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Patient-centered care is defined as “a dimension of quality in which care is individualized and customized to patients and families, and in which they, not clinicians, have control over (their) healthcare decisions." In a patient-centered model, quality is understood as “providing care that the patient needs in a manner and time that the patient desires, according to a paper called A 2020 Vision of Patient-Centered Primary Care. Picker Institute also notes in the same article the eight dimensions of patient-centered care which includes having “respect for the patient’s values, preferences and expressed needs," which includes information and education, access to care, emotional support to relieve fear and anxiety, involvement of family and friends, continuity and secure transition between health care settings, physical comfort, and coordination of care. Patient centered care strives to place the patient and the family at the heart of the healthcare system, thereby enabling clinicians to personalize the delivery of their care, according to the Journal of Nursing Administration.
Five minutes before my shift ended, a patient suddenly became unresponsive with no cardiac activity. The adrenal rush quickly kicked in as I called a code blue and immediately began chest compressions with the assistance of the primary registered nurse. Within minutes, the rest of the interdisciplinary team arrived. Luckily, we were able to revive the patient.
It was 9:45 p.m. on a busy Friday. My beeper goes off indicating a new admission to the unit. An ER patient will be arriving within 15 minutes. While I quickly scramble to get the chart ready, alert the staff, update the assignment and answer the phone, which appears to never stop ringing, I start thinking about the incoming patient. What’s the diagnosis? How old is he or she? What’s his or her story? Within minutes, the patient arrives — a 24-year-old male. Diagnosis: severe asthma attack, on a ventilator. Status: critical.
For many college students, worrying about bone health may not be their most pressing issue. Even after college, most people do not obsess over whether or not they receive an adequate amount of calcium and Vitamin D. Oftentimes we start thinking about the health of our bones when we reach midlife and older. The problem with this is that having healthy bones requires an early start, not when we are 50 years or older. An early start, preferably in childhood, that involves maintaining a healthy diet while engaging in regular weight-bearing exercises are preventative measures against bone loss.
College students are notorious for “pulling all nighters.” Oftentimes the numerous academic, social and personal commitments render it nearly impossible to get everything done before midnight. So we tend to sacrifice our sleep in order to complete other obligations. Despite this, we must realize that sleep is necessary for survival. Sleep enables the body to conserve energy, relieve tension and stress, in addition to preventing fatigue. Sleep is imperative for adequate mental and psychological functioning.
As of Jan. 1, 2016, new legislation in Texas permits visitors to openly carry guns into state mental health hospitals. Employees and patients are prohibited from bringing or carrying firearms on hospital property. The main concern many mental health advocates have with this legislation is that allowing guns into such healthcare facilities compromises an individual’s recovery process. Firearms in these or any healthcare institution puts patients, visitors and hospital employees at risk.
In the United States, heart disease is the leading cause of death among men and women. Despite the high mortalities associated with cardiovascular disease, many individuals are unaware that a majority of these deaths can be averted through preventative education, lifestyle modifications, smoking cessation, regular physical activity and nutritional changes. Obesity, hypertension, high cholesterol levels, sedentary lifestyles, stress, smoking and non-nutritious diets are modifiable risk factors that increase the likelihood of an adverse cardiovascular or cerebrovascular accident.