Visiting A Nurse Health Systems ( Vnhs )

Each staff member should display a high echelon of outstanding care due to their impressionable experience levels and infinite amount of training. The majority of them will have advanced credentials in specialty areas. The nurses and other staff members emphasize family and patient education to increase the possibility of independence.

Although the largest profession in the health care industry is nursing, a larger number of people are getting older and living longer. This means that more people will need nursing care, whether it’s in a hospital, a long-term care facility or at home. It is projected that long-term care facilities will need 66% more RNs by 2020 (Addressing the Nursing). The increase in life expectancy has amplified the complexity of health care because more people are living with chronic conditions. The American Nurses Association reported that “a large cross-sectional study of over 1,000,000 adults revealed that 82% had one or more chronic conditions” and we are seeing an increase of those age 65 and older living with multiple chronic conditions (Mion). Now, more than ever, there is a high demand for the best delivery of medical care.

The publication from the institute of medicine has garnered much interest since its publication in 2010 focusing on the future of nursing and the implementation of this with in the nursing community. The nursing profession has over 3 million members and is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 IOM (Institute of Medicine). One of the recommendations is that of a nurse residency program for new nurses or nurses transitioning into new clinical practice areas. The area I work in is home health and this is a growth area the need for a residency program cannot be over stated home

The role of nurse practitioner is valuable when discussing collaborative care. There are so many levels of care, so many health entities, and so many insurer criteria involved that it is instrumental to have a role that can work towards help bring all aspects together. In addition to diagnosing, treating, and managing care, the role of the nurse practitioner is to manage simple and episodic acute health issues along with chronic disease (Sangster-Gormley, Martin-Misener, & Burge, 2013). It is important to note that although this is a function of this role, nurse practitioners also practice from a holistic point of view which allows them to help manage patient conditions or wellness in a more complete fashion. This includes helping patients have access to care beyond primary and secondary care settings. This encourages nurse practitioners to work alongside other health care and allied health professions, and families to create an individualized plan for every patient (van

contribute to the costly effect include the fact that nurses have, increased incidence of nurse burnout and patients have poorer outcomes increasing both mortality and readmission rates. Nurses are a large component to keeping readmission rates down through spending time with a patient and educating and empowering patients on self-care through helping patients understand importance of medication regimen adherence, importance of diet adherence, ways to reduce infection and various other skills to care for self at home" (Problem Memorandum Assignment, 2015) The documents exigence is crucial the audience to better the outcome of patients and that of the health

Hederson, S., Princell, C. O., and Martin, S. (2012, December). The patient-centered medical home. American Journal of Nursing, 112(12), 54 59. doi: 10.1097/

The Self-Care Deficit Theory of Nursing impacts modern health as well as nursing more so than expected during its creation and evolution. The Institute of Medicine (IOM, 2001) demanded the need for health care to shift from acute care setting to management of disease. Consequently, today’s health care is in the midst of a paradigm shift, as it redirects its attention towards patient centered care, disease prevention and wellness promotion. The Affordable Care Act implemented regulations, enforced by financial reimbursement to ensure that hospitals have shorter lengths of stay, lower readmission rates and strategies to enhance health promotion, disease prevention and improved quality of life (Taylor, 2012). The government has placed incredible demands on the health care system as baby boomers are aging and chronic diseases are becoming more complex requiring increased use of technology and nursing support. In order to meet the legislative requirements, administrators and educators must transition to the structure and concepts provided by the Self-Care Deficit Nursing Theory, for it is in this theory, nurses are empowered to better care for the patients as they present with complex self-care needs requiring specialized assistance from highly advanced, educated nurses who prepare these patients to return home better equipped for self-care despite their chronic conditions.

As more people access affordable care, the demand for nurses increases dramatically. “The ACA will likely impact the places where RNs work, and the skills they need to be successful in these settings. Registered nurse employment is expected to grow most rapidly in outpatient settings – particularly physician offices – and home health care” (Spetz 2014). Since the ACA began in 2010, the health care system experienced a rise in the number of new patients. Because some of these patients have chronic illnesses that have been neglected, they require more care. The extra time and care it takes to improve the health of these new patients have placed a toil on nurses. In the past, the uninsured may have been opposed to go to emergency rooms for treatment. Now that

One of the suggestions is for licensed practical nurses and registered nurses to incorporate health care education and counseling, using evidenced based clinical guidelines, to patients with chronic conditions through continued care offered via home visits and telephone follow-up calls (Institute of Medicine, 2010). It is also recommended to utilize APRNs as primary care providers in both outpatient and inpatient settings as this decreases the provider to patio ratio thus potentially enhancing the quality of care, and it allows the APRNs to practice to their fullest abilities (Institute of Medicine, 2010). APRNs participating as primary care providers widen the opportunity for health promotion, disease prevention, and limiting disabilities via early diagnosis and treatment. Transformation to a health care system driven by primary care practice as suggested by the IOM report will create a more qualified, accessible, and value driven health care system (Tri-Council for Nursing, 2010).

Millions of people today want to recuperate from an illness or medical procedure in the comfort of his or her home. They desire to be independent while staying linked to their health care provider to feel confident in the quality and continuous care after discharge. With the help of a home health aide one can receive complete, cost-effective, quality care services within the comfort of one’s own home.  The subjects addressed in this paper are few services and products offered from a home health aide, the workforce roles of the services, and how the workforce roles impact a health care organization. In closing, figure 1-1 will

Healthcare is one of the greatest growing professions across the globe because of the increase in population, rising healthcare costs, and increase in the demand for nurses. As the United States continues to focus on restructuring its health care delivery system, the practice of nursing and its professionals will continue to play an important role. As a result, there are huge expectations that more nursing jobs will become available in the community while they will be less available in acute care hospitals. These factors will contribute to the growth and shift of the practice of nursing that will contribute to numerous changes in patient care delivery methods.

Nursing professionals help individuals, families, and communities to attain, maintain, or recover optimal health and quality of life. The needs of patient care have evolved together with the healthcare system for a few decades, setting higher standards and delegating more roles for nursing professionals. Nurses, especially those with a bachelor’s degree, should always maintain continued education and teach other healthcare professionals as well. This is to equip them with the tools required to deliver a holistic patient

The model consists of four steps used with the patient to reach a decision regarding the individual’s health care needs and decision for planning care. The steps include the provider informing the patient that a health care decision is required and the patient's opinion is important, the professional explains the options and with pros and cons, the provider and the patient discuss the patient's preferences and the professional supports the patient decision and finally the professional and patient discuss the patient’s decision and the health care plan is made (Stiggelbout, Pieterse, & De Haes, 2015). Instituting this model to into practice by the APN will promote active participation and require the patient to understand their health care conditions and needs to improve quality patient outcomes and the provision of quality health care. Another nursing initiative to promote the patient-centered care competency is the implementation of the Patient-Centered Medical Home care model which consist of a team designed approach to developing health care plans and providing patient centered care (Moran & Burson, 2014). The use of this model encourages strong relationships with patients, addresses the needs of patient comprehensively, and provides access of care by the ability of providers to coordinate care effectively (Moran &

The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and

Changes in the Health Care System and the Practice of Nursing have become complex. Technological changes, complicated client needs, short hospital length of stay, and departure from acute care to community based care, all these changes have underscore the need for professional nurses to think critically in order to provide safe and effective client care. A better educated nursing workforce can provide good health education to patients and their families. The affordable care of 2010 has required the need for nurses to expand their role of practice to meet complicated patient demands. This has prompted the Institute Of Medicine to review the “Future of Nursing, Leading change and Advancing Health”. {Creasia & Fribery,2011}