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Changes in Sites of Care Assignment

Changes in Sites of Care Assignment Changes in Sites of Care AssignmentPost a description of a case from your personal or clinical experiences in the last five years that involves an elderly patient who had been in at least two different sites of care. Explain whether thepatient had advanced directive in place at the time ofthe time of the change in sites of care, if do, whether any difficult treatment decisions had a result. Finally, explain the I.pact of financial issues on site placement and treatment decisions. impact of differences in the settings themselves, inherent culture of the settings, and ethical practices of thses sites on the patient.Changes in Sites of Care AssignmentChanges in Cite of CareStudent’s NameInstitutional AffiliationORDER A PLAGIARISM-FREE PAPER HERETransitional care encompasses an array of services and environments that facilitate timely and safe passage of patients from one caregiver to the other. High-quality transitional care is most appropriate for older patients who suffer from multiple chronic conditions. It is normal to witness older people receiving care from more than one institution, due to regular movements. It is thereforeimportant to ensure better transitions during the handoverof patients by considering financial,ethicaland environmental aspects (Anderson et al., 2014). This way, patients and their relatives are guaranteed of better outcomes.Description of CaseRecently, I witnessed an old woman suffering from cancer and chronic lung bronchitis being moved fromour institution to another health care facility. The patient was under rehabilitative care for the elders, where the nurses literally dressed, fed and bathed her. Since she was suffering from cancer, our radiotherapist administered chemotherapy as a way to control further defects in the normal body cells. She was prescribed painkillers, which reduced the pain she experienced after chemotherapy sessions. However, the family decided to move her to a normal palliative care institution since they could not afford services offered at our institution anymore.Changes in Sites of Care AssignmentAdvanced instructions and its health and financial effectsThe patient had prior instructions from her relatives about the transfer to another care. She knew that the destined facility did not offerchemotherapy andtherefore,was convinced of the availabilityof another option at the institution. However, the facilitywas astep-down due to lack of chemotherapy machines, leading to deterioration of her condition (Starmer et al., 2014). The treatment decision proved erroneous,leading to stress and discomfort on her relatives. Specifically, the patient was prescribed of expensive drugs, which bore a psychological effect on the relatives.Impact of setting due to its organizational cultureTransitions of patients suffering from chronic ailments more often lead to serious errors during medication. Besides, institutions charge different fees in accordance with the type ofcare offered (Friedberg et al., 2015). Besides, different institutions offer different care services depending on their specialization and capability. However, cite placement may save the relative medical fees depending on the care servicesrequired at a particular time. Contrariwise, it may cost a lot of money due to errors during medication that may require corrective medicine.Changes in Sites of Care Assignment  ReferencesAnderson, D. J., Podgorny, K., Berríos-Torres, S. I., Bratzler, D. W., Dellinger, E. P., Greene, L., … Kaye, K. S. (2014). Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology, 35(S2), S66-S88Friedberg, M. W., Schneider, E. C., Rosenthal, M. B., Volpp, K. G., & Werner, R. M. (2014). Association between participation in a multipayer medical home intervention and changes in quality, utilization, and costs of care. Jama, 311(8), 815-825.doi:10.1001/jama.2014.353Starmer, A. J., Spector, N. D., Srivastava, R., West, D. C., Rosenbluth, G., Allen, A. D., … Lipsitz, S. R. (2014). Changes in medical errors after implementation of a handoff program. New England Journal of Medicine, 371(19), 1803-1812.doi: 10.1056/nejmsa1405556. Changes in Sites of Care Assignment

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