Evaluate the effect of an exercise-based model of hospital and in-home follow-up care for older people at risk of hospital readmission on emergency.

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Evaluate the effect of an exercise-based model of hospital and in-home follow-up care for older people at risk of hospital readmission on emergency.

INTERVENTION

Artile 1 Comprehensive discharge follow-up in patients’ homes by GPs and district nurses of elderly patients.”

Authors:
Rytter, Lars; Jakobsen, Helle Neel; Rønholt, Finn; Hammer, Anna Viola; Andreasen, Anne Helms; Nissen, Aase; Kjellberg, Jakob
Abstract:
Objectives. Many hospital admissions are due to inappropriate medical treatment, and discharge of fragile elderly patients involves a high risk of readmission. The

present study aimed to assess whether a follow-up programme undertaken by GPs and district nurses could improve the quality of the medical treatment and reduce the

risk of readmission of elderly newly discharged patients. Design and setting . The patients were randomized to either an intervention group receiving a structured home

visit by the GP and the district nurse one week after discharge followed by two contacts after three and eight weeks, or to a control group receiving the usual care.

Patients . A total of 331 patients aged 78+ years discharged from Glostrup Hospital, Denmark, were included. Main outcome measures . Readmission rate within 26 weeks

after discharge among all randomized patients. Control of medication, evaluated 12 weeks after discharge on 293 (89%) of the patients by an interview at home and by a

questionnaire to the GP. Results . Control-group patients were more likely to be readmitted than intervention-group patients (52% v 40%; p = 0.03). In the intervention

group, the proportions of patients who used prescribed medication of which the GP was unaware (48% vs. 34%; p = 0.02) and who did not take the medication prescribed by

the GP (39% vs. 28%; p = 0.05) were smaller than in the control group. Conclusion . The intervention shows a possible framework securing the follow-up on elderly

patients after discharge by reducing the readmission risk and improving medication control.
Submitted by: Ashley Nelson

Article 2. “Fewer emergency readmissions and better quality of life for older adults at risk of hospital readmission: a randomized controlled trial to determine the

effectiveness of a 24-week exercise and telephone follow-up program.”
Authors:
Courtney M; Edwards H; Chang A; Parker A; Finlayson K; Hamilton K
Source:
Journal of the American Geriatrics Society (J AM GERIATR SOC), 2009; 57 (3): 395-402. (32 ref)
Abstract:
OBJECTIVES: To evaluate the effect of an exercise-based model of hospital and in-home follow-up care for older people at risk of hospital readmission on emergency

health service utilization and quality of life. DESIGN: Randomized controlled trial. SETTING: Tertiary metropolitan hospital in Australia. PARTICIPANTS: One hundred

twenty-eight patients (64 intervention, 64 control) with an acute medical admission, aged 65 and older and with at least one risk factor for readmission (multiple

comorbidities, impaired functionality, aged >or=75, recent multiple admissions, poor social support, history of depression). INTERVENTION: Comprehensive nursing and

physiotherapy assessment and individualized program of exercise strategies and nurse-conducted home visit and telephone follow-up commencing in the hospital and

continuing for 24 weeks after discharge. MEASUREMENTS: Emergency health service utilization (emergency hospital readmissions and visits to emergency department,

general practitioner (GP), or allied health professional) and health-related quality of life (Medical Outcomes Study 12-item Short Form Survey (SF-12v2) collected at

baseline and 4, 12, and 24 weeks after discharge. RESULTS: The intervention group required significantly fewer emergency hospital readmissions (22% of intervention

group, 47% of control group, P=.007) and emergency GP visits (25% of intervention group, 67% of control group, P<.001). The intervention group also reported

significantly greater improvements in quality of life than the control group as measured using SF-12v2 Physical Component Summary scores (F (3, 279)=30.43, P<.001) and

Mental Component Summary scores (F (3, 279)=7.20, P<.001). CONCLUSION: Early introduction of an individualized exercise program and long-term telephone follow-up may

reduce emergency health service utilization and improve quality of life of older adults at risk of hospital readmission.

Please noted the two article above is my assignment that needs intervention 1/2 a page each.

 

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Your task as the nursing home administrator is determine the method for tracking and managing the patient account fund. What protocols would you have in place? Lastly, what type of human resources personnel would you hire for this key activity?

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Your task as the nursing home administrator is determine the method for tracking and managing the patient account fund. What protocols would you have in place? Lastly, what type of human resources personnel would you hire for this key activity?

Your task as the nursing home administrator is determine the method for tracking and managing the patient account fund. What protocols would you have in place? Lastly, what type of human resources p
Your task as the nursing home administrator is determine the method for tracking and managing the patient account fund. What protocols would you have in place? Lastly, what type of human resources personnel would you hire for this key activity?

