Difficulties with having Many Health Care Providers More often than not, an increase in health care providers is seen as one reaches old age. From dementia to diabetes, the elderly are treated for a multitude of health implications. It is often forgotten that individuals with multiple severe health conditions also must see many doctors on a yearly basis. Overtreatment is one example of a negative associated with having too many doctors. With overtreatment among these two groups becoming fairly problematic, increased awareness of the negative repercussions of having multiple doctors will lead to an overall improvement in the care of these patients. By identifying the main issues that cause medical wrongdoing, one can make steps to not …show more content…
My sister Lauren has a multitude of health problems ranging from mental retardation, epilepsy, scoliosis, to ADHD, autism, and a neurological deficit causing difficulty swallowing. When she was 14, something changed within her brain that made her completely to eating. It was at this point, at which she weighed in at 47 pounds, that we had to get a feeding tube put in. From her initial diagnoses, my parents knew it was going to be a tolling journey to ensure her health was as good as it could be considering her numerous conditions. Very few could ever be fully prepared though for the road of doctors, medicines, and surgeries that lay ahead.
Lauren’s multiple medical needs require her to see numerous physicians in numerous specialties. One doctor doesn’t have the knowledge or expertise to manage her care independently. On a regular basis Lauren sees a neurologist for her seizures, psychiatrist for her behavior and hyperactivity, a nutritionist and gastroenterologist for her G-tube feedings, a genetic specialist, a primary care physician to treat her everyday illnesses and injuries, and currently an endocrinologist has also been added to the mix.
Working through many phases of trial and error throughout the years, my parents would be the first to say that communication is key in orchestrating this mirage of knowledge. It is crucial that the parents and caregivers of the ill must be
Carper (1978) defined personal knowing as the candid personal relation between a nurse and his/her patient. She encourages nurses to place themselves in their patients’ shoes so they will have the sensitivity and awareness to address not only physical needs. This author believes that this is very important because nurses need to empathize with patients and their family members as they go through difficult illnesses. It is important to remember that each patient, their illnesses and their situations are different and thereby we should approach them differently. This author also believes that this pattern of knowledge helps build a relationship and trust with the patient. This confidence and trust ultimately lead to patient being more comfortable and
Another big role in a pediatric nurse’s job is telling the parents disturbing news when it is necessary. Telling the family any bad news is more of a process than anyone might think. The pediatric nurse responsible for this task must first think ahead, plan for the worse, and plan for the reaction of the family. The pediatric nurse must set time apart from their busy day to be able to spend it with the family of the patient. One is never sure how the family will react or how long it will take to explain all the details and answer all the family’s questions. , According to Crawford in his journal “It is also helpful in many cases to have a witness to what was actually said as sometimes, despite all the care and attention to detail, mixed messages can be conveyed” (Crawford 3). In the article, it also states that the pediatric nurse should give open and honest information to the family. The nurse should start the conversation off letting the family know that they are here to support and encourage. The nurse should be straight forward from there on out and should refrain from using elaborate or confusing words with the child’s family. The nurse should avoid not only confusing the family but also excuses, jargon, elaborate reasoning, and the temptation to speed through the bad news without making 100 percent positive the family understands what they are being told. When the nurse has properly told the family the bad news, he or she must
Communication is key to effective healthcare practices. According to American Journal Of Critical Care (2014), Patient-centered care starts with “effective communication, being empathetic and available, avoiding personal prejudges, and listening therapeutically are integral parts of patient-centered care” (Riley, White, Graham, Alexandrov, 2014, p. 320). This will improve communication; promote patient involvement in care, which creates a positive relationship with the healthcare provider and medical team. This results in improved adherence to treatment plan. Clinical practice guidelines need to be implemented for the patient and family members to be able to be involved in informed decision-making regarding healthcare needs. The fundamental core of nursing is to have a partnership with the patient and their family regarding the patient’s outcome.
Identifying communication needs: use of personal histories; involvement of the individual; involvement of family, friends and carers
2.3 You need as much information as possible about the individual's communication needs to ensure that their wishes and needs are met. Talk to the individual, their family/carers, other professionals involved in their care. If aids are needed (hearing aids, picture cards, pen and paper) make sure that these are available. If language is a barrier maybe learning a few words of their language would help. If their needs change you need to adapt to the changes. Using the internet, reading books, Journals, reports and reviews are good way of obtaining information providing you know what you need.
