Health facility caseload changes during the introduction of a CHW-intervention, in Uganda
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Sham Lal from the London School of Hygiene & Tropical Medicine presents on behalf of the ACT Consortium at the European Congress on Tropical Medicine and International Health in Basel, Switzerland on 8 September 2015.
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GH Workforce Taskshifting: Joseph Babigumira & Lou Garrison
This session focuses on considerations and challenges in meeting the health care needs of a growing global population. Attention will be placed on task shifting – the delegation of health interventions to less specialized health workers.
Harvard Internal Medicine-Pediatrics Noon Conference Feb 3, 2011
Slide show of a talk Dr. Maru gave exploring issues in the surgical care research that Nyaya is currently applying for NIH funding for.
12Plan for Evaluating the Impact of the Inte.docx
1
2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
2Reducing Stroke Readmissions in the Acute.docx
2
Reducing Stroke Readmissions in the Acute Care Setting
Michelle L Wallace
NUR 430
Professor Roberts
Introduction:
Cardiovascular diseases, obesity, cancer, and stroke are some of the leading diseases in the world, and they are the most frequent causes of death in recent past years. Stroke is the condition when there is a blockage of blood supply, and oxygen to any part of the brain. Unfortunately, his will cause the death of brain cells. This capstone project is about stroke readmissions that are increasing with passing time. There are efforts being made to reduce stroke readmissions to hospitals, and there are a lot of factors involved. Patients should be given proper awareness, and nurses should be educated so they may treat the patients with the appropriate care necessary. According to the American Heart Association, 389 deaths occur each day due to a stroke in 2016 (Sunil, 2013). This proposal will discuss the different ways to reduce the stroke causes and readmissions in the hospital.
Purpose:
The purpose of the project is to discuss the different causes of stroke and other cardiovascular diseases and further, it will discuss the ways of prevention and treatment as well. It is a common observation that stroke readmissions are increasing day by day, and patients are not getting enough care and treatment in hospitals. It is observed that may stroke patients are admitted to the hospital, go home after treatment; and unfortunately, have to re visit hospitals again and again. The awareness level has to be increased and the education level has to be enhanced as well. The community should be engaged in the different training sessions and proper guidance should be given to them (Stephanie Rennke, 2015). There are different strategies for reducing stroke readmissions in the hospitals. First, it should be noticed that the immune system and nervous system of the patients are weak, and they have to build immunity and the concept of self-care should be introduced. The families and peer groups should be supportive enough and diet recommendations should be given to them. Subsequently, it would be the duty of the nurses to provide education to patients hopefully resulting in the reduction of stroke readmissions.
Personal Reflections:
There are different significant issues regarding ailments and medical experts are presenting their strategies to control these issues; however, I have selected stroke for the proposal. Stroke and its incidence are increasing day by day, and the western countries are most at risk. Sedentary lifestyles are increasing, and the junk food prevalence is enhanced in western countries as well. We as a people are so busy with jobs and business, there is very little time to incorporate a healthy lifestyle. Unfortunately, there is a lack of routine exercise as a nation. On the other hand, the ratio of smokers is also increasing, in which is ...
2Reducing Stroke Readmissions in the Acute.docx
2
Reducing Stroke Readmissions in the Acute Care Setting
Michelle L Wallace
NUR 430
Professor Roberts
Introduction:
Cardiovascular diseases, obesity, cancer, and stroke are some of the leading diseases in the world, and they are the most frequent causes of death in recent past years. Stroke is the condition when there is a blockage of blood supply, and oxygen to any part of the brain. Unfortunately, his will cause the death of brain cells. This capstone project is about stroke readmissions that are increasing with passing time. There are efforts being made to reduce stroke readmissions to hospitals, and there are a lot of factors involved. Patients should be given proper awareness, and nurses should be educated so they may treat the patients with the appropriate care necessary. According to the American Heart Association, 389 deaths occur each day due to a stroke in 2016 (Sunil, 2013). This proposal will discuss the different ways to reduce the stroke causes and readmissions in the hospital.
