READ THE TEXT AND ANSWER THE QUESTIONS BELOW CASE STUDY:…

Question Answered step-by-step READ THE TEXT AND ANSWER THE QUESTIONS BELOW CASE STUDY:… READ THE TEXT AND ANSWER THE QUESTIONS BELOWCASE STUDY: Strategizing for a Nurse-Led Clinic:Establishing the Foundations of a Nurse-led ClinicLeah was spearheading a project that would establish one of the first nurse-led clinics in the Philippines. The clinic would be managed by a nurse and serve as an avenue where health promotion, health management, and rehabilitation services would be provided by nurses. There would be no doctors in the clinic and services provided would be those under the scope of practice of nurses defined under the Constitution of the Republic of the Philippines. As such, medical diagnosis, invasive medical diagnostic procedures, treatment, and prescription would not be performed at the clinic. The new organization would be a wellness clinic.To launch this project and ensure its sustainability, Leah needed to get funding and plan the business properly. The letter she had received from a colleague shared information regarding organizations from which she might be able to get support for her project like Delegation of the European Commission, Canada Fund for Local Initiatives, 3apan’s Grant Assistance for Grassroots Human & Security Projects. Philippines-Australia Community Assistance Program. New Zealand’s International Aide and Development Agency. e United Nations Development Programme-Global Environment Facility and Dienst voor Internationale Samenwerking aan Ontwikkelings Projected (DISOP) Philippines.1 Leah knew that she needed to do a effective business plan that would get the approval of a sponsoring institution for the much needed funding. However, she knew that for this project to be effective, she had to surmount several challenges.The culture of self-health management in the Philippines was heavily centered on a curative or treatment approach. People usually went to the hospital for a consultation because of a specific complaint. In addition, services that could be legally rendered were limited and doctors generally had a monopoly on patients. Those who were already sick, but would greatly beneht from the clinic’s health management and rehabintation programs, came mainly from the marginanzed sector.Leah asked herself: “How can I make the nurse-led clinic program a success? What edge does the nurse-led clinic have over other healthcare institutions in the country? What are the areas that have to be strengthened* How can I effectively make use of the resources at my disposal and the current situation” What challenges do I have to prepare for*” Leah only had three days left before the deadline for some of the funding applications. The clock was ticking and Leah had to ensure that her plan was sensible and feasible enough to warrant support by philanthropic institutions.The Hurly-Burly Status QuoImproved health outcomes had been observed with the utilization of nurse-led clinics. In a nurse-led heart failure clinic, there were fewer deaths and admissions among patients who consulted nurse-led clinics compared to those who received care at a traditional institution. Based on the services and outcomes provided, nurse-led clinics were seen as holistic clinics providing an effective alternative to ambulatory healthcare delivery.Nurse-led clinics could have different set ups depending on the focus and specialization of the nurse. For Leah’s wellness nurse-led clinic, service offerings would be focused on health education, health promotion, health management, and rehabilitation. A common feature shared by most nurse-led clinics was that nurses had their own caseloads and patients consulted them at a specified time just as they would in a doctor’s clinic. Assessment of a patient’s condition, planning of appropriate care for the patient, teaching and advising on the delivery of treatment, monitoring of the patient’s health status, and management of medications were some of the services provided! Many of the successful nurse-led clinics established in the United States, Canada, and United Kingdom provided medication management services, which included the adjustment of prescribed medications by an advanced practice nurse. In the Philippines, however, nurses were not legally allowed to prescribe medications. So the main focus of care was on health education with the aim of improving the self-health management capabilities of patients. Through nurse-led clinics, comprehensive health education and close monitoring of patients’ conditions could be done more efficiently.Tug of War with DoctorsWaiting time for consultation was also reduced in nurse-led clinics. In a radiotherapy outpatient review in the United Kingdom, it was found that there was decreased waiting time and increased consultation time in nurse-led clinics. When it came time to care for specific diseases, like bronchiectasis, nurse-led clinics provided care that was as effective as a doctor-led clinic.Employment and OversupplyAs of October 2014, there were around 200,000 unemployed nurses in the Philippines according to the Alliance of Health Workers (AHW). Aside from this, some employed nurses were working without pay or below the minimum wageDue to the dire situation murses found themselves in the AHW mounted a protest to petition the government to increase the wages of nurses and n solutions According to Jossel Ebesate president of AHW, some nurses in private institutions earned as little as 4,000-5.000 Php a month (86.62 10827USD)Health Care Financing in the Philippinesin the Philippine Healthcare system, health financing came from four sources: national and local government, government