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importance of communication in medical care
importance of communication in medical care
importance of communication in medical care
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This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006). There were a number of nursing priorities identified, the patient also has hypertension. The key priority for nursing care with this patient is her learning disabilities and the potential communication barriers that may occur. The patient’s hypertension is well controlled with medication for these reasons I will focus this assignment around communication barriers with people with learning disabilities, the importance of good communication between the multi-disciplinary team within the unit. I will also explore any issues with consenting to the procedure as it is imperative that the patient is fully aware of the procedure and understands the possible risks and complications. I introduced myself to the patient stating that I was a student nurse and gained verbal consent to carry on with the assessment, as a student nurse you must respect patients wishes at all times, if t... ... middle of paper ... ...ully aware of what the procedure involves and the possible risks and complications. I feel that the pre-assessment form used within the unit to be far to fundamental, If elements of the roper et al activities of daily living were to be incorporated this would help in achieving a much more in-depth holistic nursing assessment enabling for the best quality and level of care to be given to all patients arriving in the unit. Whilst I feel a full nursing assessment not to be fully necessary for a day case unit, as previously stated I feel that the communication element to be an excellent way of ensuring a better holistic approach is achieved, it will also help to achieve better documentation and communication between all staff members. Good documentation remains in line with the NMC code of professional conduct 2008 and to promote better communication (NMC 2008).
Monitoring a health and social care team’s performance is essential so that any threats to its service delivery, are identified early and corrective actions taken. There are two dimensions of team functioning: the tasks the team are required to do, and the social climate that impacts on how they operate. The social climate will determine how team members cope with diversity of opinions, accept difference and resolve conflict.
Patients often have complex care needs, and often present with multiple co-morbidities or problems. The process of conducting a comprehensive nursing assessment, and the coordination of care based on these findings is central to the role of the Registered Nurse (NMBA 2006). Evidence-based interventions must then be planned and implemented in a patient-centred approach in order to achieve agreed treatment goals and optimise health (Brown & Edwards 2012).
When educating our patients it is important to make sure that all education is documented. Documentation of all patient education is important because this will provide legal record for the nurse. It is also important in documentation that this will validate that all standards of care are being met. The Joint Commission will review charts and audit for the proper documentation such as patient education. The result of proper charting will provide reimbursement for the hospital, along with creating a safe environment for the patients. When it comes to the Joint Commission it also brings importance to tactics for patients with low literacy. As part of making care patient-centered, healthy literacy comes into play. When documenting this is an area that nurses have accountability for in order to create a safe learning environment. There is a high rate of medical errors and adverse events related to communication breakdowns, now widely recognized, are also widely acknowledged to be untenable (Edwards). The Joint Commission allows for guidelines to establish patient-centered care in order to create the best outcomes for
Responsibilities of nurses in patient education are helping patients learn health-related behaviors to achieve the goal of optimal health and independence in self-care. It is also the responsibility of the nurse to assess the patients’ learning needs, readiness to learn, and learning styles. Needs and problems of individual patient and family are very important (Wingard, 2005). Some patients need information to understand more about their health condition and how to overcome or prevent the complication of disease. The others may interest in improving quality of life with current diseases. Patients’ problems include patients’ culture, race, ethnicicy, religious orientation, socioeconomic status, age, gender, educational background, literacy level, and emotional state (Wingard, 2005). Next, nurs...
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
The nursing process is “An organised, systematic and deliberate approach to nursing with the aim of improving standards in nursing care” (Rush S, Fergy S &Weels D, 1996).The five steps of the nursing process are assessment, diagnosis, planning, implementation and evaluating. It was developed by Ida Jean in Florida, USA in 1958 and it was transferred to the UK by 1970.The ‘process ‘is neither a ‘model ‘nor a ‘philosophy’ as it is sometimes defined but merely a method of reasonable discerning and it needs to be used with a clear nursing model. This is foundation for integrating the development into our model for ideal nursing. Throughout the process the patient’s independence should be endured in mind in all the phases of the process and the patient should whenever possible be an active partaker such as making decisions about remaining to carry out certain actions of living .This is important as it is encouraging a sense of personal responsibility for health. If contribution of the patient may not be possible, for example, a child, confused or unconscious person. In these cases family members or significant others may contribute in decision making on behalf of the patient (Roper, Logan, Tierney, 1996 p.51-52).
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
This paper is going to focus case study three with regards to the following. First, it going to identify and discuss the main issues for the patient and their family members or caregivers secondly, will consider how these issues could affect the patient, their family members or caregivers, and the staff. Lastly, it will attempt to explain how health practitioners could help to address these issues.
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
The patient was transferred into my care via the Emergency Assessment Unit for Surgical Patients (EAUS). I was given handover by the charge nurse who has already pre-a...
A team led by RN, should mentally prepare their patients to understand their responsibility towards good health. This can be done by showing them special documentaries during their stay in the hospital, in a common room where other patients can also join them in a group of six to twelve. After the session, patients should be given a short comments form with multiple choice answers (Appendix A). The purpose is to check their positivity towards the message conveyed through the documentary. At this time patient's vitals should be checked and recorded for the future
The purpose of the paper is to discuss the activities involved during the evaluation of a patient. Evaluation of a patient can be seen as the process of examining a patient critically. It comprises of gathering and analyzing data about a patient and the illness (Allan, 2012). The core reason is to make judgment about the disease one is suffering from. Such judgment will guarantee proper treatment and diagnosis. Typically, gathering of information from the patient is the role of nurses while making judgment and prescription is the doctor’s role (Jacques, 1988). In any case all practitioners are required to know how to evaluate a patient.
*As my first year in the nursing program comes to a close, I am to write this assessment based upon my abilities in each of the listed outcomes. I know I have much to learn, but I have also gained a tremendous amount of knowledge in the short amount of time I have been a part of this program.
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.
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)