift change and I volunteered to do the admission even though it was not my turn to be admitted. As soon as I entered the room I saw the patient having shortness of birth and complaints of chest pain. I monitored the vital signs and was too high (above 200 systolic). The patient has a history of diabetics and hypertension and she is ESRD.
For instance, the coding and billing Department have a clear-cut definition of what is expected and if there are major issues within the department it could delay payment for medical insurances. So it is important that every department is properly trained and managed accordingly. If there are too many audits and medical insurance companies are slow to pay, this may cause a huge financial burden on the hospital (Chavis, 2009). Culture differences often stem the communication challenges and thus causing a blame shift. Becoming more aware of cultural differences and the willingness to explore cross-culture communication.
Also the nurse can stress the importance of taking the medicine on time and the right dosage. You cannot be on blood pressure medication for long period of time and just stop because that would cause your blood pressure to go out of whack. Another intervention that can happen is the nurse can take a full inventory so to speak of the patient’s medicine and explaining what would happen if the medicine expired. Another intervention is explaining that once a medicine is expired its potency is gone and it will not help your body. Also it is important to know that the patient’s medicine is just that – it is the patient’s medicine.
The Amish community are less like likely to use preventive treatments or annual checkups. The Amish are more likely to seek help from a doctor who they feel they can trust or one that understands the Amish community. A lot of modern communities around Amish communities have made Amish plain clinics to make the Amish feel more welcomed (Do Amish Vist Doctors?, 2010). The Amish communities the men folk are seen as the head of the house hold. This means that when their wives go into labor that, the wives will look to their husband for permission for pain management meds.
Interior Health’s acute care sites plan to include the 48/6 within every patient’s care, with the exception of obstetrical patients and newborns (Betman, 2014). Current evidence suggests that the benefits of implementing the 48/6 include: “improved pain management, better detection and treatment of delirium, decreased medication related events and shorter hospital stays” (Fraser Heath Authority, 2014, p.2). Originally the 48/6 was supposed to be implemented in all of BC’s acute health care settings by September 30,2014 (Foundational to Quality Patient Care, n.d.). It is perceived that the use and subsequent action of the 48/6 will require more of the nurse’s time at admission, but that it will save the healthcare system time in the long-term. Therefore “the better the initial screening and assessment, the better chance the senior has of maintaining their baseline level of independence and returning home sooner” (Hospital Care for Seniors, 2012. p.4).
It is time that Americans realize the amorality of US hospitals forced to turn away the sick and poor. UHC is a health care system that aligns more closely with the core values that so many Americans espouse and respect, and it is time to realize its potential. Another common argument against UHC in the United States is that other comparable national health care systems, like that of England, France, or Canada, are bankrupt or rife with problems. UHC opponents claim that sick patients in these countries often wait in long lines or long wait lists for basic health care. Opponents also commonly accuse these systems of being unable to pay for themselves, racking up huge deficits year after year.