What are the main challenges facing transitional care?
Challenges in Transitional Care Introduction to the Problem Increasing cases of patient readmissions as soon as they are discharged from hospitals have been on the rise thus indicating existing challenges in the provision of transitional care. Transitional care refers to the provision of continuous treatment to the patients as they move from one health care facility to the next or from the health facilities to their homes. According to a study conducted by Ortiz in 2015, it was established that “35.6% of hospital re-admissions within 30 days of discharge are of elderly patients aged 75-84” (Ortiz, 2019). These statistics indicate existing disparities in the provision of transitional care thus resulting in the worsened conditions of the patients as soon as they go home. Ortiz nonetheless establishes that most caregivers admit to not having adequate knowledge and experience on how to deal with the patients as soon as they are discharged from hospitals (Ortiz, 2019). In most cases, elderly patients suffering from acute conditions tend to be the most vulnerable and easily fall ill once transitional care is missing. Further according to Storm, “A majority of the deaths involving elderly patients in home-based and community-based care were as a result of lack of additional transitional care” (Storm et. al., 2014). Similar results are echoed by Ye et. al., (2016), where in China policies were introduced in 2012, hindering the provision of transitional care to patients by the nurses, and as a result the practice saw at least 33% of the elderly patients decline in their overall well-being and functioning once left under the care of their caregivers. Therefore, such statistics indicate that home-based care is often marked by a lack of professional monitoring and also the transition from a medical setting to a home setting often results in medication mix-up which negatively imposes on the health of the elderly patients. Clearly Identify the Problem Transitional care is marked by a lack of specialized nursing interventions which results to the high rates of hospital readmissions especially among the elderly patients suffering from acute conditions. Also, there lacks clear communication during the handing off of the patients to the caregivers, hence resulting in increased confusion on the part of the care givers on how to take care of the patients which results in their worsening conditions (Morphet et. al., 2014). Additionally, a majority of the caregivers are not adequately trained on how to provide primary care to their patients and hence when left in their care, their condition does not get any better forcing them to be readmitted to hospitals. In other cases, the patients may lack caregivers to look after them hence requiring a present transitional nurse to help meet their medical needs, and once these nurses are absent then the well-being of the patients is compromised (Morphet et. al., 2014). The existing challenges in transitional care are largely brought about by the lack of specialized nurses with skills and knowledge on professional transitional nursing care. According to Storm et. al., (2014), the health and well-being of the patients is threatened once there exist inconsistencies in the provision of transitional care. In most cases, unspecialized nurses are left to handle the transfer of the patients from one facility to the next which makes their situation worse, since such nurses are unaware of the significance of timely and comprehensive communication during the transition period. Moreover, when dealing with unspecialized nurses, there exist inconsistencies in the emergency department nurses and those in the ICU hence worsening the transition phase. Hence, the existence of unspecialized nurses adds to more confusion on the type of therapy required by the patients in their recovery phase hence resulting in more complications (Ortiz, 2019). Thus, the existence of specialized nurses in transitional care is key in ensuring the provision of high-quality transitional care and also in promoting the well-being of the patients. Significance of the Problem to Nursing The problem on transition care is significant to nursing since it illustrates the need for specialized nursing care as a means to overcome the existing inadequacies in transition care. Also, the problem is rooted in the nursing profession as it seeks to increase awareness on the importance of specialized nursing care during transitional care. The problem further establishes that the current nursing services involved in transition care are inadequate and that often patients are often sent home without lack of continuity care from professionals. The problem is also significant since it informs of the weaknesses