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Nursing Management and Professional Concepts 2e: 8.7 Spotlight Application

Nursing Management and Professional Concepts 2e
8.7 Spotlight Application
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table of contents
  1. Cover
  2. Title Page
  3. Copyright
  4. Table Of Contents
  5. Introduction
  6. Preface
  7. Standards and Conceptual Approach
  8. Chapter 1 - Overview of Management and Professional Issues
    1. 1.1 Overview
  9. Chapter 2 - Prioritization
    1. 2.1 Prioritization Introduction
    2. 2.2 Tenets of Prioritization
    3. 2.3 Tools for Prioritizing
    4. 2.4 Critical Thinking and Clinical Reasoning
    5. 2.5 Time Management
    6. 2.6 Spotlight Application
    7. 2.7 Learning Activities
    8. II Glossary
  10. Chapter 3 - Delegation and Supervision
    1. 3.1 Delegation & Supervision Introduction
    2. 3.2 Communication
    3. 3.3 Assignment
    4. 3.4 Delegation
    5. 3.5 Supervision
    6. 3.6 Spotlight Application
    7. 3.7 Learning Activities
    8. III Glossary
  11. Chapter 4 - Leadership and Management
    1. 4.1 Leadership & Management Introduction
    2. 4.2 Basic Concepts
    3. 4.3 Implementing Change
    4. 4.4 Spotlight Application
    5. 4.5 Learning Activities
    6. IV Glossary
  12. Chapter 5 - Legal Implications
    1. 5.1 Legal Implications Introduction
    2. 5.2 Understanding the Legal System
    3. 5.3 Professional Liability and Your Nursing License
    4. 5.4 Frequent Allegations and SBON Investigations
    5. 5.5 Protecting Your Nursing License
    6. 5.6 Other Legal Issues
    7. 5.7 Spotlight Application
    8. 5.8 Learning Activities
    9. V Glossary
  13. Chapter 6 - Ethical Practice
    1. 6.1 Ethical Practice Introduction
    2. 6.2 Basic Ethical Concepts
    3. 6.3 Ethical Dilemmas
    4. 6.4 Ethics Committees
    5. 6.5 Ethics and the Nursing Student
    6. 6.6 Spotlight Application
    7. 6.7 Learning Activities
    8. VI Glossary
  14. Chapter 7 - Collaboration Within the Interprofessional Team
    1. 7.1 Collaboration Within the Interprofessional Team Introduction
    2. 7.2 IPEC Core Competencies
    3. 7.3 Values and Ethics for Interprofessional Practice
    4. 7.4 Roles and Responsibililites of Health Care Professionals
    5. 7.5 Interprofessional Communication
    6. 7.6 Teams and Teamwork
    7. 7.7 Conflict Resolution
    8. 7.8 Nursing Responsibilities in Interprofessional Collaborative Practice
    9. 7.9 Spotlight Application
    10. 7.10 Learning Activities
    11. VII Glossary
  15. Chapter 8 - Health Care Economics
    1. 8.1 Health Care Economics Introduction
    2. 8.2 Trends Related to Increased Health Care Costs
    3. 8.3 Health Care Funding
    4. 8.4 Health Care Reimbursement Models
    5. 8.5 Budgets and Staffing
    6. 8.6 Resource Stewardship and Case Management
    7. 8.7 Spotlight Application
    8. 8.8 Learning Activities
    9. VIII Glossary
  16. Chapter 9 - Quality and Evidence-Based Practice
    1. 9.1 Quality and Evidence-Based Practice Introduction
    2. 9.2 Quality Care
    3. 9.3 Measuring and Improving Quality
    4. 9.4 Evidence-Based Practice and Research
    5. 9.5 Spotlight Application
    6. 9.6 Learning Activities
    7. IX Glossary
  17. Chapter 10 - Advocacy
    1. 10.1 Advocacy Introduction
    2. 10.2 Basic Advocacy Concepts
    3. 10.3 Individual and Interpersonal Advocacy
    4. 10.4 Community and Organization Advocacy
    5. 10.5 Policy Advocacy
    6. 10.6 Steps to Becoming an Advocate
    7. 10.7 QSEN: Advocating for Patient Safety and Quality Care in Nursing Education
    8. 10.8 Spotlight Application
    9. 10.9 Learning Activities
    10. X Glossary
  18. Chapter 11 - Preparation for the RN Role
    1. 11.1 Preparation for the RN Role Introduction
    2. 11.2 Preparing for the NCLEX
    3. 11.3 Obtaining Your Nursing License
    4. 11.4 Applying for a Nursing Position
    5. 11.5 Transitioning to the RN Role
    6. 11.6 Lifelong Learner
    7. 11.7 Spotlight Application
    8. 11.8 Learning Activities
    9. XI Glossary
  19. Chapter 12 - Burnout and Self-Care
    1. 12.1 Burnout & Self-Care Introduction
    2. 12.2 Stress in the Health Care System
    3. 12.3 Identifying Stress in Self
    4. 12.4 Acknowledging Stress in Others
    5. 12.5 Organizational Stress & Retention Cycle
    6. 12.6 Mitigating Stress With Self-Care
    7. 12.7 Emerging Models
    8. 12.8 Spotlight Application
    9. 12.9 Learning Activities
    10. XII Glossary
  20. Answer Keys
    1. Chapter 1
    2. Chapter 2
    3. Chapter 3
    4. Chapter 4
    5. Chapter 5
    6. Chapter 6
    7. Chapter 7
    8. Chapter 8
    9. Chapter 9
    10. Chapter 10
    11. Chapter 11
    12. Chapter 12
  21. Appendix: Classroom Activities
  22. Master Glossary

8.7 Spotlight Application

Emma is assigned to care for a 64-year-old client readmitted with heart failure (HF). Emma recognizes the client’s name during shift report as the reporting nurse comments how this client was a “frequent flyer,” and he was just discharged last week. The reporting nurse spends little time describing the client’s actual condition and focuses comments on how the client “might as well put his name plaque on the door” because he is here so frequently. Emma does agree that the client has been readmitted very frequently with HF exacerbations but is concerned by the dismissive comments by her peer. She is determined to spend time with this client on this admission and find out more about his home environment, support system, and self-care.

Reflective Questions

  • How do the frequent readmissions affect the client’s health care costs and the hospital’s reimbursement levels by Medicare and private insurance companies?
  • What additional nursing interventions might help prevent future frequent readmissions and reduce costs?

Emma engages in a conversation with the client about his dietary habits at home. He reports that his wife passed away one year ago from breast cancer, and he has been preparing his own meals since that time by using easy-to-prepare and cheap foods. Canned soups, boxed meals, and chips are common staples in his diet. Through Emma’s conversation with the client, she can see that the client needs dietary instruction and further education about monitoring his fluid retention with daily weights. He seems engaged in exploring different food preparations and was unaware that foods could exacerbate his heart failure. When Emma asked if he had been taught about this on previous admissions, he stated that no one took the time to talk with him about his home situation. He reports that he received pamphlets but never really took the time to read them because the print was so small. Emma reflects on how preventative education opportunities were missed and increased costs were incurred by the client and the health care organization as a result.

Annotate

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8.8 Learning Activities
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            Nursing Management and Professional Concepts 2e Copyright © by Chippewa Valley Technical College is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.
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