Roles And Importance Of Acute Care

Urgent care clinics are for individuals seeking non-life threatening treatment. These clinics provide another level of care to the community and the intentions of urgent care are not to replace emergency

Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008).

acute pain-a protective mechanism that alerts the individual to a condition or experiece that is immediately harmful

According to the U.S. Department of Health and Human Services (HHS), the aging population is likely to impact the necessary size and composition of the health care workforce (Center for Health Workforce Studies, 2006). There are now 35 million people over the age of 65 in the United States. It is estimated that about 1.6 million older adults will be living in nursing homes with almost half of the residents being over the age 85 years old (Kovner, Brewer, Fairchild, Poornima, Kim, and Jadjukic, 2007). The purpose of this paper is to he identify of facility and number of residents being care for. What would be the role of the nurse practitioner in this facility and the regulatory issues as it supports this role?

-I will be able to identify the differences of working as NP in acute care setting vs. primary care setting. -I will be familiar with the NP job description from the hospital. -I will be familiar with hospital policies in regarding to NP’s role and responsibility. -I will review practice standards and regulations from CNO, RNAO, NPAO in regarding to NP’s roles and responsibility. -I will observe my preceptors daily routine.

Acute care and long-term care are both continuum care, but there are many differences between these types of facilities. When people are severely injured or ill, they seek treatment at an acute care facility. “Acute care is medical care designed to treat and/or cure an acute condition, for example, a heart attack or stroke” (http://eldercarehelper.com, 2016). Acute care facilities usually release patients before the 30th day and treatment is provided by a physician. In long-term is provide for patients that need continuum care, but less intensive treatment. “Long-term care facilities offer medical care to patients who need…less intensive level then that provided at an acute care facilities” (Gartee, 2011). The patients usually stay longer

Additionally, urgent care centers have been able to offer patients an alternative to the significantly higher cost of emergency room visits. Following an emergency room visit, patients are charged according to the level of care they are receiving which is rated from minor to major injuries and illnesses. Insurance companies may reject coverage of patients who sought care for a low level injury or illness in an emergency room setting leaving the patient with a large bill for a moderate condition. In addition to the cost of the treatment, insurance companies charge patients an additional fee just for utilizing an emergency room. Furthermore, the cost of seeing an urgent care provider versus an emergency department provider is significantly cheaper.

Before becoming middle managers, acute care nurse practitioners first need to establish a solid and reliable education background, which allows them to be experts in the field before managing a group of individuals to perform tasks to efficiently manage and run a demanding healthcare facility. The education needed to pursue certification as an acute care nurse practitioner is very competitive and requires individuals to go into graduate level in nursing. Since acute care practitioners are required to provide care to patients who are critically and chronically ill under life-threatening circumstances they must be competent, well trained and knowledgeable in the field and they also need to be nationally certified in order to continue practice. They must graduate from a master’s or post-master’s certified program and obtain their national certification which also includes completing 500 hours of clinical practice from an accredited master’s program in which they will go through formal training. The professional affiliations associated with this profession (Kleinpell, Perez, & McLaughlin, 2005). Through experience, educational background, and qualifications an acute care nurse practitioner can be promoted to a supervisor and move their way up to upper management if they meet the requirements necessary to best perform what is expected from them.

Acute care is short-term care centered around diagnosing and treating illness or injury. Acute curative services respond to life-threatening emergencies, acute episodes of chronic illnesses, and any health problem that requires immediate, time-sensitive response. Acute care can include emergency care, trauma care, acute care surgery, critical care, urgent care, and short-term inpatient stabilization (Yarbrough & Erwin, 2015). Long-term care meets the non-medical care needs of people that need assistance with activities of daily living due to a medical condition. Activities of daily living may include bathing, dressing, eating, housework, or meal prep (Yarbrough & Erwin, 2015).

Urgent care were first established in the 1970s, and are used for patients who need medical care but whose situation is not life-threatening. Many for urgent care centers are walk-in and appointment facilities. They do not take the place of a patient’s primary care providers. As a healthcare graduate professional I would chose and consider to work at urgent care because its a environment for growth. In urgent care patients with different medical history go to urgent care for medical treatment. They provide easy access quality healthcare for days and hours when the primary care physician’s are closed. Patients can get procedures or test done in a very well-organized method which are blood work, urine samples, stool samples, and x-rays.

Significant health disparities between rural and urban populations have been a major concern in the United States. One prominent factor contributing to the disparities is lack of access to quality care in rural areas which is closely associated with challenges faced by rural health care providers (National Rural Health Association, 2007). Rural hospitals are the key health care provider in rural areas, offering essential health care services to nearly 54 million people (American Hospital Association, 2006). They face a series of challenges such as workforce shortages, rise in health care costs, difficulty in finding access to capital, difficulty in

Redesigned Care processes for reliable delivery and 100 percent evident best practices after four months.

One notable hospital experience that is still on my mind deals with a woman in her 80s, who had been admitted for a few days. The unit secretary informed me of this story. While she was hospitalized, her family came to visit her everyday, and one of those nights the patient asked

The intensive care unit provides patients with continuous and comprehensive care. This care should be safe and suitable for healing. However, especially in the ICU, the nosocomial infection is a common clinical problem in which nurses must consider the patient’s safety and be able to prevent these high incidences from occurring. The patient with airway infection can develop ventilator-associated pneumonia (VAP) after 48h of mechanical ventilation. This is usually caused by leakage of contaminated oropharyngeal secretions and aspiration around the endotracheal tube cuff and into the lung. VAP is the most common nosocomial infection in critically care ill patients and in patients receiving mechanical ventilation (Korhan, Yönt, Kılıç, & Uzelli, 2013). The second most common nosocomial infection in PICU, which is linked to increase mortality, morbidity, and lengths of stay in ICU and hospitals (Cooper & Haut, 2013; Nemat & Habibi, 2014). Major efforts to prevent VAP are to focus on the aspects of care, evaluate the knowledge levels of critical care nurses and the effectiveness of certain intervention and prevention strategies that reduce the risk for VAP. The true major efforts to prevent VAP are the use of use of oral health care program, re-intubating patients, suctioning, and bed elevation (Cooper & Haut, 2013; Liao, Tsai, & Chou, 2014; Nemat & Habibi, 2014). The purpose of this literature review is to identify the best preventions protocol to reduce the risk and

First, I will have to attend a one year licensed practical nurse (LPN). This will allow me to work in a hospital environment and gain experience on some of the minor things I will be doing. Duties that LPN’s take on in hospitals are taking vital signs, drawing blood and taking patients to their assigned room. If you work in a private office you manage patient care for each patient’s needs, talking to patients and recording their medical history for files. Also LPN’s give medication as it is prescribed by a physician, take blood pressure, temperature, and weight.