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Role of registered nurse
Role of registered nurse
Role of registered nurse
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Home healthcare has always been available. It was just done only in cases of emergency. Going as far
as the 1920s, if someone become gravely ill, the doctor would come to them. This was the trend until
they realized that, while the doctor was giving attention to that one patient, someone who needed him
was dying. That started the popularity of hospitals. This way the patients would all be in one place and
the doctor could treat everyone in a timely manner. This worked, but soon it was realized that many of
these patients needed follow-up visits, monitoring of medications and help adjusting to the new
lifestyle due to the illness. According to a USA Today article (May 2012), home healthcare become
popular around the late 80s. Registered
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This is done by CNAs, LPNs, and RNs. This allows elderly I
individuals to stay in their home and be productive without being institutionalized. For example, the
certified nurses assistant helps them with cooking, taking medications on a set schedule, washing
clothes and even washing their bodies. This helps the patient to adjust back to the normal events of
everyday life, while they are recuperating. Family members are able to go to work ,knowing that there
is someone with their love one. They are not alone and if an emergency occurs the aid would know
what to do. Travel and distance are also to main factors in home healthcare. There are many people
who are disabled, a large population of elderly adults and many who live in rural parts of the country.
These individuals can 't get to their follow-up doctors appointments and recommended therapy. With the
tremendous growth of home healthcare, physical therapist, speech therapist and occupational therapist
can now make set appointments and go to the homes of their patients and hold therapy sessions. Elderly
patients that may develop bed sore or infections in surgical wounds can now receive wound
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Families that have exhausted all forms of treatment and are now focusing on quality of life and
making sure that their loved ones are comfortable turn to hospice care. More and more families are
choosing hospice care. USA Today reported (Feb 2013) that hospice care increased from 21.9% in
2000 to 42.2% in 2013. According to the study, people dying of cancer are more likely to use hospice. Others that suffer from advanced dementia or Chronic obstructive pulmonary disease also utilize this
form of home healthcare. Daily, more families are deciding to have a home birth over a hospital birth.
For them it is safe, natural and more peaceful. The CDC has reported (Jan 2012) that home births have
increased from 0.84% in 2011 to 0.89% in 2012. Home birth is not suggested by traditional physicians.
But, many families believe that the drugs used during the births in hospitals leads to autism and
clinical /behavioral disorders. Holistic methods to treat pain such as chanting and meditation are now
even incorporated in hospital births.
Within healthcare, MONEY is the the “game changer”. Without funding most
Many people are unaware of what Hospice does and where they can find one, but Hospices have actually been around since the Middle Ages. People living during the time made shelters where they took in weary people who had no place to go. They called these places “Hospices” (History of Hospice). Later on, Dame Cicely Saunders had an idea to expand these places. Dame Cicely Saunders served as a nurse during World War II (The National Hospice Foundation). After watching all of the soldiers suffering during the war, Saunders was devastated to see all of those men die painful deaths. This sparked the idea for Saunders to create a place where people could peacefully die. She would call this place “Hospice”. The first Hospice was established in London in 1967 (The National Hospice Foundation). After opening the London Hospice, Saunders decided she wa...
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.
Johnson, K. C., & Daviss, B. A. (2005). Outcomes of planned home births with certified professional midwives: large prospective study in North America. Bmj, 330(7505), 1416.
There was also a particular process to admit patients to the hospital. To be transported from the
in the first place and was suffering from other major illnesses. The society does not
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Hospice always patient and families the automaty to decide a choice of end of life care. It allows who prefer to end life in their homes, pain free, surrounded by family and loved ones: Hospice works to make this happen. The focus in on caring, not curing. Hospice utilizes an interdisciplinary team of healthcare professionals and trained volunteers that address symptom control, pain management, and emotional and spiritual support expressly tailored to the patient's needs and wishes. Hospice is not “giving up,” nor is it a form of euthanasia or physician assisted
...e gap in attitudes between pre-medicalized and modern time periods. The trends of technological advancement and human understanding project a completely medicalized future in which medical authorities cement their place above an intently obedient society.
to the disease. Many people who knew nothing about medicine used this as an opportunity to get
Ms. H has 3 adult children and 4 grandchildren that are in their early 20’s. During the initial treatment phase Ms. H was employed part time at J.C. Penney. Once she was sent to Jewish for bone marrow transplant, she retired. She is on traditional Medicare with Medicaid due to reaching the cap on her secondary Humana plan. Ms. H is divorced but has a supportive friend Mr. P that has been at her side throughout her diagnosis and treatment. He...