 

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Discuss three or four factors (e.g., financial resources, access to care, insured/uninsured, Medicare/Medicaid) that contribute to a patient being able to manage the selected disease

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As an advanced practice nurse, it is important to diagnose, treat, and evaluate patients who have chronic disease. A nurse must understand how pathology, treatment, regimens, and psycho-social issues affect patients and the care they receive. Disease management is more than just monitoring a medication or treatment; it is evaluating the disease process from the micro to macro level. As a nurse with an advanced degree, you will be expected to assess patients and individual and population responses to chronic illness.

For this assessment, you will investigate pathopharmacological issues related to a specific disease process. You may choose to investigate traumatic brain injury, depression, obesity, asthma, or heart disease. As part of this assessment, you will analyze the various impacts the disease process has on the patients, their families, and populations at a local, national, and international level.

Requirements:

A. Investigate one of the following disease processes: traumatic brain injury, depression, obesity, asthma, or heart disease.

1. Analyze the pathophysiology of the disease process you selected in part A.

2. Discuss the standard of practice for the selected disease process.

a. Discuss the evidence-based pharmacological treatments in your state and how they affect management of the selected disease in your community.

b. Discuss clinical guidelines for assessment, diagnosis, and patient education for the selected disease process.

c. Compare the standard practice for managing the disease within your community with state or national practices.

3. Discuss characteristics of and resources for a patient who manages the selected disease well, including access to care, treatment options, life expectancy, and outcomes.

a. Analyze disparities between management of the selected disease on a national and international level.

4. Discuss three or four factors (e.g., financial resources, access to care, insured/uninsured, Medicare/Medicaid) that contribute to a patient being able to manage the selected disease

a. Explain how a lack of the factors discussed in part A4 leads to an unmanaged disease process.

i. Describe characteristics of a patient with the selected disease that is unmanaged.

B. Analyze how the selected disease process affects patients, families, and populations in your community.

1. Discuss the financial costs associated with the selected disease process for patients, families, and populations from diagnosis to treatment.

C. Discuss how you will promote best practices for managing the selected disease in your current healthcare organization.

1. Discuss three strategies you could use to implement best practices for managing the selected disease in your current healthcare organization.

2. Discuss an appropriate method to evaluate the implementation of each of the strategies from part C1.

D. When you use sources, include all in-text citations and references in APA format.

 

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Are findings true to the design (does the researcher synthesize findings to validate the mixed methods design)? How do you know this?.

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Are findings true to the design (does the researcher synthesize findings to validate the mixed methods design)? How do you know this?.

Are findings true to the design (does the researcher synthesize findings to validate the mixed methods design)? How do you know this? Advanced Nursing…

Are findings true to the design (does the researcher synthesize findings to validate the mixed methods design)? How do you know this?

Advanced Nursing ResearchNURS5002Guidelines for Mixed Methods Research Study CritiqueName: Date:Title of article in APA format:Instructions: See grading rubric for specifics.1. TitleItem Responsea. What is the topic of interest for this research article? Is it clearly identified in the title?
b. What is the population? Is the population of interest to nursing?
2. Abstracta. Could you explain to a peer what the study is about after reading only the abstract? Why or why not?
3. Introductiona. What is the problem, concern or issue in the study? Why was it done?
b. What is the purpose of the study?
c. What are the central ideas, concepts or variables in the study (e.g., grief, immobility, pain, etc.)?d. Using the date of publication, are references within the last five years? How many are five years or less in age? How many are more than five years?4. Samplea. What sampling method was used for the qualitative and quantitative strands of the study?b. How were participants recruited for the qualitative and quantitative strands of the study?c. Does the selection of participants who were both included and excluded fit with the concept(s) being studied?d. What was the rationale for the sample size (e.g., data saturation, power analysis)?5. Methodsa. What rationale is given for using a mixed methods design?
b. What mixed methods design was used for sequencing components in the study (e.g., sequential or concurrent)?c. Is the weighting of the qualitative and quantitative strands made clear (e.g., which part was given priority or were they equal)?d. Diagram the sequence/timing for the study (use figure 25.1 on p. 609 of your text to assist you). Give a rationale.e. What specific mixed-method design was used in this study (e.g., triangulation design, embedded design, explanatory design, exploratory design)? Give a rationale.f. Is the research design appropriate to address the topic of interest? Give a rationale.g. At what point in the design did the integration of methods occur (e.g.., data collection, data analysis)?

