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Reducing Readmission for Diabetes Patients View Full Essay
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Check My Assignment!Quality Improvement Project
Diabetes — Chronic Condition Background
Type 1 and Type 2 Diabetes
Risk factors for type 1 diabetes
Risk factors for prediabetes and type 2 diabetes
Risk factors for gestational diabetes
The Rationale for Selection
The Target Population
Intervention Plans
Target Goals
It has been estimated that in New York there is roughly two million people, or over twelve percent of the population, that have diabetes; furthermore, of this population, over half a million people have the condition but are not aware that they have it (American Diabetes Association, N.d.). It is further estimated that nearly five and a half million people, or over a third of the population, have prediabetes. Diabetes and diabetes-associated cardiovascular diseases have become the leading cause of death in the region accounting for roughly two-thirds of the deaths and the rates of diabetes has lead this trend to be referred to as the…… [Read More]
End of Life Treatment for Patient With Terminal Cancer View Full Essay
Words: 1256 Length: 4 Pages Document Type: Case Study Paper #: 63395174
C.G.
The history of C.G. is that he is a former smoker, 69-year-old male with cancer in the head and neck (a radical neck dissection was performed in 2012), which has recently metastasized in the liver and lungs, as indicated by PET scan which shows metabolic activity. The patient suffers from moderately-severe depression with a PHQ-9 score of 15 (Kroenke, Spitzer, Williams, 2001) and refuses anymore chemotherapy. He is at a point now where he wants to know his options for what remains of the rest of his life, indicating that he is not willing to undergo any further treatment for the his cancer or its spread.
The results of the physical show that C.G. suffers from hypertension, hyperlipidemia, stomatitis, anemia, and neutropenia. He is currently receiving 12.5 mg of Carvedilol daily plus 40 mg of Furosemide daily. His BP indicates that he has “isolated systolic hypertension” and it is…… [Read More]
Encouraging Elderly Patients to Obtain Memory Loss Assessments View Full Essay
Words: 1133 Length: 3 Pages Document Type: Article Critique Paper #: 10311
National Patient Safety Goals — the Joint Commission
National Patient Safety Goals
NR224 Fundamentals — Skills
The brochure from The Joint Commission entitled What You Should Know About Memory Problems and Dementia was published online on November 13, 2013. Eight professional associations collaborated with The Joint Commission to produce this brochure that is intended to be a reference for people who suspect that they may have a memory problem and are concerned that they may develop dementia. The target audience of the brochure is individuals who are experiencing symptoms of memory loss: this is apparent because the language used throughout the brochure text includes use of the pronouns “you” and “your.”
Summary of Brochure
Two primary topics are discussed in the brochure: Memory problems and dementia. In addition to the fundamental explanations of the topic, the brochure addresses the decision to see a doctor about perceived memory problems,…… [Read More]
Calculating Dosage for Patient View Full Essay
Words: 532 Length: 3 Pages Document Type: Research Paper Paper #: 89979432
medications before administering to patients. What are the six medication rights?
The six rights are Medication, Route, Time, Client, Dosage and Documentation. Medication of course, is about verifying that the right medication is being given, Route is about how the medication is being given, whether be orally, via a gastric tube for something else. Timing speaks about how often the medication is given and how much time must pass between each dosage. The client is the person who is receiving the medication and why they are receiving it. Dosage is how much is being given and documentation is a recording of what was given and when so that anyone (the same professional or someone else) knows exactly what was given and when.
Discuss interventions that can reduce the risk of making medication errors.
Interventions that would do the job would include taking one’s time, double-checking the measurements, looking at the…… [Read More]
Education and How My Education Has Transformed View Full Essay
Words: 1210 Length: 4 Pages Document Type: Essay Paper #: 25883416
education, and how my education has transformed my life by improving my self-confidence, upgrading my skills, and expanding my opportunities for personal and career success. This reflection and evaluation paper analyzes critically the value of my education at the University of Phoenix. I will discuss where I was before commencing the program, where I was during the program, and where I expect to be after graduation. In addition to discussing the peculiarities associated with receiving an online degree, I will outline my short-term and long-term goals as they relate to my course of study.