in nursing communication, illustrating inconsistencies in the provision of comprehensive information to foster continuity care. Also, the problem makes it evident that poor professional coordination among the nurses comes in the way of transitional care hindering effective consultation of the provision of information among the nurses and to the caregivers. Consequently, the problem helps to illuminate the challenges encountered by nurses when providing their nursing roles among them ensuring that patients with no caregivers receive transitional care from them and also informing the caregivers on how to deal with patients. The problem is hence important in informing nurses on their shortcomings and informing them on how to enhance their nursing roles. Addressing transition care will help to improve the role of the nurses in providing care for their patients and hence it is essential that nurses acquire additional skills and education on how to provide transitional care to patients. Purpose of the Research The main purpose of the research is to enhance the quality of transitional care. Previous studies focused merely on the quality of health care provided to the general population while omitting the issues surrounding transitional care and as a result there lacks knowledge and awareness on transitional care hence resulting in the increased rates of patient readmissions. Therefore, my research on the topic is intended to provide adequate knowledge of the issues surrounding transitional care and to bring attention to the stakeholders on the significance of investing in the issue. Also, the research is intended to enlighten the nurses on their areas of weaknesses and to enlighten them on how they can improve their provision of transitional care. Another key purpose of the research is to push for the inclusion of transitional care in the nursing curriculum to help impact all nurses with adequate knowledge on how to go about the issue. Lastly, the research aims to create a platform for more future research on the same hence raising awareness on the severity of the issues on transitional care Research Questions The research will answer the following questions: 1. What are the main challenges facing transitional care? 2. How does unspecialized nursing impact on transitional care? 3. What is the importance of specialized nursing in the provision of transitional care? Master’s Essentials that Align with my Topic Different master’s essentials align with my topic. For example, Essential II establishes that the quality of patient care is enhanced by effective organizational leadership, and in my topic, I have highlighted how challenges in leadership like communication and nurses’ corporation negatively impose on the patient well-being. Also, Essentials III aligns with my topic where it points out that inadequate specialized nursing is the root cause of all the shortcomings in the provision of health care and that master-level nurses should always be present in any nursing facility as they are fully aware on how to handle different patient needs. Likewise, my topic indicates that unspecialized nurses result in the provision of low-quality transitional care. Lastly, my topic aligns with Essential IX, which establishes that the master’s degree level nurses tend to have scientific understanding and also know how best to apply the knowledge to practice. The Essential further notes that such nurses can quickly influence the realization of positive health care outcomes. Similarly, my topic notes that unspecialized nurses cannot compare to the specialized nurses with a master’s education, where the unspecialized nurses are not well vast on the importance of transitional care while the specialized nurses can quickly influence better transitional care results because of their level of expertise and knowledge. References Morphet, J., Griffiths, D. L., Innes, K., Crawford, K., Crow, S., & Williams, A. (2014). Shortfalls in residents’ transfer documentation: Challenges for emergency department staff. Australasian Emergency Nursing Journal, 17(3), 98-105. Ortiz, M. R. (2019). Transitional Care: Nursing Knowledge and Policy Implications. Nursing science quarterly, 32(1), 73-77. Storm, M., Siemsen, I. M., Laugaland, K., Dyrstad, D., &Aase, K. (2014). Quality in transitional care of the elderly: Key challenges and relevant improvement measures. International journal of integrated care, 14(2). Ye, Z. J., Liu, M. L., Cai, R. Q., Zhong, M. X., Huang, H., Liang, M. Z., &Quan, X. M. (2016). Development of the Transitional Care Model for nursing care in Mainland China: A literature review. International journal of nursing sciences, 3(1), 113-130.
How is forecasting used to generate short-term and long-term information about demand that affects capacity?
