Case Study Ambulatory Dysfunction

In this assignment, we are asked to act as a chief operating officer of a hospital tasked with opening a new ambulatory care center in my city. We will specify a perspective of choice which are either professional autonomy, social contract, or free market. Describe at least two (2) advantages and two (2) disadvantages of your chosen perspective. Provide at least two (2) examples of the perspective in action to support your response. Additionally, analyze three (3) key components sources of law related to the effects that each source could potentially have on your healthcare organization’s new initiative.

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

Research studies conducted all over the world, including Japan, Italy, Ireland, Denmark, Australia, and the United States, have explored the effects of early ambulation. Early ambulation is defined as less than 48 hours after surgery. The purpose of this paper is to review current research regarding implementation of early mobilization in the post surgical hip patients that are 65 years of age or older. Early ambulation has been linked to accelerated recovery in the elderly who have undergone hip surgery. Accelerated recovery may

Redesigned Care processes for reliable delivery and 100 percent evident best practices after four months.

Diminishing readmission has turned into an order for hospitals over the United States, rushed by execution of open revealing and money related punishments for abundance readmissions. In any case, in spite of a quick need to enhance the nature of release arranging and transitional care, there is restricted superb confirmation illustrating how to best achieve this.

Mrs. Cabrera is a 64 years old women with history of high blood pressure, vertigo, and bilateral meniscectomy 3 years ago. Client is currently taking medication on a daily basis for her health conditions. Patient takes pain killer medication at least 3-4 times a week if knee pain is present after ambulating around the home for household activities. Client lives with daughter, grandchildren, and other family members. Patient has a supporting family nucleus, they agreed to make arrangement if necessary to avoid and prevent any potential fall risk.

Mobility aids are designed to increase mobility and balance for seniors. However, they are actually the causes for many falls in America. The Centers for Disease Control and Prevention investigated Emergency Department visits from 2001 to 2006. They analyzed the amount of fall- related injuries and found that 47,312 seniors over the age of 65 visit the ED due to accidents involving their walker or cane each year. Out of those seniors, about 87% experienced a mishap with their walker. A physician named George Fuller (2000) stated that “Falls are the leading cause of injury-related visits to emergency departments in the United States and the primary etiology of accidental deaths in persons over the age of 65 years.” Two wheeled walkers

Telephone contact made to the patient. Two patient verifier used to confirm name and DOB. Patient states that she continue to have severe lower back pain that worsen with movement and standing for greater than 30 mins. Currently, patient rates her pain 5/10 resting, with an occasional pinching feeling in the lower back. Patient states that she is very concern because she needs her husband help for almost everything such has help with ADL, household chores. Patient states that her husband is due to deploy in January 9. Patient states she is schedule for her MRI January 5. Patient is requesting that her MRI be done asap. Patient states that she is taking her medications as prescribed but she continue to be in pain. Acute Apt was schedule for

Highland Regional Rehabilitation Hospital a 41-bed facility located in the heart of the desert of the southwest located in El Paso, Texas. The facility in September of 2015 went into partnership with Vibra Healthcare. Vibra Healthcare is a private corporation that specializes in development and operation of freestanding Acute Medical Rehabilitation Hospitals (IRF) and Long Term Acute Care (LTAC) hospitals. Highland Regional Rehab employs 92 workers and it is CARF certified facility with all the beds being Medicare-certified. Highland Regional is one of the smaller rehabilitation facilities located in Texas. Highlands Regional Rehabilitation Hospital is an inpatient rehabilitation hospital concentrating in recovery from amputations, brain injury,

The protocol established outlined that patients and staff should use the closet exit to where they are located in the hospital, along with several different locations as meeting/ collection points (). In additions, the protocol also outlined that those who are ambulatory should walk out of the building and those who were non-ambulatory should be provided assistance out of the building (). Assistance out of the building for non-ambulatory patients meant that hospital staff carried them out of the building using backboards, mattresses and other evacuation devices

Ms. D.P aged 18 years, female, single, studying 2 year B.Com in a private college, hailing from middle socio economic background of urban society. Presented with the complaints of being very anxious, having fear that she will die, feeling that others are watching her, talking about her and making fun of herself, behaving violently, trying to commit suicide, laughing to self and starting to laugh at the sight of men for no apparent reason. All these symptoms were present for the past 3 months with acute onset and continuous course, with no other physiological or organic complaints.

SC read grab bars policy and completed A&R request, CMI addendum, ageing waiver case review and ISP signature page and submitted case for SCS review. The Pa is requesting for 3 grab bars to be installed in her tube and at the top of stair elevator to maximize safety during those transfers. Due to Pa’s declining health. The following dx affects the Pa’s ability to transfers without aids: COPD, Osteoarthritis, knee replacement 2002, Osteoporosis, CVA 2000, Lupus erythematous, PVD, h/o right hip dislocated, scoliosis, and spinal stenosis. Per Pa she experience’s very unsteady gait, decreased ROM, and decreased transfer ability. The SC is recommending the installation of three gar bars 2 in the tube and one at the top of stairs. SC reviewed: Provider

Health care organizations are motivated by social transformations that occur in their environment that affect economic, demographic and technological aspect of care and services in a positive way. More so, health system innovation process is directly linked to the degree of consistency of professional, technological, organizational, personal and social skills. The combination of this process and management will help create a valid strategic plan that will be based on measure of performance, benchmarking, and continuous improvement. Every health care organization clinical support must be consistent with the organization mission and strategic plan; which can be determined by its annual goals that are approve by the governing board. This report covers the concept of Ambulatory care center that will be using a free market perspective as a pattern to design the new

When I worked in the Ambulatory Facility, I was the happiest person ever. Walking in every morning through those metal doors, smelling the freshly made coffee and those warm bagels already delivered, ready to start our day at the surgical center. Patients walking in, signing in and waiting to be called in next. One by one going in and making sure that they’re names were spelled correctly and screening them one last time before going in. That was my job. Speaking to patients was something that I loved. Especially Spanish speaking patients. Once they were done, I would be called into PACU to check on patients and to see if they needed anything. This is what I loved. It felt like I was one step closer to my dreams in becoming a nurse. It was amazing.

I just wanted to add a bit more to the discussion of clinical grasp, as I find it quite an interesting concept to deliberate. The concept of clinical grasp should be carefully considered. Clinical grasp is associated with modus operandi thinking or “detective-like thinking” (p. 29). This type of thinking occurs when what was originally seen by the clinician is inaccurate and a new intervention is implemented instead. An interesting consideration pertaining to clinical grasp is that despite how developed best practice guidelines or clinical reasoning may be, when “clinical puzzles “(p.30) arise the issues cannot be solved without the use of clinical grasp or reasoning. I think the risk of blindly following best practice guidelines can be brought