...How does patient education affect compliance with Congestive Heart Failure? How does patient education affect compliance with Congestive Heart Failure? How does education affect compliance with congestive heart failure? I have chosen this topic because congestive heart failure is a disease process that continues to grow throughout our communities. These patients tend to be readmitted into the hospital frequently due to noncompliance. Problem Identification Education of congestive heart failure is one of society’s largest challenges. The need to focus on compliance of treatment plan, self management, and patient education of this disease process is essential for favorable outcomes. The articles chosen for the information retrieval paper were located on line at the University of Texas at Arlington library in the CINHL database. These articles were written between the years of 2006 and 2009. All three articles were peer reviewed. While searching the data base for articles, information regarding education, compliance, and outcomes was a key focus. The articles were chosen for their content related to the education process of the patient with congestive heart failure and how compliance would affect outcomes. The knowledge of congestive heart failure of the medical professional was also explored. Summary of Articles First article Congestive heart failure is a debilitating and chronic illness that affects thousands of patients each day...
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...especially in healthcare where communication is key to ensuring good patient care. “Communication - the human connection – is the key to personal and career success. (Meyer, 2014) As healthcare providers, it is important to understand the keys to be effective communicators, to engage consumers to communicate, and to realize the differences that cultural backgrounds play in our communication. Communication Basics There are several keys to be an effective communicator. The first is to know what you want to say. Begin by a personal understanding of the message that needs to be conveyed. Understanding what needs to be said and taking a moment to adequately prepare what needs to be said will ensure the message will come across clear and concise to the recipient of the message. The next step in the communication process is transferring the message via a statement, written or verbal. The message needs to relay the need, idea, purpose, and information that the recipient needs to understand. The importance of making the recipient understand the message is the key difference in whether what you are asking for can be completed or not completed by the recipient. Without proper understanding of the received message, one can be left wondering what exactly was needed or what they were to do with the information. This process can be impacted by many things including generational barriers, distractions, and educational level. Knowing the intended receiver of the message will help avoid these...
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...where most of our patients’ care could be done in one place. Ideally, there would be various specialties, a pharmacy, radiology and imaging, and lab services available. This would provide convenient accessibility for patients requiring dual care, specialties, or medication following their initial visit with us. When you enter this office you will be peacefully enveloped into pale sage, light brown and neutral tones, creating a sense of warmth and comfort. You could hang your coat or dry your umbrella by the door (Wells, 2005). Beautiful canvases with scenic views from around the U.S. would provide an insight to the magnificence our country still holds, and silk trees creating small accents and a sense of harmony throughout the room (Harrison, 2010, p.4). There would be a severance of sorts within the waiting area. In the area closest to the door would be a reading nook, for those seeking quiet and privacy while they wait. They would have four oversized arm-chairs to relax in, magazines, newspapers, educational materials, and slightly lower lighting. The center of the room would be the main waiting area, with large, cloth, arm free chairs, non-restricting and giving individuals a sense of personal space. Ten of the chairs would be facing one another on either side of a large coffee table filled with magazines and newspapers. Another five chairs would serve as the “head” of the area facing the wall with a mounted television, a water station, and all of our educational materials...
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...Technology The interviewee belongs to the following category: Educator Educator Administrator Clinical Specialist Staff Nurse Nurse Researcher Date of interview: September 13, 2012 In person: X Via phone: 1. How would you describe your role in your current position and your educational preparation for this role? I am responsible for the initial creation, continuous education, and competency for whole house. I have my MSN in Nursing Education. This has prepared me and shown me the need for education services and the need to maintain competency for the staff. Provides the necessary tools to deliver current and competent care to our patients. My education has shown not only the need for education, but has provided insight into how to provide the educational programs/training to the staff. 2. How would you explain the unique contributions you as a nurse bring to an interdisciplinary team? Nurses are educated to look at the patient as a whole. I believe this perspective teaches nurses to look at each problem from every angle, recognize the outcomes and select the best on suited for the patient. 3. How would you describe the unique role of your specialty in promoting quality...