OPERATIONS DECISIONSSLP 4 continues with your imaginary company focused on supply chain management (T & T’s Restaurant ).Session Long ProjectContinue using your fictitious company from the previous Module 1, 2, & 3 SLP Assignment, and continue to develop the company profile and operating information. This is a very open-ended SLP and it will give you an opportunity to expand you knowledge and also allow creativity in providing the solution to the challenges.Your company is faced with an increase in demand.Identify how your company uses forecasting for purposes of capacity planning and how you can utilize productivity, inventory control, and quality improvements to meet this new demand (Operations decisions). Review different kinds of capacity and capacity constraints. How is forecasting used to generate short-term and long-term information about demand that affects capacity? What are some options that the company has in terms of increasing its capacity?NOTE: in retail businesses with physical locations where customers are served, capacity can be measured in terms of size of the facility and throughout of customers. What is your current Max Possible throughput how many customers can you serve with your current capacity? Often there is a trade-off in size of the facility for backroom inventory or kitchen, displaying inventory to customers or seating, and customer space such as aisles and checkouts or bar space and waiting areas. You should consider all of these in your capacity analysisThis paper should be approximately 3–5 pages, Double Space, counting the introduction, body, and summary. You should include references and cite them properly in the paper APA Citation. Generally, at least four (4) references should be used. Find references about productivity in your type of business.Reference needs to be credible sources (Not Wikipedia)Highly Recommend to use source form Module 4 Reading Background ( see attached)Do not Submit Previously submitted WorkNo Plagiarism (Will use Turnitni.com to check Plagiarism)SLP Assignment ExpectationsRead and review all of the Module Reading Material Background and Module 1,2,&3 SLP Assignment references and resources on productivity, processes, inventory, quality, and capacity.You should look for additional references about the type of business you are operating with specific information about improving capacity and using forecastingHi,See attached extra material, Please make sure you have conclusion for this work. This is continuous of previous SLP 1,2,3 assignment, I have attached all three previous assignment.let me know if you have any question. see attached reading material for references
Why is it important to investigate or examine the subject of the article?
Instructions Select a scholarly journal article (no older than 2015) relevant to the course regarding Homeland Security or Homeland Defense. You will conduct an article review of that scholarly journal article. It must be related to the course or course materials but should not be one of the provided course readings. The intent is for students to do some external research away from the provided references and find an article in the AMU/APUS Library. Students should search the library’s online databases, such as ProQuest, EbscoHost, and others, to find scholarly or peer-reviewed articles. Web address, blogs, news sites are not scholarly. Stick to what you find in one of the journal search engines in the library. Additionally, the review of the journal article is an evaluation of the article’s strengths, weaknesses, and validity. It is used to inform of the articles value through your explanation, interpretation, and analysis. As you do this, ask the major questions that are central to the review process: What is the purpose of this article? Why is it important to investigate or examine the subject of the article? How are the authors carrying out the task? Are their methods and comments appropriate and adequate to the task? What do they claim to have found out? Are the findings clearly stated? How does this advance knowledge in the field? Hint: These would make really good section titles for your paper. Your work should consist of: Introduction (this will have a well-defined purpose statement in your intro paragraph that provides guidance to the reader about what you are going to cover in your paper) Body (feel free to use sub-section headings as needed) Conclusion (this wraps up the key points of your work and brings your paper to a logical conclusion) Technical Requirements Your paper must be at a minimum of 5 pages (the Title and Reference pages do not count towards the minimum limit). A peer reviewed journal article should be used. Other references may be used, but only to support the review of the primary journal article. Type in Times New Roman, 12 point and double space. Students will follow the current APA Style as the sole citation and reference style used in written work submitted as part of coursework. Points will be deducted for the use of Wikipedia or encyclopedic type sources. It is highly advised to utilize books, peer-reviewed journals, articles, archived documents, etc. All submissions will be graded using the assignment rubric.
Discuss the issue of choosing (or deciding) between good and evil, and compare two characters in terms of how they deal with this dilemma.
Comparison/Contrast Essay
Choose one of these topics:
1. We often talk about literary characters being in conflict with other people (antagonists or villains), with society, with Nature, or with God. Compare two characters we have studied whose own worst enemy is themselves. In other words, study and compare the two in terms of how their biggest conflict is with the Self. Naturally, Antigone could fit this topic, as could Creon, but also you might consider Othello, Iago, Gatsby, Santiago, Richard Rich, King Henry VIII, Willy Loman, or maybe even Biff Loman. Develop your own thesis.
