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.

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

Sample Answer 3 for NRS 455 Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission

Discharge resources for chronic cardiorespiratory issues aim to support patients’ independence and reduce the likelihood of readmission. These resources encompass various interventions and services that facilitate a smooth transition from hospital to home care. Many resources such as home health care services, telehealth and remote monitoring,

cardiac pulmonary rehabilitation programs, medication management services, and patient education programs. For home health care agencies, they provide skilled nursing care, physical therapy, and assistance with activities of daily living (Knox et al., 2022). They can help monitor patients’ conditions, administer medications, and provide wound care or respiratory therapy as needed. “Many patients prefer home health over post‐acute care in an inpatient setting because services are provided in the person’s home” (Knox et al., 2022). Telehealth platforms and remote monitoring devices allow healthcare providers to remotely monitor patients’ vital signs, oxygen levels, and symptoms. This enables early detection of complications and timely interventions to prevent readmission. These programs provide supervised exercise training, education, and support for patients with chronic respiratory and cardiac conditions like chronic obstructive pulmonary disease (COPD) and myocardo infarction (MI) (Johnson, 2023). They aim to improve patients’ exercise tolerance, reduce symptoms, and enhance their overall quality of life. Pharmacists and healthcare providers can help patients optimize their medication regimens, ensure proper dosing, and minimize the risk of drug interactions or adverse effects. This can improve medication adherence and reduce the likelihood of hospital readmission. For example, “The Partnership for Prescription Assistance (PPA) is a free service that acts as a clearinghouse for patients who cannot afford medications” (johnson, 2023). These programs offer education on disease management, medication adherence, symptom recognition, and lifestyle modifications. Patients learn how to monitor their vital signs, recognize signs of worsening symptoms, and seek appropriate medical care when necessary.

Readmission affects hospital reimbursement through several mechanisms. Under value-based payment models such as the Hospital Readmissions Reduction Program (HRRP), hospitals may face financial penalties for higher-than-expected readmission rates within certain timeframes, typically 30 days after discharge (Beauvais et al., 2022). These penalties are based on readmission rates for specific conditions, including heart failure, COPD, and pneumonia. Hospitals with excessive readmissions may receive reduced reimbursement from Medicare and other payers, which can impact their financial stability and operational sustainability. Readmission can have implication on the hospital such as financial penalties, quality of care and reputation and accreditation. Readmission can implicate the patient on health risks such as infections and complication, loss of independence in performing daily activities and disruption of lives when sudden transforming to hospital environement.

References

Beauvais, B., Whitaker, Z., Kim, F., & Anderson, B. (2022). Is the Hospital Value-Based Purchasing Program Associated with Reduced Hospital Readmissions?. Journal of multidisciplinary healthcare, 15, 1089–1099. https://doi.org/10.2147/JMDH.S358733

Johnson, A. R. (2023). Pathophysiology: Clinical Applications for Client Health (Second Edition). Grand Canyon University. https://bibliu.com/app/#/view/books/1000000000590/epub/Chapter1.html#page_30

Knox, S., Downer, B., Haas, A., & Ottenbacher, K. J. (2022). Home health utilization association with discharge to community for people with dementia. Alzheimer’s & dementia (New York, N. Y.), 8(1), e12341. https://doi.org/10.1002/trc2.12341