•   Deliver a 5–7-page analysis of an existing quality improvement  initiative at your workplace. The QI initiative you choose to analyze  should be related to specific disease, condition, or public health issue  of personal or professional interest to you.
  Too often, discussions about quality health care, care costs, and  outcome measures take place in isolation—each group talking among  themselves about results and enhancements. Because nurses are critical  to the delivery of high-quality, efficient health care, it is essential  that they develop the proficiency to review, evaluate performance  reports, and be able to effectively communicate outcome measures related  to quality initiatives. The nursing staff’s perspective and the need to  collaborate on quality care initiatives are fundamental to patient  safety and positive institutional health care outcomes.
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• Toggle Drawer  Context
      The purpose of the report is to assess whether specific quality  indicators point to improved patient safety, quality of care, cost and  efficiency goals, and other desired metrics. Nurses and other health  professionals with specializations and/or interest in the condition,  disease, or the selected issue are your target audience.
     
• Toggle Drawer  Questions to Consider
      As you prepare to complete this assessment, you may want to think  about other related issues to deepen your understanding or broaden your  viewpoint. You are encouraged to consider the questions below and  discuss them with a fellow learner, a work associate, an interested  friend, or a member of your professional community. Note that these  questions are for your own development and exploration and do not need  to be completed or submitted as part of your assessment.
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• Toggle Drawer  Resources
      Suggested Resources
  The resources provided here are optional. You may use other  resources of your choice to prepare for this assessment; however, you  will need to ensure that they are appropriate, credible, and valid. The Nursing Masters (MSN) Research Guide  can help direct your research, and the Supplemental Resources and  Research Resources, both linked from the left navigation menu in your  courseroom, provide additional resources to help support you.
  Capella Resources
  Capella provides a thorough selection of online resources to help you understand APA style and use it effectively.
   
• APA Module.
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•  Assessment Instructions
      Preparation
  You have been asked to prepare and deliver an analysis of an  existing quality improvement initiative at your workplace. The QI  initiative you choose to analyze should be related to a specific  disease, condition, or public health issue of personal or professional  interest to you. The purpose of the report is to assess whether specific  quality indicators point to improved patient safety, quality of care,  cost and efficiency goals, and other desired metrics.
  Your target audience consists of nurses and other health  professionals with specializations or interest in your selected  condition, disease, or issue. In your report, you will define the  disease, analyze how the condition is managed, identify the core  performance measurements used to treat or manage the condition, and  evaluate the impact of the quality indicators on the health care  facility:
  Note: Remember, you can submit all, or a portion  of, your draft to Smarthinking for feedback, before you submit the final  version of your analysis for this assessment. However, be mindful of  the turnaround time for receiving feedback, if you plan on using this  free service.
  The numbered points below correspond to grading criteria in the  scoring guide. The bullets below each grading criterion further  delineate tasks to fulfill the assessment requirements. Be sure that  your Quality Improvement Initiative Evaluation addresses all of the  content below. You may also want to read the scoring guide to better  understand the performance levels that relate to each grading criterion.
   

1. Analyze a current quality improvement initiative in a health care setting.      
   • Evaluate a QI initiative and explain what prompted the  implementation. Detail problems that were not addressed and any issues  that arose from the initiative.
2. Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.      
   • Analyze the benchmarks that were used to evaluate success.  Detail what was the most successful, as well as what outcome measures  are missing or could be added.
3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.      
   • Integrate the perspectives of interprofessional team members  involved in the initiative. Detail who you talked to, their professions,  and the impact of their perspectives on your analysis.
4. Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.      
   • Recommend specific process or protocol changes as well as added technologies that would improve quality outcomes.
5. Communicate evaluation and analysis in a professional and  effective manner, writing content clearly and logically with correct use  of grammar, punctuation, and spelling.
6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
7. Submission Requirements
    

• Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
• Number of references: Cite a minimum of four sources (no older  than seven years, unless seminal work) of scholarly peer reviewed or  professional evidence that support your interpretation and analysis.
• APA formatting: Resources and citations are formatted according to current APA style and formatting.
• Assessment 2 Example

 

For your Assignment, your Instructor will assign you one of the decision tree interactive media pieces provided in the Resources. As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders.

