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Why communication is important in health care
Why communication is important in health care
Why communication is important in health care
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Mrs. Sara, a 79 year old female, was presented to ER with Squamous Lung Carcinoma and pneumonia. Symptoms were, fever, cough headache, and SOB. She had of diabetes type1 (DM2) and Hypertension and she was in the ER with pneumonia two weeks ago. Over the next 2 to 3 days, Mrs. Sara condition became know more aggravated. She was transferred to (ICU) when the infection know it spread to others organs of body, causing a shock. Her care was assigned to the ER oncall resident who was unaware with this case. She persistent to complain of shortness of breath, headache and and the family noted that she was hardly slept and irritable nightly, Mrs. Sara complained form RD (respiratory distress), she was intubated., Mrs. Sara now put in the ICU(intensive care unit) with a spreading infection and a ventilator pushing air into her lungs to save her live. …show more content…
Sara daughter and son came to visit her very day. They saw a significant change in her health status. Mrs. Sara condition persisted to decline, she became irritable and confused and disoriented. Family did not know why her condition was not improving and became progressively worried about the budget of the hospital stay, Because no body to talked to them about Mrs. Sara condition.
First, Mrs. Sara did not obtain adequate pain and symptom management.
Second, no communication between the, family, patient and medical team and that goals of care were not reviewed while Mrs. Sara was still able to talk and communicate, and the family never now the severity of Mrs. Sara condition. This led to clumsy care that compromised Mrs. Sara quality of life and her autonomy when decisions required to be made. Mrs. Sara didn't receive her physical, psychosocial, and spiritual
Her health conditions worsen and added more suffering to both health and expenditures. By the end of the story, Mrs. Vasquez had below the knee amputation, infected wound and diffused kidneys, which needs dialysis. Also, the co occurring
There are certain aspects that may have provided better treatment, but probably could not have prevented the tragedy. Clear communication and understanding for the culture were essential aspects that were lacking during her treatment. Additionally, the presence of a questionnaire like the one developed by Arthur Kleinman would have bridged the gap between the patient and the provider (Fadiman, 1997, p. 260).
Mrs. Jones, An elderly woman, presented severely short of breath. She required two rest periods in order to ambulate across the room, but refused the use of a wheel chair. She was alert and oriented, but was unable to speak in full sentences. Her skin was pale and dry. Her vital signs were as follows: Temperature 97.3°F, pulse 83, respirations 27, blood pressure 142/86, O2 saturation was 84% on room air. Auscultation of the lungs revealed crackles in the lower lobes and expiratory wheezing. Use of accessory muscles was present. She was put on 2 liters of oxygen via nasal canal. With the oxygen, her O2 saturation increased to 90%. With exertion her O2 saturation dropped to the 80's. Mrs. Jones began coughing and she produced large amounts of milky sputum.
A 73-year old female presented to St Vincents Emergency Department, with a 3 week history of progressive dyspnoea, cough, and lethargy, on a background of a 6-year history of Multiple Myeloma. Just prior to presentation, she had also developed a fever.
I cared for a 76-year-old end-staged chronic obstructive pulmonary disorder patient who was admitted for respiratory distress. The doctor requested that my nurse and I get the family together for a family meeting. During the meeting, the doctor communicated to the patient and his family members that the patient will be palliative and no longer be in the ICU. The family members were concerned about the transfer of care to the medicine unit, what to expect from palliative care and other options for care. This scenario did not go well because the patient and family would have benefited from a palliative nurse with expertise, respiratory therapist to discuss other options, pharmacist about medication change if needed, social worker to help guide the family through end of life care for their father. In addition, there was no collaboration with interprofessionals prior to the family
The EB’s case study said the female patient is 50 years old with symptoms of fever, chills, congestion, three weeks of coughing, shortness of breath when walking. The study implies that the patient is now seeking medical advice due to vital signs recording and the noting of decreased breath sounds and wheezing. She denies smoking and not taking any chronic medication.
family of difficult task journey. On that event, her health is getting weaker every day on
As the quantity of patients expanded, it ought to have been obvious that one registered Nurse and one Licensed Practical Nurse were insufficient to look after the patients. The emergency department ought to be viewed as a high priority location, and should have staffed with more Registered Nurses; Licensed Practical Nurse essentially do not have the training and abilities to assess patients or delegate the workload. Dangerous actions such as moderate sedation on a patient with no supplemental oxygen or EKG observing. The patient seems to have been overmedicated, with insufficient time between medications to decide his actual level of
The patient is a 55-year-old man admitted to the hospital for dehydration secondary to vomiting. The physical examination of the patient revealed dry mucous membranes and vital signs as follows: Pulse 110, blood pressure 100/60, and respirations of 20.
