What role do regulatory or certifying organizations play in improving patient safety and quality of care?

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What role do regulatory or certifying organizations play in improving patient safety and quality of care?

What is the role of patient satisfaction via customer service initiatives in determining patient outcomes?

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What is the role of patient satisfaction via customer service initiatives in determining patient outcomes?

   What are some credible sources of nutrition information from Table H1-1 that could provide information to help Mary lower her blood cholesterol?

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Mary P. is a 57-year-old operating room nurse who works full-time at a local hospital. She is 65 inches tall and weighs 160 pounds. She has a family history of diabetes and heart disease and was recently diagnosed with high blood cholesterol. She has declined the cholesterol-lowering medication her doctor prescribed, and says she would like to explore other methods for lowering her cholesterol first. For the past few weeks, Mary has been taking a tablespoon of coconut oil every day after reading on the Internet that this will lower her cholesterol. She admits she has little time or energy to exercise. Her diet history reveals she often skips breakfast or has a donut or bagel with cream cheese at work. She drinks several cups of coffee each morning with cream and sugar. Lunch is a salad with crackers and iced tea with sugar in the hospital cafeteria. She occasionally drinks one or two glasses of wine in the evening, especially after a stressful day at work. She lives alone and relies on frozen dinners or other convenience foods in the evening. An analysis of her diet reveals an average daily intake of 200 grams carbohydrate, 50 grams protein, and 80 grams of fat.

 

 

 

1.   Taking into account her current lifestyle and personal food preferences, what food habits might be difficult for Mary to change?

 

2.   How might her emotions contribute to her food and drink choices?

 

3.   Using Table 1-2, calculate Mary’s average daily kcalorie intake from carbohydrates, protein, and fat. Add these figures to together to arrive at her total daily caloric intake.

 

4.   What percentage of her daily calories is provided by carbohydrates? Protein? Fat?

 

5.   Compare the composition of Mary’s diet with the Acceptable Macronutrient Distribution Ranges (AMDR).

 

6.   How would you use the information above to make dietary recommendations for Mary?

 

7.   What are some credible sources of nutrition information from Table H1-1 that could provide information to help Mary lower her blood cholesterol?

 

What does the phrase patient-centered care mean?

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What does the phrase patient-centered care mean?

  • How does patient-centered care affect the consumers and providers of care?

Do you think new models of care such as accountable care organizations or medical homes will help decrease health care costs? Why or why not?

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Do you think new models of care such as accountable care organizations or medical homes will help decrease health care costs? Why or why not?

 

. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives.

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For the middle-aged adult, exercise can reduce the risk of various health problems. Choose three health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidenced-based literature.

) Describe how faith communities can contribute to the accomplishment of these national health objectives and accomplish the goal of improving the health of the public. 

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1. Review Healthy People 2020. Identify objectives that are amenable to parish nurse intervention.

a) Describe how faith communities can contribute to the accomplishment of these national health objectives and accomplish the goal of improving the health of the public.

b) How can nurses working in the community form partnerships with parish nurses and faith communities? How would such partnerships be beneficial?

2. Describe the strategic roles of your local and state (Florida) health departments in the accomplishment of health care promotion and goals.

a) Discuss the need for collaboration and partnerships with existing groups and why new groups are crucial to this process.

b) How could nurses in public health assist clients to modify unhealthy behaviors and develop strategies to improve their health?

How does an animal’s behavior aid survival and reproduction? Provide an example to illustrate your comments. In your response, be sure to include information from the reading to support your answer.

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Reproduction: Explain why asexually reproducing organisms are generally found in environments that do not change very much through time, while sexually reproducing organisms are very successful in environments that change dramatically through time.
Animal Behavior: How does an animal’s behavior aid survival and reproduction? Provide an example to illustrate your comments. In your response, be sure to include information from the reading to support your answer.

What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.

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HPI: 3 yo African American  M here for Well Care visit . Mother reports pt. stools only 2 times per week.  BMs described as hard, brown, and round.  Has noticed this infrequent stooling pattern since began potty training at 2.5 yo.  Pt. often cries and strains when trying to pass bowel movement.  Pt. a “picky” eater who avoids fruits and vegetables.  Mother has not tried any treatments and is unsure what makes better or worse.

 

 

 

•Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.

 

•Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.

 

Make sure you include Review of System for age appropriate

 

•Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

 

•Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.

 

•Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

 

 

 

References

 

Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.

 

◦Review: “Promoting Healthy Nutrition” (pp. 121–145)

 

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Mosby.

 

◦Chapter 26, “Recording Information”