Hospital Essays (Examples)
Study Document
Effectiveness Of In Home Monitoring Of CHF Patients
How Does the Use of In-home Monitoring for CHF Impact Re-hospitalization Rates?
Impact on In-home Monitoring for CHF on Re-hospitalization Rates
Congestive heart failure (CHF) is one of the major cardiovascular diseases with high global incidence and prevalence in the United States. While … has a prevalence of 5.8 million individuals with the condition and more than 960,000 cases annually. It is estimated that approximately one million hospitalizations linked to congestive heart failure occur annually. Most of these hospitalizations arise from worsened congestion among already diagnosed patients. The United States spends approximately $32.7 billion on congestive heart failure annually. Martirosyan et al. … patients are readmitted within 30 days and nearly 50% within 6 months. This paper aims to present a quality improvement project toward lessening re-hospitalization rates of patients diagnosed with congestive heart failure.
Problem Discussion
Congestive heart failure (CHF) is a cardiovascular disorder characterized by periods of stability……
References
References
Bashi, N., Karunanithi, M., Fatehi, F., Ding, H. & Walters, D. (2017, January). Remote Monitoring of Patients with Heart Failure: An Overview of Systematic Reviews. Journal of Medical Internet Research, 19(1). DOI: 10.2196/jmir.6571
Conn, N.J., Schwarz, K.Q. & Borkholder, D.A. (2019). In-Home Cardiovascular Monitoring System for Heart Failure: Comparative Study. Journal of Medical Internet Research, 7(1). DOI: 10.2196/12419
Gonzalo, A. (2019, August 22). Nola Pender: Health Promotion Model. Retrieved May 18, 2020, from https://nurseslabs.com/nola-pender-health-promotion-model/
Idris, S., Degheim, G., Ghalayini, W., Larsen, T.R., Nejad, D. & David, S. (2015). Home Telemedicine in Heart Failure: A Pilot Study of Integrated Telemonitoring and Virtual Provider Appointments. Reviews in Cardiovascular Medicine, 16(2), 156-162.
Khodaveisi, M., Omidi, A., Farokhi, S. & Soltanian, A.R. (2017, April). The Effect of Pender’s Health Promotion Model in Improving the Nutritional Behavior of Overweight and Obese Women. International Journal of Community-based Nursing and Midwifery, 5(2), 165-174.
Kohn, M. S., Haggard, J., Kreindler, J., Birkeland, K., Kedan, L., Zimmer, R., & Khandwalla, R. (2017). Implementation of a home monitoring system for heart failure patients: A feasibility study. JMIR Res Protoc, 6(3). DOI: 10.2196/resprot.5744
Martirosyan, M., Caliskan, K., Theuns, D., & Szili-Torok, T. (2017). Remote monitoring of heart failure: Benefits for therapeutic decision making. Expert Review of Cardiovascular Therapy, 15(7), 503-515. DOI: 10.1080/14779072.2017.1348229
Ong et al. (2016, March). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients with Heart Failure. JAMA Internal Medicine, 176(3), 310-318.
Study Document
Health Care Institutional Organization And Management
...Hospital Health Care Institutional Organization and Management
Question 1: Critical Thinking and Blooms Taxonomy Revised
1. What are the pros and cons of this approach to learning about healthcare?
Bloom’s Taxonomy revised comprises of the following six dimensions as illustrated below:
There are advantages to Revised Bloom’s Taxonomy as an approach to learning about health care. One of the benefits is that it is purposed to enable the educators to ascertain the logical and knowledgeable level at which the individual learners are capable of working. There is also the advantage that it assists the learners to scrutinize further to ask questions that are exceedingly challenging in addition to forming instructions that are purposed at enhancing critical thinking as they endeavor to reach the three highest levels of analysis, synthesis, and evaluation as the learners get prepared to attain such levels. Bloom’s taxonomy is a significantly potent tool that can be effortlessly……
References
References
Booker, M. J. (2007). A roof without walls: Benjamin Bloom’s taxonomy and the misdirection of American education. Academic Questions, 20(4), 347-355.
