Hospital Readmission Rates Among The Elderly Essay

Hospital readmission rates among the elderly are steadily becoming a growing topic of concern. Robinson, Esquivel, and Vlahov (2012) describe readmission or re-hospitalization as a return to the hospital shortly after discharge from a recent hospital stay (p. 338). The elderly, defined as 60 years of age and older, account for the highest hospital readmission rates in comparison to other age groups (Robinson, Esquivel, Vlahov, 2012). With medical advances, life expectancy is on the rise, which means older people will have more comorbidities and consequently be required to take more medications for symptom management. Generally when a person takes anywhere from two-nineteen medications, the term polypharmacy is introduced (Pasina et al., 2014). In hospital settings polypharmacy is not an issue because there are nurses and medical providers to address questions and concerns, administer medications, and monitor a patient for potential adverse effects. However, once discharge occurs, t his patient is left to juggle all aspects of their care on their own. A plan of care formulated to improve the elderly population s quality of life outside of the hospital, speaks to one of the Institute of Medicine s (IOM) core competencies, applying quality improvement. Apply Quality Improvement Applying quality improvement has been recognized as one of the Institute of Medicine s (IOM) core competencies. This competency serves to continually understand and measure quality of care inShow MoreRelatedOutcomes Management of Nursing Essay1567 Words   |  7 PagesMeasurement and Data Management Project: Hospital Readmissions Charmein Garner and Celeste Thomas Loyola University New Orleans Outcomes Management Project Defined Issue or Problem of Interest The selected problem of interest is hospital readmissions after being discharged from hospitals/medical facilities. Several patients enter the hospital and soon after discharge are catapulted back into the seemingly revolving doors of the hospital. Readmission rates affect all areas of healthcare. CenterRead MoreElderly Population At Risk For Hospital Readmission953 Words   |  4 Pagesthe elderly population at risk for hospital readmission, the authors discuss an in depth evaluation on why this occurs. Hospital readmission, a growing health concern, tallied in a whopping $17 B in Medicare cost for unplanned hospitalizations. Readmission, refers to a return to the hospital after discharge from a recent stay where rates are reported mostly at 30, 60, and 90-day intervals after discharge. Even though the elderly, aged 60 years or older, unfailingly represent the highest rate of hospitalRead MoreReducing Readmissions For Geriatric Heart Failure Patients930 Words   |  4 PagesRe ducing Readmissions for Geriatric Heart Failure Patients Utilizing a Collaborative Care Coordination Approach With heart failure, increasing in incidence in the United States, hospital readmission rates are being scrutinized to save money, especially for Medicare beneficiaries. Over 5 million people in the United States are living with heart failure, defined as â€Å"a condition in which the heart cannot pump enough blood and oxygen to support other organs in the body† (CDC, 2013). Heart failure affectsRead MoreThe Severity Of Heart Failure1657 Words   |  7 Pages2012, p. 1). Due to the severity of HF, readmission rates of HF patients are an area of great concern because HF is the leading cause of hospital admissions and readmission in patients older than 65 years (Stamp, Machado, Allen, Correspondence, 2014). Not only is it the leading cause of hospital admissions and readmissions, it is also one of the most costly diagnoses in the United States (Stamp et al., 2014). Heart failure has become an increasing issue among a variety of patients especially thoseRead MoreThe Geriatric Population : A Significant Impact On Federal Spending Through The Medicare Program1495 Words   |  6 PagesGeriatric care presents a significant impact on federal spending through the Medicare program. Roughly 20% of all geriatric hospital discharges are done as a transfer of care to a Skilled Nursing Facility (Simmons) at the cost of $32 billion dollars annually. Of those sent to a Skilled Nursing Facility (SNF), 23% are readmitted within 30 days (Simmons). A hospital readmission may result from a new condition, a recurrent exacerbation of a known chronic condition, a complication resulting from previousRead MoreTransitions Of Hospital Readmission Rates1845 Words   |  8 Pagesof Care There is a problem of avoidable hospital readmission rates for the Medicare and Medicaid populations that lead to adverse consequences not only for the patient, but also the payer and hospital. In order to decrease these avoidable readmission rates it is important to identify processes that can be implemented at the health plan level such as pre-discharge hospital visits by