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Related Concept Videos

Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
Formulating and Validating Nursing Diagnosis II01:25

Formulating and Validating Nursing Diagnosis II

Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Formulating and Validating Nursing Diagnosis I01:26

Formulating and Validating Nursing Diagnosis I

A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains for...
Nursing Diagnosis01:22

Nursing Diagnosis

Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...

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Related Experiment Videos

Hospice decision making: diagnosis makes a difference.

Deborah P Waldrop1, Mary Ann Meeker

  • 1University at Buffalo School of Social Work, 685 Baldy Hall, Buffalo, NY 14260, USA. dwaldrop@buffalo.edu

The Gerontologist
|March 6, 2012
PubMed
Summary
This summary is machine-generated.

Understanding hospice enrollment decisions is crucial. This study reveals diagnosis impacts end-of-life care choices, influencing timing and communication needs for patients and caregivers.

Related Experiment Videos

Area of Science:

  • Palliative Care
  • Decision Science
  • Health Psychology

Background:

  • Hospice enrollment decisions significantly impact patient and family end-of-life experiences.
  • Understanding the factors influencing the timing of hospice enrollment is essential for timely access to palliative care.
  • Previous research has not fully elucidated the decision-making process for hospice enrollment.

Purpose of the Study:

  • To explore the process of decision making regarding hospice enrollment.
  • To identify key factors influencing the timing of hospice enrollment decisions.
  • To apply Janis and Mann's Conflict Theory Model (CTM) to understand hospice enrollment decision dynamics.

Main Methods:

  • Qualitative, exploratory, descriptive, cross-sectional study design.
  • In-depth, semi-structured interviews with 36 hospice patients and 55 caregivers.
  • Directed content analysis using concepts from Janis and Mann's Conflict Theory Model (CTM).

Main Results:

  • A model of hospice enrollment decision making was developed, utilizing CTM concepts (appraisal, weighing alternatives, deliberations, adherence).
  • Significant differences in decision-making dynamics were observed based on diagnosis (cancer vs. other chronic illnesses) during the pre-referral phase.
  • No significant differences in decision-making were found between diagnostic groups during the post-hospice enrollment phase.

Conclusions:

  • Diagnosis-specific differences in end-of-life decision making highlight the need for tailored communication strategies.
  • Recognizing variability in hospice admission decision-making is vital for delivering person-centered and family-focused palliative care.
  • Further research is recommended to develop effective communication approaches for diverse patient populations nearing end-of-life.