Case study 1. The middle aged female nurse is a mother of two. She lives with her partner and has a possibly busy work life. Her work entails walking and standing a lot. Rheumatic arthritis makes it extremely painful to walk around and hold stuff. Rheumatic Arthritis causes her a lot of pain as she works. At home, pain is from bonding sessions with her family, personal grooming and doing house chores. (Peter, J 2006)…
Hospitals recognized the need for the case management model in the mid 1980’s to manage the lengths of stay of hospitalized patients and the treatment plans (Jacob &ump; Cherry, 2007). In 1983, the Medicare prospective payment program was implemented which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob &ump; Cherry, 2007). To keep the costs below the diagnosis related payment, hospitals had to efficiently manage the treatment provided to a client and reduce the client’s length of stay (Jacob &ump; Cherry, 2007). Case management, or internal case management “within the walls” of the health care facilities was created…
From an acute care nurse practitioner standpoint, while the patient is in the most critical situation, the multidisciplinary approach is somewhat more beneficial as team members can develop their own plan that would benefit the patient. However, it is still an imperative to communicate and work together. Once the patient’s condition is more stabilized, it would be very beneficial to move the plan of care toward the interdisciplinary approach.…
The American Nurses Association has identified several areas of patient care as indicators to improve the care patients receive from nursing staff. These nurse-sensitive indicators can change the outcomes of the care nurses provide. Nurses need to be aware of these indicators so they understand the relationship between the care they provide and the results their patient’s experience.…
If an individual was recovering from an illness and needed continued support at home, what type of care would be needed? Home Health Care (HHC) focuses on patient rehabilitation and traditional medical management. With HHC, the patient, family, or friends are educated and trained how to care for the patient at home with anticipation of recovery. Hospice focuses on the quality of life and patient comfort. Hospice care is meant for the time when treatment can no longer help, and there is no expectation of recovery. The focus of Hospice is pain and symptom management as well as support services providing counseling and education to the patient and family.…
Realistic and achievable goals will need to be established, and prioritised, this will help to determine the nursing interventions that will be required to assist the patient to manage their chronic illness. The nurse will have to reassess these goals continuously, to ensure that any new problems are identified early and can be incorporated into the care planning for the patient. A review of the Care Planning for the patient needs to be evaluated to ensure that all nursing interventions are effective. (Rita Funnell, 2005)…
It usually take place in the context of an anticipated deterioration in the individual’s condition in the future, with attendant loss of capacity to make decisions and/or ability to communicate wishes to others. In that case Advance care planning can ensure that all of those concerned with the patient’s care and well-being kept informed -with the patient’s permission-of any decisions, wishes or preferences which impact upon her care when she has no ability to communicate these any more.…
Acute care is a medical care that is created and aimed to treat, take care of, or cure an acute condition such as, acute asthma attack, heart attack, or stroke. Medical care treatment is generally rendered by a medical professional such as, a medical doctor in a hospital setting. Patients do not generally remain in an acute care facility no longer than 30 days. Then again, long-term care consists of skilled, therapeutic, and personal care services and supports that may have to be required by an individual whose physical or mental condition restricts their ability to function on their own. Provider examples of long-term care facilities would include assisted living facilities, skilled nursing homes, group homes, and home care. Long-term facilities…
Hospitalization is usually a short term event. The discharge planning process often begins shortly after a patient is admitted to the hospital. Physicians, nurses, and case managers who played a role in caring for the patient during hospitalization are also involved in the planning process. This team of individuals collectively assesses the patient’s progress made during the hospital stay. At the top of the mind is the patient’s level of ability or functioning prior the hospital admission. And whether or not the patient will be able to return to this level and even return home. (Forster, 2003)…
Intervention to Life Cycle 2 Chronic Illnesses Even though chronic conditions vary in severities, anyone from a teenager to the elderly can be healthy and competent if they do the proper treatment for their conditions. Not every treatment will be affective to every client but as nurses, we must try to maximize the development of improvement in the health and wellness of someone with a chronic condition. Health is a state of complete physical,…
All healthcare providers have an obligation to consider and address all concerns of their patients. Addressing all needs is a vital part of developing a successful treatment plan for any acute or chronic condition. One of the biggest proponents in providing patient-centered care is interdisciplinary collaboration, which improves quality of care and promotes positive health outcomes. However, this is not always an easy task to accomplish due to fragmented communication amongst providers in different specialties.…
Many hospitals have employed an acute pain service for nearly a decade, but for many hospitals in the United States this still is a new idea. What we’re seeing is a new modality in treatment and the way we approach it.…
It is noted as an organizational goal to provide care aimed at recovery as opposed to just symptom and disease management. The Recovery Model of Care is a geared to affording people the opportunity to take charge of their personal care. The client in the Recovery Model of Care dictates the type and plan of care they wish to receive. The Guidance Center has no separate philosophy or mission statement particular to nurses, but all employees are expected to adhere to the universal mission…
Shapiro, D., & Koocher, G. (1996). Goals and practical considerations in outpatient medical crises. Professional Psychology: Research and Practice, 122, 109–120.…
Creed F and Spiers C (2011) Care of the Acutely Ill Adult – An Essential Guide for Nurses…