Outcomes of Quality Healthcare Discussion

Outcomes of Quality Healthcare Discussion

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Outcomes of Quality Healthcare Discussion

Question Description
I need support with this Nursing question so I can learn better.

Trisha Carroll( DO NOT DO THIS) DONE ALREADY!! THANK YOU VERY MUCH!!

Experience

Working in long term care there often comes a point that as a nurse we must discuss palliative care options with the residents and the families.There are times when the families make all of the decisions as the patient does not have the cognitive abilities to do so. Other times the resident is cognitively intact, yet their body is giving up.These conversations are difficult every time, but always necessary. Currently, only a small portion of residents in LTC receive hospice care despite the numerous benefits they can provide (Xiong, B., Freeman, S., Banner, D., Spirgiene, L., 2020).

One resident is suffering from end-stage liver failure, the only treatment option left is a liver transplant, which she is not a candidate for.This resident has been in and out of the hospital due to high lactic acid levels and feeling ill.She returned to us from the hospital with this prognosis that she will not recover without a new liver, and that they were not going to consider her for this surgery.This information was given to the staff, but not to the resident who is cognitively intact.It then became my responsibility to speak with this resident about her prognosis and her options.I was very honest with her and at the end of this conversation, she decided that hospice care would be her best option.Now, this resident spends her days with loved ones (before COVID-19), attending activities, and most of all she is happy and pain-free.

Incorporating her values and preferences brought us to the decision to bring in hospice care.She is not traveling back and forth to the hospital, she is not in pain, she is not restricted with fluids or diet, and she is happy.The resident understands her treatment plan and she is happy with it, knowing what to expect with her prognosis.

Patient Preferences

When patient preferences and values are incorporated into a treatment plan the patient is more likely to be compliant with the plan.Increased compliance often means quicker healing in patients who can be cured.In patients who cannot be cured in compliance with their plan of care leads to increased happiness of them and their family and a better relationship between them and the healthcare team.This patient enjoys drinking a great deal of coffee, which she was not supposed to do before her decision to be a hospice patient.She was in a great deal of pain each day, and with hospice involved stronger pain medications can be considered. Pain is a common diagnosis among patients in end-stage diseases (Xiong, B., Freeman, S., Banner, D., Spirgiene, L., 2020).This resident is also diabetic and was on a strict diet, upon entering hospice care she is now able to eat what she wants, which also improves her happiness and the relationship between her and the staff members.

Due to the fact that her treatment plan is no longer focused on keeping her as healthy as possible, and is now focused on keeping her as happy as possible the treatment plan is effective.The resident is happy, her family is supportive, and she has a healthy relationship with her healthcare team.

Decision Aid

One decision aid used for patients with a terminal illness is titled Looking Ahead: Choices for Medical Care when you’re seriously ill.This decision aid is often used with patients who are in inpatient facilities.This aid focuses on decisions dealing with artificial nutrition, hydration, mechanical ventilation, and CPR.This DA was found to be acceptable and empowering.Many participants stated they wished this had come into their treatment plan sooner as they had already made some of these decisions.The patients felt they had more control and played a more active role in their treatment plan through the use of this aid (Matlock, D. D., Keech, T. A. E., McKenzie, M. B., Bronsert, M. R., Nowels, C. T., & Kutner, J. S., 2014).

When used at the right time this DA could assist patients with terminal illnesses to develop a treatment plan along with their healthcare team to address all possible outcomes throughout their illness.When a patient knows what to expect and what options are available to them they are better able to make educated decisions.If this patient had had the option to make a plan such as this in advance it could have saved her from some anxiety, fear, and uncertainty she experienced through the stages of her illness (Matlock, D. D., Keech, T. A. E., McKenzie, M. B., Bronsert, M. R., Nowels, C. T., & Kutner, J. S., 2014).

Personal Practice

We currently use an advanced directive questionnaire that asks a few generic questions related to their wishes.Being in long term care a more developed and detailed decision aid would be useful.A patient decision aid is a tool that can inform the patient and family of the different options, providing clarification and communication allowing their personal values to be utilized (Malloy-Weir, L. J., & Kirk, A., n.d.).We could educate the residents on their specific diagnoses and prognoses and personalize the aides to these facts and to the residents themselves. In patients with dementia if this tool is utilized in the early stages of their disease their wishes can be honored through every stage of their treatment and disease process (Malloy-Weir, L. J., & Kirk, A., n.d.).It could take a great deal of time to complete these for all eighty residents but could be very useful and helpful in the long run.

References

Malloy-Weir, L. J., & Kirk, A. (n.d.). Development and pilot testing of a decision aid for the initiation of antipsychotic medications in persons with dementia in long-term care using a systematic approach: a study protocol. BMJ OPEN, 7(10). https://doi-org.ezp.waldenulibrary.org/10.1136/bmj…

Matlock, D. D., Keech, T. A. E., McKenzie, M. B., Bronsert, M. R., Nowels, C. T., & Kutner, J. S. (2014). Feasibility and acceptability of a decision aid designed for people facing advanced or terminal illness: a pilot randomized trial. Health Expectations, 17(1), 49–59. https://doi-org.ezp.waldenulibrary.org/10.1111/j.1…

Xiong, B., Freeman, S., Banner, D., & Spirgiene, L. (2020). Hospice Utilization Among Residents in Long-Term Care Facilities. Journal of Palliative Care, 825859720907415. https://doi-org.ezp.waldenulibrary.org/10.1177/082…

Outcomes of Quality Healthcare Discussion

Outcomes of Quality Healthcare Discussion

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.