What is the difference between a protocol, standard of care delivery, and policy at the practice, state, and federal level?Briefly outline each. What are the perceptions of the health care delivery system from the perspectives of patients, providers, payers, and policy makers? Discuss at least one perception from all one of the populations listed: patient, provider, payer, and policy maker.
D.R. is a 55 year-old man who was admitted from the Emergency Department with the acute onset of mid-sternal chest pain, radiating down the left arm and up the left side of the neck. The patient’s pain level is 7/10, he complains of shortness of breath and is cool, pale, and diaphoretic. Blood pressure is 160/90, pulse 110, respiratory rate 28. Cardiovascular risk factors include: history of hypertension (controlled), positive family history (dad died at 46 with sudden cardiac death), he smokes ½ pack per day for about 30 years. He is terrified that he is going to die and […]
The study of genomics is helping clinicians to better understand the interaction of genes with the environment. This new information and knowledge will continue to help clinicians to find ways to improve health and prevent disease. How do you envision patient care will change based on genomics in 10 years, 20 years, or 50 years in the future?
Mrs. Smith is a 63 year old obese, diabetic woman who is transferred from the hospital to the skilled nursing facility (SNF) where you work as a charge nurse. Mrs. Smith is being managed with IV vancomycin 1 gm IV piggyback (IVPB) every 12 hours for osteomyelitis resulting from an arterial foot ulcer. On review of her admission orders, you note that she has a newly inserted intermittent saline lock in her right forearm and is prescribed to receive the antibx for 4 more weeks. 1.The schedule for the administration of the IV drug is 2 am and 2 pm. […]
After a recent measles outbreak in a local daycare center, a mom brings her 13-month old toddler to the pediatric clinic. While you are performing a routine health assessment and begin explaining the age-appropriate immunizations ordered by the Pediatric Nurse Practitioner (MMR, Varicella and the first Hepatitis A vaccine), the mom expresses great concern about the vaccines. She states her fear of autism related to the MMR and also that “it is not good for the immune system to receive that many vaccines at the same time”. Based on evidence-based research focusing on this mom’s concerns, including myths and facts, […]