Continuous Quality Improvement and Patient Satisfaction.

Added on - 20 Sep 2019

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Continuous Quality Improvement and Patient Satisfaction1Continuous Quality Improvement and Patient SatisfactionStudent Name:Student ID:Course Name:Course ID:Faculty Name:University Name:
Continuous Quality Improvement and Patient Satisfaction2Continuous Quality Improvement and Patient SatisfactionPurpose of the programme-In healthcare, continuous quality improvement is required.Better quality will give better patient satisfaction and speedy recovery of the patient. Qualityimprovement projects and studies are aimed at making positive changes in the health careprocesses. (van Spreuwel et al 2015)In quality improvement projects it is important to establish three main aspects 1 ) What is thegoal of the project? 2) how will we come to know that the goal has been reached 3) What isto be done to reach the goal.Target Population-Here we will discuss providing better end life palliative care to theterminally ill patients. There are many approaches which we required to follow to achieve ourgoal of better end life palliative care.Nursing Theories For Better ApproachHumanistic Nursing Theory– This includes application to hospice and palliative care.Physically palliative approach is followed to manage pain and physical discomfort in most ofthe situations. Pain being the most important complaint in the palliative approach totreatment. As the discomfort increases the need for palliative approach increases. It becomesvery important where treatment is painful .Old age people become prone to life-threateningdisease or their suffering increases due to the natural ageing process. In many countries,palliative services are provided at home only.(Wu, H. L., & Volker, D. L. (2012).Mostlypeople by the end stage of their life prefer to spend their time at home. The palliativeapproach helps patient’s family to cope with the terminal illness of the patient. Palliative careleads to hospice care which includes focusing on comfort and quality of life. A personalisedaction plan is required for every patient for comfort and care. In this, it has been found that
Continuous Quality Improvement and Patient Satisfaction3the survival expectancy is increased by 6 months. In this, the main focus is on pain controlwhich troubles the patient most. Pain control is done by analgesics and comfort measureswhich can be achieved at home. (Brysiewicz, P., & Campbell, L. (2016).It is important to develop an integrated care pathway for the dying patient. This is for thepatients whose diagnosis is known and loss of life is inevitable. In this symptoms are closelymonitored and palliative approach is followed accordingly. In few cases, older people deniedaccess to palliative care. In these cases, their admission in hospital and nursing homebecomes very important. Specialised palliative care is required in many patients.Proper symptom control is impossible in older adults without proper communication. Anaccurate assessment of patient’s health requires effective communication. Communication isthe centre of all treatment. Communication will deliver a great amount of palliative care tothe older adults. In the society conversation about death is often very awkward and difficult.Among the health care professionals, there is a requirement of improvement of techniques toovercome these obstacles. In last two decades, there is awareness of the importance ofcommunication skills. The palliative practice involves communication between nurses withofficials , patients and also their relatives. By effective communication, a comfort level withthe patient is developed by which patient conveys his pain, fear , shares anxiety. Listening isa very important mode of communication. It requires nursing skills and attention. By thisnurses can access the situation and problems of the patient. By being a good listener nursescan provide care at all levels of recovery.(Guimarães, et al 2016)..
Continuous Quality Improvement and Patient Satisfaction4The nurse should be an experience and expert in communication and palliative approach oftreatment so that she can deal with the situation. The nurse and patient need to understand thegoals of care. At times in older adults, the decision-making ability is hampered. In this case,the nurse has to keep a clear communication. She needs to keep patient’s relative aboutpatient’s condition. For the patient’s family circumstances change on a day to day basisdepending on the patient’s health. Like in the case of older adult the family may need todiscuss something which is very difficult and emotive. Open and sensitive communicationworks in the best way. It also depends on an appropriate situation. This applies to nurse,patient and family members. Communication in nursing practice comes naturally. It's notsimple, it is always difficult to communicate with some terminally ill. It required educationand experience.In palliative care, a nurse should be able to carry out tough conversations with the patientsfamily. These conversations include patient’s current health , the progression of a disease andanticipated death. The information provided should be honest and it should be provided in away that the family members should be able to understand the situation. Palliative care nursesneed to be knowledgeable and they should carry enough experience in nursing to deliversensitive information in a proper mannerThe qualities of this relationship consist of active listening . In this, the nurse has to listenpatiently what the patient is saying. It is important that the patient trusts the nurse , only theneffective communication will happen. The nurse has to respond to the patient in the samemanner addressing the concerns. The patient and nurse should have genuineness and empathytowards each other.
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