Before I began my studies at the University of Phoenix, I received most of my life skills, professional training, and character building through the American military. The military helped me to discover my talents and preferences with regards to a career, and brought out both my strengths and weaknesses. My professional career was steeped in military…… [Read More]
Patients Undergoing Mechanical Ventilation Contract Ventilator Associated View Full Essay
Words: 2974 Length: 8 Pages Document Type: Essay Paper #: 20462057
patients undergoing mechanical ventilation contract Ventilator Associated Pneumonia (VAP). This acute medical condition always results in increased death rates and associated medical costs among patients. This article reviews several literatures that try to enlighten masses on the diagnosis, medical treatments and VAP prevention methods. In addition, this article outlines recommendations medical practitioners can implement in their daily practices to curb VAP and offers an insight on controversies that usually arise during VAP diagnoses, treatment plans and prevention methodologies. This article defines VAP to be the causative agent of approximately 25 to 54% mortality rates among patients undergoing mechanical ventilation in ICUs. Factors responsible for VAP among patients include patients’ population in ICUs, hospital stay durations and antimicrobial treatments. Even though antimicrobial medications are confirmed to reduce VAP casualties, further studies should be undertaken such as the ones outlined in the literatures below to help in early identification and treatment of…… [Read More]
Patient Rights and Informed Consent the Relevant View Full Essay
Words: 1302 Length: 4 Pages Document Type: Essay Paper #: 8469433
Patient Rights and Informed Consent
The relevant legal issues at stake in this case are those related to the question of whether Mr. Jones is indeed incompetent and if Mr. Jones is indeed incompetent then what is the authority that should be assigned to the surrogate daughter of the patient in this case. The hospital physician and staff must avoid legal liability and ensure that they are in adherence to relevant laws and regulations informing the proper actions in this particular case. The patient has a legal right to be fully informed on any treatment that is considered and has the right to either provide consent or alternatively to refuse to consent to any proposed treatment. In this particular case, Mr. Jones has been found to have the condition of Alzheimer’s and to be incompetent. Proof has been provided for the treating physician and nursing staff of Mr. Jones incompetency.…… [Read More]
Patients Turn to Complementary and Alternative Medicine View Full Essay
Words: 2001 Length: 6 Pages Document Type: Essay Paper #: 83100472
patients turn to complementary and alternative medicine (CAM) in pursuit of healing as a last resort following unsuccessful application of traditional or Western medicine. A National Health Interview Survey (NHIS) which also included an aspect of alternative medicine revealed that approximately 38% of adults use alternative medicine (Centers for Disease Control and Prevention, 2012). Some of the drugs attempted to improve human condition include herbal or botanical substances. There have been numerous botanical products inventoried for their medicinal effects. Nurses working in the hospice care lack the basic knowledge in administering alternative medicine on patients. Thus, to ensure efficient administration of treatment using alternative or complimentary therapy, it is necessary to education nurses on practical methods. The nurses as practitioners need to be educated on Bell’s three stages for proper administration of alternative procedures.
Contribution to the Future of Healthcare
The model herein described is deduced from theoretical and related…… [Read More]
Education Is an Important Part View Full Essay
Words: 3476 Length: 10 Pages Document Type: Term Paper Paper #: 74152867
Indeed, dental issues are a big problem, but in fact they are just the top of the iceberg which is the American medical system. Even if there have been serious attempts to reform the system and introduce a universal means of publicly financing medical care for all people, “Americans have fewer doctors per capita than most Western countries. We go to the doctor less than people in other Western countries. We get admitted to the hospital less frequently than people in other Western countries. We are less satisfied with our health care than our counterparts in other countries. American life expectancy is lower than the Western average. Childhood-immunization rates in the United States are lower than average.” (Gladwell, 2005) Indeed, given the fact that the U.S. is considered to be the most advanced country in the world it is rather peculiar the lack of a reasonable medical care system, one…… [Read More]
Patient Safety Outcomes to ADN and BSN View Full Essay
Words: 761 Length: 2 Pages Document Type: Essay Paper #: 50409940
Patient Safety Outcomes to ADN and BSN Nurses:
As evident in theme of national reports in the health care field, promoting higher education for registered nurses has been a topic of increased concern. These recommendations are primarily based on overwhelming evidence that nurses with Bachelor of Science in Nursing (BSN) degrees tend to pursue education at masters or doctoral levels to enhance the effectiveness of the practices. The pursuit for high levels of education provides is an essential component for maintaining an adequate number of nurse practitioners, clinical nurse specialists, midwives, and nurse educators, which in turn contribute to improved patient safety outcomes.
