After reading chapters 8, 9, 10 and the assigned readings college students answer the questions within the Case Scenario and then 1 of the next questions below (total of 2 questions)
Every pupil need to answer Ask 1 in the case of the Case Scenario and then college students can also simply resolve which response they love to answer to to Ask 2: both a and b OR c (simplest 1 of these will possible be spoke back to).
Designate you MAY NOT USE the readings for this week as YOUR research-reviewed journals and references; you might maybe maybe well also simply embody them as references but or no longer it is important to individually embody two ADDITIONAL scholarly sources.
QUESTION #1: CASE SCENARIO
Healthcare Ethics: A Memoir of Two Sufferers
RT is a 65-year-aged who’s a Medicare/Medicaid patient. This “dual eligible” web site doesn’t location them in a worth-essentially essentially essentially based contract. They are FFS for any health facility or provider who treats them. RT doesn’t incur any out-of-pocket costs for medications. They have faith got a distinguished care physician (PCP), however the PCP is internal most note and is simplest loosely affiliated with a lot of local hospitals. RT lives on my own, is starting to lose their peep, has no family within peep, and has a case employee who runs their errands. RT has a historical previous significant for chronic obstructive pulmonary disease (COPD) Gold Stage I, is on nebulizers at dwelling as successfully as inhaled steroids, and goes on 3 L N/C of O2 at night. RT continues to smoke 1 pack per day and has for the final 50 years. Nobody can pay any penalty if RT’s end result metrics are unhappy. But Medicare/Medicaid incurs the associated price of care, checking out, medications, oxygen, transportation to repeat ED visits, and 2 health facility admissions as RT’s chronic stipulations continue to deteriorate.
FS is a 67-year-aged who has venerable Medicare. They have faith got a PCP strongly affiliated with a local healthcare machine. This healthcare machine has lowered in size with Medicare to be in an “ACO.” This implies that FS’s PCP and the successfully being machine are in charge for FS’s care and will simplest receive payment if FS stays out of the health facility and has aesthetic successfully being outcomes. FS’s historical previous is also significant for COPD Stage 1. FS is on nebulizers at dwelling, takes an inhaled steroid, and makes use of three L O2 PRN. They smoke 1 pack per day as successfully and are starting to have faith some significant deterioration of their COPD. If FS had been to enter the health facility, the health facility will simplest receive a “bundled payment,” and within the event that they re-enter the health facility in 90 days, the health facility will utilize all of the money they had been given to love FS approved on this one episode. FS is also provided dwelling care, respiratory treatment, and smoking stop classes and educating. FS says they are able to’t come up with the money for their inhaled steroid, so a pharmacist works with them to get the medications they need at a lower label.
Dialogue Ask 1 (ALL STUDENTS MUST ANSWER THESE)
a. Would a bedside nurse know the adaptation between these two sufferers’ payor preparations?
b. Have to nursing be unsleeping?
c. Have to nursing continue to coach every sufferers on their disease?
d. What if these sufferers had been within the same nursing unit? Would there be a shrink back that these sufferers had been being provided varied stages of inspire at dwelling?
e. Clinically, what’s the upper manner to love the patient? Does that match the payor payment?
Dialogue Ask #2 (Acknowledge one of the most next below; college students can also simply resolve what they love to answer to)
a. Name three frequent workarounds nurses in your note dwelling mechanically create. Pick one and indicate that you might maybe maybe well judge innovative solutions. Name doable risks and advantages. Manufacture a belief for increasing, implementing, and evaluating the innovation. Name leadership styles, traits, and competencies that inspire or abet as boundaries to innovation in care offer.
AND
b. What are the predominant SDOH, and how create these factors impact particular particular person, community, and population successfully being? What feature create nurses and nurse leaders play in addressing the SDOH? Why are nurses and nurse leaders perfect to this option? How important are nursing advocacy, community action, and policy campaigns in addressing the SDOH? How can nurses and nurse leaders promote higher population and community successfully being thru these activities?
OR
c. Picture about a of the dangers and opportunities that can come up with telehealth and how, as nursing leaders, we can handle them. As a nursing leader, what ways would you employ to interact nursing staff to develop maybe the most of telehealth?
Please rob into consideration for dialogue posts: the preliminary put up can have faith to be uploaded by the WEDNESDAY of the week and two replies to your chums by Saturday at 2359.
As a reminder, all dialogue posts can have faith to be a minimal of 350 words preliminary and 250 words research responses, references can have faith to be cited in APA layout seventh Edition, and need to embody a minimal of 2 scholarly sources printed inside of the previous 5 years.
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