The main objective is to provide personalized care to the patients who have been hospitalized. The nursing staff, clinicians, doctors and other health care professionals should provide individual attention and deliver health care services to the patients. It involves putting patients and their family members in the centre that would lead to better outcomes. The health care staff should respect the individual choice, culture, values and traditions of patients and should provide proper treatment to manage their health condition. They should be explained about the precautionary measures to be taken after the treatment and regular follow-ups should be conducted after the surgery. The two safety standards researched in thiscase are that the patients admitted in the ward should be hospitalized close to the workstation of nursing staff and there should be appropriate level of co-ordination between the hospital staff and the family members of the patients. They should make sure that the patients feel comfortable and safe (Hoeve, Jansen & Roodbol, 2014).
But in the case of Mrs. Betty White, she was admitted in a 4 bed ward which was far from the workstation of the nursing staff. This deteriorated the condition of her health and the nursing staff was unaware about the same. It would have resulted in drastic health issues if the fellow patient of her who was admitted in the same ward had not called the nurses in the workstation. The hospital staff did not contact Mrs. Betty’s daughter when her health condition got worsened.
The main objective of The Patient Safety & Quality Committee in a health care organization is to provide an excellent patient experience to all its patients.They keep a check on the nurses and other hospital staff to make sure that they are performing their roles and responsibilities in an efficient manner. There are several members in a Safety & Quality Committee in a health care organisation such as Chief Quality and Patient Safety Officer, Chief Operating Officer,Chief Medical Officer, Chief Clinical Officer, Chief Health Equity Officer, other representatives from population ,GME trainees, nurses, doctors, clinicians who are dedicated to provide quality care to their patients.
There are a few points to be conveyed to the audience to make sure that the patients who visit any health care organization for a treatment are provided a personalized and quality care. Various initiatives and strategies should be taken in order to promote flexible health care services to the patients andproper analysis of the symptoms of a health condition should be done to avoid any adverse ill effects.The health care staff should be well trained to handle different types of patients and must make sure that the health services are accessible to all the patients (Levett-Jones & Bourgeois, 2015). There should be no discrimination among patients on the basis of caste, religion, gender and socioeconomic status. They should be provided proper information about the treatment and the health issue and self-management support from the nurses and the doctors.
The format I would like to choose for this case study is power point as it increases the visual impact and improves the concentration of the audience. Power point presentations involve interaction between the presentator and the audience and also promotes interest in learning different things(Chiarella & White, 2013).
The method I would like to choose in order to evaluate that the message has been received and understood by the audience that is the safety committee is by using paper survey. A paper survey involves questionnaires with a few options that should be answered by the audience. I have chosen this method because of the reason that many individuals who find themselves quite uncomfortable in face to face discussion with the presentator (Levett-Jones & Bourgeois, 2015).They are unable to answer in a proper manner due to nervousness but can write their feed back if asked through a set of questionnaires.
