Dealing with Difficult Patients Over the past 15-20 years there have been changes in patient physician relationships and changes in the workloads given to nurses and other staff. Before‚ the doctor was always considered an authoritative source of information and treatment; patients had little dissatisfaction. Nurses were able to give more personalized attention. Now‚ with advertising‚ internet and self help groups patients are relying less on their doctor’s knowledge and
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Pain management comparison in orthopaedics- patient controlled analgesia vs. femoral nerve blocks Picot question In adult patients with total hip or knee replacements‚ how effective is patient controlled analgesia pain management compared to femoral nerve block in controlling post operative pain within the first 24 hours after surgery? Importance to the science of nursing Major knee or total hip surgery is associated with severe postoperative pain
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Patient and Family Involvement to Ethical Issue on Care Decision Making Purpose: Decision making is a crucial element in the field of medicine and health care. The physician has to determine what is wrong with the patient and recommend treatment‚ while the patient has to decide whether or not to seek medical care‚ and go along with the treatment recommended by the physician. Patients have both rights and responsibilities when it comes to their health and the health care services
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As a Minimum Data Set (MDS) coordinator‚ I interview several patients a day. I often discuss their prescribed medications‚ any treatment they are receiving‚ evaluate their cognitive level‚ pain‚ depression and much more. I take all their information we discussed‚ their medical records‚ and physician orders and develop an individualized care plan for the direct care staff to follow. I then submit this information to Centers for Medicare and Medicaid Services (CMS). Initially‚ at the start of an interview
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errors. Patient safety is the core value of the nursing profession‚ while nursing is being embraced in its caring attitude toward the patient‚ patient safety should be our number one priority. This article is very important to the nursing profession in part because it addresses one of the most significant issues of the profession‚ which is patient safety. According to the Nurse’s Practice environment article Flynn‚ Liang‚ Dickson‚ Xie‚ & Suh (2012) RNs are well positioned to serve as patient safety
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Seisay I completely agree with you that nurses play a vital role in ensuring patient safety‚ since we all know that patient safety can improve patient outcome and subsequently reduce the cost of healthcare. The culture of safety is a continuously changing concept and focus on preventing medical errors and maintaining patient safety and that when those errors happen‚ they lead to bad consequences including‚ increase in length of hospital stay‚ litigation costs‚ healthcare-associated infections‚ lack
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and the speaker gather their tools and head out to work‚ somewhat comforted that their lives will one day improve. "Nurse’s Song" (Song of Experience) Summary In this poem‚ Blake parodies his earlier “Nurse’s Song” from Songs of Innocence. The nurse hears the whispering of her charges in the dell‚ indicating some secretive activity among the youths. Upon hearing their voices‚ the nurse’s face “turns green and pale‚” an image associated with the unfulfilled spinster in Blake’s day. That she reflects
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Patient Falls and Prevention in Health Care Patient falls are a significant representation of adverse events in health care organizations worldwide. There are several common risk factors intrinsic to patients‚ which include reduced vision‚ musculoskeletal disease‚ altered mental state‚ history of falls‚ and other chronic diseases. Health care organizations are expected to focus on those intrinsic factors as well as the extrinsic‚ which are those present in their patient’s environment. For example
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to ensure safe and effective patient care has been to mandate nurse staffing ratios. In 1999 California became the first state to mandate minimum nurse-to-patient ratios in hospitals. California is not the only state to enact minimum nurse staffing ratios for hospitals‚ over the past four years at least eighteen other states have considered legislation regarding nurse staffing in hospitals. Policymakers are forced to consider alternatives to nurses ratios due to nurse shortages. Whether minimum staffing
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I think patient dehumanization happens because it is hard for the doctor or nurses to see someone suffering. Perhaps it is lack of compassion from patient from patient‚ but I believe that since doctors deal with pain all the time they don’t want to immerse themselves in others pain. I know from personal experience that unless I am feeling the pain for myself it is hard to be sympathetic. My sister has migraines and headaches all the time and all I can say is I am sorry; however‚ when I have a headache
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