Nursing Diagnosis For Menopausal Women

Patient-centered care refers to the view that patients and their family members are partners in developing a care plan. This stems from the belief that the patient is in control and that the care provided is rooted in respect that addresses the patient’s personal needs and values (Barnsteiner & Sherwood, 2012). Creating a partnership with a patient that allows them to grasp the goals and methods of their plan of care and includes them in the decision-making process can prevent errors from occurring. This gives the patient the opportunity to correct any

Out of the six QSEN Competencies I believe patient-centered care is the most important. As you talked about in your discussion post, nurses should always give patient’s choices regarding their care. If patients don’t feel comfortable or want to accept treatment then that is their right. “Training patients to be more assertive and involved in the medical encounter has been shown to be effective in increasing patient involvement in their own care and in producing better health outcomes” (Spath, 2011, p. 235). The more a patient understands the care they are receiving the more at ease they will feel throughout the entire experience. To me that is extremely important because we are there to make our patients feel at home and that they are in a

Menopause is the time in a woman’s life when the ovaries stop producing the hormones estrogen and progesterone, and menstruation ceases. The absence of hormones and a monthly period prevents pregnancy from happening. Though many women mistake the years leading up to their last period as menopause, this, is perimenopause, the term used for the transition. Women may assume that pregnancy is not possible at any stage leading up to menopause, but this simply is not true. If you are still producing hormones to ovulate there is a chance of pregnancy, and contraception is still necessary. It is important that women at this stage in their reproductive health seek the advice of an OBGYN to discuss the need

The QSEN faculty members adapted the Institute of Medicine competencies for nursing by proposing definitions that could describe essential features of what it means to be a competent and respected nurse. These competencies include patient-centered care, teamwork and

After reviewing the six Quality and Safety Education for Nurses (QSEN) Competencies I can definitely see how implementing these skills into the medical field results in improved patient care. Examining this week’s reading assignments I selected practices/ strategies that met each individual competency and they are as follows:

I believe that this particular competency would have been extremely useful in the specific case in the documentary, in which the nurse gave the Quaid twins an overdose of 1,000 times the normal dosage of Heparin. If the nurse had applied the skill of teamwork and collaboration by telling the other nurses around her to check if the right amount of medication was given to the patients, the error of giving out such a huge amount of drugs could have been prevented. In regards to the future, it would be extremely helpful to have other providers to check the amount of medication dosage, before given to patients, as it can prevent many innocent deaths from overdosage of drugs. In addition, another major QSEN competency that may have helped a patient’s family out tremendously in the documentary, is called informatics. This individual portion of the QSEN aids in practitioners utilizing information and innovative technology, in which serves as a key access to communication, knowledge, and aids in decision making. Disregarding that, Braxton, mentioned in the documentary, was a successful surgery patient who went home, and consumed painkillers distributed by the hospital. Although things seemed to go okay, he passed away after soon after, which severely impacted his family members. When Braxton’s parents went to go find the error that the particular hospital made, the practitioners told them that they do not keep anesthesia

Patient centered care is an important Future Nursing Core Competency that allows the best approach in providing care. Using strategies tailored to each individual patient can be almost expected from the patient and their family (Hood, 2014, p. 409). Patient centered care is an important aspect in the profession of nursing, and in achieving understanding. By incorporating this into everyday practice it allows the patient a better understanding of their diagnosis and instill compliance.

The Quality and Safety Education for Nurses (QSEN) Institute developed six core competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics (Quality and Safety Education for Nurses Institute, 2017). At my facility, it is clearly evident that they have adopted these six core competencies to improve patient quality and safety. My facility created the Office of Patient Experience which supports care that is safe, of high quality and high value. Patient satisfaction is a top priority which is why our guiding principle is known as “Patients First”. Through teamwork and collaboration, we deliver care that is patient-centered by working together in multidisciplinary rounds on the inpatient units. Also, the nursing education department supports quality, safety and consistent nursing care through a database of policies and procedures developed using evidence-based research. Lastly, the nursing informatics department is working towards making our EPIC system more patient-centered. They are doing this by decreasing the redundancy in charting for the nursing staff and finding ways to improve processes which automate tasks. This in turn will reduce the time that the nursing staff spends with their computer and increase the time that the nursing staff can spend with their patients.

Dolansky and Moore (2013) argued that the development and integration of QSEN competencies into nursing education had not have the outcomes intended. They stated "over a decade has passed since the Institute of Medicine (IOM) report, To Err Is Human: Building a Safer Health System" and national initiatives to improve quality, especially QSEN, have been futile in significantly improving quality and safety. "QSEN is a national movement that guides nurses to redesign the "what and how ' they deliver nursing care so that they can ensure high-quality, safe care" (Dolansky & More 2013).

How can you use QSEN in your current nursing practice? I currently work in case management and have only in this role for a little over a month. However, when I was floor nurse QSEN and its core foundation could have been implemented as standard practice. The six principles of the QSEN knowledge skills and principles support the frame work of patient safety and should be the forefront of any hospital or healthcare organization. The evidence base practice that supports these six key factors has proven to reduce medical errors, save countless lives and foster leadership within the nursing field (QSEN,

QSEN competencies safety and quality improvement will both be addressed in this change (Baralden, 2014). Closing the gap of a communication language barrier will improve patient safety and quality of care. For an example, a patient could be allergic to a medication and in an emergency situation not be able to communicate that allergy correctly which could cause a life threatening reaction. This is an example of both patient safety and quality of care.

There are five core competencies needed for health care professionals and they are provide patient centered care, work in interdisciplinary teams, employ evidence based practice, apply quality improvement, and utilizing informatics. In this paper, I will go into further detail how providing patient centered care is challenging, how to overcome the challenges, how it relates to my chosen profession, and how this competency can impact delivery of care to patients.

The Institute on Medicine (2012) defines patient-centred care as respectful and responsive to individual patients’ preferences, needs, and values and ensures that the patient or family are in control of all clinical decisions and maintaining core values. This again highlights the focus on the patient, their values, and involvement of the family.

Nursing involves greater purpose beside the objective of treating patients’ ailments in an efficient and effective manner. Nurses, physicians, and health care providers across the board uphold the duty to treat patients with the utmost value of care. As a universal definition of care does not exist, Anita Finkelman and Carole Kenner explain care is drawn from four perspectives: a sense of care involving compassion, knowledge and expertise that allows nurses to advocate for the patient in addition to treating the medial complication, and “…competence in carrying out all the required procedures, personal and technical, with true concern for providing the proper care at the proper time in the proper way (Finkelman & Kenner, 2013) . Combining the foundation of every perspective leads to the Institute of Medicine’s (IOM) first core competency of patient-centered care. Sans the image of patient-centered care the practice of nursing and medicine alike will lack the passion the American Nursing Association envisions for “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and care of individuals, families, communities, and populations” (Finkelman & Kenner, 2013). Therefore, the author of this paper explores the IOM’s definition of patient-centered care, implementation of the concept, and its pivotal relationship to the nursing profession.

Mitchel and Barnes (2005) note that menopause or peri-menopause has the effect of increasing depressive symptoms or initiating the onset of depressive symptoms. A systematic review of literature on the impact of menopause on the course of bipolar disorder indicate that postmenopausal women reported worsening mood symptoms particularly depression (Mitchel & Barnes, 2005). A study by Dalal and Agarwal (2015) on postmenopausal syndrome found that 75% of women investigated experienced vasomotor symptoms; in some case the symptoms lasted for up to 10 years. The symptoms included hot flushes, emotional lability, difficulty in concentrating and insomnia. The highlighted symptoms are similar to bipolar disorder symptoms.