Primary care at home can help support a patient in many ways, providing primary, urgent, or palliative care to the medically vulnerable while helping them feel less alone. According to the American Academy of Home Care Medicine, primary care at home program (PCH program) can be an ideal option for those with multiple chronic conditions, providing many benefits working in partnership with other medical teams that may include a primary care physician, nurse practitioners, nurses, physician assistants, social workers, pharmacists, and emergency medical technicians.
Millions receive medical care at home, 4.5 million according to the latest estimates available by the Centers for Disease Control and Prevention. Still, with thousands among the baby boomer generation turning 65 every day and the group of those 80 and older growing the fastest, there aren’t enough patients utilizing PCH programs.
If it’s something that you’re considering for yourself or a loved one, here’s what you need to know about its many benefits and more.
It’s Not Just for the Elderly
While we noted that primary care at home can be important to support aging Americans over the age of 80, it isn’t just for the elderly. For example, a 36-year-old woman with a seizure disorder and congenital cerebral palsy who requires a feeding tube and is non-verbal probably needs care around the clock. Her family may be providing most of it but cannot do so 24 hours a day due to work and other obligations. Without home-based primary care, her only access to health care would be via the emergency room, which would be yet another burden for caregivers as well as the entire system.
Easing the Burden of Elderly Caregivers
Among elderly couples, many are faced with caring for their spouses. Think about the 87-year-old man with an 85-year-old wife who has been hospitalized multiple times for conditions like pneumonia and heart failure. She’s reliant on her husband, but he doesn’t have the energy to provide that constant care and may develop health problems himself. As Caregiverlist points out, primary care at home can reduce stress and keep elderly spouses from suffering from serious health conditions.
Ensuring Follow-Up Care
Homebound and home-limited patients often have difficulty getting to appointments, which means they don’t receive critical follow-up care, creating a cycle of poor health management. In the end, it’s more expensive for everyone as well as more exhaustive for the patient and caregivers. Home-based primary care is like a modern-day house call, ensuring these patients get the necessary care even in the most medically complex situations.
Many Other Benefits
In addition to supporting caregivers and improving quality care, a PCH program can significantly lessen the number of medical emergencies and the poor control of chronic conditions, which are some of the most frequently cited issues for readmission, an ER visit, or an acute hospitalization. Home-based primary care can also enable Medicare Advantage programs and care organizations to better coordinate and improve the quality of care to their most costly patients, boosting satisfaction while significantly reducing high-cost nursing home services.
Understanding Erectile Dysfunction
Erectile dysfunction is a condition that affects an estimated 300 million men across the globe. For many years, it was thought to be caused by a psychological issue. We now know that there are many physical causes as well. Advances in medical technology have made diagnosing and treating erectile dysfunction. With proper treatment, men who suffer from erectile dysfunction can live a happy, healthy lifestyle that is fulfilling in every aspect.
What Is Erectile Dysfunction?
The definition of erectile dysfunction is an inability to consistently achieve and maintain an erection that is adequate and fulfilling sexual intercourse or performance. While it is primarily thought to affect males between the ages of 40 and 80 years, it can actually affect men of almost any age if the cause is related to medications or advanced health conditions like Type 2 diabetes, depression, or chronic sleep disorders.
What Causes Erectile Dysfunction?
Premature ejaculation or organic erectile dysfunction are the two primary types of erectile dysfunction. Each type can have multiple causes, both physical and psychological. With premature ejaculation, a man has difficulty controlling when he ejaculates. During vaginal penetration, he may not be able to remain erect for longer than a minute or more before he has a full or partial release.
Organic erectile dysfunction can be caused by neurological disorders, depression, diabetes, extensive alcohol use, Peyronie’s disease, and certain medications that impede blood flow or are used to treat vascular disease. Chronic sleep disorders can also lead to erectile dysfunction. Any condition that has a direct effect on the body’s endocrine system can also impact sexual functions. Hormone imbalances are a common cause of erectile dysfunction to some degree.
