Recent orders
New Approach on Hospital Re-admissions
New Approach on Hospital Re-admissions
Student’s Name
Institution
Date
New Approach on Hospital Re-admissions
Centers for Medicare and Medicaid Services (CMS) has a mandate of recording readmission frequency rates and, also the power to record the resources utilization to physicians as well as to the hospitals. At first, the CMS used to work publicly precisely dealing with the hospital-level readmission ratios with were agreed and put in the Hospital Compare Website in the year 2009 (Robbins 2017, p.361). The hospital reduction re-admission actions are carried out for both quality strategy and also to enable reduction of the cost curve in the health care dealing with patients with congested heart failure.
An excellent strategy to tackling the hospital re-admission within thirty days will diminish the damage that results from providing heart health services and treatments. These damages are customarily incurred when there is uncontrolled readmission of congested heart failure patients within the thirty days in the hospital. This approach will promote the quality of services provision and good working condition for the health officers. Also, it will encourage eradication of penalties that the hospital face in line for with deviating from the governing health rules.
The best strategy to recommend is the introduction of a Heart Failure programme (HF) that will be of benefit to the hospital and the patients. It will involve acquiring the advanced practice nurse (APN) that will be responsible for the operation of this programme. Also, the Heart Failure Program includes the Out Patient extension that ensures the patients adhere to the real heart health away from the hospital, reducing congestion of patients in the hospital (Van Walraven et al., 2011). Critical multidisciplinary information on essential educative points will need to be offered to the patients while also there will often be telemonitoring to check on the level of HF reimbursement.
Less acute ill heart patients that require the readmission will stay on a short period in the hospital reducing the cost to be incurred. Also, it will assist in reducing the population of the patients in the hospital. The APN will assess all patients in the hospital and also support the discharged patients with some literature to carry home for their benefit as the patients’ questions which are of more concern to the patients will be addressed (Billings et al., 2012). Furthermore, the APN will collaborate with the physicians to improve on treating the patients; this program will also involve the dietary consultation enhancing the health of the heart failure patients.
References
Billings, J., Blunt, I., Steventon, A., Georghiou, T., Lewis, G., & Bardsley, M. (2012). Development of a predictive model to identify inpatients at risk of re-admission within 30 days of discharge (PARR-30). BMJ Open, 2(4), e001667.
Rennke, S., Nguyen, O. K., Shoeb, M. H., Magan, Y., Wachter, R. M., & Ranji, S. R. (2013). Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Annals of internal medicine, 158(5_Part_2), 433-440.
Robbins, K. C. (2017). Centers for Medicare and Medicaid Services (CMS). Nephrology Nursing Journal, 44(4), 361-362.
Never Cry Wolf, Nature And Human Values
Never Cry Wolf, Nature And Human Values
Farley, Mowat’s “Never cry wolf” is a book based on the research of the lifestyle of wolves in the Arctic Circle. Mowat uses his experience to educate the society of the social ills conducted by the hunters towards the wolves. The book displays the risk that the wolf pack families face due to the human activities in the area. The title of the book acts as a symbol in reference to the story of the boy who cried wolf. The book thus enables the reader to think beyond the tile so as to form opinion of the author’s message. The book challenges the human communities who are in charge of the nature around them. Humans tend to overstep their authority by infringing on the rights of the wolves. The analysis of the book educates the society of the inhumane activities that humans are inflicting on the animals.
Different passages from the book Interpretation of the passage and meaning
I was born and grew up in the farm and never knew what is was to have all I wanted or needed as a teenager in the late 20s The author talks of his life as a child. He was exposed to animals at an early stage in life due to his parent’s lifestyle. This is a contributing factor to his love for animals.
That night the inevitable happened. We were awakened by the most frightful uproar. It seemed to consist of furious barking of a dozen dogs mingled with the roaring of the menagerie of lions The passage elaborates the intensity of the nature that surrounds him. The conflict between the dogs and the lions displays the fight for power amongst the animals.
Then there were the birds. That spring Angus had bought me a field guide and with its help I identified forty species that were new to me The author’s exposure to different bird species enabled him to identify with the different lifestyles that they had. Angus developed a love for all forms of wildlife which in turn made him aware of the plight that the animals had.
