NRS 455 Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission
Grand Canyon University NRS 455 Discuss discharge resources that 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 455 Discuss discharge resources that 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 455 Discuss discharge resources that 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 455 Discuss discharge resources that 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 455 Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission
The introduction for the Grand Canyon University NRS 455 Discuss discharge resources that 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.
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How to Write the Body for NRS 455 Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission
After the introduction, move into the main part of the NRS 455 Discuss discharge resources that 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 455 Discuss discharge resources that 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 455 Discuss discharge resources that 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 455 Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission
Re: Topic 1 DQ 2
Cardiorespiratory pathologies are the most modifiable pathologies with lifestyle changes and careful management. Readmission rate for cardiovascular pathologies is higher than any other specialty and is usually related to medication noncompliance. The rise in hospital readmissions is a global concern, placing considerable burden on patients, treatment costs, and hospital resources (Hoang-Kim et al., 2020). Vader et al., (2016), reported risk factors for post-discharge readmission or death in patients treated for acute heart failure, including male sex, non-use of angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB), lower baseline sodium, non-white race, lower systolic blood pressure at discharge or day 7, increased length of stay, and depression.
The rise in hospital readmissions is a global concern and is often used as a quality benchmark for health care systems. Hospital readmission is a considerable burden on the individual from a cost perspective and the related treatment costs and hospital resources tax the health system (Vader et al., 2016). This means that hospitals are not getting reimbursed by the government and/or insurance companies if the readmission is within the specified timeframe or for the already treated or related medical condition.
There are many resources to support patients after admission. Assistance with understanding and managing medications prescribed post-discharge, including ensuring proper dosage, scheduling, and potential side effects. This might involve other family members or home health nurse, or maybe even discharging a patient to a assistive facility. Referrals to cardiac rehabilitation programs or exercise classes tailored to cardiac patients, aimed at improving cardiovascular health and overall fitness under supervised conditions. By far, swimming is the most encouraged physical activity for these patients and is very beneficial. Arrangement of follow-up appointments with cardiologists, primary care physicians, or other specialists to monitor recovery progress and address any concerns or complications before the patient is even discharged increases the chances of patients actually following through with the appointments.
References:
Hoang-Kim, A., Parpia, C., Freitas, C., Austin, P. C., Ross, H. J., Wijeysundera, H. C., Tu, K., Mak, S., Farkouh, M. E., Sun, L. Y., Schull, M. J., Mason, R., Lee, D. S., & Rochon, P. A. (2020). Readmission rates following heart failure: a scoping review of sex and gender based considerations. BMC cardiovascular disorders, 20(1), 223. https://doi.org/10.1186/s12872-020-01422-3
Vader, J. M., LaRue, S. J., Stevens, S. R., Mentz, R. J., DeVore, A. D., Lala, A., Groarke, J. D., AbouEzzeddine, O. F., Dunlay, S. M., Grodin, J. L., Dávila-Román, V. G., & de Las Fuentes, L. (2016). Timing and Causes of Readmission After Acute Heart Failure Hospitalization-Insights From the Heart Failure Network Trials. Journal of cardiac failure, 22(11), 875–883. https://doi.org/10.1016/j.cardfail.2016.04.014
Sample Answer 2 for NRS 455 Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission
Discharge planning for patients with chronic cardiorespiratory issues is crucial to ensure their ongoing care, independence, and to prevent readmission. Several discharge resources can support patients and contribute to their overall well-being. According to the text, the cardiorespiratory patient will have a variety of needs such as cardiac rehabilitation, pulmonary rehabilitation, or even the need of medical equipment (Johnson, 2022). Pulmonary and cardiac rehabilitation programs can help patients improve their exercise tolerance, strengthen respiratory muscles, and enhance overall cardiovascular health. These programs are often supervised by healthcare professionals and may include exercise training, education, and counseling to guide the patients to be independent and self-manage their conditions (Johnson, 2022). Support groups can also offer practical tips for daily living and coping strategies. Joining local support groups can also be beneficial and provide patients with a sense of community, emotional support, and shared experiences, which can be beneficial for managing chronic conditions (Thompson et al., 2022).
