According to our reading, Transitions are triggered by turning point events and for people with chronic illness, these can be predictable or unpredictable, cyclical and potentially recurring throughout life and result in the persons redeveloping their ways of living with illness (Kralik, Paterson, & Coates, 2010). Transitions of care refer to the movement of patients between health care practitioners, settings, and home as their condition and care needs change. For example, a patient might receive care from a primary care physician or specialist in an outpatient setting, then transition to a hospital physician and nursing team during an inpatient admission before moving on to yet another care team at a skilled nursing facility.
As a nurse
Emory Healthcare. (2017). Retrieved September 16, 2017, from https://www.emoryhealthcare.org/about/care-transformation/index.html Care Transformational Model Donadio, G. (2005). Improving Healthcare Delivery with the Transformational Whole Person Care Model. Holistic Nursing Practice, 19(2), 74-77. Sollecito, W.A. and Johnson, J.K. (2013). McLaughlin and Kaluzny's Continuous Quality Improvement in Health Care. 4th Edition. Sudburry, MA: Jones and Bartlett Publishers. (Healthcare,
There are events, subtle or otherwise, leading up to a critical change in health status. As nurses at the bedside, we must have strategies and protocols implemented in order to monitor changes in vital signs and trends leading towards a cardiac, respiratory, or neurologic event. In a hospital setting, patients are monitored for changes in condition, whether it be improvement or deterioration, allowing clinicians to decide the course of action to follow in their care.
Transition shock or reality shock in the NGN is the stress faced whilst moving from the university study phase to hospital based professional practice (Kramer, Brewer & Maguire, 2013). The NGN faces various challenging transition issues, mostly in the first twelve months of their entry into the profession.... ... middle of paper ... ...
A care relationship is special and requires skill, trust and understanding. This essay will elaborate how the quality of that relationship affects the quality of the care given and the experiences felt in receiving care. These different relationships will depend on the type of care given, who the care is given by and what sort of previous existing relationship there was to begin with. For a good care relationship to work it needs to follow the 5 K101 principles of care practice which are 'support people in maximising their potential','support people in having a voice and being heard','respect people's beliefs and preferences','support people's rights to appropriate services' and 'respect people's privacy and right to confidentiality'.(K101,Unit 4,p.183). If all of these needs are met a far exceptional quality of relationship between the carer and care receiver will be achieved.
Under a dispersed model of care if I was a 63-year old experiencing chest pain, and I did not have a regular provider, I would be able to go directly to the cardiac surgeon at the medical school. The dispersed model of care is the traditional health care organization model in the United States (Bodenheimer & Grumbach, 2012). The dispersed model does not have strict organization like the regionalized model does, and people can go to a specialist of their choice without seeing their provider first (Bodenheimer & Grumbach, 2012). There are also overlapping roles, as primary care providers are taking on secondary care functions by providing inpatient care on top of their primary care functions that they are supposed to be fulfilling (Bodenheimer
The patient presented in this paper is Ms. H an 83 year old African American woman that appears younger than stated age with a history of Multiple Myeloma. The patient chart was reviewed and an interview conducted. Interestingly the patient had retained every note, lab, hospital H&P and discharge summary in a file folder in her possession. Ms. H was diagnosed with Multiple Myeloma in April of 2008 when she was being worked up at her dentist for a toothache. X-rays performed revealed she had bone lesions in her zygomatic process and in her skull above her right eye. She was referred to Oncology Hematology Care for further work-up. A bone marrow biopsy revealed she had Multiple Myeloma. During the course of treatment the patient received Thalidomide, Revlimid, Velcade, Aredia, Zometa, and Decadron. Remission was achieved and the patient underwent stem cell transplant in February of 2009. The transplant was successful and the patient was cancer free until August of 2012 when she received news that her cancer had recurred.
Our course, Transition to Professional Nursing, is barely two weeks old and already I am being enlightened and challenged to expand my experience of nursing. I will attempt to explain my personal journey and experience thus far including how and why I got here, my beliefs about nursing and related values, and my visions for the future.
The career of a registered nurse is one of the most interesting professions in the medical field, because not only do they help to improve the health of their patients, they also help their patients to maintain a healthy lifestyle. Registered nurses work to promote health, prevent disease, and help patients cope with illness. Their job is to help patients get their health back on track, and prevent increased visits to the physician. When providing care directly to the patient, they observe, assess, and record symptoms, reactions, and progress. They do this to see where the patient’s health stands and prevent further illness or health problems if such occurs. Registered Nurses help to develop and manage nursing plans, and instruct the patient and their
The first step of deciding what practice setting and clinical model that I would prefer. I did research and decided that a primary care provider fit my career goals. A primary care nurse practitioner is defined as a nurse that works in a practice setting the has "the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health needs, developing a sustained partnerships with patients, and practicing in the context of family and community" (Anderson & O’Grady, 2009, p. 383). I believe my past and future education along with my years of clinical experiences has prepared me to take a novice role as a NP in this care setting. When I graduate and I am working in a clinical practice setting I look forward to continue my education through my practice by formal and informal training. I planned to continue utilizing a constructivist theoretical f...
A transitional care nurse or nurse navigator could be utilized to assure a smooth transition from the hospital into the community. The nurse navigator bridges the gap between the hospital care and post-acute care, while working closely with hospital staff, primary care doctors, specialists and community resources (Lamb, 2014, p. 191). Following the client’s discharge, a home health nurse would assume care and begin coordinating services. This nurse would be responsible to assure that all the care services are in place and there is a smooth
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Schoening, A. M. (2013). From bedside to classroom: the nurse educator transition model. Nursing Education Research/Educator Transition, 34(3), 167-172.
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
The 'Path of the Earth'. An analysis of Roy’s Adaptation Model of nursing as used within acute psychiatric nursing. Journal of Psychiatric & Mental Health Nursing, 11(2), 221-228. Polit, D. F., & Beck, C. T. (2010).