Signs and Symptoms of ED That Lead to a Diagnosis
Doctors will look over a patient’s medical history or incidents involving sexual dysfunction. A physical examination is performed to find any systemic problems that may be lurking under the surface. This usually includes neurological or hormonal problems. Obesity is also a common issue. Problems with the circulatory system are also possible. High cholesterol that clogs the arteries and impedes blood flow impacts both the circulatory system and erectile dysfunction.
Your doctor may also use laboratory tests and psychosocial examinations to reveal organic and physiological issues that affect how the penis and other reproductive organs function. Psychological issues like depression, anxiety, and poor intrapersonal relationships may also have an impact on a person’s physical health and can be tied to a variety of types of sexual dysfunction, including ED.
Possible Treatment Options
Men who have been diagnosed with erectile dysfunction have various treatment options available to them. Medications like Tadalafil are taken orally and will encourage an erection that can last four to six hours. Testosterone replacement therapy may also be an option for men who are dealing with a hormone imbalance.
A third option is a penile implant or prosthesis. This allows for a rigid or semi-rigid erection that is manually controlled through a pump system. This option is usually thought of as a last resort and is only used when all other options have been attempted and failed.
Living With Erectile Dysfunction
In most cases, erectile dysfunction can be safely and effectively treated through the use of medication and hormone replacement therapy. Erectile dysfunction can result in emotional distress and depression if the man begins to feel inadequate. It’s important to remember that penetration is only one form of sexual activity, and there are many ways to pleasure your partner. Living with erectile dysfunction shouldn’t mean you have to avoid sexual situations. Be creative. Experiment with Tantric and the Kama Sutra. There are many forms of pleasure. You just need to explore a little and find the ones you enjoy most.
Staying in Touch With Your Doctor
If you are dealing with erectile dysfunction, staying in touch with your doctor is important. If you are trying alternative therapies like acupuncture or biofeedback treatments, let your doctor know what is and is not working. If you are taking medication, keep track of any changes you may experience and let him know so your dosage can be adjusted.
Live Life to the Fullest!
Discovering you have erectile dysfunction doesn’t mean the end of the world. You have options! Learn as much as you can about your sexual health and well-being. Find other things that give you pleasure and be creative. Sexual fulfillment is what you make it. Live every minute to the fullest and make those special moments even more exciting. Talk to your partner and allow them a chance to explore this journey with you. There is more to a relationship than sexual gratification. In order to establish a deeper connection, you need to move past the physical and on to the next level.
If you’re struggling with erectile dysfunction, try Tadalafil. It’s a generic form of Viagra that can help with getting and maintaining an erection. Don’t allow erectile dysfunction to have a detrimental effect on your life! There are solutions that will give you an opportunity to maintain a healthy and active lifestyle. Contact your doctor to schedule an examination. Once your doctor knows what is causing the problem, he can put together a treatment plan that will allow you to get things back to normal. Take care of the problem in its earliest stages, and it will be much easier to treat. Once you begin treatment, working with your doctor will help you stay on top of the situation.
The Key Role of Nurses in Multidisciplinary Healthcare Teams
The role of nurses is not simple and straightforward. The skills they possess are wide and varied, and this leads to them taking on many different roles. As healthcare becomes more personalized, multidisciplinary teams become larger and more common, and nurses are a key component in making sure these teams work effectively.
The History of Nursing
Before we talk about multidisciplinary healthcare teams, let’s first take a look back at the history of nursing and how nurses got to where they are today. Understanding the historical context of nursing is important to appreciate the pivotal role of nurses within multidisciplinary healthcare teams today.
Nurses have been at the forefront of care delivery since ancient times, but their role has continually changed. Initially, all that was asked of them was that they provide comfort and basic care to the ill or injured without any formal training or recognition.
This evolved into largely what we know as modern nursing in the mid-19th century. There was an increased focus on things like hygiene and sanitation practices, and this period laid the groundwork for professional nursing.
Then, during times of war in the 20th century, there weren’t enough physicians to deal with the sick and wounded, leading to nurses taking on a bigger role again. The role of nurses was expanded to include things like wound dressing and anesthesia administration.
