...Relationship Between Nursing Documentation and Patients’ Mortality Emily Bosco Nursing 134 Mrs. Simmons/ Dr. Gusiti November 2, 2013 Relationship Between Nursing Documentation and Patients’ Mortality For the first time, the way a nurse documents have been linked to a patient’s mortality. The title of this article is called the Relationship Between Nursing Documentation and Patients’ Mortality. The focus of this study is to identity the association with nurse’s optional documentation and hospital mortality and how they are benefit each other for a set of risk- stratified acute care patients. Having an early recognition of a patients status followed with effective communication by the health care members has lead to a decrease in hospital mortality. It was found that nurses document optional data in the electronic health record (EHR) flow sheets. That is where they record any concerns they may have and to report abnormal data. The definition of optional documentation is recording vital signs more often than required, and entering in comments in the textbox that is associated with the data findings. The reason for optional documentation is the nurses concern for the patient’s current status deteriorating and leading to death. Optional documentation shows the nurses general concern and surveillance for a patient who may be dying. Then by documenting using the EHR it enables the patterns of documentation that are clinically significance to be detected and alerts the health...
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...the importance of the physician-patient and hospital-patient relationships. The relationships of the physician –patient and hospital-patient are both extremely important and equally impact the health of the patient as well as the success of the hospital and physician. The physician-patient relationship is the center of health care due to the fact that one of the main aspects of a patient’s care is his/her discussion with the physician. In the past, patients had to rely solely on the directions and information provided by the physician in order to make important health care decisions. Patients were also limited in their access to health care facilities as well as hospitals. In today’s society this is not the case because most patients have the ability to seek second opinions, research alternate conditions/treatments, as well as rate physician care/hospital services through social media on the internet. A cancer patient in TN may travel to TX to receive treatment from a specific specialist and/or a highly recommended facility. Since the dynamics of the physician-patient and hospital-patient has changed, the relationship has changed but its importance has not. Therefore, it is essential that both the physician and the hospital facility itself have a good rapport with the patient in an effort to continuously build the relationship. A poor relationship between the patient and the hospital and/or physician could compromise the ability of the patient to trust the physician’s assessment...
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...Paper Managed Care has affected the doctor-patient relationship in many ways. For one thing, it has limited the choices patients have about which doctors they see. This has led to some tensions between doctors and patients. Another thing that has created some resentment is that many doctors have had no choice but to participate with HMOs and have had to settle for lower fees as a result. Providers are being held to higher standards, more closely monitored, and are restricted in the care they can give their patients due to coverage rules. This can cause hard feelings on the part of the patient. Before managed care, the doctors were very independent and patient care was based entirely upon the physician's judgment. Since the advent of managed care, this is no longer the case. The medical industry is now extremely regulated and in many cases the relationship between doctor and patient has taken a backseat to rules and regulations. Of course, these changes are not all bad. Having a limited choice of physicians can be annoying but it also helps keep the overall cost of care lower. In addition, it means that patients do not switch doctors as often and therefore have the chance to develop long term relationships with their providers. However, this change also means that the average doctor sees far more patients in one day than doctors did before managed care. This can lead to rushed visits and lack of personal attention to patient needs. It is not pleasant to visit a doctor who...
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...The relationship between a physicians their patient could be governed by four distinct models in which the degree of autonomy varies. The case of Don Cowart brought up this issue into light knowing what the patient, Don Cowart, had gone through. Don Cowart was a pilot at the U.S. Air Force Reserve who had an accident that lead burning over 65% of his skin and the loss of vision, proper use of hands, and his ears even after several medical interventions. The accident was due to gas leak which filled the whole area surrounding them with propane gas and when they turned the ignition it was a massive fire. In that accident, his father was accompanying him but did not make it out alive. When a stranger rushed in to help, his first request was to hand him a gun so Don could kill commit suicide. He did not see a value for life in his current impairments. The stranger refused and had called for an ambulance. When Don arrived to the hospital, he requested not to get medical...
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...Abstract Physician and Patient Relationship is something that you should have with your physician because it will give you that trust and confidence that you to talk to him and explain what’s going on. Something that is very recommendable is that if your first language is not English you should probably go to a bilingual physician that would understand you and you can understand him. There are some patients that don’t understand to let the physician do what they think is right for them, for example like if one of your family members is a doctor and you go to a different doctor he’s going to tell you that he should of done this and that. Physicians should always when speaking to a patient make eye contact, introduce anyone who’s in the room if there is someone in the room, don’t be distracted by anything focus on what the patient has to say, and speak in a way that the patient would understand. Now days our culture encourages us or patients to find a doctor who understands our needs best and to seek out treatment. Physician and Patient Relationship Physician and Patient Relationship is something that you should have with your physician because it will give you that trust and confidence that you to talk to him and explain what’s going on. That’s not just only with your physician that should be everybody friends and family, but most important with your physician because is concerning your health. But before anything any patient has the right to accept the treatment or reject...
