Rise of Chronic Illness: Transitional Care Services & Readmission Rates - Essay Sample

Introduction

Chronic illness amongst people has been on the rise recently irrespective of age, and some triggering factors include the use of excessive alcohol, stress, and lack of exercise. The transitional care services have been developed to help in managing chronic ailment, and nurses can now manage to have a follow-up procedure to handle their patients' situation. The main aim of the program is to lower the readmission rates and health challenges. There is a need to evaluate a patient's health condition and the social support level that they usually get.

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An individualized care plan is then generated, which is followed by nurses having a schedule upon which they visit a patient severally. The rise in readmission rates is an indication that the transitional care program is not yielding the expected results. Some of the cases are the programs being undertaken by inadequately trained nurses and miscommunication among the various stakeholders in the health sector. The readmissions are expensive, and it is essential to ensure that the right measures are undertaken to prevent the re-occurrence.

Improving the quality of transitional care is critical, for it ensures that the patients' safety is realized. Additionally, the stakeholders in the health care sector manage to learn the strategies that they can use to take care of the patients that are suffering from chronic illnesses. The attention that they get should be patient-centered, a move that is expected to offer the sick persons an opportunity to select programs that they are comfortable to implement. Managing chronic illness should be timely, for this helps to lower recurrence cases and disease severity. Raising the effectiveness of the management strategies is a move that plays a critical role in managing the diseases which is obtained by reducing the wastage of the materials that are used to manage the illnesses.

The purpose of implementing transitional care programs is to improve its quality to ensure that patients are receiving the right form of medication. The move will lower rates of readmission and the overall cost of managing the illness. Undertaking studies that will enable nurses to know the best tool that they can use to offer treatment is critical for this ensures that there is effectiveness in the treatment program. Knowing the factors that cause readmission of patients is vital, for this will assist in understanding the plans that can be followed to manage the illness. These methods may have adverse effects on human health, and it is crucial to determine if they are having any negative impact on their health.

Part 2 Capstone

Transitional care of patients plays a critical role in ensuring that there is a reduction in the number of patients that get readmitted to a hospital. Some of the programs that are implemented in the current world to raise the quality of health care services offered include medical, nutritional, patient education, and emotional services. If these strategies are not implemented when treating chronic illnesses, the chances of patients getting readmitted to health centres are on the rise, and this move is likely to cause an increase in the cost of managing diseases.

Failing to educate the patients and their family members also play a role in lowering the effectiveness of the treatment process. Additionally, when the communication channels among the patients and treatment units are broken, the delivery of information is likely to be adversely affected, resulting in the services offered by nurses failing to realize the desired outcome.

The issue of patients getting readmitted to a hospital after getting discharged is one the rise, and this is triggered by inadequate skills of the nurses and lack of follow-up programs. Patients will chronic illness are the significant casualties of the problems, and transitional care programs have been introduced by health care facilities to manage the issue. It is essential to keep checking on the health status of the patients when they leave a health centre to ensure that they are responding positively to the treatment administered. The transitional care services recently have reduced, and this has triggered a rise in the cases of patients getting readmitted. Poor nutritional instances mean that the patients' bodies are not getting the right amount of nutrients that are needed to ensure that a body heals. Low-quality level of home care services means that the patients may be in a situation where their health situation may not allow them to survive.

It is crucial to undertake a study that will help in determining the ways of managing the increased readmission rates to ensure that patients are healing well when they are released from a hospital. Nurses should be given a platform to learn the procedures that they can follow to ensure that patients are managed well, leading to the realization of the desired outcome. Families and the patients should be notified of the measures that they can undertake to ensure that they are working towards the achievement of similar goals.

The significant issue that affects all the parties that are involved in the health care sector is the rise in rates of readmission and the prevailing low-quality of transitional care services. When all stakeholders adopt the right tools, the nursing profession will be impacted positively, the physicians will manage to realize the right outcome. They will be equipped with the right set of skills enabling them to meet the patients' needs effectively.

