Making connection with patients have been a major effort and goal in the healthcare system. Traditionally, comforting hands of nurses were the main way of connecting patients to the system, but technology is going to widen the connection between nurses and patients. The Internet of Things (IoT) technology refers to connecting all objects by using the information sensing devices to the Internet for information and data collection and exchange in order to achieve intelligent identification and management. IoT is a great way to interconnect smart devices and sensors and integrate them with the healthcare system (Hao & Wang, 2015). Its functionality derives from the interactions between three architectural layers: sensors (collecting data), communication
The title of the book that I have chosen to review is called What Patients Taught Me: A Medical Student’s Journey, the title related to the topic on hand which is about medical rotations in faraway locations that are uncivilized and even remote. The book was published in 2009, and this is significant because it can be relatable to those that are entering the medical field and want a novel that shows the experience and what they have to do for them to become medical professionals. The company Sasquatch Books, which is in Seattle, Washington where she ended up becoming a professor at the University of Washington.
Something as simple as taking a walk around the facility can prove to be a battle with patient X. From the day I met patient X it was noticeable that she was lacking her memory. Patient X could no longer tell me her name and everyday it would be different struggle, but for that day it was getting her out of bed to take a walk. From the moment I walked in and introduced myself, patient X could not provide me with her name. Patient X constantly asked if I was her baby, and when dealing with an Alzheimer patient, it’s always best to go along with what that patient is saying. As I got patient X up and out of bed, she started to become violent and resistant. Patient X took forty-five minutes to simply get out of bed and dressed, and that was the very beginning of the battle that would consist all day.
I have recently started working as an interpreter at Cleveland Clinic in Cleveland, Ohio. Through this job, I have become my patients' voice. The experience has made me live their pain, feel their sadness, and revel in their willingness to heal; reinforcing, in my eyes, that we are not treating disease but the patient as a
Patient and Family Centered Care As our health care system continues to evolve and family members become increasingly involved in their loved ones care, a collaborative partnership must be encouraged and sustained by nursing leaders in order to foster a healthy environment for patients, families, and health care professionals (HCP) (Manojlovich, Barnsteiner, Bolton, Disch, & Saint, 2008, p. S13). That being said, from a nursing leadership perspective, how does patient and family centered care (PFCC), as a nursing leadership issue within a local context, influence the health experience of individuals in an acute care setting? This paper will include a critical analysis of various elements that influence PFCC, will examine potential barriers and challenges, and discuss possible resolutions for change. Background (Historical Analysis) In the year nineteen sixty-nine, Balint and colleagues originally introduced the term ‘patient centered medicine,’ however nineteen years later in nineteen eighty-eight, the term ‘patient centered care’ emerged from the Picker Commonwealth Program (p. 126), which has been the foundation of PFCC today.
The Patient Engagement Coach is a close partner and resource to you and your teams in your patient experience improvement efforts. Our mission is to create a patients first culture by coaching and supporting caregivers to provide exceptional experiences for the patient and family. One of the main goals for the Coach is to develop relationships, rapport and establish trust amongst the physicians and care providers. During our time in the Urology Clinic we have been observing, shadowing, rounding with staff and providers, and meeting with physicians on a regular basis to review performance, provide observation feedback, and advance action plans. As a resource, the Patient Engagement Coach has heavily relied on Leadership engagement and participation in Urology to implement patient engagement initiatives.
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
Therapeutic nurse-patient relationships lay the groundwork for successful care and rehabilitation of a patient in any setting. Whether the patient is in a nursing home, hospital, or receiving home care, a therapeutic nurse-patient relationship is vital to the care of the patient. A therapeutic nurse-patient relationship can be defined as a professional relationship between the nurse and the patient that, “focuses on the client, is goal directed, and has defined parameters” (Craven & Hirnle, 2009, p. 329).
