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Initiating and managing change
Initiating and Implementing Change
Initiating and managing change
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My interest in rheumatology started early in life when listening to my father speak to his patients as I helped out in his private clinic in Colombia. At that time, I was just finishing high school and too young to understand the details of the conversations, but they triggered my curiosity, which was the seed that finally resulted in my decision to apply for this fellowship. I also worked with him on my medical school vacations and in my free time as well as on the rotations provided by my program in Colombia. Soon after graduation from medical school, I started working part time for my father and another general practitioner, managing patients under his supervision. I also taught my father’s third-year medical students and soon had the opportunity to teach second-year medical students in the anatomy lab at my alma mater. Both these experiences led me to consider a new direction in my life. I no longer wanted to just sit in an office and treat patients; sharing my knowledge with others became another reason to wake up in the morning and to go to work and break the everyday monotony. …show more content…
My job included evaluating patients and managing the research team, including ensuring that the medical team and research coordinators were following the study’s protocols. Together we improved the quality of care delivered to our patients by improving the process of taking patient samples to expedite their processing by the laboratory and initiating the establishment of an infusion clinic. We also obtained approvals from the health authorities, reviewed upcoming studies, and negotiated with the study’s sponsors, among other tasks. From this experience, I learned that promoting change is difficult and that you can expect to encounter resistance. However, by persevering and acting with noble intentions, we managed to achieve our
Building on the successful work of health care providers will help with the campaign of saving 100,000 lives. Through his speech, Dr. Berwick introduce six changes that every hospital needs to implement in order to save lives that will bring family together. The six changes Dr. Berwick wish every health care organization needs work on that will help save these lives are to deploy rapid response team, deliver reliable care for acute myocardial infarctions, prevention of ventilator associated pneumonia bundles, prevention of central venous line bundles, prevention of surgical site infection prophylaxis medication and prevention of adverse drug events with reconciliation. Even though the lives save may not know who they are, it will bring community and family together. According to Dr. Berwick “The names of the patients whose lives we save can never be known. Our contribution will be what did not happen to them. And, though they are unknown, we will know that mothers and fathers are at graduations and weddings they would have missed, and that grandchildren will know grandparents they might never have known, and holidays will be taken, and work completed, and books read, and symphonies heard, and gardens tended that, without our work, would never have
Rheumatoid arthritis is a chronic inflammatory and an autoimmune disease that occurs when the immune system mistakenly attacks the body’s tissue (Rheumatoid arthritis, 2017). This disease affects the entire body, which is called a systemic (means entire body) disease. Arthritis is derived from the word part arthr-, which means “joint,” and -itis, which means “inflammation,” so altogether it means “inflammation of the joints.” It creates inflammation that causes the tissue that lines the inside of joints (synovium) to thicken. About 1.5 million people in the U.S. are affected. It affects all races, but it affects three times as many women than men (What is Rheumatoid Arthritis, n.d.). Overtime, rheumatoid arthritis causes painful swelling that can potentially result in bone erosion or joint deformity, which leads up to physical disabilities. RA can affect more than just your joints, but can spread to body systems, skin, eyes, lungs, heart, blood vessels, e.t.c (Rheumatoid arthritis, 2017).
...ecause it gave me an opportunity to hear the perspective of other health care professionals that are not in the same field as me. I also got to learn what role each health care professional could contribute to the Triple Aim goal. Also, this experience would make it easier for me to work with other professionals during my course of study and after I graduate because I have been a little exposure to what it is going to be like discussing and trying to figure out ways we can contribute to the Triple Aim goal together as a team.
My passion and admiration for the healthcare field began during my teenage years, when I was diagnosed with rheumatoid arthritis—a chronic, autoimmune disease affecting various joints throughout my body. As I went through years of treatment, my physician and other medical professionals were instrumental in helping me to maintain a positive attitude after my diagnosis. Their care was the impetus for my future goals, as I saw the genuine goodness that they felt from helping others. As a result of all the medical help and emotional support that I received from these medical providers throughout my youth, I have chosen to pursue a career in the service of others through the public health field.
Rheumatoid Arthritis is when the joints are chronically inflamed, which happens because it is an autoimmune disease which means that the immune system attacks the body tissues. Although Rheumatoid Arthritis mainly affects the joints, it can also affect other organs.
