How to Answer Through Many Changes Questions (Complete Guide)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to through many changes and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves through many changes. A strong answer should include explanation, application, and examples.
Original Question
Through the many changes in healthcare, technology has made exponential changes in the way care is delivered and received. Reflect upon the current state of technology as it impacts patient care, coordination, and quality as proposed by QSEN and TJC. Choose a patient from this week’s scenario to identify and discuss a technology-based strategy that can help to support a seamless transition and improve healthcare quality and safety. Additionally. discuss how technology has impacted workflow and your own professional role development. Be sure to include 2 current references. You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Unit in an urban hospital. The unit 7A to 3P staff consists of a nurse manager, 7 RNs, 5 PCTs (Patient Care Technicians), and a unit secretary. A geriatric nurse practitioner is assigned to this unit and the Geriatric clinic. Interns and residents make rounds and are available by page of on call. You arrive and receive the following information in a report from the night nurse regarding your assignment. Becky Thomas, Age: 85 Admitting Diagnosis: Cellulitis Right lower leg Past History: HTN, Osteoporosis, CABG x 3 (6 years ago), hysterectomy, Cholecystectomy Alert and oriented OOB to chair with help – elevate lower legs Dressing lower leg – change twice a day Surgical consult today for debridement and wound vacuum therapy IV saline Lock Antibiotic Ancef 1 Gm IVPB q8h (8 am, 4 pm, 12 mn) discontinue this am 2Gm Na diet Bowel sounds x4 Lungs clear Voiding – stress incontinence BM last evening – hard Retired actress with pension and insurance, lives alone with cat Antonio Banderos, Age: 57 (no beds elsewhere) Admitting Diagnosis: Renal colic Past Hx: HTN, DM2, Hyperlipidemia, colonoscopy – polyps removed IV 5% D/W – KVO (keep vein open) NPO Morphine Sulfate 1 mg IV q1h prn pain 3 – 6 (0 – 10 scale) Morphine Sulfate 2 mg IV q1h prn pain 7 – 10 Metformin 500mg BID Last dose pain med 0600 Voiding – strained – no stone No BM x2 days Bowel sounds positive x 4, Blood glucose 71 Possible OR today Married, no kids, both him and wife employed, only speaks Spanish Doris Day, Age: 95 Admitting Diagnosis: Contusion Right Shoulder (fall), hematoma right eye, Confusion CT head without contrast no bleed Past Hx: CHF, HTN, A-Fib, Osteoarthritis, Fx, Left radius Lung sounds rales on inspiration, clear with deep breathing and coughing O2 sats 91 room air, 95 with O2 2 L NC Bowel sounds hyperactive – 1 loose stool this AM Taking liquids only – sore face Voiding, some incontinence Shoulder with ice and rest on pillow, ice to face/eye Percocet 5/325 mg 1 PO for pain q 4 h 2- 10 (0-10 scale) Not OOB yet – PT consult Lives with son and daughter-in-law at home Christine Nichols, Age: 64 Admitting Dx: Abd pain, cholecystitis Past History: High cholesterol, HTN, obesity, gastric bypass IV Saline Lock, IVPB Antibiotics Lap cholecystectomy yesterday Bowel sounds hypoactive X4 – 1 soft BM yesterday AM VS stable Morphine 2mg IVP q6H PRN pain, recent dose at 0600 Lives with sister, still sings at a retirement pub occasionally, no medical insurance
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