CLC PowerPoint W6
This is a Collaborative Learning Community (CLC) assignment.
Using the Center for Medicare website, groups will select a quality indicator as it relates to an exacerbation of a chronic disease in the acute care setting that is likely to affect the treatment of the patient population with neurological disorders. Search CMS for readmission regulations as well as core measures. Develop a treatment plan discussing the best way to safely manage a patient population in relationship to the quality indicator. Include the following information in your treatment plan:
1. Identify the quality indicator and explain its relationship to safe care for your patient population.
2. Discuss how the quality indicator affects the patient’s treatment plan both within and, if applicable, outside of the hospital setting.
3. Discuss the family’s role in advocating for and implementing safe care for the patient both within and outside of the hospital setting.
Present your treatment plan as a 7-10 slide PowerPoint presentation with your findings. Include slide notes (150-250 words for each slide in the speaker notes).
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Rubic_Print_Format
Course Code Class Code Assignment Title
ANP-635 ANP-635-XO0103XB CLC – Quality Indicators and Patient Safety
Criteria Percentage Excellent (100.00%)
Content 100.0%
Treatment Plan – Identification of the Quality Indicator (QI) and Explanation of the Relationship Between the Quality Indicator and Safe Care for Patients 10.0% The treatment plan includes a comprehensive discussion of the relationship between the QI and safe care for patients that is thoroughly developed with supporting details.
Treatment Plan Discussion of How the Quality Indicator (QI) Affects the Patient Treatment Plan In and Out of the Hospital 15.0% The treatment plan includes a comprehensive discussion of how the QI affects the patient treatment plan in and out of the hospital that is thoroughly developed with supporting details.
Treatment Plan Discussion of the Role of the Family in Advocating for and Implementing Safe Care for the Patient In and Out of the Hospital 10.0% The treatment plan includes a comprehensive a discussion of the role of the family in advocating and implementing safe care of the patient in and out of the hospital that is thoroughly developed with supporting details.
Required Sources 5.0% Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Presentation of Content 30.0% The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.
Layout 10.0% The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.
Language Use and Audience Awareness (includes sentence construction, word choice, etc.) 10.0% The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Writer is clearly in control of standard, written, academic English.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage 100% This is a Collaborative Learning Community (CLC) assignment.
Using the Center for Medicare website, groups will select a quality indicator as it relates to an exacerbation of a chronic disease in the acute care setting that is likely to affect the treatment of the patient population with neurological disorders. Search CMS for readmission regulations as well as core measures. Develop a treatment plan discussing the best way to safely manage a patient population in relationship to the quality indicator. Include the following information in your treatment plan:
1. Identify the quality indicator and explain its relationship to safe care for your patient population.
2. Discuss how the quality indicator affects the patient’s treatment plan both within and, if applicable, outside of the hospital setting.
3. Discuss the family’s role in advocating for and implementing safe care for the patient both within and outside of the hospital setting.
Present your treatment plan as a 7-10 slide PowerPoint presentation with your findings. Include slide notes (150-250 words for each slide in the speaker notes).
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Quality Indicators and Patient Safety
Muhammad Aftkhar
Amanda Frary
John Hudson
Lisa Williams
#1 A. Identify the quality indicator for COPD
Rubic: The treatment plan includes a comprehensive discussion of the relationship between the QI and safe care for patients that is thoroughly developed with supporting details.
#1 B. explain quality indicator relationship to safe care for COPD patient population
#2 A. Discuss how the quality indicator affects the patient’s treatment plan inpatient
RUBIC: The treatment plan includes a comprehensive discussion of how the QI affects the patient treatment plan in and out of the hospital that is thoroughly developed with supporting details.
#2 B. Discuss how the quality indicator affects the patient’s treatment plan outpatient
#3 A. Discuss the family’s role in advocating for and implementing safe care for the patient Inpatient
RUBIC: The treatment plan includes a comprehensive a discussion of the role of the family in advocating and implementing safe care of the patient in and out of the hospital that is thoroughly developed with supporting details.
#3 B. Discuss the family’s role in advocating for and implementing safe care for the patient Outpatient
Extra
Reference
Reference Quality Indicators and Patient Safety
Muhammad Aftkhar
Amanda Frary
John Hudson
Lisa Williams
#1 A. Identify the quality indicator for COPD
The symptoms of all forms of COPD are
Coughing
Wheezing
Chest tightness (Lpez-Campos, Gallego & Hernndez, 2019).
