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The importance of quality of care
The importance of quality of care
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The nature of chronic illness and the obstacles to ensuring quality care. The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments …show more content…
Studies indicate patients who challenge their chronic illness and vigorously manage their treatment have enhanced their attitude and life enjoyment. Above all, the patient must be sanctioned to manage care and treatment (Cristcot Inc., 2014; Lamas, 2014). Conversely, the number of individuals suffering from a major chronic illness face countless hindrance in managing their condition is increasing, not the least of which is medical care that frequently does not meet their needs for effective clinical management, psychological support, and information. The principal reason for this could possibly be the disparity between their needs and care delivery systems essentially intended for acute illness. Evidence of effective system changes that improve chronic care is escalating (Bruce, 2001; Clark et al., 2000; Joint National Committee on Prevention, 1997; Legoretta et al., 2000; Wagner et al., 2001; Young et al., 2001). Nonetheless, the complications to the improvement in chronic care can be categorized into three comprehensive classifications. The first is the general problem of fluctuating the behavior of clinicians, further complicated the circumstance of chronic care by the diversity of clinicians involved in
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
Being diagnosed with a chronic illness is a life-altering event. During this time, life is not only difficult for the patient, but also for their loved ones. Families must learn to cope together and to work out the best options for the patient and the rest of the family. Although it may not be fair at times, things may need to be centered on or around the patient no matter what the circumstance. (Abbott, 2003) Sacrifices may have to be made during difficult times. Many factors are involved when dealing with chronic illnesses. Coping with chronic illnesses alter many different emotions for the patients and the loved ones. Many changes occur that are very different and difficult to get used to. (Abbott, 2003) It is not easy for someone to sympathize with you when they haven’t been in the situation themselves. No matter how many books they read or people they talk to, they cannot come close to understanding.
Carol finishes her story with a plea for a better communication among the different healthcare providers and the system in general. There is no perfect system, and health care, the system that constantly evolves, deals with life and death, and employs people to fill such diverse niches is probably the most complex of them all, the most difficult to assess, comprehend, and change. As big, complex, and sometimes scary as it seems, it can be changed: talking to a colleague, taking a moment and asking a patient’s opinion. “Be the change you wish to see in the world”, said Gandhi. This is my motto.
A long term condition not only brings the physical symptom of pain, but a number of psychological and social effects too. In 2014 the Department of Health recognised that the impact of having a long term condition can contribute to mental health problems like depression and anxiety (Department of Health, 2014). As well as finding ways to manage their physical symptoms, patients are encouraged to adopt acknowledge and address all of their health and wellbeing needs, in particular self-management at home and incorporating and educating the patient’s family and close friends as a support system (Kraaimaat and Evers, 2003). The suffering that a person with chronic pain endures not only impacts on their life, but also affects their family, time lost from employment and uses up precious healthcare resources.
The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined,
Some may argue that the quality of medical treatment and technology are the most important attributes to a successful recovery. Relman stayed at two hospital facilities during his recovery. The first was Massachusetts General Hospital, and the second was the Spaulding Rehabilitation Hospital in Cambridge. Both facilities belonged to the Partners Health System and, therefore, had similar technologies available. Relman mentions multiple times that his care at Spaulding, as opposed to Massachusetts General, was “sometimes excellent but often inadequate.” (Relman) He came to these conclusions based on how he was personally treated as a patient, rather than based on the quality of the treatments. At Spaulding, multiple physicians treated Relman. His main physician went on vacation so multiple associates stepped in to check up on him throughout his stay. None of these associates made him feel comfortable as a patient. They tended strictly to his dire needs and did not spend much time with him beyond primary...
Each child will probably have many different kind of health issue during his or her infancy or childhood. In addition, for some children these illnesses are mild, they come and go, and they do not have negative influence on their everyday life and development. On the other hand, for some children, there are some chronic illnesses that have a huge effect on their daily life during childhood. Indeed, a chronic health condition is a health issue that last more than 3 months, and it has a big effect on on a child’s daily life, activity, and development. As a result, it demands more hospitalizations, extensive medical care, emergency care, and/or home health care. According to Weiner, “Each year in the US, 6 million children ranging
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
When you live with a chronic illness, you already have enough on your plate. Dealing with muscle aches, fatigue, joint pain, headaches, mood swings, and brain fog is difficult enough without adding even more stress.
According to the Healthy People Database, in 2010 the aging population was estimated at 40 million, this number is expected rise to nearly 70 million by the year 2030 (National Center for Health Statistics, 2000). At the forefront of health concerns for this aging population will be the intervention, management and treatment of chronic diseases. This increase in both this specific population as well as the required medical care will place a significant amount of stress on an already distressed healthcare system, which in turn will affect the availability of recourses and costs. Including patients in their self care with strategic health promotion such as encouragement and education geared towards specific socioeconomic groups will be more cost effective and beneficial in the management of chronic disease. Studies indicate that patients involved in self management of disease processes often have better patient outcomes.
WHO (2005). Preparing a health care workforce for the 21st century. The Challenge of Chronic Conditions. World Health Organization, Non-communicable Diseases and Mental Health Cluster, Chronic Diseases and Health Promotion Department. http://www.who.int/chp/knowledge/publications/workforce_report.pdf?ua=1 [Accessed 1/4/2014]
A long-term health condition can also be referred to as a ‘chronic illness’ and it can be used to define recurring conditions such as asthma, arthritis, and diabetes.
The uncertain nature of chronic illness takes many forms, but all are long-term and cannot be cured. The nature of chronic illness raises hesitation. It can disturb anyone, irrespective of demographics or traditions. It fluctuates lives and generates various inquiries for the patient. Chronic illness few clear features involve: long-lasting; can be managed but not cured; impacts quality of life; and contribute to stress. Chronic illnesses can be enigmatic. They often take considerable time to identify, they are imperceptible and often carry a stigma because there is little sympathetic or social support. Many patients receive inconsistent diagnoses at first and treatments deviate on an individual level. Nevertheless, some circumstances require
There are many ways to categorize illness and disease; one of the most common is chronic illness. Many chronic illnesses have been related to altered health maintenance hypertension and cardiovascular diseases are associated with diet and stress, deficient in exercise, tobacco use, and obesity (Craven 2009). Some researchers define the chronic illness as diseases which have long duration and generally slow development (WHO 2013); it usually takes 6 month or longer than 6 month, and often for the person's life. It has a sluggish onset and eras of reduction for vanishing the symptoms and exacerbation for reappear the symptoms. Some of chronic illness can be directly life-threatening. Others remain over time and need intensive management, such as diabetes, so chronic illness affects physical, emotional, logical, occupational, social, or spiritual functioning. Chronic diseases, such as heart disease, stroke, cancer, chronic respiratory diseases and diabetes, all of these diseases are the cause of mortality in the world, representing 63% of all deaths. So a chronic illness can be stressful and may change the way a person l...
Robert Wood Johnson Foundation: Chronic Conditions: Making the Case for Ongoing Care. Retrieved from http://www.rwjf.org/qualityequality/product.jsp?id=14685