Purpose:
The purpose of the project is to discuss the different causes of stroke and other cardiovascular diseases and further, it will discuss the ways of prevention and treatment as well. It is a common observation that stroke readmissions are increasing day by day, and patients are not getting enough care and treatment in hospitals. It is observed that may stroke patients are admitted to the hospital, go home after treatment; and unfortunately, have to re visit hospitals again and again. The awareness level has to be increased and the education level has to be enhanced as well. The community should be engaged in the different training sessions and proper guidance should be given to them (Stephanie Rennke, 2015). There are different strategies for reducing stroke readmissions in the hospitals. First, it should be noticed that the immune system and nervous system of the patients are weak, and they have to build immunity and the concept of self-care should be introduced. The families and peer groups should be supportive enough and diet recommendations should be given to them. Subsequently, it would be the duty of the nurses to provide education to patients hopefully resulting in the reduction of stroke readmissions.
Personal Reflections:
There are different significant issues regarding ailments and medical experts are presenting their strategies to control these issues; however, I have selected stroke for the proposal. Stroke and its incidence are increasing day by day, and the western countries are most at risk. Sedentary lifestyles are increasing, and the junk food prevalence is enhanced in western countries as well. We as a people are so busy with jobs and business, there is very little time to incorporate a healthy lifestyle. Unfortunately, there is a lack of routine exercise as a nation. On the other hand, the ratio of smokers is also increasing, in which is .
Mobile value added nutrition extension services and women economic empowerm...
Nutrition mobile services that send information start to your phones. MaFAAS
Running head RESEARCH QUESTIONS1RESEARCH QUESTIONS2.docx
Running head: RESEARCH QUESTIONS
1
RESEARCH QUESTIONS
2
Research Questions
Grand Canyon University
PICOT Statement
The paper will put into focus the aspect associated with the shortage of nursing staff in the healthcare system of the United States of America. It is evident that the shortage of nursing professionals in the country has resulted in an escalation of LTAC that is Long Term Acute Care patients who are of forty years and above. It is evident that the shortage has resulted in such patients staying in the health facilities for a prolonged period of time of about five months. Staying in a health facility for that prolonged period of time has not had a positive effect on the health of the patients and instead, it has resulted in their health decrementing to low levels
.
Population Problem
The shortage of nurses in the USA has had drastic effects on the healthcare system. Additionally, the ratio of nursing professionals to that of the patients is not equivalent as per the set legal, policy and management standards needed to ensure that the quality of healthcare disseminated to the patients is sufficient. The shortage has been contributed by the increase in demand for better healthcare, a decline in the number of experienced nurses’ professionals and also a decline in the number of registered nurses. The high rate of nurses’ turnover has also led to a decline in the number of nurses. Research indicates that in every three nurses one drops out of the profession after working for an estimated period of two years (Burns, & Grove, 2011). Additionally, it is also evident that one out of five nurses drop out of the profession in cases where the nurses work under stressful environments. Forecasts have indicated that the problem may escalate in years to come especially due to the fact that the demand for better healthcare will not be met by the supply of nursing professionals. The problem has affected a number of healthcare facilities that have seen them being closed due to a decline in nature and the quality of the services being offered. This has led to a decline in the ratio of nurses to the patients. The problem has also led to overworking of nurses especially in facilities that focus mainly on chronic illnesses (Burns, & Grove, 2011
).
Intervention
In the case, an evidence-based approach can be used in finding an intervention. The research will put into consideration six hospitals and the data will be collected based on a random sampling of the respondents. The respondents will be chosen from the nurses' population in the highlighted facilities and will be used in trying to come up with solutions for the problem (Marć, Bartosiewicz, Burzyńska, Chmiel, & Januszewicz, 2019
).
Comparison
In the case, the research will put into consideration LTCA
patients in the selected facilities. The management and the nurses will also participate in the research. Nurses will be provided with a platform where they will be able to respond to various.
IntroductionThis assignment discusses the anticipatory and alte.docx
Introduction:
This assignment discusses the anticipatory and alternative approaches for long-term conditions from different aspects. It consists of five patches explaining the importance of COPD self-management plan, response to COPD deterioration, the role of telehealth in managing those patients as well as philosophy of anticipatory care relating it to nursing models.