In more recent times, changes in society have led to changes in nursing. Aging populations and the increased prevalence of chronic diseases are just two examples of how the roles of nurses have had to change and adapt. This is something that we’ve seen all throughout history, and it is why nurses are so relied on in many different areas of healthcare today.
Nurses and Team Settings
In team settings, the core competencies that nurses possess make them crucial members. Nurses bring clinical expertise and sharp patient assessment skills to the table, and they have a comprehensive understanding of disease processes. Coupled with that, they are experienced in treatment protocols and are proficient in performing a number of different medical procedures.
A healthcare team will fall apart without strong communication, and that’s something else that nurses are often skilled in. As they interact with other healthcare professionals, patients, and the families of patients on a daily basis, they act as liaisons of sorts. They are able to bridge gaps between all the different parties involved in patient care.
Patient advocacy is another area where nurses can excel. They are often uniquely positioned to understand the minutiae of a patient’s needs, and they can bring that knowledge to the team. They can voice concerns and suggest different ways of doing things, ensuring that patients’ voices are heard.
Nurses and Physicians
In the past, hierarchical structures often placed doctors at the top, and, in this environment, nurses were expected to just follow orders. This has changed in recent years with an encouraging shift towards more of a partnership model where the ideas and input of nurses are valued.
The important change in this dynamic comes down to clarity of role. Doctors and nurses both understand and respect each other’s boundaries, and this can lead to better patient outcomes. An example of this is how doctors are responsible for diagnosis and prescribing treatment plans, while nurses are relied on to monitor patients’ progress. They help them to manage their symptoms and educate them about their condition.
As well as understanding each other’s perspectives, joint decision-making is another crucial aspect of enhancing the quality of patient care. Not only does doing this leverage the skillsets of each, but it also creates a shared ownership of outcomes. Taking this approach all the way from diagnosis to treatment planning to aftercare is a good idea.
Given how closely they work together, there are some ways that both nurses and physicians could strengthen this relationship even further. Communication training programs that focus on building understanding are one idea, as are more joint rounds that provide opportunities for collaboration on cases in real time. Setting up structured feedback mechanisms is something else that could help to grow the relationship.
Nurses and Pharmacists
As with physicians, nurses also need to work closely with pharmacists. Besides dispensing medications, pharmacists provide expertise on drug interactions and potential side effects. They are also responsible for ensuring that prescribed treatments align with patients’ specific situations.
In this context, nurses are effectively the link in the chain between pharmacists and patients. Their collaborative efforts contribute significantly to both medication safety and adherence – two critical aspects of effective treatment plans. Nurses are also well-positioned to identify potential problems with medication and liaise on the patient’s behalf.
Another important aspect of this collaboration is medication reconciliation. This is a process where nurses work closely with pharmacists to ensure accurate medication histories for each patient. This involves reviewing all current medications against new prescriptions in order to avoid potentially harmful drug interactions or duplications. In this role, nurses may also gather data about over-the-counter drugs that patients are taking, as well as things like dietary supplements.
The collaboration between nurses and pharmacists can also help to inform education programs for patients. For example, if nurses are finding that patients are frequently having the same kinds of concerns, this may be a signal that there’s a problem in how the pharmacist is communicating about the medication to the patient.
That information could then be used to change the way things are presented to new patients to ensure that there’s less confusion. This is just one simple example of the symbiotic relationship between nurses and other health professionals, and it highlights how multidisciplinary collaboration can lead to better patient outcomes.
Technology and Nurse Collaboration
Technology has greatly shaped the primary healthcare space, so much so that it’s often difficult to imagine how nurses and physicians were able to do their jobs effectively without some of the tools they rely on today.
One of the main benefits of technology in healthcare is that it allows for instantaneous data-sharing. Instead of having to go back and forth to double-check things, there are now centralized points that health professionals can refer to for information. This means they can be confident they are making decisions based on current and accurate information.
