Patient Care in Giving the Individual a Better Chance of Recovering from Illness - Case Study Example

Case Analysis and Discussion Case Background A man at his 40’s had been sent to the emergency room after having a regular round of jogging around the neighborhood which he does every four times a week. He has been noted to be nonsmoker, non alcoholic, without any medical records of being diagnosed with heart failures during the past few years of his medical checkup appointments. His family background record shows though that the line of patient consists of several family members recorded with high cholesterol level with several members of the family diagnosed with cardiac issues. It is believed that the man has undergone cardiac arrest hence needing immediate assistance so as to stabilize his situation. Through the help of his wife, the primary information on the situation has been garnered and the process of assistance needed to be given to the patient has been set. THE PROCESS As the ambulance came, the application of CPR (2 Breaths 15 compressions) had been applied to the patient which enabled him to vomit a few noting his consciousness and stabilization during the process. The immediate application ECG which is connected to him within the ambulance had been observed. On the way to the hospital, an immediate interview on what happened and the recording of the information garnered from his wife had been pursued so as to reduce time and to proceed with all the needed tests upon arrival in the hospital. 1 When the patient arrives at the emergency room, the submission of the recorded information has been completed and the analysis of the situation and immediate check up by a medical practitioner is pursued. Upon finishing the initial check up, the order of admitting the patient is released and further stabilization of the patient is encouraged. The wife’s present is considered important as she serves as the voice of her husband, the patient, as he may at some point is in need of resting and that is essential for the recovery of the patient. Upon admission, the protocol procedures are taken into consideration. It is essential that the immediate medical support is given to the patient which includes the IV fluid [dextrose]; the oxygen [if necessary for low heartbeat or low pulse cases] and the ECG machine [for constant heartbeat monitoring].2 While these elements are in need of constant application, it is essential that other procedural tests also be considered during the admission so as to see how the situation of the patient occurred and what could still be done about it. During the admission period, it is essential that the patient be visited regularly by a medical practitioner [cardiologist preferred] so as to record the daily advancement of the situation of the patient. These records are then to be kept and be used as referral for future medication purposes. It shall also be given as recorded information for the patient as he is discharged from the hospital. Things TO Consider During the Process of Hospital Care Provision The Administration of Healthcare Provision Services The aspect of healthcare has always been a major concern of the present mainly because of its significance and its obvious values. Its primary concern is for the improvement of the present health condition of the people and the ethical concept of promoting life itself due to which, significant efforts and concerns are always given for the quality of healthcare services. With this idea, society constantly monitors and evaluates the quality of healthcare services being rendered by institutions regarding its promoting, implementation and improvement.3 Regarding healthcare service, hospital institution is the most common and the easiest way to access healthcare service from professionally trained personnel and individuals. Because of this concept, society always turns its needs whenever certain individuals seek professional health service to hospital institutions. Thus, closely monitoring the quality of the healthcare service and the administrative process of hospital institution is indeed beneficial for the society themselves. Through this actions, improvement measures and promotion of quality can be further develop for the advantage of the people thus certain essential tools and measures are developed for improving the quality of services provided by hospital institutions. Quality Indicators for Healthcare Services Because of the said relevance and significance of the healthcare quality in the society, certain social groups and institutions have been created for the purpose of monitoring healthcare implementation and the administration of hospital institutions. Among the many created social institutions, the Agency for Healthcare Research and Quality (AHRQ) has been widely known for their support in the research field for the development and improvement of the healthcare services that are being rendered in the hospitals in the presents. In their aim of monitoring the healthcare quality of the said institutions, they have developed certain tools or modules designed to evaluate and monitor the effectiveness and quality of the healthcare services in hospitals thus raising concerns and information for improvements and further research on the part of the hospital’s administration. On the other hand, these modules can also be used by the public in evaluating the healthcare service they have received thus they themselves can also raised points and concepts regarding the quality and the systematic process of the hospital’s administration. In addition, this can also be used by the public in their process of creating their own informed decision and future consent. AHRQ’s primary concern is to raise the quality of healthcare services for the society mainly the ones being rendered by the hospital institutions through evaluating their present administrative system. Thus, they have developed different that measures various aspect of healthcare quality namely prevention quality indicators, inpatient quality indicators, patient safety indicators, and pediatric quality indicators. 1. Prevention Quality Indicators (PQIs) are mainly modules that can be used with hospital inpatient discharge data in identifying the quality of healthcare for “ambulatory care-sensitive conditions.” This module is primarily about the conditions for early treatment preventing further hospitalization of good outpatient and intervention procedures in preventing further complications of the patient’s health status. 2. Inpatient Quality Indicators (IQI) are mainly modules that provide perspective on hospital quality using hospital administrative data. This module actually reflects the quality of healthcare service being rendered by the institution inside their hospitals and the domain of their facilities. In addition, this module includes inpatient mortality for certain procedures and medical conditions; utilization of procedures for which there are questions of overuse, underuse, and misuse; and volume of procedures for which there is some evidence that a higher volume of procedures is associated with lower mortality. 3. Patient Safety Indicators (PSIs) primarily evaluates the health conditions and safety of the patient within the facilities of the hospital institution that includes reports for potential dangers, hospitalization complications, and adverse events following or before certain healthcare operations. This module helps system leaders and administrative division in identifying potential complications thus developing precautionary actions and developments. 