Tag Archive for: nursing

death and dying practices

Allied health professionals are confronted with different death and dying practices. An effective allied health professional recognizes the importance of understanding different cultural practices, and learns how to evaluate the death, dying, and spiritual beliefs and practices across the cultures.

Read the two specified case histories and choose one for this assignment.

Chapter 4, “Stories of Abby: An Ojibwa Journey” and Chapter 14, “Stories of Shanti: Culture and Karma,” by Gelfland, Raspa, and Sherylyn, from End-of-Life Stories: Crossing Disciplinary Boundaries (2005), from the the GCU Library.

Identify your role as a health care professional in supporting Abby or Shanti’s dying rituals, and in creating strategies for displaying respect while still providing quality care. Integrate your strategies as you develop a care plan describing how you would approach the situation and care for the patient. Review the “Care Plan” template prior to beginning.

Include the following in your care plan:

  1. Communication: family and patient
  2. Treatment options that align with the specific culture
  3. Education: family and patient
  4. Family roles in the process
  5. Spiritual beliefs
  6. Barriers
  7. Cultural responses
  8. Any additional components that you feel would need to be addressed (from your perspective as a health care professional)

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are not required to submit this assignment to LopesWrite.

AttachmentsHLT-324V-RS-CarePlanTemplate.docx

Health information technology

No Plegarism please, assignment will be checked with Turnitin. 

Will need minimum of 5 full pages, title, and reference page APA Style, double spaced, times new roman, font 12, and and (3 references within 5 years 2014-2018) with intext citations).

 

Health information technology (health IT) makes it possible for health care providers to better manage patient care through secure use and sharing of health information. Health IT includes the use of electronic health records (EHRs) instead of paper medical records to maintain people’s health information.

Share the EHR platform that your practice uses (Cerner) and discuss the challenges and barriers to electronic charting. Why have we moved from paper charting to EHR’s?  What is meant by meaningful use regulations and why is this important to know when documenting in the EHR?

Please support your work with at least three evidence based practice resources that are less than 5 years old (2014-2018).

Written Paper (Microsoft Word doc): minimum 1500 words using 6th edition APA formatting

Please review the grading rubric under Course Resources in the Grading Rubric section.

Standards for Quality Improvement Reporting Excellence

The Standards for Quality Improvement Reporting Excellence (SQUIRE)   guidelines provide some guidance on the evaluation of quality   improvement efforts. They are used as both grant proposal and   manuscript preparation guides. Use the “Revised Standards for   Quality Improvement Reporting Excellence: SQUIRE 2.0” resource to   respond to the following:

Discuss how your project/prospectus fits into the SQUIRE guidelines.   Explain why your project is a quality improvement project and not a   research project. 1 page, APA.

Read: Revised standards for quality improvement reporting excellence:   SQUIRE 2.0. (2017).

URL: http://squire-statement.org/index.cfm?fuseaction=Page.ViewPage&PageID=471

AACN BSN Essential

Select one of the AACN BSN Essentials and elaborate on its meaning and importance in your own future professional nursing practice. In your post intended to clearly and thoroughly address the topic of this TD, be sure to:

 

  • Identify the AACN BSN Essential that you have selected by name and number.
  • Clearly and thoroughly explain why you selected this Essential.
  • Clearly and thoroughly explain how this Essential will be used in your future professional nursing career.

APA FORMAT

 

REFERENCE REQUIRED:

American Association of Colleges of Nursing Essentials of Baccalaureate Education 

http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf > [2/8/2016]

ealth care organization.

Resources: The five-step planning process covered in the course and the Sample Business Proposal example

Consider the following scenario:

As the manager of a busy call center for a health care organization, you note that the volume of calls has doubled over the past year. Although you do not have the budget to hire additional staff, you do have an additional $20,000 to spend on your department to improve efficiency and customer satisfaction.

Using the Sample Proposal Template example, write a 700- to 1,050-word proposal.

Address the following in your proposal:

Explain why teams are essential in a health care organization.
Explain how other industries use teams.
How are they used in other industries, such as aviation, auto racing, or the military?
What best practices from other industries could be applied in the health care industry?
Explain strategies you will use to create an effective team that can help you improve efficiency and customer service in your department.
Explain organizational processes that will impact or influence the decision making process to improve efficiency and customer service.
Explain what resources or tools can be offered to your staff to help with efficiency and customer service using the additional funds available.
Cite 3 references to support your position. One reference may be the course textbook.

Format your proposal according to APA guidelines.

immunosuppression

Scenario 2: A 42-year-old man comes to clinic with chief complaint of pain, redness, and swelling of his right calf. He states that he had been working in his yard using a string trimmer when the trimmer slipped and cut his leg. He cleaned the wound with water from the garden hose and covered the wound with a large Band-Aid. Several days later, he developed fever to 100.6˚ F and chills and noticed that his leg was swollen and red. He comes to the emergency department for definitive care.

·  The Assignment (2 to 3page case study analysis)

Develop a 2  to 3 page case study analysis in which you:

·  Explain why you think the patient presented the symptoms described.

·  Identify the genes that may be associated with the development of the disease.

·  Explain the process of immunosuppression and the effect it has on body systems.

