....……………..1 Table of Contents2 Executive Summary………………………………………………………………………................................3 Overview and Brief History 3 EHR Successful Statistics……………………………………………………………………………………………….…4 Benefits Outlined………………………………………………………………………………………………………….….5 Software Support Summary6 OfficeWyse……………………………………………………………………………………................................7 CallWyse……………………...………………………………………………………………………………….…..7 MobileWyse………………………………………………………………………………………………………...7 Finance Wyse………………………………………………………………………………………………………7 Personal Experience & Advantages/Disadvantages…..……………………………………….8-9 Cost Analysis ………………….…..……...............……………...…………………………………………….10 IT Requirement’s & Conclusion………………………….…………………………………....…….…...11 Works Cited………………….…..…………………………………………..........................................12 Executive Summary HealthWyse is an electronic software company that offers three lines of service to homecare organizations including home health, hospice and private duty. The platform provides secure mobile access to scheduling, documentation and billing functions. The program focuses on increasing agency’s revenue, reducing adverse events and promises to streamline homecare services. The array of features HealthWyse offers is ideal for homecare because it offers relevant tools for homecare providers while staying compliant with HIPPA. Hospice providers benefit from using the Chronic Care Management component because they are able...
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...Hospice Creation of Hospice Hospice care is designed to give supportive care to people in the final phase of a terminal illness and focus on comfort and quality of life rather than cure. The goal is to enable patients to be comfortable and free of pain, so that they live each day as fully as possible. The term “hospice” ( from the same linguistic root as “hospitality”) can be traced back to medieval times when it referred to a place of shelter and rest for the weary or terminally ill on a long journey in 1948 (History of Hospice Care, 2012). The name of the physician was Dame Cicely Saunders who treated the terminally ill and eventually went on to create the first modern hospice, named St Christopher’s Hospice, in a residential suburb of London. (History of Hospice Care, 2012). Ms. Saunders introduced the idea of specialized care for the dying to the United States of America during a 1963 visit with Yale University. Her lecture, given to medical students, nurses, social workers, and chaplains, about the concept of holistic hospital care, included photos of terminally ill patients and their families, showing the dramatic differences before and after the symptom control care (History of Hospice Care, 2012). Ownership In 2010, there were over 5000 hospice programs nationwide (Facts and Figures: Hospice Care in America, 2012). The majority of these facilities are freestanding agencies constituting 58 percent of all hospice centers (Facts and Figures: Hospice Care in America...
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...Analysis: Providing Good Care to Dying Patients: Paper 2 Jaime Holtgrewe Chamberlain College of Nursing NR 449 Evidence Based Practice February 2013 Clinical Question In my group, the focus of research is based on the following clinical question: What are the best practices for end of life care? Within the group, research is driven to focus on enhancing care for end of life patient, including collaboration with physicians and surrogate decision makers or a power of attorney (POA), as well as pain management policies. However, all aspects of care for end of life patients are taken into consideration when determining which facet is most important. The group’s research consists of quantitative and qualitative articles focusing on transitioning to hospice programs, new measures of care, acceptance of death and experience of caregivers for the dying patient. According to the Journal of Health Politics, Policy & Law (2008), three of every four Americans do not fear death as much as they fear being in pain at the time of death. End-of-life care can be a challenge requiring the full range of a family physician's skills. Significant pain is common but is often undertreated despite available medications and technology. Physicians must overcome their own fears about using narcotics and allay similar fears in patients, families and communities. Drugs such as corticosteroids, antidepressants and anticonvulsants can also help to alleviate pain. A considerable amount of research...
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...Although all people die, everyone's dying process is unique. Many people think of dying as merely a physical process, but dying is an experience of the whole person and is influenced by a combination of physical, psychological, social, cultural, and spiritual factors. There are as many ways to die as there are to live, so in order to better understand how people who are dying experience the process, researchers and clinicians have developed different models or theories that attempt to account for how people cope with dying. THEORIES/MODELS OF DYING Elisabeth Kubler-Ross's Stage Theory of Dying The general public is most likely to be familiar with Kubler-Ross's theory of dying. In 1969, she published a book titled On Death and Dying, which was based on interviews collected from 200 dying patients. In the book, Kubler-Ross discerned five stages that dying people experience. The five stages, which reflect different reactions to dying, are denial, anger, bargaining, depression, and acceptance. Denial is the "No, not me!" stage where the person is in shock or denial and cannot believe that they are going to die. Denial is self-protective and gives the person time to adjust psychologically to the news that he or she is going to die. Anger is the "Why me?" stage and may involve, in addition to anger, resentment, rage, and envy at God, doctors, nurses, family members, or anyone who is not dying. Bargaining is the "Yes me, but. . ." stage and often involves bargaining with God...