Jensen, M. C., & Heckling, W. H. (1995). Specific and general knowledge and organizational structure. Journal of applied corporate finance, 8(2), 4-18.
Katzenbach, J. R., & Smith, D. K. (2003). The Wisdom of Teams (lst ed.). New York: First Harper Business.
McGrath, R. G. (2013). The end of competitive advantage: How to keep your strategy moving as fast as your business. Harvard Business Review Press.
Taylor, N., Clay-Williams, R., Hogden, E., Braithwaite, J., & Groene, O. (2015). High performing hospitals: a qualitative systematic review of associated factors and practical strategies for improvement. BMC health services research, 15(1), 244.
Verenna, A. M. A., Noble, K. A., Pearson, H. E., & Miller, S. M. (2018). Role of comprehension on performance at higher levels of Bloom\\\\\\'s taxonomy: Findings from assessments of healthcare professional students. Anatomical sciences education, 11(5), 433-444.
Zelman, W. N., Pink, G. H., & Matthias, C. B. (2003). Use of the balanced scorecard in health care. Journal of health care finance, 29(4), 1-16
Source Link: https://www.researchgate.net/figure/Organizational-Chart-of-Leadership-at-the-Mayo-Clinic-the-parent-organization-changed_fig2_234069825
Study Document
The History Of Dorothea Dix
… continued to look after the wounded, including the wounded of the enemy—the Rebels in the South.
After the war, Dix continued to found hospitals and advocate on the behalf of those in need. She never stopped pushing for reform and she was always working with the state … of those in need. She never stopped pushing for reform and she was always working with the state governments to obtain assistance for hospitals and social welfare. It was her belief that the government had a duty to provide care for those in need.
Dix represents in … to obtain proper care (for the 19th century) and working on their behalf to get the state to supply funds that would allow hospitals to grow and develop and be able to provide care for them.
In conclusion, Dorothea Dix was an important person in the history ……
References
References
Brown, T. J. (1998). Dorothea Dix: New England Reformer (Vol. 127). Harvard University Press.
Darraj, S. M. (2009). Mary Eliza Mahoney. Infobase Publishing.
Fantel, H. (1974). William Penn: Apostle of Dissent. NY: William Morrow & Co.
Gollaher, D. L. (1993). Dorothea Dix and the English origins of the American asylum movement. Canadian Review of American Studies, 23(3), 149-176.
Hardy, S., & Corones, A. (2017). The nurse’s uniform as ethopoietic fashion. Fashion Theory, 21(5), 523-552.
Hathway, M. (1934). Dorothea Dix and Social Reform in Western Pennsylvania, 1845-1875. Western Pennsylvania History: 1918-2018, 17(4), 247-258.
Howard, A. & Kavenick, F. (1990). Handbook of American women’s history. New York, NY: Garland.
Modak, T., Sarkar, S., & Sagar, R. (2016). Dorothea dix: A proponent of humane treatment of mentally ill. Journal of Mental Health and Human Behaviour, 21(1), 69.
Study Document
Hurricane Maria And Puerto Rico S Emergency Management
… their way to the tower itself. Drinking water was in scarce supply, roads were obstructed by debris, flooding made other areas inaccessible, and hospitals were overwhelmed (de Arzola, 2018). It was in this environment that Puerto Rico’s Emergency Management had to act. This paper will discuss the … lead, how the overall response should be organized, and so on. It was a plan that essentially was not a plan (Florido, 2018).
