• CO 2: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO #1)
• CO 4: Identify teaching/learning needs from the health history of an individual. (PO #2)

Due Date

Patient Teaching Plan assignment is due Sunday of Week 4 at 11:59 MT.

Points

This assignment is worth 125 points.

Background Information

NR305 focuses on nursing assessment, and the identification of opportunities to prevent disease and improve health of patients. An important professional role for nurses is to provide teaching to patients based on knowledge deficits identified during assessment.

Prior to beginning this assignment, follow the link to read the article below. The information related to adult learning and barriers to understanding will be helpful when planning how to best educate your selected population.

Beagley, L. (2011). Educating patients: Understanding barriers, learning styles, and teaching techniques. Journal of Paranesthesia Nursing, 26(5), 331-337. permalink (Links to an external site.)

Directions

Please read all directions carefully before you begin.

1. Click to download the Patient Teaching Plan Form (Links to an external site.).
   Type your answers directly into this Word document and submit. The use of correct terminology, grammar, and spelling is important! Any references and citations used should be written in APA format. Please utilize in-text citations when appropriate, and list all references in the space provided at the end of the worksheet.
2. You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.
3. Health Topic: Decide WHAT you would like to teach. Describe in detail why this is an important topic for patient education. Use evidence from the textbook, lesson or an outside scholarly source to support your rationale. Select from the following health topics to complete your Patient Teaching Project:

    

   • Stress and Time Management
   • Self-Care (can choose a specific self-care activity)
   • Prevention of Hazards at Work
   • Bicycle Safety
   • Ergonomics (related to work, posture)
   • Skin Cancer Prevention
   • Healthy Eating
   • Exercise/Physical Activity
   • Suicide
   • Human Trafficking
   • Eating Disorders
   • Substance Abuse (Opioid, Alcohol, Nicotine)
   • Depression
   • Palliative Care/Hospice Care
4. Population and Setting: Once you have selected a topic, you must decide WHO you will be teaching and WHERE the education will take place. (i.e., teaching a classroom of middle school students; teaching community members at a local health fair)
5. Learning Barriers: Refer to the assigned article: Educating patients: Understanding barriers, learning styles, and teaching techniques for information related to learning barriers and other teaching considerations. Barriers might be cultural, physical, educational, or environmental. You may also want to consider the developmental stages of your selected population. Example:
    
   • The population in this community is known to have a low-literacy level, therefore clear pictures and graphics will be utilized to assist with understanding.
6. Learning Objectives: Write three specific learning objectives your Visual Teaching Tool will address. Begin each objective with “At the end of this education, the learner will …” Use an action verb to finish the sentence (i.e., list, demonstrate, describe, define, identify). Example:
    
   • At the end of this education, the learner will be able to demonstrate the proper way to wear a bike helmet.
   • At the end of this education, the learner will be able to describe how to perform a breast self-exam.
   • At the end of this education, the learner will be able to list three benefits of regular physical activity.
7. Evaluation: Write a paragraph describing how you could evaluate whether your visual teaching tool was successful and met the learning objectives. Consider the population’s abilities and the setting.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

respond 

 

Within 20 miles of our facility, there will be a new hospital that is opening up in the summer of 2020. Leading to lots of opportunities for the healthcare environment. One of the concerns with this includes how many staff members will leave to go to the new and upcoming hospital. Our human resource department estimates that we risk approximately ten percent of our staff to this new facility. At this time, we do not know what their benefits package will entail for the team. Benefits that include sign-on bonuses and tuition reimbursement may not be readily available to them, as this will be an entirely new business. Our facility has invested about 7 percent of the start-up, and another more extensive hospital system from 100 miles away has spent forty-five percent. One of the expectations of this new hospital is that it will be locally owned and ran. The physicians are fed up with big business from Colorado and California trying to run multiple hospitals.

Benefits such as tuition reimbursement and sign-on bonuses can attract new employees to an organization. What happens when they are unknown as of this a new facility and cooperation? As a nurse executive on the things that I would continue to reinforce is that the grass is not always greener on the other side. Several years ago, I worked part-time in a new hospital organization, and they severe growing pains. They did not have any formal recognition for the length of services and financial and retirement planning programs (Moon, Beck, & Laudicinia, 2014). They did not offer tuition reimbursement for those that wished to advance their degrees. As a transformational leader, one would want to have a general idea of what the staff member’s hopes and dreams are for work.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Respond 

 

EXPERIENCE

The demographics at the CVAMC is a wide mix of veterans.  We have different levels of service connection, privately insured patients as well as many patients with no other forms of insurance, and a high rate of homeless veterans.  As discussed in the first touchpoint, many of the patients rely on Medicare and the federal government benefits gained through active military service to pay for their healthcare.  With a shared governance delivery system, the VA encourages the patient to have an active hands-on approach with their healthcare, placing the veterans and their families at the forefront of decision making.  While this is easy for the VA to state, its not as easier to perform to the standards, as the constraints of federal funding may pose hinderance on the quality or type of care the veteran may receive.  Currently, the VA uses a volume-based reimbursement system.  As stated previously, it is difficult to navigate the VA reimbursement system, as there are so many different rules and regulations.  There are even regulations on what Medicare (one of the top reimbursements) can reimburse for.  The VA isn’t allowed to receive Medicare payment for the treatment of nonservice-connected medical conditions on enrolled Medicare-eligible veterans, even if their health care is routinely covered under Medicare (American Legion, 2011).  This simple rule is one of many that makes it difficult to place the VA under simply the value or volume-based reimbursement system, but yet, shows that it is appropriate to use a mix of the two in order to be the most fiscally responsible in billing and reimbursement funding. 

