Questions On Nursing And Discharge Planning - 1619 Words

Name: J.L. Code Status: DNR Age: 67 Gender: Female Ethnicity: Caucasian Allergies: NKA Occupation: Hygienist Current weight: 149.7 kg Chief complaint: â€Å"I began having shortness of breath, I couldn’t breath.† Medical diagnoses: Pulmonary hypertension Patient Education Discharge Planning Patient will not be discharged anytime soon. But she is informed through the nurse and doctors that an increase in her oxygenation might be prescribed if experience any symptoms of shortness of breath will at home. Nutritional/ Diet: She is on a regular diet. At the moment she is on fluid restrictions. But having a nutritionist speak to her about decreasing her intake of sodium will help relieve some of the edema. Social worker: The social worker came to speak to her about the possibility of being transferred to nursing home or have assess to home health. Developmental Stage Integrity versus Despair J.L. is a 67 year-old Caucasian, female. Under the Erikson’s stages, she falls under the integrity versus despair stage, where many adults review their lives with a sense of satisfaction, even with their inevitable mistakes (Perry, Stocker, Hall, 2013), she stated to being proud of having two professional children. She worked hard to raise them good. Pathophysiology/Health history Diabetes Mellitus Type 2: is a chronic disorder where the pancreas is unable to produce enough insulin, or the body does not have the ability to use up the insulin it produces, or both, resulting inShow MoreRelatedThe Readmission Rate Of Hocking Valley Community Hospital1164 Words   |  5 Pagesor less and increasing patient satisfaction by initiating comprehensive discharge planning. Quality goals are to improve the discharge process giving the patient the resources and information they need to transition safely from hospital to home, rehab center, assisted living or nursing home. Quality measures include a reduction in the readmission rate, increased patient satisfaction and increased success in the patient discharge. Step 2: Locate the Best Evidence Hospital readmission rate has gainedRead MoreDischarge Planning And Education For Preventing Hospital Readmissions1305 Words   |  6 PagesDischarge Planning and Education to Prevent Hospital Readmissions Kailey Beck Thomas Jefferson University Abstract In 2011, there were approximately 3.3 million readmissions to hospitals, raising healthcare costs and negatively impacting patient health. Two important contributors are discharge planning and education. Many patients do not receive enough of either, and are sent home misinformed about their diagnosis and medications. In order to decrease readmissions, hospitals shouldRead MoreEffective Discharge Teaching for Nurses1734 Words   |  7 Pageshave chronic diseases, such as cerebral vascular accident (CVA), coronary artery disease, diabetes, cardiac, renal disease, and obesity and might take a complex medication regimen. Therefore, these patients require a major understanding of detailed discharge education of medication regimen, side effects, and interactions to prevent them from suffering complications. Furthermore, Campbell and Selton (2010) claimed that patients mostly misunderstand the interactions of some foods that are rich in vitaminRead MoreDischarge1398 Words   |  6 Page sacquired infection. For organisations delays in the transfer or discharge of patients may result in bed blocking, leading to the possibility of greater waiting times for patients needing hospital care and treatment. In addition, transitions of care have been identified as a major quality improvement challenge (Cotter, et al., 2002). Research evidence suggests that patients are more likely to be vulnerable to adverse events during discharge, and that this may be because patients now experience muchRead MorePreventing Patient Falls : Evidence Based Practice Applied Nursing Research759 Words   |  4 PagesPreventing Patient Falls Evidence-Based Practice Applied Nursing Research Monica Baker October 27, 2015 Western Governors University Preventing Patient Falls Task 1 A1 and A2. Kalisch, Beatrice J. PhD, RN, FAAN; Tschannen, Dana PhD, RN; Lee, Kyung Hee MPH, RN (2012). Missed Nursing Care, Staffing, and Patient Falls. Journal of Nursing Care Quality: January/March 2012 - Volume 27 - Issue 1 - p 6–12 doi: 10.1097/NCQ.0b013e318225aa23. A2. Background and Introduction PatientRead MoreEducation: Nursing and Clinical Nurse Leader Essay792 Words   |  4 PagesQuestion 1 identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community. Answer1   There are six elements to the CNL role, they are: leadership and change, interdisciplinary relationships, knowledge transfer, outcomes management, clinician at the point of care, and professional development. CNLs should be assigned to a specific unit of the hospitalRead MoreA Nurse Manager Of The Discharge Planning Department1324 Words   |  6 Pageswhere I am employed. As a nurse manager of the discharge planning department, I have been presented with an issue that has placed our hospital in jeopardy of financial and reputational hardship. Last year our hospital had a 20% reimbursement reduction, in which the financial department identified that 75% of it was attributed to a high rate of readmissions within 30 days of discharge. The reduction of funds led to a hiring freeze and caused the nursing department to function with inadequate staffingRead MoreInterview : Case Manager Report1263 Words   |  6 Pagesthe emergency department (S. McCarthy, personal communication, October 5, 2016). The current requirements for her current position include having a BSN along with having some bedside nursing experience. Role of the CM/IDT The role of a case manager can include conducting assessments of the patient’s health, planning with others to maximize outcomes, facilitating communication with the whole team, and educating the patient about resources and insurance benefits. They may also empower the patient toRead MoreA Short Note On The Elderly Population : A Final Review Of Literature Synthesis1332 Words   |  6 Pages Adequate discharge planning and follow-up by the health care professionals will greatly improve the outcomes and reduce hospital readmissions for worsening heart failure. As future APRNs, we are in a position to detect heart failure early when a patient presents with clinical symptoms which allows for immediate intervention and further tests for quality outcomes. Discharge A successful outpatient transition for heart failure patients is achieved through a multidisciplinary discharge plan that beginsRead MoreDischarge Placement: After-Hospital Care975 Words   |  4 PagesAFTER-HOSPITAL CARE Discharge Placement Name of Student School Healthcare Issues The most critical part of the discharge planning is the assessment (Felong, 2008). Three healthcare issues a case manager must address with the interdisciplinary team in determining a discharge plan are the patients mental state, housing, and home equipment (Felong). Mental State the interdisciplinary team must ascertain if the patient is in a state of confusion, cannot answer at least simple questions or follow instruction