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Now showing items 21-30 of 68
Evaluating the Presence of Do-Not-Resuscitate Orders in Terminally Ill Patients
(2018-07-19)
The purpose of advance care planning is to enable patients to make timely medical treatment decisions that are consistent with their desires when they are no longer able to make their desires known. Discussing resuscitation ...
Implementation of an Influenza Immunization Program in an Urban Veteran Affairs Emergency Department
(2018-04-25)
Background: The Centers for Disease Control and Prevention (CDC) recommend an annual influenza immunization for all people ages 6 months or older. According to the Veteran Health Administration (VHA) the influenza virus ...
Increasing Colorectal Cancer Screening in Northeastern North Carolina
(2018-04-25)
Colorectal cancer has the 3rd highest prevalence and the 2nd highest mortality rate of all cancer in the United States, with over 4,000 new diagnoses and 1,600 deaths reported in North Carolina yearly. Early detection ...
Increasing HPV Vaccination Rates Through Provider Intervention
(2018-04-25)
Background: Human papillomavirus (HPV) is the most commonly sexually transmitted infection in the US. A vaccination is available that protects against the most common strands of the virus, however, uptake is low. A ...
Implementation of an Advance Directive Protocol among Hospitalized Patients
(2018-04-17)
Background. Medical advancements have progressed considerably in recent decades, highlighting the necessity of advance care planning (ACP). Advance directives (ADs) help honor and promote patient preference, quality of ...
Pre-Visit Planning for Three-Month Diabetes Follow-Up Visits
(2018-04-23)
A primary care practice site in western North Carolina manages approximately 200 patients with diabetes per month. There were no pre-planned, tools in place to appropriately monitor, educate, and manage the Diabetes ...
Trauma Informed Care: Improving Appointment Adherence in an Outpatient Behavioral Health Setting
(2018-04-23)
Exposure to a traumatic life event can lead to lifestyle practices that adversely affect one's health. Nearly three-fourths of Americans have experienced a traumatic life event. The purpose of this quality improvement ...
Implementing Substance Use Screening and Referral in Primary Care
(2018-04-23)
Primary care is the first step to screening and prevention, including the identification of substance use disorder (SUD). The number of patients with SUD has increased significantly in the past 10 years. It is estimated ...
A Process Improvement Project to Increase Smoking Cessation Support Among Smoking Patients in an Outpatient Oncology Clinic
(2018-04-24)
The standard of practice among oncology patients who are current smokers is to assess their willingness to quit and offer cessation support for those interested tobacco cessation. The purpose of this DNP project was to ...