Care Journal of Nursing

The Impact Of Implementing A Patient-Centered Medical Home Model In The Primary Care Setting

The Impact Of Implementing A Patient-Centered Medical Home Model In The Primary Care Setting

Tags: care health patient Primary Care

Literature demonstrates a trend of shared decision-making models that are centered around the patient. By implementing the Patient Centered Medical Home (PCMH) model, patient encounters will encompass a patient-centered decision-making approach regardless of the reason for the visit. This model incorporates ongoing preventative screenings into routine visits to create a continuum of meeting wellness initiatives without relying on a routine wellness visit yearly. To implement this model, the clinician will thoroughly review the patient’s chart prior to the office visit. If any preventive screening is identified, then the primary care provider addresses the initiatives during the encounter. Post-implementation data showed a marked increase in ordered preventive screenings, wellness exams, and revenue to the clinic. There was also an increase in patient satisfaction perception among participating providers. The PCMH model allows the clinician avenues to address, create dialogue, and implement shared decision-making to incorporate preventative screenings and keep preventive care moving forward.

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Who Will Be Left to Care for You?

Who Will Be Left to Care for You?

Tags: acute care care coronavirus COVID-19 healthcare workers nurse workload nursing Pandemic

It is sadly too late to help many our front line healthcare workers who have contracted the deadly COVID-19 virus. We need to find a way to help the rest NOW in order to save their lives and in turn they can save your life.

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Care of the Pediatric Patient

Care of the Pediatric Patient

Tags: care nursing pediatric pediatric patients The Flu

Short exemplar about caring for a pediatric patient in Interventional Radiology

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Doing More with Less: Are We Compromising Patient Care?

Doing More with Less: Are We Compromising Patient Care?

Tags: care health paitent

I came bustling into the Medical-Surgical unit at the hospital where I work as scheduled. It was the third 12-hour shift I was working, so I was really looking forward to getting the shift over with and enjoying the upcoming four days off. I was expecting to come onto the floor to find the usual nurses on the unit.

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A Lesson Learned 

A Lesson Learned 

Tags: care nurse reflection RN

I wanted to say something brilliant. I wanted to make it better. I had nothing to say. Instead, I put my arms around this tiny woman and I held her close. Her head rested on my shoulder as she sobbed for her losses. In that moment in time, there were no call lights, no medications, and no other important matters. There was no longer any urgency as I held this woman.

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Managing Diabetic Patients on Dialysis: The Nurse and Practitioners Role in Multidisciplinary Team Essentials 

Managing Diabetic Patients on Dialysis: The Nurse and Practitioners Role in Multidisciplinary Team Essentials 

Tags: care diabetic patients dialysis health nurses role

The chronic state of diabetes mellitus (DM) mainly type II, is an increasingly common cause of end stage renal disease (ESRD) in all countries, accounting for 51% of dialysis patients in the U.S. and 39% in Europe. Patient survival is much worse than for non-diabetic patients, with a large proportion of patients dying within the first 3 months of dialysis (excluded from USRDS data). In North America, chronic diabetes (e.g., poorly controlled), has shown as a major cause of death associated with cardiovascular diseases. Usually the outcome is better for transplanted patients.

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Maximizing Pain Relief in Pediatric Patients 

Maximizing Pain Relief in Pediatric Patients 

Tags: care child children health pain relief patients pediatric pediatric patients

Pain management is a complex issue that has become increasingly significant in the nursing profession; so much so that the assessment of pain has become known as the fifth vital sign. This issue becomes even more crucial when attempting to manage pain in pediatric patients.

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Memories from a Haitian Cholera Treatment Center 

Memories from a Haitian Cholera Treatment Center 

Tags: care cholera haiti nurse treatment center

In January and February of this year I worked in Haiti with United States NDMS DMAT and ImSurt teams providing medical and surgical care to the victims of the January 12th earthquake. What I experienced during those weeks only partially prepared me for what I would experience upon my return to Haiti

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Missionary to Haiti 

Missionary to Haiti 

Tags: care haiti health missionary

On January 28th I started out on the treck to head to Haiti. Living in Honduras I found myself traveling through Miami, to get to Chicago, to head out to Haiti. But, as there were few choices of air transportation to Haiti, we took whatever we could get. Upon arrival into Haiti, the first thing that hit me was the sea of humanity. This little town held 4 million people. Keeping things in perspective, I am living in a country of 7 million people – so over half of the population of Honduras resides in the city of Port-au-Prince. We drove to our camp site, Quisqueya Christian School (QCS). We immediately found a “spot” on the grass, set up our tents, and got to the business of preparing ourselves for the tasks ahead of us.

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Nurse, please pray with me. 

Nurse, please pray with me. 

Tags: care comfort health nurse prayer

Prayer may benefit both the nurse and the patient; both may find comfort in prayer. Prayer may also help patients and their families adjust emotionally to their illness or life events and support the patients’ spiritual health.

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Nursing Summer Camp: Recruiting the Next Generation of Nurses!

Nursing Summer Camp: Recruiting the Next Generation of Nurses!

Tags: camp care child children nursing nursing school team building

This manuscript looks at providing a nursing summer camp to school aged children with the hopes of sparking interest in the profession at a young age, as well as fostering the nursing spirit in children who may be considering the profession.

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Nursing with a Movement Disorder... DYSTONIA 

Nursing with a Movement Disorder... DYSTONIA 

Tags: care dystonia ICU Nurse movment disorder nursing

Oddly enough, my professional journey through medicine intersected with a personal medical condition… one that would remain undiagnosed and untreated for five years. Some doctors said that my facial tics (hemifacial spasms) and strange pains with twisting of limbs were due to stress or some hysterical "woman's disease." Yes, we're talking this century.

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Providing Appropriate Nursing Care for the Developmentally Disabled Child 

Providing Appropriate Nursing Care for the Developmentally Disabled Child 

Tags: autism care child children disabled health nursing

Developmental disabilities are birth defects related to a problem with how body parts and/or body systems work. These defects may affect multiple body parts and/or systems. There are four types of disability discussed in this article including nervous system disability, sensory-related disability, metabolic disorders and degenerative disorders.

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Can I Depend On You? 

Can I Depend On You? 

Tags: care health nursing students

An LPN Instructor at East Central Technical College in Douglas, Georgia requires an experience for her nursing students.

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End-Of-Life-Care: Are Nurses Educationally Prepared? 

End-Of-Life-Care: Are Nurses Educationally Prepared? 

Tags: care comfort death end of life end-of-life care health medical technology nurse physical health spiritual-psychosocial health

End Of Life Care study in the RN Journal. Are nurses prepared to offer quality end-of-life care to patients and families?

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Nursing Students Readying to Save Lives 

Nursing Students Readying to Save Lives 

Tags: active learning care health myocardial infarction nursing patient outcomes simulation students teaching

Recognizing the findings in a patient with an impending myocardial infarction (MI) and intervening appropriately is essential for healthcare providers in improving patient outcomes.

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Caring and the Professional Practice of Nursing 

Caring and the Professional Practice of Nursing 

Tags: care career guidance caring caring in nursing hospice nurse

Leininger’s Theory of cultural care and Jean Watson’s Theory of human caring in the RN Journal.

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Help Me Get Better 

Help Me Get Better 

Tags: care nurse reflection RN

A Registered Nurse reflects on her experiences as an RN professional!

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