http://www.ihi.org/resources/Pages/IHIWhitePapers/UsingCareBundles.aspx Read the white paper and answer the following questions: 1) What is a bundle of care?
2) How do care bundles improve the quality of care? support your answer with specific examples
successfully resist harmful life events that would damage someone else (Smith et al, p. 3). Reactions to stress are not isolated events; they are the consequences of what has occurred before. There is a dynamic interaction of patterns of coping responses, personality characteristics, social support (Tusaie and Dyer, p. 6) Research shows that resilience is commonplace not extraordinary or exceptional. People commonly demonstrate resilience. Resilience involves behaviors, thoughts, and actions that can be learned and developed in anyone (APA, p. 2). Resilience is a dynamic process whereby individuals can show great coping skills in the face of significant adversity. It is not one-dimensional but a sort of chain reaction that leads to resilience later; that chain reaction begins when children are very young (Gorman, et al). Many professionals believe that resilience can be learned. Others debate whether or not resilient qualities are learned or part of one’s genetic nature. These resilient characteristics have been referred to as protective factors — defined as “the positive conditions, personal and social resources that promote resiliency, protect and buffer the individual, and reduce the potential for high-risk behaviors (MHW) footnote the definition — or developmental assets, defined as the “positive relationships, opportunities, skills, and values that promote the positive development of all children and adolescents” [http://www.soyreport.org/40developmentalAssets.php]footnote the definition(Richardson, page 309). Experts disagree about how much of resilience is genetic. People seem to differ in their inborn ability to handle life’s stresses. Resilience can be cultivated. To the degree it is learned, resilience seems to develop out of the challenge to maintain self-esteem. (Psychology Today, page 1). Resilience is a complex process that is in some ways as unpredictable as the weather. A number of negative factors may weaken resilience. Those factors include violence, physical or sexual abuse, direct exposure to alcoholism and removal from the home. The toll increases as the negative factors increase. If resilience is strength under adversity, then multiple-risk exposures (four or more) limit emotional endurance (Gorman, et al, page A53). Attitudes and characteristics of resilient people Research often focuses on limitations, negatives and the problematic. As a result, strengths may be often overlooked. Research shows that women between the ages of 35 and t3 years who had overcome homelessness and found that they had person, interpersonal and transpersonal strengths such as pride, moral principles, determination, and commitment to personal relationships citation. These strengths served to protect them from adverse health outcomes associated with being homeless. Homeless adolescents found numerous pathways to health. In particular, participants exhibited self-confidence and considered themselves to be the primary resource for health promotion (Rew and Horner, p. 90). Research also shows that the motivation for engaging in health promotive behaviors stems more from positive factors or strengths, such as the desire for growth and human potential than from negative factors (Rew and Horner, p. 91). Resilient people harness inner strengths and rebound more quickly from a setback or challenge. Those who are less resilient may dwell on problems, feel victimized, become overwhelmed and turn to unhealthy coping mechanisms, such as substance abuse (Mayo Clinic, p. 1). Those who lived with relationship trauma can develop resilient qualities associated with resilience. They may develop strategies for managing chaos that can become assets if they can work through their downside. Those who have thrived despite the odds can be inventive when dealing with problems. Their ability to think outside the box – think differently, unconventionally or from a new perspective, be creative and smart-thinking footnote the definition — when solving complex family situations shows creativity and originality, which are assets in all areas of life. Humor is another asset of those coming from problematic backgrounds. Humor is used for very specific reasons, including managing the unmanageable, lightening the family’s emotional load by easing tension, and finding alternative ways to bond and feel good (Dayton, pages 99-100). Steve>GET ANSWER