HEALTH LEADERSHIP ESSENTIALS

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A leader has the ability to combine commitment for improvement with knowledge regarding how to exercise influence and engage support (Dickson & Tholl, 2014). In the areas of nursing and public health, the focus is on improving health. Porter-O’Grady and Malloch (2015) noted several major tasks of 21st-century healthcare leaders. Applying essentials of leadership, select two (2) tasks from the following list of tasks and discuss how you would exercise influence and engage support for each of your selected tasks.

  • Deconstructing the barriers and structures of the 20th century
  • Alerting staff about the implications of changing what they do
  • Establishing safety around taking risks and experimenting
  • Embracing new technologies as a way of doing work
  • Reading the signposts along the road to the future
  • Translating the emerging reality of health reform into language that the staff can use
  • Demonstrating personal engagement with health reform
  • Helping others adapt to the demands of a value-driven health system
  • Creating a safe milieu for the struggles and pain of changing practice and service
  • Enumerating small successes as a basis for supporting staff

Nursing Assessment

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1st part home work

While interviewing and examining a 17-year-old male, you discover a white patch on his buccal mucosa and slanting palpebral fissures in his eyes. He also states during the interview that he plays baseball and is hoping to earn an athletic scholarship to college.

· What do you suspect? What kind of client teaching is appropriate in this situation?

· Discuss appropriate educational materials for health promotion and disease prevention

· When would slanting palpebral fissures be normal?

· While performing a retinal examination on this patient, you discover that the margins of the optic disc become blurred and indistinct. What further testing would be required? Why?

Second part student post/I needs answer to this post base on the homework

Week 2 physical assessment 17 year old

Joh

Symptoms and Treatment

       Buccal mucosa is the inner lining of the lips and cheeks. Presence of white patches in the mouth of the patient could be as a result of irritation of the walls of the mouth cavity. This white patch is hard to come off and mainly attaches itself to the buccal mucosa. This condition is prevalent in tobacco and alcohol users. The patient is probably a smoker; if this is true, he needs to desist from smoking to avoid further irritation of the mouth walls which is a good disease prevention measure. Most teenagers of the patient’s age are likely to engage in smoking an activity which they do as fun. The patient should find other alternatives to smoking such as taking snacks and being with the right company in sports to ensure he succeeds in his quest of securing a scholarship.

      The palpebral fissure is the meeting point of the lower and upper eyelids. Slanting of palpebral fissures occurs normally on Asians which is a probable indication of the patient’s descent. The slanting of palpebral fissures is prevalent in people suffering from downs syndrome which has not been stated by the patient. More than 80% of the patients with Down’s syndrome suffer from palpebral fissure (“Down Syndrome (Trisomy 21)”, 2018).

The Pathophysiology of Disorders

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In previous weeks, you explored various body systems: cardiovascular, respiratory, nervous, endocrine, musculoskeletal, gastrointestinal, and hematological. These seven systems work together, along with other body systems, to complete a myriad of functions. For this reason, when disorders occur within one body system, they can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems, from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.

To prepare:

  • From the list below, select a disorder of interest to you:
    • Alzheimer’s disease
    • Asthma in children
    • Chronic obstructive pulmonary disease (COPD)
    • Congestive heart failure
    • Hepatic disease (liver disease)
    • Hypertension
    • Hyperthyroidism and hypothyroidism
    • Seizures
    • Sepsis
  • Reflect on alterations associated with the disorder you selected. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.
  • Think about the types of drugs that would be used to treat alterations associated with the disorder you selected.
  • Reflect on how patient factors, such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified. Then, consider how these factors might impact the effects of prescribed drugs, as well as measures you might take to help reduce any negative side effects.
  • Locate an agency that provides patient education on your selected disorder and review the available materials and curriculum. Consider how you might be able to use those materials to educate a patient on the disorder, treatment options, management, and self-care.
By Day 7

Develop a 5- to 10-slide PowerPoint Presentation that addresses the following:;

  • Describe the disorder you selected, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.
  • Describe the types of drugs that would be prescribed to treat alterations associated with the disorder.
  • Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified and the effects of prescribed drugs.  Then, describe measures you might take to help reduce any negative side effects.
  • Explain how you would use materials from a supporting agency to educate patients on the disorder, treatment options, management, and self-care.

Implementation Plan

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In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following:

Rogers’ diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice.
Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.

Women’s and Men’s Cancers

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The American Cancer Society estimates that by the end of 2012, more than 226,000 women will be diagnosed with breast cancer and more than 241,000 men will be diagnosed with prostate cancer (American Cancer Society, 2012a; American Cancer Society 2012b).