Communication is another area that’s been touched by technology. This is particularly the case in relation to multidisciplinary teams, as all members of the team can now be easily reached in one place, allowing other members of the team to ask questions to clarify anything they don’t understand. Gone are the days of having to use a pager to get someone’s attention.
Another technology tool that is changing some parts of healthcare is telehealth. Although this isn’t a brand-new technology, it has certainly risen in influence in the past few years. It is uncertain at present whether this trend will continue, but it is currently providing a lot of flexibility to patients, as well as to nurses.
These types of developments have coincided with the growth of the nursing informatics field. This is an interdisciplinary field where nursing science, information management, and analytical sciences all come together. The benefit to nurses from this field is that it helps them to understand complex medical data more easily.
Nursing Training and Education
In order to fully embrace collaboration and comprehensive patient care in nursing, it needs to be a core part of education. One avenue for this is through interdisciplinary education in nursing schools. By exposing students to different disciplines within medical care early on, they gain a broader perspective on patient care. This approach can help break down silos between professions, as well as encourage mutual respect and understanding among future health professionals from different specialties.
Some accredited online nurse practitioner programs have recognized exactly this, including the University of Indianapolis. Their online MSN-FNP program teaches advanced practice care nurses to use leadership skills and to recognize the value of collaboration in delivering healthcare. It’s also a part-time course designed in a way that suits the lives of working nurses.
Continuous professional development opportunities are also an important part of the equation. They are vital in both reinforcing collaborative skills in practicing nurses and teaching them new skills. Through workshops, seminars, or online courses that focus on team-building or problem-solving, nurses can continue to refine their ability to work within multidisciplinary teams.
To add another component to the theoretical training, simulation training should also be a part of this process. In controlled environments replicating real-life scenarios, nurses can practice collaboration-based situations that they may face one day. These situations allow nurses to gain firsthand experience in managing complex situations, all while there is no actual risk to a patient.
As well as embedding collaboration in both education and professional development, we may also see nursing education embrace a more international approach in the future. Many countries have pioneered innovative ways to facilitate collaboration among various healthcare providers, and there are things that we can learn. It could be anything from policy changes to new approaches to management structures.
Nurses and Allied Health Professionals
The role of the nurses sees them interacting with allied health professionals, too. These professionals include physiotherapists, dietitians, social workers, occupational therapists, and more. Each professional brings unique expertise from their field to the table in managing patient care.
A good example of where this plays out is when patients have complex needs. Such patients often require a range of different types of care from diverse disciplines. Nurses are, once again, the link that coordinates this care. Everybody right across the team must be on the same page about the patient’s condition and treatment plan, and nurses can help make sure that happens.
The concept of holistic care is also relevant. Instead of just the physical side of health, nurses are often the ones who can identify potential emotional and social health issues in patients. For example, if a nurse notices signs of depression in a patient recovering from surgery, they might coordinate with mental health specialists to provide necessary support.
Ethics and Multidisciplinary Collaborations
The ethical considerations that come into play in multidisciplinary collaborations are as complex as they are important. While they are considerations for all members of a multidisciplinary team and not just nurses, they’re important to acknowledge in relation to nursing.
Firstly, upholding patient privacy and confidentiality within these team settings is non-negotiable. This means ensuring that sensitive information is shared only when necessary for patient care, respecting the boundaries of informed consent.
Conflicts of interest will inevitably arise within multidisciplinary teams, especially as they get bigger. It is normal for each member to have their own professional goals or biases. As a nurse, you will need to play a role in helping to navigate these potential conflicts with integrity, always keeping the well-being of your patients as the main priority.
Being an advocate for your patients is another non-negotiable in a collaborative healthcare team. You might encounter situations where difficult ethical decisions need to be made, like end-of-life choices or treatment options that come with significant risks. If you do face these situations, you must not just consider clinical factors but also respect and incorporate the patient’s values into the decision-making process. If you feel the team is not doing that, then speaking up is part of advocating for your patient.
Cultural competence is already very important in healthcare, and this extends to multidisciplinary teams. In the same way that you should expect there to be biases present in your team, you should also expect there to be different cultural backgrounds. Understanding these differences can help make things move smoothly and keep everyone focused on the same goal.
