The Tasmania Primary Health Care center is an entity, a health care center in the Tasmanian shores, Australia. The center is thirty years old and caters to the rural people of Tasmanian beach. The health care center provides treatment and diagnosis of diseases but does not have the facility of hospital admission except in case of child-birth. The center has a one – fifty bed maternity ward which treats and admits pregnant woman to facilitate them during the birth of their babies. The medicine department has able doctors and the daily diagnosis of around four to five hundred people occurs. There are divisions like the pediatric department, gynecological department and the gerontology division. The health care center is renowned to give good medical care and even gives the medicines for free. It is a non-profit organization run by a charitable trust and has gained reputation for primary treatments of the residents of Tasmania. Recently it has set up a different department for the HIV positive patients with its renowned doctor’s team and has earned the reputation of good treatment and care to the HIV positives. Hence in the center, patients who are HIV affected, come from far to undergo treatment and care.
A quality measure that nursing science can impact is effective communication regarding the patient and communication to the care givers and doctors. Many of the time the nurses treat on the immediate syndrome and fail to tap the history of the patient which is very important. For example the nebulizers given during acute pneumonia can increase the diabetes count of the patient. Hence doctors and nurses have to be cautious how to handle the situation. “Communication or lack of it has been estimated the cause of 50 to 60 per cent of the cause to fatal events” (Needleman & Hassmiller, 2009). The SBAR model which means situation-background-assessment-recommendation is a model developed by Dr. Leonard Michael and it gives the details background of the patient’s history for right treatment and diagnosis of the patient’s disease. The communication must be extended outside the scope of hospital and health centers. “The care-givers must be made aware of the disease of the incumbent and the potential risks he or she may face” (Needleman & Hassmiller, 2009). The idea is not to scare away but in a polite manner the way to make aware of the disease, its precautions, the life-style change required and the steps to be taken in case of the emergencies. If the patient is an able one, he or she may be made aware of the disease and the precautions that need to be taken to prevent aggravation. This is an area which is felt to have large potentials when impacted by the nursing science.
Nurses need to collaborate with the visiting physicians and Medical o officers most as they have to inform them about the patient conditions and give proper noting of the observations of the patients. They also need to collaborate with the ward masters or the blue collar staffs engaged in a hospital or health care center to instruct them how to handle the particular patient. The anesthetist and the laboratory people need to be collaborated to carry out the various tests required for the patients. Lastly the nurses need to collaborate with the care-giver of the patient and need to make them understand the intricacies of the disease. Also they need to collaborate with community workers to make them aware against any health issues of concern or epidemics.
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