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HCM4650 Applying Theory to Practice (Health Care)




Question;Project;Benchmark: Project Proposal;Name;Institution;Course;Instructor;Date;Project;Proposal;Part 1: Site description and the type of hypothetical facility;The;aptitude to provide timely and comprehensive care to the mentally ill patients;is of great essence. Such patients are often handled in the psychiatry specialty;within the healthcare facility. Psychiatry specialty is a form of medical;facility devoted for study, diagnosis, treatment and prevention of mental;disorders. The facility serves to;improve the health and care for the mental disorder patients. Therefore proper;utilization of practices not only requires direct patient care, it equally;calls for appropriate utilization of all the availed medical equipments within;the facility. Of great essence in the specialty should be psychiatric;rehabilitation. Psychiatric rehabilitation facility requires comprehensive;utilization so as to realize effectiveness in handling mental disorders.;Part 2: Introduction of Issue;Most hospitals;have need that is not often met both medically and economically. In the;psychiatric specialty, patients are normally admitted due to various cases of;mental disorder. This condition usually requires thorough treatment and;monitory rehabilitation. The medical staff in charge should devote his time to;closely monitor the patients soon after medication. In most cases, patients;develop same or even more badly mental conditions soon after they are;discharged. This may be very dangerous since it occurs without any signaling;warning. The nursing staff in the psychiatry specialty cannot keep tracking;patients from a distance after they are discharged. Psychiatric rehabilitation;centers would better serve the purpose, and limit chances of recurrence.;Currently;hospitals concentrate in the medical practices relevant to the in- patient;services. ?Globally, the mental health resources in countries present a dismal;picture of severe shortage and neglect. Often, the resources and services are;at 1% to 10% of what is needed.? (MH GAP 6). However, the mentally disabled;patients do not only need such medical attention. They need much more of well;structured orientation program to completely recover. Rehabilitation Center is;planned to address the needs of mentally disabled patients during in-inpatient;interventions and after discharge. As a result, when the mentally disabled;patients are taken through psychiatric rehabilitation, they will realize a;proper recovery platform.;As previously;highlighted, majority of mentally disabled patients need proper rehabilitation;and not just medical attention. The nursing staffs in psychiatric specialty;claims they don think about rehabilitation because their patients are not in;need for it. Consequently, patients are;placed in very dangerous conditions without rehabilitation process. The mental;disorder patients need consistent orientation and monitoring, which is not;realistic in ordinary medical procedures. Consistency in monitoring such;patients is needed since symptoms can be so severe in a short span after;discharge. Patients with mental disorders may show symptoms of disorientation;confusion, changes in mental capacity, agitations, deep sleep, sensitivity to;touch, sound or light and delirium. Such patients have to be monitored during;the process of fighting withdrawals, especially when reacting to the;medication.;Failure to include;psychiatric rehabilitation specialty in a medical facility causes miscoding and;waste to the medical sponsors, who may in turn pay for services not rendered to;their clients. Although rehabilitation is most essential, some facilities;cannot implement it based its absence. However, this does bring about many;issues in the psychiatry specialty and the hospital as a whole. Quality safety;is one of the many issues facing the psychiatric specialty in the medical;facilities. Any medication procedure administered to the patients should;promote safety above all other goals. Cultural safety is a base that lies;between the psychiatrist and the nursing team. Each of the team members ought;to understand the best standards required, and how to achieve and maintain;those standards.;Part 3: Evaluation of the Gap;between what is known and what still needs to be determined about Psychiatric;Rehabilitation;Psychiatric;departments deploy numerous types of information technology and equipments to;monitor patients. So as to take good care of mentally disabled patients, all;the equipments must be appropriate. There is a serious startling gap between;effective and available services. Inventory must equally go hand in hand with;the medical procedures to provide optimal care. The gap points out;insufficiency of skilled personnel, facilities, budget, policy and programs for;rendering effective psychiatric rehabilitation. ?Globally, the mental health;resources in countries present a dismal picture of severe shortage and neglect.;Often, the resources and services are at 1% to 10% of what is needed.? (mhGAP 6).;The project for the Rehabilitation Center is planned to address the needs of;mentally disabled patients during in-inpatient interventions and after;discharge. The key points considered are budget, infrastructure, management and;skilled personnel.;Part 4: proposed tasks and goals;The project will be completed under the;appointed Project Director, who will head the team of general manager, accounts;manager, civil and electrical engineers and security manager. The team will;monitor the progress of the project work, with daily reports and weekly;reviews.;Part 5: proposed timelines;1.Acquisition of land and;construction of buildings and infrastructural facilities: 8 Months.;2. Appointment of skilled;personnel. 