National initiatives driven by the American Nurses Association have determined nursing-quality outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-quality indicators:
• complications such as urinary tract infections, pressure ulcers, hospital-acquired pneumonia, and DVT
• patient falls
• surgical patient complications, including infection, pulmonary failure, and metabolic derangement
• length of patient hospital stay
• restraint prevalence
• incidence of failure to rescue, which could potentially result in increased morbidity or mortality
• patient satisfaction
• nurse satisfaction and staffing
SCENARIO
Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.
A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.
The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, “regular, chopped meat.” The tray contained the remains of a chopped pork cutlet.
The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.
When the patient’s daughter visited later that night, she was not told of the incident.
The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last night.” The daughter asked what had happened and was told that there had been “a mix up in the order.” The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, “Half a pork cutlet never killed anyone.”
The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.
The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Analyze the scenario (suggested length of 2–3 pages) by doing the following:
A. Discuss how the application of nursing-quality indicators could assist the nurses in this case in identifying issues that may interfere with patient care.
B. Analyze how hospital data of specific nursing-quality indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.
C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve an ethical issue in this scenario.
D. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
E. Demonstrate professional communication in the content and presentation of your submission.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Respond And Explain The Question With Not Less Than 100 Words
/in Uncategorized /by developerThe patient had undergone spinal anesthesia for appendectomy. To prevent spinal headache, the nurse should place the patient in which positions?
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Respond Nurse Leadership Power Sources 19276985
/in Uncategorized /by developerAtleast 500 words needed.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Respond Nurse Leadership Power Sources
/in Uncategorized /by developerRespond in 200 words to these skills of leadership of nurse
power
reward
coercive
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Respond Post
/in Uncategorized /by developer1.
It was very nice meeting with you and learning more about the LPN position in Family Medicine that you have interviewed me for. I appreciate you taking the time out of your day to meet with me and get to know me a little more, while looking through my resume at my qualifications. The job that you have posted and interviewing for seems like it would be a very good match for my knowledge and interests. After looking over and talking with you more in depth about the job description, allowed me to confirm that I would enjoy working at Park Nicollet and would be a great addition to your health care teams. With my 9+ years of experience working in the health care field, I believe that I have valuable qualities that will help provide your patients with the best quality of care possible. I am very honored and appreciative that you chose to interview me and hope we will have the opportunity to work together in the near future. Thank you again.
Tawna Postel
I feel that it is a good idea to send a thank you letter to a company who has taken the time to interview you. Not only does it show that you respect them and their company, but that you are interested in the job itself. I also feel that sending a thank you letter will make a canidate stand out amongst others. I dont feel that just because someone sends a thank you letter, that they will receive the job; that is based off how qualified the employee is.
2.
Good Afternoon Mrs. Anderson,
I wanted to take a moment in time to express my gratitude to you for allowing me the opportunity to meet you. It was an absolute pleasure to enter the clinic as I was greeted with a warm welcome from the staff and the uplifting ambiance. It was lovely to see all the employees work well together as a team. I appreciate you taking the time to explain the hiring process and how the training program works at your clinical. I am very impressed with the opportunity you have available here and I would be delighted to add to your team as an LPN.
It would be a honor to be considered for a LPN position at this clinic. I am very much looking forward to hearing from you in regards to the next steps. Please do not hesitate to contact me if you need any additional information than I provided or if you have any further questions. I hope to hear from you soon!
Sincerely,
Morgan Koivisto,
When I first watched the videos, I thought writing a thank you letter would be rather simple and quick. I do think that less words are better than more words and it leaves a lasting impression. However, when I sat down looking at a blank slate, I had a hard time coming up with the right words to say. I wanted my letter to be genuine and not too scripted. I thought this was a very good experience as this is something we will be needing to write to our potential employers. I liked it.
i just need a respond for these two post
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Respond The Question With Not Less Than 100 Words
/in Uncategorized /by developerThe nurse is preparing a client for surgery. What is the most effective method for obtaining an accurate blood pressure reading from the client?
Use APA
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Respond To Chapter 14
/in Uncategorized /by developerSteroids are often given for severe inflammatory pain associated with rheumatoid arthritis. For acute surgical pain, however, these drugs are rarely used, even though inflammation is probably the major cause of postoperative pain. What is the rationale for the contrasting approaches?
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Respond To The Following Items
/in Uncategorized /by developerRespond to the following items. Be sure to reference this week’s learning resources as appropriate.
Read:
Caregiver Resource Center, The. (2017). The caregiver. Greenwich, CT: Employment Assistance Professionals, Inc. Retrieved from http://www.caregiverresourcecenter.com/the_caregiver.htm
https://www.genworth.com/aging-and-you/finances/cost-of-care.html
Lewis, F. (2016, January 16). Caring for the caregivers [Video file]. Retrieved from: https://www.youtube.com/watch?v=duhJHedj82g
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Respond To The Following Scenario
/in Uncategorized /by developerNational initiatives driven by the American Nurses Association have determined nursing-quality outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-quality indicators:
• complications such as urinary tract infections, pressure ulcers, hospital-acquired pneumonia, and DVT
• patient falls
• surgical patient complications, including infection, pulmonary failure, and metabolic derangement
• length of patient hospital stay
• restraint prevalence
• incidence of failure to rescue, which could potentially result in increased morbidity or mortality
• patient satisfaction
• nurse satisfaction and staffing
SCENARIO
Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.
A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.
The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, “regular, chopped meat.” The tray contained the remains of a chopped pork cutlet.
The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.
When the patient’s daughter visited later that night, she was not told of the incident.
The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last night.” The daughter asked what had happened and was told that there had been “a mix up in the order.” The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, “Half a pork cutlet never killed anyone.”
The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.