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...Jessica Turner Administrative Ethics Paper Katherine Rossiter HCS/335 9/21/2013 One of the current administrative issue that is arising in the newspaper regarding patient privacy is the ability to email your physician. While technology is constantly growing every day to ability to email your physician is more convenient and getting direct results is more convenient then awaiting his phone call but is this always the most ethical decision to make? Hackers breaks into computer systems each and every day even though the fire walls are built to reduce or eliminate occurrences that happen due to the growing technology this isn’t always the best decision. This issue goes hand and hand with the ability to have patient records stored electronically while this is currently present in most hospitals the issue that occur is that anyone have access to the patient records within and outside the hospitals and numerous of other locations. The ability to share patient’s records to other hospitals via online has decreased the patient privacy dramatically. I am going to get into the issue and its impact on the population it affects most. I’m going to get into different viewpoints arguments or facts that are used in the article to support the proposed solution. I’m going to get into some of the ethical and legal issues reported for my administrative issue. I’m also going to explain the managerial responsibilities related to administrative ethical issues. And lastly I am going to identify...
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...Connecting with Patients J. Scott Joslyn, PharmD, MBA ABSTRACT Electronically connecting with patients is a challenging frontier at which technical hurdles are probably exceeded by political, legal, and other barriers. The rise of consumerism, however, compels a response focused more on revenue and strategic advantage than on pure cost savings. Among the difficulties faced by providers is choosing among various models of connectivity and component function. Emerging models include “freefloating” personal medical records largely independent of the office-based physician, systems with compatible and intertwined physician and consumer relationships using an application services provider office practice system, and systems that connect patients and providers through e-mail, office triage, prescription refills, scheduling, and so on. This article discusses these and other combinations of technology that significantly overcome the barriers involved and that may be woven together to provide solutions uniquely suited to various competitive situations. KEYWORDS • Consumerism • Patient-provider relationship • Data ownership • Application service providers • Time and cost savings The Internet has created both opportunities and threats that providers of all stripes must eventually confront to remain viable businesses in the new economy. Although business-to-business (B2B) innovations offer great hope in reducing costs and providing other efficiencies, electronically connecting with patients is a particularly...
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...unprofessional behavior and poor communication skills during the first patient interaction scenario when she speaks to the pregnant women. She asks about the patients insurance even before being concerned about if the possibility of active labor. She informs the patient that she needs the patient’s husband’s number so she can call him about her being in the hospital. The nurse should have asked if there was anyone the patient wanted contacted, and she should only ask that after the patient has been sent back to the examination room. The nurse also makes a snap judgment about the laboring women when she finds out that she isn’t married. The nurse decides that the status of the child is such that the religious hospital won’t see her. The federal government enacted several laws that the nurse in this video has ignored. The First law is the Emergency Medical Treatment and Labor Act that says that a Medicare-accepting hospital has to take patients in emergency situation, including active labor, regardless of their ability to pay. They have to stabilize these patients before they can be discharged or transferred. By asking about her insurance while the women was in active labor she broke this law. She also was going to violate the HIPPA law by contacting the women’s husband without getting her express permission to do so. The HIPPA law prohibits releasing medical information to anyone without written permission of the patient. Besides the nurses clear violation of medical laws, she also...
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...Nurse Patient Relationship ------------------------------------------------- The nurse patient relationship is a central to patient satisfaction. Nurses spend most of the time with patient. Therefore nurses attitude toward their work, co-workers and hospital influences patients’ opinion and experience about the hospital. It is imperative to have positive nurse patient relationship to establish rapport and achieve healing. Patients and families count on nurses to keep them informed, to connect them to their physicians and other caregivers, to listen to them, to ease their anxiety, and to protect and watch over them during their healthcare experience. Because of these high expectations of nurses, it’s no wonder that nursing performance, and more specifically, the nurse patient relationship, is so central to patient satisfaction and a quality patient experience. ------------------------------------------------- ------------------------------------------------- It is a nurse’s job to care for a patient’s medical needs. However, caring for their emotional well-being can have just as beneficial an impact on patient care. The relationship between nurse and patient requires trust, as well as understanding. For a patient to disclose private or embarrassing details about their physical or mental condition, they need to first trust that their nurse will treat them with dignity and respect. Furthermore, patients will only follow the advice of their nurse if they trust in his or...
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...Religion and Science: The relationship between science and religion up until the 6th century were one in the same. Philosophers believed that natural occurrences were due to a divine power. Earthquakes and thunderstorms were merely upset gods showing their wrath. Individuals sought to learn the language of the gods to comprehend these phenomena. After the 6th century, new ideas formed that excluded the gods. These philosophers did not personify nature. They believed the world to be orderly and predictable. This brought on a renaissance of thought. By examining everything up to this point in history, the distinction between science and religion became clear. This rift spawned modern thought and science as we know it. Primitive science originated from man’s desire to speak to the gods and learn about natural phenomena in the world. Almost all of the ancient civilizations (Egyptians, Babylonians, etc.) had myths and beliefs about the origin of the human race and the formation of major topographical features. Up until about the 6th century, people believed in demon possessions, ghosts, and a variety of other invisible ailment-causing entities. They also believed that magic rituals allowed one to control these anomalies. Such individuals were generally held in esteem amongst the community. The reason why such myths were taken as fact for so long is attributed to the notion of “oral tradition.” Oral tradition was a method of keeping culture alive before there was a written record...
