Discuss the role of health care in creating health equity

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Discuss the role of health care in creating health equity. Explain why health care alone isn’t enough to create health equity. Description: David R. Williams, Professor of Public Health at the Harvard T.H. Chan School of Public Health, has been researching health inequities in the United States for two decades. In this video, he sits down with Don Berwick, MD, President Emeritus and Senior Fellow at IHI, to discuss the role of both health care and social determinants of health to create health equity.

 

Discussion Questions:

  1. After hearing Williams say that health care is important to health equity, how do you feel about your role in ensuring high-quality care to people who face barriers to good health as a result of social circumstances?
  2. What role do you think healthcare providers play in addressing the non-clinical determinants of health?
  3. Williams says early childhood development is critical to good health. How do you think health systems can promote early childhood development?

Offering nutritional guidance to patients with type 2 diabetes

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A nurse wishes to implement evidence-based practice in offering nutritional guidance to patients with type 2 diabetes. Which questions represent a valid step in implementing evidence-based practice? Select all that apply.

What is the most relevant evidence for a set of nutritional guidelines?

How old are the findings on nutritional approaches for patients?

Will the patients find these recommendations easy to adopt?

Can I duplicate the findings of these studies in my own study?

Do the nutritional recommendations in this evidence make sense?

The flow velocities

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The flow velocities were recorded as: PSV: 98.7 cm/s and EDV: 21.6 cm/s. What is missing? Discuss the accuracy of the data. These two images were taken at the same level in a patient. Which artery is most likely depicted in these images? Why? Which techniques are used in each image to show flow? What is the advantage of using each technique?

What changes in the patient’s settings you would like to make based on the blood gas

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Please assess the ABG and identify what changes in the patient’s settings you would like to make based on the blood gas. (Note that the patient’s tidal volume range based on the patient’s Ideal Body Weight is 360-480 mL)

 

Time1130
Machine Settings
ModeVC/AC
Tidal Volume450 mL
Pressure Control—
Frequency14 bpm
Inspiratory Time0.9 sec
Flow Rate—
Pressure Support—
PEEP+5 cmH2O
FIO250%
Alarms
High/Low Press Alarm50 cmH2O
Hi/Low Minute VentilationAlarm15L/min/ 3L/min
High Frequency Alarm30 bpm
Hi/Low Tidal Volume Alarm—
Apnea Alarm—
Patient Values
Total Frequency14 bpm
Inspiratory Tidal Volume450 mL
Expiratory Tidal Volume432 mL
Minute Ventilation6.3 L/min
Peak Inspiratory Pressure24 cm2O
Plateau Pressure
Mean Airway Pressure8 cmH2O
Patient Monitoring
SpO293%
ETCO2
Time
ABG1153
Ph7.27
PaCO268 mmHg
PaO263 mmHg
HCO-326 mEq/L
RT Name

Important part of the implementation process

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Evaluation is an important part of the implementation process. At what point should the evaluation begin? At what point should the readjustment process begin? How would you go about determining this? Are these processes the same for every project? Why or why not?

Chronic obstructive pulmonary disease exacerbation

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The patient was admitted for respiratory failure, secondary to a Chronic obstructive pulmonary disease exacerbation. The patient was found down in the downtown public park. You have placed the patient on the setting below and there are orders for Q4 ABGs. As you come back in to get the scheduled ABG you note that the patient’s peak inspiratory pressure is 42 mmHg and it was reading 30 mmHg immediately after intubation.

Educating a middle-aged African-American man with high cholesterol

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The nurse is educating a middle-aged African-American man with high cholesterol. The nurse knows to diagnose the patient as at high risk for a heart attack because based on evidence, the nurse knows that middle-aged African-American men are disproportionately affected by heart disease. What is the most credible source of this evidence?

O An article in a widely distributed magazine on health

O The published opinion of a panel of cardiac surgeons

O A meta-analysis of multiple trials published in an AMA journal

O A series of case studies on middle-aged Americans

Depicting the organizational structure of Richmond Community Hospital

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Depicting the organizational structure of Richmond Community Hospital where the following people listed below are employed.

You need to list both the employee’s name and job title.

(Note that IT, HIM, and Patient Accounting Services all report to the V-P of Financial Services.)

Make sure you indent separating from Vice Presidents to Directors,  Directors to Supervisors, and Supervisors to their employees.

 

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Ms. Joelle Williams-Director of Nursing

Mr. Paul Nichols-HIM Supervisor

Ms. Lydia Taggart-Vice-President of Corporate Services

Mrs. Margaret Humphries-Board Member

Ms. Lori Rutherford-Lead Coder

Ms. Carleen Hunt-Transcriptionist

Mr. Larry Abbott-Coder

Mr. Jason Hendricks-Director of Payroll & Benefits

Ms. Lisa Conway-Vice-President of Financial Services

Mr. Carl Langley-CEO

Ms. J. P. Carlson-Director of Information Technology

Mrs. Charlotte Richards-Board Member

Mr. Leo Smith-Director of Food Services

Ms. Beth Martin-Director of HIM

Mr. Rupert Jones-Director of Patient Accounting

Mr. Charles Gladstone-Vice-President of Human Resources

Dr. John Radner-Medical Staff President

Mr. Walter Hawthorne-Board Member

Ms. Henrietta Rogers-Release of Information Technician

Miss Caroline Masters-Transcriptionist

Mr. Michael Stevens-Director of Plant Operations

Ms. LeeAnn Miller-Coding Supervisor

Mr. Shawn Lewis-Director of Accounting

Miss Nicole Leonard-Coder

Mr. Thomas Crawford-Director of Employee Development

Mr. Gary Singleton-Board member-President

Ms. Margaret Reynolds-Vice-President of Patient Care

Ms. Cheryl Clements-Transcription Supervisor

Ms. Linda Matthews-Director of Housekeeping

Ms. Ruth Mason-MPI Data Integrity Specialist

 What factors may contribute to this epidemiological contradiction?

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What is the “Latino paradox”  What factors may contribute to this epidemiological contradiction? What are some behaviors immigrants in the US might engage in that protect their health?
4. What factors contribute to social isolation?
5. Discuss the paradox of the digital divide in healthcare, which exists although individual use of particular technology can create feelings of isolation

Inputting the orders in the electronic medical record system

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Department. Such as one of the common instances where a verbal order may be given and then the order is duplicated when the physician gets around to inputting the orders in the electronic medical record system, which results in a double dose of medication