Knowing Your Health Care Facilities and Structures

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Knowing Your Health Care Facility

Part 1:

Complete the following chart by identifying and describingfive facilities and the services they offeras well as identifying personnel who work in each facility.

Cite at least five peer-reviewed, scholarly, or similar resources.

Part 2:

Describe the following health care structures.

Discussion Questions (Optional):

1) If you were able to apply for a job today, or a new position in the health care industry, what type of facility would you be attracted to? Explain why.

2) What value (qualifications) would you bring to your selected facility?

technology in nursing assessment

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Preparation

Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on medical technology used to manage patients post-hospitalization. You will need at least three articles to use as support for your work on this assessment.

Directions

Assume you work in a rural health care center. The facility just received a generous grant from a health care foundation. The funds from this grant must be used to acquire new technologies to foster better health outcomes for residents who live in remote areas. The Director of Nursing has formed a committee to research types of patient care technologies that are available to manage and monitor patients upon their release from care. You have been asked to look into the different types of technologies available for patients who are discharged from the hospital and cannot travel hundreds of miles for frequent follow-up appointments. You were also asked to provide evidence-based research to support your selections.

Write a 3–4 page report for the committee that provides your findings:

  • Summarize the issues facing rural health care providers’ efforts to deliver quality care.
  • Explain the use of information management tools and technologies to monitor and improve outcomes.
  • Recommend three new technologies that improve patient outcomes post-hospitalization, in rural settings.
  • Support your recommendations for new technologies with evidence-based research.

Format this report following current APA style, paying close attention to headings and subheadings, paragraph structure, and proper grammar, spelling, and punctuation.

Additional Requirements

Your report should meet the following criteria:

  • Contain between 750–1000 words (3–4 pages).
  • Include a minimum of 3 references. (These must be recent, from within the past five years.)
  • Be double-spaced in Times New Roman font, 12 point. 
  • apa format

The Case of Mrs. F. – Safety at HomeReview the following case and respond to the questions below as a nurse case manager who is doing a

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                                                                The Case of Mrs. F. – Safety at Home

Review the following case and respond to the questions below as a nurse case manager who is doing a safety assessment in the home:

Mrs. F., an 84 year old woman, has lived at this home all of her married life (60 years). Her husband had a recent stroke and is now at a local rehab/skilled nursing facility. The stroke was mild but did affect his right side so he has trouble walking and eating. Mrs. F. still drives and visits him twice daily bringing him food to eat and takes care of him while she is there. Plans are that he will be in the facility for another week and then he will come home. Mrs. F. has arthritis and walks with a limp. She does not use any assistive devices because those are “for sissies”. She was recently diagnosed with COPD as she was a smoker for many years. She believes that she is well and can still do anything around the house particularly take care of her husband. They have 7 children who all live in the general area and want to help as much as they can. Mrs. F. discourages their help because she believes she and her husband can do “just fine”. The house is a two story and quite old. It has not been updated for many years. There are a lot of old antiques and the house is crowded with many “memories” such as photos, crafts, rugs, and small pieces of furniture Mrs. F.’s husband made.

  1. In your assessment, identify any safety risks for Mrs. F. in her home and those that may be a challenge when her husband returns from Rehab.
  2. Determine what might be done to manage these risks and make the home safe.
  3. Describe any other safety issues in this situation and what might be done about them.
  4. Explain how you will work with Mrs. F. to discuss the risks and how you can encourage her to make her home and life safer. What obstacles might you encounter in doing this? How will you overcome them?

An applicant’s professional history and qualifications are outlined in a resume. A cover letter is a way for the applicant to make a professional introduction to the hiring manager and demonstrate an

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An applicant’s professional history and qualifications are outlined in a resume. A cover letter is a way for the applicant to make a professional introduction to the hiring manager and demonstrate an interest in the company.

Develop a current resume and create a formal cover letter for a position for which you would like to apply. Create both the cover letter and resume using a professionally accepted format provided on the Resume-Resources website, located in the Topic Materials.

Include the following:

  1. Resume: Detail your overall education, credentials, and professional experience, such as licenses, earned degrees, certifications, professional experiences, previous positions held, membership in professional organizations, publications, and skills.
  2. Write a one-page double spaced introductory cover letter in which you explain your professional objectives, professional interests, and strengths as an applicant.
  3. Prior to submission, share your resume with a colleague and obtain feedback. Revise your resume as needed

Jackie Grey

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Fall prevention is a national patient safety goal of The Joint Commission and is considered a standard of practice in most institutions. 

The obstetric population is considered a healthy group of patients.  Should a fall prevention program be implemented on an OB unit for every laboring and postpartum patient? 

  • Describe two factors that place the obstetric patient at risk for falls.  Explain why the identified factors increase the obstetric patients risk for injury.
  • Describe how the implementation of a fall prevention program on the OB unit would help to improve patient outcomes.
  • Describe the role of the RN in the implementation of a fall prevention program on an obstetric unit.
  • APA format with citations in text and references not more than 5 years.
  • 350 words references not included also repeat of question

Analysis and assessment of the ethical and economic challenges related to policy decisions.

