Bipolar Disorder Discussion Paper

Bipolar Disorder Discussion

Why  do you think some people with bipolar disorder don’t want to take their  psychiatric medications? What do you think about legislation to force  people to take medications? What are the pros and cons as you see them?

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• Create an initial post by Friday at 2359 and respond to 2 colleagues by Sunday at 2359.
• Students should post on 2 different dates
• Citing others work and the sources is essential.
• Use APA style citations and referencing
• See syllabus Rubric Bipolar Disorder Discussion Paper

Implementing Six Sigma At Wishmewell Hospital Assignment

Emergency departments (ED) at many hospitals have been overwhelmed in the past year, as more patients without health insurance use the ED as a primary care solution. Wait times in the ED are increasing as more and more Americans are using the Emergency Department for their general health concerns. Across the country, the average ED wait time is now 222 minutes (approximately 3 hours, 42 minutes). Implementing Six Sigma At Wishmewell Hospital Assignment

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Wishmewell Hospital’s average wait time in the ED is more than five hours, and the board of directors is concerned about this long wait time. The danger is that a patient’s condition may escalate during his/her waiting time in Wishmewell’s ED.

The board has tasked you to take on a new quality improvement initiative to decrease wait time in the ED using the Six Sigma approach.

Develop a quality improvement program using the Six Sigma approach to decrease waiting time in Wishmewell’s emergency department.

The quality improvement program must include the following elements in an approximately 10-page Implementing Six Sigma At Wishmewell Hospital Assignment:

• Describe the goals and objectives of your plan to decrease ER wait times at Wishmewell.
• Describe each step of the Six Sigma (DMAIC) process:
  • Define the problem
  • Measure the process; what Six Sigma tools will you use?
  • Analyze the data; what tools will you use to analyze the data?
  • Improve the process; explain your improvement plan
  • Control; how will you continue to monitor the results and adjust as necessary?
• Describe the key players (stakeholders) who should be members of your implementation team and explain why teamwork is an important factor in implementing a quality improvement program.
• Explain at least three factors that might inhibit the implementation of your decreased wait time program.

Implementing Six Sigma At Wishmewell Hospital Assignment

Application of Information to Professional Experiences Purpose Paper

Purpose

The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared Application of Information to Professional Experiences Purpose Paper.

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Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

1. Compare and contrast the pathophysiology of diverticular disease (diverticulosis) and acute diverticulitis. (CO1)

2. Identify risk factors for acute diverticulitis and the clinical signs and symptoms associated with the disease. (CO3)

3. Explain the significance of physical exam and diagnostic findings in the diagnosis of diverticular disease. (CO4)

Due Date:

Initial post is due on Wednesday by 11:59 p.m. MT. All posts are due by Sunday, 11:59 p.m. MT

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0). Week 8 discussion closes on Saturday at 11:59pm MT.

Total Points Possible: 100

Requirements:

1. Read the case study below.

2. In your initial discussion post, answer the questions related to the case scenario and support your response with at least one evidence-based reference by Wed., 11:59 pm MT.

3. Respond to at least one peer and all faculty questions directed at you, using appropriate resources, before Sun., 11:59 pm MT.

Case Scenario:

An 84- year-old -female who has a history of diverticular disease presents to the clinic with left lower quadrant (LLQ) pain of the abdomen that is accompanied by with constipation, nausea, vomiting and a low-grade fever (100.20 F) for 1 day.

On physical exam the patient appears unwell. She has signs of dehydration (pale mucosa, poor skin turgor with mild hypotension [90/60 mm Hg] and tachycardia [101 bpm]). The remainder of her exam is normal except for her abdomen where the NP notes a distended, round contour. Bowel sounds a faint and very hypoactive. She is tender to light palpation of the LLQ but without rebound tenderness. There is hyper-resonance of her abdomen to percussion.

The following diagnostics reveal:

Stool for occult blood is positive.

Flat plate abdominal x-ray demonstrates a bowel-gas pattern consistent with an ileus.

Abdominal CT scan with contrast shows no evidence of a mass or abscess. Small bowel in distended.

Based on the clinical presentation, physical exam and diagnostic findings, the patient is diagnosed with acute diverticulitis, and she is admitted to the hospital. She is prescribed intravenous antibiotics and fluids (IVF). Her symptoms improved and she could tolerate a regular diet before she was discharged to home Application of Information to Professional Experiences Purpose Paper.