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...Patients' and End of Life Care: A Multidisciplinary Concept Analysis Jennifer Thompson UTA Analysis of Theories in Nursing Nurs 5327 Ronda Mintz-Binder, RN, MSN, DNP April 19, 2014 Terminally Ill Patients' and End of Life Care: A Multidisciplinary Concept Analysis With an aging population in our country we are facing an increasing number of patients’ that are coming to the end of their lives and are presenting with terminal illness. As life expectancy increases we are seeing more and more patent that are 65 year old and older in need of end of life care. Research and medical developments have provided a vast array of treatment options available to our patients’. After patients’ have exhausted all available treatment options for their disease processes they face the reality that their life is coming to an end. Patients’ near the end choose between quality of life over quantity of life. One service available to terminal patients’ is hospice care which offers palliative care to patients’ at the end of life. Health care providers must be able to face and appropriately care for patients’ with terminal illness and end of life care. At times it may be difficult for health care providers to face or present the truth to a patient that further treatment is futile and end of life care would be appropriate. Advanced practice nurses’ will face terminal illness and it is required of them to be able to sufficiently treat, manage, and discuss end of life care with these patients. It is...
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...Kolcaba’s Comfort Theory Kelly Henderson Professional Transition I/HSC-175 September 30, 2013 Mrs. Suzanne Boese, RN-BC, PHN, MSN/Ed Explanation of the Comfort Theory The origin of the word nurse is derived from the Latin word nutricius, meaning “(person) that nourishes” (Merriam-Webster, 2013). Historically, the concept of comfort was recognized as an essential praxis of nursing because of antiquated medical practices and the lack of development of medications. Often times, comfort was all a nurse could provide. Presently, the progression of medicine has allowed us to focus on healing and curing our patients. While coordinating care and interventions, nurses often feel overwhelmed by the tenacity of the tasks required to return their patients to homeostasis. What they often overlook, is what their patients still desire the most—comfort. Although comfort has always been a defining characteristic within the nursing profession, the true meaning of the concept is subjective—per the patient’s perspective. Recognizing this, nursing scholar, Dr. Katharine Kolcaba developed the comfort theory. She defines comfort as “the immediate experience of being strengthened by having needs for relief, ease, and transcendence met in four contexts (physical, psychospiritual, sociocultural, and environmental)” (Kolcaba, 2003). Kolcaba further clarifies “relief as the state of having a specific comfort met; ease as the state of calm and contentment; and transcendence as the state in...
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...American Hospice Patient/Family with Board Certified Music Therapy as a Component of their Plan of Care Elizabeth Joy Gifford University of San Francisco, lgiffman1@aol.com Follow this and additional works at: http://repository.usfca.edu/dnp Part of the Nursing Commons Recommended Citation Gifford, Elizabeth Joy, "The Experience of African American Hospice Patient/Family with Board Certified Music Therapy as a Component of their Plan of Care" (2009). Doctor of Nursing Practice (DNP) Projects. Paper 14. This Project is brought to you for free and open access by the Theses and Dissertations at USF Scholarship Repository. It has been accepted for inclusion in Doctor of Nursing Practice (DNP) Projects by an authorized administrator of USF Scholarship Repository. For more information, please contact zjlu@usfca.edu. COMPREHENSIVE EXAM 2 Section I: Introduction Statement of the Problem Although 60% of African Americans in the United States have stated that they would want hospice care when they are dying (AARP, 2003), they only comprise 8% of all hospice enrollees (NHPCO, 2007), despite the fact that they represent 13% of the total population in this country (U.S. Census Bureau, 2008). In fact, hospice care in this nation has always been underutilized by African Americans (Connor, Elwert, Spence, & Christakis, 2008). In the San Francisco Bay Area, among Medicare-certified hospice agencies that submit data to the State of California, only 2% of all the hospice enrollees...
