...Supporting the Human Spirit is the #4 domain in creating change in activities within long-term care (Gfeller, 2016). The activities older adults participate in should lend a hand to a meaningful life and support the wants and needs of the resident. As I dove deeper into the case studies and compared them to the activity calendar provided, it was clear that certain aspects of resident want and needs were not being provided. Case Evaluation One of the residents I chose to evaluate was a 73-year-old man who used to enjoy watching baseball, Catholic activities, and group activities. Although he has a few vision and mobility issues...
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...essay aims to discuss patient abuse within aged care facilities and a nurses duty of care are two issues that allow a nurse to reflect and develop their practice skills and person-centered practice. The World Health Organisation (WHO) defines elder abuse as a separate or continuous action, or where care is absent within a relationship that requires trust, resulting in physical and emotional violence towards the patient.(World Health Organization, 2018). Nurses hold a duty of care to their patients. They additionally carry a legal obligation...
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...Transplant and Medication Compliance: Patient-Centered Nursing Interventions will Facilitate Better Patient Compliance of Medications in Post-Renal Transplant Recipient Yonica Jamieson Jersey College Abstract Patient in compliance with prescribed medications or treatments is warrant, in any medical condition. This research paper, focused and took a look at the effects of non-compliance with immunosuppressant medications in post-renal transplant recipients, such as graft rejection. Identified some barriers to compliance and discussed how patient-centered nursing interventions should be used to alleviate these barriers and bring about compliance with immunosuppressant medications, at the same time decreasing graft rejection in renal transplant recipients. Renal Transplant and Medication Compliance: Patient-centered Nursing Interventions will Facilitate Better Patient Compliance of Medications in Post-Renal Transplant Recipients In medicine, the term non-compliance is commonly used in regard to a patient who does not take a prescribed medication or follow prescribed course treatments (MedicineNet, 2012). This is one of the major issues with post-renal transplantation recipients. Renal transplant is a surgery done to implant a healthy kidney into a person with end-stage renal disease. End-stage renal disease is when the kidney stops function all together, that makes the person unable to live without dialysis or transplant...
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...Although there are good opportunities for scientific discovery, the line has been crossed multiple times and it is necessary for the patient’s rights and needs to be put first. “The need for research and the need for oversight are not competing agendas; they are 2 pillars that support the research enterprise. It is time to restore the balance” (Infectious Disease Control, 2009, 333). I like how this quote encompasses the future of patient centered care. As important as research is one cannot veto the voice of the patient. It is also important to respect patients’ information and the most recent form of protection that was installed was “the Health Insurance Portability and Accountability Act (HIPAA), was enacted in 1996 and implemented in 2003 to protect an individual’s health information” (Burns, 2009, 188). These measures have ensured that people take their jobs seriously and provide the best patient centered care...
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...the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted. A1. The current practice in the emergency department that I work in when admitting a patient to the medical floor goes something like this. 1. Emergency department doctor enters orders for a consulting doctor to come and look at the patient to determine if an admission is warranted. 2. The consulted admission doctor assesses the patient and determines admission diagnosis. 3. Orders are written for admission. 4. Admission orders and chart is assessed to determine if the patient meets inpatient or observation criteria by case management registered nurses. 5. Once inpatient vs. observation status is determined, case management puts up an indicator on patient chart that bed can be ordered. 6. Primary RN requests bed from bed board using computerized bed request form. 7. Bed board assigns room to patient and places an indicator on patient chart with room number. 8. Primary nurse calls floor that patient is assigned to and asks to speak to nurse assigned to patient. 9. Phone report is given to accepting nurse. 10. Patient care tech transports patient to room. 11. Accepting nurse and CNA from the...
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...with their Person Centred Planning (PCP) approach to client care? ➢ What is the attitude of RehabCare to the concept of empowerment, and how does it fit into the implementation of the PCP process in RehabCare, Carlow? ➢ To what extent does PCP at RehabCare contribute to the underlying goal of greater social inclusion? CONTENTS TITLE PAGE……………………………………… P 1 CONTENTS PAGE………………………………... P2 ACKNOWLEDGEMENTS……………………….. P3 INTRODUCTION………………………………….. P4 LITERATURE REVIEW………………………….. P5 METHODOLOGY…………………………………. P11 FINDINGS………………………………………….. P13 ANALYSIS…………………………………………. P16 CONCLUSION…………………………………….. P18 BIBLIOGRAPHY………………………………….. P20 APPENDIX (Interview Transcript)……………….. P22 THE END……………………………………………. ACKNOWLEDGEMENTS I would like to take this opportunity to thank the management at RehabCare in Carlow, for being so helpful and informative. I would also like to thank the lecturer of this course, Ruth Casey, for all of her input and advice. Introduction Hereafter, I will discuss my participation in this endeavour in the third person, as the “researcher”. The researcher’s choice was to conduct a study of RehabCare in Carlow; and through the process of investigation in this organisation, an attempt was made to answer one main question, and two related sub-questions. Main Question: • How successful is RehabCare in Carlow with their Person Centred Planning (PCP) approach to client care? Two...
