While it would have been unquestionably beneficial to the patient and indeed to this nurse to be able to engage in a more meaningful, enlightened, and research-based discussion of her condition and methods for addressing it, this nurse simply did not have the time to devote to reading the latest research on diabetes care in addition to remaining prepared for all patients. The policies of the organization in which the nurse was functioning do not support the use of at-work time for engaging in reading, nor is there a substantial knowledge-sharing apparatus at work: the published and long-accepted guidelines for care remain largely unchanged not only from day-to-day but from year to year, as well. Overcoming this barrier is fraught with practical difficulties, not the least of which are the financial pressures on the organization to perform as a volume operation -- the number of patients treated in a day rather than the quality of care the patients receive (so long as it is above a minimum threshold) determines the...
Nurses are not given the time to try to make care improvements through increased reviews of current research and literature, and the organization cannot adequately engage in such research reviews itself without additional funding -- which could only come from treating more patients, which would require greater levels of research in order to continue improving care. Engaging in coordinated and focused research during off-time and establishing a more regular and monitored knowledge sharing rpogram amongst the nursing and medical staff could greatly impact this situation, leading to greater levels of evidence-based practice.
Combined with the widespread entry of women into the labor force, an aging population, and minimal assistance for high quality long-term care at the end of life, these economic and social conditions raise a set of difficult policy questions for health services planning. Set in these broad contexts, this paper situates access to and experience of health services in the home, the hospital, and nursing facility, to demonstrate how
Nursing Case and Care Plan William Smith is a 68-year-old man who was transferred to the Palliative Care ward from a surgical ward three days ago. The patient was admitted on January 26, 2013 for removal of a sacral abscess that had been a source of a lot of pain to him. Following his surgery, his future management was evaluated and it was decided that he would be transferred to the
Although patient resistance may be high in some instances, the proposed benefits appear to far outweigh the unwillingness of the patient to participate. Secure Funding The proposed program can be carried out with minimal funding. If funding is required, it is possible that the organization could obtain funding from a government grant or through the assistance of a non-profit organization. The most challenging issue created in this context is that of
Nurse-Care Analysis of Sheepshead Bay The area is 4,074 square miles. Its population is 123,178. The people density of people who live in Sheepshead Bay compared to general inhabitants of Brooklyn of people per square mile is 30,233 to 34,917 (City-data.com; web). On my visits there, I was astounded by the mass of people rubbing shoulders one with the other. The streets seemed dense and crowded with a great number of
Other cultural perceptions may impact the way in which illness is perceived and, thus, change the individuals' treatment-seeking behavior (Taylor et al., 2008). For example, some cultures simply do not believe in certain types of illness, like mental illness. If a culture does not perceive a type of illness to exist, people within the culture are unlikely to seek treatment. A care plan should be aware of these cultural barriers
Jean Watson and in reality "belonging becomes an ethic in itself and guides how we sustain our being in the world." Dr. Watson emphasizes the fact that the practices of nursing have experienced evolution and this has allowed certain distortions in the nursing practices. Dr. Watson brings to attention 'Palmer's epistemology as ethics' yet the epistemology, in the view of Palmer to be 'informed by cosmology' has great power
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