2. Compare Iago with either Cromwell or Tom Buchanan as villains (or antagonists of the tragic hero) in each story, in an analytical way. What are their motivations? Why do they do what they do? Are they essentially the same in some respects, in spite of great differences—or not? Are their victims the same? There is a bit of room here for comparison and for contrast. Formulate your own thesis and approach to this topic.
3. The relativity of good and evil and the difficulty of how to define them appears in Antigone, Othello, and Death of a Salesman, The Old Man and the Sea, A Man for All Seasons: how characters sometimes seem to vacillate (prevaricate, rationalize, hesitate, misjudge) between one and the other. Sometimes the choices facing the characters are not clear. Perhaps they face the problem of how choosing the right thing may conflict with choosing the expedient (or necessary) thing. Discuss the issue of choosing (or deciding) between good and evil, and compare two characters in terms of how they deal with this dilemma. Choices for this would be Creon, Antigone, Othello, King Henry VIII, Thomas More, Willy Loman, Linda Loman, or Santiago.
Which process would be better, ethically, and why?
Imagine a Canadian firm doing business in a northern Canadian community in which 10% of working-age people are Indigenous (and almost all of the rest are white, with a very small number of individuals of South Asian descent). Imagine the firm employs 5,000 people and only 94 of them (about 2%) are Indigenous. Imagine that the firm is expanding, and looking to hire an additional 200 employees over the coming year. When hiring, the company typically looks at work experience, references, and other factors, using a points system with a maximum score of 10/10. The higher your points, the more likely you are to be hired.
The firm is considering two plans:
Plan A) Announce that over the next year, all Indigenous job applicants will automatically have 3 extra points added to their score.
Plan B) During an interview process, all job applicants (Indigenous and non-indigenous) will be asked about their lives and their work histories. Those that claim to have experienced significant discrimination will have 1, 2, or 3 extra points added to their score.
Which process would be better, ethically, and why?
Explain why it is so important for a business to understand the concept of price elasticity (of demand and supply) and be able to measure this for its products.
Meaning of Price Elasticity to Firms
This week we learned about the concept of elasticity and the price sensitivity of different goods and services. Though there are different types of elasticity, there are some that are more important to businesses more than others. Explain why it is so important for a business to understand the concept of price elasticity (of demand and supply) and be able to measure this for its products.
Is it ever true that science can be a value-free engagement with the facts as they are in themselves?
Discussion Prompt (Respond in 200-300 words total)
Read or listen to this short opinion article by Berkeley philosopher, Alva Noe, titled “Is Science Value-Free?”(NPR) (Links to an external site.)
Respond to the question that Noe asks in the article above: “Is it ever true that science can be a value-free engagement with the facts as they are in themselves?”
In your response, cite TWO pieces of evidence from any of the readings from Week 2 (Harding, Kuriyama, Latour, or Wu). These should be instructive examples for supporting your position.
To clarify, if you answer “no,” then you might use the textual evidence as reasons to support your thesis. If you answer “yes,” then you might disagree with the textual evidence, offering additional reasons for how science can be value-free.
Don’t forget to post your word count at the end!
This is not a research project, so no outside sources please
What are two public policies needed to reduce racial and ethnic disparities in health care?
In 500-750 words, post in your assigned group your response to the prompt. In your initial post, refer at least one article related to your entry from a reputable newspaper (can be online) or other media source that is current within one month and post the link. You must have at least two references in your initial posting, and the media source can be one of the two. An easy way to find current articles on health policy is through Kaiser Health News.
Discussion Topic: In your post, you should discuss if and how the ACA has impacted your topic, and the impact of Republican proposals to repeal/replace the ACA on your topic.
Group 1: Health Disparities: What are two public policies needed to reduce racial and ethnic disparities in health care?
