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An intervention study to enhance medication compliance in community-dwelling elderly individuals
Patient Assessment
Patient assessment and care
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Overall today was extremely busy. There was a total of 21 patients seeking therapy. For each patient that was seen throughout the day, I prepared hot packs and ice packs and monitored them throughout each exercise session. Aside from supervising patients, I was able to start my Needs assessment with patients. I selected 8 patients based on their age and frequency of visit, in order to gather accurate and efficient information overtime. I was able to interview patients during their 8 minutes hot pack session, and then I introduced myself and stated the purpose of this study/intervention. Each patient was very engaged and responded to each question appropriately. I did not hand out brochures on this day because I felt it would be beneficial to
It was a quiet and pleasant Saturday afternoon when I was doing my rotation at the surgical medical unit at Holy Cross Hospital. It’s time to get blood sugar levels from MM, a COPD patient. His BiPAP was scheduled to be removed before his discharge tomorrow. When I was checking the ID badge and gave brief explanation what I needed to do. The patient was relaxed, oriented and her monitor showed his SPO2 was 91, respiratory rate was 20. His grandchildren knocked the door and came in for a visit. I expected a good family time, however, the patient started constant breath-holding coughing and his SPO2 dropped to 76 quickly. With a pounding chest, the patient lost the consciousness. His grandchildren were scared and screaming,
The Patient self- Determination Act (PSDA) was legislated by Congress in 1990 as part of the Omnibus Budget Reconciliation Act (OBRA). Congress felt that individuals has the right to determine their final healthcare. The PSDA provides every competent adult and emancipated minor with the right to decide their own decision on what medical care or treatment they accept, reject, or discontinue. The effect of the PSDA has given each patient the right to choose what is best for them upon their beliefs. In this crosspost, the author will elaborate on the original threaded discussion by Vail, Barr, and Cherry and add addition information on Patient self-determination act.
The article “Promoting the 6Cs of Nursing in Patient Assessment” by Clarke (2014), is one that covers the different elements of patient assessment, how critical thinking is required in assessment and how nurses can integrate caring into their nursing process, primarily during patient assessment. Patient assessment is the first part of the nursing process and requires the nurse to collect objective and subject information for analysis that can be then attributed to a nursing diagnosis (Potter et al., 2014). Even after a diagnosis has been made, nurses must continue to assess and analyze their patients in order to ensure the patient is in good condition and that treatment is going as planned (Potter et al., 2014). In the case of critical thinking, it is “a complex phenomenon that can be defined as a process and as a set of skills” and often focuses on sound logic and reasoning (Potter et al., 2014, p. 141). The definition of Caring differs somewhat depending on the theorist, but in essence it boils down to a concept central to nursing that requires the nurse to support the patient in their health,
I recall an event where I was asked to volunteer to attend a patient who only spoke Nepali and refused to talk to anyone in the hospital. As I arrive into the room and I start to greet her gently in Nepali by saying “Namaste”, the patient smiles and feels that she can trust me. As I stand beside her, she explains to me why she chose to not call anyone in the event of emergency. Additionally, she explains that’s she cannot trust any of the doctors because she can’t really understand what message they are trying to convey. She feels ashamed that her daughter might judge her for being an alcoholic. I listen silently and I ask her a few medical questions under the supervision of Dr. A. Zuckerberg at the University of Colorado Hospital. I sit down
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).
