Podcast
Questions and Answers
What is the main disadvantage of the Partnership model?
What is the main disadvantage of the Partnership model?
- Inflexible scheduling
- Difficulty in delegating to partner (correct)
- Lack of patient satisfaction
- High cost
In the Team or modular method, what role does the RN case manager typically assume?
In the Team or modular method, what role does the RN case manager typically assume?
- Planning and evaluative role (correct)
- Administrative duties
- Medical diagnosis
- Direct care provider
Which factor is NOT mentioned as affecting the selection of the Primary method for patient care?
Which factor is NOT mentioned as affecting the selection of the Primary method for patient care?
- Patient acuity
- Availability of registered professional nurses
- Level of technology in the organization (correct)
- Philosophy of the nursing services division
What aspect makes Case Management a cost-effective healthcare option?
What aspect makes Case Management a cost-effective healthcare option?
Which method is criticized for not being a true inpatient delivery system in the text?
Which method is criticized for not being a true inpatient delivery system in the text?
What is a common challenge faced in maintaining consistent partnerships according to the text?
What is a common challenge faced in maintaining consistent partnerships according to the text?
Which patient care model involves a team of healthcare professionals working together to deliver care?
Which patient care model involves a team of healthcare professionals working together to deliver care?
Which patient care model is most commonly used in situations requiring single care, such as isolation or intensive care units?
Which patient care model is most commonly used in situations requiring single care, such as isolation or intensive care units?
Which patient care model involves a nurse assigned to a group of patients, acting as a primary contact point for their care?
Which patient care model involves a nurse assigned to a group of patients, acting as a primary contact point for their care?
Which patient care model is characterized by division of nursing tasks among specialized nurses?
Which patient care model is characterized by division of nursing tasks among specialized nurses?
Which patient care model emphasizes shared decision-making between patients and healthcare providers?
Which patient care model emphasizes shared decision-making between patients and healthcare providers?
Which patient care model involves coordinating care across different healthcare settings and providers?
Which patient care model involves coordinating care across different healthcare settings and providers?
Which patient care model allows for nurses to be assigned specific tasks across multiple patients?
Which patient care model allows for nurses to be assigned specific tasks across multiple patients?
Which patient care model involves a team of nurses collaborating to provide care for a group of patients?
Which patient care model involves a team of nurses collaborating to provide care for a group of patients?
Which patient care model involves a primary nurse who coordinates care, while also providing direct patient care?
Which patient care model involves a primary nurse who coordinates care, while also providing direct patient care?
Which patient care model involves collaboration between healthcare providers, patients, and families to develop a comprehensive care plan?
Which patient care model involves collaboration between healthcare providers, patients, and families to develop a comprehensive care plan?
Which patient care model involves managing a patient's care across the continuum, from admission to discharge and beyond?
Which patient care model involves managing a patient's care across the continuum, from admission to discharge and beyond?
Which patient care model allows for the most individualized and comprehensive care for a patient?
Which patient care model allows for the most individualized and comprehensive care for a patient?
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Study Notes
Patient Care Models
- A patient care model is a method of organizing and delivering nursing care to achieve desired patient outcomes.
Types of Patient Care Models
- Case method or total patient care: one nurse is assigned to one patient for the delivery of total care.
- Functional method: nursing tasks are divided among nurses.
- Team or modular method: a group of nurses work together to provide care.
- Primary method: one nurse is responsible for a group of patients.
- Partnership model: two nurses, a registered nurse and a partner, work together to provide care.
- Case management: a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates options and services to meet an individual's health needs.
Case Management
- Components: assessment, planning, implementation, evaluation, and interaction.
- RN case manager assumes a planning and evaluative role, not responsible for direct care duties.
- Focuses on individual patients and supervises care across the continuum.
Advantages and Disadvantages of Case Management
- Advantages: can be cost-effective, satisfying for high-risk patients.
- Disadvantages: RN may have difficulty delegating to partner, consistent partnership difficult to maintain due to varied schedules.
Factors Affecting Selection of Patient Care Model
- Availability of registered professional nurses.
- Philosophy of the nursing services division.
- Patient characteristics (patient acuity).
- Economic resources of the organization.
- Organizational support (top-level health facility administration).
- Knowledge, skill, expertise, and promotion of the staff.
- Complexity of the nursing tasks.
Case Method or Total Patient Care
- Advantages: possible for one nurse to be assigned to more than one patient, nurse can meet objectives, assigning patients is simple, direct and clear lines of responsibility and accountability.
- Disadvantages: patient has a different nursing approach each shift, often resulting in confusion, requires highly skilled nursing personnel, can be very expensive.
Effective Patient Care Models in Different Situations
- Case method: effective in special circumstances, where single care is needed (isolation, intensive care units, home health agencies).
- Primary method: effective in Maternity Hospital, where care plans include delivery care, vaccination plan, consultation, and referral to health care center and follow-up at home.
- Case method: effective in Surgical Department, where a nurse provides 24-hour care for a patient, including preparation for operation and post-operative care.
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