Patient advocacy does not require nurses to agree, promote, or tolerate any demographic on a personal ideology. What nursing and healthcare does require is professionalism which dictates “[c]ulturally competent nurses…..recognize the harmful effects of ignorance, hate, ethnocentrism, prejudice, and bias on the health of their patients”. (p. 113) Advocating for Lia would necessitate an examination of her social determinates and propagate care that would produce the best patient outcome even if it requires a variance from normal practice.…
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.…
As a medical assistant, we will have to talk about certain topics that may make a patient feel uncomfortable. For example, when talking to a patient about their reproductive health history. It is our job to obtain pertinent information about our patients for the physician. When talking to our patients, we need to be kind and professional. It is important that we also inform our patients that we need them to speak truthfully and that anything they say will remain confidential due to HIPAA.…
The medical care costs of obesity in the United State are staggering to a point that the these costs totaled about $147 billion. People who were obese had medical costs that were $1,429 higher than the cost for people of normal body weight as well as being associated with decreased productivity and chronic absenteeism (Finkelstein, EA, Trogdon, JG, Cohen, JW, and Dietz, W. Annual medical spending attributable to obesity: Payer-and service-specific estimates. Health Affairs 2009; 28(5); w822-w831). The potential financial impact to states and employers made prioritizing and promoting effective wellness programs essential.…
People buy health insurance because they prefer to pay a small premium to a third party payer than to risk getting ill and having a large medical bill. Managed care plans operate and monitor the use of health services by reducing health care costs. There are four types of managed care plans include health maintenance organizations (HMOs), preferred provider organizations (PPOs), point of service (POS) plans, and managed indemnity plans. In every type of HMO, every employer pays the same monthly premium for HMO service.…
According to Faust, advocating for mental health patients has been around between late 1700s and early 1800s. Advocacy was introduced to social worker around the 1970s (Faust, 2008). Patient advocacy, sometimes known as ombudsman, is a term to support and carry out a patients’ rights through the medical system (Faust. 2008). With the current health system, patients do need someone to speak on their behalf. The social worker acts as a patient advocate also have to act as clinician but also be the liaison between the patient and the medical staff.…
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.…
What are the attributes of Collaboration and Mutuality? Collaboration and mutuality grew out of dissatisfaction with the medical community and has since spread to many professional arenas that are involved with helping improve human life through active medical, mental health and physical recovery and resiliency programs. Alan Bleakly (2014) posits that collaboration and mutuality are absolutely fundamental to patient-centered medical practice and care.…
It is important for hospital to make their patient aware that doctors are acting on their behalf or not. According to Daniel Salinas chief medical officer of Children’s Healthcare of Atlanta ‘Transition of care points improve if we are aligned correctly and that equals quality of care”. Physicians and administrators should share decision from upper levels through each service line. Physicians and non-physicians can form powerful synergy. Hospital should collaborate with their physicians and maintain good relationship to be…
Many nurses are faced with ethical and legal dilemmas constantly in the health care setting. We as nurses need to understand the laws that pertain to our scope of practice and respect our patient’s decisions whether they interfere with our own personal views. Ethical dilemmas become more problematic when you take into consideration that each nurse has their own personal set of ethics depending on what they see as wrong and right. Nurses spend a lot of time with the patient and it allows them to have a deep connection which makes it hard to not get involved. We become our patients advocate so much that it can also be our greatest weakness because we do not know when to let go.…
It is inevitable that every day, month, and year the body are gets older and very slowly deuterated throughout a person’s lifetime. Some people may have some complications early on in life, but most of the population start to develop issues with their health later in life. This then bring up a question: Are people having more problems later in life because of the choices and decisions they have made previous in life? There are many different methods a person can slowly or rapidly shave off years of their lives, yet other methods that would do the opposite. Some would say that the life expectancy or longevity (the number of years an individual actually lives.…
The purpose of this paper is to answer the case study questions and discuss the legal and ethical issues found in the case study Nepa vs. Commonwealth Department of Public Welfare. The case reveals elderly abuse by residents who endured abuse and neglect at the hands of the person charged with caring for them. It reviews the court’s findings of the petitioner’s appeal of the court’s judgment to revoke his license. This case study exemplifies types of patient and elderly abuse and patient rights violations which victims are often reluctant to report. “Patient abuse refers to the mistreatment or neglect of individuals in the health care setting” (Pozgar,2016, p. 418).…
A patient navigator can be an asset to a health care clinic. Their job focusses on providing the ins and outs of the health care setting. They apply knowledge that helps patients to navigate the healthcare system and receive the timely care they require. When patient navigators started being utilized in clinics and hospitals, they were solely used for cancer care. Now that is has been shown that patient navigators are a vital part of the healthcare team, they are being used to help patients with other chronic diseases.…
The American Nurses Association (ANA) describes this provision as individualized care while upholding respect sensitive to the patient needs and wishes. Susie recognized that she needed to uphold this right, preserve her dignity and wishes, and to advocate for Vivian in the final moments of her life. When the code team came in, she had to physically push away physicians and those in higher authority to protect Vivian’s wishes. Although many of the virtues and code of ethics are intertwined, this example of respect for human dignity along with patient centered advocacy best represents Susie’s actions in the scenario. Mary A. Maryland and Rose I. Gonzalez (2012), authors of journal article “Patient Advocacy in the Community and Legislature Arena”, best describes nurse advocacy as a voice for a patients even when they can’t speak for themselves.…
According to the World Health Organization, health is considered a fundamental human right of every human being. However, as time has passed, the gap between health status or the lack thereof has widened between the marginalized and the privileged (Giddings, 2005). Social justice is an important element to incorporate in the nursing profession, as it is a key link to providing holistic health care not only for the patient, but also for the community and globally. Social justice is defined as equal distribution of resources and responsibilities, including wealth, opportunities and privileges in society.…