Studies conducted by researchers over the years have shown that balance exercises and functional strength are helpful in reducing the risk of fall in senior citizens. It is also noticed by different researchers that the repetitive nature of these exercises remains intricately associated with the inherent lack of progress. This discourages the seniors from exercising at home, thereby proving it ineffective. Different journal articles are thereby providing evidences that that multimodal games and visual feedback are two new methods that can be helpful. They provide successful results in encouraging adherence to home rehabilitation in comparison to standard care; this promotes independence and also improves the quality of life in older adults who remain at higher risk of falling (Blegen et al., 2012). An effective ‘handoff’ for risk of fall can be helpful in providing quality information of seamless care. This may involve communicating written information from one caregiver to another so that important information of the patient’s current condition as well as care or service needs are accurately communicated). SBAR is an effective tool which can be used for communicating between health care team mates. This can contain information about a patient’s or resident’s fall risk status .This will also contain the plan of care decided for the patient. SBAR stands for:
Situation: current risk status of the patient
Background: clinical background of the patient is noted or fall risk factors need to be identified
Assessment: current situation of the patient is identified or current risk condition ad different fall precautions are also assessed
Recommendation: current care plan
Feedbacks can also be obtained from the patient as his or her view regarding the experience during the treatment and the possible loop holes which could be met diligently so that no incidence due to fall occurs
The incidence of fall in different health care centers are found to have been noted for about thrice in comparison to that in the community which equals to rates of about 1.5 to 1.4 falls per bed in one particular year.. The newly acquired risk factors associated with various forms of falls in the hospital settings (which may be due to hip fracture as well as stroke) and also the factor of unfamiliar surroundings – all may lead to an increased number of falls risk. In stroke rehabilitation wards, it is found that 25% to 46% of patients have faced fall at a minimum of one occasion during the time of their admission. It was reported that an incidence of 6.2 falls have been accounted for about per person in one annum in the department and reabilation of psycho geriatry (Noe et al., 2015). There is significant mortality and morbidity which remains associated with falls in nursing care facilities and hospitals. Different statistical studies have shown that different healthcare centres have huge faced huge number of falls which may account to about 70 in 1000 patients in a year. They also report long bone fractures in 35 patients very 1000 persons and head injuries are also reported to be about 214 per 1000 persons in case of women and 433 in 1000 perosn in case of men (Sherrington et al., 2014). Rates of hip fractures occurring due to falls in different nursing health care facilities have been calculated to have reached a number of about 10.5 times higher in comparison to that of the community which accounts to 42% of all hip fractures. Old aged people who have been seen to suffer from hip fracture during their stay in hospitals have resulted in poor outcomes when comparisons were done with age matched controls who are experiencing same fractures in the community (Dinç & Gastmans, 2013). One of the causes is identified in few cases of visual impairment that may result due to presence of cataract.
Majority of falls mainly take place as a result of a number of different combinations of factors acting at a particular time of every fall event. Different researches have shown that various strategies can be applied for preventing falls which are exercise, education, environmental modifications, vitamin D supplementation,and medication optimisation. Many of trials that have been taken at large levels have been mainly based on two particular steps (Hemepel et al., 2013). These are depended on risk assessments of different patients, and then directing those risk factors to prevent the falls in future. Taxonomy has been developed which can help in describing and classifying the types of intervention (Colvin et al., 2013). The objectives include the presence of the best evidence of effective programmes that is developed for reduction of the cases of falls in old patients in hospitals and nursing care facilities (Occonnor et al., 2016).
Interventions in hospitals and nursing care facilities should be strategized in such a way which would help in decreasing the cases of falls
Steps should be taken which would help in targeting a higher number of risk factors should be implemented in comparison to those which would be targeting a particular risk factors.
Strategies should be planned in the nursing care facilities and hospitals. This stragies woud mainly include those of longer duration as well as of higher intensity in comparison to those which are of short duration as well as of low intensity (Rashid et al., 2013).
Strategies which are taken for a patient centered approach targeting different sorts of risk factors and different impairments of older people will be more effective in comparison to those interventions that are allocated as a ‘standard package’ (Alligood, 2013).
The ultimate goal of the healthcare systems should be the promotion of health and wellness by providing physical and emotional support to individuals. Patients should be provided rehabilitation after the treatment and the surgical procedure as it will help in improving the their psychosocial health (Pelt et al., 2014). They should made comfortable so that they can share all the issues they are facing with the counselor The hospital staff should provide proper training and information during the discharge of patients.
We defined “nursing care facilities participants” as individuals who are actually residents of establishments being engaged in providing rehabilitation services as well as residential nursing. These healthcare centres have a permanent core staff of registered or licensed practical nurses who work along with their team members provide quality person centred care. Two divisions are done due the nursing care facilities. This includes two types of care. One is high level nursing care. The second type of care is intermediate level nursing care. The former one can be explained as centres which deliver health-related care and services to patients who do not require a high intensity of care as those provided by nurses of hospitals and similar others. They mainly required care and services above home care because of their physical or mental condition which cannot be handled by family members (Memstoudis et al., 2014).
