...Caring in nursing Name Professor Institution Course Date Introduction Concept analysis can be referred to as the activity where different concepts, their characteristics as well as their relations with other concepts are brought out clearly and evidently (Fawcett& Desanto, 2012). The creation of a distinct conceptual clarity about the different concepts proves to be of great importance to all the forms as well as the kinds of research. The general outlined guidelines of research as well as the philosophical literature are often in the mentioning of research analysis or on the hand also mention the concept of the research. Different disciplines have formulated different methods or rather devised different methods of concept analysis. These different methods are meant for the development as well as the clarification of their own concepts in their different fields. The methods may at one time share a scholarly view of the problems of concept as well as the methodology, however, since they are discipline specific, they too may also be in need of various modifications before they could be of use and applicable to the different fields in which they are meant to be used. In nursing science, the art of concept analysis is at a greater height seen as an integral part of the development of a theory and a discipline of the science of nursing. This paper evaluate the nursing concept of care in nursing. Caring in nursing Caring in nursing is the active support as well...
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...Analyzing Psychological Disorders Wendy M Tolliver PSY 240 April 10, 2011 Thea Lawton Analyzing Psychological Disorders Schizophrenia, referred to as a split personality disorder, is a chronic, severe, devastating mental illness that affects approximately 1% of the population, equivalent to more than 2 million people in the United States. Statistics indicates schizophrenia affects men about 1½ times more frequently than women. (National Comorbidity Survey, 1994) It is a psychotic mental disorders characterized by symptoms of thought, behavior, and social problems. The thought problems linked with schizophrenia described as psychosis, in that the individual thinking is totally out of touch with reality. The individual with this disorder may also have disorganized speech, and behavior, physically or careless behavior, extensively decreased behaviors or feelings, as well as delusions, which are ideas about themselves or others that have no basis in reality. The term schizophrenia first introduced in 1911. In 1887, Emil Kraepelin deemed it a separate mental illness. Regardless of recent history, (Addington, Bouchard, Goldberg, 2005) described throughout written history. Ancient Egyptian, Hindu, Chinese, Greek, and Roman writings described symptoms comparable to the positive symptoms of schizophrenia. During medieval times, schizophrenia, like other illnesses, often viewed as evidence of the sufferer possessed by spirits or evil powers. Schizophrenia is a multifaceted...
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...United States (Kizer, 2001). In 2002, The Joint Commission established National Patient Safety Goals (NPSG) to help accredited organizations with patient safety in specific areas. An advisory group comprised of nurses, physicians, pharmacists, risk managers, clinical engineers, and others with appropriate experience advises The Joint Commission on how to address emerging patient safety issues. This group also periodically develops and updates the goals. The goals are grouped into broad categories and for 2011-2012, cover such categories as patient identification, health care-associated infections, improving communication, medication safety, reducing falls, and risk assessment. A discussion of selected elements underlying the current NPSG such as hand washing techniques, training, and lack of communication between healthcare personnel that can lead to medication errors, to falls, and even death, plus other related factors such as staffing shortages, problems with using outdated equipment, considerations in using the electronic medical records, and compliance with statutes provide insight into the challenges faced by today’s healthcare institutions and providers. Healthcare institutions have guidelines and laws they must follow to ensure patient safety. Some institutions have their own policies on patient safety, but these healthcare institutions must to adhere to standards set forth by national organizations for patient safety. For example, The World Health...
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...The fetus is definitely still inside the uterus (based usually on an exam using ultrasound), but the outcome of your pregnancy is still in question. This may occur if you have an infection, such as aurinary tract infection, become dehydrated, use certain drugs or medications, have been involved in physical trauma, if the developing fetus is abnormal in some way, or for no apparent reason at all. Other than these reasons, threatened miscarriages are generally not caused by things you do, such as heavy lifting, having sex, or by emotional stress. • Completed miscarriage: You may have a completed miscarriage (also called a spontaneous abortion) if your bleeding and cramping have slowed down and the uterus appears to be empty based on ultrasound evaluation. This means you have lost the pregnancy. The causes of this are the same as those for a threatened miscarriage. This is the most common cause of first trimester...
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...J Nurs Care Qual Vol. 27, No. 1, pp. 6–12 Copyright c 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Missed Nursing Care, Staffing, and Patient Falls Beatrice J. Kalisch, PhD, RN, FAAN; Dana Tschannen, PhD, RN; Kyung Hee Lee, MPH, RN Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = − 0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls. Key words: falls, missed nursing care, staffing P to 12% of hospitalized patients experience at least 1 fall during their hospital stay.1 A fall is defined as any event in which patients are found on the floor (observed or unobserved) or an unplanned lowering of the patient to the floor by staff or visitors.2 In 2008, and 2010, falls were identified as one of the top 10 sentinel event categories by the Joint Commission.3 Fall rates in hospitals range from 4 to 14 falls per 1000 patient days.4 With the adoption of the Centers of Medicare and Medicaid rule, which no longer reimburses hospitals at the higher diagnosis related group for the care and treatment associated with patient falls that occur during hospitalization, a clearer understanding of what factors U Author Affiliations: School of Nursing...
