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katia340: The objective of hospice care is to make the patient comfortable and to ensure they live their end of life in peace and to their fullest, also taking the burden of family members. Hospice care entails management and control of the symptoms, stress, mental health, pain, family, and spiritual support. The hospice team works with family members to ensure that care and support are provided. The family member collaborates with the hospice professionals and the patient to generate a care plan based on the patient’s unique needs and what the patient prefers. Hospice makes the environment comfortable for the patient and the family, and the team makes the surroundings familiar so that the patient feels safe and secure. Hospice also supports the family and caregiver by providing bereavement services (Wajid et al., 2021).
Ann340: In this situation the faith community nurse should first check in with the daughter and make sure that she is doing ok and see what help she is willing to take. It may be simply having some meals brought to her or having someone come and sit with her and talk while she is helping her father. Once it is determined what kind of assistance she is willing to take then you could reach out to the church members and ask for assistance in helping this family in need. I do think it is important to talk to and speak to the daughter first as she may not be willing to accept the help. Most churches are great at helping it’s fellow members in time of need as almost of us at some point in our lives need to learn on others to get through the tough times. It is important to make sure you are supporting the daughter while also not taking away her ability to help her father.
Victoria490: By giving healthcare professionals real-time access to patient data, allowing them to make more informed decisions and provide more effective care, the meaningful use of data from electronic health records (EHRs) has the potential to significantly enhance population health (Uslu & Stausberg, 2021). EHRs can give healthcare professionals a complete picture of a patient’s health, including their medical history, current medications, and treatment plan, by collecting patient data from various sources and making it available (Chin & Sakuda, 2012). By recognizing and treating health inequities, meaningful use of EHR data can significantly enhance population health. EHRs can detect patterns and trends in health outcomes for particular populations, including members of racial and ethnic minorities or people residing in particular geographic locations, by analyzing vast volumes of patient data (Uslu & Stausberg, 2021). This information can subsequently be utilized to focus initiatives and enhance these populations’ health outcomes (Uslu & Stausberg, 2021). I have noticed that the better data I gather through electronic health records the better care I provide to my patients. Collecting more accurate data and ensuring that I collect complete data related to patients has a direct impact on the quality of healthcare services I provide to such patients. In my nursing experience they are different incidences where electronic health records have improved patient outcomes such as when attending to diabetes patients. Keeping accurate records of the blood sugar control among diabetes patients through electronic health records plays a significant role in helping to improve the outcomes. The only negative impact related to the use of EHRs include issues related to data privacy (Keshta & Odeh, 2021
Karen490: The use of data is empirically important in improving the quality of healthcare and health outcomes. Examples are electronically prescribed prescriptions that allows patients to easily have access to ordering their medications and to contact physicans and pharmacists for any questions or concerns. Physicians are also able to review medical information in real time and reduce medication errors that has caused more deaths than breast cancer, aids and motor vehicle accidents combined (Chin & Sakuda, 2012). Also, physicans, nurses and all healthcare professionals involved in the care will have access to all data necessary to reduce medical errors and injury. Communication between disciplines will be fluid and more efficient. Data collection is a vital part of nursing and how we care for patients. Medical history as well as previous care provided is important to be able to provide care that the patient needs. For example, during my work as an intake nurse, information that the patient provides is key in being able to advocate for the patient in needs that was not previously ordered. There are patients who have home health referrals for disciplines such as PT and when speaking to the patient, they also need social workers involved to be able to assist with resources such as assistance with finding caregivers. But electronic health records also can have a negative impact when not used in real time. Medication errors occur when nurses do not chart correct doses or time when given.
Idalmi495: This week I was working on the presentation of the community teaching project, where like last week we brought together a group from the community affected by diabetes or some who just came to learn about diabetes, this week teaching was very difficult for me, the elderly with the lancet to teach them to prick their finger, we even discovered that many did not know how to do it or did it with a bad technique that could give an error in the result. Potential user errors such as applying insufficient blood to the strip,(Leann Olansky, MD; Laurence Kennedy, MD, FRCP,2010)
The part of the teaching where we instruct patients on diet and exercise was also of great interest. You had to have skills to be able to make them understand that fruits and vegetables are very important. The community here is Hispanic and the truth is that we are used to rice and beans, it was difficult to tell them that this is not enough to maintain a good diet and that this diet is full of carbohydrates with a high glycemic index, there would be new interventions used with the group trying to demonstrate the glycemic index of some fruits and vegetables, but it was also a challenge to get them to practice some passive exercises for people in the sedentary group, who never exercised and did not know about the complications of diabetes.
Erika495: I learned some very interesting things this week. While discussing many duties that the DON has and her adjustment to her new role, we went over employees, and how she must sometimes discipline and/or guide them as there are many different personalities and work habits she has to deal with, when it comes to her nurses. She shared that one of her nurses tends to be very autonomous, a little too much, and finds herself making big decisions without collaborating with the DON or MD. This is not necessarily allowed, when it comes to accepting or declining hospice admits and therefore the DON has to remind her that she must communicate the findings that may cause the facility to decline a patient or the possible barriers that may be an issue in being able to accept the patient before making a final decision on the admission or declination of the patient. She also shared that not all her staff is like this one particular nurse, but that makes her job a little harder, because she does not enjoy having to remind the nurse that she cannot make those decisions on her own. I also learned that if a patient does not have a safe place to discharge to, hospice will not admit the patient. The DON was dealing with a patient who, unfortunately had a significant other that was her only possible support system if discharged home, but her boyfriend was a substance abuse user and because of this not considered safe. The DON had to communicate with the hospital that unless there was a safe facility or home the patient would be discharged to then she could not allow the admission into hospice. This, of course was after the DON communicated with the MD/owner of the facility and they agreed on the decision. The patient was on hold until the hospital confirmed a safe discharge. It’s California law, “Before a hospital can transfer a patient to another health facility, the hospital must make arrangements for admission with the receiving health facility. (22 Cal. Code of Regs. Section 71717(f)(1)) The hospital must also have a determination from the patient’s physician that the transfer will not create a hazard to the patient. (22 Cal. Code of Regs. Section 71717(f)(2))� (CANHR, 2022, np) and as I learned, it’s hospice policy to ensure there is a safe discharge in order for hospice to allow admission of patient for services.