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...Health Promotion is the provision of information and/or education to individuals, families, and communities that-encourage family unity, community commitment, and traditional spirituality that make positive contributions to their health status. Health Promotion is also the promotion of healthy ideas and concepts to motivate individuals to adopt healthy behaviors. According to the World Health Organization, Health promotion is the process of enabling people to increase control over, and to improve their health. Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals, but also action directed towards changing social, environmental and economic conditions so as to alleviate their impact on public and individual health. Health promotion is the process of enabling people to increase control over the determinants of health and thereby improve their health. Participation is essential to sustain health promotion action. The Ottawa Charter identifies three basic strategies for health promotion. These are advocacy for health to create the essential conditions for health indicated above; enabling all people to achieve their full health potential; and mediating between the different interests in society in the pursuit of health. These strategies are supported by five priority action areas as outlined in the Ottawa Charter for health promotion: * Build healthy public...
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...language spoken in the profession of nursing requires a wide spectrum of core communication skills that provide a verbal bridge of common understanding of illness, healing, wellness or prevention. These skills require the continual change and transformation of the nursing profession’s language. From the perspective of the patient’s bedside and nurse-to-nurse communications, through the nurse to the specialist, the criteria for common core can be acknowledged. Additionally, the personal slang and reflections of self identification shared in Anzaldua and hooks’ essays demonstrates the immediate need for the requirement of a common core language required to maintain and protect the elite standard of care expected in the medical profession, as a basic minimum to keep the focus on the patient’s care and medical wellbeing. Metamorphosis of the Professional Identity of Nursing The nursing profession is “enveloped in metamorphosing their professional identity” (Allan, Chapman, O'Connor, & Francis, 2007, p. 47-51). The nursing...
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...The United States is at a significant junction. Health care reforms are being carried out and the system is beginning to change. The largest component of the health care workforce is nurses and the needs to strengthen this group will only improve the delivery of care and the health care system. The IOM and the Robert Wood Johnson Foundation established that accessible, high quality care cannot be achieved without extraordinary nursing care and leadership (American Nurses Association, 2014, p. 1). The report calls on nurses individually and as a profession to embrace changes needed to promote health, prevent illness and care for people across the lifespan. The report also calls for support from interprofessional collaborations from physicians, dieticians, physical therapist and other multisector professions to work with nurses to make the changes necessary for a more accessible, cost efficient and high quality health care system. This report expands on the theme that high quality, safe, evidence based patient centered care is a critical role of nursing and that to have a successful health care system rests on the future of nursing (Institute of Medicine, 2010). In 2010 the President signed into law and Congress approved health care legislation called the Affordable Care Act. This legislation gives the United States the opportunity to transform its health care system to provide seamless, affordable, quality care that is accessible to all. To make this transformation possible...
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...NURSING CARE PLAN COURSE: Basic Adult Health CLIENT INITIALS: DATE OF ADMISSION: AGE: GENDER: JL June 13, 2011 85 M HT: WT: ALLERGIES: 140 lbs. NKA CODE STATUS: FULL RACE/ETHNICITY: CULTURAL CONSIDERATIONS: Caucasian None RELIGION/SPIRITUAL CONSIDERATIONS: Unknown OCCUPATION/HOBBIES/RECREATIONAL ACTIVITIES: Retired LIVING SITUATION/WITH WHOM: (home, assisted living, LTC, etc) Lives with daughter. SOCIAL HISTORY: (tobacco, ETOH, illicit drugs, family dynamics) Quit smoking many years ago, no history of ETOH or drug use. NURSING CARE PLAN ADMITTING MEDICAL DIAGNOSIS: Client's principal admitting diagnosis was leukocytosis. Definition: (from Taber’s) “An increase in the number of leukocytes (usually above 10,000/mm3) in the blood. It occurs most commonly in disease processes involving infection, inflammation, trauma, or stress, but it also can result from the use of some medications” (Venes, 2009, p. 1327). Etiology/pathophysiology: ( NOT from Taber’s or Wikipedia) Etiology: Causes of leukocytosis are infection, inflammation, tissue damage, immune reaction, bone marrow problems, medications, and stress (Drug Information Online, 2011). Pathophysiology: “Leukocytosis can be a reaction to various infectious, inflammatory, and, in certain instances, physiologic processes (eg, stress, exercise). This reaction is mediated by several molecules, which are released or regulated in response to stimulatory events that include growth or survival factors (eg, granulocyte...