Hospitals in Puerto Rico, for example, were used to responding to hurricanes—just not to ones the size and force of Maria. Though they struggled … example, were used to responding to hurricanes—just not to ones the size and force of Maria. Though they struggled in terms of resources, hospital personnel were all trained in what to do and how to proceed: Southwestern Regional Academic Medical Center (SW-RAMC), a nonprofit organization created in … how to proceed: Southwestern Regional……
References
References
Acevedo, N. (2018). Puerto Rico lacked disaster planning, communications strategy, hurricane study found. Retrieved from https://www.nbcnews.com/storyline/puerto-rico-crisis/puerto-rico-lacked-disaster-planning-communications-strategy-hurricane-study-found-n904866
Achenbach, J. & Hernandez, A. (2017). FEMA administrator: Puerto Rico’s politics, lack of unity, hindering hurricane response. Retrieved from https://www.washingtonpost.com/national/fema-administrator-puerto-ricos-politics-lack-of-unity-hindering-hurricane-response/2017/10/09/f1711996-ad10-11e7-9e58-e6288544af98_story.html?noredirect=on&utm_term=.eef2e6bc0e3e
Amnesty International. (2018). Puerto Rico a year after Hurricane Maria. Retrieved from https://www.amnesty.org/en/latest/research/2018/09/puerto-rico-a-year-after-hurricane-maria/
Bomey, N. (2017). Hurricane Maria halts crucial drug manufacturing in Puerto Rico, may spur shortages. Retrieved from https://www.usatoday.com/story/money/2017/09/22/hurricane-maria-pharmaceutical-industry-puerto-rico/692752001/
CDC. (2019). PHEP. Retrieved from https://www.cdc.gov/cpr/epf/docs/PuertoRico.pdf de Arzola, O. R. (2018). Emergency Preparedness and Hurricane Maria: The Experience of a Regional Academic Medical Center in Southwest Puerto Rico. Journal of Graduate Medical Education,10(4), 477-480. Florido, A. (2018). Government Lawyer Says Puerto Rico's Hurricane Response Plan 'Does Not Exist'. Retrieved from https://www.npr.org/2018/10/30/662345336/government-lawyer-says-puerto-ricos-hurricane-response-plan-does-not-exist
McMahon, C. (2018). Double down on the Jones Act? Journal of Maritime Law & Commerce, 49(2), 153-195.
Samaan, J. L., & Verneuil, L. (2009). Civil–Military Relations in Hurricane Katrina: a case study on crisis management in natural disaster response. Humanitarian Assistance: Improving US-European Cooperation, Center for Transatlantic Relations/Johns Hopkins University, Baltimore, MD/Global Public Policy Institute, Berlin, 413-432.
Study Document
The Role Of Quality And Safety In Nursing Science
… person?centeredness nursing homes. The positive health outcomes from those that participated in the study as perceived by relatives, demonstrated person?centered climate facets of hospitality and safety have a major role in the quality of care. It stands to suggest focusing on the holistic approach to patient can … care.
Often quality of care and safety go hand-in-hand. High quality of care can be seen through lower mortality. “Patients cared for in hospitals where a high proportion of RNs reported excellent quality of care (the highest third of hospitals) had 23% lower odds of 30-day inpatient mortality” (Smeds-Alenius, Tishelman, Lindqvist, Runesdotter, & McHugh, 2016, p. 117). Nurses who make sure patients take … 30-day inpatient mortality” (Smeds-Alenius, Tishelman, Lindqvist, Runesdotter, & McHugh, 2016, p. 117). Nurses who make sure patients take their medications, advise them on after-hospital routines, and educate on options for lifestyle changes, can lead to improvement in……
References
References
Brasait?, I., Kaunonen, M., Martink?nas, A., Mockien?, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. Medicina, 52(4), 250-256. doi:10.1016/j.medici.2016.05.004
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. doi:10.1016/j.ijnurstu.2015.02.012
Lood, Q., Kirkevold, M., Sjögren, K., Bergland, Å., Sandman, P., & Edvardsson, D. (2019). Associations between person?centred climate and perceived quality of care in nursing homes: A cross?sectional study of relatives’ experiences. Journal of Advanced Nursing. doi:10.1111/jan.14011
Murray, M., Sundin, D., & Cope, V. (2017). New graduate registered nurses’ knowledge of patient safety and practice: A literature review. Journal of Clinical Nursing, 27(1-2), 31-47. doi:10.1111/jocn.13785
Sahlström, M., Partanen, P., Rathert, C., & Turunen, H. (2016). Patient participation in patient safety still missing: Patient safety experts\\' views. International Journal of Nursing Practice, 22(5), 461-469. doi:10.1111/ijn.12476
