The Quality Assurance assignment is designed for you to look at the Medicare website to get a feel for the 5 Star Quality rating of LTC facilities.

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The Quality Assurance assignment is designed for you to look at the Medicare website to get a feel for the 5 Star Quality rating of LTC facilities. This is a very interesting time for LTC communities as this system has been overhauled and for the first time these ratings are tied to reimbursement.
The Star rating of a particular care center is composed of three different pieces, health inspection survey, staffing and quality measures. The health inspection survey is weighted more heavily than the others. Surveys occur every 9-15 months and the surveyors look for deficiencies in the care center. The score from the survey is based on the number and severity of the deficiencies found in the last 3 years on the inspections. A poor health inspection score can be detrimental to a facility, preventing the overall rating from reaching any higher than one star above the health inspection score. Other parts of the calculation are staffing and quality measures. Staffing scores are primarily based on the hours of care each resident receives from nursing staff daily. The quality scores are based on 11 different physical and clinical measures, including the percentage of resident reporting severe pain, and those experiencing falls that result in major injury. Each of these components contributes to the overall Star Rating. Unfortunately, the system is set up so that a limited number of centers can be 5 star, only 10% while 20% will be 1 star centers.

Participate in a hands-on psychological experience and write a 900- to 1200-word paper summarizing your experience and reflecting on how that aspect of psychology applies in real life.

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You will be asked to participate in a hands-on psychological experience and write a 900- to 1200-word paper summarizing your experience and reflecting on how that aspect of psychology applies in real life. Include a discussion of the impact of the science of psychology in your life. Suggested experiences include participating in individual or group psychotherapy, or career testing through Brenau services.

Participation in any of these activities would be confidential, and reports would focus only on what you learned about psychology, not on personal disclosure. You may also design a personal hands-on experience relating to psychology. For example, you might choose to watch and review a movie about psychology and interview someone who is in therapy, or you may choose to visit a nursing home or other psychological services provider. All activities must be approved by the faculty member. Some of these activities may span several weeks, such as the therapy, and must be initiated early in the semester to ensure completion.

Choice of these movies: Make sure your activities add up to 3 hours altogether. Ideally, your activities would be interrelated through a common theme:

  1. Watch a movie that relates to an aspect of psychology and review the movie from the standpoint of integrating information you learned in class and that you read in the text with what was portrayed in the movie. Movie suggestions: A Beautiful Mind, As Good as it Gets, 12 Angry Men, What about Bob, 50 First Dates, One Flew over the Cuckoo’s Nest, Awakenings, The Notebook. A Clockwork Orange,or The Soloist.

What did they use for a comparison? Outcome – improved blood pressure control – this is great

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PICOT Paper Does tele monitoring blood pressure (I) in African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)? Population – urban African Americans – I am not sure you need urban here. This is something that you can refine based on what the population is in the research studies that you find. Intervention – tele-monitoring of BP – this is good! Comparison – routine care – this you might need to define better – by routine care do you mean medication management? This can also be assisted by the research studies that you find. What did they use for a comparison? Outcome – improved blood pressure control – this is great! We want to decrease the blood pressure. Time – 6 months – this you can leave off unless all of the research studies that you find have a time frame of 6 months. Introduction (10 points possible) _____History/Evolution of Topic (5 points) _____Clinical Concern/Problem (5 points) Body (65 points possible) _____Clinical Question in PICO(T) Format (5 points) _____Evidenced Based Literature – Presentation of source, study, findings, & conclusion of each source (48 points) -At least 6 sources: APA citation within paper & reference page included -Must be Evidence-Based Practice Nursing Resources or Nursing Research Resources -Must be from within the last 5 years _____Make Recommendations/Suggestions for Clinical Impact and Identify/Discuss Steps to Create Suggested Changes (12 points) Conclusion (10 points possible) _____Brief Summary/Key Points of Paper (5 points) _____Strong Closing Statement (5 points) Paper Format (15 points possible) ____ _____APA Format (15 points) -Including cover page, double spaced, & reference page -Citation within paper -Professional writing – no spelling or grammatical errors -A minimum of 5 pages, not counting cover page & reference page

Pathophysiology and Nursing Management of Clients Health – Alterations in Pulmonary and Kidney Function

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NRS-410V Module 4 Mandatory DQ – Chest X-Ray..9

Pathophysiology and Nursing Management of Clients Health – Alterations in Pulmonary and Kidney Function

Use the image in “Discussion Question Resource: Chest X-Ray” to answer the following Critical Thinking Questions.

Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.

Critical Thinking Questions:

1.Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.

2.Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.

3.What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.