With such prevalence of women’s and men’s cancers, patient education and preventive services are essential. In clinical settings, advanced practice nurses must assist physicians in educating patients on risk factors, preventive services, and for patients diagnosed with cancer, on potential drug treatments.

The clinical implications of women’s and men’s cancer greatly depend on early detection, which is primarily achieved through preventive services. In this Assignment, you consider the short-term and long-term implications of cancer and drug treatments associated with women’s and men’s health, as well as appropriate preventive services.

To prepare:

  • Select a type of cancer associated      with women’s or men’s health such as breast, cervical, or ovarian cancer      in women and prostate cancer in men.
  • Locate and review articles examining      the type of cancer you selected.
  • Review the U.S. Preventive Services      Task Force article in the Learning Resources. Think about available      preventive services that providers might recommend for patients at risk of      this type of cancer.
  • Select two of the following factors:      genetics, gender, ethnicity, age, or behavior. Reflect on how these      factors might impact decisions related to preventive services.
  • Consider drug treatment options for      patients diagnosed with the type of cancer you selected including      short-term and long-term implications of the treatments.

Write a 2- to 3- page paper that addresses the following:

  • Describe available preventive      services that providers might recommend for patients at risk of the type      of cancer you selected.
  • Explain how the factors you selected      might impact decisions related to preventive services.
  • Describe drug treatment options for      patients diagnosed with the type of cancer you selected. Explain the short-term      and long-term implications of these treatments.

– This work should have Introduction and conclusion

– This work should have at 4 to 6 current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

 Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 33, “Prostatic           Disorders and Erectile Dysfunction” (pp.      527-544)
              This chapter examines the causes,      pathophysiology, and drug treatment of      four      disorders: prostatitis, benign prostatic hyperplasia, prostate           cancer, and erectile dysfunction. It also      explores the importance of      monitoring      patient response and patient education.
  • Chapter 34, “Overactive           Bladder” (pp. 545-564)
              This chapter describes the causes, pathophysiology,      diagnostic criteria,      and evaluation of      overactive bladder. It also outlines the process of           initiating, administering, and managing drug      treatment for this disorder.
  • Chapter 55, “Contraception”           (pp. 959-970)
              This chapter examines various methods of      contraception and covers drug      interactions,      selecting the most appropriate agent, and monitoring patient           response to contraceptions.
  • Chapter 56, “Menopause” (pp.           971-994)
              This chapter presents various options for      menopausal hormone therapy and      examines the      strengths and limitations of each form of therapy.
  • Chapter 57, “Osteoporosis” (pp.           985-994)
              This chapter covers various options for      treating osteoporosis. It also      describes      proper dosages, potential adverse reactions, and special           considerations of each drug.
  • Chapter 58, “Vaginitis” (pp.      995-1006)
              This chapter examines various causes of      vaginitis and explores the      diagnostic      criteria and methods of treatment for the disorder.

Holloway, D. (2010). Clinical update on hormone replacement therapy. British Journal of Nursing, 19(8), 496–504

This article examines the purpose, components, and administration of hormone replacement therapy (HRT). It also presents benefits, risks, potential side effects, and alternative treatment options of HRT.

Mäkinen, J. I., & Huhtaniemi, I. (2011). Androgen replacement therapy in late-onset hypogonadism: Current concepts and controversies—A mini-review. Gerontology, 57(3), 193–202. 

This article examines the role of testosterone levels in the development of hypogonadism. It also explores health issues that are impacted by testosterone levels and the role of testosterone replacement therapy.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

U.S. Preventive Services Task Force. (2014). The Guide to Clinical Preventive Services: Section 2. Recommendations for Adults. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/section2.html

This website lists various preventive services available for men and women and provides information about available screenings, tests, preventive medication, 

Pediatric Bipolar Depression Disorder

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I WAS CHOOSE FOR SUPPORT THE diagnosing pediatric bipolar depression disorder. NOT AGAINST.

NEEDS 3 EDUCATIONAL APA REFERENCE WITH CITATION.

Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact. 

In this Discussion, you engage in a debate as to whether pediatric bipolar disorder is possible to diagnose.

Learning Objectives

Students will:
  • Evaluate diagnosis of pediatric bipolar depression disorder
  • Analyze consequences to diagnosing/failing to diagnose pediatric bipolar depression disorder

To Prepare for the Discussion:

  • The instructor will assign you a position for or against the issue of diagnosing pediatric bipolar depression disorder.
  • Review the Learning Resources concerning the controversy over the diagnosis of pediatric bipolar depression disorder.

Note:For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clickingSubmit!

By Day 3

Post:

  • Write “for” or “against” in the subject line of your Discussion post. 
  • Based on the position you were assigned, justify whether or not pediatric bipolar depression disorder should be diagnosed. 

Support your position with evidence and examples.