Nurses are indispensable to healthcare teams. Since ancient history, nurses have been relied on and called on, and this will continue in the future. The nurses who prioritize teamwork and continual learning will be the ones who are well-prepared for whatever comes next.
EMDR Therapy in Vancouver, WA
Healing the Scars of Trauma with EMDR Therapy
Trauma, anxiety, depression, and addiction—these words can weigh heavily on a person’s soul, acting as chains that bind, often limiting them from living their life to the fullest. In the bustling community of Vancouver, WA, individuals seeking to free themselves from these chains often find solace in an innovative therapeutic technique known as EMDR. If you’ve been wondering, “Where can I find EMDR near me?” then we are here to help.
Understanding the Power of EMDR
EMDR (Eye Movement Desensitization and Reprocessing) therapy is more than just a series of bilateral eye movements. It’s an empowering approach that facilitates the healing of wounds left by traumatic experiences. When past traumas are not properly processed, they can cast long shadows over one’s life, manifesting as anxiety, depression, or other distressing symptoms. EMDR aids in processing these memories, allowing the individual to heal from them, ultimately leading to significant improvement in overall mental health.
Choosing the Right EMDR Therapy for You
While the idea of revisiting traumatic memories can be daunting, the right therapist can make all the difference. At Northwest EMDR Therapy in Vancouver, WA, we prioritize your comfort and safety. Our team is a collective of passionate individuals dedicated to the craft, consistently updating their knowledge and refining their skills to provide the most effective EMDR sessions. We tailor our approach to suit each client’s unique needs, ensuring a holistic healing process.
The Impact of EMDR: A Beacon of Hope
The outcomes we’ve observed at Northwest EMDR Therapy are nothing short of transformative.
Clients often describe a profound shift in their perspectives, a newfound freedom from burdens they’ve carried for years, and a refreshing sense of clarity and purpose. This therapy isn’t just about treating symptoms—it’s about reshaping lives.
The Science Behind EMDR
While EMDR therapy might sound revolutionary, it’s rooted in sound scientific principles. At its core, EMDR taps into the natural healing mechanisms of the brain. Just as our body strives to heal from physical injuries, our brain is innately wired to move toward mental health. However, certain traumatic events can obstruct this natural process, leaving emotional wounds unhealed.
Through EMDR, therapists help clients stimulate the brain’s adaptive information-processing abilities, allowing it to resume its natural healing process. As a result, traumatic memories lose their raw emotional charge and become more like ‘ordinary’ memories, no longer haunting the individual with their intensity.
A Journey Towards a Liberated Self
Undergoing EMDR therapy is akin to embarking on a profound journey of self-discovery. With each session, clients navigate the landscape of their minds, confronting and neutralizing distressing memories that have long held them back. And the rewards of this journey are manifold.
Beyond the immediate relief from distressing symptoms, clients often report enhanced self-awareness, deeper connections in their relationships, and a renewed sense of purpose. They emerge not just as individuals who have overcome trauma but as empowered beings ready to engage with life more fully and joyfully.
Why Northwest EMDR Therapy Stands Out
In the vibrant heart of Vancouver, WA, Northwest EMDR Therapy has established itself as a beacon of hope for many. What sets us apart is our unwavering commitment to our client’s holistic well-being. Our team not only possesses the technical expertise required for EMDR but also brings a deep sense of empathy and compassion to every session. We believe in creating a sanctuary where clients feel seen, heard, and valued. As we guide them through the transformative process of EMDR, we are constantly reminded of the incredible resilience of the human spirit and its capacity to heal.
A Commitment to Your Well-Being
Our Vancouver, WA community deserves nothing but the best, and we’re committed to providing it. If you’re battling with the echoes of past traumas, consider EMDR therapy as a potential route to healing. Schedule an appointment with Northwest EMDR Therapy today and embark on a journey of rediscovery and renewal. Let us stand by your side as you reclaim the peace and happiness you deserve.
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