Child and Family Rights - Essay Example

Question 1

Health policies refer to the decisions, plans and actions that are undertaken in a health setting to achieve health care goals in a community. In the case study, the nurses that admitted Prati could have exercised more of the health policies. One of the main health policies requires that all patients admitted should be placed under constant care of qualified medical personnel. The nurses on the night shift were not fully competent in the provision of care to patients. In a health care setting, nurses are required to perform a full assessment of the patient to ensure that they do not miss any fine detail. In our case, the nurse failed to perform a pain assessment and cited a lack of evidence of pain as the prime reason. The nurse could have missed an internal pain that Prati could be undergoing.

A hospital setting is purposed to provide care to its patient. Under this policy, the medical providers are concerned with family and patient education, nutrition guides, as well as admission and discharge (Carman et al., 2013, pp. 223-231). RN Lee, who admitted Prati in the hospital, provided little information about the patient to the parents; this led to Sarita checking her child overnight while worried. The medical practitioners available only concentrated on the critically ill patients leaving the other patients unattended.

Question 2

The key issues surrounding the case were the inadequate service offered to Prati during her admission. The nurses at shift could have used the patient's health information to determine the best care to administer. The nurses concentrated on other patients, thereby leaving Prati unattended. In the information chart, the documented results were not in line with practices in the hospital. The doctors documented reports after 1-2 hours though they reviewed patients after every 30-60 minutes. Therefore, some treatments and procedures performed on the Prati were not documented a risk the morning nurse could have missed some vital information. In the morning, the nurse tried to commence oral Hydralyte, and when the Prati responded poorly, the nurse took no action and awaited the doctor who was having a busy day. The nurse should have intervened to stop the vomiting and administer some initial treatment on Prati.

In the case study, it is evident that the medical providers are not committed to the wellbeing of his patients or are ignorant of paying attention to details. The regular doctor arrives late for the daily routines and takes more time before attending to Prati whose condition had already deteriorated. On closer look, the doctor discovered signs of dehydration and haemodynamic instability, conditions that the nurses had missed. Therefore recommending urgent fluid resuscitation and further three days hospitalization.

Question 3

Shift scheduling and the effect on care; In many cases, some doctors are held up such that their program cannot allow them to attend to some patients. In the case of Prati, the doctor was delayed to check on Prati until 10:00 am. In some cases, without a proper schedule on checking on the patients, some lives can be lost since in a hospital scenario, some conditions can cause death if unattended. In Britain, there is a high mortality of emergency admitted in hospitals. The cases are about 13000 in Britain and wales alone in the year 2018 (Smalley 2016, pp.66-88). The doctors and nurses should, therefore, have properly created schedules to avoid cases of patients being unattended. The schedules would ensure that the patients attend to their patients in time and cases such as that of Prati where there was an exacerbation of oesophageal stenosis would not have occurred.

Selection of comprehensive guidelines: every condition in healthcare is unique, and it should be treated with precision. Some problems may be similar, but in the condition of Prati Pokhrel, the nurse RN Sharma and RN Lee should have comprehensive in the examination of Prati. In the report, the nurses did not perform any medical examination on pain, even though there was no evidence. Many deaths occur in Europe because of an examination which is not comprehensive, some patients fake not having pain, or they may hide some feelings to avoid a diagnosis of a certain condition, and this makes the doctors diagnose the wrong condition, in Europe, this resulted to more than 7629 cases of misdiagnosis in 2019 in Britain alone (Lee,2018, pp .1261-1271). One of the symptoms of esophageal stenosis is difficult or painful swallowing, however, the nurses never checked for that before the diagnosis (IBRAHIM, 2019, pp.3-6). Gastroesophageal reflux disease has similar conditions to esophageal stenosis such as unintended weight loss, regurgitation of food or liquids, sensation of a chocking feeling after having a meal therefore, if a comprehensive study of the possible evidence before diagnosis Prati might have been diagnosed with the wrong condition.

Impact on Healthcare Provision and Patient Outcomes

The impact of proper schedules of healthcare professionals is that there would be no cases of patients unattended. In Britain about 13000 lives are lost annually due to the poor scheduling of doctors which is not caused by unavailability of doctors. The report by WHO shows that Britain meets the required standards of 1 physician per 1000 population, the problem is caused by poor doctor’s schedule (LEIGH, 2015, p. 15). If the case is changed, more lives would be saved in hospitals and those who suffer waiting for doctors would be at ease, and this would ensure that the British health care would be efficient and reliable.

The impact of the comprehensive diagnosis is that cases of misdiagnosis in the United Kingdom would drastically reduce. There are more than one million cases of misdiagnosis in the UK because of failure to follow the recommendations from an evidence-based approach. The cases resulted in about 40000-80000 deaths in the United Kingdom (LEIGH, 2015, p. 16). The cases of misdiagnosis made people lose hope in the healthcare system, and data from NHS show that more than 1 billion pounds were paid as claims due to the wrong diagnosis as a result of the poor examination. However, if this were changed, the people would begin to trust the UK hospitals and the cases of misdiagnosis which stand at one out of six would drastically reduce and eventually come to an end.

Question 4

The role of the team is to facilitate collaboration between the healthcare providers and the parents of Prati Pokhre and hence improve the treatment of the Oesophageal Stenosis condition in Prati. According to the doctor the child’s parents were “were nervous about managing this independently at home,” however with the multidisciplinary team, Pratis parents would be taught on how to handle different scenarios so that the Prati would get better. MDTS access the players in the team such as the nurses, doctors, nurses and the child and conduct joint meetings to share insights and concerns of the parties involved and they decide on the best practice to ensure that the child's healing process is smooth and quick (SORENSEN, 2017, pp. 21-33).

In the case of Prati, MDTs would create an environment which would enable the healthcare providers to communicate better about each other's roles and responsibilities in the treatment of the condition. Absence of knowledge of one's responsibilities in healthcare is the leading cause of prolonged treatment processes (SORENSEN, 2017, p. 23). However, with MDTs, the doctor, nurses, parents, and Prati would know their roles. They would clearly state the roles of the two nurses and the parents so that in case something goes wrong they would know who did not perform the task as required and in some extreme cases they can take professional or legal action to the one neglecting their roles.

The MDTs would also provide a shared identity and purpose to encourage the team members to work together in harmony to achieve the shared objective of helping Prati to heal from Oesophageal Stenosis. With a shared objective each team player would have a sense of responsibility to have individual success which translates to success of the whole group ans this helps as there are many cases where some parents give the healthcare providers a hard time during outpatients’ services (SORENSEN, 2017, pp. 21-33). However, with this, the parents of Prati and healthcare professionals would give each other a humble time in the treatment of Prati, and this would ensure the success of the treatment process of Prati’s Oesophageal Stenosis.

Reference

Carman, K.L., Dardess, P., Maurer, M., Sofaer, S., Adams, K., Bechtel, C. and Sweeney, J., 2013. Patient and family engagement: a framework for understanding the elements and developing interventions and policies. Health Affairs, 32(2), pp.223-231.

IBRAHIM, A., & AL-MALKI, T. (2019). Congenital esophageal stenosis. https://public.ebookcentral.proquest.com/choice/publicfullrecord.aspx?p=5754919.

LEIGH, E. (2005). Improving patient care by reducing the risk of hospital acquired infection: a progress report. London, Stationery Office.

SORENSEN, R., & IEDEMA, R. (2011). Managing Clinical Processes.