My most cherished images of the mountain country were not of the forbidding peaks but of the animals The author admits that he has a special place for the animals. The country has a number of natural resources that are fascinating to any visitor. Amongst all these features, he places priority on animals making them his favorite pastime.
Although I would now commit such atrocities against some of the most beautiful creatures extant, I cannot honestly censor the boy who was for what he did then The author admits that his actions are reflective to that of other men. His treatment of the animals is not desirable initially. He learns how to appreciate all sorts of animals making him an advocate for their livelihood.
“The wolf is a savage, powerful killer. It is one of the most feared and hated animals known to man and with excellent reason.” Chapter 6, pg. 60.The passage showcases the dangers that the wolf portrays. Human beings often misinterpret the actions of the wolf due to its dangerous nature. Despite the fact that the wolf continues to become extinct, it poses a threat to the human beings who live next to the packs. This makes the world undesirable by man.
“Evidence obtained by various Government agencies from hunters, trappers and traders seemed to prove that the plunge of the caribou toward extinction was primarily…
The intervention by the government saw the danger that the wolves are exposed to. Human activities were mostly responsible for these dynamics making them the number on culprits. This also displayed possible extinction of the breed of wolves if authorities continued to ignore the circumstances.
“I had made my decision that, from this hour onward, I would go open-minded into the lupine world and lean to see and know the wolves, not for what they were supposed to be, but for what they actually are.” Chapter 7, pg. 77.Morwat made a personal decision to protect the wildlife from the outside environment. One of the steps he takes is orienting himself with the lives of the wolves. This involves learning about the exact nature of the wolves instead of forming an assumption about them. This in turn will help remove the ignorance that he had so as to improve society’s awareness of the wolves.
In conclusion, human beings are responsible for the surrounding environment. This involves observing the safety of all animals in and outside the wild. This is however not the case in that the number of wild animals continues to diminish due to the human activity. The wolves are one of the animals that continue to face the wrath of human beings. The analysis of the book is thus ideal for the education of the public. This in turn will improve the existing relationship between man and nature.
NASW guidelines and codes of ethics
NASW guidelines and codes of ethics
(Author’s name)
(Institution)
Introduction
On 22nd January, 2018, a Iowa State social worker/therapist was arrested by Bettendorf police for sexually assaulting one of her client. Aracely Schutters aged 45 years was charged with felony for sexually exploiting one of her clients. According to an affidavit obtained by the New York Daily News, Aracely Schutters was employed by The Compass which is a center for disabilities and development based in Bettendorf when she committed the felony. (Elizalde, 2018) If found guilty of the charges level against her, she could face imprisonment for a period of up to 5 years since she violated the code of ethics governing her work as a social worker/therapist. In her biography which was published in the Compass website, Schutters has been practicing social worker for over 15 years and was thus explicitly aware of the code of ethics regulating her work. (Elizalde, 2018)
Aracely Schutters is alleged to have committed the crime on December 4, 2017 in her residence at 2900 block of Dundee Lane. It is alleged that she had invited one of her adult clients to her home via a text message to discuss previous issues that her client was dealing with. According to the affidavit, the incidence happened at around 9pm on the night of 4th December, 2017. (Elizalde, 2018) Aracely Schutters had been the client’s therapist for over a year and a half but the two had never met outside of her work station at The Compass. She invited the client to sit into her hot tub and proceeded to serve her alcoholic beverages. Despite being in a professional relationship with the client, Schutters engaged the client in touching and unwanted kissing which is contrary to the NASW codes of ethics prohibiting any sexual contact between the therapist and the client whether it is consensual or forced. (Corcoran & Roberts, 2015) Schutters later admitted engaging the client in unwanted kissing after the victim reported the crime to the Bettendorf police 2 days after the incidence. The therapist later tried to apologize to the client for her lack of professionalism through a series of text messages and calls. (Elizalde, 2018)
As a practicing social worker/therapists, Schutters was definitely aware of NASW code of conduct that governed her work. The NASW code of ethics exists to ensure that social workers uphold professionalism and competence when handling clients. (Corcoran et al, 2015) The code also offers a framework and guide for dealing with ethical issues that might arise in the handling of clients. Social workers and other human services workers must uphold certain values and standards when offering services to persons in need and place the client’s interests above their own personal interests and. They should also interact with their clients in a respectful and caring manner with special regards to the client’s needs. (Corcoran et al, 2015) Schutters violated the above values when she made sexual advances towards her client.