1-2 Months.;3. Purchase of equipments and;tools, computers, safety and supervision equipment, kitchen equipment, medical;supplies. 1 Month.;4. Purchase of vehicles for;transport and conveyance of patients and staff. 1 Month.;The total duration for completion of the;project is estimated at 9-10 months. The rehabilitation centre is expected to;be functional within one year. The expenditure will be sanctioned by the;full-time executive administrator authorized by the Board of Directors of the;Rehabilitation Center.;Part 6: Proposed Budget;The total;expenditure is expected to be $300000. The sources for funding are;Contributions from the Board of Directors, Government grant, Bank Loan;Donations from community and industrial/business organizations, NGOs and fees;from patients under Medicare and Medicaid insurance plans. Recurring expenses;will include staff salaries, maintenance costs, insurance and depreciation;costs, loan interest, provisions and supplies.;Budget;Expenditures are estimated as under;1. Cost of Land, building;construction and infrastructure $150000.00;2. Cost of equipments, tools;computers, vehicles, gym equipment $075000.00;Workshop equipment, Transport vehicles, conveyance;3. Cost of mattresses, blankets;bed-sheets, beds, furniture $050000.00;Kitchenware, fittings etc;TOTAL;INITIAL EXPENDITURE $275000.00;Staff;salaries, insurance, maintenance costs (for building, infrastructure;equipments and vehicles), and cost of medical supplies and provisions;depreciation costs, contingency expenditures etc are the major recurring;expenditures. The recurring expenditures are estimated at $50000.00 per month.;The;sourcesof income include fees received from patients? Medicare/Medicaid;insurance, occasional income from community programs and donations. Monthly;income from these sources is expected to be more than sufficient to meet;recurring expenditure.;Part 7: Additional resources needed to resolve the issue;Accounting;software with financial tracking system will be needed. This software will be installed;in computers to monitor different financial transactions and cash-flows during;operation.;Part 8: Evaluation Methods;Evaluation;methods are capitalized on proper practice contentions. It is believable that all;psychiatric facility staff members ought to take part in intimate assessment of;patients on regular basis. They should consider safety standards required for supplies;as well as take part in the planning. Additionally, any new measure should be;measured to the existing standards. Such initiatives will help improve the;general performance in the medical fraternity. The plan should employ implicit strategies;in obtaining effective measures. These measures will help cover all the needs;of mental disorder patients. Once the plan has been implemented, appropriate;action will follow to ensure effective operation (Michigan Health and Safety;Coalition, 2002).;Part 9: Ethical considerations;Tie-ups with Clinics and Hospitals;The proposed;Psychiatric Rehabilitation Center will enter tie-up arrangements with local;clinics and hospitals. The patients, in case of need, will be sent for;referrals will be sent for further diagnosis, interventions and in-patient;treatments. The center will also integrate with other research institutes for;further exploring possibilities for improvements.;Training of Healthcare Professionals;Training programs;will be organized for healthcare professionals and caregivers to keep them;updated with latest developments in the psychiatric healthcare. Reputed;psychologists, psychiatrists, therapists and dieticians will be invited for;lectures.;Benefits and Relaxation Facility for;Employees;Psychiatric;healthcare is a challenging occupation. Caregivers and staff feel exhausted;(depressed at times) from the duties demanding constant vigil and monitoring of;patients. The center proposes to maintain accommodative facilities for;employees to regain their composure. Time offs, convenient working hours (in;cases of personal emergencies) and incentives will provide motivation to;employees.;The Aim;As T. Meyer et al.;(2011, 767) state, the Center will focus on, ?? approaches that enhance a person?s health-related;quality of life in partnership between person and provider and in appreciation;of the person?s perception of his or