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... | |Health and Social Care Practice | | | Contents Introduction: 1 LO1: 1 1.1 How principles of support are applied to ensure that individuals are cared for in health and social care practices: 1 1.2 Procedure for Protecting clients and colleagues from Harm: 2 1.3 Benefits of following a Person-centered approach with users of health and social service: 2 1.4 Ethical dilemmas and conflict that may arise when providing care, support and protection to users of health and social care services: 3 LO 2: 4 2.1 Implementation of policies, legislation, regulations and codes of practice that is relevant to own work in health and social care: 4 2.2 Local Policies and Procedures can be developed in accordance with national and policy requirements: 5 2.3 Impact of policy, legislation, regulation, and codes of practice on organizational policy and practice: 6 LO3: 6 2.1 Theories that underpin health and social care practice: 6 Behaviorist Theory 6 Cognitive Theory 7 Social Theory 7 Psychodynamic Theory 7 Humanistic Theory 7 2.1 How social processes Impact on users of Social care services: 8 3.3 Effectiveness of inter-professional working. 8 LO4: 9 2.1 Own...
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...a Business Case Study A business case study confronts students with a real-life dilemma and engages all their abilities to solve its challenges. In presenting a specific business or policy situation—one that does not have an obvious solution—the case provides information for classroom discussion and other study. A good case study stimulates an educated conversation and the building of business knowledge. The best case studies are learning-centered, not instructor-centered. Details describing the differences between the two can be found in Exhibit 1. A student reading the case should be provided with the information needed to make good decisions about the case, or the ability to find the information if that is a learning objective. Information critical to solving the case should never be contained exclusively in the case’s teaching note, because doing so puts the instructor in the center of the learning, and leads to frustrated students. Cases should satisfy professors and students as well as the businesses, organizations, and people featured in the cases. Although these interests might appear in conflict, a case that is written with fairness and intelligence will ultimately receive the respect of all parties. The best cases have several structural characteristics in common including a protagonist, specific time frame, and use of past tense. An author who becomes experienced in case writing may deviate from this pattern, but doing so may result in an inferior case. The structure...
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...Case study 2 In case study 2, it is found that there are a few problems Kelly has. First, it is the communication in Kelly’s family is poor. It is the main problem to Kelly, and there exist a chain reaction in it, so there are other problems are applied in her situation. From the passage, Kelly’s family is keeping to instil Kelly that she is the eldest daughter and she have to help her younger siblings. From the behavioral of her parents doing to brag about Kelly, it is pressuring Kelly indirectly. Since the parenting styles (Baumrind, 1991) of Kelly’s parent is authoritarian. They are keep demanding Kelly to do for the best and being a helpful daughter and do the best sister to take care her younger siblings. And they reject Kelly that not to go for further study. In Kelly’s family it is adult-centered, and her parents control the child’s welfare. Also, Kelly obey their parents invisible rule, careful not to do anything wrong in front of them. The typical Family Life Cycle (Olson & McCubbin, 1983), it mention that in stage 3, which a family with children in elementary or high school, just like Kelly’s family. In this stage, it is better for Kelly’s parents to establish the foundations of the children’s self-esteem, values, and lives. The parent-child relationships exert critical influences on children’s identities and self-concepts. But to Kelly’s parents, maybe because they have to work all day long, they just hope that Kelly can help to reduce their responsibility in...
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...Nursing a Person with Chronic Disease or Disability Name Institution In order to Helps to Involves Enhances Involves Reduces Given by Community Psychological stability Impact of chronic disease or disability Finances Catered by Family Done By the Reduces Reduces Functional limitations Reduces Severity symptoms Reduces Involves Results to Involves Involves Involves Involves Limiting interactive conflict Effective treatment Cause of condition Presence of pain From Medical professionals Seek advice Collaborative care Monitor reaction Quality medicine principles Path physiological processes Seeking counsel Monitor patient Quality care right Physical condition threat Threat to body Threat to life Patients’ privacy Coping with patients needs Care planning Ethical responsibility Chronic illness/ disability Nursing a Person with Chronic Disease or Disability Introduction The disease process affects when a person suffers from a chronic illness or disability, the entire family and the community and the medical care offered to the patient. Chronic diseases or disability dictates that the infected person have to acknowledge the disease process as well as direct his or her attention towards leading a positive life. In similar magnitude, the community and the family of the person have to give care throughout the disease process (Manley et al. 2011). Nevertheless, accepting the condition of chronic disease or disability is a major to both affected...