Difficulty in breathing
A lot of mucus in cough
The primary quality indicator of all types of COPD including COPD with neurological disorders is the results of the spirometry
There are five main symptoms of all forms of COPD and the are wheezing, coughing, chest tightness, a lot of mucus in cough and difficulty in breathing.
Finding out whether you haveCOPDcan take several steps. This includes talking with your doctor and getting tests, many of which are straightforward and painless.
Chronic obstructive pulmonary diseasemakes it harder to breathe by damaging the airways in yourlungs.
The primary quality indicator of COPD with neurological disorders and other types of COPD is the spirometry.
The quality indicator indicates the amount of air a person can breathe in without facing complications. The method is quite effective more so when dealing with elderly.
It is difficult to measure an elderly person has COPD, however through the spirometry, it is possible.
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Spirometry
Spirometry tests the amount of air a person breathes in and out (Heffler et al., 2018).
The measure is the most common lung functional test.
It is the best at diagnosing COPD.
Spirometry tests the amount of air a person breathes in and out.
Its the most commonlung function testand considered the best way to diagnose COPD.
Spirometry (spy-ROM-uh-tree) is a common office test used to assess how well your lungs work by measuring how much air you inhale, how much you exhale and how quickly you exhale.
Spirometry is used to diagnose asthma, chronic obstructive pulmonary disease (COPD) and other conditions that affect breathing. Spirometry may also be used periodically to monitor your lung condition and check whether a treatment for a chronic lung condition is helping you breathe better.
Your doctor may suggest a spirometry test if he or she suspects your signs or symptoms may be caused by a chronic lung condition such as:
Asthma
COPD
Chronic bronchitis
Emphysema
Pulmonary fibrosis
If you’ve already been diagnosed with a chronic lung disorder, spirometry may be used periodically to check how well your medications are working and whether your breathing problems are under control. Spirometry may be ordered before a planned surgery to check if your lung function is adequate for the rigors of an operation. Additionally, spirometry may be used to screen for occupational-related lung disorders.
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#1 B. explain quality indicator relationship to safe care for COPD patient population
The use of spirometry is painless and simple however the benefits of the quality indicator are significant in self care
1. patients get to know their health status
2. Patients get to track their health progress and consequentially can seek advanced medical health services or reduce on certain medications
3. Patients get to know which treatments are effective or not
A patient simply takes a deep breath and blows hard into a mouthpiece connected to a machine.
The machines measures how fast a person blows air out of their lungs.
Results of the spirometry tell if one has COPD, level of the COPD as well as whether there is another issue because of the COPD
Its simple and painless. You will be asked to take a deep breath, and youll blow hard into a mouthpiece thats connected to a small machine. That machine, called the spirometer, measures how fast you blow air out of your lungs.
The benefits of the quality indicator are significant in self care. For starters patients get to know their health status. Secondly patients get to track their health progress and consequentially can seek advanced medical health services or reduce on certain medications. Lastly, patients get to know which treatments are effective or not and can know which treatments to stick to for effective treatment.
Key spirometry measurements include the following:
Forced vital capacity (FVC).This is the largest amount of air that you can forcefully exhale after breathing in as deeply as you can. A lower than normal FVC reading indicates restricted breathing.
Forced expiratory volume (FEV).This is how much air you can force from your lungs in one second. This reading helps your doctor assess the severity of your breathing problems. Lower FEV-1 readings indicate more significant obstruction.
Results can tell you whether you have COPD, even if you havent gotten symptoms yet. It can also indicate whether you have another health issue, such asasthmaorheart failure.
Risks
Spirometry is generally a safe test. You may feel short of breath or dizzy for a moment after you perform the test.
Because the test requires some exertion, it isn’t performed if you’ve had a recent heart attack or some other heart condition. Rarely, the test triggers severe breathing problems.
How you prepare
Follow your doctor’s instructions about whether you should avoid use of inhaled breathing medications or other medications before the test. Other preparations include the following:
Wear loose clothing that won’t interfere with your ability to take a deep breath.