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...School of Policy, Planning and Development University of Southern California PPD 515: Strategic Management of Healthcare Organizations Intensive Semester |Session I: June 5 through 8, 2008 |Time: 8:30 AM to 4:30 PM | |Session II: June 23 and 24, 2008 | | |Session III: July 14 and 15, 2008 | | Professor: Robert C. Myrtle, D.P.A. Office Phone: (213) 740-0378 FAX: (562) 439-2250 Home Phone: (562) 438-4359 E-Mail: myrtle@usc.edu Office Hours: By Appointment Only Office Location: Lewis Hall 301e Course Description Application of principles of health administration in several practice settings. Decision making, strategic management, organizational performance, communication, and provider comparisons. Introduction This course is designed to be the capstone course for the Master of Health Services Administration degree. It assumes that the student is in the final semester of graduate work and has successfully completed course work in health issues and policy, health economics, financial management, organizational behavior, quantitative analysis, and health law. The title of the course and its description has been instrumental in shaping the focus of this course and the material...
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...for Advanced Practice Registered Nurses to have expanded ability to offer comprehensive complete care to the public. Republican Senator Cary Pigman who is also a medical doctor has recognized the necessity of this need. He has put forth a bill that would enable nurse practitioners the ability to practice without restrictions within the scope of their practice. He has introduced this bill as well as others to support the ability of nurse practitioners to offer comprehensive care to their patients. All Registered Nurses and Nurse Practitioners need to support these efforts so that we can provide needed primary care services within Florida. HB 547 expresses many changes that are needed in Florida today in medical care. The bill requests the reduction of supervision required for nurse practitioners. One major point in the bill is that nurse practitioners would be enabled to provide care independently of a physician. This bill also would enable nurse practitioners to prescribe medication including narcotics independently. This would alleviate the need for primary care providers to seek other treatment that they may require if nurse practitioners were able to fully treat their patients without restrictions’. There is a primary care shortage in Florida and nurse practitioners routinely fill that void and with this bill enacted it would enable those patients to receive comprehensive care by one provider instead of multiple visits to specialists to obtain the same result. Evidenced...
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...of Care Residents Receive and Decreases Unnecessary Health Care Cost Nurses have the power to increase positive patient outcomes by implementing changes in their practice based on the evidence found in the nursing literature. Utilizing evidence-based practice (EBP) increases nurses job satisfaction, increases communication across the interdisciplinary team, enables nurses to provide their patients with high-quality care and decreases health care cost. The purpose of this paper is to describe why readmissions from nursing homes (NHs) is a nurse practice problem, nurse practice changes to reduce hospitalizations in NHs, evidence found in the nursing literature that supports the change in nursing practice and how to evaluate the change in practice after implementation of interventions. The Problem Residents in NHs continue to experience potentially avoidable 30-day readmissions to hospitals. Rahman, Foster, Grabowski, Zinn, & Mor (2013) define 30-day readmissions as when the resident is readmitted to the hospital within 30 days of being discharged from the hospital to NHs and avoidable readmissions as conditions that can be managed safely and efficiently in NHs instead of the resident being transferred to the hospital (p. 1901) There are more than 1.6 million Americans living in NHs in the United States and 23.5% of these Americans experience readmission to the hospital within 30 days of discharges and cost more than $17.4 billion per year in unnecessary health care cost...
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...Comparison and Contrast between the Disciplined and Controlled Societies Sociology Theorizing Introduction According to Deleuze disciplinary societies existed in the 18th and the 19th centuries. He explains that these societies were located by Foucault. Deleuze explained that the disciplinary societies were much evidenced in the 20th century which according to him was the time when the practice reached its peak. According to him in this system the individuals were operating enclosed environments. Such environments were having the laws to be followed closely by the people. These enclosed environments included the family, the school, the barracks, and the factory and the hospital that people would visit from time to time. Still another enclosed environment was the prison which was seen as an analogical model of laborers who were treated as prisoners. He uses the exclamations of the heroine of Rossellini’s Europa ’51 whom at the sight of some laborers was reported to have thought that she was seeing convicts. Analyzing such environments enclosure in the context of a factory Foucault explained that the major goals of a factory is to concentrate, distribute in space, order in time, compose a force of production within the dimensions of both space and time to ensure grater effect than that of the sum of its component forces. Comparison and Contrast of the Disciplined Society with Controlled Society In discipline societies an individual passes through different enclosures...
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