and private insurance, out of pocket spending, and donors. Of these four sources, out of pocket spending constituted the biggest percentage of healthcare financing Healthcare expenditures, especially in terms of medications, was much higher in the lower socioeconomic groups compared to those with higher socioeconomic status. As of 2009, the majority of hospitals in the country were privately owned, especially tertiary hospitals. These hospitals rendered more comprehensive and specialized care, compared to government-owned tertiary hospitalsIn terms of health service capability, as measured by bed capacity, the Philippines had 1.04 beds for every 1,000 people, which did not meet the World Health organization requirement of 20 per population of 10.000 (or 2 per t,000 peopleJurisdiction (Gaps not Covered by Doctors)Based on the constitution of the Philippines, specifically Republic Act 9171 Article IV Section 28, Fapina nurses were legally allowed to provide health education and consultation services 3Jelased on a conversion rate of 1 Php=0021650 USD as of 14 Aug 2015 from moneyconverter.comIn terms of a doctor’s clinic, a typical outpatient consultation for an ambulatory client would involve the patient consulting the doctor for a specific sign symptom, or malady. He might either be prescribed certain medications or asked to undergo some laboratory tests ar diagnostic proceduresAdditional explanation for the tests requested or treatment regimen provided was also usually given by the doctor’s asistant. Due to the long waiting times at the doctor’s clinic, consultation was usually done as quickly as possibleLifestyle-Related Disorders in the PhilippinesHealth education was one of the most common interventions given for lifestyle-relatest disorders. The prevalence of lifestyle-related disorders in the Philippines had been increasing: Before, the leading causes of morbidity (sickness and mortality ideath)” were mainly infectious in nature. For the past couple of years, several lifestyle-related disorders had been inching their way to the top of the list.Curriculum of NursingThe curriculum of a Bachelor of Science degree in nursing in the Philippines was regulated by the Commission on Higher Education and included only one course that trained student nurses in terms of administration. This course, Nursing Leadership and Management, had four units of lecture and three units of related learning experienced in terms of the nursing curriculum, the related learning experience (RLE pertained to appropriate teaching learning opportunities meant to enhance the students’ competencies in varied healthcare settings. Usual sites of RLE’s were clinics, schools, industrial establishments, outpatient clinics, and general and specialty hospitals 7 This translated to approximately 112 contact hours for the Nursing Leadership and Management course. The focus of this course was in ward or area management in a hospital Leadership styles and staffing patterns were commonly discussed. However, general business and management courses were not typically included in the curriculum, Student nurses were usually not trained in finance, accounting, and other business concepts for entrepreneurship or for management of a nurse-led clinicWellness ClinicsIn the Philippines, there had been an increase in the number of wellness clinics over the past couple of years. Aside from this, people were using more health supplements without approved therapeutic claims due to their desire to defy aging and maintain their health, People also began using cleansing juices and diet delivery programs wherein personalized meals were delivered to individuals to help them lose weight or achieve a higher level of wellnessThis attitude toward health was reflected by the growth of the alternative medicine and fitness industries. In the Philippines, the term “wellness clinic” was used loosely to pertain to centers or establishments that provided any service or program that was designed to improve the health of an individual This might range from a typical gym or hitness center to a comprehensive diagnostic program to screen for common diseases for certain age groups.Need for ActionConsidering all these things, Leah thought back again to the nurse-led clinic and the ways by which she could run a hnancially sustainable and socially acceptable clinic. She thought of how she could maximize the potential of the clinic, strengthen its weak areas, take advantage of the current tide, and prepare for contingencies, It was up to Leah to surmount these obstacles and come up with an effective, efficient, and plausible business plan to successfully revolutionize nursing practices and health services offerings in the Philippines.Based on the case study text above answer the following questions:What is the text all about? Give a brief study on what the case study is all about.What is the major problem stated above? Explain.What are the minor problems stated above. List all minor problems and explain each.Cite three main areas of consideration stated in the case study. Cite three case facts and explain their issues and causes.Suggest three alternative solutions on how the problems can be resolved. Give a brief explanation for each alternative suggest.Based on question 5, analyze each alternative solution suggested by giving three advantages and their disadvantages for each alternative solution and explain.What is the general consensus for this case study? Explain the comparison of all alternative solutions said. What are the best options to do out of all the alternative solutions given and why?Note: Include references used  Arts & Humanities Writing Share QuestionEmailCopy link Comments (0)