The need to increase the educational levels of registered nurses is fueled by the growing research that links patient safety and outcomes to the percentage of ADN-level and BSN-level nurse practitioners on a unit (Scott & Brinson, 2011, p.300). Due to the increased emphasis on the need…… [Read More]
Patient Autonomy View Full Essay
Words: 1416 Length: 4 Pages Document Type: Term Paper Paper #: 85670763
Patient Autonomy
The concept of patient autonomy, as opposed to medial paternity, is one that has gained much ground in recent years; “… about 30 years ago, issues began to appear that were difficult to solve using traditional ethics. New medical and reproductive technologies, research controversies, and a societal ethos that questioned all authority posed difficult questions.” (Czaplyski, Larry, 2002)
At issue in this paper is the meaning and significance of patient autonomy and the way in which is relates to medical paternity. As the discussion will outline, the case for patient autonomy is not only ethically valid but also essential for the moral and practical balance in the medical profession. Underlying this view is the fact that the issue of patient autonomy does not exist in isolation or in the medical field alone – but relates to other issues and ethical problems in the society at large. These larger…… [Read More]
Patient Perceptions of Participation in Treatment Several View Full Essay
Words: 873 Length: 2 Pages Document Type: Research Paper Paper #: 33417295
Patient Perceptions of Participation in Treatment
Several studies have revealed that patients generally prefer to learn everything they can about their illness and the proposed treatment plan, and even have some control during the planning stage (reviewed in Lund, Tamm, and Branholm, 2001). On the other hand, studies have found that occupational therapists typically underestimate this desire and tend to perceive patients as passive and uncooperative. The gap between the patient’s wishes to actively participate and the therapists’ perceptions of that willingness can result in a number of problems, including patient compliance with treatment plans and goals. Strategies to minimize the size of this gap could therefore lead to more effective rehabilitation of the patient’s disability.
A study was conducted in Sweden that examined patients’ experiences as a rehabilitation patient and the professional’s view of the interaction (Lund, Tamm, and Branholm, 2001). Patients were enrolled from acute care in surgery,…… [Read More]
Patient With Terminal Lung Cancer View Full Essay
Words: 2087 Length: 8 Pages Document Type: Case Study Paper #: 80100895
” (2003)
It is reported in the work of Morrow (2009) that prior to palliative sedation being considered the team of people caring for the patient or the palliative care team “…will look at many possible options to help relieve suffering, such as aggressive symptom management (using any and all medications and treatments that may help) and mental support to help with emotional concerns. The goal is to make the patient as comfortable as possible. When this effort isn’t enough, palliative sedation may be an option. ” (Morrow, 2009, p.1) in some cases the symptoms are difficult if not impossible to treat and fail to respond to any treatment despite extremely high doses of pain medications. Also causing severe distress is such as “frequent and severe nausea and vomiting, uncontrollable tremors or seizures, and severe breathlessness are just a few examples of distressing conditions. In these cases, sedation may be…… [Read More]
Patient Mrs Gulcin Ozdemir Primary View Full Essay
Words: 678 Length: 2 Pages Document Type: Essay Paper #: 67648867
It should be noted that Mrs. Ozdemir’s problems are not entirely physical in nature. Her loneliness and isolation in a country in which she has limited command over English have caused her to pour her energies into cooking traditional, heavy meals for her family and using overeating as a coping mechanism.
Seeing a counselor who speaks her language and can aid her in talking about her cultural adjustment issues seems essential. Without psychological support, it is unlikely that Mrs. Ozdemir will feel sufficiently motivated to change her lifestyle. Ideally, diabetes education at the secondary level should also be culturally sensitive, and provide dietary and exercise-related suggestions. Proposed menus can reflect Mrs. Ozdemir’s culture, such as Mediterranean dishes that emphasize vegetables and beans, rather than sugary sauces and meats. Also, walking rather than taking public transportation is a potential source of exercise. Ozdemir should receive regular lipid screening, and, if warranted,…… [Read More]
Education Nursing Education Why Variability View Full Essay
Words: 329 Length: 1 Pages Document Type: Essay Paper #: 93980830
For Licensed Practical Nurses (LPN), many nursing schools offer ‘fast track’ flexible programs that these allow working nurses to balance school and job demands to become Registered Nurses (RN)s. Often these programs offer degree credit for the student’s previous experiences in the field. Approximately 30% of BSN graduates every year come from such programs. Even prospective nurses without undergraduate nursing degrees can enter the profession through Accelerated RN Baccalaureate Programs. These programs offer a path to becoming an RN with only one or two years of intensive education training. “According to the 2004 National Sample Survey of Registered Nurses, over 20% of the RN population had completed additional academic nursing or nursing related preparation after graduating” (Upgrading, 2009, All Nurses)
Works Cited
Anderson, Sue. (2007). The perks of nursing as a second career. Reality RN.
Retrieved June 26, 2009 at http://www.realityrn.com/more-articles/managing-your-career/the-perks-of-nursing-as-a-second-career/266/
Upgrading your nursing degree. (2009). All Nursing Schools. Retrieved…… [Read More]
Patient Was Admitted Due to a Broken View Full Essay
Words: 1175 Length: 4 Pages Document Type: Essay Paper #: 90551981
patient was admitted due to a broken hip which required a total hip replacement (THR). This injury has required two weeks of in-hospital rehabilitation to this point, and Mr. Trosak will probably need more physical rehabilitation to completely recover from the injury. Since there are secondary concerns (such as some loss of cognitive function (text, 462)) after a fall, it will be necessary to monitor MR. Trosak. The falling incident could also reoccur due to the fact that the patient resides on the second floor of his apartment building. It will be necessary to ensure that Mr. Trosak understands the risk of a recurrence, and that he has sufficient assistance.
