NURS FPX 6011 Traumatic Brain Injury Care Report IDA

NHS FPX 6004 Policy Proposal Policy Proposal Presentation KP

Policy Guidelines to Improve HealthCare Outcomes 

NURS FPX 6026 Assessment 2 Attempt 2 Biopsychosocial Population Health Policy Proposal KP

Access to care and cost are the two major issues worrying healthcare professionals today. Despite having able human resources, technologies, and clear goals, master-prepared nurses are still struggling to provide quality care in an ethical and equitable manner. The current report is based on the progress of the previous policy proposal that aims to improve the outcomes of a healthcare problem. The case of a patient was discussed with common variable deficiency disease (CVID) disease due to the reason of the primary immune deficiency. The CVID disease in elderly patients in America needs immediate attention of researchers and medical experts to improve their policies and help Vila Healthcare professionals to improve care and treatment outcomes. 

The disease in elderly patients called CVID has no universal cure or medication or the treatment nurses at Vila Health Hospital can utilize quickly and reduce admissions in the demerge department ED. Therefore, as a master-prepared nurse, I can advocate for policies that include both internal and external (state board, national, or local) to improve the quality care outcomes. This report will broaden the understanding of dealing with the CVID cases to use the best practices from the population healthcare standpoint and save the vulnerable patient using benchmarks (Sanders, 2019). Therefore, the analysis of the policy paper that was prepared by our team previously shows that it is worth spending more time to develop a robust policy to address the CVID readmissions issues. 

Policy Guidelines for Achieving the Improved Outcomes and Difficulties 

Sadly, the current literature from a limited resources related to CVID treatment and interventions show that symptoms of CVID are heterogeneous that make it even more difficult for the nurses to diagnose (Schot, 2020). Owing to the nature of this healthcare issue above 50 years, it is recommended by the researchers to treat it symptomatically to suit the needs of particular patients. Since the universal treatment and cure of CVID is unavailable or limited, many professionals and expert physicians recommend that antibiotics and immunoglobulin replacement are the two most important remedies to solve this issue. Moreover, the study by   Seaton (2021) explains that immunosuppressants and hematopoietic stem cell transplantation is also a viable and modern method to improve the health of CIVD patients provided that the early recognition of the disease is ensured by the nurses. Therefore, for each type of patient, the interventions must be different to suit their ages, medical conditions, and complications. 

NURS FPX 6026 Assessment 2 Attempt 2 Biopsychosocial Population Health Policy Proposal KP

The scholars also believe that the current research advocates that genetic mutation can cause CVID disease in middle age and elderly patients. These symptoms can arise without any apparent cause. Since body of elderly patients is not able to produce the good number of proteins known as immunoglobulin, the LgG levels of immunoglobulin drop which can cause breathing issues, chronic cough, and ear infections. Therefore, in order to successfully diagnose CVID, the doctors and nurses first discover the family histories of the patients and also suggest them blood sugar and other blood tests (van Stitt et al., 2020). These blood tests will assist physicians at Vila Health Hospital to determine the effective or ineffective functioning of the immune system of the chosen patient. This will allow them to suggest a vaccine and check whether the patient’s body responds adequately to the CVID vaccine. Moreover, pateints expect a lot of things from the combined effect of medications and Immunoglobulin replacement therapy. The goal is to keep the pateints infection-free and save further lung damage. Granulomata and inflammatory problems also suggest that each patient needs tailored therapy according to their case. 

Moreover, the policy guidelines must also be developed to reduce readmissions due to CVID by hiring specialist doctors who are able to perform and have experience of performing immunoglobulin (IgG) replacement therapy This therapy when performed adequately by the professionals will places the missing immunoglobulin with antibodies in the body.  Moreover, the nurses and other healthcare experts must also collaborate and get support from the CVID Community Centers in the United States in their vicinity. The Center provides a great online source for the professionals to get the credible CVID information and read publications to provide further education, diagnosis, treatment, and help to the community members (Wan, 2021). The community center understands the emotions of CVID patients and also provides emotional support to CVID patients. Nurses must also be provided the education to prevent CVID to avoid passing it through the family members of patients. Finally, the new policy would also suggest that the nurses, administrators, and doctors must all wear face masks during their duties or full shifts to avoid spreading infections or catching infections. They are disallowed to use tobacco products at workplace or not even allowed to consume any amount of alcohol while being on the duty. This will help the professionals to follow the ethical and quality protocols at workplace to avoid any loss of health. 

The Need for a Proposed Policy for the Current Outcomes

Since one big issue with CVID is that the patients suffering from this disease are able to easily transmit it to other family members and this can make the whole family at a risk of having CVID symptoms. This is the reason having a healthcare policy is extremely crucial to establish the right guidelines to benefit the health and wellbeing of the patients (van Stitt, 2020). In our healthcare system, the protocols must be put in place according to the needs of CVID patients; these strategies will allow our nurses to reduce medical and human errors and also improve their own communication skills to make more comprehensive decisions. For healthcare administrators at Vila Health System, it is crucial to understand above-mentioned policies including drugs policies, security and privacy policies, and patient care policies to improve the health of stakeholders. For instance, patient care policies contain protocols which allow nurses and administrators to act in a specific manner according to a given situation (Seaton, 2021). These policies are tailored to the needs of our professionals. Similarly, the hospital must develop healthcare policies to protect and improve employees’ health. Such rules can prohibit them to smoke or consume alcohol during duty hours and use face masks and gloves frequently to save others from infections. 

