Home health care has become an increasingly acceptable and popular form of health care provided to patients for acute, chronic, and terminal illnesses. Home health continues to rise in demand for a variety of reasons. Home health is a cost effective method of providing patients with the care that they require (Phipps, Monahan, Sands, Marek, & Neighbors, 2003, p.154). Patients can receive needed care without the added cost of a hospital stay or an extended hospital stay. This helps to lower the cost for hospitals, insurance companies, public assistance, and the patient. Other added benefits to patients receiving home health care are a decrease in nosocomial (hospital acquired) infections, improved nutritional status, personalization of care, increased sense of control, encouragement of autonomy, quicker return to normal routine, increased privacy and comfort, and increased family support and involvement (Phipps et al, 2003, p154). The fore mentioned benefits help the patient to heal in their own environment at their own pace with the support of their family and friends and also includes the assistance of a skilled registered nurse to help manage their health care needs during the healing process. For this process to be successful, the home health system relies on skilled registered nurses that are not only educated in medical surgical nursing; but, who also possess excellent organizational skills, communication skills, assessment skills, creativity, flexibility, and managerial skills (Phipps et al, 2003, p.154). These skills are necessary to maximize patient potential and adapt health care practice to the needs of their patients. The nurses must also be able to use their communication and managerial skills to collaborate w...
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...as the use of patient education, the promotion of a healthy well balanced diet, non-pharmacologic interventions to assist in correcting symptoms, removing potential hazards from the environment, and cleaning hands and supplies before and after contact with patients. The use of communication and organizational skills also appropriately crosses over the many health care settings. The home health observation was a positive experience and served as an excellent example to follow in the course of professional health care practice.
Works Cited
Black, J. & Hawks, J. 2009. Medical surgical nursing: Clinical management for
positive outcomes. (8th Ed.). St. Louis: MO. Elsevier Saunders.
Phipps, W., Monahan, F., Sands, J., Marek, J., & Neighbors, M. 2003. Medical
surgical nursing: Health and illness perspectives. (7th Ed.). St. Louis:
MO. Elsevier Saunders.
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This project used a four person team to help manage the care of veterans on a more intimate level, such as making phone calls to their homes to find out how their day to day health is being maintained and if they have any current needs that the health care provider can help them obtain. As a result of reading their case study, I believe that having a healthcare group for each individual within a practice can also help address health care concerns of today. According to Porter and Lee (2013), this type of care would be called an integrated practice unit (IPU). In an IPU, a dedicated team made up of both clinical and nonclinical personnel provides the full care cycle for the patient’s condition. IPUs treat not only a disease but also the related conditions, complications, and circumstances that commonly occur along with it. IPUs not only provide treatment but also assume responsibility for engaging patients and their families in care by providing education and counseling, encouraging adherence to treatment and prevention protocols, and supporting needed behavioral change (p.11). By utilizing this type of group, it can provide better care for patients. This group would be made up of a medical doctor who will be the primary care physician and head of the group. A nurse would help follow up with the patient and continuing to help
This workload sometimes makes the nurse taking care of the patient overwhelmed and stressed because he/she feels they are the only one involved in the patients care. Nursing toady allows for collaboration with other disciplines to provide optimal care for the patient involved, other staff are added to the health care team reducing the work load on the primary nurse. The RN is not the only one providing care for the patients assigned but he/she remains the primary nurse and is able to make and change the patients plan of care according to their diagnosis. According to Bayton, (2015) Primary nursing model of care delivery is great for building a nurse patient relationship.” This article shows how the implementation of primary care nursing model promotes an ongoing communication between the patient, family and staff involved in the patients care. The patient is always informed of who their nurse would be for the day by the implementation of white boards in the patients rooms. The patent could build a rapport with the staff because they knew who their nurse was going to be for the day.
