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The Rabbi

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The Rabbi
Helen Frace
Western Governors University
RTT Task 1

The Rabbi
Mr. J is an elderly, retired, Jewish rabbi of 78 years old. Due to a hip fracture Mr. J was admitted to the hospital. Issues were identified during Mr. J’s hospital stay, which could have been improved to make Mr. J’s stay more pleasant.
In 1994 the American Nurses Association (ANA) started the Patient Safety and Quality Initiative. It was a pilot program designed to evaluate the links between nurse staffing and quality care (Montalvo, 2007). The program outcome was a set of nursing-sensitive indicators used to evaluate quality care for patients in the acute setting and the start of the National Database of Nursing Quality Indicators (NDNQI). The NDNQI is a database which collects the information from the survey collected from the acute care settings. The information compiled is used to develop nursing care and influence the quality of care given to patients (Montalvo, 2007). “Nursing-sensitive indicators identify structures of care and care processes, both of which in turn influence care outcomes” (Montalvo, 2007, para. 3).
Knowing the nursing-sensitive indicators could have helped Mr. J in multiple ways. Pressure ulcer prevalence is one of the indicators that could have helped the situation. If the CNA who was helping Mr. J to the restroom had more training and knowledge about pressure sores they would have been able to identify that Mr. J had some skin breakdown. The skin breakdown happens when a person is in one position for too long. Instead the CNA disregarded the signs of a stage 1 pressure area and put Mr. J back to bed in the same position instead of making sure he was in a different position. Restraint prevalence is also one of the nursing-sensitive indicators. In this case, the restraint was used incorrectly most likely due to lack of knowledge about the correct use of…...

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