Smeds-Alenius, L., Tishelman, C., Lindqvist, R., Runesdotter, S., & McHugh, M. D. (2016). RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. International Journal of Nursing Studies, 61, 117-124. doi:10.1016/j.ijnurstu.2016.06.005
Tobiano, G., Marshall, A., Bucknall, T., & Chaboyer, W. (2015). Patient participation in nursing care on medical wards: An integrative review. International Journal of Nursing Studies, 52(6), 1107-1120. doi:10.1016/j.ijnurstu.2015.02.010
Twigg, D. E., Pugh, J. D., Gelder, L., & Myers, H. (2016). Foundations of a nursing-sensitive outcome indicator suite for monitoring public patient safety in Western Australia. Collegian, 23(2), 167-181. doi:10.1016/j.colegn.2015.03.007
Study Document
Contemporary Professional And Clinical Nursing Issues
… Medication safety issues can lead to adverse events or even death (ACSQHC, 2019; Davies et al., 2019).
Recommendations
Teaching of student nurses in hospital environments is necessary to prepare them for the life ahead as it improves their decision-making and problem-solving skills (Bogossian et al., 2018). To … will need to be instituted. There is also a need to review the policies and define the scope for student nurses in the hospital environment so as to ensure the students know their duties and stick to them (Green, 2018).
The Learning Experience
The student nurse learned ……
References
References
Australian Commission on Safety and Quality in Health Care [ACSQHC]. (2019). Implementation of the national safey and quality health service standards. Retrieved from https://www.safetyandquality.gov.au/standards/nsqhs-standards/implementation-nsqhs-standards
Australian Commission on Safety and Quality in Health Care [ACSQHC]. (2016). National safety and quality health service standards. Retrieved from https://www.safetyandquality.gov.au/our-work/assessment-to-the-nsqhs-standards/nsqhs-standards-second-edition/
Ben Natan, M., Sharon, I., Mahajna, M., & Mahajna, S. (2017). Factors affecting nursing students' intention to report medication errors: An application of the theory of planned behavior. Nurse Education Today, 58(2), 38-42. doi:10.1016/j.nedt.2017.07.017
Bogossian, F., Cooper, S., Kelly, M., Levett-Jones, T., McKenna, L., Slark, J., & Seaton, P. (2018). Best practice in clinical simulation education, are we there yet? A cross-sectional survey of simulation in Australian and New Zealand pre-registration nursing education. Collegian, 25(3), 327-334. doi:10.1016/j.colegn.2017.09.003
Claffey, C. (2018). Near-miss medication errors provide a wake-up call. Nursing, 48(1), 53-55. doi:10.1097/01.NURSE.0000527615.45031.9e
Davies, K. M., Coombes, I. D., Keogh, S., & Whitfield, K. M. (2019). Medication administration evaluation tool design: An expert panel review. Collegian, 26(1), 118-124. doi:10.1016/j.colegn.2018.05.001
Government of New South Wales. (2013). Medication handing in NSW public health facilities. Retrieved from https://www1.health.nsw.gov.au
Government of Western Australia. (2013). Storage and recording of restricted schedule 4 (S4R) medicines. Retrieved from https://ww2.health.wa.gov.au/About-us/Policy-frameworks
Study Document
Suicide Prevention Intervention In The Emergency Department
… allowed me to see as much. Legacy is in Lee County’s Screening Center for Mental Health Crisis and is located inside Main St Hospital, and patients from all over the county are processed through the Emergency Room. At Legacy, patients will be screened using the Columbia Assessment … them to access on their own, it leaves a huge gap in mental health services for the community. Clients are brought to the hospital via the police, ambulance, referred from the school district, nursing homes or come as walk-ins. The ER becomes a revolving door and clients … Stanley et al. (2018). Patients who visit the ED but fail to receive the care they require should not be discounted by the hospital but rather should be considered as they are an example of the type of population most vulnerable to death and therefore most in ……
References
References
Appleby, L., Morriss, R., Gask, L., Roland, M., Lewis, B., Perry, A., ... & Davies, L. (2000). An educational intervention for front-line health professionals in the assessment and management of suicidal patients (The STORM Project). Psychological medicine, 30(4), 805-812.
