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.

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,

Case Scenario 1: It has become necessary to ration a vaccine for a contagious disease. There is only enough vaccine available to cover 75% of the U.S. population. It is necessary to determine an appropriate method for doing this. Analyze this case by applying each of the theories of Utilitarianism, Rights-based, Justice-based and Virtue-based ethics as discussed in Module 2. (20 points)

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

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

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.

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.

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

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.

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.

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.

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

Addressing the stairs is not a simple solution. As long as Mr. Trosack is able to walk those stairs following a discharge from the rehab then he can move back home. Side rails on both sides need to be secure and easily accessible to him at a safe level for him to hold on to. Some apartment complexes have added elevators or elevator chairs, if that is an option then that would be fantastic. These issues need to be addresses to avoid another injury at home such as a fall.

The significance of community hospitals such as Community Hospital in Monmouth County, New Jersey, is greater than one may expect for primary and secondary care services provided to the local communities around the United States. Community Hospital’s mission is to provide exceptional primary care. However, with the declination of profitability in primary care, Community Hospital has had to compete with Shore University Medical Center (SUMC) and University Hospital (UH) for revenue restoration. The decline of Medicare and Medicaid reimbursements and the steady progression toward specialty care vs. primary care require a core alteration to the mission statement to adjust to the changes within the current healthcare system. A newly modified mission and vision statement will prove that Community Hospital has the ability to regain its relevance within the healthcare industry as a leading primary care provider in the community and increase its revenue. The implementation of the new mission and vision for Community Hospital is expected to be upheld without compromising the core values of compassion, advancement, reputation, efficiency, and physician integration. A few proposed strategies to help Community Hospital create a new and improved business model, may seem cumbersome and challenging, however could greatly improve the overall direction of Community Hospital.