Patch one – learning outcome one: self-management strategies.
Approximately three million people are believed to have chronic obstructive pulmonary disease (COPD) in England, with around 30,000 lives lost as a result each year making it the fifth biggest cause of mortality and morbidity in the UK (Stewart et al., 2011; Wilson et al., 2015). Self-management can play a vital part in the management of COPD and can also give the patient a greater sense of autonomy, thereby improving their quality of life (Robbins et al., 2013; Sallnow, Kumar, & Kellehear, 2013). Self-management plan should be comprehensive, individualized and tailored to suit each patient as they have varying symptoms and needs that require individualized plan in order to achieve optimum health outcome. For that reason, there should be a great cooperation, education and person-centered support from specialized health professionals who are COPD knowledgeable and properly trained (Cornforth,2013 ). Based on that, clinician’s goal should be directed towards working with COPD patients collaboratively to discuss and negotiate their tolerated healthy behaviors, the disease nature, its management and encouragement of possible life style modifications, for instance, more exercise, healthy eating, correct inhaler technique and basically smoking cessation( Cornforth,2013).
Patients who have early-stage COPD may not display their symptoms in a way that they recognise (Robbins et al., 2013; Sallnow, Kumar, & Kellehear, 2013); but as COPD worsens there is an increase seen in wheezing, coughing, sputum production, and dyspnoea (Sharp, Moran, & Kuhn, 2013). In some patients these symptoms may become so severe that long-term oxygen therapy is needed (Sharp, Moran, & Kuhn, 2013). It is important that patients are able to recognise their own symptoms and thus any changes in them, which can be done by keeping a daily record (Stewart et al., 2011).
It is important that patients take their medications as prescribed, even during periods of feeling well (Robbins et al., 2013). Continuous use of medication can help prevent exacerbations; but it is important to check for any interactions that may occur with medicines which are available without prescription (Sallnow, Kumar, & Kellehear, 2013). In addition to regular medications, it is also important that patients receive annual vaccinations such as the flu jab and an anti-pneumococcal vaccination which protects against serious infections caused by pneumococcal bacteria (Sallnow, Kumar, & Kellehear, 2013).
Self-monitoring in COPD is a key tool in preventing exacerbations (Sharp, Moran, .
Community perspectives on task-shifting/ sharing: a multi-country survey to i...
Community perspectives on task-shifting sharing: a multi-country survey to inform WHO consolidated ARV guidelines
Knowledge and Practice of Asthmatic’s Patients Regard using Meter Dose Inhaler
Knowledge and Practice of Asthmatic’s Patients Regard using Meter Dose InhalerSSR Institute of International Journal of Life Sciences
Inadequate management of asthma can lead to physical handicap and death. The study aimedto assess knowledge and practice of
asthmatic participants for use meter dose inhaler device. A descriptive study involved 105 participants, conducted at public
hospitals in Khartoum state from July to October2014. Questionnaire and observational check list were used for data collection.
