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Issues facing nurses today
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Jarvis (2016) have emphasized that the health history of the person is indicative of that person’s perspective of health. In honesty, I had trouble interviewing Ms. Tina Jones in gathering her history of present illness on my first attempt in Shadow Health. As the interview progressed, my mind went blank because I could no longer think of what questions to ask. Working on a night shift definitely has disadvantages. One of such disadvantages is not being able to experience a new patient admission process. The majority part of the admission is done during the day or early part of the evening shift when the patient first arrived. I have to finished only the part of the admission that wasn’t done, such as edema measurement and Braden scale assessment.
In the Shadow of Illness, the book describes different experiences of families who have or had children with cystic fibrosis (CF). CF is an inherited disease that is passed on from the mother or father who is a carrier, but doesn’t have the condition. Doctors have figured that in this scenario, the parents are likely to have a child with CF. Individuals with CF have to take Cotazymes to help the pancreas digest food. If the person does not take these enzymes, the food goes straight through them as diarrhea. Also, the person’s lungs are affected by a thick mucus that must be removed or thinned before it clogs. Doctors recommend the patient to perform daily breathing exercises that prevent the mucus from thickening; for example, swimming
... social life issues. Supporting to these Todd et al. (1993) demonstrated that nurses with 8 hour shifts had a high level of satisfaction than nurses worked for 12 hour shifts. However, contradictory results were found in Stone et al.(2006) study. They reported a significant level of nurse’s satisfaction was revealed with 12-hour shifts than those with 8-hour shifts. Furthermore, in 1996 Golec et al. carried out a study to compare the effect of 8 and 12 hour shifts among ICU nurses. The finding revealed that the nurses with 12-hour shifts demonstrate less social and family disruption than 8-hour shifts. Nevertheless, 12-hour shifts reported more health, and wellbeing complains s than 8-hour shifts. In addition, the study indicated that although 12-hour shifts provide more days off, it appears to be insufficient to dispel the adverse effects on health and wellbeing.
...shift is the last shift of the day. It’s from 10 to 6 am or 11 to 7 am. Night crew turns and positions the patients or residents every hour or two depends on the care plan. They make four rounds at night usually one at the beginning of the shift, at twelve, two, and at five before the shift ends. Night shift cleans and sanitizes the wheelchairs, handlebars, doors, and day to day equipment used. All the shifts have the same purpose to keep the helpless safety and as clean as possible.
...to communicate with your patient in order for them to be updated with their family’s sickness. And also have compassion towards them. You are likely to see a lot of injuries and scenarios play out among patients that have been admitted to the hospital. There are many achievements in this field that you may accomplish. And priorities that you have to deal with. For instants your time you have to adjust your schedule.
Whittemore R. (2000). Graduate student scholarship. Consequences of not "knowing the patient". Clinical Nurse Specialist. 14(2), 75-81.
Reinventing Healthcare-A Fred Friendly Seminar was produced in 2008. The film explores the current issues in health care at that time. This paper explores the issues that were addressed in the movie and compares them to the problems of health care today.
Over the course of time that myself and the other members of my group spent at Medshare’s National Headquarters and Southeast Region Distribution Center, I gained a valuable experience and broadened my horizons with regards to the international medical aid that the non-profit Medshare provides around the world. The staff and crew that serve at Medshare’s Southeast Region Distribution Center, all have different backgrounds and stories as to how they originally connected to the organization. Some members of the crew included individuals who went to university and received undergraduate degrees in the disciplines of Pre-Med, International Business, and Human Services, while other older members of staff included doctors
Healthcare is a dynamic, ever-changing environment. The complex circumstances around daily conversations that encompass life-threatening decisions are critical. In order to deliver high quality care, individuals must be able to communicate effectively. In the perfect world of communication, everyone receives the exact same information and is able to respond the exact same way. Unfortunately, communication breakdown is a prevalent issue among hospitals. On any given day of the hospital arena, multiple interactions take place. Some of the dialogue is planned, and some is not. While hospital departments are living in different silos within the same organization, the cultures may vary among the employees. Hospital leadership fosters the importance of collaboration within the organization and depends on the employees to ultimately drive the process. In order to overcome communication barriers in the workplace, conversations must occur. Engaging in daily face-to-face meetings with employees increases positive work culture, morale and overall productivity.
