Question

Case Study, Chapter 1, Health Care Delivery and Evidence-Based Nursing Practice

1. Suzanne Jones, 76-year-old patient with COPD is admitted to the ICU. Mrs. Jones is placed on mechanical ventilation to assist with her breathing. After 2 days on the ventilator, Mrs. Jones is extubated and then transferred to a medical-surgical unit. The medication regimen is adjusted during the hospitalization. Mrs. Jones is discharged home after 6 days. She and her family are pleased with the care she receive in the hospital. (Learning Objectives 3 and 6)

Describe the quality performance tools that may be used to demonstrate that the care and treatment rendered are both cost-efficient and of high quality.

Describe the quality performance tools that may be used to demonstrate that the nursing care utilized is evidence-based care and high quality, resulting in patient satisfaction and good patient outcomes.

2. The registered nurse working in the cardiac care clinic is tasked with implementing quality improvement measures. To educate the clinic staff, the nurse plans an in-service program to introduce concepts of quality improvement and evidence-based practice. Additionally, the role of the case manager will be included in the presentation. The nurse plans on using care of the patient with Congestive Heart Failure as a template, and prepares sample clinical pathways, care maps, and multidisciplinary action plans. (Learning Objective 3)

Describe how clinical pathways are used to coordinate care of caseloads of patients.

What is the role of the case manager in evaluating a patient’s progress?

What are examples of evidence-based practice tools used for planning patient care?

Answer 1

Chronic Obstructive Pulmonary disease is a 4th leading cause of death in america..National health Review survey shows participation of primary care clinician is important in recent activities with COPD..
   When Patinet Gets admitted win ICU with COPD or any other condition getting ventilator support it is important role for physician,nurses and Case managers to give quality and cost effective care for patient..When patient is in ventilator it is difficult to manage their breathing activity and ventilator's set parameters..For good evidence of agreed treatment plan informed treatment is important..Health care professionals must be trained and they sholud have good listen and communication skills..Case managers play a important role in patient rehabilitation and recovery process...
   Nurses are key role for management when the patient get admitted in hospital..they are the only contact person for their entire care in all stages..the role of nurses in COPD cause edcational knowledge and system barriers..It will reduce patient burden in this case..Nurses involvemnt in decision making is important for protocols..Immediate attendance,Continuous monitoring,nurse -led consultation and disease management sholud be effective role for nurses..smoking cession intervention and pulmonary rehabilitation is important for reducing the symptoms and improving the quality care..
2,clinical pathways aim to improve the continuty and co-ordination of care in disciplines and sectors..It will followed by flow chart presentation..It will differ from practice guidelines and protocols as they uses multidiciplinary team for quality and co-ordinate care..Clinical pathways help in many ways when caseloads of patient ..It will support in evidence based medicine clinical practice and training.It help for improve the clinical outcomes,reduce costs by shortening hospital stay..
    Case managers acts as a catalyst for the team..They are providing various care in disciplines.case mangers are important for patient..He will coordinate the case declined to the patient..They will follow the patient consultation and his service..They will avoid the unnecessary intervention and satisfy the patient needs..He will take over patient from admission to discharge procedure..He will see the clinical pathway for patient plan gets over within the particular time..