According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with patients. How do you see this being applied in your workplace? In addition, how can you strive to make spirituality and self-care a practice for your patients as well as yourself? How does this practice align with the Christian worldview?
Module 01 Content
1.
Top of Form
Many people in the US, particularly the elderly, take more than one prescribed medication. CDC (2014) reported that between 2009 and 2012 nearly 48% of persons asked used at least one prescription drug, 22% used three or more prescription drugs, and nearly 11% used five or more.
In a recent study published by the Mayo Clinic, seven out of 10 Americans take at least one prescription drug. The most commonly prescribed drug is antibiotics — taken by 17 percent of Americans — followed by antidepressants and opioids — each taken by 13 percent of Americans. In addition, findings showed that:
· Even more staggering than the CDC findings, currently more than half of Americans take two prescription medications, and 20 percent of Americans are on at least five prescription medications.
· More women than men receive prescription medications.
· Antidepressant prescriptions are more common among women than men and are most common among women ages 50 to 64.
When people take multiple medications, there is a greater risk of confusion about which medications are taken when they are taken, and what they are being taken for. There is also a higher risk for drug interactions and increased side effects and adverse reactions.
Sometimes because of the sheer number of medications being prescribed, they may be forgotten, become too much of a bother, or a financial burden which can significantly impact client compliance and lead to poor health outcomes.
In this written assignment, you will be interviewing a client who is taking multiple prescribed medications (three or more) and submitting a written paper describing the findings from the interview. You will then develop a Client Teaching Plan. Your instructor will assist you in the selection of the client. You must achieve a “pass” in this assignment to satisfactorily fulfill the requirements for the Pharmacology course.
The three parts of this assignment are:
Interview with a client who is taking multiple medications (polypharmacy). You must prepare the client before the interview by explaining why you are conducting the interview. You can say “My assignment is to find out about the medications you are taking so I can determine if you need more information about what you are taking”. You must always get permission from the client to conduct the interview and you must tell the client how the information will be used. You can say, “I will not be using your name in the information I share and I will be submitting it to my instructor only for this student assignment”. If there is important information that needs to be communicated to you, your doctor, family, or nurse, my instructor will assist me in following up on this”. Tell the client you will take no more than 30-45 minutes for the interview.
There may be a family member or significant other present during the interview. That is fine. Be sure to identify who answered a question and if possible always have the client answer first. Always thank the client (and others) when you complete the interview.
Do not use recording equipment for this interview. Have a notepad and pencil or pen and explain that you will be taking notes. When the interview is over, go to a quiet place and take some time to fill in any information you did not jot down. If you wait, you will not remember.
When setting the environment for the interview, make sure the client (and others) are comfortable and you are comfortably seated facing the client. If possible, interview in a quiet place. Ask questions slowly giving the client time to answer. Pay attention to the client's hearing and ability to respond to the questions. Be sure your non-verbal communication demonstrates you are calm and relaxed.
Use the following interview question guidelines when conducting the interview. Be aware that the client may not be able to answer each of the questions with detailed information. Collect as much information as the client is able and willing to give you. Remember you are the interviewer so you will be collecting information and not making any comments about the information shared by the client except to ask for further clarification if you are not sure what was said or need more detail if it is available.
1. What medications are you taking?
1. Before the interview research each of the medications. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.
For the following questions, paraphrase the client's answers for your written paper.
1. How long have you taken each of these medications?
1. Do you know why you are taking these medications?
1. Who told you about the medications and why do you need to take them? Were you able to ask any questions about the medications and if so were they answered so you understood what was said?
1. How do you feel about taking these medications?
1. Are you taking other medication purchased “over the counter” such as in a drug store? If so, what is it and why are you taking it?
1. How and when do you take your medications?
1. Do you have any difficulty taking the medications? If so, what happens and how do you deal with any difficulties?
1. Have you ever felt any uncomfortable feelings and body reactions to taking these medications? If so, what were they and how were they handled?
1. If you had the above reaction, did they take you off the medication and replace it with another medication? Were you told why this happened?
1. Do you have any reason not to take the medications?
1. Have you ever not taken the medication? If so, what was the reason?
Ask a final question about whether the client would like to tell you anything further about their medications.
Write a paper describing your research and findings about the medications being taken and the interview results. Report your findings in a 3-5 page written paper. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.
Use accurate and appropriate spelling and grammar and APA Editorial Format for sources used in your written paper.
