Concern regarding medications used perioperatively

Telemedicine includes medical services provided using audio and video technology. Telemedicine was originally developed to provide primary care to rural and poorly serviced patients. Since the 2019 coronavirus pandemic, higher telemedicine utilization has become the norm in many practices. Increasing importance of patient satisfaction, providing efficient and quality care, and minimizing costs have also led to increased adoption of telemedicine. Patients and healthcare providers have enjoyed the benefits of telemedicine, but regulatory, legal, and reimbursement barriers have hampered widespread adoption. Recent legislative initiatives are campaigning for further advances in telemedicine, especially with regard to the rapid adoption of telemedicine during the period of coronavirus disease in 2019.

Telemedicine includes medical services provided using audio and video technology. Telemedicine was originally developed to provide primary care to rural and poorly serviced patients. Since the 2019 coronavirus pandemic, higher telemedicine utilization has become the norm in many practices. Increasing importance of patient satisfaction, providing efficient and quality care, and minimizing costs have also led to increased adoption of telemedicine. Patients and healthcare providers have enjoyed the benefits of telemedicine, but regulatory, legal, and reimbursement barriers have hampered widespread adoption. Recent legislative initiatives are campaigning for further advances in telemedicine, especially with regard to the rapid adoption of telemedicine during the period of coronavirus disease in 2019.

You are a nurse preparing a 56-year-old telephone linesman for surgery to repair a torn left rotator cuff. He has an unremarkable medical history, and denies smoking or consuming alcohol. He has never been hospitalized and asks many questions regarding what to expect from his first surgical experience. His wife is continually at his bedside and is very supportive. (Learning Objectives 1, 3, and 5)

Your patient indicates serious concern regarding medications used perioperatively. How would you outline the uses of various medications?
After a complete description of the surgery, your patient indicates that he is ready to sign consent forms. How would you respond?
Which conditions would invalidate this patient’s ability to sign consent?
Develop appropriate postoperative patient goals that you might include in this patient’s care plan.

Sample Solution

Telemedicine includes medical services provided using audio and video technology. Telemedicine was originally developed to provide primary care to rural and poorly serviced patients. Since the 2019 coronavirus pandemic, higher telemedicine utilization has become the norm in many practices. The increasing importance of patient satisfaction, providing efficient and quality care, and minimizing costs have also led to increased adoption of telemedicine. Patients and healthcare providers have enjoyed the benefits of telemedicine, but regulatory, legal, and reimbursement barriers have hampered widespread adoption. Recent legislative initiatives are campaigning for further advances in telemedicine, especially with regard to the rapid adoption of telemedicine during the period of coronavirus disease in 2019.

 

debate as to whether such changes should be made based on findings which may not be truly representative and dependable. The use of victim surveys permits criminologists and the government to gain an enhanced awareness of trends regarding crime in comparison to just solely relying on and considering crime statistics (Šeparović, 1989). Victim surveys provide extra qualitative data concerning the demographics of victims, emphasising the place and time that an individual is most likely to become a victim of crime (Freeman, 2013), as well as taking unrecorded crimes into consideration. The information can then be assessed to reveal any patterns that may reveal certain aspects which could put a person at a higher risk of victimisation. As a result, crime prevention plans can therefore be adapted accordingly to aid the most vulnerable from being at risk.

The British Crime Survey remains to be an efficient way of collecting data as it is continuously being revised to take account of modern crimes, such as cybercrime (Jansson, 2007). The survey is seen as a respectable way to comprehend whether people within society are generally content with the criminal justice system, ultimately drawing attention to any public desire for improvements to be made (Muncie & Wilson, 2004). However, the reliability of data collected by victim surveys is disputed. For example, the surveys are only conducted within households meaning no corporate or white collar crime can be included (McLennan, 2000), other crimes such as manslaughter and murder are obviously omitted too. Victim surveys also exclude “residents of hospitals, prisons and old-age homes, who are often victimised and are not counted in the surveys” (Govender, 2013), therefore narrowing the sample, and consequently the reliability of survey findings even further.
An additional flaw that is also believed to damage the dependability of survey findings is memory loss, vital details may be forgotten or even over-emphasised making the information that is being recorded erroneous and subjective (Croall, 1998). It is also necessary to remember that the individuals taking part may either lie about being victimised or on the other hand, refuse to disclose information due to feelings of discomfiture (Schneider, 1981). There are a significant amount of factors to consider when assessing survey results, however, in comparison to quantitative research methods, it is considered by some that the risk of gathering slightly inaccurate information is worth taking. Victim surveys are successful in allowing and enabling a deeper understanding towards particular susceptible groups and crimes (Davies, Francis & Greer, 2007).

The use of surveys confronts methodological challenges, but limited issues construct difficulties of the same magnitude of those immersed in evaluating crime and victimisation. Although the surveys appear to give victims of crime a ‘voice’ by providing others with an insight into their experiences, the expediency of the feedback can be debated if victimless crimes, individuals under the age of sixteen and those not living at a registered address are excluded from contributing towards the “representative sample” (Jones, 2000) that organisations claim.

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