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Evidence-Based Practice chapter 5
Evidence-Based Practice chapter 5
Evidence-based practice importance
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More handpicked essays just for you.
Evidence-Based Practice chapter 5
Evidence-Based Practice chapter 5
Evidence-based practice importance
Don’t take our word for it - see why 10 million students trust us with their essay needs.
In Kevin t. Keith’s article “doctors should stop treatment that is futile” He addresses his argument on why doctors should should stop futile treatment in a persistent tone.which is addressed to the healthcare network and the families of terminally ill patients. He presented a fair argument with questionable facts, ok anecdotes, and substandard credibility. The facts he uses are questionable at best due to the fact that he has no backing to the facts in his argument. Such as when he states that ”most hospitals and nursing homes have tried not to refuse care...because it leads to bad publicity.”
Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up, while acknowledging the patient/clients best interest. In this professional outline it will be discussed why EBP is so important to start with student nurses career and continuing throughout the nursing career and the second main point will be on the impact it has on patient outcomes regardless of discipline. I believe if this mind set is instilled early in the nurses career the practice will evolve it a more proactive
Training and Education: Policymakers should prioritize education and training programs for healthcare professionals and hospice care providers. These programs should focus on ensuring a clear understanding of policy updates, eligibility criteria, and the importance of regular reassessment of patients' prognoses. Improved knowledge and training will facilitate better decision-making and support for patients and their families (Stacey et al., 2020). V. Stakeholder Engagement: Policymakers should actively engage stakeholders, including healthcare professionals, patient advocacy groups, and hospice providers, in the policy review and revision process. Their expertise and perspectives are crucial in developing a policy that is responsive to the needs of patients and promotes high-quality end-of-life care.
Of course, the process we go through before we arrive at the “enough to medicine” point must be careful and meticulously thought out. The wishes of the loved one as well as the prognosis and available resources must be taken into consideration. However, we must not be afraid of death. Jesus has conquered death! • Quote 6 – This quote really touches on the motivation of the family.
“Physicians consistently underestimate the quality of life of patients who have disabilities. Such underestimation leads physicians to make statements to disabled individuals and their families that may have a traumatic influence on treatment decisions to withhold or withdraw care” (Foley 316). “This lack of training in the care of the dying is further evidenced in practice. Physicians’ lack of knowledge about the control of the symptoms are obvious barriers to the provision of good care at the end of life” (Foley 303). “If the hospice mantra, ‘you matter because you are you and you matter to the last moment of your life and we will do all we can not only to help you die peacefully but to live until you die” (Foley 289).
It brought to my awareness both the limitation and the capacity of medicine. Although there was no medical intervention that could cure the diseases of those terminal patients, their quality of life was improved by an outstanding team of doctors, nurses and volunteers. This awareness helped reconcile myself to the fact that certain things, such as death and terminal illness, can not be avoided or changed. By viewing death as a natural part of life, I will be able to offer my dying patients the best care possible while also understanding my limitation as a physician and a human being.
Life and Death in Assisted Living Facilities Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities.
This is a part of the stage where finding recovery and answers challenge doctors and the loved ones that are suffering. In the Institute of Medicine’s critical report Dying in America, there is an idea that emphasizes the importance of making a decision for the patient that is on the stage of death. JoAnn Grif, writer of Dying in America, identifies that decisions for a patient should be made before as a living will from the patient’s own preference and decision. Letting the doctor know so it can improve communication and awareness for the individual that is on treatment, and this consent should ahead of time and planned out. Although, how soon should patients reveal a will to their doctor, some will ask.
We turn to Pope John Paul II to answers this question from a religious viewpoint. “The request which arises from the human heart in the supreme confrontation with suffering and death, especially when faced with the temptation to give up in utter depression, is above all a request for companionship, sympathy and support in the time of trial. It is a plea for help to keep on hoping when all human hope fails.” The goal, is to improve quality of life for patients, their families and carers by providing care that addresses physical, emotional, social, cultural and spiritual needs. The aim is to help the person live as well as possible; not to die as soon as possible.
The goal is to improve the health and safety of patient while also providing care in a cost-effective manner to improve the outcome for both the patient and the health care system at large. According to Melyn and Fineout-overholt(2005)Evidence-based practice should be a problem-solving approach to clinical practice that integrates a systematic search for critical appraisal of the most relevant evidence to answer a burning clinical question.
Some patients have to choose the so-called End of Life Option Act for them. Ronald Glasser, listed, that the system wasn’t meant to care for sick people; it was meant to make and manage money. The doctors won’t listen to us if we are in the hospital death bed, they will only listen to them self. Ronald Glasser, also mentioned, the physicians and nurses are being prodded by threats and bribes to abdicate allegiance to patients, and to shun the sickest, who may be unprofitable. Most doctors when they see a patient on the death bed they don’t ask the patient if they went to go; they ask family, friends, and themselves not the person that is actually dying from there life.
' Practitioner can play a role in improving the quality of life of a terminally-ill patient in both pharmacological aspects and non-pharmacological aspects. After all, what remains in a patient 's mind is the care and love given by practitioner, not the medical information. Something as simple as a warm-hearted pat on the shoulder or a word of assurance can enlighten their day. If we can treat every patient wholeheartedly, as if he/ she is our friend, it makes significant difference in patient life. Conclusion Hepler & Strand define pharmaceutical care as the responsible provision of medicine therapy for the purpose of improving a patient
(2008) Preliminary report of a palliative care and case management project in an emergency department for chronically ill elderly patients. Journal of Urban Health, 85 (3), 443-51. Montefiore Medical Center created a program in their Emergency Department that identified chronically ill, elderly patients. They found that these patients were more likely to need palliative or home care, and later on hospice care. This preliminary report and case management pilot project made connecting patients to such services and ultimately allowing patients far more accessible options to these types of care.
Kum Martin outlines the challenges that are faced by families and patients in “Some Disadvantages of Hospice Care”. Martin reviews the difficult facts that the family might experience while they are left helpless and ultimately responsible for their family members’ end of life care. Martin asserts that families are faced with providing care and need to stop everything else they are doing in order to care for their loved one. Providing round-the-clock care can be difficult, as many patients who chose hospice are no longer eligible to receive care at the hospital. This means they must be discharged and return home (Martin).
, (2016) study suggest clear and urgent need to design the educational interventions in the effort of improving the end of life care in nursing homes. These interventions need robust evaluation to include the impact on families, residents, and staff and include economic