3k Stepdown Unit Analysis

The Veterans Health Administration is home to the United States’ largest integrated health care system consisting of 150 medical centers, nearly 1,400 community-based outpatient clinics, community living centers, Vet Centers and Domiciliary. Together these health care facilities and the more than 53,000 independent licensed health care practitioners who work within them provide comprehensive care to more than 8.3 million Veterans each year. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of the medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision

M3: Discuss the care strategies that can be used to support individuals with each physiological disorder.

Outcome based care is about putting the customer at the centre of the care service and not prescribing a one size fits all policy. Care should always be bespoke to the customer taking into account their needs and choices. Care should allow the customer to live a fulfilled life, help them identify and achieve the things they would like to do. Outcome based care requires careful planning with full involvement from the customer their relatives should they wish and other health care professionals if required. Teamwork and communication is essential to ensure continuous quality improvement, and process and

Patients would also not have to wait long hours to receive medical attention, which thus can become stressful for patients, especially elderly and children. The RUC will also address community needs for convenient and reliable access to care. In order to meet the need of the community and be able to provide the appropriate level of care, RUC will provide mainly focus on provide procedure but not limited, diagnoses, and treatment for all ages, such as preventative medicine and the overall health and wellness of community members. The facility will be to provide nursing triage, physician assessments, minor procedures, basic lab services, basic diagnostic imaging, vital signs, IV therapy, EKG, and would care, plus many more with proper trained and supporting staff. The RUC will provide the most comprehensive medical care possible in order to optimize the care and well being of each patient. RUC will provide Nurse Triage physician assessment to handled common illness, respiratory illness, bladder infections, allergies, pregnancy testing, skin rashes, sport injuries and eye, ear and sinus infection. RUC will provide general services such as emergency transfer to KEMH, Vital signs, IV therapy

The VA St. Louis Health Care System currently has two major campuses that honors veterans and their families. The second campus, the John Cochran Division, is where veterans have access to the center's surgical capabilities, ambulatory care unit, intensive care unit and more. This site, which is located in Grand Center, is also undergoing

Since there is no reported data or analyses to help the nation or specific regions and communities assess veterans’ needs for services by geographic area, and to plan for and coordinate service delivery across community-based, TRICARE, and VHA resources; we purpose several general directions for moving forward (Burnam et. al, 2009). The general directions for moving forward include a need for confidentiality, consumer education, treatment choices, workforce policy, training and certification, QI needs, and technical assistance to the

All elements in this domain scored a five. The VHA focuses on diversity and disparities among Veterans. The comprehensive electronic health record captures demographic information, such as race, ethnicity, language on the initial visit to the facility. This information can then be viewed in the first pane of the patient chart. Although English is the primary language, an interpreter can be made available if necessary. Those patients who are hearing impaired are provided with an interpreter fluent in sign language. Multiple programs are available to Veterans who are underserved. A series of questions are reviewed with the patient annually, with the goal of identifying the Veteran’s needs. These questions focus on routine health care, as well

Recovery of a patient is much more than the management of medial symptoms. It involves a person regaining control, individualism and independency, “socially re-connecting” and rebuilding their life (Welch, 2010). Protective factors such as self-care, quality of life, pain and illness perception, and physical outcomes can be associated with the recovery of a patient. Welch suggest, “Excessive individualism or self-reliance is an obstacle to resilience when it undermines relationships or prevents people seeking and receiving help when they need it” (Welch,

A practice change in a non-VA primary care practice led by a Nurse Practitioner (NP) that includes identifying eligible veterans and utilizing the referral process guidelines to peer support services. In the Veterans Choice Program, 2015 the authorization for all non-VA medical care for veterans who resides more than 40 miles from a VA health care clinic or is not able to obtain a medical appointment within 30 days is eligible to receive care from a non-VA entity. The consignment of all medical care appointments are over sought by Health Net, which authorizes all non-service, secured care. PCPs are highly fortified to communicate with veterans with a courtesy memorandum for their medical appointment. PCPs must adhere to the subsequent standards

First, it’s called continuum care system, it deals with tracking and keeping in contact with a patient over time and to follow them thru their health care services. The breakdown of continuum care is extended care, acute hospital care, ambulatory care, home care, outreach, wellness and housing. It could follow a patient from birth to the end of life. The services could be acute healthcare, hospital, emergency, inpatient services, outpatient services, urgent care, skilled nursing home, rehab, home care visiting nurse services, hospices, wellness care, public health and care management and research.

In February 2017, the National Capital Region Medical Directorate (NCR MD) exercised authority, direction, and control over various military facilities around the National Capital Region of Southern Maryland, Washington, D.C; and Northern Virginia. These military facilities include: Walter Reed National Military Medical Center, Fort Belvoir Community Hospital, the Joint Pathology Center, and Navy Health Clinic Quantico and its subordinate Branch Health Clinic, Washington Navy Yard (page 4, Dictorate, 2017). The primarily goals of aligning all of these military medical facilities in the National Capital Region are to: create services that are responsible for the healthcare needs of all patients, enhance patient safety and quality, ensure that world class military healthcare facilities are accessible, and provide the continuous focus on health, training, education, and research (page 4, Dictorate, 2017).

Goal #: Continue in obtaining information about developed illness. This goal will be a short term to medium goal for the client to research information to become acknowledge about their illness. The client will continue as before to gain knowledge about illness, its symptoms, and treatments that are beneficial for the client's health. The information that is obtained by the client can be discussed in the presence of health care provider and/or clinician. A health care provider and/or clinician will also provide information to the client about the illness, symptoms, and treatments. The information is important to be told and know for the client's well being to maintain a healthy lifestyle before and after symptoms arise.

Chronic illness trajectory framework, purpose illness in eight phases, from dying with each possessing the possibilities of reversals, plateaus and upward or downward movement allows for a conceptualization of the course of illness to comprehensively direct care and conduct research (McEwen, 2014). The model is used for patients with cancer and chronic conditions.

Rehabilitation depends on a combination of support from a range of health professionals, social services, financial support, and help from family and carers.

The Canadian Nurses’ Association (2007) definition of a Registered Nurse in part states that the members are, “self-regulated healthcare professionals who work autonomously and in collaboration with others enabling individuals, families, groups, communities and populations to achieve their optimal health” (p. 10). To ensure that safe and ethical care is being administered, the College of Nurses of Ontario (CNO, 2015) outlines several practice standards and guidelines to be followed by its members. Within this framework, the nursing profession has a multitude of concepts to explore and apply when providing the best possible client care. Recovery is a multi-dimensional concept directly related to professional caring and practice experience in nursing. To understand the role recovery plays in a patient’s treatment one must investigate the various components that make up this concept. In this paper, I will present the phases and dimensions associated with recovery and any influencing factors relating to the process. The research and knowledge gained will be used to relate the aspects of the concept to professional caring. I will reflect on enhancing and integrating my comprehension of the concept in my future professional nursing care as I continue my journey as a healthcare provider.