The study enrolled (51%) female and (49%) male. Most of participants their age group ranged, between 36 to 45 years, (35%)
were workers and (31%) received University education while 44 % had a chronic asthma. Level of participant’s knowledge was a
very good regard care and storage of the device; sequent (77% - 79%). There were(64%) had moderate level of knowledge for
preparation dose (69%) replacing inhaler device and cleaning mouthpiece (60%), while 56% had very poor knowledge to rinse
mouth after puff. A highly significant difference between the level of knowledge and education (P value<0.001) regard replacing
the inhaler device, and cleansing mouthpiece. All participants demonstrated correct technique of using inhaler device, position,
removed, pressed replacement the cap, shaking inhaler device and took deep breath. While half of them had moderate skill level
for opened mouth technique, continuous breathing and rinsed mouth after puffuse, and fewer of participants had poor technique
during repeating the puff. Most of participants reflected moderate to poor level of knowledge and have very good practice for
correct used inhaler meter device; this reveals the discrepancy between knowledge and practice.Running head PLANNING STAGE 2-(DESIGN PHASE) OF A RESEARCH PROJEC.docx
Running head: PLANNING STAGE 2-(DESIGN PHASE) OF A RESEARCH PROJECT 1
PLANNING STAGE 2- (DESIGN PHASE) OF A RESEARCH PROJECT 8
Planning Stage 2- (Design Phase) of a Research Project
Student name
Florida National University
Planning Stage 2- (Design Phase) of a Research Project
Heart failure is one of the most common types of chronic conditions among the elderly, which results into increased readmissions globally. This statistic is attributable to poor coordination and communication in the transition care settings. The various care settings include skilled nursing facilities, acute-care hospitals, long-standing care facilities and ambulatory stay (Naylor et al., 2017). This research paper is aimed at investigating the reason for poor continuity of care in transition care facilities. A detailed literature review was performed regarding the standard of care in such settings for patients with heart failure. The research methodologies used include case study methods, interviews, and administration of questionnaires. Probability and non-probability methods including stratified sampling and convenience sampling were used as the sampling methodologies. The necessary tools for data collection include questionnaires, interviews, schedules and observation techniques. In addition, an algorithm was created during this design phase. Thus, an insight into the design phase is sought and discussed herein.
Literature Review
Heart failure is a prolonged condition that has been highlighted as one of the top causes of public health complications in the world. The American Journal of Accountable care provides detailed information on heart failure as a public health problem. According to this journal, there are numerous causes of readmission of patients undergoing the transition care model (A Literature Review of Heart Failure Transitional Care Interventions, 2019). The journal highlights various issues, such as early discharge, poor management of underlying problems, poor coordination among key stakeholders and early discharge of patients as the major causes of readmission. All such issues can, however, be prevented and thus this research will discuss some of the coping methods. In addition, the US medical beneficiaries discuss the quality and safety in the transition care model (Teno et al. , 2018). Some of the beneficiaries state their experiences following being admitted into the transition care model. This article complements the previous article by adding real life case study analysis of patients who have been previously admitted to the transition care. Further, interviews of clinicians working in the transition care model are highlighted with an explanation of failure to conduct follow up visits of particular patients.
The American Journal of Public Health explores the affordability of the transition care and the quality of care that some patients can be able to afford. The article has explored the ...
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Interventions to change providers' practice in cameroon h hopkins
Presentation by Heidi Hopkins
Cross-cutting analysis Lead, ACT Consortium
Senior Lecturer in Malaria & Diagnostics at London School of Hygiene & Tropical Medicine
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Principal Investigator, ACT Consortium study in Uganda
Ministry of Health
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GH Workforce Taskshifting: Joseph Babigumira & Lou Garrison
This session focuses on considerations and challenges in meeting the health care needs of a growing global population. Attention will be placed on task shifting – the delegation of health interventions to less specialized health workers.
Harvard Internal Medicine-Pediatrics Noon Conference Feb 3, 2011
Slide show of a talk Dr. Maru gave exploring issues in the surgical care research that Nyaya is currently applying for NIH funding for.
12Plan for Evaluating the Impact of the Inte.docx
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2
Plan for Evaluating the Impact of the Intervention
Anne Marie WouapetName
Walden University
NURS 8310 Section 03, Epidemiology and Population HealthClass
April 29, 2018Date
Plan for Evaluating the Impact of the Intervention
Hospital-acquired infections have been determined throughout this project to be a significant problem in the United States health care system. Epidemiologic data show that there is still a considerable number of patients who die as a result of infections that they have acquired while receiving care (Umscheid et al., 2011). The older population was found to be at a higher risk of acquiring these infections because of their deteriorating immune systems (Sievert et al., 2013). Therefore, a proposed intervention to eliminate the dangers of infection was created. The intervention proposes that nurses go through hand washing education for an extended period to enhance their compliance to hand hygiene after the education program. In studying the potential impacts of this intervention, it was determined that hand washing education is usually effective in changing perceptions and behaviors with regards to hand hygiene, but the compliance to what has been learned is often not maintained. Therefore, this intervention suggests that the education is based on the practice environment and that the nurses are monitored for an extended period. The following is an evaluation plan aiming at assessing the potential outcomes of the proposed intervention.