The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Analyze the scenario (suggested length of 2–3 pages) by doing the following:
A. Discuss how the application of nursing-quality indicators could assist the nurses in this case in identifying issues that may interfere with patient care.
B. Analyze how hospital data of specific nursing-quality indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.
C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve an ethical issue in this scenario.
D. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
E. Demonstrate professional communication in the content and presentation of your submission.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Respond To The Post
/in Uncategorized /by developerI need a respond for these 2 classmates. Response posts must be minimum 100 words eaach. Double space. References must be cited in APA format (6th)
Peer 1
Tobacco Free Florida refers to the Florida’s education program that aims at helping tobacco users quit. The program includes helpful strategies, facts about nicotine as well as motivational information that powerfully encourages a tobacco-free life (Tobacco Free Florida, n.d.). Meanwhile, a range of media channels plays an increasingly important role in promoting the mentioned program. More specifically, social media sites, such as Facebook and Twitter, are extremely popular today, especially among the younger generation, which creates a comprehensive platform for raising awareness about the issue at hand and advertising the program’s website (Jane, Hagger, Foster, Ho, & Pal, 2018). Zika Free Florida is another program that provides help and consultation to prevent development of Zika, disease that develops due to a mosquito-borne virus. Instagram and YouTube are another powerful tool to promote the agenda. The format of a video can have a significant effect upon a viewer evoking a strong emotional response. Instagram presents a visually appealing source of receiving information that is readily used by many users around the world, especially by those who like to travel to foreign countries and do not know what exactly one should expect.
Childhood obesity is another important public concern that requires special attention in health policy development. Promoting awareness about the peril associated with childhood obesity is pivotal for maintaining the nation’s health and decreasing the burden of chronic diseases. Social media campaigns may help in this regard. Again, the use of Instagram may trigger the interest of policymakers, while providing parents with the necessary material aids (Edney et al., 2018). It should be noted that such social media as YouTube and Facebook may serve as a source of social support.The posts and videos in media challenge may contain information about the ramifications related to childhood obesity, which can help a user make a change in their lives. They may illustrate examples of how others have already achieved positive results, thereby increasing individual’s awareness about the effective strategies and health promotion techniques (Mason, Gardner, Outlaw, 2016). Users see that they are not alone with this program and may track each other’s progress getting inspired and motivated. Thus, social media can be considered as an active agent in raising awareness and encouraging to make a positive change in one’s lifestyle or environment.
Peer 2
Tobacco Free Florida refers to the Florida’s education program that aims at helping tobacco users quit. The program includes helpful strategies, facts about nicotine as well as motivational information that powerfully encourages a tobacco-free life (Tobacco Free Florida, n.d.). Meanwhile, a range of media channels plays an increasingly important role in promoting the mentioned program. More specifically, social media sites, such as Facebook and Twitter, are extremely popular today, especially among the younger generation, which creates a comprehensive platform for raising awareness about the issue at hand and advertising the program’s website (Jane, Hagger, Foster, Ho, & Pal, 2018). Zika Free Florida is another program that provides help and consultation to prevent development of Zika, disease that develops due to a mosquito-borne virus. Instagram and YouTube are another powerful tool to promote the agenda. The format of a video can have a significant effect upon a viewer evoking a strong emotional response. Instagram presents a visually appealing source of receiving information that is readily used by many users around the world, especially by those who like to travel to foreign countries and do not know what exactly one should expect.
Childhood obesity is another important public concern that requires special attention in health policy development. Promoting awareness about the peril associated with childhood obesity is pivotal for maintaining the nation’s health and decreasing the burden of chronic diseases. Social media campaigns may help in this regard. Again, the use of Instagram may trigger the interest of policymakers, while providing parents with the necessary material aids (Edney et al., 2018). It should be noted that such social media as YouTube and Facebook may serve as a source of social support.The posts and videos in media challenge may contain information about the ramifications related to childhood obesity, which can help a user make a change in their lives. They may illustrate examples of how others have already achieved positive results, thereby increasing individual’s awareness about the effective strategies and health promotion techniques (Mason, Gardner, Outlaw, 2016). Users see that they are not alone with this program and may track each other’s progress getting inspired and motivated. Thus, social media can be considered as an active agent in raising awareness and encouraging to make a positive change in one’s lifestyle or environment.
This is the original question if you needed to see what is about
Reflect on Florida’s current health education programs such as Zika Free Florida, Tobacco Free Florida and consider what part the media plays in such disease prevention programs. Identify a specific public health issue that you believe needs to be highlighted in health policy and based on your textbook readings discuss how social media can be used as a health promotion tool to improve public awareness on the selected topic.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Respond With 150 Words And Contribute 2 Ideas As Recommendation
/in Uncategorized /by developerFalls are one of the major causes of mortality and morbidity in older adults. Every year, an estimated 30–40% of patients over the age of 65 will fall at least once. Falls lead to moderate to severe injuries, fear of falling, loss of independence and death in a third of those patients. Falls account for 87 % of all fractures in the elderly. These fractures are almost always due to low impact injuries in osteoporotic bones. Several organizations have recommended screening older patients to identify those with a high risk of falling and, or fractures.
Working in the long term setting I have witnessed so many preventable falls in elderly population. Currently our fall numbers are very high. I would like to implement my plan on a group of patients like 30 patients at time. Just to see how it works. I will really like to involve my CNA’s for that station and have meeting with them to know more basics to prevent those falls. Reason involving CNA’s, I want to reach to root cause of fall and wants to plan individualized interventions.
References
Ambrose, A. F., Cruz, L., & Paul, G. (2015). Review: Falls and Fractures: A systematic approach to screening and prevention. Maturitas, 82, 85–93. https://doi-org.lopes.idm.oclc.org/10.1016/j.maturitas.2015.06.035
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"