 

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Receptors for the sense of touch include

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Receptors for the sense of touch include

Question 9 options:

a) hair cells
b) bipolar neurons
c) stretch receptors
d) Meissner corpuscles

 

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Why are philosophy and science important to a practice discipline?These seemingly simple actions are guided by philosophy—each nurse’s view of nursing and appropriate patient care. Philosophy and Science in a Practice Discipline

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Why are philosophy and science important to a practice discipline?These seemingly simple actions are guided by philosophy—each nurse’s view of nursing and appropriate patient care.
Philosophy and Science in a Practice Discipline

A nurse enters a patient’s room to check her vitals and spends some time talking with the patient’s family how they are doing.

Later that day, another nurse responds to the patient’s call button; she becomes concerned when she discovers that the patient is running a fever and is in pain despite receiving the medication that has been ordered for her. She recalls a similar instance with a different patient, and keeps that in mind as she asks the patient about how she is feeling.

These seemingly simple actions are guided by philosophy—each nurse’s view of nursing and appropriate patient care.

Do you, personally, think nursing should rely solely on biological science? Or do you think it is important for nursing to incorporate a broader, more holistic approach to care? How do you know what you know? What sources of information are most significant to you? How should you determine what types of research are applicable to nursing practice?

To prepare:

Reflect on your professional experiences, and assess how philosophy and science influences nursing practice.
Consider how the scientific method is supported by philosophy, and how it influences nursing knowledge.

By tomorrow 5/31/17, post 550 words essay in APA format with 3 references from the list below, that include the level one heading as numbered below:

post a cohesive response that addresses the following:

1) Why are philosophy and science important to a practice discipline?

2) How do they legitimize the nursing profession?

3) Provide examples from your nursing practice that demonstrate how the scientific method influences nursing knowledge.

 

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Briefly describe the issue that you have researched and the field of Applied Psychology from which the issue is situated.

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Briefly describe the issue that you have researched and the field of Applied Psychology from which the issue is situated.

From that specific field, select one of the pertinent issues that have been and are being researched currently. For this assignment, you need to write an 8-10 page literature review paper on the issue that you have chosen.

The paper needs to include the following components:

Introduction: Briefly explain what the paper entails and your basic paper thesis. (10 points)

Description of Issue: Briefly describe the issue that you have researched and the field of Applied Psychology from which the issue is situated. Be sure to explain how the issue comes out of Applied Psychology. [This is the– what is the issue section] (15 points)

Review of Empirical Literature: Explain what your research has shown you on the topic. This would mean explain what variables have been studied and how the studies’ results have explained your topic. If the topic is controversial or has mixed results, explain the controversy and the support or lack of support for the sides of the issue. [This is the heart of your paper which explains the information you have gained on this topic] (30 points)

 

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Select a future trend of crisis intervention and mental health services within the law enforcement system.

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Select a future trend of crisis intervention and mental health services within the law enforcement system.

Future trend :(computer and cell phone technology)

Create 1-2 slide Microsoft® PowerPoint® presentation about your selected trend with detailed speaker notes.

Include the following in your presentation:

Answer

 

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Analyze the role of nurses as change agents in facilitating the adoption of new technology. Adoption of New Technology Systems

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Analyze the role of nurses as change agents in facilitating the adoption of new technology.
Adoption of New Technology Systems

As a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things.
Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:
• Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things.
• Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices.
• Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur.
• Trialability: The adopter should have the opportunity to ‘play around’ with the new technology and explore its capabilities.
• Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.
Note: You are not required to purchase Rogers’ book or pursue further information regarding his list of five qualities. The information provided here is sufficient to complete this Assignment.
For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation.
To prepare:
• Review articles about successful implementations of EHRs.
• Consider how you would present the new EHR system to the nurses to win their approval.
• Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success?
To complete:
Write a 3- to 5-page paper (double space) which includes the following:
• Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance.
• Analyze the role of nurses as change agents in facilitating the adoption of new technology

This assignment does require title page, headers and reference pages.

References
Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York, NY: Free Press.
Please use 4 more academic references

 

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Evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st Century U.S. hospitals.

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Evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st Century U.S. hospitals.

Professional Legal Issues with Medical and Nursing Professionals

“” Please respond to the following:

•* From the scenario, analyze the different and overlapping general roles of physicians and nurses as they apply to professional credentialing and subsequent patient safety and satisfaction. Determine the major ways in which these overlapping roles may help play a part in health professional credentialing processes and conduct, and identify and analyze the ethical role these influences play in health care.

•Analyze the major professional roles played by physicians and nurses as they apply to physicians’ conduct in the medical arena and to nurses in the role of adjuncts to physicians. Evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st Century U.S. hospitals.

 

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