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...Social Intelligence Book Review Summary of Key Points Unveiling a New Science Goleman contends that the most fundamental revelation of this new discipline is that people are wired to connect. Neuroscience has discovered that our brain’s very design makes it sociable, unavoidably drawn into a neurological connection whenever we interact with another person. This two-way connection allows us to affect everyone we interact with both physically and mentally. The new science of social intelligence should be thought of in terms of being intelligent not just about our personal and professional relationships, but also in them. Goleman explains that this involves expanding our focus in a way that looks beyond the individual to understand what really occurs when people interact, and to look beyond narrow self-interest to the best interests of others as well. Emotional Economy The realization that one person can trigger an emotion in another person or vice versa represents the powerful mechanism by which feelings are disseminated to others. Goleman classifies this as emotional contagion which is the emphasis of emotional economy. Emotional contagion comes in two forms; low road and high road. The low road is mental circuitry that operates in our subconscious at a very fast rate and tends to involve impulsive decision-making. The high road consists of mental circuitry that operates at the conscious level and is more structured, requires deliberate effort and tends to involve...
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...Vulnerable Population in the Workplace Back in 1999 the U.S. Health Department set a goal to, “eliminate disparities in health and in access to service for minorities,” for Healthy People 2010 (Crist, 2002). 2010 has come and gone, and although there have been improvements that goal continues to be in place for Healthy People 2020. Some vulnerable populations are still at risk and face many barriers preventing them access to proper healthcare. Attempting to overcome these barriers will often fall on the shoulders of healthcare providers; it becomes their job to help decrease the overall health disparity suffered by vulnerable populations. In this paper the subject to discuss is the vulnerable Mexican American population and will evaluate barriers faced by them as well as barriers faced by healthcare workers, and the methods that could be used in order to help decrease current health disparities. Mexican-Americans: A Population at Risk Mexican-Americans, especially aging Mexican-Americans are an extremely vulnerable population. Currently, Hispanics are the fastest growing ethnic population in the United States and as of the 2003 U.S. Census, their population, “grew at a rate almost fourfold that of the general population—13% vs. 3.3%--over a 39 month period” (Keating, et al. 2009). That being said, non-English-speaking immigrants are often socially and economically disadvantaged, which impacts health disparities (Keating, et al. 2009). Barriers to Care There are many...
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...Introduction Palliative care (PC) provides a better comprehensive health care for patients with cancer and their families. Supportive care, pain management and symptom control at the end of life are valuable and common services provided by the PC team (World Health Organization [WHO], 2002). However, there are many challenges and barriers for PC in developing countries such as: health care and public literacy about PC, opioid phobia, policies and regulations to access and prescribe opioid, limited resources and adequate education and training (Bingley & Clark, 2009). The presence of these problems plays a major role in providing suitable and accessible symptom management for many oncology patients. In Saudi Arabia, between 2007 and 2011,...
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...Running head: EDUCATIONAL PREPARATION Educational Preparation Grand Canyon University NRS 430V Andrea Correll January 9, 2011 Educational Preparation We live in a rapidly changing environment where the health care population is becoming more diverse and complex that it demands a nurse to have an advance education degree to practice. However, despite the recommendation by the National Advisory Council on Nurse Education and Practice to increase the percent of baccalaureate degree program to at least two-thirds by 2010, 37% of the workforce and 60% of new grads were associates-degree (ADN) prepared nurses as of 2000 (Graf, 2006). The reasons are ADN programs are shorter and less expensive which allows a nurse to earn money quickly. While BSN programs are more costly and require longer education, the BSN prepared nurses are more preferred in today’s job market because of their educational background. The ADN program offers two years of concentrated study focused on clinical skills in the community college and BSN program offers four year nursing degrees in institutions of higher learning (four-year colleges and universities) (Hood, 2010). Both Associate Degree in Nursing (ADN) graduate and Bachelor Degree in Nursing (BSN) graduate take the same NCLEX-RN exam and are held to the same standards for licensure and practice. Despite of educational differences, nurses with both ADN degree and BSN degree often work in similar jobs, but there are some differences in...
