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ID: 125966 • Letter: A
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1. What is the pathophysiology of hypertension and congestive heart failure in relation to COPD?
2.
What is the impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system?
What are the implications for our nursing practice related to use of standardized terminology for documentation?
How do evidence-based practice guidelines impact patient outcomes and necessitate improved practice care?
Explanation / Answer
What is the pathophysiology of hypertension and congestive heart failure in relation to COPD?
Chronic obstructive pulmonary disease (COPD) and heart failure are dissimilar circumstances. Breathing problems occur for different explanations with these circumstances. With COPD, it’s hard to respire all of the air in your lungs since of lung injury, often from ages of smoking. As with COPD, if you have heart failure, you can maybe inhale effortlessly when at rest. With action, blood flow must upsurge, and your heart must pump harder and sooner. If your heart can’t retain up, blood backs up into your lungs. This liquid congestion reasons shortness of breath.
Left-sided heart failure is most often instigated by high blood pressure or coronary artery illness. It’s not straight related to COPD. But the two circumstances may effect each other. Simple COPD can cause heart failure in your heart’s lower right chamber, or ventricle. This is a illness called right-sided heart failure or cor pulmonale. Right-sided heart failure grounds fluid to build up in your body.
What is the impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system?
The Centers for Medicare and Medicaid Services (CMS) obligatory guidelines averting healthcare recompense for medical situations which were assimilated during a patient’s visit in a hospital but were not initially present prior to admittance. Separately from the understandable drive of federal budget reduction and circumventing abuse of administration agendas, this policy also marks hospital value. The result spreads all the way to the hospital organizational construction, down to staff presentation, as well as facility upgrading. To prevent hospital acquired circumstances that might lead to renunciation of Medicare and Medicaid expenditures, the management society will need to comprise facility-related rules during decision-making meetings. Alterations needed include hygienic upkeep of facilities and equipment predominantly, in high traffic areas as well as wards caring for patients with communicable diseases. Patient care excellence is also an influence; hence, all staff – predominantly, those who are directly convoluted with patients must provide quality care.
What are the implications for our nursing practice related to use of standardized terminology for documentation?
-Endorse the espousal and operation of consistent nursing information detention within all vendor goods.
-Supporter for standardized nursing statistics arrest through the nursing course and transversely all locations of care.
-Endorse calibration of connected vendor crops as a strategic authoritative to sustenance interoperability.
-Organizer for an answer loop to inform direct care interpositions.
How do evidence-based practice guidelines impact patient outcomes and necessitate improved practice care?
Evidence-based health care practices are accessible for an amount of conditions such as asthma, heart failure, and diabetes. Though, these practices are not continuously applied in care provision, and disparity in practices abound. Conventionally, patient safety investigation has absorbed on information analyses to recognize patient safety subjects and to establish that a new practice will lead to better-quality quality and patient protection. Ample less investigation consideration has been paid to how to instrument practices. Yet, only by tapping into practice what is educated from investigation will care be made harmless. Applying evidence-based safety practices are problematic and need plans that speech the difficulty of schemes of care, separate doctors, senior management, and eventually altering health care values to be evidence-based security practice environments.
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