The Importance Of Quality And Innovation

The EEG results are used to determine where sensors will be attached, to earlobes, or even hair to transmit thoughts through a transducer. The patient then must complete "tasks" by thought utilizing the appropriate brainwaves depending on the individual goal or disorder of that subject.

The nurse is challenged with the care of patients over a lifespan. Each stage of life brings its own physical and emotional changes which directs the care needs. The care needs of the pediatric patient will be much different from the needs of the geriatric population. The geriatric population has very specific needs which has prompted the government to establish the Quality Assurance & Performance Improvement (QAPI) program. The QAPI provides the framework for nursing facilities to develop and implement changes which address deficiencies the facility was found to have. Also, the QAPI program requires practices and policy be put in place to monitor care of the residents. The purpose of this paper is to list some of the changes the elderly go through as they age, and demonstrate these changes in a quality improvement project. After review of literature, I will discuss the challenges, barriers, and solutions as related to quality improvement. Lastly, I will discuss the quality of care for the geriatric in the future.

To review the methodology in relation to the study, a substantially precise battery of neuropsychological tasks was used to compile the data for this article. The list of neuropsychological tasks was inclusive of the following assessments:

My clinical assignment for this week was to write about the QSEN competenice of quality improvement. I was assign to look around for any quality improvement projects occurring at my hospital. Quality Improvement is something many hospitals are focusing on to better the care for patients and the safety of patients, while in the inpatient care setting. The quality improvement project I can across at UPMC East was the Pain Resource Nurse (PRN) program.

Specific QEEG variables related to specific cognitive tasks has yet to be accomplished in the QEEG TBI literature, except for auditory memory.

One with anxiety can live a long happy life with proper treatment and a great support system. Anxiety disorder is a long-term condition that may be a lifelong problem and individuals who are affected frequently find their symptoms resurfacing or getting worse during stressful times. There is some new research on the rise in the United States i which studies show that anxiety may be able to be decreased or turned due to something called Transcranial Magnetic Stimulation (TMS). TMS involves sending magnetic impulses to the brain through a cap that is worn on the head of the patient. What TMS does is it changes the electrical activity in the brain in areas in which are too active and responsible for constant worry. This type of brain stimulation study has been reported to be effective in helping those who suffer from severe depression and anxiety disorders. During the study, 70 percent of the individuals said that the feeling of anxiety and depression were drastically reduced. (Mulholland,

GCS is a standardised assessment tool that has significant implications such as providing a baseline, detecting early signs of deterioration and evaluation of severity of the brain injury (Middleton, 2012). The three domains of GCS are eye opening, verbal and motor response. The eye opening reflects arousal levels originating from brainstem activity. The verbal component requires the use of cerebral cortex and reveals the patient’s awareness and orientation

After consent was given and the proceedings of the examination were briefly explained, EEG electrodes were attached to the subjects and they were given detailed instructions. Participants performed multiple tasks throughout the experiment, and the order of the tasks were counterbalanced across the participants. The participants were seated approximately two feet viewing distance and were instructed to press the right button mouse button if the center arrow was facing to the right and press the left button if the center arrow was facing to the left. Before the exam that was used for analysis, participants were given a practice block containing 30 trials where they were instructed to be as quick and accurate as possible. Then, the actual task was administered with 11 blocks of 30 trials. The participants received feedback on their performance. If a participant received a score of 75% or lower, a message of “Please try to be more accurate” was given. On the contrary, if the participant received above 90% a message of “Please try to respond faster” was displayed. However, if a participant was between 75% and 90%, the participant received a message that said “You’re doing a great job.”

Dr. Sterman questioned if he could train the cats to produce the SMR rhythm at will and rewarded them when the frequency was produced. This experiment was the first to prove that brain behavior could be changed and affected by EEG conditioning over time. These findings laid the foundation for what we now call frequency band neurofeedback, which targets abnormal activity in frequency bands (Mayer & Arns, 2016). A great deal of experimentation with quantitative electroencephalogram (QEEG) began in the 1970s and 1980s. Over the last decade, the medical view of the brain as changed dramatically and overwhelming evidence exist for the plasticity of the brain, especially in childhood (Gevensleben, Moll, Rothenberger, & Heinrich, 2014). These current finding has placed attention on neurofeedback as a novel treatment using neuroplasticity to improve attention and many other psychological

to the motor tasks proposed, we anticipate that the voluntary response is augmented in both intervention

To compare between the effect of stimulating the motor cortex (M1 region) using Transracial stochastic noise stimulation (TSNS) and transracial direct current stimulation, and to quantify the effect of the TSNS on the brain activity. In order to measure the effect we need to conduct two studies. First experiment is done inside the FMRI scanner, to record rCBF (regional Cerebral Blood Flow) for healthy control subjects while stimulating the M1 region using TDCs and TSNS. Second experiment is to measure the effect of TSNs and TDCs using TCD, which measures the change in Brain Blood Flow.

They include: vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), and deep brain stimulation (DBS). With VNS, researchers surmised they might be able to arouse the brain by electrically stimulating the vagus nerve through the use of a pulse generator implanted under the skin of the chest. This procedure brings significant relief to as many as 40% of those with treatment-resistant depression, although researchers have not concluded precisely why this technique reduces depression. Transcranial magnetic stimulation was designed to stimulate the brain without the undesired effects of ECT, and has been found to reduce depression when administered daily for 2 to 4 weeks and may be just as helpful as ECT when directed to the severely depressed. In deep brain stimulation, a “depression switch” was theorized, which was located deep within the brain in the Brodmann Area 25 where researchers have experimented with electrode

The key issues for quality improvement in the National Health Service (NHS) quality-improvement program as it goes forward is improving health outcomes for patients by collecting and reviewing data, so as to improve business operations in healthcare and also recognize opportunities (McLaughlin, Johnson, & Sollecito, 2011). Besides, NHS also improves other programs such as providing more high quality services to meet customers’ satisfaction and community expectation, creating the necessity of the funds, and striving to be one of the top health care providers in medical industry. Established in 2013, NHS has been achieving many satisfactory results in a short time and step by step satisfying the needs of clients and expanding strengths to

myth that quality is simply a feeling of 'excellence'. His view is that once a

Quality is defined as conformance to the requirement, not goodness: The first absolute explains that management must strive to ensure that during the quality improvement process everyone is getting things done right the first time. Crosby stated that in other to do this management must state clearly what are the individual roles of the employee, management must also supply the employees with the resources needed to do their task and lastly management must give continuous support and encouragement to the employees during the improvement process. When quality is defined as conformance to requirement it helps to reduce hassle and improve quality at the same time. Crosby (1995).