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Quality improvement implementation
Introduction of quality improvement and implementation essay
Quality improvement implementation
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Begin with a brief description of your project that includes your clinical question, your planned intervention, the type of study you will conduct and how you plan to evaluate the outcomes. In adults with a new diagnosis of hyperlipidemia in the outpatient setting, what is the significance of receiving standardized education on the recommended amount of exercise and participating in exercise on cholesterol levels? The planned intervention is the development and initiation of a standardized twenty minute educational video on the proven duration and benefits of exercise. The development of the video will involve a core group of professionals that include selected patients, advanced practice providers, and physicians. Patients in the intervention group will …show more content…
Although randomized controlled trials (RCT) are often a gold standard for determining intervention effects, quasi-experimental study designs were developed to provide another means of examining causality in situations not favorable to experimental controls and when complete control of a study is not possible (Grove, Burns, & Gray, 2013). The reason that this design was selected for this evidence-based practice proposal is that complete control of the study is not possible, and also random assignment to the intervention group cannot be accomplished due to the fact that not all patients may be willing to incorporate exercise into their weekly routine. A quasi-experimental design is more practical since the setting is multiple outpatient offices, which will study an intervention applied under real world circumstances and individual-level RCT designs are not suitable. The outcomes will be evaluated by obtaining baseline data on each study participant by collecting a fasting lipid panel. At the end of the study, another fasting lipid panel will be obtained to measure the change from the pre and post blood
...so discuss making a exercise plan that will work for the patient, and will not cause him/her any pain. If all of the correct measures are taken, and the patient is taking care of themselves, they can prevent more serious complications from occurring. They must know that they are serious complications from one not taking care of themselves, or living a unhealthy life style. It does involve a lifelong commitment to change. Medication will help, but one must also be willing to change.
As fitness professionals working with individuals with diabetes there are numerous considerations we must contemplate. For one thing we need to realize we are part of a team approach for these individuals. We need to be very cognizant that we operate within our own scope of practice, as diabetes is a disease that requires specialized approaches from physicians, dietetic experts and fitness professional for each individual’s situation. In addition to this we need to make sure before accepting the responsibility of training a diabetic client, that we have the proper diabetes education and proper certifications. The diagnosis of Diabetes is one that can shake the client to their core and stir every feeling and emotion the person could possibly experience and possibly completely overwhelm the individual. It’s vitally important that they learn to re-establish a sense of control and literally learn new survival skills. (Zrebiec) No matter if it is a parent of a child who has been recently been diagnosed or an adult who just heard the news regarding their own health, the initial situation is the same. To these people it’s going to be like taking a post-graduate course in diabetes management (Zrebiec) and exercise is going to become big part of it. However, this need for an appropriate exercise plan will bring about its own set of challenges due to the complicated nature of the disease. As individuals with diabetes they face some of the same challenges other parties face when exercise is something they know they need to do. They too face challenges of lack of time, lack of energy or will power, they may feel they lack the skills or even the resources. However, when it comes to a teen becoming more involved in exercise there may be two o...
Investigate the contemporary body of knowledge that underpins the current recommendations for exercise programming in the pursuit of improved health.
Writing Assignment Two Introduction Special education includes addressing students’ academic needs as well as their behavioral needs. A student with a disability is not exempt from disciplinary measures, as students with can be suspended and even expelled from the school environment. More specifically, students with emotional disturbance can display maladaptive behaviors. These maladaptive behaviors can generate unsafe learning environments. More importantly, the creation of an effective behavior intervention plan (BIP) is imperative.
The primary outcome measure that is chosen for our study is the serum LDL level change from baseline. We believe it will serve as an objective measure of our intervention and comparator effects.
...This question would see if a healthy weight is being maintained. By doing this follow up I would discover how well the treatment worked for them during the time they were participating. It would also show if what they learned while participating in the treatment and if it continued to help them even after it was over.
Sluijs, E. M. F. v., McMinn, A. M., & Griffin., S. J. (2006). Effectiveness of interventions topromote physical activity in children and adolescents: systematic review of controlled trials. doi:10.1136/bmj.39320.843947.BE
The tendency to build up high cholesterol may run in families, but extremely high levels are usually the result of a poor diet high in saturated fats and calories, along with little or no exercise. In some cases, high levels of cholesterol may be associated with undiagnosed medical symptoms such as diabetes or low thyroid function. According to the American Heart Association, there would eventually be a 50 percent lower rate of heart disease if Americans would lower their blood cholesterol levels by 25 percent. These statements find confirmation in a 1984 report done by the National Heart, Lung and Blood Institution on the results of a 10 year study. It showed that for every 1 percent of lowered cholesterol, the chances of a heart attack are lowered by 2 percent.
Doctors who work at physical therapy clinics consistently encourage their patients to complete their therapy so that they can heal—although physicians may push their patient to move towards a healthier life, it does not mean that the patient will be open to suggestion; it would be up to the patient to truly decide to motivate themselves towards a healthier lifestyle—and until that happens the main service that a physical therapist can provide includes: education on lifestyle choices, and the consequence for each choice—how therapy can help the patient/how the therapy suits their needs, and how to set up a cost effective way to complete therapy.
O'Brien, D. (2009). Randomized controlled trials (RCTs). In R. Mullner (Ed.), Encyclopedia of health services research. (pp. 1017-1021). Thousand Oaks, CA: SAGE Publications, Inc. doi: http://dx.doi.org.proxy1.ncu.edu/10.4135/9781412971942
“The main concept is that exercise (a term we will use generically to cover both exercise training and physical activity) does more than change traditional ‘risk factors’ (blood lipids, hypertension, diabetes, etc.; Mora et al. 2007; Green et al. 2008). In this context, there is a ‘risk factor gap’, and exercise appears to be far more productive than it should be based on changes in traditional risk factors alone.”
One way to provide clear description of a project is to prepare project charter. A Guide to the Project Management Body Of Knowledge (2008), “it is the process of developing a document that formally authorizes a project or a phase and initial requirements that satisfy the stake holder needs expectations” (pg.71). Preparing a project charter is the initial step for project manager to start any project. In Project charter we can describe different components of the projects. To start any project, preparing a project charter is the initial steps for project manager. Some of the essential components are described below.
Regular physical activity is an important part of effective weight loss and weight maintenance. It also can help prevent several diseases and improve your overall health. It does not matter what type of physical activity you perform--sports, planned exercise, household chores, yard work, or work-related tasks--all are beneficial. Studies show that even the most inactive people can gain significant health benefits if they accumulate 30 minutes or more of physical activity per day. Based on these findings,
Before you begin writing your project plan you need to identify how, where, and to whom you intend to serve and also address things such as where and how the clinic will operate.