Health Care Delivery Models and Nursing Practice

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.
Include the following:
1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

Sample Solution

ntenatal history and Birth weight are important in predicting the risk of complications. Children born small/large for gestation and those born to mothers with gestational diabetes mellitus have a higher risk of developing Type 2 Diabetes Mellitus.
History of developmental milestones may give a clue to the cause of obesity eg. Delayed motor milestones, feeding difficulty in infancy followed by a voracious appetite may be suggestive of Prader-Willi Syndrome.
Family history of obesity, diabetes mellitus, hypertension and dyslipidemia should be obtained.
History of intake of antipsychotics, anti-depressants or long-term corticosteroids should be obtained as they lead to weight gain.
Polyuria, polydipsia and unexplained weight loss may suggest onset of diabetes mellitus. Scanty and Delayed or missed periods in girls with or without hirsutism may suggest the presence of polycystic ovarian disease (PCOD).
Enquire about excessive daytime sleepiness, snoring and morning headaches for obstructive sleep apnea and knee or hip pain for Slipped capital femoral epiphyses.
History of dietary practices, TV/screen viewing duration and physical activity may give some insight into the cause of weight gain. Majority of parents of obese children feel that their child’s weight gain is due to pathology and are oblivious to their life-style. A detailed dietary history with calculation of caloric intake would help convince them about the need for life style changes.

2) Anthropometry:

This question has been answered.

Get Answer
WeCreativez WhatsApp Support
Our customer support team is here to answer your questions. Ask us anything!
👋 Hi, Welcome to Compliant Papers.