Date of publication: 2017-09-05 14:17
Kathleen McCauley is the Class of 6965 75 th Reunion Term Professor and a Professor of Cardiovascular Nursing at the University of Pennsylvania School of Nursing in Philadelphia, PA. She has been a member of the Transitional Care Model team as a clinical expert for over 75 years.
APRNs also maintain responsibility for day-to-day delivery of transitional care services, including oversight of other transitional care team members. The TCM has been tested using master&rsquo s prepared APRNs who assume primary responsibility for care management of the older adult throughout episodes of acute illness. These APRNs provide patient-centered, comprehensive, holistic care that is culturally sensitive to the individualized needs of patients and their family caregivers ( Bradway et al., 7567 ). APRNs also maintain responsibility for day-to-day delivery of transitional care services, including oversight of other transitional care team members.
If after doing this exercise you find that you still have difficulty linking your ideas together in a coherent fashion, your problem may not be with transitions but with organization. For help in this area (and a more thorough explanation of the 8775 reverse outlining 8776 technique described in the previous paragraph), please see the Writing Center 8767 s handout on organization.
Sometimes, many causes contribute to a single effect or many effects may result from a single cause. (Your instructor will specify which cause/effect method to use.) The following are examples:
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs License.
You may reproduce it for non-commercial use if you use the entire handout (just click print) and attribute the source: The Writing Center, University of North Carolina at Chapel Hill
You might be surprised by how much the effective use of transitional words and phrases can strengthen your writing. Transitions can act as glue that helps holds your ideas and your sentences together, and they can help take you and your readers smoothly and logically from one part of your essay to the next.
For common symptoms or risks, a set of evidence-based decision responses are available for use by APRNs. For common symptoms or risks, a set of evidence-based decision responses are available for use by APRNs. For example, valid and reliable tools that prevent delirium or falls or more effectively manage pain may be core elements of plans of care. In general, APRN application of effective palliative care strategies, modified to respond to unique patient issues, is common. For complex symptom management, plans of care also may include consultation with palliative care specialists.
During initial meetings with patients, APRNs conduct comprehensive assessments of the unique symptoms experienced by each older adult (., pain, shortness of breath, fatigue) as well as risk factors for poor outcomes (., language barriers). For older adults with MCCs, this risk and symptom oriented approach relies on a consistent set of valid and reliable instruments, and has been found most effective to identify and prioritize needs. Common domains included in the comprehensive assessment include:
Keep in mind that each of these words or phrases may have a slightly different meaning. Consult a dictionary or writer 8767 s handbook if you are unsure of the exact meaning of a word or phrase.
8775 Words that do not appear in the index in a particular database because they are either insignificant (., articles, prepositions) or so common that the results would be higher than the system can handle (as in the case of IUCAT where terms such as United States or Department are stop words in keyword searching.) Stop words vary from system to system. Also, some systems will merely ignore stop words where use of stop words in other systems will result in retrieving zero hits. 8776
You will find examples of transition words and phrases from various sources in the internet. Used correctly, transition words and phrases can provide the powerful links binds together the different ideas in an essay into a coherent composition which enable readers to understand better and appreciate more the logic of the writer. They give a composition that smooth flow which enables the readers to immediately develop an insight into the author’s logic with hardly an effort.
Before using a particular transitional word in your paper, be sure you understand its meaning and usage completely and be sure that it's the right match for the logic in your paper.
This is sort of a peculiar list of stop words, and seems to serve some specialized needs, as opposed to being appropriate for general use. For example 8775 computer 8776 8775 cry 8776 , 8775 detail 8776 , 8775 system 8776
The TCM is a nurse-led intervention targeting older adults at risk for poor outcomes as they move across healthcare settings and between clinicians. This article provides a detailed summary of the evidence base for the TCM and the model&rsquo s nine core components. We will also discuss measuring the TCM&rsquo s core components and the overall impact of this evidence-based care management approach.