Nursing Care Pl A Case Study

4. describe actions to take where any concerns with the agreed care plan are noted

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

Case Management Action Plan The purpose of a Case Management Plan is to assist in the patient’s transition from the hospital to independent living at home. The case manager creates a plan for the patient that is personalized, often the patient and caregiver/family member are involved in creating the plan. Using the services the patient and caregiver has chosen, a summary of issues, goals, and strategies are created to achieve the desired outcome. The case management plan is usually conducted during the initial case management assessment and is updated as the patient’s needs change.

National Patient Safety Goals (NPSGs), established in 2002 by the Joint Commission, is to help accredited organizations address specific areas of concern in regard to patient safety ("Catheter-Associated," 2015). NPSG.07.06.01 Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI) is a 2015 NPSG ("The Joint Commission," 2015). Our facility has 1.32 CAUTIs per 1000 device days (Carson, 2015). Decreasing CAUTIs can be achieved with a strict goal, addressing the financial implications, interdisciplinary collaboration, nursing leadership, a measurement tool, and discussing the future healthcare delivery methods.

Patient safety and hospital acquired infections (HAI) are deemed highly important in the health care setting. My organization uses quality indicators pulled from EPIC, which is our health information system, to ensure we are meeting regulations for catheter associated urinary tract infections (CAUTI). Data includes rates of infections, length of foley catheter placement, reasons for foley placement, as well as facility specific documentation that is used to aide in the prevention of CAUTI. By pulling this data, one could identify trends affecting rate of infections. This may lead to a change in policy or procedure that can improve the rate of infections for those patients with foley catheters. Thus decreasing the percentage of HAI’s for

The PICO question is as follows: In hospitalized patients who are susceptible to catheter associated Urinary Tract infection (CAUTI), if nurses and other assistive personnel develop an action plan with a systematic team approach of evidence-based infection control practices, compared to current practices, could it reduce or eliminate incidences of CAUTI?

It is necessary to involve the individual in the plan of care and support. Encourage the individual to make choices. This includes their needs, their culture, their means of communication, their likes and dislikes, wishes and feelings, advance directives, beliefs and values, involvement of their family and other professionals. This should be considered and documented. Also, there must be evaluation in assessing effectiveness in the plan of care.

This should all be written within the individuals care plan as well as a step by step plan on that has been agreed with them on how to move and handle them.

Focus on enhancing quality of care has exaggerated on a nationwide scale. Decreasing preventable damages within the health care settings is being on focus furthermore. From this there has been an immediate connection between repayment to quality through pay-for-reporting and pay-for-execution programs. Around 25% of the hospitalized patients have an indwelling catheter in place (Saint, Kowalski, Forman et al., 2008) and there is a 3% to 7% has the probability to get urinary tract infections in such cases. The infection could cause the signs of bladder distress, trouble in urination, and high temperature in such patients. Analysis shows that 48% of patient who has indwelling catheter complains of pain from the catheter, 42 % experience inconvenience from the catheter and 61% found that their daily activities are exceptionally constrained by these catheters (Saint, Lipsky, Baker, McDonald, & Ossenkop, 1999). Urinary tract infections may prompt bacteremia (infection

This problem is important, but does not have the highest priority when developing the client's plan of care.

Another recommended is to document that all risks associated with non-adherence to care plans were discussed as well as alternative treatment options were reviewed and that the patient verbalized understanding ( CMPA,

In an effort to assist Kellie Shelton in reducing her past due hotlines; we implemented the Performance Improvement Plan. This local plan included developing plans of actions where Kellie would be responsible for completing and closing 10 past due hotlines every two weeks. In addition, we required Kellie Shelton to update her outlook calendar daily if necessary with modifications to assure she was completing F2F visits and adhering to time management of completing cases within the 60th calendar day. Kellie showed no improvement after 4 months which justified a need for a work

This article does not provide the search strategy including a number of databases and other resources which identify key published and unpublished research. In this article, both the primary sources and the theoretical literatures are collected and appraised in order to generate the research question and to conduct knowledge-based research. In the section of the literature review, nineteen professional articles are appraised in order to provide the significance and background of the study. Saint develops the research question based on these analyses. “Catheter-associated urinary tract infections in surgical patients: A controlled study on the excess morbidity and costs” is one of the primary sources written by Givens and Wenzel who conduct and analyze this study. In addition, “Clinical and economic consequences of nosocomial catheter-related bacteriuria” is a review of a literature article which is the secondary source. Although many studies state that patient safety is a top priority and CAUTI can be controlled by the caution of health care providers, the infection rate is relatively high among other nosocomial infections. One of the reasons Saint and colleagues uncovered is unawareness and negligence by health care

For many years, hospital personnel have struggled with maintaining the accuracy of fluid intake/output measurements of patients. Your decision to focus a change project aimed at addressing this issue and making changes to correct the problem is important to maintain the safety of patients during hospitalization.

Before leaving, each individuals care plan must be read to see if they have any special needs to be adhered to such as medication at specific times and if the medication should be taken with food.