Issue of Incivility and Strategies for Cultivating Healthful Environments

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Reflect on the issue of incivility. Think of an experience in which you were directly involved or witnessed incivility in the workplace. Analyze scholarly literature related to the issue of incivility and strategies for cultivating healthful environments.

1.       In a four- to six-page written paper, address the following.

a.       Define and explain the issue of incivility. Use scholarly nursing literature.

b.       Discuss the importance of this issue to nursing. Address the impact of incivility on individuals, microsystem work environments, and the profession of nursing. In this section, use at least three (3) different scholarly nursing literature in-text citations with matching references.  

c.       Provide a scenario (real or fictitious) of incivility in a practice setting. What was the impact on the individuals involved? How was the work environment affected?

d.       Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy.

e.       Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics). Provide two examples of strategies you will implement in your master’s-prepared advanced practice role to cultivate a healthful work environment.

f.        Provide a conclusion. Include a summary on the issue of incivility, strategies to create healthful environments, specialty track, and how you will contribute to cultivating healthful environments in your future professional practice. Include a self-reflection. 

Heart Failure Clinic

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Write a 3–4 page evidence-based resourcing plan for one component of the Heart Failure Clinic.

It is important for the nurse leader to have not only a basic  understanding of the budget process, but to understand how to work with  variances in staffing, patient loads, and supply costs in order to meet  the needs of the patients, without compromising the funding process of  the clinic.

By successfully completing this assessment, you will demonstrate  your proficiency in the following course competencies and assessment  criteria:

  • Competency 3: Apply management strategies and best practices for  health care finance, human resources, and materials allocation  decisions to improve health care delivery and patient outcomes.       
    • Apply evidence-based management strategies and best practices for resourcing health care services.
    • Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
  • Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.       
    • Apply legal and professional standards for resourcing outpatient services.
  • Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.       
    • Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Instructions

Deliverable: Develop one component of an evidence-based resourcing plan.

Scenario:

The hospital leadership team has already allocated the major  capital expenditures for the heart failure clinic, such as the facility,  legal services, IT, and security services. However, as a member of the  nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting.

You may use any combination of documents (for example, a  spreadsheet or a table) in addition to explanatory information to convey  information clearly and succinctly.

Choose  one of the following:

Budget:

  • Apply evidence-based management strategies and best practices for resourcing health care services.      
    • Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.
    • Start-up expenses.
    • Examine fixed and variable costs.
    • Capital budget items.        
      • Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.
    • Contingency fund and parameters.
  • Apply legal and professional standards for resourcing outpatient services.      
    • Explain the alignment to best practices and professional standards for cost effective outpatient services.
    • How will uninsured or underinsured patients be managed?
  • Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.      
    • What data resources and tools analyze costs, health insurance, and hospitalization services?
    • How will billing be handled?
    • How will you determine if outpatient management is cost-effective?
    • How does transparency impact the consumer?

Staffing Plan:

  • Apply evidence-based management strategies and best practices for resourcing health care services.
    • Identify the disciplines and skill mix needed for appropriate staffing.
    • Estimate staffing requirements by discipline and staffing ratios (evidence-based).
    • Develop a sample staffing schedule.
    • How will you staff to meet corporate diversity goals or the needs of diverse patients?
    • Explain how delegation, collaboration, negotiation will affect staffing plan.       
      • How does a union contract affect the staffing plan or schedule?         
        • Examine the Nurse Practice Act for your state.           
          • How does the Nurse Practice Act affect your staffing plan?
  • Apply legal and professional standards for resourcing outpatient services.      
    • Align your staffing plan to best practices, the Nurse Practice  Act for your state, scope of practice, and the Joint Commission  standards for outpatients.
  • Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.      
    • How will you know if staffing is cost-effective?
    • How will you know if staffing mix or schedule impacts patient outcomes?

Additional Requirements

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Length: The plan should be 3–4 pages in content length, double-spaced.
  • Font and font size: Times New Roman, 12 point.
  • Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

PATIENTS SPIRITUAL NEEDS

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In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite.

COMMUNITY TEACHING PLAN

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The benchmark assesses the following competencies:

3.3 Provide individualized education to diverse patient populations in a variety of health care settings.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community.

Options for Delivery

Select one of the following options for delivery and prepare the applicable presentation:

  1. PowerPoint presentation – no more than 30 minutes
  2. Pamphlet presentation – 1 to 2 pages
  3. Poster presentation

Selection of Community Setting

These are considered appropriate community settings. Choose one of the following:

  1. Public health clinic
  2. Community health center
  3. Long-term care facility
  4. Transitional care facility
  5. Home health center
  6. University/School health center
  7. Church community
  8. Adult/Child care center

Community Teaching Experience Approval Form

Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box.

General Requirements

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.