Authors have explained “hospital participants” as patients who is getting care in-patient wards. They did not include emergency departments, and also not any hospital services were provided in community settings. They also did not include outpatient departments which are colloquially described as “hospital in the home”. Subdivisions of the hospitals were done into those which are specialised for providing acute care and those who are delivering subacute care. This care has been explained as medical as well as also skilled nursing services. This is provided to patients who are not suffering acute phase of an illness. They are mainly applied to those who are in need of level of care higher in comparison to that which has been provided in a long-term care setting.
The authors had only incorporated trials that consist of reported raw data or statistics. All the information have been found to be related with the rate or number of falls. They are also found to be related with the number of participants who have sustanied at least one fall. Trials also have found out that number of participants who have fallen more than once.. Trials which depicted specific types of fall like injurious falls were not taken in consideration. Trials that depicted intermediate outcomes like improvement in balance and strength but could not find out any report falls asa result of an outcome were taken in exclusion category (Katsikitis et al., 2013).
Primary outcomes-
Fall can be defined as the frequency of falls that may be exemplified as rate of fall per person
Fallers can be meant as the number of people who are experiencing the fall
Secondary outcomes-
Severity of falls which may include different categories like fall number causing injury)
Complications of the interventions.
The concerned case study also shows in the view of the above literature survey that the nursing staffs had dereliction after administering the concerned patient with medicine as the medicinal effect might could have caused fall which could be easily inferred by the trained nursing staffs.
References
Alligood, M. R. (2013). Nursing Theory-E-Book: Utilization & Application. Elsevier Health Science
Blegen, M. A., Goode, C. J., Park, S. H., Vaughn, T., & Spetz, J. (2013). Baccalaureate education in nursing and patient outcomes. Journal of Nursing Administration, 43(2), 89-94.
Butts, J. B., & Rich, K. L. (2012). Nursing ethics. Jones & Bartlett Publishers.
Chiarella, M., & White, J. (2013). Which tail wags which dog? Exploring the interface between professional regulation and professional education. Nurse education today, 33(11), 1274-1278.
Colvin, C. J., de Heer, J., Winterton, L., Mellenkamp, M., Glenton, C., Noyes, J., … & Rashidian, A. (2013). A systematic review of qualitative evidence on barriers and facilitators to the implementation of task-shifting in midwifery services. Midwifery, 29(10), 1211-1221.
Dinç, L., & Gastmans, C. (2013). Trust in nurse–patient relationships: A literature review. Nursing Ethics, 20(5), 501-516.
Hempel, S., Newberry, S., Wang, Z., Booth, M., Shanman, R., Johnsen, B., … & Ganz, D. A. (2013). Hospital fall prevention: a systematic review of implementation, components, adherence, and effectiveness. Journal of the American Geriatrics Society, 61(4), 483-494.
Hoeve, Y. T., Jansen, G., & Roodbol, P. (2014). The nursing profession: public image, self?concept and professional identity. A discussion paper. Journal of advanced nursing, 70(2), 295-309.
Johnstone, M. J. (2015). Bioethics: a nursing perspective. Elsevier Health Sciences.
Katsikitis, M., McAllister, M., Sharman, R., Raith, L., Faithfull-Byrne, A., & Priaulx, R. (2013). Continuing professional development in nursing in Australia: Current awareness, practice and future directions. Contemporary nurse, 45(1), 33-45.
Levett-Jones, T., & Bourgeois, S. (2015). The Clinical Placement-E-Book: An Essential Guide for Nursing Students. Elsevier Health Sciences.
McGowan, C. (2012). Patients’ confidentiality. Critical care nurse, 32(5), 61-64.
