NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission

Grand Canyon University NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission                            

Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission                          

The introduction for the Grand Canyon University NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission                          

After the introduction, move into the main part of the NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission                          

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission                            

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission

Re: Topic 1 DQ 2

Patients can receive the necessary support to manage their condition and avoid hospitalization through home health services. In addition to assisting patients in creating a care plan and acquiring symptom management skills, home health nurses also provide support and encouragement. For example, a COPD patient can receive instruction from a home health nurse on proper inhaler usage, recognizing worsening symptoms, and knowing when to seek medical attention. Pulmonary rehabilitation is a valuable resource for individuals with persistent cardiorespiratory problems. These programs aim to improve breathing, increase physical activity, and reduce symptoms. They often include components such as physical exercises, educational sessions, and support. For instance, a pulmonary rehabilitation program can offer group exercise sessions, specialized counseling, and guidance on breathing techniques. Education plays a crucial role in addressing long-term cardiorespiratory problems. It is important for patients to understand their condition, its management, and when to seek medical attention. Education can be delivered through various channels, including printed materials, online resources, and support groups. For example, a COPD patient may read a brochure on recognizing when to seek medical attention, browse an internet article on symptom management, or participate in a support group to learn from others with the same condition. Access to social support is critical for patients with chronic cardiorespiratory problems. Due to the isolating nature of these conditions, patients often rely on assistance from family and friends to maintain social connections. Social support can be provided through phone calls, visits, or text messages. For instance, a COPD patient may have a supportive friend who regularly checks in through phone calls or a family member who visits once a week to provide companionship.

If a patient is readmitted within 30 days of being discharged, Medicare may withhold payment to the hospital. This is because of a Medicare rule known as the “30-day rule,” which prevents hospitals from being reimbursed for readmission expenses in such cases. This policy encourages hospitals to improve their treatment and reduce readmissions. The Centers for Medicare and Medicaid Services (CMS) considers readmission rates as a measure of quality and hospitals with high readmission rates may experience a reduction in their payment rates. CMS utilizes readmission rates as an indicator of the level of care provided by a hospital. A high readmission rate suggests that the hospital is not effectively avoiding readmissions, prompting CMS to potentially lower its payment rates. Readmission is often seen as an avoidable occurrence, which can result in additional costs or deductibles for patients. When a patient requires readmission, it is often due to inadequate care or insufficient measures taken by the hospital to prevent readmission. As a result, patients who are readmitted may face higher copays or deductibles as part of their financial responsibility.

Hospital:

A hospital can face various financial implications as a result of readmissions. Firstly, if a patient is readmitted within 30 days of being discharged, Medicare may withhold payment to the hospital. Additionally, high readmission rates can affect the hospital’s payment rates as determined by CMS, which considers readmission rates as a quality indicator. Readmissions can have a negative impact on the quality indicators of a hospital. High readmission rates are considered unfavorable by CMS, leading to potential decreases in payment rates. Moreover, readmissions can result in longer hospital stays and increased expenses for the hospital.

Patient:

Readmission can cause disruptions and inconveniences for patients, as well as higher out-of-pocket expenses. It can disrupt the patient’s daily routine and may force them to miss work or school, creating difficulties. For example, a patient may have to take a week off from work if they are readmitted. Furthermore, readmission may require the patient to make another trip to the hospital, leading to the potential cancellation of important appointments or commitments, such as crucial doctor’s visits. Due to readmission, patients may face increased financial responsibilities, such as higher copays or deductibles. This can result in higher out-of-pocket expenses for the patient. For instance, a patient might be required to pay a $50 copay each time they are readmitted.

Reference

• Coffey, A., Leahy-Warren, P., Savage, E., Hegarty, J., Cornally, N., Day, M. R., … & O’Caoimh, R. (2019). Interventions to promote early discharge and avoid inappropriate hospital (re) admission: a systematic review. International journal of environmental research and public health, 16(14), 2457.
• Hokayem, M. (2021). Chronic Obstructive Pulmonary Disease Post Discharge Teaching Tool to Decrease 30-Day Readmission Rate (Doctoral dissertation, Grand Canyon University).
• Shah, R. M., Zhang, Q., Chatterjee, S., Cheema, F., Loor, G., Lemaire, S. A., … & Ghanta, R. K. (2019). Incidence, cost, and risk factors for readmission after coronary artery bypass grafting. The Annals of thoracic surgery, 107(6), 1782-1789.
• Hekkert, K., Borghans, I., Cihangir, S., Westert, G. P., & Kool, R. B. (2019). What is the impact on the readmission ratio of taking into account readmissions to other hospitals? A cross-sectional study. BMJ open, 9(4), e025740.

Sample Answer 2 for NRS 410 Discuss what resources are available for chronic cardiorespiratory issues to support patient independence and prevent readmission

Patients who suffer from cardiorespiratory diseases such as COPD have the potential for high readmission rates. It is crucial to ensure nurses are taking extra time with these patients to educate them on resources, different interventions to implement, and any modifiable risk factors that they could eliminate. For instance, there are bundled care instructions for patients with inhaler education which have been shown to make an impact on decreasing readmission if taught properly (Press et al., 2021). Education on the use of an inhaler seemed to be a big component for those with COPD; however, other interventions are implemented to decrease the rate of admissions as well. A few of the interventions include smoking cessation and morbidity programs; nurse-led education on medication and post-discharge visits; outpatient clinics, pulmonary rehabilitation, and home health care; as well as management techniques and goals to live more independently (Press et al., 2021). Gaining back independence can enhance the quality of life and prevent further health issues. All of these interests are of the hospital’s interest and benefit due to the negative effect readmission has on the hospital. The Affordable Care Act and CMS created a 30-day readmission parameter to prevent the hospital from being reimbursed when patients need care immediately after discharge as a penalty (Upadhyay et al., 2019). Penalties can accumulate from 1-3% of the patients’ finances for their hospital bills, which can become very costly with only a couple of patients being readmitted. Not only is the hospital getting its payment late due to the 30-day statute but also needs to pay out of pocket when readmission occurs. Hospitals are left dealing with penalties; for example, readmission penalties rose to over a half billion dollars in 2017 (Press et al., 2019). The rates and penalties are public knowledge too, so when a hospital has excessive readmissions, they lose their reputation.

Press, V.G., Myers, L.C. and Feemster, L.C. (2021) ‘Preventing COPD readmissions under The Hospital Readmissions Reduction Program’, Chest, 159(3), pp. 996–1006. doi:10.1016/j.chest.2020.10.008.

Upadhyay, S., Stephenson, A.L. and Smith, D.G. (2019) ‘Readmission Rates and Their Impact on Hospital Financial Performance: A Study of Washington Hospitals’, INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 56, p. 004695801986038. doi:10.1177/0046958019860386.