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...Based on my interactions with patients, thus far, I realized that many patients must overcome challenges, such as language barriers or socioeconomic status, to obtain personalized care that addresses their needs. Therefore, I strive to be a physician that advocates for my patients and empowers them to take control over their own health by providing accessible education, developing trust, and forming meaningful relationships. I observed this type of doctor-patient relationship in elementary school in my first job, my grandma’s translator at her doctor’s appointments. Our first visit was nerve-racking due to my concern of not translating properly. When the doctor came in with a friendly smile, my nervousness faded. With his patience and respect...
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...Do Doctors’ Communication Skills Affect Patient Health? Margarita Michalsky Montana State University Exploring Communications Studies 200 [ April 19, 2014 ] Dr. Daniel D. Gross Abstract One of the biggest complaints that a patient has is their inability to effectively communicate with their physician. A patients’ fear and intimidation of their physician can prevent them from being forthcoming about their symptoms and lifestyle behaviors. In addition, the lack of effective listening that the physician possesses can also limit the patients’ ability to express their needs. Effective communication is imperative to the health outcomes of the patient and this paper will look at how the communication style of the patient’s physician can affect those outcomes. Do Doctors’ Communication Skills Affect Patient Health? Healthcare is always in the news. You cannot turn on your television or pick up a newspaper without seeing something about healthcare. One of the main topics of discussion is the quality of healthcare that patients are receiving from their physicians. However, quality is not solely based on the knowledge of the patient’s physician; it can be also based on the ability of the patient to effectively communicate with their physician. Patients complain that they cannot effectively talk with their physicians because they are either intimidated or they do not feel their physician actually listens to what they say. Thus, do doctors’ communication skills...
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...disease, not a person. Also, Patch disagrees with his professor who believes that doctors must treat patients and not bond with them. Nevertheless, Patch wants to connect with patients and breaks the rules not to see a patient until the third year of schooling. He believes that the humor, listening, and laughter are best medicine for the patient. He secretly begins interacting with patients and makes them laughing. On the other hand, Patch realizes that medicine is one of business, so he and his friends set up a free medical clinic for patients who need helps and treatments. The school finds what he did and decides to expel him. He appeals to the state medical board, and the jury admits his compassion for patients and allows him to graduate from the medical school. The film Path Adams brings up the ethical issues of running a medical clinic and practicing medicine without a license. It is illegal to run a medical clinic without a license even though Patch helps people who cannot afford medical fees and do not have a health insurance. His compassion for patients is great and inspired, but Patch is a medical student, not a doctor. Patch should consider the responsibility and charge of unproven medical treatments. Also, he steals the supplies from the hospital, and it is absolutely illegal in spite of his apology. Stealing is a crime regardless of his innocent purpose to help patients. However, Patch Adams calls public attention to medical ethics...
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...ethical issues. If none were stated, what should have been done? Identify any proposed solutions. When a nurse becomes overwhelmed, they may turn to narcotics like in this case. The nurse was putting the patient’s health at risk to help her get her drugs. She would chart the patient was given the drug but in turn she was giving them saline and was taking the drugs herself. It was a flexible nurse so she didn’t have certain rooms with specific patients. The pharmacist was the one who actually figured out there was an increasing amount of narcotics signed out and the signatures were questionable. Confidentiality became an issue in this situation. Since two nurses knew of the situation and confronted the nurse about getting help. But one nurse stated all the nurse had to do was complete rehabilitation during her leave. The other nurse supervisor wanted to have a meeting with other members to discuss how it needed to be handled, let the other staff members know what had gone on and see if they know anything but didn’t say anything. Also reassuring the staff that a problem had been found and it was taken care of. To show that administration was committed to taking care of their employees and patients also run a safe practice. In certain cases such as the one, there may be circumstances that maintain the confidentiality Act places legal protection on some information. The supervisors need to consider the moral reasons for keeping information confidential or revealing...
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...Importance of Patient-Centered Care It has been a goal of many healthcare providers to achieve patient-centered care in their facilities. At the Cleveland Clinic, they have come up with a program that will help create better communication between the physician, nurse and patient. Rimmerman (2013) said that their hopes are to eliminate misunderstandings, create a better environment for the patient and their families to ask questions and to achieve a plan of care that will fit to the patient’s needs. Why is a patient-centered program important? At many facilities, patients often spend about 30 minutes or less a day with their physician during their stay. According to Rimmerman (2013), the nurse devotes their time with the patient and their family more than any other staff member. The relationship that nurse develops with the patient is a vital component to the patient’s care. This allows the nurse to create an environment for the patient and their family to ask questions or state any concerns they may have. According to the Rimmerman (2013), “In many respects, they know the patient better by virtue of their time spent and reflect an in valuable source of clinical information with respect to, patient progress, personal needs, skin wounds, IV status, activity level, nutritional status, independent ambulation, emotional concerns and family dynamics. Nursing is in a position of strength by virtue of its continuity of care.” That statement sums up why it is an important key for...
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