teaching patient and family members of patients how to provide home care. The nurse also
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
In the patient situation described, the nurse characteristics enabled improved patient care, by ensuring the family understood the true nature of B.H.’s medical status and her prognosis. Experience enables CNS’s to create strategies to provide specialty based anticipatory coaching (Spross & Babine, 2014). The use of caring practice created a trust with the patient and the healthcare team permitting the CNS to coach and guide the family to change B.H.’s code status to include withholding resuscitation. Collaboration allowed the family to be involved in B.H.’s care and clinical judgement allowed the CNS to coach the family into accepting a facility transfer for an opportunity for improved care
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
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
Mary A. Osborne, a registered nurse said, “Nursing is a rewarding profession that can provide life-long job satisfaction and job security” (Jones 8). A registered nurse (RN) teaches their patients and the public all sorts of different health conditions and practices. They also give tips to the patients’ families and friends on how to support them physically and emotionally (Bureau 1). Registered nurses are employed in many places such as hospitals, schools, offices, homes, military services, and in nursing homes (Minnesota 1). Often in time, RNs don 't work by themselves, they work apart of a team that includes doctors, therapists, of course the patient, and generally their families (Minnesota 1-2). To be successful
The health care system of today will be invaluable without the help of well-trained registered professional nurses. According to Wilkinson, Treas, Barnett, Smith (2016) registered nurses in today’s health care have the training required to develop a care plan with other health care workers that is specific for each patient in their care, instead of the same general approach for every patient. This is known as patient centered care because each patient is different from the other and the registered nurse role includes developing a good plan for every patient they care for. In performing such duties, registered nurses tend to create a strong bond with their patients by caring for their patients by all means possible. By caring for their patients, they tend to gain their patients and their families trust. According to Wilkinson et al. (2016) There are many support systems for patients in our communities that have good intentions of assisting sick people and those in need. Most of them are not known by the patient or their families. The registered nurse is the one who is in the position to inform the patient or family about such resources that may be very helpful for them if they are interested. By doing so, the patient knows that the nurse really cares about him/her and that feels very comforting and may help the patient get well
It’s very important that the units that are supportive of evidence based practices instill the idea of the patients being as important as family members or close friends in order to carry out the best practice. These would be good areas for individuals of the team to reflect during meetings. What is means to care for patients as a close friends or family members and what areas they can improve their practice; For instance, long term care nurses taking the time to ensure that all of their bedridden residents are turned every 2 hours to prevent bed sores.
Mrs S. is an 88 years old female patient who lives on her own, and was admitted into a rehabilitation ward following a hip operation due to a fall at home. She has a past medical history of Congestive Cardiac Failure (CCF), diverticulitis, and asthma. Also, Mrs S presented with rapid weight loss, palpitation, feeling tired, peripheral oedema, fatigue, difficulty breathing when lying flat in the bed, waking up at night with shortness of breath and anxiety. In addition to all that she had a pressure sore in her bottom that was not broken. In order to have good holistic care of Mrs S, the nursing process was used as identified by Sibson. Sibson (2010) identifies four key steps to the nursing process, which are assessment, planning, implementation and evaluation; which are important for ensuring a quality standard of nursing care.
Health care organizations don’t only provide care, but they also provide long-term healing, collaboration and relationships. Thus, health care programs that focus on patients will not only worry about the quality and consistency of in-house care, they will also focus on educating patients to care for themselves after discharge. In order to offer this service, discharge procedures and policies must require health care providers to share understandable advice and valuable information regarding restrictions, dietary needs, medications and physical warning signs. Health care providers must provide information regarding clinical, social, physical and financial support
Nursing contributes strong emotional support for patients and family members especially severely ill patients. The presence of a caring and sympathetic nurse is extremely required and beneficial to the overall prognosis. Patients need a bedside nurse who listens to them with warmth and understanding without prejudice. And nurses are educated and able to stain a great deal of medical information and knowledge, which used to be physicians’ inherent territory before.
QSEN is started as an initiative to give future nurses the quality education necessary to provide the quality care and safety for the community (Potter, Perry, Stockert, Hall, & Ostendorf, 2017). This nursing care ties in with the standard of care in competency because QSEN is providing the level of education needed for future nurses to be competent to provide the appropriate care for patients. Nursing process is break down of the care and treatment a patient is given depending on their illness in 5 stages of assessment, nursing diagnosis, planning, implementation and evaluation. The standard of care that can be defined by this nursing care is available information given. Nurses assess patients based on the chief complaint that patients give. The importance of this correlation is the rapport that is builds between nurse and patient. For example, if a patient does not disclose recreational use of opioids and the nurse gives them a sedative, such as propofol, for a procedure, the patient’s respiratory system will decline immediately. This is an example of lack of information given in which the nurse was not able to give the appropriate care and treatment. Last but not least, is the nursing care established on evidence-based practice. An example of this is the use hand sanitizers before and after enter a patient’s room. This practice has become a policy at many facilities to decrease infection. This correlates with the standard of care of following approved