Discuss the importance of advocacy as it pertains to patient care. What is the nurse’s role in patient advocacy? Describe a situation in which you were involved with patient advocacy. Explain what the advocacy accomplished for the patient, and what the repercussions would have been if the patient would not have had an advocate.

APA format 2 pages 3references 1 from Walden University Library

Due 3/15/19 at 6pm EST

 

escription of setting

            Our midwest group has chosen Suncrest Hospice and Home care located in Ames and Des Moines, Iowa. It is a a home based agency which provides care for patients who are terminally ill.  The employees consist of nurses, home health aides, social workers, counselors and others.  In addition to medical needs, the team focuses on the emotional, physical, social and spiritual needs of the patients, as well as supporting family members (Hospice.io, n.d.).

Accreditation

            There are three agencies that provide accreditation for home care and hospice; The Joint Commission (TJC), Community Health Accreditation Program (CHAP), and Accreditation Commission for Healthcare (ACHC) (Devoti, 2018).  Suncrest Hospice and Home Care received accrediation approval from Community Health Accredition Partner (CHAP), which is valid through August 26th, 2021 (CHAP, 2018).  CHAP was “created in 1965, and …was the first accrediting body for home and community-based healthcare organizations in the United States” (CHAP, 2018).  By being CHAP accredited, Suncrest meets the regulatory requirment to be Medicare certified, which means that hospice services are covered by Medicare/Medicaid (Office of the Federal Register, 2018).

Three CHAP standards selected for review

            After review of the CHAP hospice standards (2018), I selected the following three to review:

1. Written mission statement affirms the concept of hospice and palliative care addressing the physical, social, psychological and spiritual dimensions of care as an integrated whole.
2. An interdisciplinary care team/group (IDT/IDG) collaborates with patient’s attending physician, patient/representative and primary caregiver to develop a patient directed individualized plan of care.
3. The hospice program has adequate and appropriate staff and services.

            According to Suncrests´ Mission, they are committed to “…provide the highest quality of care and customer service to (their) patients, their families and (their) referring sources” (2018).  The mission statement does not clearly detail the goal of hospice and palliative care in addressing the multiple aspects of care of a terminally ill patient, therefore not clearly meeting the first standard selected.

            On the Suncrest website, hospice is described as treatment provided by “…qualified and compassionate physicians, nurses, aides, social workers, and spiritual advisors” (Suncrest, 2018).  This statement does comply with the second standard selected, in that a team is providing and implementing a plan of care for each patient.

            Looking at the career webpage of Suncrest Hospice, there are two opening for employment at the Des Moines location.  This meets the third standard selected of adequate staff. 

References

Community Health Accreditation Partner [CHAP]. (2018). CHAP accredited organization locator. Retrieved from

            https://locator.chaplinq.org/

Community Health Accreditation Partner [CHAP]. (2018).  About our history.  Retrieved from      https://chapinc.org/contact-about-us/

Devoti, A.L., (2018)  Accreditation services for home care and hospice.  Retrived from

            https://www.homecaremag.com/may-2018/accreditation-home-health-hospice

Hospice.io, (n.d.)  Suncrest Hospice, Llc west des moines.  Retrieved March 12th, 2019 from

            https://hospice.io/care/suncrest-hospice-llc-west-des-moines-ia/

Office of the Federal Register.  (2018).  Continued approval of the community health accreditation partner’s hospice accreditation program.  Retrieved from           https://www.federalregister.gov/documents/2018/11/16/2018-25066/medicare-and-medicaid-programs-continued-approval-of-the-community-health-accreditation-partners

Suncrest.  (2018).  Our mission.  Retrieved from

            https://suncrestcare.com/our_mission/

Suncrest. (2018).  What is hospice?  Retrieved from

            https://suncrestcare.com/hospice/

Kimberly morris said

One financial aspect which needs to be taken into account with my evidence-based project (EBP) would be allowing for materials to be printed to be handed out to clients of the Calhoun County Public Health Department as well as to patients in other community facilities which may benefit from lead education. Because of the push for lead prevention within the community, this should be something which could be fixed rather easily. The Battle Creek Community Foundation provides grants and scholarships to encourage a positive change within the community and because of the recent lead focus, they may take an active interest and provide necessary funds for education (Battle Creek Community Foundation, n.d.).

A quality aspect of the lead project would be the utilization of the Michigan Care Improvement Registry (MCIR). This system provides not only immunization information, but it also provides information regarding lead testing. If a child has been tested for lead it will be recorded within MCIR. This would enable me to ensure there is no duplication of testing. It can also help me when identifying households with children within high-risk areas. Because of this, I will be able to do more targeted education either by providing a mailing to these houses or by going out and marketing the educational material to provider’s offices within that specific area.

Reference

Battle Creek Community Foundation. (n.d.). Retrieved from https://www.bccfoundation.org/

Carrie 

In this discussion board, I will briefly describe my proposed solution to address the suggestion/educational need and how it has changed since I first envisioned it. (P), would providing teaching about tobacco cessation (I) compared to medications to assist in tobacco cessation (C) lead to a decrease in tobacco dependency and better health outcomes (O), after four weeks of intervention date (T)? Provide tobacco cessation techniques through the help of community services to decrease potential health problems secondary to tobacco dependency. The solution to this PICOT statement is to provide all patients who are admitted into the hospital with tobacco addiction, education prior to discharge. The education we provide patients at our facility is a sheet of paper that includes: What is my main problem, what is smoking cessation, what do I need to do, and Why is it important for me to do this? Making the patient aware of the risk they are posing to their health is important. When the patient has this information, they are able to make an informed decision on the next step to receive help with tobacco cessation. The fact that education is needed in order for the patient to begin tobacco cessation has not changed. The way that education is provided has changed. Education can be provided in various ways. In our facility, patients are handed a piece of paper that is reviewed with them with the nurse at bedside. In other facilities, education is performed on the television. Patients must complete the education by discharge. “With tools and smoking cessation resources from the Tips From Former Smokers® (Tips®) campaign, you can ensure your patients have the right resources to begin their quit journeys” (Centers for Disease Control and Prevention, 2019, para. 1). There are many resources and paths a patient can take to quit tobacco products. It is the nurse’s job to provide the patient with a variety of resources so that the patient can decide which method will help them individually be successful with tobacco cessation. Providing the patient options with tobacco cessation has changed my perspective. Not everyone learns the same way. Some people may be visual, tactile, etc. types of learners. Knowing the patients learning style is essential before providing any education. When the patient learns in a way that they better understand, they will be more successful in their cessation journey.  

Resource  Centers for Disease Control and Prevention. (2019). Healthcare Providers: Tools and Resources  | Health Care Providers | Partners | Tips From Former Smokers | CDC. Retrieved from   https://www.cdc.gov/tobacco/campaign/tips/partners/health/index.html