health plan staff, and post-discharge care coordination. Hospital readmissions are of great concern to the Centers forRead MoreProviding Patients And Families With Information About Their Diagnosis And Plan Essay1374 Words   |  6 Pagestold to them regarding home care. Hospital readmission rates are one of the many metrics scrutinized by hospitals and payors alike (Boccuti Casillas, 2016). When patients are discharged and readmitted within 30 days, this is a costly and concerning problem. Not only for the hospital but also for the patient (Jack et al., 2009). Studies have shown that when patients do not understand their discharge instructions, they have higher rates of 30-day readmissions (Regalbuto, Maurer, Chapel, Mendez,Read MoreAssociation Between Age Sex And Hi Case Study1304 Words   |  6 PagesAssociation between Age Sex and HAIs; CLABI, pneumonia and urinary tract infections are the main hospital acquired infections most commonly affect adults age group above 65 years old. this age groups usually have many chronic illnesses which predispose them to more frequent visit to the health care facilities for care and for also predispose them to hospital admission and more frequent than other population. also lack proper individual hygiene assist in spreading the infection. In Study done byRead MoreThe Use Of An Education Protocol For Hf Patients And Its Impact On Multidisciplinary Team Members Perceptions Of Structured Patient985 Words   |  4 Pagesmanagement strategies. The demands to reduce the costs associated with heart failure admissions and readmissions are increasing across the health care industry. The purpose of this project is to examine the use of an education protocol for HF patients and its impact on multidisciplinary team members’ perceptions of structured patient education and reducing heart failure admissions and readmissions. There are numerous nursing research studies that describe the implementation of a protocol for patientRead MoreThe Health Care System of Saudi Arabia3402 Words   |  14 Pagesof services, and insufficient resources. Given that an increasing population creates a greater demand for healthcare services, the shortage of hospital beds due to high admission rates and increased length of stay are some of the challenges that the healthcare system of Saudi Arabia is struggling to overcome. The Saudi Arabian government funds 244 hospitals that have a capacity of 33,277 beds (Almalki, Fitzgerald, Clark, 2011). However, there was a forecast of bed capacity shows that, by 2013, the

Educational Leadership Poverty And Learning - 1420 Words

Author/Title (in APA format): Payne, R. (2008). Educational Leadership: Poverty and Learning: Nine Powerful Practices Link: http://www.ascd.org/publications/educational-leadership/apr08/vol65/num07/Nine-Powerful-Practices.aspx. Research Problem/Issue: Children of poverty with little proper education habitually pick up how to talk, act, and obtain information in a method that battles with how education transpires in school. So, teaching students of poverty requires a different approach (Payne, 2008). Purpose of the Research: Making sure educators and teachers recognize the trials they will have to overcome when trying to educate children of poverty (Payne, 2008). Research Question(s): What can schools do to address poverty? How does†¦show more content†¦The relationship built between educators and children of poverty helped them realize that education is a tool that can brighten their circumstances and future. Controversies/Disagreements with other Researchers: That poverty is the same with every household and individual. Limitations of the Study: There is no singular form of poverty, so it’s hard to treat each individual situation and family the same. Implications for Theory, Practice, and Future Research: Evaluating educated students who have overcome poverty through educational growth. Topic 2: Class size and student achievement Author/Title (in APA format): Link: www.centerforpubliceducation.org/class-size-and-student-achievement Research Problem/Issue: The relationship between class size and student achievement. Purpose of the Research: To show that when class size drops, programs are well designed and once applied student academic achievement will rise. Research Question(s): What’s the connection between smaller class size and higher student achievement? Is it the quality of the teacher or the size of the class that drives students to academic success? Sample: Methodology and Design: A four-year committed High School study called Project star involving 80 schools from 42 school districts, and 7,000 k-3 students from families ranging from very poor to veryShow MoreRelatedThe Driving Force Behind Designing An Educational Plan779 Words   |  4 Pageswith individual educational needs. Educators are tasked with examining students as individuals and determining the best course of action for each student to learn