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The relationship between nurse and patient
The nurse patient relationship
The relationship between nurse and patient
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As you are aware Barry Staley residing at McLees, ICF CCNS-Services for people with Developmental Disability 112-16, 200 Street, St. Albans, NY 11412, has been transferred to Silver Crest Nursing Home, a Long Term Rehabilitation Nursing Facility. As of 10/24/14 Barry is now residing at the Silver Crest Nursing Long Term Facility located at 144-45 87th Avenue Jamaica, New York 11435. Prior to this move Barry was admitted from (name Hospital) from (date) to (date) receiving treatment for (condition). During hospital stay a discharge meeting was held. Subsequently he was moved to a nursing home.
My chosen career path at this point in life is to be an Executive Director for a Long Term care Nursing Facility. In the world of for-profit Long Term Care Nursing, everything has a dollar amount associated with it. The average cost of a LTC Nursing facility in the state of Maryland is about $7k per month; unfortunately, people are not able to pay out of pocket this amount of money and the financial burden can tear families apart when coming to the decision that their loved one can no longer care for themselves. Financial concerns should be the least of a families concerns when making such a life altering decision. Nowadays the LTC Nursing facility does not just cater to the needs of the elderly but to also a much younger populations who are
Dana Wong is a seventy-year old female who had an ischemic stroke, and is entering our care facility after a seven-day stay at Mercy North Medical Center. The stroke has left her in a wheel chair with decreased mobility on the left side, slurred speech, and relaxed features. The referral came from Dr. Parker on September 12, 2015, which was four days after her admission in the hospital, and request that Mrs. Wong undergo two months of physical, occupational, and speech therapy before she returns to her home at Green Meadows, an assisted care living facility. Dr. Parker noted that Mrs. Wong can benefit from our services, and believes that she can make an adequate recovery, because she is determined to maintain her independent lifestyle. Mrs. Wong has full coverage from Blue Cross Blue Shield, who has agreed to pay for her stay at the facility for a maximum of two months.
Good Morning, I am writing you to bring to your attention an issue UHC is having with Morning Side Nursing Home located in Bronx, NY. The following members are enrolled in our UHC Personal Assist MLTC, authorized for long term custodial care. The facility has not been cooperating in submitting the conversion documentation to HRA for chronic care eligibility determination. I have contacted the facility’s Medicaid Coordinator Andrea Gurango since November of 2016 regarding member Kamrun Nehar and made arrangements to follow up with her in a few weeks on the status of the conversion application. From November till now I have called and sent emails to Andrea requesting status.
The Enrolled Nurse working with the Registered Nurse may coordinate a family case conference, with the aim of encouraging the family to assist Harold. The case conference would discuss Harold’s condition and the impact on daily life, treatment that Harold will be receiving and how the family may be able to assist Harold with his mobility through encouragement and providing social support for Harold. The social support may include the family offering to do the shopping, paying bills and taking the Smith’s out for a social outing such as lunch or
It is my analysis of the financial burden and decisions we had to make for my grandmother is that as the demand increases for long-term care as the baby boomer population ages, Medicare and Medicaid will be forced to reevaluate how they pay for long-term care. Many states are not equipped to handle the comprehensive needs of this aging population (Ford, Henderson, & Handley, 2010). Also, families are forced to take on enormous financial burdens due to the lack of coverage by Medicare (Can Medicare, 2015). The are no true pros to this situation.
She is transferred to a long-term care facility for intravenous antibiotics, ventilator weaning, and rehabilitation (Prizio, n.d.). Annette’s goals by
FINDINGS Occupational Profile: BK is a widowed, Army veteran living in the Marydell retirement village, which is funded by the Arch Diocese of Wilmington, DE. She is a 68 year old, whom engages in daily occupations in a powered wheel chair due to a left AKA. She is functionally mobile in a 1 floor apartment using the powered chair and upright walker. She has a positive outlook, displaying resiliency navigating her home, which is not ADA compliant. Due to chronic RA her UE strength and ROM are limited, and the accompanying Sjogern Syndrome limits her visibility.
The cost of nonadherence is estimated to cost the US healthcare system $100 to $300 billion a year (Phrma, 2015). This figures includes cost of hospitalization, premature death and nursing home admission. Adding an additional $2,000 to the annual per patient cost, 40% of the nursing homes admission has been associated with non-adherence (Phrma, 2015). Socioeconomic factors One’s socioeconomic levels can contribute to negatives outcomes related nonadherence.
This essay will discuss a chosen individual with hip fracture from practise placement and explore the context to which health and social care is administered in the UK. CMOP-E model will be used to examine the theoretical concepts of occupational therapy and the identification of occupational performance needs of the chosen patient. The role of multi disciplinary team participation will be discussed with reference to the patient’s treatment whilst demonstrating safe practise in relation to personal safety and safety of others. An 89 years old lady was admitted to the hospital due to a fall at home and fractures her right hip. Mrs Jones (pseudo name) lives alone in a three - bedroom house privately owned with stair lift, bedrooms and bathroom
Educating the staff on alternatives is essential to reduce the use of restraints such as providing a quiet environment and fall precaution measures. Additionally, care must be individualized and we encourage visits from family and friends. The caregivers must give priority to respect for the dignity of the residents. I agree the family and care giving team must work together in the decision-making process. Have a good
In the London Nursing Home, the manager and employee will have ongoing communication about performance management. This will happen thought out the year, the Performance Management process is a cycle which consist of planning, checking-In, and review. The manager and employee will discuss setting objectives, clarifying expectations, discussing goals, getting feedback and reviewing results to establish new objectives for the next performance period. To establish further growth and progress development in an employee, the manager will do a performance appraisal which is normally done in a systematic way.
It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
There was an experience where a nurse was assigned to him and she gave him hundred percent attention and took complete care of him. She kept him relaxed, communicated on a personal level and listened to him. Consequently, as we discussed earlier, this has improved Mr.Taylor’s experience. Key facilitators for Mr. Taylor’s health care experience Mr.Taylor is generally satisfied with the health care provided by the dp clinic chosen by him. The surgeon he visited was brutally honest with him which helped Mr.Taylor understand the seriousness of the injury.
