This paper discusses warranted and unwarranted care in healthcare. It defines warranted and unwarranted care and describes one approach to reducing unwarranted care. The paper also provides references for further reading.
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Running head: HEALTHCARE ASSIGNMENT PAPER1 Healthcare Assignment Paper Student’s Name Institutional Affiliation
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HEALTHCARE ASSIGNMENT PAPER2 Nurses and doctors usually determine the health of the nation and therefore, should be keen on any care they give to a patient. This is because some attention typically worsens the patients’ status while others increase the patients’ expenses in the health centre. Define warranted and unwarranted care. Warranted care is usually considered acceptable in any healthcare system. As an illustration, this is a kind of care that is not just good but also desired. The warranted attention usually occurs because of innovation in treatments or care (Menon, Cunningham & Kerr, 2016). This includes the provision of high-value health services for all patients. Some of the warranted attention are as highlighted below. Making the discharge process smoother. This helps to reduce the bottlenecks and hence, steady patient flow (Peabody & Hauck, 2017). The hospitals should implement processes which include discharge planning on date of admission in conjunction with using checklists. Thwarting the spread of deadly bacteria is also a good practice in healthcare nursing along with the adoption of the telehealth in order to improve the patient outcomes. As an illustration, it is stated that platforms which engage the patients before and after surgery usually gets good results unlike the old approaches (Khobrani, Huckleberry, Boesen, Aljabri & Patanwala, 2016). The unwarranted care is where patients are over or undertreated, or treated with wrong medications for their illness and always harmful for the patients and their families. At times doctors usually arrive at the right diagnosis but then fails to recommend the right treatments. These situations typically consist of malpractices which are referred to as failure to treat. These kind unwarranted care usually occur, especially when the nurse or doctor is dealing with many patients (Menon, Cunningham & Kerr, 2016). Unwarranted care is partitioned into three
HEALTHCARE ASSIGNMENT PAPER3 situations. The first category is the use of evidence or lack of evidence basing on other medical care. As an illustration, the care plan for the patient is proven effective without proof as to why it is useful. Surgical errors are also unwarranted kind of care which includes performing unnecessary surgery, using incorrect procedures, provision of inadequate care after surgery, and even leaving off the medical equipment within the patient. It is also unwarranted care for doctors to administer the wrong amount of anesthesia that causes death because he told the patient that he or she might die during operations. Accordingly, too much usage of lower value interventions that might waste the NHS resources, risks treatments unnecessarily is unwarranted (Menon, Cunningham & Kerr, 2016). Birth injury is also unwarranted care that should be avoided by all means. To some extent, these birth injuries usually leads to the death of the mother or baby or both. Last but not least, misdiagnosis. This is where the doctor examines the patient but fails to diagnose the correct illness (Peabody & Hauck, 2017)). Describe one approach to reducing unwarranted care One of the strategies that can be utilized to minimize unwarranted care is by encouraging evidence-based medicine. As an illustration, the evidence-based practice guidelines are usually used in the majority of the health centres. The agency defines it for health research as the systematically developed statements in assisting practitioners along with patient decisions (Chew et al., 2016). By doing this, a lot of information will be available to the physician to help reduce unwarranted care. However, studies have shown that just publishing and distributing the paper or
HEALTHCARE ASSIGNMENT PAPER4 internet-based guidelines have little effect. In that case, the instructions need to be instantly available at the point of care in order to be effective in influencing the physicians’ behaviours. The guidelines should be simple, timely and hence incorporated in practice in a seamless way such that doctors view them as an aid and not an obstacle in providing the best practice (Jefferson & King, 2018)). For this to be successful, the patient-physician communication system to be available and accessible securely. In that case, patients should also be in a position to view their records online, which will help them become engaged and active in their care.
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HEALTHCARE ASSIGNMENT PAPER5 References Chew, G. L., Horner, W. E., Kennedy, K., Grimes, C., Barnes, C. S., Phipatanakul, W., ... & Williams, P. B. (2016). Procedures to assist health care providers to determine when home assessments for potential mold exposure are warranted.The Journal of Allergy and Clinical Immunology: In Practice,4(3), 417-422. Jefferson, B. K., & King, J. E. (2018). Impact of the acute care nurse practitioner in reducing the number of unwarranted daily laboratory tests in the intensive care unit.Journal of the American Association of Nurse Practitioners,30(5), 285-292. Khobrani, M., Huckleberry, Y., Boesen, K., Aljabri, A., & Patanwala, A. (2016). 845: Allergic Reactions To Crotalidae Polyvalent Immune Fab: Is Icu Admission Warranted?Critical Care Medicine,44(12), 287. Menon, M., Cunningham, C., & Kerr, D. (2016). Addressing unwarranted variations in colorectal cancer outcomes: a conceptual approach.Nature Reviews Clinical Oncology,13(11), 706. Peabody, J. W., & Hauck, L. D. (2017). Physicians’ Variation in Care: The Practical Balance of Warranted Versus Unwarranted Variation.Critical care medicine,45(12), e1297-e1298. Peabody, J. W., & Hauck, L. D. (2017). Physicians’ Variation in Care: The Practical Balance of Warranted Versus Unwarranted Variation.Critical care medicine,45(12), e1297-e1298.