D028 Identifying Evidence-Based Practice for the Prevention of Hospital Readmission, Essays (university) of Financial Accounting

Download D028 Identifying Evidence-Based Practice for the Prevention of Hospital Readmission and more Essays (university) Financial Accounting in PDF only on Docsity! D028 Identifying Evidence-Based Practice for the Prevention of Hospital Readmission Wester Governor’s University D028: Advanced Health Assessment for Patients and Populations Identifying Evidence-Based Practice for the Prevention of Hospital Readmission Pneumonia is a leading cause of hospitalizations among adults in the United States, with the prevalence of patients requiring inpatient hospitalization above the millions (Center for Disease Control and Prevention [CDC], 2020). When left untreated, pneumonia is known to have negative consequences on the body, up to and including death. The bacteria that invade the lungs requires treatment with antibiotic therapy, which is only effective when completed in its entirety. To decrease the risk of rehospitalization after inpatient treatment of pneumonia, education regarding antibiotic therapy is crucial to success. Pneumonia can often be found in the older population, a population that frequently suffers from numerous comorbidities. Finding the accurate medication to treat the bacteria while still avoiding any negative drug interactions is a required skill. Pneumonia on its own can cause dehydration in its sufferers, often caused by diminished fluid intake and diaphoresis (Cook & Wulf, 2020). Dehydration becomes further troublesome as many antibiotics are known to cause diarrhea; this side effect can cause patients to prematurely stop the prescribed medication regimen and therefore not fully treat the pneumonia, placing them back in the situation of requiring inpatient care. Identifying a patient’s possible determinants of health such as education level, financial status, and health literacy, are important in creating a transition plan that will prevent rehospitalization. Education level and health literacy work in conjunction with one another when implementing and presenting a discharge plan to patients and families. A lack of basic education, such as the ability to read, write, communicate, and comprehend, could present as huge barriers to discharge compliance within a patient population. It is the responsibility of the healthcare providers and the transition care team to ensure that the information given to the patients at discharge is understandable and followable at the appropriate level. Financial standing has much impact on a patient’s capability to follow through with the provided discharge and transition items. Lack of income or financial stability puts a barrier between the patient and the resources required to complete their care plan such as medications, supplies, and even follow up appointments (Zhang, et. al, 2020). In a financial strain, importance is often placed on the necessities of life: food, shelter, and water. To obtain these basic needs, they are placed at the top of the list when prioritizing where money will be spent; therefore, ensuring follow-up appointments are kept and medications are finished can easily fall to the wayside. After these determinants are identified, and processes are in place to work around them, discharge instructions should be tailored to each patient’s education level, reading capabilities, language, comprehension, and standard of living. In addition to social determinants of health, both social and community aspects of a patient’s living are vital to both their successes and failures following inpatient treatment. The situation in which a patient lives can have bearing on how they will complete their transitional phase. In poverty-stricken communities, healthcare services are not often at the top of the priority list. Patients who live in areas with high tobacco, drug, and/or alcohol use often suffer repercussions of that. Housing instability and poor social support can also often result in poor health outcomes. Many of these barriers can be broken down with the implementation of accessible community resources. Assisting patients with finding available healthcare services, transportation, food, shelter, and medications would highly increase the probability of patients succeeding in their health goals following inpatient discharge. Possibly the most important aspect of a patient’s discharge plan that will determine whether they will be successful in their continuum of care is the utilization of a multidisciplinary system. Healthcare professionals must work as a team within a united system to work toward a