NRS-460 Topic 4 Assignment: Benchmark – Case Study: Timothy Smith – Discharge Planning

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NRS-460 Topic 4 Assignment: Benchmark – Case Study: Timothy Smith – Discharge Planning – Step-by-Step Guide

The first step before starting to write the NRS-460 Topic 4 Assignment: Benchmark – Case Study: Timothy Smith – Discharge Planning, 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-460 Topic 4 Assignment: Benchmark – Case Study: Timothy Smith – Discharge Planning

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-460 Topic 4 Assignment: Benchmark – Case Study: Timothy Smith – Discharge Planning

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-460 Topic 4 Assignment: Benchmark – Case Study: Timothy Smith – Discharge Planning

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-460 Topic 4 Assignment: Benchmark – Case Study: Timothy Smith – Discharge Planning

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-460 Topic 4 Assignment: Benchmark – Case Study: Timothy Smith – Discharge Planning

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-460 Topic 4 Assignment: Benchmark – Case Study: Timothy Smith – Discharge Planning

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, in sentence sentence care. 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.

NRS-460 Topic 4 Assignment: Benchmark – Case Study: Timothy Smith – Discharge Planning Instructions

Use the “Case Study: Timothy Smith – Discharge Planning” template to complete the assignment.

This case study has indirect care experience requirements. The “NRS-460 – Case Studies: Indirect Care Experience Hours” form, found in the Topic 1 Resources, will be used to document the indirect care experience hours completed in the case study. As progress is made on the case study, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 5.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the past 5 years and appropriate for the assignment criteria and relevant to nursing practice. Check out the next task here NRS 460 Topic 5 DQ 1 Discuss the importance of considering not only the physical symptoms but also the psychosocial and emotional aspects of patients with complex disease management.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies and professional standards:

RN-BSN

5.3: Contribute to a culture of provider and work environment safety.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 5.3, 8.2, 8.3, 8.4, and 8.5.

NRS-460 Benchmark – Case Study: Timothy Smith – Discharge Planning

Directions: Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Complete the critical thinking table and submit the completed template to the assignment dropbox.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the complex management of disease during the discharge of a patient, and the additional aspects of communication and safety in the work environment. The purpose of this assignment is to participate in discharge planning for a patient utilizing communication and information technology, and in a scenario where patient and provider safety is a concern.

PART I: Health History and Medical Information

Evaluate the health history and medical information for Timothy Smith, presented below.

Mr. Smith is ready to be discharged from the hospital. Timothy has been weaned off of oxygen. His tube feedings have been discontinued and he is tolerating a pureed diet. To facilitate safe discharge, the hospital case manager has set up services with a transitional care manager from a Home Health agency. The goal is for Mr. Smith to attain safe recovery and rehabilitation.

  1. Broken left leg status
  2. Weight bearing status: non-weight bearing, stand pivot with right leg only
    1. Assistive devices: wheelchair
    1. PICC line present for discharge
  3. Left upper leg wound care: dressing changes as needed for open reduction internal fixation (ORIF) on leg
  4. Psychiatrist telehealth follow-up scheduled for a Zoom call upon discharge
  5. Telehealth follow-up visit scheduled two weeks after discharge with Primary Care Physician (PCP)

Lab Tests and Vitals

  1. Room air, respiratory rate 16 breaths per minute
  2. Vital signs are within normal limits

PART II: Critical Thinking Activity

Use the findings from your evaluation to complete the following:

Home Health Care and Rehabilitation Therapy During care coordination and transition of care planning, it is important to consider the type and level of care a patient might need.
You are the transitional care manager assigned to Mr. Smith prior to discharge. Based on Mr. Smith’s assessment findings, develop a discharge plan that encompasses his care needs following discharge. Your response should be a minimum of 200 words. 
Discuss three to five interdisciplinary roles that will be essential in supporting Mr. Smith’s home health and rehabilitative care needs. Your response should be a minimum of 150 words. 
You are the home health nurse assigned to treat Mr. Smith. Identify two areas of concern that you might prioritize during your initial visit with him following discharge. Your response should be a minimum of 150 words. 
Psychosocial and Spiritual Considerations Providing holistic nursing care for patients with complex conditions requires that the nurse takes into account the patient’s psychosocial and spiritual needs.
Given the patient’s current situation, discuss ways in which the nurse can take into account and address the patient’s psychosocial and spiritual needs. Your 

response should be a minimum of 150 words. 
Just Culture The patient is due to receive his IV antibiotic prior to discharge. As the nurse reviews the electronic orders, she notices that the antibiotic dose seems incorrect. Upon discussion with the provider and pharmacy, it is determined the dose entered was incorrect.
Discuss how reporting this near miss will help contribute to a just culture reflecting civility and respect. Your response should be a minimum of 200 words. 
Discuss how clinical judgement and critical thinking should be applied despite the use of information and communication technologies. Your response should be a minimum of 150 words. 
Levels of Risk As Mr. Smith is waiting for the nurse, he becomes impatient and starts to verbally attack the patient care technician as she obtains his vital signs.
Identify actual and potential levels of risk to the care team within this situation given the patient’s history of PTSD. Your response should be a minimum of 150 words. 
What can the nurse do to diffuse this situation? What steps can be put in place to ensure safety for both patients and providers in the future? Your response should be a minimum of 150 

words. 
Patient Portal The nurse is helping Mr. Smith log in to the Patient Portal (i.e. MyChart) before discharge.
Explain the considerations for ensuring the patient would be able to use this resource at home. In your discussion include considerations related to the patient’s condition and cognitive status based on his assessment findings and history of injury reviewed in previous topics. Your response should be a minimum of 200 words. 
Discuss the benefits for both the patient and the care team in using information and communication technology to support the patient- provider relationship. Your response should be a minimum of 150 words. 
What obstacles might hinder his use of the Patient Portal? Your response should be a minimum of 150 words. 
Telehealth Mr. Smith is scheduled for a telehealth appointment with the psychiatrist upon discharge.
Discuss the information and resources that the nurse should ensure the patient has available in preparation for his visit. Your response should be a minimum of 150 words.