Identification Of Issue Significant To Nursing Practice II

 

 

There are several organizational issues affecting healthcare delivery. The clinical issue that my facility is facing entails the management of patients with cases of chronic illness among patients especially those with advanced ages. The prevalence of chronic illness is attributed to improved medical care, which has resulted in increased life expectancy (Woolf & Schoomaker, 2019). Improved medical care has resulted in an increased number of elderly populations. This population has the most significant risk for chronic diseases such as diabetes, hypertension, heart diseases, and asthma. The primary issue among nursing care of this population involves the provision of care and management of these chronically ill in various healthcare settings.

The management issue has several implications in the practice of nursing. First, the implication involves applying information technology such as telehealth to enhance and increase care delivery to the patients in different settings. Model of transition care is one of the appropriate approaches to providing healthcare services to these patients with chronic illnesses (LeBerre et al., 2017). This approach is designed to ensure the continuation of patient care once they leave the hospital. Telehealth application, especially to the elderly population during care transition, enhances proper treatment and management of health complications of the patient.

The second implication involves the need for the nurses to take a leading role in care coordination among different healthcare professionals involved in taking care of the chronically ill aged population in different healthcare settings. The transitional model of care for those aged with terminal and chronically ill patients requires a multidisciplinary approach involving nurses, nutritionists, various fields of medical specialists, and social workers (Scott et al., 2017). As the primary caregivers, nurses lead in coordinating and providing care to chronically ill patients in diverse care settings.

 

During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

 

Sample Solution

showed the power women had in addressing public concerns was when she had called the attention of the health department to the unsanitary conditions present in Chicago. The department claimed it was under control, but with the backing of some businessmen she put in a bid to collect garbage. In some time she was appointed garbage inspector of the ward. Jane Addams, a woman, was given a role in the community after addressing pressing concerns. She took action where it was needed, and started to try and fix the community in which she lived. Another time a problem existed with public baths, Jane Addams decided she would somehow come up with a solution. Jane Addams wanted to show that people would use public bathing facilities if they were offered to them. However, the board had claimed people would not use the facilities and it would be a major waste of public funds. So after Jane Addams got proof that people used them by having 3 baths put into the Hull House Basement, the Board of Health decided to open the first public bathing facility in all of Chicago. In Miss Addam’s words ,“Our contention was justified by the immediate and overflowing use of the public baths”. After Hilda was introduced to Hull House she wanted to make a way for herself. Hull house had taught her what she needed, and after being an apprentice to the inspiring and determined Jane Addams, she soon became a woman who was determined to make her own way in the world. Hilda had taken many jobs over the course of her life, and although that sounds impressive it also meant she left many of them. One incident where Hilda had a problem with the treatment of employees, was during her time as a bill clerk. Her responsibility was to operate the billing machine, but she was not permitted to talk to the girl next to her. They were given notecards, in which the color of each card would mean different things. After some time working for the company, Hilda’s voice started showing the toll being mute at work had. In response Hilda, “..made a feeble protest. I saw no reason why I could not speak to the girl next to me once in a while. The next day I was told that I was “too smart” for the job, and I was fired” Although the girls were experiencing jail like treatment, the inhuman aspect that the job offered failed to inspire other workers to speak out. Hull House had showed Hilda the power of using her voice, and the power of reasoning. As a result she was fired, but she successfully engaged civically and stood up for herself. Over time Hilda had became well aware that women were treated like second-class citizens, they paid taxes but lacked a voice in determining where those taxes were to be spent. They had no voice in making a difference and had insufficient numbers that were needed to create change. Hilda faced the on going constraints women had, especially in the workplace. Even though she had learned to speak out against this, other women would not necessarily follow in her footsteps. Unfortunately it was an ongoing problem, and for change to happen women needed time and numbers. The role women had in civil participation was lacking, however, figures like Hilda Polacheck and Jane Addams were the very reason one day a change would come. They both showed that participating in pressing concerns of the community and country at large was of grave importance. They knew that what they were doing was considered to be odd during the time period, but they did not care because they were playing their role in the community and trying to better the place around them, despite their gender.

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