I spoke with N, a caucasian, 29 year old otherwise healthy female who suffered from an open fracture in her R tibia following a MVC. She was traveling as a restrained passenger along a rain-dampened road when a car traveling towards her vehicle lost traction with the road, colliding with her vehicle. Her vehicle was totaled. In the other vehicle, none of the passengers were wearing seat belts. Several passengers in the other vehicle were ejected from the vehicle, many sustained multiple critical injuries and there were two fatalities. N was taken via EMS to Temple University Hospital ER, where she was eventually admitted to Temple Orthopedics. She was hospitalized for 7 days and had 2 surgeries. One surgery needed to be rescheduled due to fever …show more content…
Her physicians were predominantly early residents who had incomplete and inconsistent information regarding her care, which would filter up to the attending physician and then filter back down, causing miscommunication. Specifically, she remembers an incident where one of the residents told her that her fever had spiked and she might be able to have her second surgery some time soon. She was aware of that already as her surgery was scheduled to be 20 minutes after that interaction. By her estimation, she only saw the attending physician for roughly 20 minutes in total during her stay, always in rushed interactions, always with a team of residents trailing behind. When her reaction to the Dilaudid was reported to the attending physician, he refused to prescribe another analgesic, suggesting that her body would adjust. The nurse care was also inconsistent. The evening nurses did not respond readily to call bells, did not visit her regularly, did not advocate for her care when she was having a reaction to her medication, and in one instance, left her hanging on the trapeze after N urinated into a bedpan. These experiences left N feeling devalued, embarrassed, and …show more content…
They displayed "attentive nurturing," as evidenced by providing a reassuring presence, being sensitive to her needs, making her physically or emotionally comfortable, attentively listening to her, showing concern and respect for her, and treating the patient as an individual (Merrill, Hayes, CIukey and Curtis, 2012). They were humanizing forces that ceded their power to N each time they asked for permission before doing any procedure and treated the person behind the chart, which reflects Salvatore, et al study on the qualitative domains of Patient-Centered Care. However, so much of N's care did not reflect those practices and thus her overall impression of the experience is a negative one. When I asked her how attentive she found the nightshift nurses, she said they "gave no [plural expletive] about me." Not informing her about her care, not responding to call bells, not being attentive to her needs, not keeping the entire care team on the same page regarding her care, not allowing her to replace a medication that was causing an allergic reaction, these all are instances that detract from a therapeutic environment and instead create a detrimental
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
As a Nurse, one can choose which area and field of work they particularly like and would enjoy working in. For example, if someone struggles dealing with babies, children or child abuse cases, it would be strongly suggested to not work in pediatrics. Working in a hospital setting, it is unsure as to what type and class of patients are going to walk in the door. As a nurse, personal values, beliefs, and morals need to be set aside when it comes to patient safety and patient centered care. All patients are treated equal regardless of their socioeconomic status, race, gender, health history or physical limitations.
The care that the public health nurse provides to her clients is patient-centered. During one of the home visits, the nurse talked and questioned her client about what her needs were and if there was anything she could do for her. The client mentioned that she needed more supplies such as diaper and baby clothes. The nurse agreed to bring these items the next time she visits. When the nurse had to perform an assessment on the client’s son by using the ASQ-3, which is a screening tool that screens for developmental delays, the client mentioned that she was not feeling well and did want to answer questions. The nurse respected her client’s request and did not carry on with the assessment. Patient-centered care was evidenced in the nurse’s practice as she was assessing and responding to her client needs. The client also had control on how the care was delivered to her. By letting the client have a voice in her care, the nurse was establishing a caring relationship with the client, which is one of the cornerstones of public health nursing (Garcia, Schaffer, & Schoon, 2014, p. 9). In addition, by providing support and care as well as addressing the client’s needs, the nurse was working at the individual level of practice.
During the time when all nurses were undervalued, Gordon followed and observed three registered nurses every day at Boston’s Beth Israel Hospital in Boston, Massachusetts, while on their daily routines for almost two years. Each of the nurses have different jobs, which cause them to have different roles. The three nurses Gordon evaluated were: Nancy Rumplik, an oncology nurse; Ellen Kitchen, a home care nurse practitioner; and Jeannie Chaisson, a clinical nurse specialist. All three nurses together have more than 50 years of work experiences in the medical field. Gordon gives us an assortment of cases the nurse worked on. She shows how each nurse has special abilities when it comes to helping their patients.
" Chronic Pain (CP) statistics astounding according to The Institute of medicine approximately 100 million adults suffer from chronic pain which is more than heart disease, diabetes, and cancer combined."(IOM Relieving Pain in America 2011, p. 1)
Patient-centered care (PCC) is a healthcare model focused on actively involving the patient in all aspects of planning, implementation and monitoring of care. It integrates respect for the patient’s needs, values and beliefs into the health care process. Important aspects of PCC are collaborative care, Family-centered care, and comfort. PCC allows the patient to have autonomy and a more collaborative role in making decisions regarding their treatment.
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
At Ten P.m on September 23, 2006, my mother Kelli Elizabeth Dicks was hit by a car on Route 146 southbound trying to cross the high speed lane. She was being picked up by a friend. Instead of taking the exit and coming to the other side of the highway, her ride suggested she run across the street. The impact of the car caused her to be thrown 87 feet away from the original impact zone and land in a grassy patch of land, her shoes stayed where she was hit. She was immediately rushed to Rhode Island Hospital where she was treated for serious injuries. When she arrived at the hospital she was rushed into the operating room for an emergency surgery. The amount of injuries she sustained were unbelievable. She broke 18 different bones, lacerated her liver and her spleen, ruptured her bladder, and she collapsed both lungs. When she went in for her emergency operation, and had her
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care.
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture.
Nurses are an equally important part of each client’s life. Nurses provide stable care to each client, answers their questions, gives medications and treatments, and assists with medical procedures. They also have the responsibility to explain to clients and family members what they should and should not do as they go through treatment and recovery. Nurses must quickly respond to patients needs. Every individual nurse has his or her own unique way of caring. There are so many ways to show caring that the possibilities are never ending. Nurse’s support, comfort, and help allow the patients to recover to the best of their ability. Their experiences in dealing with different patients that have unique situations on a daily basis helps the nurses become better caregivers. Therefore, every nurse is capable of demonstrating care in their respective environments.
Nursing is more than merely a job, an occupation, or a career; it is a vocation, a calling, a frame of mind and heart. As a nurse, one must value the general good of others over his own. He must devote of himself nobly to ensure the well-being of his patient. However, today’s well-recognized nurses are notably different from nurses of the recent past. Service is the core of the nursing profession, and the essential evolution of the vocation reflects the ever-changing needs of the diverse patient population that it serves. As a profession, nursing has evolved progressively, particularly in its modernization throughout the past two centuries with the influence of Florence Nightingale. The field of nursing continues to grow and diversify even today, as nurses receive greater medical credibility and repute, as its minority representations