Based on your learning over the past six weeks, identify the factors that will be required for future change in the health care industry pertaining to quality improvement, patient safety, and risk management.

Based on your learning over the past six weeks, identify the factors that will be required for future change in the health care industry pertaining to quality improvement, patient safety, and risk management. What are the obstacles in improving quality of care? How ought financing of quality initiatives take place and whose responsibility is it for oversight? What role, if any, should patients participate in future initiatives? Respond to at least two of your classmates’ postings.


 

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delayed cord cutting/ clamping verses immediate cord cutting/ clamping

“Choice of research article”- complete chart based on research article.

“Systematic reveiw/ Meta analysis”- complete chart based on article.

*PICO question: Does delayed cord cutting/clamping versus early cord cutting/clamping have an effect on hemoglobin levels of the infant?

COMMENT KYLE

 I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT..BETWEEN 150-200 WORDS

I am an RN Transitional Care Manager. My job is to specifically visit and manage our frequently admitting patients and assist with interventions in the community to assist the patient.

I send at least 1-2 patients onto palliative care and or hospice weekly. Sometimes, patients will decline, transfer to ICU and expire.   In previous roles, I have cared for actively dying patients as a CNA and LPN. Personally, I have provided end of life care with my family for my grandmother, and my own mother. For me, being with a person during their last breath is a difficult thing to do, but a priviledge to be with someone during their last moments. I have found my family members, as well as patients, are often ready for suffering to end. I find a person’s preparedness, family, and faith greatly affect the dying person’s approach to death.

Depending on their needs, I assist families and patients find resources to address the root problem. This may be from coordinating care at home, to applying for benefits, or volunteer and community services. Many I have seen over mutliple admissions. For high risk patients with chronic and terminal illness, I specifically incorporate consults with spiritual care, and a strong palliative care/hospice provider.  The palliative care providers I recommend  send  Nurse Practioners bedside to the home every two weeks, or more often as needed (many palliative programs only have “telephonic” support, which is not enough support for many high risk patients). This strong “prescriber” relationship significantly reduces our re-admissions, along with improving education to patient and family about their condition, and the services that palliative care and hospice can provide them. Despite fear, through the interaction with our team regularly supporting  patients during the final “season” of life, families often are relieved of some of their guilt and stress on caregiving burdens. Often, families state they wish they would have known about these services earlier  (Hart, 2014).

From my personal and work related experience, I do not fear death. I have Advance Directives prepared and copied to my family, and we often revisit health topics and our wishes. The more I see at the trauma hospital where I work, I fear more about long term disability and financial resources running out and quality of life deteriorating. I have seen to many people drag out the inevitable, leading poor quality lives and being unhappy. For me, quality is better than quantity. I continue to live modestly, maintain an accessible home, and keep resources available for times of need. When the my time comes, I will not be afraid to reconcile and meet my maker.

References

Hart, J. (2014). Shifting Our View Toward Palliative Care’s Life-Giving Role. Alternative & Complementary Therapies, 20(1), 31-33. doi:10.1089/act.2014.20106

 

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There is no statement about the application of the theory to student’s research and the field of early childhood education.

Updated Spring 2018 Introduction Piaget’s Theory Target 10-8 The paper includes introduction which is about the constructivist theory in general and it is not history of the theorist or the background of the theorists. 14-11 There is a clear and detailed section of the student’s understanding and interpretation of Piaget’s theory. Examples of student’s experiences with children are used to clarify the statement. Vygotsky’s Theory 14-11 There is a clear and detailed section of the student’s understanding and interpretation of Vygotsky’s theory. Examples of student’s experiences with children are used to clarify the statement. Application 14-11 There is a clear and detailed statement about how the theory can or cannot be applied to student’s research and the field of early childhood education. Examples are provided. Resources 8-7 All the resources introduced in the class are used as references in the paper. APA 10-8 All the APA (6th edition) guidelines are followed correctly. NOTE: 1 extra point may be added to your overall score per additionally scholarly source, but the source must be Acceptable 7-1 This is either a report or an inaccurate representation of the theory. Unacceptable 0 There is no introduction 10-1 There is a detailed section on Piaget’s theory, student’s understanding and interpretation of the theory is stated but not in detail, is missing examples. 10-1 There is a detailed section on Vygotsky’s theory, student’s understanding and interpretation of the theory is stated but not in detail, is missing examples. 10-1 There is a clear statement of only one or the other: how the theory can or cannot be applied to student’s research or the field of early childhood education, or lack of clarity of both. 6-1 A few of the resources introduced in the class are used as references in the paper. 7-1 Some of the APA guidelines are followed there are 3 to 7 errors. 0 There is no statement about Piaget’s theory. 0 There is no statement about Piaget’s theory. 0 There is no statement about the application of the theory to student’s research and the field of early childhood education. 0 None of the resources introduced in the class were used as resources in the paper. APA guidelines are not followed or there are more than 8 errors in the paper. Updated Spring 2018 Grammar significant to your communication. 10-8 Appropriate grammar is used in the paper. Less than 3 errors exist 7-1 4 to 7 grammatical errors exist. 0 More than 8 grammatical errors exist in the paper.

 

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