Memtsoudis, S. G., Danninger, T., Rasul, R., Poeran, J., Gerner, P., Stundner, O., … & Mazumdar, M. (2014). Inpatient Falls after Total Knee ArthroplastyThe Role of Anesthesia Type and Peripheral Nerve Blocks. Anesthesiology: The Journal of the American Society of Anesthesiologists, 120(3), 551-563.
Moxham, L. (2012). Nurse education, research and evidence-based practice.
Noe, B. B., Mikkelsen, E. M., Hansen, R. M., Thygesen, M., & Hagen, E. M. (2015). Incidence of traumatic spinal cord injury in Denmark, 1990-2012: a hospital-based study. Spinal Cord, 53(6), 436.
Nursingmidwiferyboard.gov.au. (2017). Nursing and Midwifery Board of Australia – Professional standards. Nursingmidwiferyboard.gov.au. Retrieved 7 September 2017, from au/Codes-Guidelines-Statements/Professional-standards.aspx”>https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
O’Connor, M. N., O’Sullivan, D., Gallagher, P. F., Eustace, J., Byrne, S., & O’Mahony, D. (2016). Prevention of Hospital?Acquired Adverse Drug Reactions in Older People Using Screening Tool of Older Persons’ Prescriptions and Screening Tool to Alert to Right Treatment Criteria: A Cluster Randomized Controlled Trial. Journal of the American Geriatrics Society, 64(8), 1558-1566.
Pelt, C. E., Anderson, A. W., Anderson, M. B., Van Dine, C., & Peters, C. L. (2014). Postoperative falls after total knee arthroplasty in patients with a femoral nerve catheter: can we reduce the incidence?. The Journal of arthroplasty, 29(6), 1154-1157.
Powell, A. E., & Davies, H. T. (2012). The struggle to improve patient care in the face of professional boundaries. Social science & medicine, 75(5), 807-814.
Rashid, A., Eyeson, J., Haider, D., van Gijn, D., & Fan, K. (2013). Incidence and patterns of mandibular fractures during a 5-year period in a London teaching hospital. British journal of oral and maxillofacial surgery, 51(8), 794-798.
Ross, K., Barr, J., & Stevens, J. (2013). Mandatory continuing professional development requirements: what does this mean for Australian nurses. BMC nursing, 12(1), 9.
Sherrington, C., Lord, S. R., Vogler, C. M., Close, J. C., Howard, K., Dean, C. M., … & Barraclough, E. (2014). A post-hospital home exercise program improved mobility but increased falls in older people: a randomised controlled trial. PloS one, 9(9), e104412.
Thorup, C. B., Rundqvist, E., Roberts, C., & Delmar, C. (2012). Care as a matter of courage: vulnerability, suffering and ethical formation in nursing care. Scandinavian Journal of Caring Sciences, 26(3), 427-435.
Essay Writing Service Features
Our Experience
No matter how complex your assignment is, we can find the right professional for your specific task. Contact Essay is an essay writing company that hires only the smartest minds to help you with your projects. Our expertise allows us to provide students with high-quality academic writing, editing & proofreading services.
Free Features
Free revision policy
$10Free bibliography & reference
$8Free title page
$8Free formatting
$8How Our Essay Writing Service Works
First, you will need to complete an order form. It's not difficult but, in case there is anything you find not to be clear, you may always call us so that we can guide you through it. On the order form, you will need to include some basic information concerning your order: subject, topic, number of pages, etc. We also encourage our clients to upload any relevant information or sources that will help.
Complete the order form
Once we have all the information and instructions that we need, we select the most suitable writer for your assignment. While everything seems to be clear, the writer, who has complete knowledge of the subject, may need clarification from you. It is at that point that you would receive a call or email from us.
Writer’s assignment
As soon as the writer has finished, it will be delivered both to the website and to your email address so that you will not miss it. If your deadline is close at hand, we will place a call to you to make sure that you receive the paper on time.
Completing the order and download