58

 

A 58-year-old obese man complains of pain in his left knee. The pain seems to be unrelenting. He says his knee is better when he rests, but it gets stiff when he rests too long. He denies other symptoms, significant history, or allergies.

  • From the information provided, list your differential diagnoses in the order of most likely to possible but unlikely.

2 scholarly article

28

 

A 28-year-old female presents with a severe headache for the past 9 hours. She states the pain is over the left temporal area and is throbbing in nature. These symptoms have occurred before but not as bad.

  • What are some clinical assessment tools or techniques that you could use to help diagnose this patients condition?
  • In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why?

2 scholarly article

Outcome Measurements and Tools

 Read the following attachments:

The Relationship Between Evidence-Based Practices and Emergency Department Managers Perceptions on Quality of Care for Self-Harm Patients  

Practicing Healthcare Professionals Evidence-Based Practice Competencies: An Overview of Systematic Reviews

Watch the following video: 

Allied Health: Evidence-Based Practice (https://www.youtube.com/watch?v=j5sU5H-IBSg)

Measurements are part of process changes and quality improvements. However, measurements alone do not create improvements. A quality improvement system should include a data collection mechanism, valid and reliable measures of outcomes, and a collection of tools or methodologies with ongoing efforts. It is also vital that the measurement strategies will accurately capture whether the evidence-based care has been delivered to the patients.

In 300 to 400 words:

  • Describe the role of continuous quality improvement in health care outcomes.
  • Assess the importance of evidence-based practice in improving quality of care. Be sure to provide an example of evidence-based practice. 
  • Discuss challenges in collecting and analyzing quantitative data in measuring quality outcomes.
  • Discuss how the Quality Improvement Measure Patients who “Strongly Agree” they understood their care when they left the hospital under the Survey of Patients’ Experiences category relates.

Support your response with at least two scholarly sources published within the last 5 years in APA Style.

Continuous Quality Improvement Initiative

 Read the following attachments:

*An Evaluation of Medicares Hospital Compare as a Decision-Making Tool for Patients and Hospitals.

*U.S. Hospital Performance Methodologies: A Scoping Review to Identify Opportunities for Crossing the Quality Chasm Download U.S. Hospital Performance Methodologies: A Scoping Review to Identify Opportunities for Crossing the Quality Chasm

*Impact of Teaching Intensity and Sociodemographic Characteristics on CMS Hospital Compare Quality Rating

Your role in this scenario is that you work in the department of quality improvement (QI) at the University of Iowa Hospital & Clinics. Your CEO calls upon you in the QI department to resolve the low performing quality and patient safety issues. The Quality Improvement Measure focus is on Patients who “Strongly Agree” they understood their care when they left the hospital under the Survey of Patients’ Experiences category.

-For this first part of the quality improvement (QI) initiative, you will explore the University of Iowa Hospital & Clinics (). Explore the categories listed on the hospitals webpage to get an understanding of how it scores. Be sure to scroll down and expand each category to see the measures nested within the category. For example, for one particular hospital, under the category Timely and Effective Care for Sepsis Care, the hospital scored 53% for this measure. This is the percentage of patients who received appropriate care for severe sepsis and septic shock. The national average was 60%, and the state average was 55%. This is a low performing quality and patient safety issue that could be explored. Here is another example: Under the category Timely and Effective Care for Emergency Department Care, this hospital had 146 minutes for the measure, average (median) time patients spent in the emergency department before leaving from the visit. The national average had 172 minutes, and the state average had 158 minutes. But another hospital in the same area had 125 minutes.

In three- to five-pages address the following:

  • Describe      the nature of the business,      services or products, and customers      served by the University of Iowa Hospital & Clinics.
  • Evaluate      the Quality Improvement Measure Patients who “Strongly Agree”      they understood their care when they left the hospital under the Survey      of Patients’ Experiences category.
  • Discuss the      importance of patients being able to understand their care when they leave      the hospital (e.g., accreditation status, patient      safety, and/or financial status of the hospital).
  • Define      two to three SMART goals for the measure, Patients who      “Strongly Agree” they understood their care when they left the      hospital, to improve. 
    • Be       sure to include all five elementsspecific, measurable, attainable,       relevant, and time-boundin each goal. 
    • For       example: To implement an up-and-running emergency department tracking       system by 12/31/2022. To hire and train additional five nurses to meet       the staff-to-patient ratio during peak times by 12/31/2022.  To       reduce the turnaround time at 10% for lactic acid/lactate levels       laboratory testing by 12/31/2022.
  • Analyze      specific local, state, or national policies (e.g., The Joint Commission      Standards) that have been developed to improve patients being able to      understand their care when they leave the hospital based on evidence-based      practice research.
  • Must      use at least three scholarly or peer-reviewed sources published in the      past 5 years and format in APA style.

-See the attached Quality Improvement Initiative template for guidance on completing this.

Describe the nurse’s role and responsibility as health educator.

What strategies, besides the use of learning styles, can a nurse educator consider when developing tailored individual care plans, or for educational programs in health promotion? When should behavioral objectives be utilized in a care plan or health promotion?

At least 200 words with 3 references including in-text citations required following APA 2007 style