Required Resources:
Munoz, P., Kim, M., Chang, M. (2015). The Color of Wealth. Retrieved from https://www.bostonfed.org/publications/one-time-pubs/color-of-wealth.aspx
Healthy People 2020: Social Determinants of Health
Hayes, S., Riley, P., Radley, D. (2017). Reducing Racial and Ethnic Disparities in Access to Care. Retrieved from https://www.commonwealthfund.org/publications/issue-briefs/2017/aug/reducing-racial-and-ethnic-disparities-access-care-has
Derose, K., Gresenz, C., Ringel, J. (2011). Understanding Disparities in Health Care Access. Retrieved from https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2011.0644
Access and Disparities in Access to Health Care. Content last reviewed June 2018. Agency for Healthcare Research and Quality, Rockville, MD. Retrieved from https://www.ahrq.gov/research/findings/nhqrdr/nhqdr15/access.html
Describe cultural differences related to drugs.
Purpose
The Course Outcomes covered this week are CO2 and CO4.
CO2: Describe cultural differences related to drugs.
CO4: Perform a culturally competent nursing assessment. (PO7)
CO6: Identify personal opportunities for improvement in providing culturally competent care based on Andrew/ Boyle’s Transcultural Nursing Assessment Skills Self-Assessment (PO8)
Discussion
Nurses complete assessments on individuals on a daily basis. Self-assessments are in order before considering our abilities to provide culturally competent nursing care.
Professor’s comment: Hello All,
Looking forward to your completing the Transcultural Nursing Skills Self-Assessment Form. . (Links to an external site.)So, how many No answers did you have in your self-assessment? Share one or two of your No answers with your classmates and I and describe how you will convert the No to a Yes over the next few weeks. I look forward to hearing what sort of interventions you will do to help the no turn to a yes!
Dr.
references: American Psychological Association. (2010). Publication Manual of the American Psychological Association (6th ed.).
Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia: PA: Wolters Kluwer.
What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
Case Study: End of Life Decisions.
George is a successful attorney in his mid-fifties. He is also a legal scholar, holding a teaching post at the local university law school in Oregon. George is also actively involved in his teenage son’s basketball league, coaching regularly for their team. Recently, George has experienced muscle weakness and unresponsive muscle coordination. He was forced to seek medical attention after he fell and injured his hip. After an examination at the local hospital following his fall, the attending physician suspected that George may be showing early symptoms for amyotrophic lateral sclerosis (ALS), a degenerative disease affecting the nerve cells in the brain and spinal cord. The week following the initial examination, further testing revealed a positive diagnosis of ALS. ALS is progressive and gradually causes motor neuron deterioration and muscle atrophy to the point of complete muscle control loss. There is currently no cure for ALS, and the median life expectancy is between 3 and 4 years, though it is not uncommon for some to live 10 or more years. The progressive muscle atrophy and deterioration of motor neurons leads to the loss of the ability to speak, move, eat, and breathe. However, sight, touch, hearing, taste, and smell are not affected. Patients will be wheelchair bound and eventually need permanent ventilator support to assist with breathing. George and his family are devastated by the diagnosis. George knows that treatment options only attempt to slow down the degeneration, but the symptoms will eventually come. He will eventually be wheelchair bound and be unable to move, eat, speak, or even breathe on his own. In contemplating his future life with ALS, George begins to dread the prospect of losing his mobility and even speech. He imagines his life in complete dependence upon others for basic everyday functions and perceives the possibility of eventually degenerating to the point at which he is a prisoner in his own body. Would he be willing to undergo such torture, such loss of his own dignity and power? George thus begins inquiring about the possibility of voluntary euthanasia.
The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.
Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.
Provide a 1,500-2,000-word ethical analysis while answering the following questions:
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
Based on the values and considerations above, what options would be morally justified in the Christian worldview for George and why?
Based on your worldview, what decision would you make if you were in George’s situation?
Remember to support your responses with the topic study materials.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
