Describe the role of a respiratory therapist in the home care setting List and describe the factors used to justify.

Describe the role of a respiratory therapist in the home care setting List and describe the factors used to justify, evaluate and maintain home oxygen administration in alternative sites  Background Improved medical equipment has resulted in an increase in home respiratory care. Modern therapies for the treatment of newborns have resulted in more infants and pediatric patients requiring home oxygen and home mechanical ventilation. In addition to technological advances, changing demographics, and economic pressures, another key factor increasing home respiratory care is that most patients prefer to be cared for at home if possible. Typically, from admission to discharge from the hospital, patients require some sort of respiratory care. For those patients admitted with chronic lung conditions discharge planning for subsequent home care usually begin on hospital admission. The respiratory therapist can add a tremendous amount of value to this process.   Today, great efforts are aimed toward reduction of hospital readmission. Hospitals are now penalized if patients with certain diagnoses are readmitted within 30 days, with Chronic Obstructive Lung Disease (COPD) being included. With this in mind, most healthcare facilities focus on better home care with the involvement of respiratory care professionals. The home respiratory therapist collaborates with the patient’s physician and other disciplines to develop a plan of care for the patient. While respiratory therapists have life support and critical care skills, they will have to develop techniques to meet the psychosocial needs of the patient and family in a home care setting.         The goals of homecare are: To help patients achieve the optimum level of function To educate patients and their caregivers of their disease process To administer diagnostic and therapeutic services to help manage disease To conduct disease management and promote a healthier lifestyle  The respiratory therapist is the most qualified healthcare professional to provide home respiratory care by virtue of education, training, and competency testing. Home respiratory care, especially for ventilated patients, can be highly complex. The risk of a negative outcome is high if a highly skilled professional does not provide the care. The daily routine of a home care RT is very different from that of a hospital-based RT. Although home care RT’s see a variety of patients and families each day, they do not enjoy the same camaraderie with their coworkers. The home care RT often is on-call 24 hours a day, 7 days a week. The positive side is that the home care RT often develops long-term relationships with patients and their families. During the initial home visit, the RT has several important tasks to complete: Establish a rapport with the patient and family Evaluate the home environment Complete the equipment setup Perform any ordered patient assessments and diagnostic or therapeutic procedures Determine if there are unmet needs and make a plan for addressing those needs Communicate, as appropriate, with other professional caregivers Complete the required paperwork Oxygen therapy in the home or alternate-site healthcare facility is indicated for the treatment of hypoxemia and has been shown to improve survival in hypoxemic patients with COPD. Home care therapists must be familiar and comfortable with a variety of oxygen therapy delivery devices and patient delivery interfaces. There is no general agreement on the definition of a home mechanical ventilator. The Medicare program has categorized devices with exhalation valves, adjustable breath rates, and alarms as mechanical ventilators and places them in the group of devices requiring frequent and substantial service. The home care RT will make frequent and regular visits to the ventilator patient’s home to check the ventilator and related equipment. Review the following resources. These resources will provide you with the understanding of patient care plans and factors relating to patients who live at home with ventilators. You will review the steps involved in preparing patients for home with respiratory equipment.   Home care plans and home care training; please visit the Link  (Links to an external site.) Living with a ventilator and ventilator uses http://www.livingwithavent.com/pages.aspx?page=Living  (Links to an external site.)   Click on the tabs in blue: ventilator uses, daily activities, infection control, travel with a ventilator and ventilator weaning Prompt Review the subjective requirements of a home respiratory therapist below. After you have reviewed them, choose four and discuss their importance as it pertains to patients receiving respiratory care at home. Include in your answer how you would communicate these requirements to the patient’s caregivers. Subjective requirements: Highly skilled at patient assessment Highly skilled at home safety assessment Excelled critical thinking ability Good teacher Respects people from other cultures and socioeconomic backgrounds Good communication skills Intrinsically motivated Good organizational skills Submit your answers in at least 500 words on a Word document. You must cite at least three references in IWG format to defend and support your position.

Describe the meaning and the components of a financial reporting system. 

Assignment Details You were recently hired as Management Director of the new I Can Business Incorporated (ICBI). You have been asked to establish policies and systems for the business. The first one you choose to work on is a financial reporting system. For this assignment, you must develop a 4–5-page memo that you will deliver to the ICBI Board of Directors. You will describe what a financial reporting system is and explain how the management team at ICBI should use an activity-based budget instead of an operating budget. Be sure to explain the similarities and the differences of the two. Finally, give examples of budget guidelines for ICBI. You must answer the following: Describe the meaning and the components of a financial reporting system.  Explain the budget process.  Describe a budget contingency plan. Give an example of financial guidelines that ICBI should follow to successfully plan for finance management.  Identify and describe at least 5 basic financial guidelines.

What kind of safety issues are there when physicians work long hours?

1. Read the article “Physician Groups Bristle at Proposed ‘Sleep Regulations’”  2. The paper should consist of four paragraphs: Paragraph 1: A summary of the article  Paragraph 2: Answer the following question: Could something like SBAR allow the physicians to work together for patient care without putting the physicians at risk for fatigue by working long hours?Why or why not?  Paragraph 3: Answer the following question: What kind of ethical dilemmas do physicians face by working long hours? d. Paragraph 4: Answer the following question: What kind of safety issues are there when physicians work long hours? 3. Paper should be at least one full page in length.  4. Make sure you cite sources including word-for-word quotes and paraphrasing of the article assigned for this paper.

Discuss the Benefits of group intervention for individual living substance abuse.

Literature review on a group intervention or other group therapy issue (20 points) Students will write a scholarly paper on group therapy that is at least six full pages of text, and no more than eight. The goal of a literature review is to summarize and synthesize the research of others. This paper is to be an in-depth look at the current research published on some aspect of group therapy. The topic may be conducting groups with a particular population, a particular group intervention, a common group issue (e.g. cohesion, resistance), or other aspect of group therapy.