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...Literature Review Patient Education for Post-Hospitalization Home Care Debra Scully Walden University NURS 6010-11 Advancing Nursing through Inquiry and Research April 8, 2012 Patient Education for Post-Hospitalization Home Care Changes in health care delivery brought on by financial constraints have affected the length of stay for certain patient procedures, resulting in an early discharge. Patients discharged from hospitals sooner than anticipated are finding themselves ill prepared, regarding insufficient education and instructions on self-management for home care, post-hospitalization. Patient education in nursing should be a focal priority, yet is often slighted due to time constraints, and lack of staff, preparation and materials. The purpose of this paper is to discuss the importance of sufficient patient education prior to discharge for patients with residual home care. Research on this topic could have beneficial implications for patient satisfaction pertaining to quality education for home care prior to discharge. Evidenced-based research has illustrated that the development of educational tools to aid nursing in providing succinct and pertinent information of discharge criteria has attributed to a rise in patient satisfaction. Considerations for educational materials were preferred language, specificity of patient concerns, and simplicity of educational materials. Summary Contemporary day surgery: patients’ experience of discharge and recovery ...
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...believe understanding the knowledge of the foundations of nursing history provides us the framework for understanding our profession today. By looking back at history you are provided a view into the contributions and struggles of the nurses that came before us. The timeline demonstrates how we have developed from a profession “regarded only as work of those lowest classes of society or in religious life” (Grand Canyon University, 2015) to the profession of today. A profession where men and women can provide care regardless of economic status or background. A profession that is highly respected and is always striving to improve patient outcomes. Three trends in nursing practice I am able to identify from the “Nursing Timeline of Historical Events” (GCU, 2015) are the the development of formal educational programs, advocating for the improvement of care, and defining roles at different levels of nursing. As we have advanced in our roles as nurses, the development of educational programs from the early 250BC to current day have transformed our practice. Nurses have moved from the Diploma programs to our current Associate degree and Bachelors degree programs we have today. Like Dorothia Lynde Dix who advocated for the need to improve care through legislation, today we advocate for improvement of nursing care through our development of safe staffing levels and through the Shared Governance process we can make changes to improve patient safety and outcomes. As the needs in...
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...BSN nurse. The Associates degree nurse is more task oriented. While the Bachelor’s degree nurse is more focused on the plan of care from beginning of admission to discharge needs. While both of these mindsets are a part of nursing theory, as we progress we are able to take our task knowledge and incorporate the advance critical thinking skills that are needed for a more positive outcome for the patient by becoming BSN’s. When we come out of our NCLEX testing modes, According to the (Nursing(AACN)) we may all pass the exams but have a much different level of understanding and ability for the practice of nursing. The NCLEX tests for the lowest amount of competency of a nurse to enter the employment field. Not that we are as advanced as possible in our skill sets. We as nurses have to advance our education base by experience and education. The difference in how an ADN nurse sees a patient and how a BSN nurse sees a patient are measurable when we open ours eyes to the difference. As the ADN progresses through the admission process of a patient we tend to lean towards getting our charting done, passing medication in the time allowance, and making sure our patients are bathed and fed. We focus on the immediate needs more than the disease process and outcomes. Where the ADN is more likely to take care of patients without a true knowledge of...
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...Educational Preparation, the Difference between Associate Degree Nurses and Baccalaureate Degree Nurses Educational Preparation, the Difference between Associate Degree Nurses and Baccalaureate Degree Nurses Wayne Williamson, RN Grand Canyon University: NRS-430V-O191 May 11, 2014 Educational Preparation, the Difference between Associate Degree Nurses and Baccalaureate Degree Nurse There has always been a question regarding the skill levels of nurses prepared at the Associate Degree level versus nurses prepared at the Baccalaureate level. There have been multiple studies done and those studies have proven that immediately after graduation the skills of both groups are equal. Where the difference begins is approximately one year after graduation, nurses prepared at the Baccalaureate level “…show greater critical thinking skills, better problem solving, and the development of clinical judgment; three skills of increasing importance for the increase in acuity of patients in hospitals and other health care settings”. (West Coast University N.D) Based generally and only education I could see how this might be true, but I look at my own experiences and realize that I am not unique and this is not always the case. In my medical career, I was ambulance attendant, an Emergency Medical Technician, an Army Combat Medic, a Patient Care Specialist (the Army’s version of an LPN), then a Paramedic. Varied but similar jobs all with their own experiences and all this before I started...