Leading Change, Advancing Health

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

diabetic

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario: Ms. G.,  a 23-year-old diabetic, is admitted to the hospital with a cellulitis  of her left lower leg. She has been applying heating pads to the leg for  the last 48 hours, but the leg has become more painful and she has  developed chilling.

Subjective Data
  • Complains of pain and heaviness in her leg.
  • States she cannot bear weight on her leg and has been in bed for 3 days.
  • Lives alone and has not had anyone to help her with meals.
Objective Data
  • Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
  • Left leg red from knee to ankle
  • Calf measurement on left 3 in > than right
  • Temperature: 38.9 degrees C
  • Height: 160 cm; Weight: 83.7 kg
Laboratory Results
  • WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
  • Wound culture: Staphylococcus aureus
Critical Thinking Questions
  1. What clinical manifestations are  present in Ms. G and what recommendations would you make for continued  treatment? Provide rationale for your recommendations.
  2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
  3. What is the significance of the  subjective and objective data provided with regard to follow-up  diagnostic/laboratory testing, education, and future preventative care?  Provide rationale for your answer.
  4. What factors are present in this  situation that could delay wound healing, and what precautions are  required to prevent delayed wound healing? Explain.

Quality Improvement Milestones

Quality Improvement Milestones

Throughout history, major events have influenced quality improvement efforts in health care. For example, the Institute of Medicine’s report To Err is Human: Building a Safer Health System revealed statistics about errors in patient safety that result in thousands of deaths annually. Health care providers must be cognizant of the purpose and philosophy of quality improvement efforts as they lead the charge for improving health outcomes and patient safety. This Discussion is intended to help you understand how various developments have shaped contemporary perspectives and approaches to promoting health care quality.

By tomorrow 11/28/17, write a minimum of 550 words essay in APA format with 3 references from the list below which addresses the level one headings as numbered below:

Post a cohesive scholarly response that addresses the following:

When “To Err is Human” was published in 1999, it marked an important milestone in Quality Improvement Science.

1) Analyze how this milestone has influenced the health care delivery system and nursing practice.

2) Provide an example from your own work history and experience as to how the patient safety movement has affected your practice.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

  • Chapter      1: “Healthcare Quality and the Patient”
  • Chapter      2: “Basic Concepts of Healthcare Quality”

Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.

Executive summary: Released in 1999, this groundbreaking report provides the rationale for implementing comprehensive improvements in patient safety, an important subset of health care quality. Although only the executive summary is required this week, you are strongly encouraged to read additional sections of this report as you proceed through the course.

Institute of Medicine, Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. 

Executive summary: This report was published by the Institute of Medicine in 2001 to highlight the significant gap between the state of health care quality and where it should be. The report draws attention to the need to improve the U.S. health care delivery system as a whole, and identifies six areas for improvement: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Although only the executive summary is required this week, you are strongly encouraged to read additional sections of this report as you proceed through the course.

Wachter, R. M. (2010). Patient safety at ten: Unmistakable progress, troubling gaps. Health Affairs, 29(1), 165–173.

This article presents an analysis of progress in patient safety since the publication of the IOM report, To Err is Human. As you read this article, evaluate the author’s critique, and consider recent developments that continue to shape patient safety efforts in health care.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Concepts of quality and patient safety. Baltimore: Author.

This video examines the recent history of the quality improvement movement, including two pivotal IOM reports, To Err is Human and Crossing the Quality Chasm. Dr. Donald Berwick introduces six dimensions of quality: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Other topics addressed include transparency, the prevention of adverse events, and the usefulness of international comparisons for quality assessment and improvement.

Evaluation of Plan Effectiveness Criteria

Capstone Project

Evaluation of Plan Effectiveness Criteria

You spent the last two weeks implementing a portion of the comprehensive care plan you developed for the aggregate. An evaluation of plan effectiveness is now due.

In the evaluation component of the Capstone project, you are expected to evaluate the effectiveness of the intervention.

Some questions you should seek answers to are:

  1. What barriers might you anticipate when implementing the intervention as planned?
  2. What visible signs of success would you look for (for example, reduced health issues)? Describe them.

The evaluation component of the final paper should describe your evaluation of the implementation. Include responses to points 1and 2 above. The evaluation component of the final Microsoft Word submission document should be a minimum of 2 pages.

The complete summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project.

Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned an implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It’s time now for you to present your final submission of this Capstone project.

Your final submission comprises the documentation of the work accomplished through your Capstone project, a Microsoft Word Document that contains the evaluation and summary, a Microsoft PowerPoint presentation highlighting the main aspects of the project including the key things learned during the 10 weeks of working with this project.

The summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project. The complete documentation of the work accomplished over the course of the project should contain a minimum of 6–7 pages in a Microsoft Word document and should include the following information:

  • A detailed description of the aggregate
  • A description of the aggregate’s strengths and weaknesses
  • A risk assessment of the aggregate
  • Diagnoses based on the risk assessment
  • A detailed care plan for the aggregate
  • A description of how at least one intervention was implemented in the aggregate to address an identified issue
  • An evaluation of how you would identify the effectiveness of the intervention

The Power Point presentation should be concise and should include the highlights of the Capstone project and the key things learned over the course of this project, from developing, implementing, and evaluating the care plan. Your presentation should not exceed 15 slides.