...the educational profession of nursing, The Associates Degree of Nursing (ADN) and the Baccalaureates Degree of Nursing (BSN). There are differences in acquiring each degree just like there is a difference in competencies between the two. When a student decides to go into the program of nursing, that student will have to choose between the two degrees by learning about various education requirements * Not yet rated Anonymous - 10 minutes later In the United States, there is a plethora of job opportunities available for nurses. This can be attributed to the increasing need for medical assistance in response to the burgeoning number of aging people. Hence, many aspiring nurses deem time to be at a premium when it comes to nursing studies. One of the fastest ways to get quality education as a nurse is an associate's degree in nursing or an ADN degree. In some states in the United States, an associate's degree can also qualify you to sit for the national council licensure examination for registered nurses; hence, enabling you to acquire an RN license in a shorter time. What Is An ADN Degree? An associate's degree in nursing or ADN is a short course designed for nurses...
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...The readings this week discussed Milstead (2013) six case studies regarding the roles and scopes of APN’s. Case study four reflected upon Medicare and Medical Home Health Services (HHS) with regard to the APN’s scope of practice. NPP’s are all subjected to the same financial restrictions as physicians under the HHS guidelines (Center of Medicare and Medicaid Services, 2015). Chapter seven explained the Medicare policy manual and the regulations related to patient eligibility for home health services and physician certifications. Section 30.5.1.1 described the qualifications of a non-physician practitioner (NPP) for patient face-to-face encounter. The policy revised and implemented in May 2015, stated nurse practitioners, clinical nurse...
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...Case Study Comparisons Shelly Collins HCS/490 April 25, 2015 Humana Health Care has different coverage options and plans to choose from. For example there is Coverage First, HMO, High Deductible Health Plan, Humana Classic, and Humana Simplicity. Humana Simplicity is a co-payment only plan, no deductible will need to be paid. Humana also offers a variety of products and services with their coverage plans, including a prescription drug plan (Humana Health Insurance, Medicare, & Dental Insurance, 2015). This female is an 80 year old widow, and takes several medications for chronic health conditions that must be monitored daily. It is important to find an affordable plan that fits her needs. For this individual there are two plans that she could choose from that would fit her needs. Humana has an Individual plan and a Medicare plan. The Individual plan includes medical, prescription drug coverage, and discounted dental and vision plans (Humana Health Insurance, Medicare, & Dental Insurance 2015). The Humana Medicare Advantage Plan probably makes the most since. The Medicare Advantage Plan offers more benefits, both medical and drug coverage are combined into one, and at no cost it includes a wellness program (Humana Health Insurance, Medicare, & Dental Insurance, 2015). Humana also offers extra support from other sources. For example, if there is a need for more care such as in the home, there is At Home Service Care. Humana has a program...
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...1 Running Head: THE FUTURE OF HOME HEALTH The Future of Home Health Mary C. Reed The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5311 Nursing Management in Health Care Stephanee Thurman, MSN, RN August 1, 2012 2 THE FUTURE OF HOME HEALTH The Future of Home Health Home health has been the topic of several news discussions lately. Doctors and nurses are afraid that since Medicare fraud has taken place in so many home health agencies, that Medicare is going to start shutting down a lot of home health agencies so that they have less fraud to watch out for. The studies I have chosen discuss positive outcomes that are related to providing care in the patient’s home. I have worked in home health for four years. In those four years, home health services have been through many changes. After obtaining my Masters of Science in Nursing I plan on continuing to work in home health. I would like to move up to a management position after graduation. Home health is interesting to me and I enjoy working with patients in their home environment. Patients seem to be more motivated in their home setting instead of being in a rehabilitation center or hospital. “In home nursing care, patient care activities focus on enabling patients to assume responsibility for self-monitoring and self-management through teaching, supporting, goal setting, and modeling decision-making” (Or, Valdez, Casper...
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...paper is aimed at highlighting the benefits of installing structural health monitoring systems on structures. Through a case study, I examined the various issues with todays outdated visual inspection techniques and showed how the installation of SHM systems on new bridges solves many of these issues. Bio: Thomaz Paschoal is a junior majoring in Civil Engineering at the University of Southern California. He was born in São Paulo, Brazil. Outside of class he is involved with Engineers Without Borders and the American Society of Civil Engineers. Structural Health Monitoring Systems Imagine for just a second that you live in Minneapolis, Minnesota; you work in one of the many shiny downtown skyscrapers. It’s Wednesday, 5:30 p.m., and you decide to go back home to the northern suburbs of the city. You are about to get on the I-35W Bridge over the Mississippi river, a bridge that you take at least twice a day. But this crossing is not like the hundreds of other previous crossings. On August 1, 2007, this bridge, a major commuter route, simply collapses into the river. 13 people die and 145 people are injured and, even more frightening, it could have been worse. The infrastructure in the United States is in need of a major upgrade. There are roads, bridges and tunnels all over the country that are badly in need of repairs. According to the Federal Highway Administration there are currently 69,223 bridges that are classified as “structurally deficient.” In other words, they...