Photo Credit: Getty Images/Science Photo Library RF

To Prepare

• Review the interactive media piece assigned by your Instructor. 
• Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.
• Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.
• You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

By Day 7 of Week 8

Write a 1- to 2-page summary paper that addresses the following:

• Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
• Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
• What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
• Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

 

Complex Regional Pain Disorder
White Male With Hip Pain

BACKGROUND

This week, a 43-year-old white male presents at the office with a chief complaint of pain. He is assisted in his ambulation with a set of crutches. At the beginning of the clinical interview, the client reports that his family doctor sent him for psychiatric assessment because the doctor felt that the pain was “all in his head.” He further reports that his physician believes he is just making stuff up to get “narcotics to get high.”

SUBJECTIVE

The client reports that his pain began about 7 years ago when he sustained a fall at work. He states that he landed on his right hip. Over the years, he has had numerous diagnostic tests done (x-rays, CT scans, and MRIs). He reports that about 4 years ago, it was discovered that the cartilage surrounding his right hip joint was 75% torn (from the 3 o’clock to 12 o’clock position). He reports that none of the surgeons he saw would operate because they felt him too young for a total hip replacement and believed that the tissue would repair with the passage of time. Since then, he reported development of a strange constellation of symptoms including cooling of the extremity (measured by electromyogram). He also reports that he experiences severe cramping of the extremity. He reports that one of the neurologists diagnosed him with complex regional pain syndrome (CRPS), also known as reflex sympathetic dystrophy (RSD). However, the neurologist referred him back to his family doctor for treatment of this condition. He reports that his family doctor said “there is no such thing as RSD, it comes from depression” and this was what prompted the referral to psychiatry. He reports that one specialist he saw a few years ago suggested that he use a wheelchair, to which the client states “I said ‘no,’ there is no need for a wheelchair, I can beat this!”

The client reports that he used to be a machinist where he made “pretty good money.” He was engaged to be married, but his fiancé got “sick and tired of putting up with me and my pain, she thought I was just turning into a junkie.”

He reports that he does get “down in the dumps” from time to time when he sees how his life has turned out, but emphatically denies depression. He states “you can’t let yourself get depressed… you can drive yourself crazy if you do. I’m not really sure what’s wrong with me, but I know I can beat it.”

During the client interview, the client states “oh! It’s happening, let me show you!” this prompts him to stand with the assistance of the corner of your desk, he pulls off his shoe and shows you his right leg. His leg is turning purple from the knee down, and his foot is clearly in a visible cramp as the toes are curled inward and his foot looks like it is folding in on itself. “It will last about a minute or two, then it will let up” he reports. Sure enough, after about two minutes, the color begins to return and the cramping in the foot/toes appears to be releasing. The client states “if there is anything you can do to help me with this pain, I would really appreciate it.” He does report that his family doctor has been giving him hydrocodone, but he states that he uses is “sparingly” because he does not like the side effects of feeling “sleepy” and constipation. He also reports that the medication makes him “loopy” and doesn’t really do anything for the pain.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is dressed appropriately for the weather and time of year. He makes good eye contact. Speech is clear, coherent, goal directed, and spontaneous. His self-reported mood is euthymic. Affect consistent to self-reported mood and content of conversation. He denies visual/auditory hallucinations. No overt delusional or paranoid thought processes appreciated. Judgment, insight, and reality contact are all intact. He denies suicidal/homicidal ideation, and is future oriented.

Diagnosis: Complex regional pain disorder (reflex sympathetic dystrophy)

Decision Point One

Select what you should do:

Savella 12.5 mg orally once daily on day 1; followed by 12.5 mg BID on day 2 and 3; followed by 25 mg BID on days 4-7; followed by 50 mg BID thereafterAmitriptyline 25 mg po QHS and titrate upward weekly by 25 mg to a max dose of 200 mg per dayNeurontin 300 mg po BEDTIME with weekly increases of 300 mg per day to a max of 2400 mg  

PLEASE PAY ATTENTION TO MY CASE STUDY

five references not more than 5 years

Zero plagiarism