Develop a teaching plan for this client based on your findings. Based on the findings from the interview, develop a 2-3 page teaching plan to include the following:
1. List one goal for this teaching plan
1. Describe two to three teaching resources that might be used
1. Identify two teaching strategies that can be used based on the client interviewed
1. List specific client instructions regarding the medications what adverse reactions they should be aware of/and what to do
1. Identify at least one factor that may negatively influence adherence to the medications and how it can be overcome
1. If, appropriate, describe how the family might be involved in ensuring the client is on a proper and safe medication regime
Bottom of Form
Respond to this DB using APA and include at least 2 scholarly references.
. Competing Needs in Healthcare Policy Development: Addressing the National Healthcare Issue of Rising Costs
The United States faces a critical challenge in the form of escalating healthcare costs, which have profound implications for care delivery and patient outcomes. Crafting effective healthcare policies to address these rising costs is a complex process influenced by various competing needs, including those of the workforce, available resources, and patients.
Competing Needs in Healthcare Policy Development
The development of healthcare policy is a multifaceted process that requires the careful consideration of various competing needs, primarily concerning three key stakeholders: the healthcare workforce, available resources, and patients.
The Workforce
A primary concern in healthcare policy development is the well-being and satisfaction of the healthcare workforce. Nurses, physicians, and other healthcare professionals are essential for delivering quality care. Policies that fail to address the workforce’s needs can lead to burnout, decreased job satisfaction, and, ultimately, a shortage of healthcare providers (Milliken, 2018).
Resources
Another critical factor in healthcare policy development is the allocation of resources. These resources encompass financial budgets, medical equipment, hospital facilities, and research funding. Competing needs emerge when policymakers must strike a balance in resource allocation between different healthcare sectors, such as primary care, specialty care, and mental health services.
Patients
The ultimate goal of healthcare policy is to improve patient outcomes and ensure equitable access to care. Policies that do not prioritize patient needs can result in disparities in healthcare access and quality. Patients require affordable care, timely access to services, and assurance of their safety and well-being (American Nurses Association, 2015).
Impacts of Competing Needs on Rising Healthcare Costs
Rising healthcare costs pose a significant national healthcare issue that is profoundly influenced by the following competing needs discussed below.
Workforce Needs
Healthcare professionals are indispensable for care delivery. However, addressing the workforce’s needs, such as fair compensation, manageable workloads, and a supportive work environment, often necessitates increased spending. This can directly contribute to rising healthcare costs as salaries and benefits for healthcare workers constitute a substantial portion of healthcare expenditures (Kelly & Porr, 2018). For example specialized settings like psychiatric hospitals, attracting and retaining mental health professionals is challenging due to the demanding nature of the work. To meet the workforce’s needs, policymakers may need to allocate additional funds for competitive salaries and mental health support programs.
Resource Allocation
Effective resource allocation is crucial for managing rising healthcare costs. When resources are thinly spread across various healthcare sectors, inefficiencies, care delays, and increased costs can result. For instance, underinvestment in preventive care and community-based services can lead to higher costs associated with treating preventable chronic conditions for example, to address the escalating costs of psychiatric hospitals, policymakers may need to allocate resources for community mental health programs and early intervention services. This can help prevent hospitalizations and reduce the overall financial burden on the healthcare system.
Patient-Centered Care
Policies that do not adequately prioritize patients’ needs can exacerbate healthcare costs. Patients who lack access to affordable care may delay seeking treatment, leading to more severe health issues and increased long-term costs. Furthermore, a lack of emphasis on preventive care can result in higher expenses associated with treating advanced illnesses for example, to address rising costs and ensure patient-centered care, policymakers may need to implement policies that expand access to affordable healthcare, including mental health services. This could involve subsidizing insurance premiums or increasing the availability of Medicaid programs.
Addressing Competing Needs through Policy
Effectively addressing the national healthcare issue of rising costs while considering the competing needs of the workforce, resources, and patients necessitates the implementation of several targeted strategies.
Workforce Support
Policymakers should prioritize workforce needs by ensuring fair compensation, manageable workloads, and access to mental health support programs. This can help reduce turnover, enhance job satisfaction, and ultimately contribute to cost containment.
Resource Optimization
Resource allocation should be evidence-based, maximizing efficiency and cost-effectiveness. This may involve investing in preventive care, telemedicine, and outpatient services to reduce the need for costly hospitalizations.
Patient-Centered Reforms
Healthcare policies should prioritize patient needs, including affordability, accessibility, and safety. Expanding coverage options, implementing price transparency, and promoting preventive care can help reduce overall healthcare costs and enhance patient outcomes.
Interdisciplinary Collaboration
Collaboration between healthcare professionals, policymakers, and healthcare administrators is essential. Interdisciplinary teams can develop and implement policies that effectively balance competing needs, drawing on diverse perspectives to find innovative solutions.
Regular Review and Adjustment: Healthcare policies should remain dynamic and subject to regular review and adjustment. This allows policymakers to adapt to changing healthcare landscapes and emerging challenges while continuously optimizing resource allocation.