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...course of treatment and thus recurrence of the illness. In some diseases, it takes a certain length of time of exposure to a specific dose of an antibiotic to kill the bacteria. If the right dose is not taken for the correct length of time, some of the bacteria or viruses may survive, multiply, and cause the infection to recur. “Adherence is an important factor in the achievement of therapeutic outcomes, while patient education is thought to positively affect adherence. The aim of this study is to assess patient adherence to prescribed antibacterial agents impact of patient education on adherence with the therapy” (Göktay, Telefoncu, Kadıoƃlu, Macit, Şencan, & Clark, 2013, p. 113). Purpose and Research Questions “This study was a prospective, controlled trial and conduced in a community pharmacy. Consecutive patients that had been prescribed oral antibiotic therapy for any type of infectious diseases were asked to participate in the trial. A total of 60 patient’s were included in the study” (Göktay, Telefoncu, Kadıoƃlu, Macit, Şencan, & Clark, 2013, p. 113). It is a nurse’s role...
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...What are the roles and responsibilities involved in system implementation? How did the process described in the case study fail to include the fundamental activities identified in Ch. 8 of Health Care Information Systems? The process that was used regarding the Memorial Health System case was not thought out properly. In this case study, the fundamental activities that were not included are workflow and analysis of the system. One thing that the organization failed to do was to review and evaluate the current system before they tried to implement a new one. To determine what would have been needed, they should have had employees sit down and analyze to make it easier. An analysis of the system is one of the most important things that need to be done. The eight hospitals that had launched this new system had started it on the same day. Like everything else, new systems always have flaws. The failure to analyze lead to the lack of end-user training which made the requirements that were missed more obvious. Even though they did an analysis, it wasn’t a proper one. Doctors and nurses could not log on to enter their orders which lead to patients waiting for their medication and tests. Ch. 16 of Health Care Information Systems describes the causes of project failure. What are at least five indicators of project failure that manifest themselves in the case study? Within the Memorial Health CPOE (clinician provider order entry) system implementation, there were many indicators...
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...Analysis of Alzheimer’s Disease based on the D.N. case study. D.N. developed Alzheimer’s disease at age 50. Early signs were vague and included occasional errors in judgment and increased criticism of others, noted only in retrospect. Several years later, following several episodes of extreme anger, a diagnosis of Alzheimer was made. At this time, it was suspected that his father also had AD but had died from an unrelated cause before the diagnosis was could be made […] The neurologist prescribed gelantamine, an anticholinesterase inhibitors and regular attendance at a group center offering appropriate activities […] The degeneration progresses rapidly over the next 2 years. The maximum dose of galantamine is no longer effective. He is confused about any change and not capable of performing simple activities. Communication is impaired, including that with family members […] (Gould, Dyer, 2010 p.527) Although aging is a natural part of human existence, it is also considered the most difficult phase of ones life. Social, psychological and financial factors may remind a person that the quality of their every day is not what it used to be, but the physical changes that take place in the human body are the ones that affect aged people the most. Among a long list of conditions and diseases that are prevalent in the elderly population, forms of dementia are the ones that not only lead to unavoidable health impairment but...
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...Case Study Two: HTN, CKD, & Hypothyroidism Managing Co-Morbidities in Primary Care Primary care providers treat many patients with co-morbidities. It is important for primary care providers to utilize the most current evidence-based research and guidelines to treat and manage patients with co-morbidities in order to reduce risk factors and improve overall health. The following case study will be utilized to apply current guidelines for the treatment and management of hypertension (HTN), chronic kidney disease (CKD) and hypothyroidism including patient education, monitoring, and clinical end points. Case Study A 45 year old African American male returns for a six month follow-up for blood pressure (BP) control. The patient complains of on-going symptoms over the past few months of dry cough, sleep disturbances, fatigue, constipation, weight gain, and dry skin. The patient denies pain, shortness of breath, edema, or sputum production. Pulse is 80 and regular, BP is 148/110, and BMI is 28. He is six feet tall and weighs 205 pounds. Labs reveal TSH of 5.2, free T4 of 0.8, free T3 1.8, Creatinine 2.1, BUN 22. Family history includes stroke, heart attack, and high cholesterol. Current medications are daily multivitamin, Lisinopril 10 mg once daily, over-the-counter (OTC) Robitussin, and OTC laxative as needed (University of Phoenix, 2014, Week Seven Case Study). The patient can be diagnosed with uncontrolled HTN, subclinical hypothyroidism, and may have chronic kidney...