The doctor-patient relationship is one of many debates and change over the years. The reason it is so debatable, is that many people have different views on what this actual relationship should be, and how certain situations may cause questions in this relationship. Such questions could be, do I really want my doctor to make decisions for me, or I know my body the best, why should I not be able to make these decisions on my own, maybe a mixture of both. Either way this subject can be debatable on how the doctors and patients should go about these relationships. There are two models, in particular, out of four that have been deemed the models that doctors and patients should go by. These two, main models are, the interpretive model and the deliberative model.
Providing care today is much concentrated on “patient-centered” or “person centered,” or delivering care using a “client-centered approach”. In this discussion defines the history of the terms client-, patient-, and person-centered care and then focus on person-centered care, especially as it relates to nursing. In its landmark book Crossing the Quality Chasm (2001, p. 40), the Institute of Medicine (IOM) defined patient centered as “providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.” Thus, efforts to promote patient-centered care should consider patient-centeredness of patients (and their families), clinicians, and health systems.
During the last decade, patient involvement in healthcare has been on the rise. Patients are expected to be involved in health care as health systems have developed influencing CQI (Sollecito & Johnson, 2013). Individuals started to question the power healthcare institutions had. Pomey, Hihat, Khalifa, and others (2015) say that patient engagement can be defined as involvement of patients, their families or representatives, in working actively with health professionals at various levels across the health care system to improve health. Patient involvement influences the health care system as a whole. When the patient becomes involved, it allows them to gain some level of control ultimately leading to better health outcomes and lower health
According to Healthy People 2012 there are more then 800,000 new cases of diabetes each year, with the numbers on the rise. With this in mind, Healthy People 2012 has identified diabetes as their number five focus area. In order to reach their goal of improving the quality of life for people with diabetes they have identified diabetes teaching as their number one objective. Furthermore, in order to reduce the number of complications of diabetes, Healthy People 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to successfully reduce the number of amputations and diabetic foot ulcers, patient teaching is essential. Patient teaching, as with the nursing process, begins with assessment in order to identify the patients learning needs (Wilkinson & Van Leuven, 2007).
Literature Critique This literature critique reviews Catherine McCabe’s article, Nurse-patient communication: an exploration of patients’ experiences (McCabe, 2002). She has obtained many degrees related to health care (Registered General Nurse, Bachelor of Nursing Science, Registered Nurse Teacher, and Master Level Nursing). She has many years of experience and is currently teaching at Trinity Center for Health Sciences. As stated in the title, this study will review the patient’s interactions with nurses in relation to their communication. This study used a qualitative approach, as stated within the article, by viewing the life experiences of the participants.
The IOT creates an opportunity to measure or monitor a large number of different end systems by collecting and analyzing the data. The perception layer includes a group of Internet-enabled devices that are able to perceive, detect objects, gather information, and exchange information with other devices through the Internet communication networks. Radio Frequency Identification Devices (RFID), cameras, sensors, Global Positioning Systems (GPS) are some examples of perception layer devices. Forwarding data from the perception layer to the application layer under the constraints of devices’ capabilities, network limitations and the applications’ constraints is the task of the network layer.
While taking care of my patient on the cardiothoracic intensive care unit, I assisted another nurse who was helping her seventy-one year old patient ambulate to promote circulation and decrease the patient’s chance of developing pneumonia. It also helps the patient to build strength and confidence after such a major surgery like this patient underwent. This patient had come in with non-ischemic cardiomyopathy and had a history of cocaine and alcohol abuse, atrial fibrillation, mitral regurgitation, and hypertension. She had a left ventricular assistive device placed, and ten days after the device had been placed, she was diagnosed with H1N1, had a tracheostomy performed, and was placed on the ventilator. Since she had to wear a mask when outside of her room and had a tracheostomy, it was really difficult to understand the patient’s needs, and this was very concerning to me.
The Internet of Things (IoT) is the network of physical objects accessed through the Internet. The Network of interconnected objects harvests information from the environment (sensing) and interacts with the physical world (actuation/command/control), uses existing Internet standards to provide services for information transfer, analytics, applications and communications (Jiong et al. 2012).