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Identify how delivery of nursing care could be affected where standards are being met and where they are not being met.

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Review emerging standards of culturally competent care. Here are possible resources to use:

DHHS Office of Minority Health

National Center for Cultural Competence

AHRQ

Annie E. Casey Foundation

Write a 2,800- to 3,500-word paper that explores the following topics in your workplace or a setting that you select for this discussion:

Define culturally competent care appropriate for your own workplace, based on your perusal of the assigned readings.

Identify the populations served and any issues of population vulnerability.

Comment on standards of cultural competence that appear to be met and any that are not met.

Identify how delivery of nursing care could be affected where standards are being met and where they are not being met.

Comment on solutions that could be implemented where standards are not being met.

 

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explain strategies for improving any nutrition issues that might present during the patient

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Review Chapters 28 and 29 of the Flaherty and Resnick text. ( have the book or find info online)
Assess a patient using tools for inpatient and long-term patient care, such as the Lawton IADL Scale.
Consider whether nutrition and/or hydration might be impacted by the patient�s functional abilities. Reflect on whether the patient is able to go out and get food to eat, cook meals, safely use the stove, etc.
Consider the patient�s diet and whether they have any special dietary needs due to medical conditions, such as congestive heart failure, end-stage kidney disease, diabetes, oral health issues, etc. Reflect on whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet.
Based on your patient assessment, think about strategies for improving any nutrition issues that might have presented (e.g., nutritional supplements, community resources such as Meals on Wheels, referral to a nutritionist or dietician, etc.).
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Post a description of the patient assessment you performed using a tool for inpatient and long-term patient care, such as the Lawton IADL Scale. Explain whether nutrition and/or hydration might be impacted by the patient�s functional abilities. Then, describe the patient�s diet and whether he or she has any special dietary needs due to medical conditions. Address whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet. Finally, explain strategies for improving any nutrition issues that might present during the patient assessment.

 

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Compare the data for your selected hospital with data from other institutions in the area and across the country, as you think appropriate. (To do this, repeat the steps described above, but this time include these other institutions in your comparison.)

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Enter search criteria and click “Find Hospitals.” Select a hospital on which to focus for this Discussion.
• Review all of the data on this hospital, which should include the various Process of Care Measures and the Survey of Patients’ Hospital Experiences (HCAHPS scores).
• Compare the data for your selected hospital with data from other institutions in the area and across the country, as you think appropriate. (To do this, repeat the steps described above, but this time include these other institutions in your comparison.)
• Based upon your first selected hospital’s comparative scores, what do you think is the most important area related to patient satisfaction/clinical outcomes to improve, and why? It may be helpful to consider what other steps you would take to get a clearer picture of this quality issue.
• Think about how you as a leader and manager would communicate change at the point of care (front line) to provide service that improves one or more patient satisfaction/clinical outcomes in your selected hospital.
Post a brief description of the hospital and your selected outcome, including indications of the needed improvement. Then, provide a short, persuasive statement demonstrating how you would communicate and motivate a nurse at the point of care (front line) to provide service that improves the selected outcome. Support your statement with evidence and strategies from the literature.

 

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Explain why it is often claimed that hospitals compete for doctors rather than patients. What are some of the implications of this phenomenon, assuming that it is true?

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A) Distinguish between the concentration ratio and the herfindahi-hirschman index (HHI). What are the limitations of these measures within the context of the pharmaceutical industry?
b) If the interest group theory applies to hospitals, why doesn’t it also apply to nursing homes? Would a doctor-owned, for-profithospital be as attractive to physicians as a nonprofit hospital?
c) Can we say which are the most efficient hospitals nonprofits or for-profits? Which are the most efficient nursing homes? What qualifications apply to our present knowledge in each case? What is your view?
d) Explain why it is often claimed that hospitals compete for doctors rather than patients. What are some of the implications of this phenomenon, assuming that it is true?
e) Even nonprofit hospitals must earn a profit explain in view of the European and Canadian health system.
f) Suppose that the licensure requirements for health care providers were eliminated. Use supply-and-demand analysis to predict what may happen to the price and quantity of health care services. Are there other considerations, in particular, mechanism that could evolve to replace licensure?
g) Direct-to-consumer (DTC) advertising of prescription drugs is growing rapidly. List several products with which you have become familiar as a result of such advertising. Discuss the pros and cons of DTC advertising from the perspective of physicians and patients

 

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