her position in life.? As mentioned by;Anthony and Farkas (2009, 5), state that the name of the model of program, the;practitioner, funding and the setting do not matter as much as the, ?? people;who help people with severe mental illnesses improve their functioning and gain;valued roles in the community should be aware of the essentials of the;psychiatric rehabilitation process and how to work with it.?;The observation;reflects the true meaning, essence and message for the Center. In an interview;William Anthony explains the core driving principle and stresses the importance;of evidence based practice and the importance of interaction between the;mentally disabled/disturbed persons and the practitioners. He states, "The;policies and procedures which characterize an evidence-based practice must be;complemented by a process that focuses on what happens in the interaction;between the people with disabilities and their practitioners.;This observation is vital to understand the process of care-giving to;psychiatric patients.;The patient and;the caregivers are the main stake-holders in the practice of rehabilitation.;William Anthony stresses that the caregivers/practitioners should understand;the needs of the patients by establishing the rapport and interaction with the;patients, to make the program truly effective in helping the disabled persons.;Rehabilitation is not a mechanical process and it does not work on equations.;Each individual patient poses a challenge for the caregivers and practitioners.;The proposed Psychiatric Rehabilitation Center will provide principled leadership;and aim at achieving targeted outcomes for the patients.;Part 10: cultural Diversities;Cultural;diversities apply to every group of people. Based on a hospital scenario, there;are observable cultural differences between nurses, psychiatrists, and;patients. With increased awareness, diverse cultural groups should understand;the importance of considering psychiatric rehabilitation centers as an;effective practice.;Part 11: Business management theories;Any;management process must involve a team of managers. The balance between;utilization of best practices and quality care is difficult and must;continually be monitored for improvement of policies and/or procedures. Best;practices should lead to the tightest of safety standards, which has a significant;reduction in cost(s).;Part: 12 Executive Summery;This proposal;focuses on the current issues facing the medical sector based on psychiatric;rehabilitation. In realizing this, the proposal seeks to create a policy manual;and implementation issues within the private sector practice. The document;mhGAP of WHO discusses ?The startling gap between effective and available;services? and points out insufficiency of skilled personnel, facilities;budget, policy and programs for rendering effective psychiatric rehabilitation.;The goal is to depict issues associated with these areas, especially, under the;private sector medical operations for implementation purposes. The issues are;discussed in various phases to help find out what is already known, and that which;still needs to be established about psychiatry. It incorporates extra resources;that are of great importance, evaluation criterion, cultural and ethical;considerations.;The paper further;covers the proposed ways to go about the highlighted issues. The findings will;help the physicians to stay in compliance with psychiatric rehabilitation, come;up with implementation strategies, and create effective policy manuals. It will;also assist the physicians to realize successful implementation and preparation;for any looming challenges in psychiatry. The project for the Rehabilitation Center is planned to;address the needs of mentally disabled patients during in-patient interventions;and after discharge. The key points considered are budget, infrastructure;management, and skilled personnel.;References;Abell?, D., Fisher, R., and Sitek, T. (2010). Evaluation of;the Integrated Rehabilitation;and Recovery Care Program. SPRC;Report 2/10, Social Policy Research Centre;University of New South Wales.;1-85.;;Anthony, W. A., and Farkas, M. D.;(2009). Primer on the psychiatric rehabilitation process.;Boston: Boston;University Center for Psychiatric Rehabilitation. 1-49.;? 2009, Trustees;of Boston University. All rights reserved. Center for Psychiatric;Rehabilitation.;Chapter 4;Rehabilitation - World Health Organization: World report on;disability;2011. 95-133.;;DaVanzo, J. E. et al (2014). Assessment of Patient;Outcomes of Rehabilitative Care Provided;in Inpatient Rehabilitation Facilities (IRFs) and;After Discharge. FINAL REPORT;13-127 45.Report submitted to ARA;Research Institute. ? 2014 Dobson;DaVanzo & Associates, LLC. All Rights Reserved.;Mental Health;Global Action Program - World Health...;;T. Meyer et al. (2011). Towards a conceptual description of;rehabilitation as a health;strategy. J;Rehabilitation Med 2011, 43: 765?769. Special Report.;


Paper#58196 | Written in 18-Jul-2015

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