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Saturday, 9 March 2019
Nursing Effectivness Concept Paper Essay
Walker & Avants methodology (2005) is used to analyze the arche typecast of the invent good this yields clarity to the meaning of the apprehension and identifies its unique attributes, particularly in relation to checkup checkup intervention. Antecedents and consequences of presumed effective health check interference be discussed followed by empirical referents, which aid in illuminating the ideal of effectivity. Assumedly, effective is an adjectival most healthc ar professionals and their affected roles would hope to use in describing the bulge answer of the preaching or the c atomic number 18 provided.The purpose of this invention compendium is to understand that for physicians and nurses to provide truly effective discourse, it must(prenominal) attend to multiple regards of the persevering, not just their malady. Not exactly is it important for healthcare providers to construct and follow appear a discussion plans, but likewise to involve toleran ts in medical decision making about their treatment. To determine effectiveness, healthcare providers must task how treatment of the sickness effects the enduring in addition to their give evaluation of treatment. The dictionary definitions of effective are (a) adequate to accomplish a purpose, producing the intended or expected result (b) in operation or in force, functioning(c) producing a deep or vivid conception (d) prepared and available for service and (e) a member of the armed forces fulfill for duty or active service (Effective, n.d. a). According to Stedmans Medical Dictionary (2006), the medical definitions of effective are (a) the extent to which a treatment achieves its intended purpose (b) A measure of the accuracy or success of a diagnostic or therapeutic technique when carried out in an average clinical environment. According to Wikipedia (n.d. b), the usage of effective allow ins (a) mathematics, end be used as a synonym of algorithmically computable (b) phys ics, an effective theory is, similar to a phenomenological theory, a framework intended to rationalize certain effects without the claim that the theory correctly models the underlying processes(c) combust transfer, effectiveness is a measure of the performance of a heat money changer (d) business/management, effectiveness relates to getting the right things done (e) humanfigurer interaction, the accuracy and completeness of users tasks part using a system and (f) medicine, effectiveness relates to how intumesce a treatment works in practice. This concept analysis go forth focus on effectiveness in relation to treating an illness and patient take. As previously stated, it is important to consider how treatments send packing to a fault constitute an effect on the patient. A patients illness must acutely be treated, but it is imperative to also set keen-sighted term goals so the most effective and craved way out potty be achieved.Walker & Avant (2005) describe delimitate, or critical attributes as the characteristics that are most frequently associated with a concept. These attributes are key factors that must be present in defining the concept that is analyzed. Literature reviewed helped determine the characteristics attributed to the concept of effective in terms of nursing and medical treatment including, be free of illness or illness, moderated discomfort and acheing, scientific support, and ameliorate type of bearing. Another characteristic of effective nursing and medical treatment that should be considered is cost.Patients are sometimes informed about optional medical treatments that are available, but experimental and not yet approved by the FDA, nor sweep uped by ones medical insurance. There are many experimental treatments that have be to be effective in curing illness but sadly, most cannot afford to pay for these treatments. This also applies if a souls insurance does not cover a specific test, medicine, or treatment. A patien ts personal set out should also be taken into consideration people with the same illness could receive the same therapy or treatment, but have different outcomes.An 11 stratum hoar boy presents to the emergency department with an obvious deformity to his left lower leg after falling off his bike, he is triaged and quickly seen by a physician for treatment. The physician puts a condition on his leg and informs the boys invokes that his injury is not asserting(a) of surgery and the bone should heal properly while casted. They are told to recurrence in six weeks to have the cast removed and to evaluate the better progression. The boys parents are then advised of activity restrictions, addicted a prescription for as needed pain medication and pink-slipped home.They returned six weeks later and inform compliancy with the activity restrictions and he that hardly complained of pain the first couple days following the injury, which was managed hygienic by the prescribed pain m edication. The physicians reassessment of the patients leg indicated optimal healing had continuered and the cast was removed, thus achieving the desired outcome. This eccentric identifies that the patients pain was well managed and restrictions on activity were followed.The outcome identifies the patient is free of injury and discomfort, and graphic symbol of life was not affected, theoretical account all the critical attributes indicative of effective treatment. An 18 year old male is transported to a hospital via ambulance for an injury he sustained while vivifying in his high schools football game. It was is reported to the healthcare team up that he was tackled to the ground by an opposing histrion and Due to the risk of injury to his spinal cord and the patient complain of sever back pain, radiological tests were performed. Tests showed in addition to the injury sustained during the game, he also suffered from some degree of spinal stenosis. The physicians explained a need for immediate treatment as it was imperative to surgically repair the ravish to his spine by undergoing a spinal fusion.The physicians also inform them in order to achieve optimal healing and reduce the risk of further, irreversible long term damage, he allow be unable to play football again. This news is very upsetting for the patient because not only is he unable to play again, it was his dream to make football a career and was already accepted to college on a football scholarship. This patient was discharged from the hospital a week after his surgery with outpatient somatogenic therapy sessions if needed and a prescription for pain medication. The healthcare team explained to the patient, notwithstanding the possibility of mild back pain, the surgical treatment he underwent was effective.The concept of effective treatment related to this patients injury is that of a borderline case. Although the outcome of his treatment restricts his physical activity, healthcare provide rs were able to successfully treat his injury with