I found a job as CNA for the patient who had disabilities. One patient in particular changed the direction of my life and started me thinking about working in medicine. I took care of an older woman who was unable to ambulate due to her diagnosis of stroke. She experienced chronic weakness of bilateral lower extremity so I supported her with my arms to steady her. When I looked into her eyes, I could feel her saying, “you truly care about me, understand me, and thank you for taking the time to sense my expression and desire.” That’s the care all of us have deep inside, where our motives no longer become self-seeking but other-seeking. This care has the power to exponentially change that person’s life and the lives of others. It is true that other patients helped me decide to go into medicine, but Stacy had the biggest impact in my
Furthermore, my mind constantly stayed open to pursuing a new calling. One day, I was at Ruby Memorial Hospital where I was getting an ultrasound of my heart done. My sonographer came into the room; he was very professional, an all-around friendly person. He explained everything
“Always remember to be an internist, my dear.” This was an invaluable piece of feedback I received on a rheumatology rotation in my first year of internal medicine residency. Truly, I have never learned so much about medicine as I did during this first rotation in rheumatology. I became fascinated by the subtle presentations and cases that posed a diagnostic challenge to multiple subspecialties. I have been inspired by rheumatology as a field where multisystem disease is encountered on a daily basis and rheumatologists must use both general medicine and subspecialty skillsets to diagnose and treat patients. The academic challenges in rheumatology initially attracted me to the field however my subsequent experiences with patients, mentors, and research have made me passionate about pursuing rheumatology as my specialty.
In turn, I benefited from further improving my ability to work as part of a team of professionals and I gained immense confidence practicing medicine in an evidence-based environment.
After completing registered nursing school in 2006, a few years later, I obtained a bachelor’s of Science in Nursing in 2016. Over the last 10 years, I have tried to look for inefficient procedures, finds ways to streamline them, and consistently have striven to boost the productivity of everyone around me. Working as a nursing supervisor an area hospital for the last 3 years, I have tried to promote healthy patient outcomes. I understand the need for procedures but I also try to maximized the time spent educating the patients and family. By allowing time for good explanations to both the patient and family development of an understanding their disease process can occur. This empowers them to make informed decisions and promote health improvements. Throughout my career in nursing, I have tried to successfully communicate and partner with other members in
I interned a cardiologist where I got to see the life of a physician as he went about his daily routine. I achieved getting my Certified Nursing Assistant license after assisting patients at a nursing home. I became a camp counselor for the Muscular Dystrophy Association, where I took care of a 10-year-old child during a summer camp. Through these experiences, I gained confidence in my character and purposefulness. Furthermore, I went on a mission trip to Kenya where I experienced life in a third world country. It was here where my eyes were opened to see a world that is in dire need of help. These people are malnourished, living in detrimental conditions without accessible health care. The experiences I had in Kenya reminded me to never take anything for granted. My engagement acting on all these opportunities fueled my perseverance to pursue my career in health
While a clinical research coordinator exudes many diverse skills, I envision some changes to the core competencies that will be required in order to be successful in coordinating clinical trials that are technologically advanced globally. For example, some clinical research coordinators can be more dependent on charting and paper derived source. With the continued advancements in technology, these coordinators may soon develop the comfort and security to working more independently as patient centered technologies are developed to be more innovative and user friendly. A coordinator who is adaptable and flexible to incorporating new skills will enhance and accentuate the technological growth both strategically and globally. New skills will include employees becoming more proficient in informational and diagnostic technology and problem solving skills.
On these occasions, I rely on my nursing assessment, evaluation, and interventions, collaborative skills, and scientific knowledge to make sound clinical judgments for the benefit of my patients. As a hemodialysis nurse, I will persevere to comply with innovation in nursing practice, EBP, research, and education. I believe growth requires generation of innovative, improved ideas and practices for the betterment of the organization and patient satisfaction. For this reason, I will embrace technological advancements; empower front line staff to embrace change and innovation; and motivate staff to be change agents on the floor with the aim to provide better quality of care for our
In considering the future of Clinical Research, we must draw from the past. We have come a long way in clinical research with implementation of more technology such as use of eCRFs, electronic regulatory submissions, electronic drug accountability, etc. These changes have made a huge impact in how we conduct business. They have allowed research trials to be run more efficiently and have reduced our timelines, allowing new drugs to be approved faster.
Home Care and Easing Arthritis Pain Inflammation is the body's way of responding to danger and protecting itself. When the body misreads a situation, however, the result can be painful. Dr. Mansour Mohamadzadeh, director of the Center for Inflammation and Mucosal Immunology at the University of Florida, notes, "In a healthy situation, inflammation serves as a good friend to our body. But if immune cells start to overreact, that inflammation can be totally directed against us." Some of the reasons the body may react with inflammation include bacteria, viruses, parasites, cancerous cells, degenerative diseases, and autoimmune disorders.