Drug policies in the organization are also placed to streamline the handling and management of drugs. Whether the medication is over-the-counter or non-controlled, the organization can use protocols and rules to record and manage many drugs to treat CVID patients. If the drugs inventory is misusing, the health of CVID pateints needing medications could severely deteriorate and their death could occur. Moreover, having security and privacy policies must also be ensured in the organization to help the employees deal with a security threat. This can help them stop abuse towards medical staff and avoid and prevent any equipment or machinery theft (Sanders, 2019). This means that data security and technology threats must be handled well by following the Health Insurance Portability and Accountability Act 1996 known more commonly as HIPAA. Since technology is becoming an integrated part of the healthcare organization, it is crucial safeguard the technology to avoid healthcare breaches fines. Therefore, considering and implementing healthcare policy guidelines, the hospital can better provide wellness counseling to its patients and help people beyond their medical needs. This policy proposal will ensure that the healthcare costs are reduced to almost 30% in Vila Health Hospital and also the target population is also recovering from the disease within three months of attention from the professionals’ teams. However, our healthcare policy analyst also argues about the role of technology and telehealth to cure and treat the patients of CVID. For instance, the argument of the policy analyst regarding telehealth use is not so encouraging. This could put the future of this healthcare policy into uncertainty. They also argue that since nurses have no idea of gene mutation and how it occurs, using the IgG therapy can lead to uncertain results and may cost patients significantly for the rest of their lives. Moreover, some physicians with their limited experience also believe that the study of Pecoraro et al. (2020) is correct regarding treatment of CVID through low levels of serum immunoglobulins. Therefore, unlike other physicians, Dr. Henderson, the cardiovascular surgeon believes that chest therapy may be required to mobilize the lung secretions. 

Interprofessional Approach to Implement the Proposed Policy to Increase Efficiency 

Interprofessional approach is vital for medical professionals to foster a team-based approach as suggested by the Institute of Medicine (IM). Since CVID is a complex medical issue and require a team effort, training future and present healthcare professionals to work in cohesive teams can help to facilitate improving quality outcomes. The organization should develop a “team-building interprofessional program” that must emphasize interprofessional team cohesion skills in managers. This strategy will raise the knowledge of professionals to use patient-focused models of care. This will also influence the organization’s culture to enhance interprofessional collaborations for reducing re-admissions due to the rise of CVID pateints. For this goal’s achievement, the organization must use an interprofessional-simulation that will help to improve the team-boiling skills using summative simulations; the improvement of communication and leadership skills will also occur after incorporating this strategy. 

Moreover, the interprofessional strategies and practices will create partnership between the team of healthcare providers and patients through a shared decision-making. This collaborative methodology and practice will enable a synergy of grouped skills in teams (Schot, 2020). This partnership will enhance the ability of interprofessional teams to work on collaborative goals and blend professional cultures to enhance the patient care quality and safety. Interprofessional education is also suggested by Name et al. (2018) to engage professionals in learning that provides a chance to share knowledge and required skills to help them better understand the value of respect for their roles and identities. The end result would be the formation of an interprofessional team-focused communication model to enhance patient care outcomes. However, the main barriers to interprofessional collaboration include lack of education, training and time that each professional requires improving shared decision-making. To ensure knowledge-sharing, the professionals must reduce the lack clear notes and the worry of their professional identities which hampers the communication with other professionals. 

References

Niemi, M. E., Martin, H. C., Rice, D. L., Gallone, G., Gordon, S., Kelemen, M., … & Barrett, J. C. (2018). Common genetic variants contribute to risk of rare severe neurodevelopmental disorders. Nature562(7726), 268-271.

Pecoraro, A., Crescenzi, L., Varricchi, G., Marone, G., & Spadaro, G. (2020). Heterogeneity of liver disease in common variable immunodeficiency disorders. Frontiers in Immunology11, 338.

Sanders, S. J., Sahin, M., Hasty, J., Thurm, A., Jacque Mont, S., Villach, P., … & Bearden, C. E. (2019). A framework for the investigation of rare genetic disorders in neuropsychiatry. Nature medicine25(10), 1477-1487.

Schot, E., Timmers, L., & Noord Graaf, M. (2020). Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of interprofessional care34(3), 332-342.

Seaton, J., Jones, A., Johnston, C., & Francis, K. (2021). Allied health professionals’ perceptions of interprofessional collaboration in primary health care: an integrative review. Journal of Interprofessional Care35(2), 217-228.

NURS FPX 6026 Assessment 2 Attempt 2 Biopsychosocial Population Health Policy Proposal KP

van Stitt, A. C., Dik, W. A., Kamphuis, L. S., Smits, B. M., van Montanans, J. M., van Hagen, P. M., … & Insert, H. (2020). What Works When Treating Granulomatous Disease in Genetically Undefined CVID? A Systematic Review. Frontiers in immunology11, 606389.

Wan, T., & Ping, Y. (2021). Delivery of genome-editing biomacromolecules for treatment of lung genetic disorders. Advanced drug delivery reviews168, 196-216.

 

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