Belmont Report. (1979). Ethical Principles and Guidelines for the Protection of Human
Subjects of Research The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. Department of Health, Education, and Welfare. Retrieved from https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/index.html
Browne, V., Knott, J., Dakis, J., Fielding, J., Lyle, D., Daniel, C., ... & Virtue, E. (2011). Improving the care of mentally ill patients in a tertiary emergency department: development of a psychiatric assessment and planning unit. Australasian Psychiatry, 19(4), 350-353.
Burnette, C., Ramchand, R., & Ayer, L. (2015). Gatekeeper training for suicide prevention: A theoretical model and review of the empirical literature. Rand health quarterly, 5(1).
Callaghan, P., Eales, S., Coates, T., & Bowers, L. (2003). A review of research on the structure, process and outcome of liaison mental health services. Journal of Psychiatric and Mental Health Nursing, 10(2), 155-165.
Chatterjee, R. (2018). A Simple Emergency Room Intervention Can Help Cut Suicide Risk. Retrieved from https://www.npr.org/sections/health-shots/2018/07/11/628029412/a-simple-emergency-room-intervention-can-help-cut-future-suicide-risk
Cooper, J., Kapur, N., Webb, R., Lawlor, M., Guthrie, E., Mackway-Jones, K., & Appleby, L. (2005). Suicide after deliberate self-harm: a 4-year cohort study. American Journal of Psychiatry, 162(2), 297-303.
Study Document
Henrietta Lacks And The Social Covenant Of Nursing
… that she could not explain. In 1950, she decided enough was enough and asked her husband to take her to the Johns Hopkins Hospital. It was the only regional health facility where black people could get treatment for complicated conditions back then (Skloot, 2010).
After undergoing tests … the only regional health facility where black people could get treatment for complicated conditions back then (Skloot, 2010).
After undergoing tests at the hospital, she was found to have cervical cancer. This was in the second month of 1951. She subsequently received radiation treatment under general anesthesia. … received radiation treatment under general anesthesia. Cervical radiation treatment was the gold standard intervention back then for the disease. Continuing research at the hospital by two physicians, George Gey and Richard TeLinde, plays an important role in Henrietta Lacks’ story. Gey was trying to develop and grow ……
References
References
American Nurses Association. (2010). Nursing\\'s social policy statement: The essence of the profession. Nursesbooks. org.
Cruess, R. L., & Cruess, S. R. (2008). Expectations and obligations: professionalism and medicine\\'s social contract with society. Perspectives in Biology and Medicine, 51(4), 579-598.
Fowler, M. D. M. (2015). Guide to nursing\\'s social policy statement: Understanding the profession from social contract to social covenant. Silver Spring, MD: American Nurses Association.
Palmd, (2010). More on Lacks ethics. Science blogs. Retrieved from https://scienceblogs.com/whitecoatunderground/2010/02/03/more-on-lacks-ethics
Quinlan, C. (2018). Trust in Medical Research: The Legacy of Henrietta Lacks, Part 1. Science 36 Trial Mix. Retrived from https://www.science37.com/blog/medical-research-trust-and-henrietta-lacks/
Reeves, S., van Soeren, M., MacMillan, K., & Zwarenstein, M. (2013). Medicine and nursing: A social contract to improve collaboration and patient-centred care. Journal of interprofessional care, 27(6), 441-442.