4. Pediatric Quality Indicators are mainly modules for measuring the quality of service for pediatric healthcare basing from the hospital’s inpatient discharge data. This module specifically evaluates possible problems and complications brought about by the exposure of the pediatric patients to the healthcare system of the institution thus creating amenable preventive measures and actions and further improvement concepts on the institution’s pediatric system. Consideration on the Patient’s Satisfaction In the field of giving medical care to the people, it is rather important to consider how the patients are being satisfied with the type of services that they are receiving from their caregivers. Undoubtedly, through the years, caregivers such as nurses and other healthcare professionals try much to reach the goal of becoming highly involved in mastering the rightful process of servicing to their clients, the patients. What then are the necessary points that need consideration in the medical official’s search for the finest service that would satisfy both the needs and demands of the people? There are at least three major areas of focus that needs to be discussed when this kind of issue comes into light. The said elements of fine medical service are noted as follows: (A) Creation of fine policies that could serve as guidelines for the given service: This shall involve the different points of consideration that needs attention when one particular medical staff is giving health care assistance to a patient. Through the policies set to assist in the process, the standard procedure of servicing the clients should be observed strictly. (B) Creation of procedural approach for decision making in several special health cases: Special health cases usually involve emergency decisions. The process of making decisions is at times quite unpredictable, especially if the case to be treated is abrupt. Thus, a standard procedure should be set, especially when no one around is able to decide for an unconscious patient. (C) Involving patient and patient’s relatives in coming up with the necessary decisions about treatments: The patient’s relatives or close loved ones should be given the chance to help in the decision making pertaining to what particular manner of treatment would be accepted by the family as a process of health assistance applied on the patient. This is especially applicable with serious illnesses and other terminal medical cases. With the discussion presented, it could be observed that there are three major approaches in service that needs consideration on the part of the healthcare professionals when it comes to satisfying their clients. These three elements particularly involve fine decision making on the part of the care givers themselves and the involvement of the family within the process to give regard to their importance in the situation. Obviously, the procedure of extending the service to satisfy the client’s values as the major focus of the service involves the major action on the part of the administrator’s implementation of the necessary guidelines needed to assist the personnel in giving considerable type of service to their customers who are naturally the patients wanting the best satisfactory assistance and care that they need to survive the health issues that they are particularly facing. Conclusion Thus, the quality of healthcare service presently rendered by the hospital institution is significantly important for the promoting of the basic principles of healthcare itself. With this concept, indeed the institution’s healthcare administration should be constantly monitored to determined possible dangers and complications and thus, developing protective measures and safety programs for the development itself of the hospital’s service. Administering the said healthcare evaluating modules is also considerably meticulous and complicated at some point however, the benefits these modules can raise through providing important qualitative information is generally more relevant than previous aspect. Thus, evaluating the quality of the healthcare service being rendered by the hospital’s administration is indeed important as both a precautionary and preventive measures for possible complications and in developing further the present condition of the said institution for more efficient and effective healthcare service. Considering the case discussed in this paper, it has been seen how patient care is very important in giving the individual a better chance of recovering from his illness. It could be noted that through the application of the Australian medical triage, the success on the stabilization of the situation of the patient has been garnered. Within the admission period, assuring that the patient receives the utmost attention that he needs insists the fact that the recovery level could be better encouraged and expected as well. Yes, the necessity of considering patient satisfaction and admission procedures in helping any particular patient recover through hospital assistance is an important part of the process of insuring the health progress of the patient involved. Bibliography Agency for Healthcare Research and Quality (July 2004). AHRQ Quality Indicators. Agency for Healthcare Research and Quality. United States Department of Health and Human Services. Agency for Healthcare Research and Quality, Rockville, MD. http://qualityindicators.ahrq.gov/index.htm. May 5, 2009. Beming, Patricia Anne. (2000). Emergency Nursing Bible. National Nurses in Business Association, Inc.; 4th edition. Broadbent, Marc.(2006). Improving emergency mental health triage.(focus: Emergency Nursing): An article from: Australian Nursing Journal. Australian Nursing Journal (Magazine/Journal). Thompson Gale Publishing. Australia. Diering, Scott Lewis. (1999). Love Your Patients! Improving Patient Satisfaction with Essential Behaviors That Enrich the Lives of Patients and Professionals. Routledge Publishing. Hall, Katrina. (2003). Care coordination: a new role for emergency nurses.(Focus: postgraduate education and emergency nursing): An article from: Australian Nursing Journal. Australian Nursing Federation. Johnstone, Megan. (2005). Ensuring patient safety in emergency departments: a national nursing concern.(Focus: postgraduate education and emergency nursing): An article from: Australian Nursing Journal. Australian Nursing Federation. Australian Nursing Federation. (2005). Redesigning care reduces emergency waiting times. (Emergency nursing/Education): An article from: Australian Nursing Journal. Thompson Gale Publishing: Australia. Gale Reference Team. (2003). Emergency nurse practitioners rollout.(QLD): An article from: Australian Nursing Journal. Australian Nursing Federation. Gale Reference Team. (2002). Emergency nurse practitioners rollout.(QLD): An article from: Australian Nursing Journal. Thompson Gale Publishing. Romanini, Judith. (1994). Critical Care Nursing: Australian Perspectives. Saunders Australia. Todd, Andrew. (2000). Pathway to activism in nursing: Andrew Todd, clinical nurse manager in emergency at Tasmania's North West Regional Hospital, describes his journey from ... An article from: Australian Nursing Journal. Australian Nursing Federation. Read More