Evaluation Plan
This evaluation plan is designed to assess the expected outcomes from the implementation of the program (Friis & Sellers, 2014). This plan will investigate the extent to which the hand washing intervention plan will help to reduce the rate of hospital-acquired in infections in the healthcare facilities in which the intervention will be implemented. The plan includes an evaluation of the short-term, medium-term, and long-term changes expected to occur after the implementation of the intervention.
Stakeholders Involved in the Intervention
For the expected outcome to be achieved, the following stakeholders will be required to participate in the intervention program. Evaluating the participation of the stakeholders is essential in determining their contribution to the outcome of the program (Centers for Disease Control, 2011). The program will require the participation of the Director of Nursing, who will be responsible for guiding the nurses included in the intervention to ensure that they participate in the program as required. The intervention will also require the participation of the Directors of the respective health care facilities where the intervention will be implemented to ensure that they provide the resources needed for the program to be implemented and approve the use of the hospital data to evaluate the outcomes of the program. The hospitals included will also need to employ super ...
2Reducing Stroke Readmissions in the Acute.docx
2
Reducing Stroke Readmissions in the Acute Care Setting
Michelle L Wallace
NUR 430
Professor Roberts
Introduction:
Cardiovascular diseases, obesity, cancer, and stroke are some of the leading diseases in the world, and they are the most frequent causes of death in recent past years. Stroke is the condition when there is a blockage of blood supply, and oxygen to any part of the brain. Unfortunately, his will cause the death of brain cells. This capstone project is about stroke readmissions that are increasing with passing time. There are efforts being made to reduce stroke readmissions to hospitals, and there are a lot of factors involved. Patients should be given proper awareness, and nurses should be educated so they may treat the patients with the appropriate care necessary. According to the American Heart Association, 389 deaths occur each day due to a stroke in 2016 (Sunil, 2013). This proposal will discuss the different ways to reduce the stroke causes and readmissions in the hospital.
Purpose:
The purpose of the project is to discuss the different causes of stroke and other cardiovascular diseases and further, it will discuss the ways of prevention and treatment as well. It is a common observation that stroke readmissions are increasing day by day, and patients are not getting enough care and treatment in hospitals. It is observed that may stroke patients are admitted to the hospital, go home after treatment; and unfortunately, have to re visit hospitals again and again. The awareness level has to be increased and the education level has to be enhanced as well. The community should be engaged in the different training sessions and proper guidance should be given to them (Stephanie Rennke, 2015). There are different strategies for reducing stroke readmissions in the hospitals. First, it should be noticed that the immune system and nervous system of the patients are weak, and they have to build immunity and the concept of self-care should be introduced. The families and peer groups should be supportive enough and diet recommendations should be given to them. Subsequently, it would be the duty of the nurses to provide education to patients hopefully resulting in the reduction of stroke readmissions.
Personal Reflections:
There are different significant issues regarding ailments and medical experts are presenting their strategies to control these issues; however, I have selected stroke for the proposal. Stroke and its incidence are increasing day by day, and the western countries are most at risk. Sedentary lifestyles are increasing, and the junk food prevalence is enhanced in western countries as well. We as a people are so busy with jobs and business, there is very little time to incorporate a healthy lifestyle. Unfortunately, there is a lack of routine exercise as a nation. On the other hand, the ratio of smokers is also increasing, in which is ...
2Reducing Stroke Readmissions in the Acute.docx
2
Reducing Stroke Readmissions in the Acute Care Setting
Michelle L Wallace
NUR 430
Professor Roberts
Introduction:
Cardiovascular diseases, obesity, cancer, and stroke are some of the leading diseases in the world, and they are the most frequent causes of death in recent past years. Stroke is the condition when there is a blockage of blood supply, and oxygen to any part of the brain. Unfortunately, his will cause the death of brain cells. This capstone project is about stroke readmissions that are increasing with passing time. There are efforts being made to reduce stroke readmissions to hospitals, and there are a lot of factors involved. Patients should be given proper awareness, and nurses should be educated so they may treat the patients with the appropriate care necessary. According to the American Heart Association, 389 deaths occur each day due to a stroke in 2016 (Sunil, 2013). This proposal will discuss the different ways to reduce the stroke causes and readmissions in the hospital.