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·         Read the following case study, “Hard Economic and Finance Choices in US Healthcare” (Milstead):

o    Case Study 1: Hard Economic and Finance Choices in US Healthcare  Applied economics is all about managing scarce resources. Economics is an amoral field of study: it is neither moral nor immoral. Morality and values are determined by individuals at the personal level and by group consensus or majority opinion at the national level. State and federal governments determine the ‘will of the people’ about how to use scarce resources for the good of a nation.  The U.S. health care system is an exemplar of scarcity: primary care physicians, substance abuse treatment centers, trauma centers, registered nurses, and the money to pay for goods and services. Finance is all about how to pay for goods and services. The Medicare Payment Advisory Commission (MedPAC) is appointed by the Executive branch of the federal government to make decisions about what the Medicare program will and will not pay for. In this role, MedPAC makes decisions about medications, procedures and treatments. Examples of MedPAC decisions include coverage for left ventricular assistive devices as a destination therapy, coverage for bariatric surgery, and in 2010, coverage of the drug Provenge™. By law, MedPAC is not allowed to use price or cost of any treatment in its decision-making processes.

·         Review the information in the Washington Post article “Review of Prostate Cancer Drugs Provenge Renews Medical Cost-Benefit Debate” in the Learning Resources.

·         Consider how policy decisions currently are made about what will and will not be paid for and what changes, if any, could improve the process.

·         Reflect on how the Washington Post example illustrates the tension between cost and care.

Post your analysis and assessment of the ethical and economic challenges related to policy decisions such as those presented in the Washington Post article. How does this type of situation contribute to the tension between cost and care? Substantiate your response with at least two outside resources.

Review of Prostate Cancer Drug Provenge Renews Medical Cost-Benefit Debate

November 10, 2010

Federal officials are conducting an unusual review to determine whether the government should pay for an expensive new vaccine for treating prostate cancer, rekindling debate over whether some therapies are too costly, says the Washington Post.

·         The Centers for Medicare & Medicaid Services is running a “national coverage analysis” of Provenge, the first vaccine approved for treating any cancer.

·         The treatment costs $93,000 a patient and has been shown to extend patients’ lives by about four months.

Although Medicare is not supposed to take cost into consideration when making such rulings, the decision to launch a formal examination has raised concerns among cancer experts, drug companies, lawmakers, prostate cancer patients and advocacy groups.

“If the cost wasn’t a consideration, this wouldn’t even be under discussion,” says Skip Lockwood, who heads Zero – the Project to End Prostate Cancer, a Washington-based lobbying group.

·         Prostate cancer strikes 192,000 men in the United States each year and kills about 27,000.

·         The only therapies are surgery, radiation, hormones and the chemotherapy drug Taxotere.

“To charge $90,000 for four months, which comes out to $270,000 for a year of life, I think that’s too expensive,” said Tito Fojo of the National Cancer Institute.  “A lot of people will say, ‘It’s my $100,000, and it’s my four months.’  Absolutely:  A day is worth $1 million to some people.  Unfortunately, we can’t afford it as a society.”

Company officials say the cost is not out of line with that of other cancer drugs.  Each treatment with Provenge, which the company estimates cost nearly $1 billion to develop, is tailored to each patient, says the Post.

Source: Rob Stein, “Review of Prostate Cancer Drug Provenge Renews Medical Cost-Benefit Debate,” Washington Post, November 8, 2010.

For text:

http://www.washingtonpost.com/wp-dyn/content/article/2010/11/07/AR2010110704932.html

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Interval training A. Involves short periods of intense activity and is used to build strenght,speed,and power. B.can guarantee an athlete an injury-free season. C.involves long periods of low-intensi

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Interval training

A. Involves short periods of intense activity and is used to build strenght,speed,and power.

B.can guarantee an athlete an injury-free season.

C.involves long periods of low-intensity activity and builds stamina.

D.will get you into shape in about five days.

Delilah Martindale is a married, 42- year old woman with 3 children and works as a part-time cashier at Circle K. She has never smoked and has an occasional social drink. Her past medical history in

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Delilah Martindale is a married, 42- year old woman with 3 children and works as a part-time cashier at Circle K.  She has never smoked and has an occasional social drink.  Her past medical history includes plastic surgery for bilateral breast implants done 3 years ago and tonsillectomy when she was 10 years old.  Her mother is a breast cancer survivor and her father died of lung cancer two years ago.  When she returned for a physical check up with her primary MD, a lump was noted on her Right breast.  Her physician ordered an outpatient breast biopsy as soon as possible that revealed presence of malignant cells.  She elected to have R breast removed with axillary lymph node dissection.

1.              Delilah Martindale wants you to explain exactly what Stage IV: T4 N3 M1 mean.  Based on the TNM Classification System, what will you tell her?  (½ point)

2.              Discuss the treatment modalities that Delilah Martindale may have other than the surgical procedure as mentioned in the case scenario.  (2 points)

3.              Define metastasis and discuss its pathophysiologic mechanism. Based on the location of her malignancy, where are the sites of metastasis? (2 points)

4.              Discuss the clinical manifestations of cancer, etiology, and general effects of malignancy that Delilah Martindale may or may not experience.  (2 points)

5.              Delilah Martindale is to receive chemotherapy. Discuss the effects of chemotherapy to the body cells, both cancerous and non-cancerous. (½ point)

6.              Describe the side effects of cancer therapy and possible treatment or ways to alleviate the discomforts or complications of these side effects. (2 points)

7.              List the health education or teachings that you would provide the community or the public regarding the prevention of breast cancer. (1 point)