Skloot, R. (2010). The immortal life of Henrietta Lacks. Broadway Books.
Stump, J. L. (2014). Henrietta Lacks and The HeLa Cell: Rights of Patients and Responsibilities of Medical Researchers. The History Teacher, 48(1), 127-180.
Study Document
Cholelithiasis Gallstones Gallbladder Disease
… interventional process while facilitating satisfactory therapeutic outcomes (Jugenheimer, et al., 2008).
The surgery promotes faster recovery and hastens return to normal life, shortens hospital stay, and reduces postoperative pain and pulmonary complications, explaining its preference as the mode of treatment for cholecystitis. It also reduced stress response, … treatment for cholecystitis. It also reduced stress response, postoperative wound infection rate, respiratory function impairment, intraoperative bleeding and cosmetic appearance. Although it shortens hospital stay, it has no general effect on postoperative mortality. Clinical findings, patient characteristics, and the experience of a surgeon determine the patient’s risk … al., 2018).
The patient’s name is Marie Peter, born on 19/09/38. The female patient’s URL is 012345. She was rushed to St. Thomas hospital emergency department at 1730. The patient was admitted after being diagnosed with post-cholecystectomy- TF ongoing abdominal pain. She was accompanied to the hospital by her husband and daughter. She……
References
References
Anderson, P. O., Knoben, J. E., & Troutman, W. G. (2010). Clinical drug data. New York: McGraw-Hill Medical.
Al-alem, F., Mattar, R. E., Madkhali, A., Alsharabi, A., Alsaif, F., & Hassanain, M. (April 26, 2017). Incidental Gallbladder Cancer.
Borzellino, G., & Cordiano, C. (2008). Biliary lithiasis: Basic science, current diagnosis, and management. Milan: Springer.
Bullock, ., Shane, ., & Hales, . (2012). Principles of Pathophysiology. Sydney: P. Ed Australia.
In Agresta, F., In Campanile, F. C., & In Vettoretto, N. (2014). Laparoscopic Cholecystectomy: An Evidence-based Guide.
In Cox, M. R., In Eslick, G. D., & In Padbury, R. (2018). The management of gallstone disease: A practical and evidence-based approach.
In Wang, D. Q.-H., & In Portincasa, P. A. M. (2017). Gallstones: Recent advances in epidemiology, pathogenesis, diagnosis and management.
Jugenheimer, M., Immenroth, M., Berg, T., & Brenner, J. (2008). Laparoscopic cholecystectomy. Heidelberg: Springer.
Study Document
The Karen Ann Quinlan Case Legal Aspects Of Healthcare
… promptly slid into a comma. Soon, her friends realized she was not breathing and called an ambulance which rushed her to Newton Memorial Hospital. Efforts to resuscitate Quinlan were unsuccessful and after it became apparent that her comma was irreversible, she was transferred to another medical facility, ……
References
References
Drane, J.F. (1994). Clinical Bioethics: Theory and Practice in Medical Ethical Decision-making. New York, NY: Rowman & Littlefield.
Holland, S., Kitzinger, C. & Kitzinger, J. (2014). Death, treatment decisions and the permanent vegetative state: evidence from families and experts. Med Health Care Philos., 17(3), 413-423.
Karen Ann Quinlan Hospice (2019). The Story of Karen Ann Quinlan Made Headlines! Retrieved from https://www.karenannquinlanhospice.org/about/history/
Mizzoni, J. (2011). Ethics: The Basics. Hoboken, NJ: John Wiley & Sons.
Rosenthal, M.S. (2018). Clinical Ethics on Film: A Guide for Medical Educators. New York, NY: Springer.
Singer, P. (2013). A Companion to Ethics. Hoboken, NJ: John Wiley & Sons.
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