Theory Logic Model for hypertension in homeless

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Please see the attachment for instructions

Quadruple AIm

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Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

 

  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

 References include:

NUR 445 Week 1 Discussion: Brainstorming Change Project

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Step 1: Consider what change you would like to initiate that will benefit the healthcare community.

Discuss how you plan to facilitate making contact with a nurse leader and post a draft change project that willl impact quality improvement as  a narrative for students and faculty to review.

nutrition

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• Create nutrition power point

• Mastery: Advanced or exceeds achievement

• Met length and slide requirements. Minimal to no spelling and grammar errors. APA in-

text citations and references are used correctly. Resources have outstanding credibility.

•

• Proficiency: Clear/effective achievement

• Met length and slide requirements. Few spelling and grammar errors. APA in-text

citations and references are used with few errors. Resources have sufficient credibility.

• Mastery: Advanced or exceeds achievement

• For each of the nutrients selected, created content slide(s) that thoroughly addressed all

3 of the required items (3a through 3c). Content is consistently accurate, presented in a

logical fashion, and is extremely easy to follow.

• Proficiency: Clear/effective achievement

• For each of the nutrients selected, created content slide(s) that sufficiently addressed

the 3 required items (3a through 3c). Content is mostly accurate, is well organized, and

is easy to follow.

• Emerging: Limited or growing achievement

• For each of the nutrients selected, created content slide(s) that begin to address the 3

required items (3a through 3c). Content is partially accurate, shows the early stages of

organization.

• Mastery: Advanced or exceeds achievement

• All 5 items selected were appropriate nutrients from within the categories listed.

• Emerging: Limited or growing achievement

• Fewer than 3 of 5 items selected were appropriate nutrients from within the categories

lis

• Advanced or exceeds achievement

• All 5 items selected were appropriate nutrients from within the categories listed.

• Competence: Adequate/basic achievement

• Partially met length and slide requirements. Some spelling and grammar errors, which

detract from the audience's ability to comprehend material. Attempted to use APA in-

text citations and references. Resources have reasonable credibility.

BRAIN DEATH DISCUSSION

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see attached file for detail scenarios and questions 

article and summary

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Find article and summarize

see below

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see below

SOAP note

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SOAP note Diabetes mellitus tipe 2

Create a Reflection document

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Please read carefully the instructions.

You need to create a Reflection documen following the instructions and answering of the attached document.

complete a Reflection Document analyzing how the assignment (attached Artifact: ConcofPathophys w5

PowerPoint) demonstrates achievement of the identified

PSLO/GEC/Essential.

DUE REAL 1

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Name: Linda McCarthy
Age: 86 years
Provider: K. Townsend MD
Codestatus: DNI
BMI: 24.1
Allergies: penicillin, atorvastatin, red dye, latex
Admitweight: 145 lbs (65.8kg)

Linda McCartchy had a rough night. She was pretty restless and only slept two hours.
This morning she was having an issue with her hearing aids not working. They kept
whistling. I went to change the batteries, but she was out of them. Her family will be
bringing them in later today.

Nursing Assessments and notes

11/1
0700

Neuro/Cognitive: Alert and oriented to person and place. She intermittently
confused and called staff by the names of her children. Speech raspy. 4/5
strength in all extremities.
Cardiovascular: S1 and S2 heart sound present. Heart rate regular and even.
No edema was noted. Pedal pulses +2, radial pulses +3. Capillary refill less
than 3 seconds.

Respiratory: Even, regular, unlabored. Lung sounds wheezing through all
lung fields. Chronic dry cough. Wears 2 L via nasal cannula chronically.

Gastrointestinal: BS present x 4 quadrants. Abdomen soft, non-distended,
non-tender. Last bowel movement 2 days ago.

Genitourinary: Occasional stress incontinence.

Integumentary: Scattered bruising. Various stages of healing.

Sensory: Hard of hearing. Wears hearing aids and glasses.

11/1
0730

ADLs: Independent with utensil holders
Activity: Ambulated 100 feet with a roller walker

11/1
0830

Nursing Note: Client resting quietly in bed. Looking out the window, not
responding to staff prompts for verbal interaction. Moves all extremities
appropriately. Morning medications were administered without difficulty. Able
to state name but unsure of her birthday. Up in the hall with physical therapy.
Shuffling gait with use of a rolling walker.

11/1
1100

Nursing Note: RN called to bedside. The client stated that the staff took her
favorite earrings. Earrings were found in the client’s tissue box at the bedside.

11/1
2015

Nursing Note: Client evening hygiene offered. The client begins yelling, “No!
No! No!” as staff offer to assist with teeth brushing and denture care. Attempts
were made to deescalate the client and place her hearing aids so that she
could hear the conversation. The client begins attempting to hit and bite staff.
Client sitting in bed. Staff leave room to reduce stimulation.

11/1
2015

Neuro/Cognitive: Alert, oriented to self only. She believes it is 1965 and that
there are strangers in her house. Client calling out for her mother. Extremely
hard of hearing with hearing aids in place.

11/2
0700

Nursing Note: The client is awake in bed, staring around her room, rubbing
her eyes, and frequently yawning. Noted to have redness and purulent
drainage from right eye. Provider notified; prescriptions received.

11/2
0900

Nursing Note: Appetite poor, ate 5 small bites only, Drank a cup of juice.
Weight down. Will encourage protein supplement drinks between meals.

Date Intake Source & Amount

11/1 0700 Oral 240 mL

11/1
0900

Client Information:
Medical History: Presbyopia, bilateral cataracts, Alzheimer’s dementia,
hearing loss, hypertension, hyperlipidemia, osteoarthritis, ambulatory
dysfunction, chronic obstructive pulmonary disease

Medications:
● Rivastigmine 6 mg by mouth twice daily
● Lisinopril 20 mg by mouth daily
● Ezetimibe 10 mg by mouth daily
● Simvastatin 40 mg by mouth daily
● Docusate sodium 100 mg by mouth daily
● Polyethylene glycol 17 g by mouth daily – diluted in 8 oz of beverage
● Duloxetine 60 mg by mouth daily
● Artificial tears 1-2 drops into eyes PRN for dry eyes
● Oxygen 2L/NC PRN for difficulty breathing

11/2 0730 Prescriptions:
● Ciprofloxacin ocular ointment 0.5-inch right eye three times

daily