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Week 2 Clinical Discussion Activity: Managing Quality, Safety, and Ethics in the Community Now that you...

Week 2 Clinical Discussion Activity: Managing Quality, Safety, and Ethics in the Community

Now that you have completed the Sentinel City tour:

  1. Select a target population of interest and discuss relevant demographic data and health status indicators for this population group. You may select specific people in your own community as your target population (i.e., elderly in skilled nursing facilities, children, or any of the groups in Sentinel City).
  2. Identify major health concerns for the target population. Include discussion of major health concerns in relation to a global health issue.
  3. Describe at least 5 interventions that you think might help in addressing those health concerns.

Solutions

Expert Solution

Clinical Discussion Activity: Managing Quality, Safety, and Ethics in the Community

Target Population: Elderly in Skilled Nursing Facilities

The first step is to define who is included in this assessment group/population. In this scenario, we include individuals who are inmates/patients of a skilled nursing facility and is above 60 years of age.

The assessment profile can be made into two sections for easy analysis

SECTION 1

The collection of demographic data, includes questions on the following attributes;

Demographic profile

1

Name (optional)

2

Age in years

3

Gender

Male/Female

4

Educational status

Specify illiterate/the highest level of education attained

5

Marital Status

Married/divorced/widow/widower/single living

6

Number of living children

7

Previous Occupation

Specify the number of years of employment

8

Year of admission

Specify the date

9

Source of income

Specify

10

Insurance beneficiary

Yes/No, if yes specify

11

Socio-economic status

SECTION 2

Health status indicators of Elderly in Skilled Nursing Facilities

Here, we will be using checklists to categorize each elderly on the basis of some Health Indicators

(i) Physiologic Profile

1

Height in cm

2

Weight in Kg

3

Blood Pressure

4

Body Temperature

5

Pulse in beats/minute

6

Respiratory rate/minute

7

Body Mass Index

(ii) Activities of daily living: Specify whether you are independent/interdependent while doing following activities

1

Toileting/Bathing

2

Dressing/Grooming

3

Walking

4

Washing (utensils, cloths)

5

Feeding

6

Taking Medications

(iii) Body functional parameters: Specify yes/no

1

Loss of appetite

2

Difficulty in chewing

3

Breathlessness

4

Urinary incontinence

5

Constipation

6

Sleep problems

(iv) Personal hygiene status: head to foot assessment and state whether good/bad

(v) Physical examination: Perform head to foot and system wise examination and fill accordingly the morbidity profile.

Sl No

Signs and symptoms

No

Yes

1.

Hair fall

2.

Headache

3.

Ear pain

4.

Redness in eyes

5.

Fever

6.

Dental cavity

7.

Tooth sensitivity

8.

Toothache

9.

Loss of taste sensation

10.

Throat pain

11.

Cough

12.

Presence of sputum

13.

Breathing difficulty

14.

Palpitation

15.

Heart burn

16.

Vomiting

17.

Nausea

18.

Flatulence

19.

Abdominal pain

20.

Weight loss

21.

Diarrhea

22.

Constipation

23.

Rectal bleeding

24.

Urinary obstruction

25.

Urinary incontinence

26.

Back pain

27.

Numbness in extremities

28.

Pain in extremities

29.

Loss of appetite

30.

Insomnia

31.

Fatigue

32.

Itching

33.

Decubitus ulcer

34.

Memory loss

Ask for any of the following conditions already diagnosed by a Medical practitioner/GP/Nurse practitioner

Sl No

Disease checklist

No

Yes

1.

Gum (periodontal) disease

2.

Tooth erosion

3.

Cataract

4.

Glaucoma

5.

Strabismus

6.

Psoriasis

7.

Eczema

8.

Dry skin

9.

Vitiligo

10.

Asthma

11.

TB

12.

Diabetes mellitus

13.

Hypertension

14.

Stroke

15.

Heart diseases

16.

Migraine

Nightingale answered 2 years ago
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