When medical students spend time at our surgery, I try to convey to them the way in which general practice differs from specialist care and how central this concept of uncertainty is. Nor that much of what is on offer has little or no quality assurance.
Excerpt from Research Paper: Communications Effective communications between doctors and nurses has always been a high priority in the medical field, especially in an arena such as a hospital, health clinic or hospice.
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Communicating effectively between the nurses and the doctors is especially important in a hospice setting due to the fact that the patient is usually suffering the most; both with the physical and the emotional pain and suffering that is being experienced as the patient nears death.
One recent study determined that "doctors and nurses have different but complementary roles in what, when and how treatment choices are negotiated with patients" Mccullough, Mckinlay, Barthow, Moss, Wise,p.
The decisions taking place in the hospice setting will often determine how much pain and suffering the patient will endure before the final breath is drawn.
It is likely, therefore, that Doctor research paper doctor and the nurse needs to be on the same page as to how the patient will be treated, and one method for achieving that same page status is through effective communications.
Another study sought to determine what barriers were present in a setting where the patient was suffering a life-ending disease; what the study found was that hospice providers oftentimes encountered site-readiness barriers such as "ill-defined hierarchy, poor communication, disagreements between care providers, and responsibility overload" Lau, Masin-Peters, Berdes, Ong,p.
Many of these problems could be overcome or alleviated with improved communications between the nurses and doctors not forgetting the patients need for effective communications as well.
The concern over ineffective communications is that the patient does not receive the necessary care to ease the pain and suffering that oftentimes afflicts those patients in hospice care.
Providing effective pain management treatments in a hospice setting is a quality issue because the vast majority of the time the patients, and the patient's loved ones, do not wish to endure the suffering associated with the dying process. This process is often measured by how effective are the pain treatments.
Most hospice settings aim to maintain a safe environment, while efficiently managing pain treatments through use of timely doses of pain medicines as prescribed by the doctor. Because the pain is an ongoing concern, the communications by the doctor to the nurses concerning the timeliness of the pain administrations is critical to effective management.
Since the doctor oftentimes is not present in the hospice, the communications can sometimes be delayed or bogged down. One method used in many hospice settings for measuring effective communications between the doctors and nurses is to document each and every communication.
This can be accomplished both on the doctor's end of the communication as well as on the nursing side of the equation. This method of documentation can also be used for patient communications as well, especially in regards to what the patient desires as life nears an end.
These wishes are often designated by advance care directives.
Jul 01, · Individual pieces of research only sometimes change practice, perhaps less often than should be the case. From time to time a study hits the bullseye, becomes a tipping point, opens your eyes to what is going on, and means that the next time you see that problem in surgery you deal with it differently and better. 5 hour energy doctor research paper. By 5 hour energy doctor research paper. 5 hour energy doctor research paper. 4 stars based on 73 reviews initiativeblog.com Essay. Essay on violence in america black sheep autobiographical narrative essay ghadar movement essays 24 hour essay ukiah. Adventure is necessary in life. Jul 01, · Individual pieces of research only sometimes change practice, perhaps less often than should be the case. From time to time a study hits the bullseye, becomes a tipping point, opens your eyes to what is going on, and means that the next time you see that problem in surgery you deal with it differently and better.
A Australian study however determined that "the facilities surveyed reported that advance care directives are the exception rather than the rule" Bezzina,p. Ensuring that patient directives are known and adhered to is both the doctor's and the nurses' responsibilities.
Using a system to document communications could easily include the advance care directives and would ensure that the patient, doctor and nurse s are all on the same wave length regarding medical treatments.
The same study showed that part of the reason for lack of communications between the involved parties was that not all the facilities had processes in place for regular reviews or hour access to the documentation for caregivers. Documenting communications is all well and good if such documentation leads to more effective communications.
However, if facilities are only documenting to be documenting, it seems like a somewhat wasted effort is being made.Jul 01, · Individual pieces of research only sometimes change practice, perhaps less often than should be the case.
From time to time a study hits the bullseye, becomes a tipping point, opens your eyes to what is going on, and means that the next time you see that problem in surgery you deal with it differently and better. Don’t stick to easy research paper topics just to complete the task fast.
Especially if you decided to stop on controversial topics for research papers, you should prepare in advance and look up for the strong arguments to support your thesis.
Do doctors turn their patients into drug addicts? Research Paper Topics on Education. Using the peculiar story of Doctor Who's missing episodes as a case study, it reflects on the role of audiences and "fans" in media preservation and re-mediation, and proposes ideas on popular culture, institutions and amateurs, and cultural heritage as participatory culture through the lens of media archaeology (or an-archaeology) as defined by Jussi Parikka and Siegfried Zielinski.
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