Learner Needs Assessment Paper

As a member of the HR department of a small retail company, I have been tasked with implementing a new employee training program. This class is being designed especially for our new customer service associates to ensure they are successful in their new position. “Having a trained workforce means your workers are learning new skills that can improve production, cut time spent in creation of your service, reduce production costs, reduce mistakes, build confidence in your workforce, and create a better working environment” (Benton, 2014). Making sure that our new employees are fully trained is an investment in our company. When we have a skilled, trained workforce, productivity and efficiency will remain high.

The nursing role in pulmonary rehabilitation includes one on one sessions with patients to cover more in-depth education of the disease process including actual anatomy and physiology of the pulmonary system. After that has been covered then the nurses can focus on causes of COPD, symptoms of the disease and management of them, diet, pulmonary exercise, medications for COPD and compliance issues, and most importantly smoking cessation. The nurses will likely require the patient to give return demonstrations of the medication use and pulmonary exercises such as pursed lip breathing (Mohammadi, Jowkar, Khankeh & Tafti, 2013).

I created the survey through SurveyMonkey and handed them out personally to each resident and CNA. The survey provided very conclusive results and made it easy to get an understanding of what the people involved in the problem thought.

The Affordable Care Act established the need for medical home model of care that focus on quality and safety, which is patient-centered and team based. The providers and care team care for patient with complex health conditions. The diseases process of chronic obstructive pulmonary disease (COPD) can be treated with by using this model to coordinate and provided comprehensive care in the home. COPD is a progressive lung disease that can be prevented and treated. COPD consist of chronic bronchitis, which is a chronic productive cough for at least 3 months per year for at least 2 years and emphysema, which is characterized by permanent enlargement of the airspace beyond the terminal bronchiole, and is characterized by airflow limitations

In 2014 (Ko et al., 2014) published a study that showed using components of our bundled care program (COPD education by respiratory nurses, pulmonary rehabilitation, follow up with pulmonary specialist and discharge phone calls) reduced readmission rates from 2.39 episodes to 1.65 episodes at 16 weeks post discharge.

Analysis and Discussion of Research Questions. To conduct the study, the researcher distributed 100 surveys to randomly selected direct care professionals at Bancroft. Seventy-six (76%) of the surveys distributed were completed, returned to the researcher and used for the data analysis. The data used was used in efforts to discover the following:

This section of Service Development Bid on improving access to “rescue therapies” for COPD patients with infective exacerbations through a community pharmacy led service aims to present the way the outcomes of this development will be evaluated. Furthermore, it presents the key challenges of plans for evaluation and strategies to address them. Early consideration of evaluation during the process of service development allows for collection of baseline data to which the service impact can be compared to. Furthermore, delayed evaluation planning can result in assessment of limited outcomes available through an already running service instead of desired outcomes of the development (NHS Wirral Research & Development Team 2011).

Results from this systematic review showed that SMEPs seem to have a positive impact in COPD patients. SMEPs can improve HRQoL, self-efficacy, COPD knowledge, and decrease health care use (COPD-related hospitalization and ED visits) in patients with COPD. Therefore, the studies demonstrated improvement of self-management behavior in COPD patients for a long period of time after the self-management education.

At first, I went to the website greatschools.org and my school Hilldale Elementary. Shockingly to my surprise the school was rated a “B”. It was surprising to me that the rating for the school was so high. Only one grade out of the school passed the standardized test out of third grade to fifth grade. Thinking to myself, I felt like that report had to be based off the parent’s perspective of the school. Observations such as those from parents are fine, I just don’t think that they depict schools well enough. I decided to go to schoolreportcard.org instead to get a more detail background of the school. This school alone has 774 students and only about 47 teachers. The school has 42% English Language Learners in it because school’s area is predominantly

Pulmonary rehabilitation is a great program, it provides exercise regimen, education and support COPD patients to increase their stamina and physical strength, manage their breathing problems and teach strategies to live better with their diseases. On my first day of rotation, I was inquisitive to know and learn about pulmonary rehabilitation like how it works and what happens in each rehabilitation sessions. After experiencing the two days of rotation, I found it was a very informative rotation as I learned a lot about what kind of patients are referred and the goals and objectives of such sessions.

S. It is the fourth leading cause of chronic morbidity and mortality in the United States and is projected to rank fifth in 2020 as a worldwide burden of disease according to a study published by the World Bank/World Health Organization (Pauwels, 2012). Yet; COPD fails to receive adequate attention from the health care community and government officials (Pauwels, 2012). In 1998, in an effort to bring more attention to COPD, its management, and its prevention, a committed group of scientist encouraged the U.S. National Heart, Lung, and Blood Institute and the World Health Organization to form the Global Initiative for Chronic Obstructive Lung Disease (GOLD) (Pauwels, 2012). GOLD’s intention is to bring awareness to individuals who treat COPD and the individuals who suffer and die every year due to the complications from the disease. GOLD used a consensus report for this study and updates the version to reflect on vital changes, stages and signs of COPD. The goals for GOLD are to improve management; and prevention of COPD through effort of people involved in all areas of healthcare and the policies of health care, including worldwide involvement. One strategy to help achieve the objectives of GOLD is to provide health care to workers, health care authorities, and the general public with state-of-the-art information about COPD and specific recommendations on the most appropriate management and prevention strategies (Pauwels,

My client wanted to look at different approaches to care for COPD. He was shown how to breathe using pursed-lip breathing and the use of abdominal muscle. He was shown deep breathing and cough exercise and the use of incentive spirometry. He was encouraged to stop smoking. He was also referred to the physiotherapist to assist with alternative care.

Pulmonary rehabilitation has been clearly demonstrated to reduce dyspnea, increase exercise capacity, and improve quality of life in individuals with chronic obstructive pulmonary disease. There has been an increased evidence of the effcicay of pulmonary rehabilitation for COPD and other related respiratory diseases such as interstitial lung disease, bronchiectasis, cystic fibrosis, asthma, pulmonary hypertension, lung cancer, lung volume reduction surgery, and lung transplantation (Spruit et al., 2013).

Respiratory therapists (RT) are an important part of the treatment team. They can obtain arterial blood gas samples and check oxygen saturation levels. RT’s administer nebulizer treatments, bronchodilators, and steroids. They monitor and adjust ventilator machines and bi-pap machines according to patient needs. These machines help rid the body of carbon dioxide and provide adequate oxygenation. RT’s can also help provide suctioning as needed and are usually very involved in cardiopulmonary resuscitation. Physical therapists (PT) also play a huge role in caring for COPD patients. They can teach them breathing and coughing techniques, and also teach them how to exercise for conditioning and pulmonary rehabilitation.

Currently, there is still lack of comparable information about access to and utilization of pulmonary rehabilitation and oxygen therapy. There has been concern that rehabilitation might worsen exercise hypoxaemia. In contrast, the correction of hypoxaemia during exercise might lead to more effective rehabilitation by permitting a greater degree of training than would otherwise be possible. Options for improving data about these interventions are discussed in a recent report ‘Monitoring pulmonary rehabilitation and long-term oxygen therapy for people with chronic obstructive pulmonary disease (COPD) in Australia’ – a discussion paper