Discussion Questions:

1. Compare and contrast the pathophysiology between diverticular disease (diverticulosis) and diverticulitis.

2. Identify the clinical findings from the case that supports a diagnosis of acute diverticulitis.

3. List 3 risk factors for acute diverticulitis.

4. Discuss why antibiotics and IV fluids are indicated in this case.

Category	Points	%	Description
Application of Course Knowledge	30	30%	The student: · Compares and contrasts the pathophysiology between diverticular disease (diverticulosis) and acute diverticulitis. · Identifies the clinical findings from the case that supports a diagnosis of acute diverticulitis. · Lists 3 risk factors for acute diverticulitis. · Discusses why antibiotics and IV fluids are indicated in this case.
Support from Evidence-Based Practice	30	30%	· Initial discussion post is supported with appropriate, scholarly sources; AND · Sources are published within the last 5 years (unless it is the most current CPG); AND ·  Reference list is provided and in-text citations match; AND · All answers are fully supported with an appropriate EBM argument
Interactive Dialogue	30	30%	In addition to providing a response to the initial post due by Wednesday, 11:59 p.m. MT, student provides a minimum of two responses weekly on separate days; e.g., replies to a post from a peer; AND faculty member’s question; OR two peers if no faculty question. A response to faculty could include a question posed to a student or the entire class or a faculty question directed towards another student. AND · Evidence from appropriate scholarly sources are included; AND · Reference list is provided and in-text citations match
	90	90%	Total CONTENT Points= 90 pts
DISCUSSION FORMAT
Category	Points	%	Description
Organization	5	5%	Organization:  · Case study responses are presented in a logical format; AND · Responses are in sequence with the numbered questions; AND · The case study response is understandable and easy to follow; AND · All responses are relevant to the case topic
Format	5	5%	· Discussion post has minimal grammar, syntax, spelling, punctuation, or APA format errors* (*) APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.

Application of Information to Professional Experiences Purpose Paper

Changes to Medicare Assignment

Using the University Online Library or the Internet, research about the changes to Medicare.

Based on your research and understanding, respond to the following:

• Describe the changes to Medicare that are direct results of the Patient Protection and Affordable Care Act of 2010.
  

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• Analyze and explain the possible impacts upon the health care system as more Americans gain access to health care.
• Explain the ways in which increased access to health care may affect baby boomers either positively or negatively.
• Explore the role technology plays in accessing health care and on the Patient Protection and Affordable Act.
• Analyze and explain the two new technologies that have affected health care in the past five years.
• Analyze and describe the two new technologies that will be needed in the years ahead to keep up with the aging baby boomers.

Stress and Conflict Management Essay

Conflict may occur in any work environment, whether it is in the clinical setting, another department, or another organization. It is important to understand how conflict arises and how conflict is managed through effective communication.

The behavior of a leader has a direct impact on the motivation of his or her team. It is crucial for a leader to understand how his or her behavior and conflict-handling ability impact the care of patients.

Here is a scenario of a leader who is willing to handle conflicts in his or her workplace.

You are promoted to a management position in a small organization. There are four full-time members and three part-time members. You have a department manager currently overseeing the operations. You are excited to begin with your new assignment and have completed orientation. You heard some rumblings from the staff development team, “You have your work cut out for you in this department!” It does not sound promising, yet you are filled with energy, a positive attitude but a bit concerned as you do not want to appear bossy. You lack a bit of confidence since they are seasoned team members and you are new to the organization.

Once you begin your first day, you decide to meet with everyone as a group and individually over the next few days. What you are uncovering is disturbing and you quickly realize that the team members have lots of conflicts within the department. In a nutshell, this is what you have discovered: Stress and Conflict Management Essay

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• The department manager thinks she is in charge since clients, customers, or patients have specialized needs. She is stern faced and does not seem to smile, yet she does not admit it is her or her department’s fault if there is an error. She seems to enjoy the increasing conflict among the unit as it takes any “pressure” off her and she can continue to “tell people what to do.”
• Two full-time administrative staff members do not like each other and refuse to work together. One feels the other cooks “strange food” and cannot understand her when she speaks, and she is too quiet. The other staff member feels the first one is too outspoken and not gracious and hurries through her assignments. They share a small office and their work is critical to the success of the organization as they oversee all billing, accounts payable and receivable, and schedule the large projects and services to other organizations. The rest of the staff members avoid going to this office as the tension is clearly increased in this room.
• The part-time staff feel they are not being offered any extra shifts and sometimes they are asked not to come to work if the day is slow. They feel they are not valued and are demotivated by less pay. This is a critical time for them due to the economy crisis. When they are at work, they often bring their home problems with them and seem stressed when they have to work with the other team members.

Answer the following questions:

• How will you address each area and improve understanding, collaboration, motivation, and positive attitude?
• How does emotional intelligence play a role in encouraging the staff to cooperate and to be willing to make behavior changes?
• What behavior theory will you research to develop your thoughts when you speak to each staff member?
• How important is decreasing overall conflict in the workplace?
• How can you develop a win-win approach?

Note: Substantive comments should be included in your thoughts and responses for all class participation. Stress and Conflict Management Essay