How do regulatory agencies affect the quality of care within aAssisted Living Facility and a Skilled Nursing Facility?

How do regulatory agencies affect the quality of care within aAssisted Living Facility and a Skilled Nursing Facility?

HCS 437 WEEK 2 DQ 1 HOW DO REGULATORY AGENCIES AFFECT THE QUALITY OF CARE WITHIN…

How do regulatory agencies affect the quality of care within aAssisted Living Facility and a Skilled Nursing Facility? Howabout within home health care?


 

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Identify concerns about cost, quality, and access to the current U.S. health care system. This is a benchmark assignment.

Identify concerns about cost, quality, and access to the current U.S. health care system.
This is a benchmark assignment.

To complete this assignment, do the following:

Review the media on health care reform http://lc.gcumedia.com/zwebassets/courseMaterialPages/nur508_healthcare-reform-video-series-v1.1.php

Write a paper of 750 words, not including the title and References page,that analyzes the need for health care reform.

Include the following in your paper:

Identify concerns about cost, quality, and access to the current U.S. health care system.
Answer the question: Is the current health care system an example of market failure that requires government intervention?
Describe different proposals for change from both political parties.
Summarize key elements of reform that are needed from the perspective of the author of the source used.


 

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Develop a 4–6-page proposal for executive leadership that addresses changes you would like to see within your organization that would advance the field of nursing.

Develop a 4–6-page proposal for executive leadership that addresses changes you would like to see within your organization that would advance the field of nursing.

PreparationTo prepare for this assessment, you will need to think about changes you feel are needed to address a problem either within nursing as a professional field or within the organization where you work. Narrow down your options by considering which change would best be undertaken by an interprofessional team. Some examples for you to consider might include:The use of mobile and portable technology to support patients.Using evidence-based practice (EBP) to improve patient care.Increasing patient safety and quality of care.The use of medical technology such as genes and stem cells, or robots in the OR.Addressing the nursing shortage now and into the future.Improving the work environment (providing calm, supportive spaces for nurses; improved dialog between health care professionals).Better safety for nurses at work (violence, spreading diseases, physical injury).Substance abuse by health care professionals.Or you can narrow the scope to an issue within your own organization:Developing a mobility program for an inpatient unit.Implementing ”smart” technology to assist in patient monitoring.Creating a mentoring program to attract and retain nurses.Implementing protocols for infection control and/or treatment of an epidemic.Developing a plan to eliminate physical violence and verbal abuse in the workplace.Other.Once you have selected an issue to address, look for scholarly and professional articles that focus on the problem, the needed change, and how interprofessional teams can work together to drive change.RequirementsLately you have noticed the need for changes within your organization that would advance the field of nursing. You have decided to develop a proposal and submit it to executive leadership. Format this assessment as a professional proposal. You may want to look at how proposals are drafted within your organization and follow that format. You will still need a references page; follow APA guidelines for in-text citations and references.Address the following in your proposal:Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.Describe possible evidence-based interventions for the problem.Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.Describe strategies to overcome barriers and resistance to change.Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?Identify other health care professionals to enlist as team members to help drive change in the organization.Your completed assessment should be 4–6 pages in length, not including title page and references page. Support your statements and intervention plan with references to and citations for at least four scholarly or professional resources.Additional RequirementsInclude a title page and references page.Reference at least four current scholarly or professional resources.Use APA format for citations and references.Use Times New Roman font, 12 point.Double space.INSTRUCTIONS ATTACHED


 

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Distinguish between ethical problems and other medical, social and legal problems.Muna was admitted via the Emergency Department to the ward following a fall at home. She was treated for a fractured neck of femur and had a total hip replacement from which she is recovering well.

Distinguish between ethical problems and other medical, social and legal problems.Muna was admitted via the Emergency Department to the ward following a fall at home. She was treated for a fractured neck of femur and had a total hip replacement from which she is recovering well.

Nursing Ethical and Legal Case Study

Case Study : The Case of Muna

Muna was admitted via the Emergency Department to the ward following a fall at home. She was treated for a fractured neck of femur and had a total hip replacement from which she is recovering well. She is 66 years old, recently widowed and, two years ago, she was diagnosed with Alzheimer’s disease.
Muna displays certain behaviours that are annoying other patients on the ward and some of the nursing staff. The main issue is that she refuses to remain either in bed or in her chair and attempts to mobilise without assistance. She continually appears agitated and can be aggressive to other patients who try to approach her. The nursing staff are concerned for her safety and the safety of other patients.
To address Muna’s behaviour, a nurse has contacted the doctor to discuss prescribing sedative medication and the doctor has consequently prescribed diazepam to see if it would help.
Muna’s family visit her in the afternoon and find her lying in a wet bed. She is non responsive and very sleepy. They are concerned that she no longer seems able to recognise them or respond to their questions.
They complain to the nursing staff that they were not consulted about their mother’s treatment and insist on the sedative being discontinued.
• Use the ethical decision making framework to determine your recommendations for the ongoing care of Muna
• Consider the legal and ethical implications surrounding the chemical restraint of Muna.
Can chemical restraint be justified to be in the best interests of Muna
Consider interests of all stakeholders and resource availability
Consider Safety and hazards
Consider mental health legislation.


 

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