When this study was done through literature review program, it was noted that there is a likelihood of chronic illness patients getting readmitted to a health care centre. The primary cause of the rise in readmission rates is the low-quality transition care services and the inability of nurses to undertake the right measures of lowering the readmission possibilities. The study process is critical, for it enables the researcher to conduct further analysis of other cases of the rise in readmission rates. Additionally, it triggered a determination of the various communication processes that can be used to facilitating an effective communication process between the nurses, patients, and the other stakeholders that are involved in the treatment process.

The literature review process raised various issues on this topic of cases of patient readmission. The measures that nurses can follow to ensure that patients are treated well, and they are not getting readmitted to a hospital include the provision of the right nutritional care, educating patients and families on the programs they can undertake to ensure that after the treatment, patients are responding positively. Offering the right medication, having follow-up programs, and providing emotional support ensures that there are no cases of patient readmission.

Patients may be ailing from different diseases, and there are specific food types that they are supposed to be advised to consume. It is possible to find that sick persons are eating healthy food, but they are not responding positively to the treatment they are getting. The reason behind this is because they are not taking the right food types. Therefore, their health condition deteriorates, and they are then readmitted to the health care facility, and this makes the treatment process to become expensive.

Patients need a lot of support to ensure that even after the medication, they manage the healing process well. Healing is not all about the drugs considering that psychological and emotional stability are critical tools in the healing process. The patients suffering from chronic illness requires a lot of emotional support through encouragement and supporting during the healing journey. They need to be given hope to help lower the stress cases or anxiety that can lead them to depression. It is critical to note that a significant number of nurses have the professional skills to treat, but not offer emotional support. Therefore, they are undertaking the treatment process, which is not adequate to realize a positive outcome, and this has been a significant factor leading to a rise in the readmission process. When the patents are released from a hospital, they lack a person that can talk to them, and this leads them to develop other complications, such as depression.

The inadequacy of information on the ailments that are affecting patients is another issue that causes their readmission to a health facility. Patients suffering from chronic illness should be provided with adequate information on their health conditions and the ailment that is affecting them. When they lack the right knowledge, they fail to understand the way to manage their illness, leading to recurrence of the same ailment. Another issue that triggers a rise in the readmission rates is the lack of vital services that are needed by chronic ill patients to ensure that they are healing well.

A conducive living environment, right medication, and support are critical when the patients are released from a hospital. If these facilities are not available, there is a possibility of the patients getting readmitted again. When patients are allowed to go home, they are supposed to meet their families who are supposed to help them handle various issues in life, such as the application of medication and ensuring that they are not missing the deadline for taking drugs. The members are supposed to be educated on the measures that they supposed to take to ensure that the patients are comfortable. If the training is not available, there is a possibility that they will be readmitted for further treatment. Therefore, the strategies that can be taken to improve the transitional process include training the nurses, ensuring that family members are educated, and providing suitable living conditions for the patients. Offering the right medication and nutritional value should help them to have a conducive environment to heal.

Part 3 Capstone

Transition care service use has been on the rise in the recent past, especially among patients suffering from chronic illness. A practical implementation process of the transition care is expected to ensure that there are no cases of patient readmission, or healthy conditions deteriorating for worse. The readmission issue is mainly associated with the inadequacy of transition care. It is essential to ensure that patients are getting the right services to ensure that they manage to handle illness. Some of the strategies to be undertaken include taking a balanced diet, support, and emotional care.

Discharging patients without offering them the proper education to enable them to manage the problems is a factor that triggers their readmission process. When at home, they fail to apply the right strategies that they are supposed to use to ensure that their bodies are responding well to the treatment. Understanding the literacy levels of a patient is critical, for this offers the nurses an opportunity to know the information that they can give a patient.

Having the right nutritional care program is another factor that helps to minimize the number of patients that are getting back to a hospital. The food content consumed by patients plays a critical role in the way that their bodies respond to the treatment process. A significant number of them require personalized nutritional care to ensure that they are reacting positively to the treatment process, and if this is not followed, there is a possibility that they will be readmitted for the further treatment process. Therefore, nurses have the responsibility of ensuring that they are undertaking follow-up programs on their patients to ensure that they are offering the proper dietary programs that will help them to heal.

Another crucial issue to lower rates of hospital readmission is t...