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...Drug Errors Introduction Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit commission 2002). Drug administration forms a major part of the clinical nurses role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (O'Shea 1999). The patient is expected to receive the correct medication at each drug round but several studies have shown that this is not always the case (Raju et al 1988, Ferner 1995). Medication errors do occur and are a persistent problem associated with nursing practice (O'Shea 1999). The aim of this paper is to answer the question: Why are nurses still continuing to make drug errors? In order to answer this question this paper shall examine the guidelines that nurses must adhere to when administering drugs, shall provide a definition of a drug errors, look at reasons why drug errors occur and approaches that are aimed at reducing drug errors on the ward. There are a number of pieces of legislation that relate to prescribing, supply, storage and administration...
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...Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at dmoreno1@gmail.com. Hospitals have been looking for ways to improve quality and operational efficiency and cut costs for nearly three decades, using a variety of quality improvement strategies. However, based on recent reports, approximately 200,000 Americans die from preventable medical errors including facility-acquired conditions and millions may experience errors. In 2008, medical errors cost the United States $19.5 billion. About 87 percent or $17 billion were directly associated with additional medical cost, including: ancillary services, prescription drug services, and inpatient and outpatient care, according to a study sponsored by the Society for Actuaries and conducted by Milliman in 2010. Additional costs of $1.4 billion were attributed to increased mortality...
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...Prevalence of Asthma in a Primary Care Setting Asthma is a major health problem in the United States as stated by the National Institute of Health, twenty- two million Americans have asthma, and nearly 1.8 million emergency room visits a year is the result of an asthma flare-up. Tem million of people missed work days a year because of asthma and the estimated cost are the healthcare is of $19 billion a year. Asthma is a major cause of missed school days for children and parents to missed work because of their children. Many adults and older children have several respiratory infection each year that may them visit the primary care centers; those who suffers from asthma have exacerbation of his or her medical condition because of this reason (Akinbani, 2010). The purpose of this paper is to analyze the prevalence of asthma in the Hispanic population and the importance of the recognition of risk factors for asthma symptoms, proper assessment, and treatment in the primary care setting. In order to treat this population is crucial to know their culture, believes, and practices to received their cooperation in the prevention and care of their medical condition. Hispanic population traces their ancestry to countries that were previously under Spanish rule, including Mexico, large part of Central and South American, and some Caribbean islands. Many of the Hispanic have variable proportion of European, Amerindian,...
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...Epidemiology Paper: Tuberculosis Kyle J. Patzner Grand Canyon University: Concepts in Community and Public Health January 12, 2014 Tuberculosis has long been a disease that the human culture has been dealing with which entails significant morbidity and mortality worldwide. With dealing with such a horrific disease over the years, discoveries and evolution on the appropriate ways to contain, diagnose, and challengingly treat the disease has changed. One of the most concerning complications of this worldwide public health issue is the ability for it to quickly spread in high populated areas while becoming ever more resistant to forms of treatment not available in all locations around the world. This is a serious public health concern and poses major implications for current and future treatment of the disease (Chan, B., Khadem, T., & Brown, J. 2013). With the help of the community and the leadership of strong, resourceful organizations, we can come together to overcoming such a hideous disease which affects the lives of millions annually. In this paper, the writer will discuss the incidence of Tuberculosis, treatment, social determinants, organizations involved, and the role public health nursing has on overcoming the presence of this disease. Tuberculosis is an airborne communicable disease which is rapidly spreading. Tuberculosis infection is the result of the exposure to the bacterium mycobacterium tuberculosis. This is the agent as it applies to...
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... The nurse aid, has she been aware of the complications of pressure ulcer and that it is one of the outcome indicators determined by ANA, would not have put the patient back to bed laying on his back but instead to his side in order to prevent pressure to his sacral area which is already showing signs of early stage pressure ulcer. She would also communicate to the patient and family about the importance of turning frequently to prevent pressure ulcers. She or the nurse would have also explained the need for restraints and explain if other measures for safety has failed. Another nurse-sensitive indicator that was missed in the scenario was patient satisfaction, particularly in this case, family satisfaction as well because the patient was unable to fully express his needs due to dementia and medications. The nurse should have communicated the incident of missed kosher meal directly to the patient and his family. The issues may have been prevented if the nurses understood that these indicators are very important in building trust with patient and family which is directly associated in providing quality care. The Center for Medicare and Medicaid Services have been very strict regarding policies involving hospital acquired incidents. Pressure ulcer that is...
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...Though researchers have consistently found that traditional attacks are not largely motivated by and underlying mental disorder or condition, the same cannot be said of lone-wolf attacks. The presence of untreated mental illnesses and/or undiagnosed mental disorders allows for the progression of violence in these individuals and could lead to a potential catastrophe. An example of a mental illness causing a catastrophe would be the shooting in Newtown, Connecticut. Medical experts at Yale University had called for measures to help Adam Lanza, the offender, in the years prior to his attack at Sandy Hook Elementary School but nothing was ever accomplished. “Allowing ailments that are responsive to medication to go untreated and resisting other kinds of emotional support were missed chances for the parents to help their son.” Said by Dr. Julian Ford, an author of the report of the University of Connecticut’s Center for Trauma Recovery and Juvenile Justice. This incident, in which 20 students and 7 adults were shot...
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