When I met my patient for this service project, I was unsure of how I should introduce myself and how I would explain my role relative to their care. My community health worker, Sherron, took all the pressure away from the situation; she had already established a relationship with my patient and I felt more like an invited member into a health care team rather than a new face with something to prove. Sherron had already taken steps to help my patient and I was an added benefit with pharmaceutical knowledge. I spent most of my time reviewing disease states and answering questions about drug therapy. My first interaction with the patient was the first primary care visit; I spent my time extracting medical information from the patient alongside the new physician. This first interaction lasted over an hour, there is no way the patient retained all the details discussed, however Sherron was keeping contact with the physician and was given copies of the patient’s medical record. Sherron kept in constant contact with the patient and was truly the best resource for information besides the patient
In Fundamentals of Nursing, by Perry (2013), nursing assessment is defined by “the deliberate and systematic collection of information about a patient to determine his or her current and past health and functional status and his or her present and past coping patterns.” A comprehensive assessment includes not only data collection about the client, but interpretation of data to target key variances in the client’s wellbeing. Physical assessment as well as information about the patient’s psychiatric health, spiritual health, and demographics of support are all parts of a complete data set. After the initial assessment, the information is interpreted to formulate a care plan with a problem, goal, and list of interventions. Care plans, when combined with active participation
Patient safety incident reporting is a valuable source of information for providers, patients, and policymakers. It promotes accountability, learning, and improvement of patient safety culture. Patient safety is the pursuit of the reduction and mitigation of unsafe acts within the healthcare system, as well as the use of best practices shown to lead to optimal patient outcomes. It is an event or circumstance that could have resulted, or did result, in unnecessary harm to a patient . It is frequently used as a general term for all voluntary patient safety event reporting systems, which rely on those involved in events to provide detailed information .
Behavioral Interview – Clinicians gather the pinpoint information about client and response their consequences. This is a type of Structured Interview.
The initial step involved in the development of a health promotion program is to conduct what is known as a needs assessment. The purpose of the needs assessment is to collect data regarding the health needs of individuals. In addition to this, the needs assessment helps with determining a place to support the program as well as the resources that will provide the status on the development, implementation, and evaluation of the program. Furthermore, the results from the needs assessment provide a basis towards the effort in planning a health promotion program which will focus on the health issue(s) and concern(s) which have been identified by the needs assessment (Fertman & Allensworth, 2010).
The individual I had the pleasure of interviewing was a German/Mexican 86 year old female patient who was admitted in because of a fall at home resulting in a hip fracture. She is a petite woman with a full set of thin, white hair and she does not wear make-up. She was comfortably dressed in a dark blue/gray stripped t-shirt and a pair of black pajama pants with yellow slip-resistant hospital socks. Although she had some hearing difficulties, she was fully alert and oriented. The room where she was staying was plain. Other than her hygiene products, extra clothes, and purse, she did not have many personal items that personalized the room. She is temporarily staying in the acute facility, meanwhile she receives physical therapy.
Our team decided to choose to evaluate the needs assessment pertaining to Pro Specialties Group. In regards to improving the team structure, we have narrowed our discussion down to two areas: Structure and Compelling Direction. We will make suggestions on how the two areas can be revamped from a team perspective, resulting in the divisions of Pro Specialties Group to work together, grow together, and inspire each other. Ideally, after implementing these suggestions as well as others, the departments will work better together, the artists will function as a unit, money will be saved, production will improve, and profits will rise.
Overall, Needs Assessment refers to the evaluative process of collecting and understanding statistics and facts about the need for services and programs (Gupta, Sleezer, & Russ-Eft,2007). Needs Assessments frequently help as a base upon which organizations make choices about where to invest their resources and what people to target for their services (Witkin & Altschuld, 1995). In addition, in Needs Assessment, the data collected can help organizations and individuals prioritize their services and improve existing programs to meet the requirements of various sub-populations (Astramovich, Hoskins, & Erford, 2008).
My first day of clinical was more of an orientation to floor. My preceptor orientated me to the unit by showing me where everything was at for both safety and emergency reasons. This week I took care of care two patients, but my focus was on one patient because the other patient was on comfort care. I did physical assessments on both patients and I administered IV and NG tube medications. I started an IV on one patient on the unit and I performed blood draws on other patients on the unit. I suctioned my patients. I prioritized my patients based on acuity. One of my patients was in ARDs due to Gillian-barre syndrome and the other on was on comfort care. I demonstrated professionalism by showing up on time and asking questions when we were out of the patients’ rooms. I demonstrated safe nursing practice by performing hand hygiene, adjusting the beds to my height and administered medication when my preceptor was in the room.
An ongoing feature of life, from the day we are born to the day we pass we are assessed, from birth, we are measured against benchmarks. I believe any assessment conducted to help improve a student holds the most value.