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...Today many hospitals are forming integrated health systems that consist of a main hospital, outpatient services, and nursing homes. This causes challenges for hospital executives to align the organizational strategies and main principles with performance measurement and management indicators within all areas of service. The balanced scorecard (BSC) is an option for hospitals to measure not only a company’s financial performance but how the company is satisfying its customers and employees. The BSC is designed to manage strategy not tactics (Kocakulah 2007). As of the year 2000, only about 70 of the country’s 6,000 hospitals were using the BSC method. Part of the reason for lag in adoption is hospitals have always used nonfinancial statistics and believed that they were using measures similar to a BSC already. Unfortunately, this is not the case in terms of effectiveness ( ). How to implement an effective BSC is the most important question. The single most critical condition in implementing a BSC is the involvement and ownership of the executive team. The approach is usually top-down. A top level BSC is created for the board of trustees, and then is cascaded down the organization to the department level. This is done with a team-based collaborative approach that consists of an “organizational change expert” as the leader (Kacakulah 2007). This “organizational change expert” should be the head of human resources. A HR manager is best suited for this role in many ways...
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...for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility for the quality and cost of care provided to its patients” (p. 2). The law in the PPACA gives some room...
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...As previously mentioned, for foster youth, having access to programs and supportive adults who impart and teach the skills necessary for adulthood is crucial in a successful transition from childhood to adulthood. Studies show that one of the prevailing factors associated with a successful transition from foster care to adulthood are the youth's acquisition of independent living skills while the youth is still in foster care (Lemon, Hines & Merdinger, 2005; Casey Family Programs, 2001; Pecora, Williams, Kessler, Downs, O'Brien, Hiripi, & Morello, 2003; Georgiades, 2005). Youth who participate in programs that assist with learning skills such as how to find housing, how to balance a checkbook or open a bank account, and how to obtain and keep employment, have higher success...
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... Title: The Difference Between Competencies between an Associate's Level and a Baccalaureate Level Nurse- A Patient care Scenario Name: Susan M. Kreienbrink Grand Canyon University: NRS-430V July 26th, 2014 ASSOCIATE VS. BACCALAUREATE NURSES 2 It’s interesting how the educational requirements for nurses have changed over the years. Just over a 150 years ago you didn’t even need a formal education to be a nurse, in fact, there was none to be had. Now professional nursing organizations are pushing for 80% of nurses to have a bachelor's degree by 2020 (Chard, 2013). This paper will discuss the difference in competencies between nurses prepared at the associate’s degree level versus the baccalaureate degree level. Using a clinical case scenario, it will also describe how nursing care and the approach to decision making may differ based on the educational preparedness of the nurse. Associate Degree Nursing An associates degree in nursing can be acquired in two years with about a years worth of prerequisites. As associate’s degree in nursing (ASN) prepares nurses to deliver direct patient care within the scope of their practise. It is a relatively quick way to become a nurse and was founded by Mildred Montage in 1956, due to the severity of nursing shortage in the post war years. This program was offered to reduce the nursing shortage and the success of the program was measured in terms of the satisfactory level of clinical nursing care and the graduates NCLEX pass rate...
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...falls. By weaving natural processes into the built environment, green infrastructure provides not only stormwater management, but also flood mitigation, air quality management, and much more. Programmes in green infrastructure Provides information on how you can get involved including ways to protect human health and the environment by raising awareness about potential threats to your drinking water, local rivers, lakes, streams, wetlands, the fish and shellfish you eat, and aquatic ecosystems. Adopt Your Watershed – This program challenges you to serve your community by taking part in activities to protect and restore your local watershed. After the Storm – Weather emergencies such as flooding can introduce pollutants to your water supply. Learn how to protect your source of water and find out what to do in the event that your drinking water is compromised. Bring Back the Water Fountain -Partnering with government across the nation through the to reinvigorate our nation's supply of public drinking fountains. Emergency Preparedness – identify some of the issues you may face preparing for, during and after an event that can directly threaten your health and the health of your family. Energy/Water - To help move toward a more sustainable energy and water future. restoration of watersheds and fisheries – An initiative to accelerate restoration of watersheds and fisheries threatened by abandoned hard rock mine runoff. The Good Samaritan initiative encourages voluntary cleanups...