Purpose:
The purpose of the project is to discuss the different causes of stroke and other cardiovascular diseases and further, it will discuss the ways of prevention and treatment as well. It is a common observation that stroke readmissions are increasing day by day, and patients are not getting enough care and treatment in hospitals. It is observed that may stroke patients are admitted to the hospital, go home after treatment; and unfortunately, have to re visit hospitals again and again. The awareness level has to be increased and the education level has to be enhanced as well. The community should be engaged in the different training sessions and proper guidance should be given to them (Stephanie Rennke, 2015). There are different strategies for reducing stroke readmissions in the hospitals. First, it should be noticed that the immune system and nervous system of the patients are weak, and they have to build immunity and the concept of self-care should be introduced. The families and peer groups should be supportive enough and diet recommendations should be given to them. Subsequently, it would be the duty of the nurses to provide education to patients hopefully resulting in the reduction of stroke readmissions.
Personal Reflections:
There are different significant issues regarding ailments and medical experts are presenting their strategies to control these issues; however, I have selected stroke for the proposal. Stroke and its incidence are increasing day by day, and the western countries are most at risk. Sedentary lifestyles are increasing, and the junk food prevalence is enhanced in western countries as well. We as a people are so busy with jobs and business, there is very little time to incorporate a healthy lifestyle. Unfortunately, there is a lack of routine exercise as a nation. On the other hand, the ratio of smokers is also increasing, in which is .
Mobile value added nutrition extension services and women economic empowerm...
Nutrition mobile services that send information start to your phones. MaFAAS
Running head RESEARCH QUESTIONS1RESEARCH QUESTIONS2.docx
Running head: RESEARCH QUESTIONS
1
RESEARCH QUESTIONS
2
Research Questions
Grand Canyon University
PICOT Statement
The paper will put into focus the aspect associated with the shortage of nursing staff in the healthcare system of the United States of America. It is evident that the shortage of nursing professionals in the country has resulted in an escalation of LTAC that is Long Term Acute Care patients who are of forty years and above. It is evident that the shortage has resulted in such patients staying in the health facilities for a prolonged period of time of about five months. Staying in a health facility for that prolonged period of time has not had a positive effect on the health of the patients and instead, it has resulted in their health decrementing to low levels
.
Population Problem
The shortage of nurses in the USA has had drastic effects on the healthcare system. Additionally, the ratio of nursing professionals to that of the patients is not equivalent as per the set legal, policy and management standards needed to ensure that the quality of healthcare disseminated to the patients is sufficient. The shortage has been contributed by the increase in demand for better healthcare, a decline in the number of experienced nurses’ professionals and also a decline in the number of registered nurses. The high rate of nurses’ turnover has also led to a decline in the number of nurses. Research indicates that in every three nurses one drops out of the profession after working for an estimated period of two years (Burns, & Grove, 2011). Additionally, it is also evident that one out of five nurses drop out of the profession in cases where the nurses work under stressful environments. Forecasts have indicated that the problem may escalate in years to come especially due to the fact that the demand for better healthcare will not be met by the supply of nursing professionals. The problem has affected a number of healthcare facilities that have seen them being closed due to a decline in nature and the quality of the services being offered. This has led to a decline in the ratio of nurses to the patients. The problem has also led to overworking of nurses especially in facilities that focus mainly on chronic illnesses (Burns, & Grove, 2011
).
Intervention
In the case, an evidence-based approach can be used in finding an intervention. The research will put into consideration six hospitals and the data will be collected based on a random sampling of the respondents. The respondents will be chosen from the nurses' population in the highlighted facilities and will be used in trying to come up with solutions for the problem (Marć, Bartosiewicz, Burzyńska, Chmiel, & Januszewicz, 2019
).
