Status - uncontrolled Drug therapy problem - safety: dose too high - LS's pain medication dose is too high and at risk for opioid overdose. Drug therapy problem - indication: needs additional drug therapy - LS is at high risk for opioids overdose, a rescue medication for opioids overdose is recommended; LS needs optimal pain medications to control her symptom. Drug therapy problem - compliance: noncompliance - LS is not compliance with taking her MS Contin tablet and oxycodone IR tablet. Rationale:…
In this ted-talks video, Dishman strives for patient empowerment and ensuring that patients participate in decision-making regarding their health during the decision-making process. Such a process would entail the physician and patient contributing to the decision-making process, and health care providers explaining treatments as well as alternatives to patients in order to provide the resources required for patients to choose the treatment option that most likely aligns with their distinct personal and cultural beliefs (Salmon & Hall, 2004). Ethical principles One of the limitations of the model is that some patients do not find it as the best approach to care due to factors such as lack of perceived control over the situation, an interaction…
Social Workers are responsible for ensuring continuity of care through the admission, evaluation, treatment, and follow-up processes. This includes coordinating discharge planning and providing case management services based on the patients clinical and community health and social services resources. Social Workers develop and implement treatment approaches which address individual social…
Therefore, the patient and his wife refuse to undergo any treatment and ops for conservative management. According to my supervisor, there is nothing that they can do for the patient except for palliative care as he refuse to get any treatment. I have never seen this situation before, and all this while I have only seen this situation in movies or drama and in previous integrated assignment, but never in real life. When this happened in front of me it really open my eyes. I realised there are still unfortunate people out there that need help with medical assistance, especially with their finances.…
Social Workers interview families and students to acquire historical information which is used in developing case assessments. The role of the Social Workers include planning family day schedule, conducting group sessions, individual sessions and family sessions, using professionally prescribed teaching methods, techniques and, providing utilization review reports to referral source and sponsoring agencies, initiating family contact, interacting with students in a professional manner to elicit positive change, documenting all services delivered, completing other reports, assessments, reviews as assigned in a timely manner and coordinating discharge…
To prevent a HIPAA violation when disposing of PHI, the healthcare facility must have a written policy documenting the proper procedure to follow when disposing PHI, and schedulers must be trained on HIPAA rules and regulations on an annual basis. Additionally, many offices keep separate containers for collecting and shredding PHI. In a recent settlement, Cornell Pharmacy in Denver, Colorado agreed to pay $125,000 to settle potential HIPAA violations after a local news reporter found patient information in an unsecured container (DHHS, 2015). According to the DHHS (2015), Cornell was cited for failing to safeguard PHI, failing to implement written policies and procedures, and failing to train the workforce on the Privacy Rule.…
). Several factors contribute to poor health outcomes including patient noncompliance. People with chronic illness struggle to juggle the competing demands of their lives, as it relates to the challenge of managing their health. The cost of illness, the personal limitations imposed by ill health and the obstacles faced in…
Introduction A common issue in all health care fields is adherence to treatment. It is difficult for individuals to change their behaviours and to maintain those behaviours. Every person has their own perspective on their health and makes decisions about their health in different ways. Some individuals deny that they have a health problem, some are reluctant to manage their health, and others follow advice from practitioners without question.…
This article relates to the PICO question by promoting patient adherence to post surgical interventions to prevent deep vein thrombosis. These interventions include early ambulation and compression hose. These are important interventions that the nurse has control of. It is the nurses' responsibility to assist with these interventions. It is also noted in the study that it is the staff's responsibility to encourage patient compliance with these interventions.…
A Duty to Care: The Role of a Nurse in Circumstances of Patient Nonadherence Health care professionals are all too often aware of the lifestyle choices that have led the patient to seek treatment in their care. However, the implications of these lifestyle choices and issues that can arise from nonadherence are often downplayed or simply disregarded by the patients despite the urgency of the matter being expressed by the health care professionals. In other words, sometimes, the patients refuse to alter their lifestyle for the preservation of their own health. This can be frustrating, to say the very least, but it does not, under any circumstances, dismiss the health care professionals from their duty of care (Laken, 1983).…
As a social worker it is crucial to listen to her, repeat what she is saying, and show her empathy. To explain and recap what LaShonda just stated is essential to know and verify to make sure we are both on the same page. Most importantly, I will work with LaShonda to build trust and help her feel comfortable. I will also try to understand her past and see if she has been affected in any way from any abuse. If she refuses to open up I will build rapport with her so it could be easier to have her open up.…
Classified as a complex brain disease, SUD is treatable, according to the USA National Institute of Drug Abuse (NIDA) principles of treatment [NIDA, 2008]. Given the aforementioned multiple factors, contributing to the development of SUD, its complex presentation, and associated disease burden; treatment of SUD is rated as significantly challenging. Delivering effective SUD treatment and care requires a comprehensive response, illustrated as core services and interventions delivered, within a supportive medical, mental, health, psychological, social; which comprise of housing, transportation, and educational services in addition to vocational and employment, legal and family interventions [Ehterige, Hubbard, Anderson, Caddock Flynn 1997].…
Faith Integration and Social Work There has long been a debate as to whether Christianity can be integrated into Social Work practice. As social workers, we are taught that faith is a topic that should not be discussed in treatment with clients and that we need to keep our values, biases and religion away from our work. The code of ethics that was established helps to keep us accountable for our actions and assists in making decisions. I do believe that it is possible to have both faith and a good social work practice successfully. In order to be successful at integrating the two, the social worker must make sure to maintain the values and ethics of the profession and always keep the clients best interest in mind.…
Gaining Compliance: Gaining compliance is getting somebody to agree with a recommended course of action. For example in an antenatal ward, if a client comes in who is a smoker, you would try to get her to quit, without coercing. For example, a good thing to say would be “How about we try to cut down on cigarettes; today you can smoke 10, tomorrow you can smoke 5, and after that only 2, until you can quit. This is because it is healthier for your baby if you do not smoke in your pregnancy”.…
Lack of patient compliance with health and medicine regimen cost the United States healthcare system billions of dollars contributing to rising healthcare costs (McGuire & Iuga, 2014, p. 35). This behavior translates to unscheduled outpatient visits such as emergency room utilization and high inpatient readmission rates. Patients with chronic diseases such as Congestive Heart Failure (CHF), Asthma, Coronary Artery Disease (CAD), and Chronic Obstructive Pulmonary Disease (COPD) experience high readmission rates due to poor compliance with plan of care, which takes away critical healthcare resources for patients with acute health issues (Mahoney, Ansell, Fleming, & Butterworth, 2008, p. 2). The high readmission rate often results in scheduled…