Continuous Quality Improvement and Patient Satisfaction.

Added on -2019-09-20

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Continuous Quality Improvement and Patient Satisfaction 1Continuous Quality Improvement and Patient Satisfaction Student Name: Student ID: Course Name: Course ID: Faculty Name: University Name:
Continuous Quality Improvement and Patient Satisfaction 2Continuous 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. Quality improvement projects and studies are aimed at making positive changes in the health care processes. (van Spreuwel et al 2015)In quality improvement projects it is important to establish three main aspects 1 ) What is the goal of the project? 2) how will we come to know that the goal has been reached 3) What is to be done to reach the goal. Target Population- Here we will discuss providing better end life palliative care to the terminally 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 of the situations. Pain being the most important complaint in the palliative approach to treatment. As the discomfort increases the need for palliative approach increases. It becomes very important where treatment is painful .Old age people become prone to life-threatening disease 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). Mostly people by the end stage of their life prefer to spend their time at home. The palliative approach helps patient’s family to cope with the terminal illness of the patient. Palliative care leads to hospice care which includes focusing on comfort and quality of life. A personalised action plan is required for every patient for comfort and care. In this, it has been found that
Continuous Quality Improvement and Patient Satisfaction 3the survival expectancy is increased by 6 months. In this, the main focus is on pain control which troubles the patient most. Pain control is done by analgesics and comfort measures which 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 the patients whose diagnosis is known and loss of life is inevitable. In this symptoms are closely monitored and palliative approach is followed accordingly. In few cases, older people denied access to palliative care. In these cases, their admission in hospital and nursing home becomes very important. Specialised palliative care is required in many patients.Proper symptom control is impossible in older adults without proper communication. An accurate assessment of patient’s health requires effective communication. Communication is the centre of all treatment. Communication will deliver a great amount of palliative care to the 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 to overcome these obstacles. In last two decades, there is awareness of the importance of communication skills. The palliative practice involves communication between nurses with officials , patients and also their relatives. By effective communication, a comfort level with the patient is developed by which patient conveys his pain, fear , shares anxiety. Listening is a very important mode of communication. It requires nursing skills and attention. By this nurses can access the situation and problems of the patient. By being a good listener nurses can provide care at all levels of recovery.( Guimarães, et al 2016)..
Continuous Quality Improvement and Patient Satisfaction 4The nurse should be an experience and expert in communication and palliative approach of treatment 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 about patient’s condition. For the patient’s family circumstances change on a day to day basis depending on the patient’s health. Like in the case of older adult the family may need to discuss something which is very difficult and emotive. Open and sensitive communication works 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 not simple, it is always difficult to communicate with some terminally ill. It required education and experience.In palliative care, a nurse should be able to carry out tough conversations with the patients family. 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 a way 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 deliver sensitive information in a proper mannerThe qualities of this relationship consist of active listening . In this, the nurse has to listen patiently what the patient is saying. It is important that the patient trusts the nurse , only then effective communication will happen. The nurse has to respond to the patient in the same manner addressing the concerns. The patient and nurse should have genuineness and empathytowards each other.

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