Prior to being hospitalized for the fall, Mr. Trosak was not taking any prescription medication, and he has not had a physical examination for more than ten years. While admitted, the patient was found to have chronic hypertension, which is…… [Read More]
Education at Valencia College Where I Am View Full Essay
Words: 1824 Length: 5 Pages Document Type: Term Paper Paper #: 8455278
education at Valencia College, where I am studying to be a respiratory therapist. I want to continue my education, with the hope of attending the University of Central Florida. The University of Central Florida does not offer a Bachelor of Science degree in respiratory therapy, but does offer a wide range of degrees related to the medical field. I intend to pursue a B.S. In Health-Sciences, Pre-Clinical undergraduate degree. I feel that this will give me the educational background I need to place me in a competitive position for graduate or professional training, while exposing me to a wide variety of occupations in the medical field.
The four-year university that I have selected is the University of Central Florida in Orlando, Florida. It is a competitive university with a student body of just under 50,000 (49,900) students (Petersons, 2013). The average in-state tuition rate seems reasonable at $6,247 per academic…… [Read More]
Education Experience Compassion View Full Essay
Words: 955 Length: 2 Pages Document Type: Term Paper Paper #: 63139138
Canadian Nursing: The Requirements of Quality Nursing Care
Critical Success Factors in Nursing
In order to become a good nurse, one must have a good education, experience, and compassion. Not one of these factors is more important than the other; rather a good nurse must demonstrate competency in all three in order to influence patient outcomes in a positive manner and be successful in the nursing field.
Nurses within the Canadian health care system are traditionally responsible for carrying out many different functions at one time. Nurses are typically in the unique position of providing quality patient care on a one to one basis. Their interaction with patients is generally much more intimate than that of physicians, and patients often find themselves turning to their nursing care provider for guidance and support. Thus it is critical that a nurse not only have the ability to provide sound medical advice and…… [Read More]
Patient Outcome and Shortage in Nursing View Full Essay
Words: 731 Length: 3 Pages Document Type: Research Paper Paper #: 92836882
Nursing Shortage on Patient Outcomes
The objective of this study is to examine the effects of nursing shortage on the outcomes of patients. Towards this end, this study will conduct a review of the literature in this area of inquiry.
There is a severe shortage of nursing in today’s healthcare workforce. This impacts the outcomes of patients in terms of their healthcare and their overall health. According to the ‘Nursing World’ website “Nursing is integral to patient care and is delivered in many and varied settings. The sheer number of nurses and their central role in caregiving are compelling reasons for measuring their contribution to patients’ experiences and the outcomes that are attained.” (2010, p.1)
AACN Report
According to a report by the American Association of Nurses “n an article published in Health Services Research in August 2008, Dr. Christopher Friese and colleagues found that nursing education level was significantly…… [Read More]
Patient and Coworker View Full Essay
Words: 341 Length: 1 Pages Document Type: Term Paper Paper #: 58254297
Communication Discussion Board Response
I would have to respectfully disagree with the idea that communication is mainly about being clear in one’s verbal and nonverbal language. A nurse can clearly communicate how to follow a healthy diet to a diabetic — or the need to stay clean to a drug addict — but unless the nurse comprehends the patient’s own view of his or her situation, such as the real medical need to follow the diet or the dangers of drug abuse, communication has not transpired in an effectual fashion. It is just as important that the nurse understand the patient’s body language, to assess whether he or she is listening, and to ask the patient to restate the treatment plan, and to repeat what he or she feels about his or her condition.
Discussion
You make a very important point that the process of communicating with patients isn’t about…… [Read More]
Patient and Caregiver Education View Full Essay
Words: 671 Length: 2 Pages Document Type: Essay Paper #: 73496221
Respiratory Care: Scenario
One of the most difficult ethical scenarios which may arise is when a patient is not fully compliant with treatment. In one of the cases I observed, a child had recently been diagnosed with asthma. Unfortunately, the parent was not able to offer the child the ideal environment for coping with his asthma. The parent and child lived in a very dusty environment and it was difficult for the parent to bring the child in for regular checkups. The child was frequently taken to the emergency room because of difficulties in controlling his asthma. There was heavy reliance upon inhaled corticosteroids and other medications primarily intended for short-term use. The parent was also reluctant to allow the child to participate in regular activities such as sports. The child was overweight and this caused a spiral of problems for the child: not being able to participate in normal…… [Read More]