Once Mary’s condition begin to make progress, she will then go through long term acute care. Long term acute care is when the process of winging Mary off the mechanical ventilator will start. She will also begin one hour therapy impatient rehabilitation. This therapy session is needed to help Mary adjust to being off the ventilator. The Social Worker will contact Mary’s daughter to discuss the options and resources she has in order to continue receiving the proper care once she is home. Mary’s house is not suitable for her right now so the Social Worker will need to call a family team meeting. In this meeting they may want to discuss Mary being placed in a nursing home or receiving care from a home health aide. Being that Mary’s daughter lives in Atlanta, the home health aide can also ensure Mary gets to her follow up
For most people, medical facilities are considered to be safe and healing centers, where people visit to improve their wellbeing. But it is very unfortunate that lot deaths are caused by errors committed by medical teams in this facilities. Every year, almost 144000 people die as a result of medical errors (The Leapfrog Group2015), which also took the life of an eighteen months old Josie in 2001 at John Hopkins Hospital. Josie’s death is very painful and sad as it is a result of avoidable medical errors. Josie’s death would have been prevented if she was provided with adequate care and close attention while she was exhibiting some changes in her behavior. Also, listening to the concerned mother who knows her daughter better could have also help prevent Josie’s death. and likewise, effective communication among the care providers would have made a great difference in the outcome of Josie’s care.
She got a new disease called stenotrophomonas, which is very difficult to treat. She was becoming pan-resistant, meaning she was resistant to everything. She had a bacteria called Gram negative. This bacteria has an armor formed around the negative bacteria that makes it harder for normal antibiotics to cure it. She was left with only one option, a lung transplant. For one, it was a very risky option since her body was so weak, and two, she would have to wait until a transplant even came up for her to have. She ended up getting the lung transplant though. Two years after she came home from the operation and she is still alive, but she has to be very cautious every day. She takes a handful of prescriptions twice a day and still picks up bacteria easily. Her mom said she has gotten pneumonia twice already. Her life is now extremely difficult, but she is at least
In the Emergency Department, her vital signs included a blood pressure of 155/97 mmhg. She had glucose of 104 (noted as high). Her physical apperarance revealed obtunded but with some verbalization, midposition and reactive pupils, Oral mucosa moist, Obese. After some time, she became more unresponsive
Nursing Diagnosis I for Patient R.M. is ineffective airway clearance related to retained secretions. This is evidenced by a weak unproductive cough and by both objective and subjective data. Objective data includes diagnosis of pneumonia, functional decline, and dyspnea. Subjective data include the patient’s complaints of feeling short of breath, even with assistance with basic ADLs. This is a crucial nursing diagnosis as pneumonia is a serious condition that is the eighth leading cause of death in the United States and the number one cause of death from infectious diseases (Lemon, & Burke, 2011). It is vital to keep the airway clear of the mucus that may be produced from the inflammatory response of pneumonia. This care plan is increasingly important because of R.M.'s state of functional decline; he is unable to perform ADL and to elicit a strong cough by himself due to his slouched posture. Respiratory infections and in this case, pneumonia, will further impair the airway (Lemon, & Burke, 2011). Because of the combination of pneumonia and R.M's other diagnoses of lifelong asthma, it is imperative that the nursing care plan of ineffective airway clearance be carried out. The first goal of this care plan was to have the patient breathe deeply and cough to remove secretions. It is important that the nurse help the patient deep breathe in an upright position; this is the best position for chest expansion, which promotes expansion and ventilation of all lung fields (Sparks and Taylor, 2011). It is also important the nurse teach the patient an easily performed cough technique and help mobilize the patient with ADL's. This helps the patient learn to cough and clear their airways without fatigue (Sparks a...
This story shows what happens when there is a break down in multiple areas of health care, including communication, the nursing process, and patient advocacy. As a new nurse, this case is important to hear and to learn from. It teaches us that patient centered care means listening to the patient or the family when they say something is wrong because they know themselves and/or the patient better than the staff. Even if the cause is not obvious, there is a need to follow through with your instincts or gut feeling when something doesn't seem right. A personal example that I recently had to learn from was when a resident was not as active as she had been. I was told in shift report that she had a weight gain. I wanted to send her to the hospital, but a more experienced nursing supervisor told me it was unnecessary and that the doctor would be in the following day to see her. She was seen the following day and there were no new orders for her. I ignored the feeling that something was not right with her because the doctor had cleared her. With in a week, she was sent out to the hospital and diagnosed with a CVA and CHF and returned to us with a new status as a DNR and put on hospice. From this I learned that it does not matter how much experience others may have, I need to trust in myself and my judgment. Since this event, I made the decision to send out one of my residents