Hospital Readmissions
Working in a renal/urology medical-surgical unit, it is a challenge for both the nursing staff and nursing administration to have readmissions due to fluid and electrolyte imbalance from patients with ESRD and CHF. In my own experience, patients who have been in and out of the hospital for the past six months to a year are at a higher risk of acquiring nosocomial infections resulting in a weaker immune system to an already compromised one, as well as longer hospital stay. Readmissions from these patients pose as a physical, emotional and financial strain to both patients and/or their families. Additionally, readmissions within 30 days for patients with CHF poses as an additional cost for hospitals as there is reduced Medicare payments for Inpatient …show more content…
The importance of preventing and managing chronic diseases, which include renal failure and cardiovascular diseases, along with their risk factors are emphasized by the Department of Chronic Disease and Health Promotion of the World Health Organization (Desroches, Lapointe, Ratté, Gravel, Légaré, & Turcotte, 2013). However, there is evidence in literature showing a gap of knowledge in the kinds of educational interventions being considered as most effective in compliance to dietary regimen. The study by Desroches et al., 2013 states that there are limitations to their study including that being a short duration, low quality and adherence measures varied widely (Desroches et al., 2013) Hence, these limitations assisted in the generation of research questions, which are: 1) Which educational interventions being used show reliability in compliance or adherence to dietary regimen; 2) What are the detrimental factors contributing to low compliance to dietary regimen among patients with ESRD and CHF; and 3) Can a study performed in a longer length of time produce a higher rate of compliance to dietary regimen among patients with ESRD and
EGT1 Task 3
305 Words | 2 PagesThe data collected was over four weeks, from May 11, 2015 to June 5, 2015. Ten hours days four days a week for a total of 160 hours. The average patient volume assigned to the nurse was 8-10 per day. The method of recording was checks made on a calendar with brief notations of the conversation between the nurse and the patient care technician. CHECK (C)
HF Readmissions: A Case Study
107 Words | 1 PagesHF is not only detrimental to the patient but also impacts funding, reimbursement methods, economy, businesses and cost of our society. The rate of HF readmissions will continue to increase with time due to the aging population. Implementing strategies to offset these causes are important for the financial growth of healthcare today. Elimination of all probable causes prior to discharge will result in evidence based outcomes and promote a longer lifespan.
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1200 Words | 5 PagesThere are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,
Reducing Sepsis Mortality Summary
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30 Day Readmissions Research Paper
1057 Words | 5 Pages30 Day readmissions for CHF patients David Herbetko Thomas Jefferson University 30 Day readmissions for CHF patients Abstract Hospital readmissions are a prominent healthcare issue today. The Centers for Medicare and Medicaid Services are experiencing financial losses in the billions in regards to this patient population. Within the Patient Protection and Affordable Care Act, Section 3025 passed the Hospital Readmissions Reduction Program. This program identifies hospitals with large-scale readmission rates for patients within thirty days of discharge related to congestive heart failure, heart attack, and pneumonia, and marked them liable for the penalties of the program.
Healthy People 2020: Criticisms Of The American Diet
644 Words | 3 PagesOverall, many Americans dissatisfy to incorporate the Dietary Guidelines and the Healthy People 2020 Objectives into their
CAUTI Prevention Case Study
57 Words | 1 PagesThe proposed solution would be to have a nurse champions for CAUTI prevention on the unit. As an example, the nurse would be a resource for questions regarding CAUTIs prevention, such as care of urinary catheters, clinical education and training, as well as making patient rounds with the physician to verify the need for the urinary catheter.
Unit 6 Health And Social Care Essay
555 Words | 3 PagesIn a qualitative survey to compare perspectives of 57 practitioners and 30 lay (patient) participants of the service provision of nutritional advice, lay participants reported that advice from GPs was either absent or was considered vague, imprecise and ‘meaningless’ as supported by the following quote from a participants about her mother: ‘… I asked my doctor about my mother’s diet because it worried me. I never received anything. He just said “try and make sure she has a well balanced diet…” They were frustrated when they found that practitioners were unable to give specific advice using terms such as ‘surprise’ and ‘disappointment’ to describe their experiences (6). An online survey on weaning timing in UK found that only 39% of respondents rated health visitor advice as most influenced their weaning decisions.