NASW ethical standards
The NASW code of ethics prohibits any sexual relationship between the social worker/therapist and the client. Professional boundaries must be maintained at all stages of the social worker-client relationship to safeguard the client against exploitation and harm. (Corcoran et al, 2015) Physical contact between the social worker and the client is also prohibited and should such contact occur, it’s the responsibility of the person offering the services to ensure that it’s not misinterpreted by the client by ensuring clear professional boundaries are set and adhered to both. (Brandell, 2010) Sexual favors, sexual harassment, request for sex from clients, sexual advances and any other conduct which is sexual in nature is prohibited in the NASW code of ethics. (Corcoran et al, 2015) In her relationship with the client, Schutters violated all of the above code and regulations when she subjected the client to unwanted kissing and touching. Schutters did not set clear professional boundaries and tried to turn a professional relationship into an intimate interaction despite being aware of the code and regulations governing her work. Schutters knew that what she was doing was contrary to professional ethics and regulations and tried to end the relationship despite after subjecting the client to psychological harm. She is quoted telling the client that what she was doing was wrong and thus couldn’t offer her services anymore. (Elizalde, 2018) This is according to an affidavit obtained by the New York Daily News.
The State of Iowa has enacted strict guidelines prohibiting any form sexual advances from a therapist to a client and such a crime is punishable by law. (Solotoff & Kramer, 2017) Schutters’ lack of professionalism and integrity were evident when she disregarded the client’s needs and tried to manipulate her client to fulfill her own selfish needs. In this case, she not only violated the NASW code of ethics but also the Iowa State legal guidelines. (Elizalde, 2018)
Schutters’ preliminary hearing is scheduled for 2nd February, 2018 and despite being released after posting a five thousand dollars bond, she could still face jail time if convicted of the felony charges filed by the complainant. (Elizalde, 2018) However, the compromising situation she found herself in could be avoided if she had adhered to all the NASW code of ethics. The code provides clear framework for referral of clients to fellow colleagues when conflict of interest occurs during practice. (Corcoran et al, 2015) The social worker is bound to be objective when handling clients and should any conflict of interest occur, consultation with other colleagues is advised and ultimately referral if the therapist feels that they will not be of any positive impact to the client’s life. Schutters should have terminated the relationship and referred the client because she was not in a good position to offer help.
Schutters also put herself in a compromising situation by inviting the client to her house and welcoming them to sit into her hot tub despite conducting previous sessions in her work station. She then proceeded to serve the client alcoholic drinks in total disregard of professional boundaries. (Elizalde, 2018) The client was vulnerable and that’s why she sought the help of Schutters but she received more psychological harm since the therapist acted unprofessionally and jeopardized her interests.
Conclusion
Ethical standards are crucial for all human services workers to ensure clients are safeguarded from harm. The sole reasons these standards exist are to promote the client’s best interest and to ensure they receive quality services. (Corcoran et al, 2015) None of the NASW codes is inferior or superior over the other and practitioners are bound to adhere to all regulations so as to ensure professionalism. The codes in the NASW guidelines do not necessarily prescribe a mode of behavior but rather sets forward certain values, principles and ethical standards which must be followed by all social workers and other therapists to ensure a code of professionalism in the handling of clients. Violation of any values and/or standards results in unethical practice and legal proceedings may be initiated in a court of law by the victim. (Corcoran et al, 2015)
References
BIBLIOGRAPHY Brandell, J. R. (2010). Theory & Practice in Clinical Social Work (2nd ed.). California: SAGE Publications.
Corcoran, K., & Roberts, A. R. (2015). Social Workers’ Desk Reference (3rd ed.). Oxford: Oxford University Press.
Elizalde, E. (2018, January 23). New York daily news. Retrieved from http://www.nydailynews.com/news/national/iowa-therapist-accused-sexually-exploiting-patient-hot-tub-article-1.3775302
Solotoff, L., & Kramer, H. S. (2017). Sex Discrimination and Sexual Harassment in the Work Place (reprint ed.). New York: Law Journal Press.