At home births are planned during the prenatal course when I women has met the criteria for low risk pregnancy. In the Netherlands, midwifery is a standard for of care, approximately 35% of all babies are born at home with midwives. In the United states less than 1% of births are done at home, researchers suggest that practitioners’ attitudes, resource availability, and community standards may influence the birth site options offered to women in the United states. In 1995 Floyd published a assessment of options and experiences with home births in the United Kingdom, discovered that home birth improved the experience and well-being of women, babies, and midwives. 226 midwives were asked their opinion on at home birth, 70% of them were favorable towards home birth, however “financial security, liability concerns, and lack of support from other maternity care providers (physicians and nurse-midwife peers) were barriers that affected the choice of practicing in an at home setting.” Home birth nurse-midwives are “looked” down on by hospital personnel, because of the higher risk of lawsuits than those who deliver in a hospital setting. The article finished off with stating “out-of-hospital maternity care
Healthcare reform has been debated throughout history, and continues to be a debate today. An initial healthcare plan was supported by Theodore Roosevelt in 1910. He campaigned on the promise of national healthcare, but he was defeated. Harry Truman proposed it thirty years later but the plan was vigorously opposed by American Medical Association (AMA) as socialized medicine (Palmer, 2010). As a Family Nurse Practitioner (FNP) who has been practicing for more than a year, an advanced nurse with a Master of Science in Administration for ten years, a military nurse leader for twenty years, and a home health and ICU nurse for more than twenty – five years, I agree that we need to rethink the direction of healthcare. Without healthcare reform, the number of uninsured is predicted to increase to 54 million in 2019 according to Deutsche Bank Research trends (2010). This increase in uninsured patients will put a strain on emergency rooms (ERs) as many uninsured patients use ERs as their primary care, which increases healthcare costs and offers poor follow-up care for the patient.
To “live as fully and comfortably as possible” is a key phrase in the care and treatment of a patient under hospice care. Hospice care focuses on the comfort and quality of life for a person with a terminal illness. The focus is not on a cure. A hospice care provider wants to help the patient be as pain free and comfortable as they can be, so that they can live the rest of their life as fully as possible. Unfortunately, more often than not, patients with terminal illnesses are viewed to be too frail to participate in occupations (Russell, M., & Bauh-Lampe, A., 20016). It is also true that people facing the end of their life feel helpless or depressed, lose their ability to participate in a lot of the daily activities they once enjoyed, and experience a loss of dignity. (Badger, S., Macleod, R., & Honey, A. 2016). However, with hospice care, many patients are able to find some degree of comfort, safety and control over their lives during their final days.
When you think of home care for a loved one, you want comfort and convenience with quality of life. A misconception of palliative care is that it is equivalent to hospice care, which concentrates on end of life. However, palliative care is now being offered to patients whether it begins early at diagnosis or throughout ongoing treatment. It is no longer limited to medical settings as more health care agencies are now offering it in home care. Think of palliative care as “comfort” care during any stage of illness.
“Wherever the art of Medicine is loved, there is also a love of Humanity,” says Hippocrates. This love is shown through the efforts of those who work and have worked to improve the medical field for so long to better the United States. Throughout the last one-hundred years the health of the nation and the state of our hospitals in the United States has become a big concern. As the people of the United States health decreases the need for an advanced medical field grows. The medical field is already very advanced and has advanced much in the last one-hundred years. The improvement of surgeries, vaccines, treatments, and everyday medicines are the main focus of the medical industry. When looking at the United States one would see that medical improvements have certainly changed the country for the better.