Comparison
In the case, the research will put into consideration LTCA
patients in the selected facilities. The management and the nurses will also participate in the research. Nurses will be provided with a platform where they will be able to respond to various.
IntroductionThis assignment discusses the anticipatory and alte.docx
Introduction:
This assignment discusses the anticipatory and alternative approaches for long-term conditions from different aspects. It consists of five patches explaining the importance of COPD self-management plan, response to COPD deterioration, the role of telehealth in managing those patients as well as philosophy of anticipatory care relating it to nursing models.
Patch one – learning outcome one: self-management strategies.
Approximately three million people are believed to have chronic obstructive pulmonary disease (COPD) in England, with around 30,000 lives lost as a result each year making it the fifth biggest cause of mortality and morbidity in the UK (Stewart et al., 2011; Wilson et al., 2015). Self-management can play a vital part in the management of COPD and can also give the patient a greater sense of autonomy, thereby improving their quality of life (Robbins et al., 2013; Sallnow, Kumar, & Kellehear, 2013). Self-management plan should be comprehensive, individualized and tailored to suit each patient as they have varying symptoms and needs that require individualized plan in order to achieve optimum health outcome. For that reason, there should be a great cooperation, education and person-centered support from specialized health professionals who are COPD knowledgeable and properly trained (Cornforth,2013 ). Based on that, clinician’s goal should be directed towards working with COPD patients collaboratively to discuss and negotiate their tolerated healthy behaviors, the disease nature, its management and encouragement of possible life style modifications, for instance, more exercise, healthy eating, correct inhaler technique and basically smoking cessation( Cornforth,2013).
Patients who have early-stage COPD may not display their symptoms in a way that they recognise (Robbins et al., 2013; Sallnow, Kumar, & Kellehear, 2013); but as COPD worsens there is an increase seen in wheezing, coughing, sputum production, and dyspnoea (Sharp, Moran, & Kuhn, 2013). In some patients these symptoms may become so severe that long-term oxygen therapy is needed (Sharp, Moran, & Kuhn, 2013). It is important that patients are able to recognise their own symptoms and thus any changes in them, which can be done by keeping a daily record (Stewart et al., 2011).
It is important that patients take their medications as prescribed, even during periods of feeling well (Robbins et al., 2013). Continuous use of medication can help prevent exacerbations; but it is important to check for any interactions that may occur with medicines which are available without prescription (Sallnow, Kumar, & Kellehear, 2013). In addition to regular medications, it is also important that patients receive annual vaccinations such as the flu jab and an anti-pneumococcal vaccination which protects against serious infections caused by pneumococcal bacteria (Sallnow, Kumar, & Kellehear, 2013).
Self-monitoring in COPD is a key tool in preventing exacerbations (Sharp, Moran, .
Community perspectives on task-shifting/ sharing: a multi-country survey to i...
Community perspectives on task-shifting sharing: a multi-country survey to inform WHO consolidated ARV guidelines
Knowledge and Practice of Asthmatic’s Patients Regard using Meter Dose Inhaler
Knowledge and Practice of Asthmatic’s Patients Regard using Meter Dose InhalerSSR Institute of International Journal of Life Sciences
Inadequate management of asthma can lead to physical handicap and death. The study aimedto assess knowledge and practice of
asthmatic participants for use meter dose inhaler device. A descriptive study involved 105 participants, conducted at public
hospitals in Khartoum state from July to October2014. Questionnaire and observational check list were used for data collection.
