Adults 2 An atypical presentation of an illness in an older adult can appear as a subtle, nonspecific, or unusual manifestation that is outside the normal range of signs and symptoms for a specific illness. Nursing care of an older adult requires a through assessment of acute, chronic or complex illnesses. Illness in older adults is complicated by numerous medical problems and the physical changes of aging. Identification of an illness can be overlooked simply because symptoms might be reported
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Abstract Accountable Care Organization is a healthcare organization characterized by a payment and care delivery mode. lt seeks to tie provider reimbursements to a quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers form an ACO, which then provides care to a group of patients. The ACO may use a range of payment methods, (e.g. capitation, fee-or-service with an asymmetric or symmetric shared savings). The
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Mental Health, which is a facility that treats mental health patients as well as patients that need detoxification services. The facility has both in-patient and out-patient programs that counsel and treat both adults and children that deal with mental health diagnosis such as schizophrenia, bipolar disorder, psychosis, depression, and much more. The mission of the centers is to “offer a wide variety of behavioral health care services designed to help people of all ages reach their highest
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to decrease the incidence of catheter-acquired urinary tract infections (CAUTI) in the acute care setting, overall standardized infection rates (SIR) for CAUTI have decreased only 7% since 2009 (Centers for Disease Control and Prevention (CDC), 2013). Purpose: The purpose of this study was to compare patients with a diagnosis of stroke to patients without a primary diagnosis of stroke to determine if patients diagnosed with stroke had a higher incidence of CAUTI infection. A secondary aim was to
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A. The vendor selection process is preceded by, and is also guided by a cost-benefit analysis. related to the positive impacts of the proposed action(s) are quantified and added together, and all the negatives are similarly noted. The difference between the two is assessed and its significance will help to determine whether the planned action is advisable. In the case of the healthcare organization the cost-benefit analysis will help in deciding whether to upgrade to an electronic health record
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Are You Ready? As a result of the Affordable Health Care Act of 2010 becoming a reality, there is a growing need for nursing practice to advance. With this in mind, the health care delivery system is changing and as nurses we need to be ready. Health care will no longer be focused on the disease but more on the prevention of the disease and health promotion. Who better than nurses to be best positioned to fill such new and expanded roles as a consequence of this redesigned healthcare system? With
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Beta Blockers After Myocardial Infarction Clinical Scenario The acute care nurse practitioner on the cardiology service treats a 67 year-old-male admitted after recovering from an acute ST-Elevation Myocardial Infarction (STEMI). His risk factors include obesity, Type II diabetes mellitus, and family history. Upon exam the patient asks why he has not been started on a beta blocker yet. He explains further that when his brother had a “heart attack” in 2005, he was immediately placed on a beta
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How Will the 2010 IOM Report Influence Nursing? Grand Canyon University: 430V July 13, 2017 How Will the 2010 IOM Report Change Nursing? The Institute of Medicine is a nonprofit organization not related to the government, which provides unbiased advice to the general public as well as lawmakers in regard to healthcare decisions. The Affordable Care Act was signed into law in 2010 and this was the biggest health care reform in decades. The Afford Care Act provides millions of Americans
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the health care changes occurring in the United States of America. There is an increased strain on our current health care system due to longer life spans and with more people obtaining health coverage. The number of primary care physicians is unable to increase at a rate to alleviate the need from the general population. Nurses provide a fundamental role to the doctors and the patients they serve. The nursing role has transformed throughout the profession’s lifespan. Nursing care is in a pivotal
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healthcare system. One of the key impacts on the IOM report on nursing education stated that nurses achieve higher levels of education and training through an improved education system that promotes accessible academic progression. Nursing education needs to focus not only on delivering safe quality patient care but also focusing on care management, quality needs for the patient in the future, management, and constant changing of health care system. This is to be done not only by the nurse but in
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