NRS 455 Topic 1 DQ 2 Assignment – Step-by-Step Guide

The first step before starting to write the NRS 455 Topic 1 DQ 2 Assignment: Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission. Explain how readmission affects reimbursement. What implications does readmission have on the hospital and on the patient?, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NRS 455 Topic 1 DQ 2 Assignment

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. 

Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NRS 455 Topic 1 DQ 2 Assignment

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NRS 455 Topic 1 DQ 2 Assignment

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NRS 455 Topic 1 DQ 2 Assignment

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NRS 455 Topic 1 DQ 2 Assignment

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NRS 455 Topic 1 DQ 2 Assignment

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

An Example NRS 455 Topic 1 DQ 2 Assignment Follows:

Discuss discharge resources that are available for chronic cardiorespiratory issues to support patient independence and prevent readmission. Several resources are available to support patient independence and prevent readmission for chronic cardiorespiratory issues. These resources aim to provide patients with the necessary tools and support to manage their condition effectively at home. Some of the key resources include:Cardiac Rehabilitation Programs:Cardiac rehabilitation programs play a crucial role in supporting patients with chronic cardiorespiratory conditions. These programs provide structured exercise, education, and counseling to enhance physical fitness, manage symptoms, and improve overall well-being.The American Heart Association offers resources and tools for cardiac rehabilitation, including referral cards, heart attack discharge worksheets, and educational materials.Education and Self-Management Programs: These programs provide patients with information about their condition, including self-care techniques, medication management, and lifestyle modifications. They empower patients to take an active role in managing their health and prevent complications that may lead to readmission.Hospitals can provide patients with educational materials tailored to their specific condition. These materials cover topics such as medication management, lifestyle modifications, and symptom recognition.The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) offers patient resources, including fast facts and frequently asked questions.Discharge Packets:Discharge packets are comprehensive guides that summarize essential information for patients. They cover topics like disease management, medication adherence, and follow-up appointments.The American Heart Association provides a heart failure discharge packet that educates patients on heart failure management and self-care.Care Transitions and Care Coordination:Smooth transitions between healthcare settings, such as from the hospital to home or from one healthcare provider to another, are crucial in preventing readmission. Care transition programs ensure that patients receive appropriate follow-up care, medication reconciliation, and ongoing support during the transition.Telehealth and Remote Monitoring: Telehealth technologies enable healthcare providers to remotely monitor patients’ vital signs, symptoms, and medication adherence. This allows for early detection of potential issues and timely intervention, reducing the risk of readmission. Telehealth also facilitates virtual consultations, enabling patients to communicate with their healthcare team without needing in-person visits.Home Health Care Services: Home health care services offer a range of medical and non-medical support to patients in their own homes. This may include skilled nursing care, physical therapy, respiratory therapy, and assistance with activities of daily living. These services help patients recover and manage their condition in a familiar and comfortable environment.Community Support and Resources: Community resources, such as support groups, rehabilitation centers, and disease-specific organizations, can provide valuable assistance to patients with chronic cardiorespiratory issues. These resources offer emotional support, education, and practical help to patients and their families, promoting independence and reducing the likelihood of readmission.
Explain how readmission affects reimbursement. Readmission can have significant financial implications for healthcare providers. To address preventable readmissions and enhance the quality of care, the United States enacted the Hospital Readmissions Reduction Program (HRRP) as a component of the Patient Protection and Affordable Care Act. HRRP penalizes hospitals with higher-than-predicted rates of return for specific ailments, such as cardiorespiratory issues, by reducing their Medicare reimbursements.The HRRP incentivizes hospitals to focus on providing high-quality care during the initial hospitalization and ensuring effective care transitions to prevent unnecessary readmissions. The program aims to encourage hospitals to implement strategies that improve patient outcomes and reduce healthcare costs by linking reimbursement to readmission rates. Let’s explore more deeply how readmission affects reimbursement in healthcare.Medicare Reimbursement:Medicare, a federal insurance program for people aged 65 and older, penalizes hospitals for excessive readmissions.Hospitals with higher readmission rates face reduced payments from Medicare. The penalty can be up to 3% of the total reimbursement for specific conditions (Dinerstein, 2018).Financial Impact:Avoidable readmissions contribute significantly to healthcare costs. Medicare paid an estimated $26 billion for hospital readmission costs in 2018, with $17 billion considered potentially avoidable (Sutt, et al., 2023).Hospitals must allocate resources to manage readmissions, impacting their financial stability.Quality Improvement Initiatives:Hospitals invest in quality improvement efforts to reduce readmissions. These initiatives include enhancing discharge planning, improving care transitions, and implementing evidence-based practices.Successful reduction in readmissions positively impacts reimbursement and overall financial health.In summary, readmission directly affects hospital reimbursement by influencing Medicare payments and overall financial stability. Hospitals must prioritize strategies to prevent avoidable readmissions and enhance patient outcomes.
What implications does readmission have on the hospital and on the patient?Hospital Implications:Resource Strain: Readmissions place a burden on hospital resources, including staff, beds, and facilities. Hospitals must allocate additional resources to manage returning patients.Workflow Disruption: Frequent readmissions disrupt workflow and increase workload for healthcare providers. Staff members need to address the same issues repeatedly.Quality Metrics: Hospitals are evaluated based on readmission rates. High readmission rates negatively impact their quality metrics and reputation.Financial Impact: Hospitals face financial penalties from Medicare for excessive readmissions. These penalties can reduce overall reimbursement.Patient Implications:Physical and Emotional Stress: Frequent readmissions cause physical and emotional stress for patients. They may experience frustration, anxiety, and decreased quality of life.Continuity of Care: Readmissions disrupt the continuity of care. Patients may feel unsupported or inadequately managed, affecting their trust in the healthcare system.Health Outcomes: Readmissions can lead to worsened health outcomes. Patients may not fully recover between hospital stays, impacting their overall well-being.In summary, readmissions have significant consequences for both hospitals and patients. Hospitals must focus on strategies to prevent avoidable readmissions, while patients benefit from seamless transitions and comprehensive care plans.