The study enrolled (51%) female and (49%) male. Most of participants their age group ranged, between 36 to 45 years, (35%)
were workers and (31%) received University education while 44 % had a chronic asthma. Level of participant’s knowledge was a
very good regard care and storage of the device; sequent (77% - 79%). There were(64%) had moderate level of knowledge for
preparation dose (69%) replacing inhaler device and cleaning mouthpiece (60%), while 56% had very poor knowledge to rinse
mouth after puff. A highly significant difference between the level of knowledge and education (P value<0.001) regard replacing
the inhaler device, and cleansing mouthpiece. All participants demonstrated correct technique of using inhaler device, position,
removed, pressed replacement the cap, shaking inhaler device and took deep breath. While half of them had moderate skill level
for opened mouth technique, continuous breathing and rinsed mouth after puffuse, and fewer of participants had poor technique
during repeating the puff. Most of participants reflected moderate to poor level of knowledge and have very good practice for
correct used inhaler meter device; this reveals the discrepancy between knowledge and practice.Running head PLANNING STAGE 2-(DESIGN PHASE) OF A RESEARCH PROJEC.docx
Running head: PLANNING STAGE 2-(DESIGN PHASE) OF A RESEARCH PROJECT 1
PLANNING STAGE 2- (DESIGN PHASE) OF A RESEARCH PROJECT 8
Planning Stage 2- (Design Phase) of a Research Project
Student name
Florida National University
Planning Stage 2- (Design Phase) of a Research Project
Heart failure is one of the most common types of chronic conditions among the elderly, which results into increased readmissions globally. This statistic is attributable to poor coordination and communication in the transition care settings. The various care settings include skilled nursing facilities, acute-care hospitals, long-standing care facilities and ambulatory stay (Naylor et al., 2017). This research paper is aimed at investigating the reason for poor continuity of care in transition care facilities. A detailed literature review was performed regarding the standard of care in such settings for patients with heart failure. The research methodologies used include case study methods, interviews, and administration of questionnaires. Probability and non-probability methods including stratified sampling and convenience sampling were used as the sampling methodologies. The necessary tools for data collection include questionnaires, interviews, schedules and observation techniques. In addition, an algorithm was created during this design phase. Thus, an insight into the design phase is sought and discussed herein.
Literature Review
Heart failure is a prolonged condition that has been highlighted as one of the top causes of public health complications in the world. The American Journal of Accountable care provides detailed information on heart failure as a public health problem. According to this journal, there are numerous causes of readmission of patients undergoing the transition care model (A Literature Review of Heart Failure Transitional Care Interventions, 2019). The journal highlights various issues, such as early discharge, poor management of underlying problems, poor coordination among key stakeholders and early discharge of patients as the major causes of readmission. All such issues can, however, be prevented and thus this research will discuss some of the coping methods. In addition, the US medical beneficiaries discuss the quality and safety in the transition care model (Teno et al. , 2018). Some of the beneficiaries state their experiences following being admitted into the transition care model. This article complements the previous article by adding real life case study analysis of patients who have been previously admitted to the transition care. Further, interviews of clinicians working in the transition care model are highlighted with an explanation of failure to conduct follow up visits of particular patients.
The American Journal of Public Health explores the affordability of the transition care and the quality of care that some patients can be able to afford. The article has explored the ...
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Flu Vaccine Alert in Bangalore Karnataka
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This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
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Physiology of Chemical Sensation of smell.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
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Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
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1. Enlist the non-respiratory functions of the respiratory tract
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Study Resources:
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4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
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5. Enlist some common indications for obtaining an ECG
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2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
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Health facility caseload changes during the introduction of a CHW-intervention, in Uganda
- 1. CHW-intervention Health facility caseload changes during the introduction of a CHW-intervention, in Uganda Sham Lal (Poster number PST3.006) 0 100 200 300 400 500 600 700 May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Mar Apr May Jun Jul Aug Sep Oct Nov Dec Numberofhealthcentrevisits Pre-intervention period Intervention-period Malaria visits Non-malaria visits CHW-intervention
- 2. ‐ Interrupted time series approach ‐ Linear segmented regression models ‐ Pre-intervention trends vs. intervention-period trends ‐ Findings ‐ Malaria visits declined sharply after a CHW-intervention ‐ Three months after, malaria visits declined by 69%, compared to the pre-intervention period. ‐ Non-malaria visits remained the same ‐ Conclusions ‐ Reduced utilisation at health centres may make more time available for health workers ‐ The health worker’s role may be expanded to include additional roles PLOS One Lal S, et al. Health Facility Utilisation Changes during the Introduction of Community Case Management of Malaria in South Western Uganda: An Interrupted Time Series Approach. PLoS One. 2015; doi:10.1371/journal.pone.0137448