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...families, communities, and populations. It is this thinking that nursing continues to strive to assist patients not only achieve their optimal physical health, but also their family culture is equally important when it comes to healing. As nurses continue to understand the dynamics of a patient’s family system, it is clear that the word “family” draws upon much more than just blood relatives. In the health care setting a family can be viewed as the people who come together to support a patient during a health crisis. That support may be seen directly at the bedside, through conversations via phone, or helping to assist in the discharge process. As a nursing workforce it is our responsibility to understand how the roles of a family affect our individual patients, and work to incorporated those roles into their therapeutic environment. An issue in today’s emergency departments that continues to draw attention from aspects of the medical profession is the use of family presence during cardiopulmonary resuscitation. “While it appears that the evidence clearly indicates positive outcomes from family witnessed resuscitation (FWR), a majority of emergency departments fail to implement or even institute policies “(MacLean, et al 2003) . Lack of education, leadership support and patient understanding are just a few factors contributing to hospitals not participating in this patient centered approach. “Families seldom ask if they can be present unless they have been...
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... I believe we can make a big difference, Nurses can work with communities in a “grassroots” type movement to bring attention to the gravity of the inequities built into our current healthcare system. Healthcare is first and foremost about people, and care should be directed by the needs of the people it serves. Secondly, caring is foundational to nursing and this is a concept must be deeply woven throughout all points of health care. The third aspect is the vast pit of inequalities in healthcare; the injustices, denial of treatment and quality healthcare to minorities and the disadvantaged poor. Nurses are known patients advocates, therefore nurses are well equipped, to become leaders, in constructing equitable changes in the system and improve the model of care. Nurses are well- appointed in their understanding, negotiating skills, knowledge of healthcare and patient centered care, to provide guidance and direction to implement meaningful changes. Research in health disparities has identified, that the U.S is burdened by huge social and economic inequalities; it identifies, discrimination, social status, income inequality, and policy decisions as the principal causes of health disparities. The nursing profession needs to reconsider its role and its purpose in reducing health disparities, they need to be proactive in establishing, nurse-managed primary care clinics in under -served areas to increase healthcare access and promote preventative care. Numerous societal barriers...
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...Patient Teaching–Incentive Spirometer Sergei Pugachov Georgia Southern University School of Nursing Dr. Linda Upchurch NURS 3163 An incentive spirometer is a device that our patients use to improve the function of their lungs. This main underlying principle is that breathing can be exercised to train the expansion of lungs capacity (Potter, Perry, Stockert, & Hall, 2013). Patients who qualify for this intervention include those who have recently had a surgery, were under anesthesia, or have been placed on bed rest. Our main concern here is that these situations create opportunity for less activity within the lungs, which can put the patient at risk for pneumonia. The goal of incentive spirometer is to keep the lungs active while the patient is recovering. Deep breathing can be practiced at home or while being hospitalized. At home, it can be used to prepare for hospitalization or a surgery (Potter, 2013). In either case, nurses are responsible for providing appropriate education regarding the use and administration of all patient equipment. The incentive spirometer is used while sitting straight up on the edge of a bed or in a chair. For patients who are unable to move or sit up, it will be necessary to raise the head of their bed to an appropriate angle. Prior to starting the exercise, lungs should be emptied by fully exhaling. After exhaling, the patient places the mouthpiece in the mouth. For maximum efficiency, it is best to make sure that the mouth...
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