and achieve. The driving force behind designing an educational plan that addresses individual students’ needs is courageous leadership that is willing to implement change. Additionally, educators must consider socioeconomic differences of student populations. Finally, schools must move beyond traditional universal learning and find ways toRead MoreAmerica s Expectations Regarding Public Education1685 Words   |  7 Pagescitizens during a specific time. As Americans become more informed (educated), their opinions, ideas, and t hinking change. America’s expectations concerning public education have evolved as well. The demands that are placed on states, districts, and leadership are becoming more intense; yet, our culture still believes that public education is faltering. Educating, empowering, and engaging students to be successful in a global, dynamic world is an overarching theme in the 21st century. However, our curricularRead MorePoverty Affects Student Education Essay1217 Words   |  5 PagesPoverty Affects Student Education Catrina Smith COMM/215 August 4, 2010 Dr. Spann Poverty Affects Student Education What is poverty and how can we limit it in student’s educational success? According to the U.S. Census Bureau, â€Å"more than 11 million kids in the US live below the poverty line and do not have the basic supplies that they need to succeed.† Students all around the world are faced with many problems in their life at some point or another. Teenagers, sometimes haveRead MoreBuilding A Space Where Student And School Success Are Measured Not Only By Standardized Test Scores930 Words   |  4 Pagespillars of learning, that leverages student experimentation, trust, and shared access to power and decision-making. This will be a place where students defined as at-risk by the traditional school system will learn from cultivated relationships with mentors and peers, where (in line with the concept of Maslow’s hierarchy of needs:) students have all they need to achieve healthy lives, where students come to grow in purpose, and where the curriculum challenges them to demonstrate their learning throughRead MoreManaging And Leading Teaching Assistants1642 Words   |  7 Pagesthe critical issue of support for teachers in the classroom, by increasing the numbers of TAs in schools by 20,000 (Blatchford et al, 2003). The use of support staff in the classroom to assist students who experience some kind of difficulty in learning or physical disability is common practise in many schools these days. Almost all teachers will have daily contact with TAs and many have some management responsibilities for TAs as they direct them in their classes. For many schools funding in-classRead MoreThe Educational Plan For Education837 Words   |  4 PagesSchool leaders strive to create the best learning environment within the school they operate; however, the teachers are the ones to implement the grand educational plan. In their journey to achieve excellence, the teachers must consider multiple factors that will have an effect on students’ psychological and social development. In addition, the issue of minorities is changing the dynamics of education. While student populations were never really homogeneous, the past couple of decades of exceptionalRead MoreLeadership Style Research Has Been Conducted Examining1555 Words   |  7 PagesLeadership style research has been conducted examining multiple variables and settings, but the review of literature shows a need for more analysis of how such styles are being viewed by teachers in both high poverty and low poverty settings. School climate differences also need further examin ation to determine if teachers perceive their school climate differently in high poverty and low poverty schools. Chapter three describes the sampling procedures, research methodology, instrumentation, dataRead MoreLinda Cliatt Wayman Is A Poverty Stricken And Crime Ridden North Philadelphia High School1101 Words   |  5 PagesLinda Cliatt-Wayman is a school principal for Strawberry Mansion High School, a poverty stricken and crime ridden North Philadelphia high school. This year, I watched her Ted Talk as she explained how she reformed this low-performing school and tackled problems from garbage issues to funding for more teachers. She said, â€Å"We have to make sure that every school that serves children in poverty is a real school†¦that provides them with knowledge and mental training to navigate the world around them.†Read MoreCharacteristics Of Effective Leadership Behavior Of Secondary School Principals Essay1540 Words   |  7 Pages(1990) ‘A study of the characteristics of effective leadership behaviour of secondary school Principals’, Maharaja Sayajirao University of Baroda. Cited in MB. Buch Fifth Survey of Educational Research (Vol. II) NCERT, New Delhi, Pp.879-880. DFID (2000) ‘Poverty Elimination and the Empowerment of Women Gender Inequality poverty and human Development’, UNESCO Publication. Diwan, R. (1993) ‘PhD (Education) in MB. Buch Sixth Survey of Educational Research’ (Vol. II) NCERT, New Delhi, Pp. 503-504. Read MoreThe Importance Of Education In Education1303 Words   |  6 PagesAmerican equity because â€Å"Only 28% of high school graduates from high-poverty schools enrolled in four-year universities, compared to 52% of graduates from low-poverty schools† (Chen, pg 3). This is a very important problem because the education system isn’t helping students â€Å"dig their way out of the poverty into which they were born† (Chen, pg 3). The inequality of the educational system affects students that are growing up in poverty because they aren’t given the opportunity to make a change in society

