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NURS 4221 Week 1 Discussion Essay

NURS 4221 Week 1 Discussion Essay

NURS 4221 Week 1 Discussion Essay (Walden)

What is quality? Per Spath (2013) quality is a factor of produce or service that has been provided. Always something that can be improved, ever changing, or meeting or exceeding the expectations that of the customers (Spath, 2013). There are several attributions that make up the quality of the health care. It is not just patient care or the outcome of a procedure. Sometimes the “shoe is on the other foot” and we as the health care worker are faced … NURS 4221 Week 1 Discussion Essay

NURS 4221 Section C, Leadership Competencies in Nursing and Healthcare – Quality Improvement for Falls

MSN- Nurse Executive, Walden University

Sample Paper Excerpt

The issues of falls have been around since the age of nursing. Falls affect both the facility and the patient that has fallen. Falls affect the facility due to the cost of insurance, decrease in the star rating, in admissions, a decrease in accreditation due to safety issues, and the quality measures for that facility. Falls affect the facility in money, as well, if they are found negligent when sued. Falls affects the patient both physical and mentally. The patient is affected physically from injury. One in five falls result in physical injury such as broken bones (Centers for Disease and Prevention, CDC, 2020). There is a total of 3 million older adults in year who are treated in the ER due to falls (CDC, 2020). Of the patients, who fall, there are 65,000, who will fracture a hip each year (Agency for Healthcare Research and Quality, (AHRQ), 2020). NURS 4221 Week 1 Discussion Essay
In 2015, $50 million was spent for falls in the US (CDC, 2020). Falls can also cause a fear of falling, decrease in quality of life, decrease function, and death (AHRQ, 2020). One in every three residents in a nursing facility will fall at least two times a year (AHRQ, 2020). For the purpose of this paper, we will review the fall rate of my facility, current practices, and steps to improve the practices to prevent future falls. Practice Problem The data that was collected and reviewed from the Willows personal care unit was from August of 2019 to August of 2020. There was total of 284 falls during this time frame. It ranged from 16-31 falls a month. The purpose was to establish if falls were truly an issue for this unit and with the data; falls were determined to be a significant safety issue. During the next few months, data will continue to be collected and processes will be put in place. There will be a review of the data, the interventions, and processes in two months.  … NURS 4221 Week 1 Discussion Essay

NURS 4221 Week 1 Praticium Pain Management (Walden)

With working with hospice, our company also gives out surveys and the results are displayed publicly just as well as the hospitals. As of now they can only see the company but in …

NURS 4221 Week 2 Assignment 1 (Walden)

The Management of Pain in the Terminally Ill Patient

Nurs-4221

Walden University

The Management of Pain in the Terminally Ill Patient

The purpose of this paper is to note that we do have a problem with patients who are dying and the families reporting that they had pain when dying and finding measures to increase … NURS 4221 Week 1 Discussion Essay

NURS 4221 Week 2 Discussion (Walden)

Week 2 – Practice Experience Discussion: Applying Measurement Tools to a Practice Problem

Conduct a collaboration interview with two or three key leaders in your practice setting to determine the measures for your practice problem and associated challenges impacting measurement for your practice problem (include confidentiality, anonymity, access issues, etc.). Perform a literature review on your practice problem that elicits how this problem is measured across the country. By Day 4 post a description of the measures identified from the interview, the challenges to obtaining the data that were discussed and a summary of how this quality indicator is measured in the literature. Discuss any gaps in the data that were identified and additional sources that might be needed to obtain this data. Be sure to support your practice problem with the literature that indicates the relevance of this problem for nursing practice. Provide evidence from practice and data that is available. NURS 4221 Week 1 Discussion Essay

NURS 4221 Week 2 Peer Review (Walden)

Complete a literature review for your practice problem. Summarize the purpose, methods, and findings for each of the studies located in your literature review. A minimum of five peer-reviewed, evidence-based practice articles. Include an explanation of the quality management measurement and data that were presented (5–6 paragraphs). That is, explain to what extent the solution influenced the practice problem. Use appropriate, relevant, and compelling content to illustrate mastery of the subject, conveying the writer’s understanding and shaping the whole work. NURS 4221 Week 1 Discussion Essay

1. Use of Opioids and Sedatives at End-of-Life\

2.Perspectives of Asians living in Texas on pain management in the last days of life

3. Evaluation of Therapeutic Choices for the Treatment of Pain in the Terminal Oncologic Patient Before and During Hospice Admission

4. Limits and Responsibilities of Physicians Addressing Spiritual Suffering in Terminally Ill Patients

5. Pain relief, spiritual needs, and family support: Three central areas in intercultural palliative care

References

NURS 4221 Week 3 Assignment 1 (Walden)

Quality Improvement Process; FADE Model

Walden University

Nurs 4221

Quality improvement process involves an entire team, not just one person, manager, or nurse can change anything. With change for the best, it takes a team approach. Once the problem …

NURS 4221 Week 4 Assignment 1 (Walden)

Applying the FADE model

For the problem that I will be addressing using the FADE process, pain management in the terminally ill, I will be considering the aspects previously stated and giving an explanation as to why it will work. The process of FADE was selected to help to analyze and implement a plan that could change the score on the satisfaction survey to indicate that the patients who were dying were without pain. The FADE model is an advancement of the original PDSA/PDCA improvement cycle (Spath, 2013). The steps of the model are focus, analyze, develop, and execute. NURS 4221 Week 1 Discussion Essay

NURS 4221 Week 6 Assignment 1 (Walden)

The Management of Pain in the Terminally Ill Patient

Leadership and Competencies in Nursing and Healthcare; NURS-4221-19

The Management of Pain in the Terminally Ill Patient

​The topic that I chose for this paper is the management of pain the terminally ill patient.

Measurable Quality Indicator, Pain Management in the dying Patient

The quality indicator that I have chosen is pain management in the dying patients. Quality indicators were developed by the America Nurses Association (ANA), taking the reports,

The Management of Pain in the Terminally Ill Patient

The purpose of this paper is to note that we do have a problem with patients who are dying and the families reporting that they had pain when dying and finding measures to increase. NURS 4221 Week 1 Discussion Essay

Literature Review

1. Use of Opioids and Sedatives at End-of-Life

2.Perspectives of Asians living in Texas on pain management in the last days of life

3. Evaluation of Therapeutic Choices for the Treatment of Pain in the Terminal Oncologic Patient Before and During Hospice Admission

4. Limits and Responsibilities of Physicians Addressing Spiritual Suffering in Terminally Ill Patients

5. Pain relief, spiritual needs, and family support: Three central areas in intercultural palliative care

Applying the FADE Model.

Resources

Conclusion

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