Conclusion
The development of healthcare policy is a multifaceted process influenced by competing needs, including those of the workforce, resources, and patients. Rising healthcare costs present a significant national healthcare issue, and addressing these competing needs is crucial to finding sustainable solutions. Ethical considerations, as outlined in the American Nurses Association’s Code of Ethics, play a pivotal role in ensuring that policies prioritize patient well-being, equitable access to care, and the support of healthcare professionals. By strategically balancing these competing needs and implementing targeted policy reforms, the healthcare system can work toward containing rising costs while delivering high-quality, patient-centered care.
References
American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. https://www.nursingworld.org/coe-Links to an external site.
view-only
Berwick, D. M., & Hackbarth, A. D. (2012). Eliminating waste in US health care. JAMA, 307(14), 1513-1516.
doi:10.1001/jama.2012.362
Cutler, D. M., & Sahni, N. R. (2013). If slow rate of health care spending growth persists, projections may be off by $770 billion.
Health Affairs, 32(5), 841-850. doi:10.1377/hlthaff.2012.1258
Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. Online
Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06.
Milliken, A. (2018). Ethical awareness: What it is and why it matters. Online Journal of Issues in Nursing, 23(1), Manuscript 1.
doi:10.3912/OJIN.Vol23No01Man01.
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Discuss the implications of complexity and chaos theories for use in the advanced nursing leadership role.
Expectations
Initial Post:
Chamberlain
Week 6
Midweek Comprehension Questions
Discussion
Purpose
As mentioned in this lesson, numerous telecommunications-ready tools are already available to assist nurses in delivering care and improving patients' health outcomes. New and innovative tools are rapidly making it to the marketplace, making current tools dated and sometimes obsolete. Continue to reflect upon the point-of-care tools you may be familiar with using in your role as a Registered Nurse and how your responsibilities will change with your future role as an APN. How will you stay current?
Provide a brief response (100 words or less)
Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion.
I need some assist on this question
Many of you have experience in complex adaptive systems whether you realize it or not. Thinking about your current or future practice area, identify an issue or concern. In your initial response, please describe the concern. Does the concern primarily occur at the micro, meso, or macro level? How would you address this issue? What impact might your solution have on the other levels of the system? In what ways could interprofessional collaboration be used to resolve the issue?
My practice area will be Infectious Disease
Choose a subject (it can be a former patient, a family member, or yourself) and identify modifiable and non modifiable risk factors. Identify methods to prevent Coronary Artery Disease (CAD) in the subject. What can you recommend to your classmates subjects?
Minimum of 250 words.
10/9/23, 11:32 AM Case – BHA370 Strategic Delivery of Healthcare Services (2023OCT09FT-1)
https://tlc.trident.edu/d2l/le/content/202712/viewContent/5129358/View 1/2
Module 1 – Case
STRATEGIC PLANNING AND PROCESSES
Assignment Overview
Strategic planning in healthcare typically involves a number of people with diverse
ethnicities, various ages, multiple race groups, and different experiences. An
interdisciplinary approach involves team members from different disciplines working
collaboratively, with a common purpose, to set goals, make decisions, and share
resources and responsibilities. Strategic plans are designed to build an inclusive
environment, plan for the equity of the organization, and to develop objectives to
support viability. Examining external industry competition aids in gauging and
designing performance measures to meet prospective goals.
Case Assignment
In a 2-page paper, answer the following questions:
1. What roles do boards of directors, C-Suite employees, physicians, general
employees, and the community play in a healthcare organization’s strategic-
planning process?
2. Does the diversity of a healthcare organization’s staff have any impact on the
strategic-planning process? Explain your rationale.
Assignment Expectations
1. Conduct additional research to gather sufficient information to justify/support your
responses.
2. Limit your response to a maximum of 2 pages (title and reference pages are not
included in the page number count).
3. Support your responses with peer-reviewed articles, with 2 to 3 references. Use
the following link for additional information on how to recognize peer-reviewed
journals:
How to Recognize Peer-Reviewed (Refereed) Journals
http://www.angelo.edu/services/library/handouts/peerrev.php.
4. You may use the following source to assist in formatting your assignment:
Purdue Owl – https://owl.english.purdue.edu/owl/resource/560/01/.
Listen
10/9/23, 11:32 AM Case – BHA370 Strategic Delivery of Healthcare Services (2023OCT09FT-1)
https://tlc.trident.edu/d2l/le/content/202712/viewContent/5129358/View 2/2
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5. For additional information on reliability of sources, review the following
source: https://nccih.nih.gov/health/webresources.
6. This assignment will be graded based on the Case Assignment rubric.
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