The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
Barriers that prevent Nurse Practitioners from practicing in Long Term Care Facilities Nancy Marshall A thesis presented to the School of Graduate Nursing Mountain State University In partial fulfillment of the requirements for the degree…
As a patient service level advocate of eight years, I analyze any ethical issues and apply appropriate actions. Service-level advocate attempts to resolve patient issues, working in collaboration with the facility Patient Advocate to help identify opportunities for improvement. I respect the rights and privacy of patients and staff to protect their confidential information verbally, electronically, and print communications, while continuing to demonstrate leadership in identifying by responding to any ethical issues that may impact patient care. An incident occurred with one of the veterans, which caused the Root Cause Analysis committee to get involved. The veteran with kidney failure was told by the vascular surgeon not to use his “right arm” for any blood pressures, needle stick, or IV use, due to pending surgery for an arterial venous fistula (AVF) placement.…
Having Medicare can be life or death situation for people who need it. This essay will give details about the Medicare plans and display the cost that Medicare pays. The essay will also discuss the percentages of people take apart of the benefits and how these benefits are crippling them. The points will be related to Stone’s frame work Policy Paradox efficiency and security. To understand the cost and the security the people have on the benefits id to understand the plans.…
According to Henderson, “Managed care is a term used to describe any number of contractual arrangements that integrate the financing and delivery of medical care” (Henderson, 2012). There are three common types of managed care plans: Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), and Point-of-Service (POS) Plans. One of the advantages of managed care plans is, they use of a variety of physicians and specialists in the provider’s network. Health Maintenance Organizations (HMOs) are health care plans that negotiate with providers and facilities to provide services at a discounted rate.…
According to fiercehealthcare.com, ambulatory care refers to a wide range of medical services and procedures that are conducted on an outpatient basic. Ambulatory surgery center (ASC), hospital and doctors office are considered outpatient locations. The surgery I decided to talk about was cataract surgery. Cataract surgery is when the eyes cloudy natural lens is removed and replaced with a clear artificial lens implant called IOL or intraocular lens. A patient may be concerned about the risk of the surgery.…
Real-time adjustments by staff to variation in workflow is clearly important to provide a high quality of care, have efficient patient flow, meet reimbursement objectives, and allow a reasonable quality of work-life for staff. These are not just mechanical sequences of pre-identified tasks, but are contextual and have high variability across patients, providers, units, and organizations. There are variations in workflow at multiple levels, and workflow for individual patients combine to create a series of activities for a physician to complete. Workflow for physicians is integrated with the workflow of supporting members of a team. The workflow of the team is coordinated with consultations with specialists with clinical expertise.…
Malala Yousafzai once said, “When the whole world is silent, even one voice becomes powerful”. Advocacy is the active support of a cause or course of action. To be an advocate, it means to take the initiative and physically support in what you believe can improve your surroundings and even the world. Healthcare advocacy can be valuable because it can help support a certain cause, it can bring people to the realization of the current problems in the world, and it also brings people to help their community and environment. Healthcare advocacy can help a certain cause or course of action.…
Within advocacy, there are two levels1 mod 3-4 – individual, also known as patient advocacy and systemic. A healthcare provider is the systemic advocate. Systemic advocacy puts in place arrangements that are governing with considered policies and initiatives. These cover all areas of all healthcare organisations.…
ABSTRACT Based on studies access to healthcare services and long waiting time, is one of the main issues in OECD countries including Canada and United States. Healthcare organizations can’t increase their limited resources nor treat all patients simultaneously. Then, patients’ access to these services should be prioritized in a way that best use the scarce resources. Some challenging aspects in patients’ prioritization problem are; considering multiple conflicting criteria, incomplete and imprecise data, associated risks that threaten patients on waiting lists, uncertainties in clinicians’ decisions, involving group of decision makers’ opinions, and system’s dynamic behavior.…
Does patient-centered care benefit patients and their families? “Patient-centered care in healthcare is defined as care provision that is consistent with the values, needs, and desires of patients and is achieved when clinicians involve patients in healthcare discussions and decisions” (Constand, M. K., MacDermid, J. C., Dal Bello-Haas, V., & Law, M, 2014). Patient-Centered care can improve the quality of a patient's life, because we as nurses are focused on the holistic individual needs of the patient. Not just the outcomes of a treatment or what we think is best for the patient. We are also focused on the patients and the families input.…
Patient advocacy in very important. Disputes can arise between family member, and nurse about the treatment. A nurses primary role is to protect the patient’s autonomy. Oftentimes, a nurse has to initiate ethic consult to protect the patient’s autonomy. An ethic consultant can offer an unbiased opinion because they come from different career fields, and completed additional education in ethics.…
The Professional Nurse: Past. Present, and Future While pondering what comprises a professional nurse, a few things come to mind. A professional nurse should have empathy, first and foremost. The professional nurse should also be knowledgeable since the profession has no room for error. She or he should be able to communicate with patients as well as other health care professionals.…
There are multiple responsibilities that the administrative medical assistant is required to do, for example, answering the phone, able to use computer applications, triaging phone calls with the permission of the physician, scheduling appointments, filing patient’s charts, collection of money, filing insurance claims and medical coding, handling correspondence. The administrative assistant should have knowledge of medical terminology and medical coding. Whenever answering a call, greeting a patient or writing a letter they must be in a professional matter and must be able to help patients with their best of…
Subcategory 4: Explain the importance of patient rights and responsibilities from both an ethical and legal point of view. The importance of patients’ rights and responsibilities are based on these ethical and legal rules such as honesty, confidentiality and professional behavior. Assuring that healthcare providers uphold the medical ethics which is the Hippocratic Oath “first do no harm”, assuring that all measures are in place that will protect them and the patient at all times. By making sure all rules and regulations are being met and carried out by the healthcare provider as well as the patient.…