The financial implications of readmission underscore the importance of implementing strategies that enhance patient care outcomes while aligning with value-based reimbursement models (Upadhyay, et al., 2019). With the implementation of value-based care and penalties for excessive readmissions, hospitals are motivated to reduce avoidable hospitalizations. Medicare, for example, imposes penalties on hospitals with higher-than-expected readmission rates within 30 days of discharge for certain conditions, including heart failure, pneumonia, and COPD. Hospitals may see reduced reimbursement rates or face financial penalties for failing to meet readmission reduction targets (Upadhyay, et al., 2019). Additionally, readmissions can lead to prolonged periods of medical expenses and potential loss of income for patients and their families.
References:
Johnson, R. A. (2022). Cardiorespiratory complexities. In Grand Canyon University (Eds.), Pathophysiology: Clinical applications for client health. https://bibliu.com/app/#/view/books/1000000000590/epub/Chapter1.html
Thompson, D.M., Booth, L., Moore, D. (2022). Peer support for people with chronic conditions: A systematic review of reviews. BMC Health Serv Res 22, 427. https://doi.org/10.1186/s12913-022-07816-7
Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019). Readmission rates and their impact on hospital financial performance: A study of Washington hospitals. Inquiry: A Journal of Medical Care Organization, Provision and Financing, 56, 46958019860386. https://doi.org/10.1177/0046958019860386
NRS-455 Topic 2 DQ 1 Sample Answer
One topic I’d like to discuss here are Traumatic Brain Injuries, this topic hits close to home. My brother was in a real bad car accident a few years ago and had severe brain injury, including skull fracture. Traumatic brain injury, depending on the severity can be mild, severe and even cause death. I’d like to discuss the severity of a brain injury which many of us know that athletes go through all the time with some very serious effects. The cognitive issues after having a traumatic brain injury are trouble remembering, concentration problems, feeling anxious or depressed, mood changes or mood swings, difficulty sleeping or sleeping more than usual. (Traumatic Brain Injury – Symptoms & Causes – Mayo Clinic, n.d.) In the seriousness of these TBI my brother would try and speak but the words coming out of his mouth were nothing of what he was trying to say, and he knew that which would really frustrate him and would become very violent. It took lots of therapy even physical therapy, because his brain could not coordinate with his body to remember how to walk. He started with a walker and slowly progressed. A therapist would work with him and show him pictures and have him try to repeat the words, although he knew what he wanted to say but the words would not come out. After about 6 weeks, we started to see progress and, thankfully, he is now fully recovered, although I feel there was some very minimal brain damage because I don’t feel he’s the 100% brother I had before his accident. Severe TBI cause profound confusion, agitation, combativeness and other unusual behavior, slurred speech, coma and other disorders of consciousness. Patients with severe TBI are usually discharged to rehab centers where they can continue to get the therapy they need. (Traumatic Brain Injury – Symptoms & Causes – Mayo Clinic, n.d.) These five year outcomes of people with TBI, 22% died, 30% became worse, 22% stayed the same, and 26% improved. Data are US population estimates based on the TBIMS National Database. *Data refer to people 16 years of age and older who received inpatient rehabilitation services for a primary diagnosis of TBI. There are also many resources available to people who have suffered from a TBI. (Centers for Disease Control and Prevention [CDC], 2023)
Brain Injury Association of America
National Brain Injury Information or call 1-800-444-6443
National Association of State Head Injury Administrators
United States Brain Injury Alliance
Military Health System’s Traumatic Brain Injury Center of Excellence
There are just a few of the resources I found.
References
Centers for Disease Control and Prevention. (2023, September 7). Traumatic brain injury / concussion. https://www.cdc.gov/traumaticbraininjury/index.html