Hospital Readmission Rule Essay
795 Words | 4 PagesAs mentioned previously, the Hospital Readmissions Reduction Program was introduced to improve quality for patients and reduce costs. The Hospital Readmission Reduction Program helps improve quality by giving hospitals an incentive to have less Medicare patient readmissions within 30 days by penalizing the hospital if they have too many readmissions. By having this potential financial penalty, hospitals will want to provide their patients with the best quality treatment so that the patient is not readmitted within 30 days. While the Medicare 30-day readmission rule helps the quality of care that Medicare patients receive, it also has large financial impacts on hospitals. Whenever a hospital has higher readmission rates than the ERR set, the Hospital Readmissions Reduction Program penalizes the hospital by reducing the Medicare payments (Gai & Pachamanova, 2019).
Hospital Resocialization Analysis
889 Words | 4 PagesThe science of resocialization within a total institution is a team process. To begin, the staff of the institution erodes the identities of the residence. Secondly, the robust resocialization process involves the intimates attempt to build a different personality of self. Human transformation is not always an easy task to conquer. No matter what our societal role is, personal change requires a concentrated effort.
Essay On Hospital Readmission
441 Words | 2 PagesReadmission causes vary between countries, regions and healthcare centers, at least part of them can be avoidable (3-5). In the US by the Centers for Medicare and Medicaid Services in 2009 readmission causes are reported for pneumonia, congestive heart failure, and acute myocardial infarction (6). Previous studies addressing the risk of readmission proposed risk models for specific
GFCF Diet: A Case Study
151 Words | 1 PagesCornish (2002) sent a questionnaire to parents to determine which parents tried dietary intervention such as a GFCF diet, how much money was spent to maintain the GFCF diet, what type and which food substitutes were used and how much support was given to the families. Each of the guardians had to fill out a 3 day food diary to determine the nutrients each food and drink was consumed by the children (Cornish, 2002). A computer program called Microdiet 9.1 analyzed the amount of nutrients and compared the results to other children by the same age and sex (Cornish, 2002). During the study, for 12 of the children that had no diet experienced lower levels of nutrient intake measured by the Lower Reference Nutrient Intake such a zinc, calcium, iron,
Statement Of Purpose: Super Size Me
527 Words | 3 PagesAs my grandmother loved eating a lot of fatty meat, oily and salted fish, fat had accumulated in her blood vessels and blocked the blood flow to her brain which led to a severe stroke. This unforgettable incident had made me realize how a poor diet could destroy one’s health and life. It further fueled my passion for dietetics, knowing that myriads of people can be prevented from facing similar
Sacrosidase Study
767 Words | 4 PagesIt is conceivable that foods rich in potassium would be restricted by patients treated for SID due to their high starch or sucrose content. In addition to potassium, intakes of calcium, magnesium, and folate were also insufficient. It is likely that participants with lactose intolerance or those experiencing continued diarrhea were avoiding diary products, which may account for the insufficient intake of calcium. Weakness: Some of the study’s limitations include a small sample size particularly when divided by life stage group.
Low Carbohydrate Diet Research
1845 Words | 8 PagesIEB ONE RESEARCH TASK PROJECT ST DUNSTAN’S COLLEGE LIFE SCIENCES RESEARCH TASK Jiren Nayager RESEARCH TOPIC/TITLE OF TASK and FOCUS QUESTION: An evaluation of the low carbohydrate diet or Banting diet suggested by Tim Noakes' in the efficacy as a healthier eating plan that promotes weight loss without negative consequences. TABLE OF CONTENTS AIM(S) OF RESEARCH: To investigate the efficacy of the low-carbohydrate diet proposed by Tim Noakes or the Banting diet as a healthy means of weight loss taking into account the effect the diet has on health indicators through a secondary study of the research done on the diet.
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