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Please read discussion number one, which is written by the student, and provide a response (75-100 words). Cited per APA (7th ed) comparing the nursing protocols discussed in discussion number one to the nursing protocol in discussion number two (discussion number two is written by me). Ensure that your cultivated responses are complete and rationale is provided from text or other scholarly resources.
So, basically, you are comparing two discussions. The first one is written by the student Jess, which is the main one, and the second one is mine. Please only use references from the last five years only. I attached the rubric as well.
Discussion number one:
Suicide Prevention Policy:
In my current workplace, an internal medicine office, we do not have as many nursing protocols as you would find in an acute setting. One protocol that we, unfortunately, use quite often is the suicide prevention policy and procedure. In brief, all patients who visit the office are screened for depression using a screening tool called the PHQ2/9. If they have had thoughts of harming themselves, we then use the suicide prevention protocol. Going forward with the visit the patient is not left alone in the exam room and the provider is notified through EPIC chat. Once the provider arrives the nurse may exit. The provider completes their own assessment and screening tool to determine their risk level. Mobile crisis may be called based on the outcome of this assessment.
The suicide prevention policy is lengthy, 18 pages, but outlines procedures for acute and sub-acute care as well as medical offices. The policy was created using several resources including the Joint Commission Standards BoosterPak for Suicide Risk, and the Sentinel Event Alert Issue 56: Detecting and Treating Suicide Ideation in All Settings. Interestingly enough, I could not access the actual reference listed in the policy for the joint commission publication, but it is from 2013. However, the joint commission does have a great deal of information about suicide prevention on their website including tool kits and safety planning videos (The Joint Commission, 2024). The other resource, Detecting and Treating Suicide Ideation in All Settings, is also published by the joint commission and reviews risk factors for suicide, methods for recognizing individuals at risk, and recommendations for actions when treating these patients (Collander, 2016).
While our policy seems comprehensive and was written using credible resources, it only goes so far in protecting patients in an outpatient setting. Unfortunately, the lack of mental healthcare services in the community presents a huge barrier when trying to support severely depressed individuals.
References
Collander, T. (2016). Detecting and treating suicide ideation in all settings. The Joint Commission. Retrieved from https://www.jointcommission.org/-/media/tjc/documents/resources/webinar-replays/webinar_slides_detecting_treating_suicide_settings_collanderpdf.pdf
The Joint Commission. (2024). Suicide prevention. Retrieved October 22, 2024, from https://www.jointcommission.org/resources/patient-safety-topics/suicide-prevention/
Discussion number two:
Chronic Care Management Protocol:
The nursing protocol I have recently worked with is Chronic Care Management (CCM). It is a Medicare-sponsored virtual care program for patients with chronic conditions. Implemented in a primary care office, the program promises continuous, remote care and lets patients monitor and manage their home health. The main aim of the CCM is to ensure that patients acquire regular care and supervision to help prevent their condition from worsening (Tandan et al., 2024).
A dedicated virtual care team allows patients to access CCM anytime, anywhere, without appointments or office visits (Dufour et al., 2023). The team coordinates cross-provider care to achieve the patient’s health goals. CCM helps patients avoid serious health events like emergency department visits or falls by engaging patients via regular, coordinated check-ins and communication. It also intends to lower long-term healthcare bill costs by addressing such issues before they become problematic.
Medicare guidelines and evidence-based practices in chronic disease management underline the development of the CCM protocol (Gibbs et al., 2021). The informed consent form explains the personalization of care and coordinated support. CCM builds on focusing on patients’ health and quality of life and helps people manage their condition effectively. The program’s structure provides an opportunity to continue interacting with healthcare providers, resulting in improved health outcomes and increased effectiveness in chronic care.
References
Dufour, E., Bolduc, J., Leclerc-Loiselle, J., Charette, M., Dufour, I., Roy, D., … & Duhoux, A. (2023). Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review. BMC Primary Care, 24(1), 176.
Gibbs, J. F., Guarnieri, E., Chu, Q. D., Murdoch, K., & Asif, A. (2021). Value-based chronic care model approach for vulnerable older patients with multiple chronic conditions. Journal of Gastrointestinal Oncology, 12(Suppl 2), S324.
Tandan, M., Dunlea, S., Cullen, W., & Bury, G. (2024). Teamwork and its impact on chronic disease clinical outcomes in primary care: a systematic review and meta-analysis. Public Health, 229, 88-115.
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