Response to each person 200 words each

1) 

Preparing for disasters is something many only think about during “that season”; hurricane season, winter blizzards, tornadoes , fire, flooding etc. however, disasters can happen at any time, so continued and sustained preparedness is essential.

       For the most part I knew my level of preparedness as I’ve lived in many areas of the world where “that season” happened on a regular basis.  Essential documents stored in plastic bins, easily accessible to place in to a car in the event of needed evacuation or sheltering in place, food, water, medical documents as well; only once I was not prepared but many things were happening in my life at that time which caught me off guard.  I worked a disaster relief effort with the American Red Cross in the aftermath of Hurricane Andrew in southern Florida and learned many things due to that experience and my time in the military has prepared me for many other man-made disasters.

       We have recently moved to the southwest and I now own a home again, so we are not quite as prepared as we were previously as a homeowner.  The tools and supplies needed to secure my home at this time are lacking so this is a step in preparation that must be accomplished, otherwise, based on the checklist, I am still prepared for nearly any disaster that may strike, or at least I would hope to be! 

       From the perspective of a community health nurse; education is the key to disseminating information to community members.  From participating in and education regarding local flu outbreaks, encouraging vaccinations for those at risk or simple education regarding hand hygiene and the correct way of covering your cough, along with health and wellness to maintain the highest levels of immunity for something as simple yet as deadly as the flu can be, is important.  Man made, natural or environmentally fueled disasters are difficult to disseminate information except through ongoing education or community preparedness sponsored events or work shops.  Ongoing drills within the school systems or community centers will assist in preparedness for disaster specific to the geographical area.  Instructions; written, verbal or expressed for personal preparedness, the how and why, and where to find needed supplies would all begin and continue through education.  Reporting of potential outbreaks or disasters through proper channels would also provide the community with added resources.  In the event of a disaster, nurses would need to assist in identifying who is at risk and what to do regarding those individuals, their friends and families, as would the nurse.  But always keeping in mind the scope of practice and current knowledge base of the nurse.

                                                                                                         References

Clark, M.J. (2015) Population and Community Health Nursing (6th ed). Boston, MA: Pearson

Community Health Nursing in Disaster Management.  Retrieved from (authorstream.com)

How to Prepare for Emergencies.  Retrieved from (redcross.org)

2) 

preparing yourself for disaster is one of the best and smartest things we can all accomplish in life, both as medical field personnel and human beings in general. Disaster preparedness refers to measures taken to prepare for and reduce the effects of disasters. That is, to predict and, where possible, prevent disasters, mitigate their impact on vulnerable populations, and respond to and effectively cope with their consequences. wide efforts to give citizens the training, education, and resources they need to prepare in advance against the threat of a possible local disaster at an individual and collective level. Despite the frequency of stories seen on the news that prove the devastation of unexpected natural disasters or local violence, local governments struggle to impart on citizens the importance of preparedness. The optimistic hope that an unexpected disaster could never destroy one’s home or hurt one’s family, is a difficult misperception to overcome. The goal of community preparedness is to maximize citizens’ awareness of the importance of proactive planning, and encourage participation in disaster preparedness activities. Begin your planning by identifying local emergency response organizations and leaders and asking them to be part of your education and planning efforts. Use all available communication channels to recruit members of your community to participate in your emergency preparedness team. For tips on marketing communications for local government. Once you’ve recruited citizens to participate in your preparedness team, schedule regular meetings that are always open for others to join and attend. The first primary objective of the group should be to develop a disaster preparedness plan. By engaging citizens in the planning process, they will be more likely to encourage friends, family, and neighbors to get involved and will help spread your message of the importance of individual and community preparation. Make sure your emergency planning takes into consideration seniors, children, and community members with special needs. Identify all the senior centers, assisted living facilities, day care centers, schools, and adult day habilitation centers in your community. Work with their leadership to make sure you have a plan in place in the event that such facilities need to be evacuated, or receive urgent care.

 

 Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

• Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support

 

Write a 3 page evidence-based health care delivery plan for one component of a heart failure clinic.

Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.
  • Describe accountability tools and procedures used to measure effectiveness.
• Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
  • Develop an evidence-based plan for health care delivery.
• Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
  • Apply professional and legal standards in support of a care plan.
• Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
  • Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

 

In an effort to improve the patients’ health literacy concerning heart failure, it is important that the clinic staff and the hospital staff present a consistent, evidence-based message on self-care to these patients and their families in order to decrease acute exacerbation and re-admissions. Review current evidence for clinical practice guides or protocols when developing your patient teaching plans and materials. Consider the following:

• What does the patient know about the disease process as a baseline?
• What does the patient need to do understand as far as the best self-care processes?
• Can the patient identify proper medication compliance?
• Is there a financial issue that affects compliance?
• Who buys and prepares the food in the home?
• Can the patient verbalize when to seek medical assistance?

 

Instructions

Deliverable: Develop an evidence-based plan for health care delivery.

Scenario:

The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.

As a member of the nurse team, you have been asked to develop one component of the clinic.

The hospital leadership established these objectives for the clinic services:

• Evaluate and maximize proper medication therapy.
• Conduct regular diet, exercise, and stress management classes for the patients.
• Monitor physiological indicators for the patients (lab work, weights, vital signs, ECGs).
• Provide a case management system for patients in the program post-discharge.

The overall goals for the heart failure clinic are to:

• Enroll greater than 90 percent of the patients with a primary or secondary diagnosis of HF prior to discharge.
• Facilitate discharge planning to achieve 100 percent compliance with patient education prior to discharge (discharge planning).
• Decrease readmission rates in this population by 5 percent over the next year.

The leadership team has asked you to provide them with an evidence-based plan for one of the components of the clinic. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.

Develop one: an Orientation Course Plan, a Discharge Education Plan, or a Care Coordination Plan.

An Orientation Course Plan:

• Develop an evidence-based plan for health care delivery.
• Include a comprehensive schedule of topics, objectives, key points, and patient resources for the orientation course.
  • What are the components of an evidence-based education plan?
  • How will you know that patients will understand what to do?
  • What modalities will you use to deliver information?
  • How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?
  • Identify specialized and supplementary material needs.
• Apply professional and legal standards in support of a care plan.
  • Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.
  • Describe the accountability tools and procedures used to measure effectiveness.
  • How will you know if the patient education plan is successful?
  • What are the indicators of success or effectiveness?

A Discharge Education Plan:

• Develop an evidence-based plan for health care delivery.
  • Develop a discharge plan with objectives and resources, and tools for patients to monitor their progress.
  • How will you know that patients understand what to do?
  • What modalities will you use to deliver information?
  • How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?
• Apply professional and legal standards in support of a care plan.
  • Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.
  • Describe accountability tools and procedures used to measure effectiveness.
  • How will you know if the discharge plan is successful?
  • What are the indicators of success or effectiveness?

Care Coordination Plan:

• Develop an evidence-based plan for health care delivery.
  • Develop a procedure for coordinating services.
    • Consider the needs of “outliers.” For example, someone with lung disease may need extra resources.
    • Who should be on the team?
    • When would the team be activated?
    • How would it be activated?
    • What is the time frame required to coordinate services?
    • How would the intervention plan be monitored for effectiveness?
• Apply professional standards in support of a care plan.
  • Explain the alignment to the most recent heart failure guidelines and specific professional standards.
  • Describe accountability tools and procedures used to measure effectiveness.
    • How will you know if the care coordination plan is successful?
    • What are the indicators of success or effectiveness?
    • How will information be collected or communicated?

Additional Requirements

• Written communication: Written communication should be free of errors that detract from the overall message.
• APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
• Length: The report should be 3 pages in content length, double-spaced.
• Font and font size: Times New Roman, 12 point.
• Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

 

  

Hi scholars,

The following three weeks we will be discussing the clinical preventive service and our role on disease prevention.

A valuable website to review the screening prevention recommendations based on the latest evidence based practice :

https://www.uspreventiveservicestaskforce.org/Page/Name/home

On your discussion this week answer the following questions:

1.) What is the U.S. Preventive Task Force (USPTF)?

2. ) Select a disease for example colon cancer and discuss the screening age recommendations and the screening tools recommended for early prevention?

Others resources suggested to review to cover Clinical Preventive Service are:

Topics to review:

Joel Chapter 20

https://www.ahrq.gov/teamstepps/instructor/essentials/implguide.html

Suggested readings and Video:  

Conflict resolution skills 

http://www.edcc.edu/counseling/documents/Conflict.pd

Waiting to hear your interesting debate.