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Making the question for communication between hospice workers mainly doctor to nurse - Research Paper Example

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Communication in the hospice setting among health care workers Hospice institution relates to a very specific branch of the healthcare, where the main efforts are aimed at prevention and relief of patient’s suffering and maintaining the quality of patient’s life (International Association for Hospice and Palliative Care, 2008)…
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Making the question for communication between hospice workers mainly doctor to nurse

Download file to see previous pages... For these purposes two methodologies will be applied: IOM Aims for quality care framework, and clinical microsystem analysis. Using IOM Aims for quality care as a framework for communication issues it is possible to understand more clearly what is the real impact of communication on both quality and safety of hospice patients. The Quality Chasm’s framework is comprised of 6 primary aims, which are crucial for providing safe medical care on high level. These aims include following: to provide safe, timely, effective, efficient, equitable and patient-centered care (Bingham et al, 2005). Referring to the specifics of hospice patients, let us review each of the IOM separately and adjust it to our case. Safe care Palliative care is neither primarily concerned with life prolongation nor producing long term remission of disease (IAHPC, 2008). However, it is not concerned with shortening of patient’s life as well. In order not to jeopardize patient’s safety, all relative team members need to be fully apprised of patient’s condition (Bingham et al, 2005). Timely care The main focus in hospice falls on the quality of life of the patients. In order to be able to improve the quality of the life remaining to the patient, medical staff needs to provide timely care. Here timely care is especially crucial when the patient needs relief from both physical pain and psychological fits (IAHPC, 2008). In the cases, when nurse is a link between patient and doctor, it is crucial to inform doctor about patient’s pains timely. Lack of operative communication between patient, nurse and doctor makes timely care almost impossible. Effective care Effective care for hospice patients suggests provision of high quality care during the last days of patient’s life (IAHPC, 2008). Therefore, effectiveness of pain relief and quelling psychological fears depends on effective communication between clinical team members. For example, if the nurse has given certain drug to the patient, not having confirmed this with a doctor, effectiveness of care can be significantly impaired. Efficient care Efficient care at hospice cannot be provided to the patients when their pain is unrelieved. As it has been mentioned previously, one of the causes of unrelieved pain is lack or ineffective communication among medical staff. Doctors need to coordinate continuously with nurses what drugs can be given, what drugs are forbidden, periodicity, frequency, etc. Equitable care Personality, ethnic origin, intellect, religion and any other individual factors should not be a prejudice for delivering optimal care to the patient (IAHPC, 2008). Communication among doctors and nurses and sharing some personal information might be very helpful in developing approach to each patient. Patient centered care Palliative care is not disease oriented, but it is person oriented. In order to increase patient’s comfort at the hospice, it is crucial for clinical staff members to communicate effectively and not be too lazy to talk about patient’s psychological features (IAHPC, 2008). While planning palliative care for individual patients, doctors need to communicate with nurses about unique characteristics of patients, which can greatly influence suffering of the individual patient (IAHPC, 2008). The 5P’s framework Purpose: to provide relief from pain and other ...Download file to see next pagesRead More
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