1) As health care looks at continuous improvement (as done in manufacturing), one of the most prominent questions that has arisen is, “Can the principles that worked in manufacturing really transfer over to health care? Taking care of a patient is not like building a car on an assembly line. Can standardized processes really work in a setting that focuses on humans and their needs?”

2) Write a paper of 1,000–1,200 words that takes a position on this argument. Justify the rationale for your position.

3) Refer to the assigned readings to incorporate specific examples and details into your paper.

4) Prepare this assignment according to the APA guidelines

A few references:

Edward Deming’s 14 Principles: Business Quality Improvement,” located on the more business.com website

 “Failure IS an Option,” by Scannell, from Cio (2013).

“Introducing Quality Improvement,” by Kurth and Morton, from Pediatric Anesthesia (2013).

The Fit Organization: How to Create a Continuous-Improvement Culture,” by Markovitz, from Rotman Management (2016).

The Key to Success is Staying Focused on the Customer,” by Blanchard, from Material Handling and Logistics (2016).

 Please answer these questions, I need  precise and complete answers:

Nurses have a responsibility to perform discharge teaching each day. Are you performing it to the best of your ability? Please read the attached article and discuss the following points:

1. What are some barriers to discharge teaching? 

2. Explain how you could incorporate AskMe3 when teaching patient with a new diagnosis of a chronic disorder?

3. How could nurses be influential in prevention of hospital readmission?

Discharge Teaching.pdf

In this Critical Thinking assignment, conduct a SWOT analysis on either your current organization, or one in which you are familiar. If possible, it will be more beneficial to use an organization in which you are familiar or where you are employed. 

In your paper, be sure to highlight the importance of having accurate and timely information. Analyze the strengths, weaknesses, opportunities, and threats. Be sure to analyze competitors, demographics, Ministry of Health initiatives, etc.

Your paper should meet the following structural requirements:

1. The paper should be 4 pages in length, not including the cover sheet and reference page.
2. Format the paper according to APA writing standards.
3. Include a SWOT diagram showing your findings in each quadrant of the diagram. This SWOT diagram should be included in the appendix section of your paper. (the diagram template is attached up)
4. Provide support for your statements with in-text citations from a minimum of four scholarly articles.( the references not older than 5 years back)
5. Two of these sources may be from the class readings, textbook, or lectures, but two must be external.
6. No Plagiarism
7. Use Heading to organize your work ( introduction , SWOT Analysis , Strength , Weakness, Opportunities and Threads , Conclusion )
8. Add the diagram before the conclusion and add it again after the references page under a appendix title

APA format 2pages with 3 peer review references Due Friday 8/31/2018 at 7pm EST  Will pay 15 dollars

Collecting Comprehensive Health Assessment

            The United states census Bureau’s 2009 data revealed that 37% of individuals age 65 and older have disabilities. This includes adults with disabilities who developed in old age and those who lived with disability from birth or have acquired disability in younger or middle years (Hahn, Aronow, Rosario, & Guenther, 2013). According to Ball, Dains, Flynn, Solomon & Stewart, 2014 the primary objective of the clinician when conducting an interview and physical assessment on a patient, is to discover the details about a patient’s concern, explore expectations, identify underlying worries, and believing them which optimizes your ability to help them. It is important to adapt to the needs of all patients of any age with disabling physical or emotional states (Ball et al., 2015).

Selected Patient for Face-to-Face Interview and Assessment

As a clinician building a health history on a 76-year-old Black/African American male with disabilities living in an urban setting. It is important to be sensitive to cultural differences that may exist between you and the patient that can help avoid miscommunication. To build health history based on ethnicity and to avoid stereotype, when necessary clinicians should modify their habits to foster effective communication, because your first meeting with the patient set the tone for success. Also, the clinician should be honest, flexible and have a desire to help (Ball et al, 2015).  When you first enter the patient’s, space be respectful by greeting the patient, introduce yourself and state the reason for your visit. Acquire written or verbal consent from the patient to collect health history and to conduct an interview. If possible conduct the interview in an uncluttered quiet area. Have the patients’ health record available and utilize all healthcare professionals involved in this patient’s care. Because the patient may lack the ability to give accurate history, having a family member present with the patient’s permission during the interview helps the patient to be more comfortable to provide needed information (Ball et al., 2015). It is important to sit in front of the patient at eye level, speak slowly, clearly and enunciate each word in the patients view for patients with hearing and visual disability (Ball et al., 2015). To conduct the interview, it is important to have written open-ended questions that are short, uncomplicated and pertinent to the patient to avoid overwhelming and confusion. History on the elderly can be more complex so guiding techniques can be used to obtain important information (Kahn et al., 2013).

Health Related Risk

Frailty is increasingly common among our aging population. Assessing level of frailty is very important, because it has a significant impact on individuals and society with increased risk of dependency, disability, hospitalization, institutional placement, and mortality (Harttgen, Kowal, Strulik, Chatterji, & Vollmer 2013). Frailty is characterized by weakness weight loss and low activity. It is considered an at-risk state caused by age –associated accumulation of deficits (Ball et al., 2015). Functional impairment must be assessed.

Functional Mobility Assessment Screening Tool

Functional assessment must be address for the disabled patient by assessing their health risk. Assessing the patient’s ability to perform activities of daily living (ADL), and cognitive, psychological social and sexual limitation should be completed on all older adults or a disabled patient (Ball et al., 2015). Does the patient has difficulty walking standard distance (0 feet or 2 to 3 blocks), difficulty climbing stairs (up and down), difficulty holding and opening small objects, needs assistance with house-keeping, shopping, money management, meal preparation and assistant eating. Interviewer must keep in mind that the patients will hide or overstate their abilities (Ball et al., 2015).

Conclusion

            To build a health history as it relates to ethnicity, information about personal and social history is important to address cultural background, practices, home environment as a youth, education, occupation, current health habits, health coverage and concern about healthcare cost should be collected to avoid the stereotype as they influence the health problem on the patient’s life (Ball et al., 2015). Understanding a person’s life and daily routine can help you to understand how your patient’s lifestyle might affects his healthcare. Also understanding an older patient usual level of functioning and knowing about any recent significant changes are important to providing appropriate healthcare (Paula, Krzysztof, & Ewa, 2018).

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to

physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

250 WORDS CITATION AND REFERENCES

Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice?

Teacher comment:

People’s view on health have changed over the years. Previously people thought they were healthy if they were free of disease and able to work and support their family. With access to health insurance, people are seeing their physicians for annual check-ups where primary prevention is placed as high priority. Vaccinations are emphasized as each new child is brought into the world. Community events are held to teach people about the importance of a healthy diet and exercise regimen. Risk factors are assessed, and monitoring takes place (ie: elevated blood pressure, impaired fasting blood glucose). There is availability of medications to treat many conditions before they cause damage, and this is the role of secondary prevention – detection and treatment. Health care professionals utilize Evidence Based Practice in their care of patients in both health promotion and illness prevention.