surgical intervention. Pain medication was prescribed to decrease any discomfort or pain that may occur because from gravel and scientific data, healthcare providers are able to recognize what treatments are proven successful to achieve the best outcome for the patient. A 17 year old girl, suffering from anorexia and bulimia, is admitted to the hospital for the fifth time in septet months. Every admission, including this one, she has received enteral feedings to improve caloric intake and hemodynamic attitude.The mental status of this patient is also evaluated by a hospital healer in addition to ongoing outpatient treatment for her eating disorder. The patients parents voice their concerns to the healthcare team about her deteriorating health status and frustrations with outpatient therapy not being effective.They are concerned because even though her health status improves with the treatment she receives in the hospital, outpa tient therapy is not helping her maintain it. The physicians recognize with her parents concerns and check up on she needs intensive therapy from an inpatient facility that specializes in eating disorders. However, the patients insurance will not cover extended inpatient treatment and is too expensive for her parents to pay out of pocket, so they must continue treatment that has been seemingly ineffective to her recovery. The outcome in this scenario is that of a contrary case of effective nursing or medical treatment. Although this patient is always acutely treated, she is not free of her disease because she continues to purge food or not eat at all. Her select of life is also effected due to multiple hospital admits and her occasional struggle with food. This patients outpatient therapy shows to be ineffective and sadly she continues to suffer with an eating disorder.It is essential to discuss related framework to identify and explain the meaning of an analyzed concept. Walker & Avant (2005) define antecedents as events that must occur prior to the occurrence of the concept. In order for a therapy or treatment to be effective, there first must be a person with an injury or illness who seeks medical care. After an individual has kaput(p) to an emergency department, urgent care, or physicians office, they are evaluated by a healthcare team that includes a physician and nurse. Then, the healthcare team diagnosiss the patient before deciding on the type of treatment warranted to treat their injury or illness. Its imperative to include the patient in deciding treatment as active patient involvement in medical decision making improves their forest of life and outcomes from treatment (Egger, 1995. p. 384).When a type of treatment has been determined, it may require the patient to legally consent. The patients healthcare team is responsible for communicate them about the treatment and any associated risks that may occur as a result. Once the patients treatmen t is completed they will be evaluated by the healthcare team, thus resulting in a patient outcome. The consequences, or events that occur as a result of, are the outcomes of a concept (Walker & Avant 2011). The consequences effective medical treatment are improved health status, decreased need for health services, increased patient gaiety, and healing. All of these outcomes are desired by the patient as well as the healthcare team.These outcomes can have a huge influence on healthcare by providing data for healthcare providers and individuals researching treatment options. Outcomes are the ultimate test of the effectiveness of medical care. Patient outcomes are clinical endpoints, functional status, general well-being, and satisfaction with medical care (Coyle & Battles, 1999. p. 5). Empirical referents can be described as actual phenomena that by their actual existence or presence present the occurrence of a concept, in which is proven useful in legal document development (Walke r & Avant, 2005). It is important to note that empirical referents measure and relate to the defining attributes of effective, not just the concept itself (Walker & Avant, 2011). Since effective (medical treatment) is subjective as well as objective, it is essential to consider both phenomena that occur with this concept.Improved health status is the most significant phenomena associated with effective health treatment, both subjectively and objectively, relating to the attribute of being free from illness or injury and quality of life. The healthcare team objectively considers a patients treatment as effective if it has cured illness, resolved injury, or improved quality of life. Scientific research provide healthcare providers with support in ascertain what medical treatment has proven effective. For patients, aside from being free of illness or injury, quality of life is typically the most important.There are many different treatments that cure illnesses, but sometimes alter a p ersons quality of life. A patient can be in remission from cancer by receiving radiation and chemotherapy, but also causing a negative impact on their functionality, appearance, and general well-being. In order to determine how treatment has effected a patients quality of life, healthcare providers must formulate their own opinion base off of their knowledge of the patient and assess how the patient feels the treatment has impacted their life.Lastly, a patients use of medical services will be decreased or not needed at all. This analysis of the concept of effective medical treatment is defined as an outcome producing the intended or desired outcome. This concept has also shown to be complex, being that it is subjective as well as objective. Healthcare providers and patients must agree that the treatment was effective to the illness or injury. Effective medical treatment is achieved after a person with an illness or injury seeks medical attention and receives treatment for it. A re view of literature on this concept concludes that to improve quality of life and patient satisfaction, the healthcare team must integrate the patients values and preferences about the intended treatment or therapy (Egger, 1995).ReferencesCoyle, Y. M., & Battles, J. B. (1999). Using antecedents of medical care to develop valid qualityof care measures. International Journal for Quality in Health Care, 11(1), 5-12. Effective. (n.d. a). In Definitions.net. Retrieved fromhttp//www.definitions.net/definition/effectiveEffective. (n.d. b). In Wikipedia. Retrieved from http//en.wikipedia.org/wiki/Effective Egger, M. (1995). Systematic reviews in health care Meta-analysis in context. London Wiley. Stedmans Medical Dictionary. (2006). Effectiveness. Retrieved fromhttp//www.medilexicon.com/medicaldictionary/effectivnessWalker, L., & Avant, K. (2005). Strategies for theory crook in nursing. (4th ed.).United States of America Prentice Hall.Walker, L., & Avant, K. (2011). Strategies for theory co nstruction in nursing. (5th ed.).United States of America Prentice Hall.View as multi-pages
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