Was Lord Capulet a Good Father free essay sample

In contrast to today’s modern world, a good father is one who not only cares, provides and loves but also prepares to make sure their children learn right from wrong in order for them to go out into the world and make their own decisions. You may be quick to judge that Lord Capulet was just as old fashioned as all of Shakespeare’s characters. However what if he could have been a little bit of both? Clearly Lord Capulet loved his daughter very much and even though he didn’t understand her love for Romeo Montague and took matters into his own hands, would that necessarily make him a bad father? Quite the contrary as a matter of fact. Capulet loves his daughter very much, you can tell through the way he speaks about her to Paris in Act 2 Scene 2. When Juliet tells her father that she does not wish to marry Paris, Lord Capulet becomes very hesistant and follows Juliet’s request for the time being only because he knew putting the pressures of forced commitment on his daughter wouldn’t make her happy and also he probably didn’t think Juliet was quite ready. We will write a custom essay sample on Was Lord Capulet a Good Father? or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Yes Juliet would have benefitted from marrying someone like Paris, he fit just within her family’s lifestyle, he was a relative to the prince and together they would be wealthy and Juliet would be protected for the rest of her life thanks to Lord Capulet and Paris. However with Juliet voicing her opinions very strongly about her feelings upon marrying Paris, it seemed as if Capulet thought Juliet was in the right mind set and trusted that Juliet’s decision was for the best. That trust is immediately taken back once Capulet discovers that Juliet has fallen inlove with Romeo Montague, the son of his enemy. In result of Juliet’s disloyalty to the Capulet’s he decides to take matters into his own hands and insists that Juliet and Paris get married. Clearly he’s under the impression that Juliet at this point is nothing but a disloyal trouble maker and Capulet believes that he knows better than his own daughter and maybe his decisions instead of her own will lead Juliet in the right direction. Parent’s today would call this damage control, when you see your child taking a fall into the deep end, if you love for that person and care for that person deeply then it is human nature that you will do anything in your power to save them. Capulet uses this tool by threatning Juliet with disinheritence if she chooses to disobey him, which in his eyes would maybe have Juliet reasses her current situation and look at everything she was putting as stake for Romeo and start looking at the big picture. Unfortunately that wasn’t the case. Juliet’s rebellion seemed almost shocking to Lord Capulet. For the first time in his life he saw his daughter as the enemy now. After everything he had done for Juliet by protecting, providing, loving and showing affection to her, this is how she returned the favor. Juliet’s actions were nothing to be proud of and the Lord felt if she were a true Capulet she would have put her family above all else instead of somone who she had just met. There is no worse feeling than when a loved one turns on another family member, nonetheless a child who had been taught right from wrong. The only thing Lord Capulet could be at fault for is not realizing Juliet is young and when you are taught what to do and what not to do the other side looks more entertaining and Juliet’s heart tended to steer towards what Capulet would call a downward path. Lord Capulet is the head of the household and the father of Juliet. He is very strict and wants total control of his daughter and expects her to obey him. However does that make him a bad father? Not necessarily, Lord Capulet being who he is creates the fatherly characteristics of protecting, providing, and making sure your children can grow up to make their own decisions, the only difference bewteen modern day and the days of Shakespeare is that if you watch your children fall into a path of making multiple mistakes, as a parent sometimes you have to step in invited or not to pick up the pieces.