Avoid eating a large meal before your test, so it will be easier to breathe.
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#2 A. Discuss how the quality indicator affects the patient’s treatment plan inpatient
Prevention Quality Indicator (PQI)
Identify needs
Identify risks
Inpatient setting
Exacerbation of COPD in a patient hospitalized with stroke
Treatment plan
Prevention Quality Indicators (PQIs) can help identify needs for the patient in the inpatient and outpatient setting. For instance, with COPD they are at a higher risk for complications such as stroke. The PQIs can be used as screening to help monitor health care quality problems that need to be addressed to reduce or prevent hospitalizations.
Inpatient settings can utilize these by providing education before discharge on chronic diseases such as COPD and by coordination of care to allow providers to make sure they are followed and have community resources to get medications, get to appointments, and maintain proper follow ups with providers.
The treatment plan must include both COPD and stroke care and making sure they have neuro rehabilitation, pulmonary rehabilitation, access to providers, access to medications, education regarding risk factors, education on how to control COPD, proper after stroke care. CMS penalizes hospitals that have readmissions for a chronic disease if it is within 30 days. This is why transition care coordinators are used to make sure patients are following up as recommended to prevent these readmissions.
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#2 B. Discuss how the quality indicator affects the patient’s treatment plan outpatient
Prevention Quality Indicator (PQI)
Identify needs
Identify risks
Outpatient setting
Exacerbation of COPD in a patient hospitalized with stroke
Treatment plan
Medications
Education
Follow-up
Outpatient settings are the primary area that is responsible for controlling COPD in the population as they provide the primary treatment plan for patients. If there is proper control of the disease that would result in reduced hospital admissions for these patients. COPD needs to be properly controlled by long-acting beta2- agonists, short-acting beta2-agonists, and anticholinergics or combinations depending on the severity of disease (Hurst, et al., 2020).
The more exacerbations a person has the increase risk of mortality because this increases the fibrinogen cascade leading to risk of clots and stroke(Reilev, et al., 2019). The stroke risk can be reduced by providing the necessary education to reduce risks such as smoking cessation, reducing exposure to irritants such as workplace pollutants or environmental pollutants. Asthma diagnosis early can prevent the diagnosis of COPD.
If a patient with COPD doesnt follow the recommendations and ends up being hospitalized with a stroke further increasing morbidity and mortality needs additional outpatient education on prevention. They will need antithrombotic/anticoagulation therapy, rehabilitation, and the need to follow the prescribed regimen.
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#3 A. Discuss the family’s role in advocating for and implementing safe care for the patient Inpatient
RUBIC: The treatment plan includes a comprehensive a discussion of the role of the family in advocating and implementing safe care of the patient in and out of the hospital that is thoroughly developed with supporting details.
#3 B. Discuss the family’s role in advocating for and implementing safe care for the patient Outpatient
Extra
Reference
Lpez-Campos, J. L., Gallego, E. Q., & Hernndez, L. C. (2019). Status of and strategies for improving adherence to COPD treatment.International Journal of Chronic Obstructive Pulmonary Disease,14, 1503. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6628097/
Heffler, E., Crimi, C., Mancuso, S., Campisi, R., Puggioni, F., Brussino, L., & Crimi, N. (2018). Misdiagnosis of asthma and COPD and underuse of spirometry in primary care unselected patients.Respiratory medicine,142, 48-52. Retrieved from https://www.sciencedirect.com/science/article/pii/S095461111830252X
Reilev, M., Pottegrd, A., Lykkegaard, J., Sndergaard, J., Ingebrigtsen, T. S., & Hallas, J. (2019). Increased risk of major adverse cardiac events following the onset of acute exacerbations of COPD. Respirology, 24(12), 1183-1190. doi:10.1111/resp.13620
Hurst, J., Skolnik, N., Hansen, G., Anzueto, A., Donaldson, G., Dransfield, M., & Varghese, P. (2020, January 16). Understanding the impact of chronic obstructive pulmonary disease exacerbations on patient health and quality of life. Retrieved October 07, 2020, from https://reader.elsevier.com/reader/sd/pii/S0953620519304431?token=0A6D4B0A5E7F725444F334F85BFC27725755FFD9247792B275C117D010BE34C0D464EFB346818BC8453220856341ED67
Reference