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...criteria that ensure professional practice. I adopted my values in a collage characterized by strong family bondage and commitment, sharing, love, happiness and family pets. This collage values happiness, wealth and family bondage than other matters in life. I express my vision for a happy family, values and goals to measure progress. My vision aims to ensure family safety, health and togetherness. In order to have a happy family, one must attend to all their needs including shelter and food. One also has to try and be the best father or mother and thus promote common family values that ensure commitment, guidance, respect and openness in the family relationships. I upholds these values as a consequence of ill-upbringing. There was no care for me during my early life. There was also no such a thing as rights to be provided. After a deep soul-searching, I...
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...Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care A Roadmap for Hospitals Quality Safety Equity A Roadmap for Hospitals Project Staff Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The Joint Commission Isa Rodriguez, Project Coordinator, Division of Quality Measurement and Research, The Joint Commission Mara Youdelman, J.D., L.L.M., Senior Attorney, National Health Law Program Project Advisors Maureen Carr, M.B.A., Project Director, Division of Standards and Survey Methods, The Joint Commission Amy Panagopoulos, R.N., M.B.A., Director, Division of Standards and Survey Methods, The Joint Commission Robert Wise, M.D., Vice President, Division of Standards and Survey Methods, The Joint Commission Joint Commission Mission The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The inclusion of an organization name, product, or service in a Joint Commission publication should not be construed as an endorsement of such organization, product, or services, nor is failure...
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...Person-Centered Therapy HISTORY OF PERSON-CENTERED THERAPY Person-centered therapy is very much embodied in the work of Carl Rogers. He is mainly responsible for the development of person-centered therapy. His focus on the importance of the client-counselor relationship has had an influence on both theorists and practitioners. The following chart describes the personal and professional development of Carl Rogers. As he changed and developed, so did person-centered therapy. PERSONAL DEVELOPMENT AND POSITIONS PROFESSIONAL INFLUENCES Developmental Stage Born in 1902 in a suburb of Chicago Fourth of six children' Religious fundamental upbringing Adolescent interest in agriculture Early career goal: the ministry Graduated from the University of Wisconsin Married Helen Elliott Attended Union Theological Seminary Received Ph.D. from Columbia University Teacher's College in 1931 in clinical psychology 12 years at the Society for Prevention of Cruelty to Children in Rochester, NY 1940 - academic career at Ohio State University Early work influenced by psychoanalysis Rogers was influenced by Rank through his work with Jessie Taft and Elizabeth Davis. Rank focused on the uniqueness of the individual, as did'Alfred Adler Goldstein and Maslow wrote about self-actualization - a humanist idea Rogers read writings of existentialists The Clinical Treatment of the Problem Child, 1939 Non-directive Stage 1945 - worked at the University of Chicago At Ohio State, started writing...
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...There are different types of dementia. Alzheimer’s is a disease that causes dementia. This is the best-known cause of dementia. There are two kinds of abnormal proteins that appear in the brain during the Alzheimer’s. They form clumps that interfere with how brain cells communicate with each other. They also make new memories. Vascular dementia is the second well-known disease that causes dementia. It happens when the blood flow in the brain is reduces. Blood carries oxygen through the vessels and without it the brain cells can die. There are two types of vascular dementia: * Stroke-related dementia happens following a stroke when parts of the brain are affected. This can cause difficulties in speech, coordination and moving. * Subcortical vascular dementia is caused by a series of small changes to blood vessels in the brain. They can damage parts of the brain and cause memory loss. Dementia with Lewy bodies (DLB) is caused by small clumps which appear inside nerve cells in the brain. The protein clumps damage the way nerve cells communicate and work. Sometimes it is difficult to recognize whether it is Alzheimer’s of DLB because some of the symptoms are typical for both. Frontotemporal dementia (FTD) is disease where frontal and temporal lobes of the brain shrink. There are three types of proteins, which become toxic to brain cells if they clump together. One of the ways of memory impairments happens to the people who are diagnosed with stroke...
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...Interprofessional Team Development: A Patient and Family Centered Care Western Governor’s University: C158 May 11th, 2016 Interprofessional Team Development: A Patient and Family Centered Care Approach Approach to patient care has changed over the last three decades from patient treatment-focused model to include comforting, engaging, and empowering patients. The new approach implements patient-centered care environments. It has been adopted by care providers, research bodies, funding agencies, and regulatory agencies, among others. To enhance patient-centered care, business practices, regulatory requirements, and reimbursement regulatory procedures have been adopted. This is evident by the regulations of Joint Commission and the provision of services by Medicare Medicaid services (CMS). In this paper, the impact of business practices, regulatory requirements, and reimbursement procedures on patient-centered care is discussed. A multidisciplinary approach on a process improvement enhancing Patient and Family Centered Focus Care is outlined in a hospital located in Arizona. Regulatory Requirements and Healthcare Business In 1996 the Institute of Medicine took on healthcare improvement to resolve unsafe care by ambitiously moving toward quality initiatives. The release of “To Err Is Human: Building a Safer Health System19 (1999) and Crossing the Quality Chasm (2001)” focused on the fails of the healthcare systems pointing out that over 98,000 patients die in hospitals...
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