I try to keep open communication with my patients and their families; I try to include the
| | |they fully understand their diagnosis before it progresses, this enables them to talk to family and|
Because the United States spends the most on a health care system, one would think that most people in the U.S. would be healthy. This is not the case. Surprisingly, the United States does not have a particularly high life expectancy rate. Within this paper I will discuss heath issues in the United States including how heath effects behavior, economics, and social structure. I will also include key stages of medical technology development and population demographics.
Many ways are used to measure how much Americans values life. Obviously, good health is a major factor of being happy and satisfied with an Americans’ life. People also place family, friends, and owners potential is very high on the list of value for health care insurance. Health care has become the stress to every person’s life. Health care controls everything a person does due to the draw backsdrawbacks of not having it when it is necessary, like breaking an arm or coming down with a deathly illness. You have to introduce your quotations “Health care reform will be on the agenda for future sessions of Congress, because the economic pressures of rising health care costs on the federal government, business, and
The American healthcare system is an ongoing ailment that is at the forefront of issues plaguing America. Unlike the rest of the world, the American healthcare system is a combination of several models that caters for distinct classes of people. Other countries, such as China and Switzerland, have adopted a one-size-fits-all model in which everyone falls under. This model is a more straightforward as well as cheaper approach to America's healthcare system.
Depending on the illness and chronic conditions that the baby boomer generation will have, health care costs will rise to receive these services. The top 5 chronic conditions are hypertension, high cholesterol, diabetes, arthritis and obesity. It is the perception that gatekeeping reduces health care costs in the United States and it is a very effective strategy that exists today in most organizations. A dedicated primary care physician will take the time to spend with their patients to review their concerns and go over their basic preliminary findings such as blood pressure, weigh and personal issues as an attempt to build a relationship. Patients' satisfaction with and trust in their doctors will remain high only if the public believes the trusts are acting on their behalf, rather than making decisions in their own financial interests. In the United States, some of the harshest criticism of gatekeeping has resulted from the public's perception that medical decision making was unduly influenced by financial considerations (Forrest, 2003). Over 37 million baby boomers will experience having to manage more than one chronic condition by 2030 resulting in an annual cost of $13,000 annually (“American Hospital Association”, 2007). The forecasted costs for health care from a national perspective were $2579 in 2003 and will continue to rise 20 percent by 2030 (Martini,
On arrival, Joe’s mother Catherine was distressed and throughout every stage of Joe’s care it was important Catherine was provided with clear information in order to empower her to make informed choices regarding Joe’s care (Glasper et al. 2010). Parental involvement was introduced after the Platt Report in 1959 which recommended that parents should be allowed to stay with their hospitalised child. The report has led to significant improvements in interactions between parents of hospitalised children and the staff who care for them (Priddis and Sheilds 2011). Sousa et al (2013) carried out a study that found communication between parents and children’s nurses is vital. Sousa et al (2013) found that almost all parents who participated in the questionnaire agreed it was a priority to get information on their child’s health condition. This indicates that is important for nurses to manage the child and family as a whole holistically (NMC 2015). Catherine
With the population of adults 65 and over steadily climbing, medical professionals and the healthcare system are struggling to keep up. One major issue concerning the healthcare system is that it is not set up properly provide care for these older adults. The physicians today, who regularly see patients, focus mainly has been; diagnose—usually in a 15-20 minute office visit, treat, and cure. Many of these senior citizens have multiple chronic illnesses or diseases, which require time to manage and treat. The problem is that they may not be able to explain what the real problem to a doctor in that time.
“Improved communication is noted as one of the most important factors in enhancing end-of-life care in a pediatric setting” (Hsiao et al., 2007). These factors are beneficial to maintaining the best care for the child. The relationship between hospital staff, the child, and the child’s family is crucial. “Parents have emphasized the importance of receiving honest and complete information from staff, having ready access to staff, and having continuous, caring relationships with compassionate staff “(Hsiao et al., 2007). Along with the parents’ communication with staff, parents feel it is important to have the child communicate directly with the physician when appropriate. They feel “gaining the child’s perspective is critical if there is to be a cohesive relationship among the child, parent, and health care provider” (Hsiao et al., 2007). Also, children who are able and comfortable enough to communicate with physicians benefit
Moreover, the family understands the specifics about the individual's condition and their daily routines. This can help health care professionals to decide if the person is following the proper steps in their therapy. Once this takes place, is the point that health care professionals can make adjustments to reflect changing realities. Those patients, who have their families involved, will be able to receive better care by ensuring that nothing is overlooked. This is the point that physicians will have a more complete picture surrounding their underlying levels of health. (Saleeba, 2009)