REFLECTION

The type and quality of care provided at the VAMC should still be at the optimal level, regardless of where the funding is coming from.  In order to achieve excellence in patient outcomes, the organization must adhere to and follow the mission, vision, and values.  Consistently remembering that the organization exists because of the veterans and their service to our nation is something that can be easily forgotten or overlooked, but is the most important aspect of this business.  Following the American Nurses Credentialing Center’s (ANCC) model for magnet recognition will also be an excellent guide to increasing patient outcomes while maintaining fiscal responsibility.  Excelling in transformational leadership, structural empowerment, exemplary professional practice, learning new knowledge, innovation, & improvements will lead to empirical quality results (American Nurses Credentialing Center (ANCC), (n.d)). 

Strategic management will make goals and objectives for clinical service, determine the resources needed to be allocated to achieving those goals and objectives, and will establish policies for getting and using resources.  Strategies that take into account incentives and responsibilities faced by the veterans who receive care and the payors that reimburse for that care are important to consider when developing relationship building with providing availability to different types of care at the VAMC (Finkler, Jones, & Kovner, 2013). 

IMPLICATIONS FOR THE FUTRUE

Erroneous colorectal cancer screening is a major fiscal hindrance.  Proper screening is an absolute must for facilities to decrease expenditures.  The average cost for colonoscopies as a screening tool is almost four times the amount of a FIT/FOBT test.  Patients that are average or low-risk with no family history should be screened with a FIT/FOBT test for cost effectiveness for both the facility and the patient.  Actual costs of clinical services are highly dependent on the ability to negotiate payment rates with providers, therefore making the actual cost of the clinical services dependent on the provider supply.  Colorectal cancer screening programs incur substantial non-clinical costs, regardless of whether the program is colonoscopy- or FOBT/FIT-based (Subramanian et al., 2017).    

Correct colorectal cancer screening will help eliminate incorrect costs for the CVAMC and the patients.  Even though it is a federal government facility, many patients still pay out of pocket expenses and must submit charges to their private insurance companies.  Appropriate colorectal cancer screening will eliminate erroneous use of staff’s time and the facility’s resources.  Proper colorectal cancer screening will also eliminate stress for the patients and assist with the proper education to the patients.  Adjustments such as teaching methods or timeframes for education of the providers will have to be routinely evaluated, along with the amount of staff available to implement this project.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Respond

 

EXPERIENCE

I had been a bedside nurse for 24 years before I transitioned into my current position as an Accreditation Specialist. I have been in my position a little over two years and due to being a bedside nurse I never had to deal with any budgeting issues. My husband tends to all our personally finances. I honestly have to admit, I am not good with money. My husband is so much better in planning and saving for the future, I have more of a spontaneous personality. I paying more attention and asking more questions to my department manager and director in regards to our budget. They have quarterly leadership meeting where our organizations financial information is discussed. After these meetings, my leaders share the information and are willing to answer any of our questions. They want to be transparent to allow us to be educated and knowledgeable in regards to our organization.

REFLECTION

The pre-conceived notion I had of healthcare financial and budgeting principle is of staffing. I did not realize developing a staffing budget consisted of a certain formula. I was unaware of the number of factors related to identifying the full-time equivalents (FTEs) needed to staff a hospital floor. I now understand that an FTE consisted of 2,080 hours/year for a full-time employee. And patient hours are a major factor, the percentage of direct admits from the emergency room (ER). The budget also has to take into consideration the skill mix needed for your organization.

Two concepts that were very interesting to me were the nonprofit and for-profit concepts. They only difference is that non-profit organizations do not pay taxes. For profit hospitals are owned and operated by financial cooperation’s and have access to larger sums of money when needed. Nonprofit organizations are more community oriented and focuses on what the community needs. They are typically in area that are financially well off but that is not the case for the organization I am affiliated with. My community is poor and Medicaid and Medicare are a high percentage of our reimbursement. Quality verses quantity is always a main focus for us. We do not provide a lot of specialty services but what we offer is quality care with the capability to stabilize and transfer to affiliated hospitals. We like to ensure our patients are receiving quality care not matter where they are sent.

IMPLICATIONS FOR THE FUTURE

My proposed project is implementing a sepsis bundle checklist to improve sepsis bundle compliance in the Emergency Department (ED) to improve patient outcomes. This project is not a high cost to the organization. The sepsis bundle checklist can be created by our quality department and once passed through the form committee for approval it can be rolled out for use. The education department will be involved to develop the education for the staff and providers to ensure the checklist is getting implemented correctly. The checklist will be printed in our print shop so each department, mainly ED, will order and charged to their cost center. There are no areas of additional financial or budgeting data that I feel will be affected by this proposal. 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"