It is hard to imagine life without health insurance. If you have any type of medical problem that requires attention, and you have appropriate health care insurance, you can be cared for in the finest of private hospitals. You can get great treatment and your ailments, depending on the severity, can be treated as soon as possible. Doctors, physicians and surgeons are willing to put out a big effort if they know that they are dealing with patients who are insured and have the money to go under extensive medical treatment. But imagine life without such luxuries. For example, what happens if a relative requires much needed surgery, but does not have health insurance to cover the procedure? What happens if a lack of medical insurance prevents you or your family from seeing a doctor, which could result in health problems that had not been identified but could have been treated before they became life threatening? These scenarios may seem far-fetched, but these types of situations happen to people who lack health coverage everyday. There is a true story about a patient who was insured and diagnosed with treatable cervical cancer. Unfortunately, she lost her job and with it her insurance. She was then unable to see her private doctor, and was turned away from other hospitals because ?cancer treatment is not considered an emergency in a patient who can?t pay? (?Help for D.C.?s Uninsured?). The woman later died at her home without ever being treated. This example raises the question, since when are people with less money less deserving of health care or appropriate treatment?
She is a 53 years old woman, mother of three children, and has been married for 26 years. For a person of her age, she really knows how to take care of herself. She makes sure she goes for a walk or ride her bike at least 4 times a week, and balance her food by making sure she gets the amount of protein, carbs, and others that her body needs. She has decided to return to school to become a registered nurse (RN) because she doesn’t like her profession now which is certified nurse assistant (CNA). Some of the observations I made before the interview is how she is always on her feet, and does not get as much sleeps as she needs at her
When it comes to switching shifts, nurses usually give a quick report on the patient, so the oncoming nurse knows what is going on with the patients. Sometimes nurses are rushing through the report, skipping through vital information, which can cause harm in our patients. We must have a standard hand off report each nurse must follow to provide patient safety and satisfaction.
In recent years, reflection has undoubtedly become an important concept in nursing (Price 2004). However, Siviter (2004) explained that reflection is about gaining self-confidence, identify when we need to improve, learning from our own mistakes, looking at other perspectives, improving the future by learning from the experiences, assist an ability to adapt new situations, develop self-esteem, adding value and professionalizing practice. Reflections are based on the Gibbs reflective cycle model (1988). This reflection model consists of six stages to complete one cycle, which facilitates our ability to improve our nursing practice continuously and learning from the experiences for better practices in the future. (Dye, 2011).
As I woke up in the morning to get ready for my home health day, I couldn’t help but be excited to try something new. I had tons of questions and couldn’t wait to explore what was behind the door of home health nursing.
This week I asked my field instructor what skills, knowledge, and values are most needed by social work students in my practicum setting? My supervisor responded, “ You should have a high compassion level for people along with a mutual respect for them, a wider range of community services that are available in the area, and be well versed and rounded in crisis intervention theory along with cultural diversity. Everything that my field supervisor suggested coincides with the generalist competencies described in table 3.1, there is nothing that contrasts with this table. I agree with my supervisor one hundred percent if I do not have at least a basic knowledge and at least some compassion and respect then social work number one would not be the
Rogers, understanding this, tried to inspire those in nursing to no longer look at these patients are the parts of themselves that were ill, but to instead look towards their health and illnesses along with the person themselves as a whole. In a life that is so busy for everyone, it’s always been a refreshing moment when someone brings in the aspects that don’t necessarily apply to the reason of my visit, but are still important regardless. Rogers work in both pushing for a more ‘human’ understanding of our daily interactions as nurses is inspiring for the fact that it is simple but so easily overlooked that when someone finally does it, it brings that much more into the therapeutic relationship.