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...problem. You think of a person, maybe wearing ragged clothing, walking down a street pushing an encumbered shopping cart, and living under the bridge or in a shelter. However, in Kentucky, our homeless have a very different face as our homeless are often living with friends or family or living in places that do not have running water or electricity. A person is considered homeless if they do not have access to safe, affordable and stable places to live. People become homeless for a variety of reasons such as health problems, family conflicts, limited life choices and the lack of a support system are common causes of homelessness. Loss of employment or the lack of affordable housing, are some of the economic factors that play a role in becoming homeless. Individually, the effects of homelessness are extensive and severe as homelessness means more than just a loss of self-esteem they face intensely higher rates of infectious disease, mental health problems, physical disorders, disabilities and premature death. They also face intensified risks of becoming imprisoned or institutionalized. Homelessness also has an intense impact on the community as well, taking an incredible toll on family stability by impeding the ability to find and maintain jobs, hindering the learning process of children who are hungry and disoriented and causing health problems due to stress and exposure to the elements and infectious disease. Because they lack other resources, homeless people tend to use a...
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...social and emotional aspects of children's life. After collecting this information, it will be collaborated with the findings of this research paper using different research technique. In the end, the paper will be concluded along with some suggestions. Introduction In this competitive world it is very important to train the children in such a way that they are not left behind. Study shows that with pre-school training, children show much developed skills of learning when they enter kindergarten. If a child is being read to at home, visits museums, learns how to play a game and reads along someone then it is more likely that his/her learning abilities are polished and ready for kindergarten (Stube & Patrick, 2010). Pre-school is a planned program for children before they start their formal education. It deals with the learning ability of a child. Children are trained in such a way that their learning abilities are enhanced. Specified techniques are used to improve the language skills and analytical skills. it also has a positive effect on the behavioral aspect of a child's personality. Bridges (2008) found out from the research that involving parents is very critical for the success of pre-school training. Also, involvement of community can be very vital in the accomplishment of a successful preschool training center. Margetts (2007)...
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...eHealth Global Development 1. Introduction Telemedicine as a health care approach was fundamentally born during the 'space race' between the USA and the former USSR. The National Aeronautics and Space Administration (NASA), the USA military and USA government funded the first telemedicine projects. NASA was keen on building a distant monitoring system to manage the health of American astronauts in space (Sullivan, 2001). Today, due to the technological advancements of communication, several applications and internet based software are already developed to provide health care access to those living in remote areas. Before reviewing the literature related to the recent developments of e-health, it is important to clarify the definition of telemedicine....
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...far closer to home. You work, learn and eat with them every single day. They are uninformed and dangerous..their name? Anti Vaxxers. Yes, the biggest threat to our society is in fact these seemingly innocuous modern hippys. Anti-Vaxxers choose to expose their children to deadly preventable diseases because they believe that those vaccines cause autism. This makes sense because you know, autism is transmitted through things like kissing, sharing toilet seats, and getting vaccinated against diseases that could have wiped us all out except they didn’t because some kick-ass motherfucker...
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...that aims to improve the coordination of services after discharge from hospital by considering the patient’s needs in the community. It seeks to bridge the gap between hospital and the place to which the patient is discharged, reduce length of stay in hospital, and minimise unplanned readmission to hospital.1 Discharge planning is an established part of hospital care, but the process varies and is not entirely evidenced based. A Cochrane review analysed 11 randomised controlled trials looking at discharge planning in over 5000 patients and failed to show a reduction in mortality among elderly medical patients, lower readmission rates, or a shorter length of hospital stay.1 However, two trials in the review did report greater satisfaction of patients and carers when discharge planning was used.2 3 The Cochrane review concluded that discharge planning remains important as a small improvement, not detected by the studies performed so far, could still yield highly significant gains in health care with huge resource implications and better use of acute hospital beds.1 Unfortunately, none of the included trials assessed communication with primary care staff about patient transfer of care. This is an important aspect of discharge planning and another potentially important advantage for patients. On a patient’s initial contact with health services, discharge planning should be started.4 This is often difficult to achieve when acutely unwell patients are admitted as a thorough social...
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