The primary data would be a questionnaire. It includes eight sections that contain a personal overview of the client as well as medical information. It will be administered once at the beginning of Breathe Easy, but the last few sections will be looked over at the end of the program to determine if the client reached his/her goal and desired outcome. This questionnaire is adapted from the needs assessment from Living Well with COPD, a similar program9. This questionnaire went out to all of those in their program, but a specific population was not addressed. With Breathe Easy, the population is people aged 21- 75 who are at risk or diagnosed with COPD. Therefore, modifications will be made for this program. Each attendee will receive this questionnaire …show more content…
It asks for name, date of birth, marital status, education, occupation, and current medications. As stated previously, education and other social factors often are risk factors for COPD. It also inquires if diagnosed with COPD and if so, how many hospital stays and/or visits. In this section, it also asks for respiratory status. Is there dyspnea on exertion, a smoking history, and/or any symptoms? Since this program is for individuals diagnosed and those at risk, all of these factors are important. These are the basics to identify and help understand the client as a whole. Therefore, this portion is highly significant.
Section two includes referral information. It asks the clients current understanding of COPD and why they were referred to this program. Similarly, it also asks what their expectations of undergoing this program are. Breathe Easy is designed to help educate and inform, so this section will be looked over at the end to see if their expectations were met and if their understanding of COPD has changed and how. This section is critical as well since it provides a baseline of their understanding of COPD and their
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It also asks if they feel in control of their illness. This will be helpful with section four to help set a specific goal. Section six is a summary where they answer what issues they face in regards to themselves and family. What concerns do they have? Are they nervous about this program? All uncertainties will be listed here. This will help them more mentally. Likewise, section seven is the intervention portion. The patient will write down what they plan to do differently to make lifestyle changes to prevent and/or manage COPD. How will they go about their uncertainties? What needs to change? This is important for the patient to visualize their goals and realize it can be a
D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.
It is not sufficient to rely on the physician order to evaluate and treat the patient, to substantiate the services rendered and billed. The 2015 OIG Workplan maintains their objective to reduce the number of false claims submitted by nursing homes for services rendered through rehabilitative clinicians. The licensed clinician has the burden to validate through the evaluation, plan of care and ongoing assessment of the patient why the technical skills provided by the discipline delivering care, is essential to the patient achieving the goals set forth in the care plan. Completion of documentation within the timeframes required, such as recording 30 day summaries at a minimum for Medicare-A beneficiaries and or daily encounter notes when treating
Patients are encouraged to complete the MyStory: Personal Health Inventory to begin the process of determining their health care goals and needs. This allows the health care provider to understand the patient and make a personalized plan (VA Patient Centered Care, n.d.). In 2010 the VHA began developing the Patient Aligned Care Team (PACT). The goal of this
This will help inform us of the validity and effectiveness of the tool, additional information it provides (given there does not currently exist a health promoting assessment tool) and assist in implementation of
Depending on the recommendations that his primary physican has suggested the therapist can take that information with the results from the assessment tools to provide additional referrals and resources available to him. Additionally,
Unit 4 is the preparation of treatment in which the baseline data (activity level) is gathered. This includes daily activity record and behaviour contract. A daily activity record ( hour by hour ) is used to monitor activities clients is already doing, to see the frequency of healthy and unhealthy behaviours. (Lejuez, 2001, p. 265). In this phase, the client is encouraged to create an environment, one that promotes healthy behaviours (Lejuez, 2001).
It is important to provide this information to client which may provide hope for restoration. The video described various areas the client should address in treatment, including sleep, diet, exercise, and social activities. These areas should be assessed in a biopsychosocial assessment prior to treatment. As a clinician, I incorporate all these areas of functioning in my treatment plan for clients. I want to provide effective treatment, and as this video explained, we must do this from a systems perspective, looking at all areas of functioning that can affect
It is described as being a “progressive lung disorder characterized by persistent airflow obstruction and chronic respiratory symptoms in response to inhaled cigarette smoke or other irritants or a deficiency of alpha-1-antitrypsin” (Krishnan et al., 2015, p. 70). Acute exacerbations of COPD are common and often leads to patients being hospitalized. The frequency of hospitalization tends to worsen with disease progression. Acute exacerbations of COPD are associated with a decreased quality of life, increased healthcare costs and increased mortality (Marchetti, Criner, & Albert, 2013). In the United States it is estimated that there are approximately 24 million adults with COPD (Pietrangelo, 2015).
Being diagnosed with COPD is devasting, but the disease does not have to ruin your life. There are several ways to manage the disease. Some treatments require medical treatment, and other treatments require medical intervention. In the early stages if COPD, quitting smoking can reduce the effects of COPD. In the later stages of the disease, many doctors recommend treating the disease with medications or surgery.
In a clinical environment, person centred care is an essential approach in order to achieve the best outcomes for the patients individual needs. Person centred care involves taking a holistic approach to healthcare in which multiple factors such as age, beliefs, spirituality, values and preferences are taken into consideration when assessing, treating and caring for a patient (Epstein & Street 2011). It enables the patient to have a more interactive and collaborative approach in their healthcare, share responsibility and maintain their dignity and values. It involves a bio-psychosocial perspective to healthcare as opposed to a biomedical attitude. In order to provide patient centred care, the clinician needs to consider the individual’s needs
Following the care conference, we observed an intake of a new patient. A psychologist, RN, and social worker were present and each took thorough notes to establish a care plan in their respected field. The patient was recently
This can be tailored in different ways for each patient to
They are identify the current health needs of the surrounding population, define the current community programs provided by the facility, determine any health needs that are not being met to include increasing access to needed services, and assess the total impact of existing programs on the community (Banner Health, 2018). These goals provide the foundation for Banner to be able to follow to help ensure patients are satisfied with the care that they are
The research that I am going to be performing during my collection of information will consist of a survey given to doctors, nurses, patients, and family members from several of assisted living communities here in Manhattan. These facilities include: Meadowlark Hills Retirement Community, Via Christi Village, and Stoneybrook Retirement Community. My study lacks the use of funding to help in the development of professional questionnaires, a team to assist in research, and a larger sample size to support a greater collection of information about facility operations, services, and care provided. During the interview process with the professionals, patients, and families, I will have to remain cautious so that I avoid carrying information given
Asthma has a significant impact on society, affecting over 6 million children under the age of 18 in the United States alone. Reasonable ways to control this disease are medications such as inhalers and spirometry to test the strength of your lungs. There is a myriad factor from environmental constraints, physical and the one built by humans is noted as a major factor affecting the development of asthma. Indoor air pollution is the most common form of air pollution, along with first-hand and second-hand smoking. Air pollution is often greater in lower socioeconomic neighborhoods with mold and cockroach infestations and access to medical care.