References:

Cardiac Rehabilitation Tools and Resources: https://www.heart.org/en/health-topics/cardiac-rehab/cardiac-rehabilitation-tools–resources

Resources For Patients (aacvpr.org): https://www.aacvpr.org/resources-for-patients

Heart Failure Tools and Resources: https://www.heart.org/en/health-topics/heart-failure/heart-failure-tools-resources

Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions: https://www.ahrq.gov/patient-safety/resources/improve-discharge/index.html

Readmission Rates and Their Impact on Hospital Financial Performance: A Study of Washington Hospitals: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6614936/

Impact of the Medicare hospital readmissions reduction program on vulnerable populations: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4645-5

Hospital Readmissions Reduction Program (HRRP): https://www.cms.gov/medicare/payment/prospective-payment-systems/acute-inpatient-pps/hospital-readmissions-reduction-program-hrrp

Hospital discharge and readmission: https://www.uptodate.com/contents/hospital-discharge-and-readmission

10 APPROACHES TO REDUCE READMISSIONS FOR HEART FAILURE AND COPD: https://www.healthleadersmedia.com/clinical-care/10-approaches-reduce-readmissions-heart-failure-and-copd

Dinerstein, Chuck. (2018). The Continuing Problem Of Hospital Readmissions. The American Council on Science and Health (ACSH). Retrieved from https://www.acsh.org/news/2018/10/03/continuing-problem-hospital-readmissions-13467

Sutt, A. R., Alm, R. and Olson, J. L. (2023). Impact of ambulatory care pharmacist intervention on 30-day readmission rates in high-risk transitions-of-care patients. Journal of the American Pharmacists Association, 63(6), P1694-1699. DOI:https://doi.org/10.1016/j.japh.2023.05.005

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Frequently Asked Questions (FAQs)

When approaching a 500-word essay, it’s essential to understand the nuances of this compact form of writing. These frequently asked questions will guide you through the process of crafting a concise and impactful essay.

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A 500-word essay usually spans about one page if single-spaced or two pages when double-spaced, with standard margins and a 12-point font size.

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Certainly, to see the structure and flow of a well-written essay, you might want to take a look at a student’s writing guide that provides insights and examples.

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How much time should you allocate to write a 500-word essay effectively?

Depending on your familiarity with the topic and writing proficiency, allocate anywhere from one to several hours for planning, drafting, and revising to ensure a well-presented essay.