Addressing Issues In Health Care Paper

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Addressing Issues In Health Care Paper

The purpose of this assignment is to examine how to identify, prioritize, and address a potential problem within the health care environment.  Addressing Issues In Health Care Paper

Write a 1,200 to 1,400-word paper that examines how to address a problem within the health care environment, including risk mitigation and implementation of new compliance requirements.

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  1. Describe how would you go about establishing that a potential concern is a problem that should be further investigated. Discuss any specific triggering event you should use in order to initiate the continuous quality improvement process.
  2. Explain what tools would be utilized to identify the problem, develop the solution, track the implementation, and summarize the findings (i.e., benchmarking).
  3. Once you have established that the identified concern is an issue worth addressing, discuss how you would you go about prioritizing this problem compared to other problems. Consider the scarcity of resources, labor costs, capital investment needs, the approval process within your organization, and where you are in the budget cycle.
  4. Discuss who would be considered stakeholders or vested parties and how you intend to mitigate risk when implementing new compliance requirements. Addressing Issues In Health Care Paper

You are required to reference a minimum of five peer-reviewed articles to support your argument.

Prepare this assignment according to the 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

Addressing Issues In Health Care Paper

Christian World View And Education Patients On The DASH Diet

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Christian World View And Education Patients On The DASH Diet

Need a 500 word paper on Christian worldview pertains to the way Christians see the world, their relationship to God, and how they interpret interactions with their environment. In what way did you incorporate your Christian worldview into your work with the DPI Project? Support your position with evidence or scripture.

My DPI project was: Educating patients on the use of a DASH diet to help lower their blood pressure.  Christian World View And Education Patients On The DASH Diet

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Endothelial dysfunction has been recognized as a pathophysiologic mechanism in the progression of heart failure (HF). However, little attention has been given to the ability of dietary approaches to improve endothelial function. This study examined the effects of the Dietary Approaches to Stop Hypertension (DASH) diet on endothelial function, exercise capacity, and quality of life in patients with chronic symptomatic (stage C) HF. Forty-eight patients were randomized to follow the DASH diet (n = 24) or the general HF dietary recommendations (n = 24). Endothelial function was assessed by measuring large and small arterial elasticity (LAE and SAE) at rest. Exercise capacity (measured with the 6-minute walk test) and quality of life (measured with the Minnesota Living with Heart Failure Questionnaire) at baseline and 3 months were also evaluated. Patients were older adults with an average HF duration of 5 years. LAE at 1 month improved significantly in the DASH diet group (P < 0.01). Overall LAE and SAE scores at 3 months also improved; however, the net changes were not statistically significant. The DASH group had better exercise capacity (292 m vs 197 m; P = 0.018) and quality of life scores (21 vs 39; P = 0.006) over time, while sodium intake levels at 1, 2, and 3 months were comparable between the groups. Adhering to the DASH diet improved arterial compliance initially and improved exercise capacity and quality of life scores at 3 months. The DASH diet may be an important adjunctive therapy for patients with symptomatic HF. Christian World View And Education Patients On The DASH Diet

Heart failure (HF) remains a leading illness responsible for significant morbidity and mortality in the United States. Current HF treatment guidelines provide no specific recommendations for dietary intake. Patients with HF typically follow dietary guidelines for prevention of coronary heart disease. The Dietary Approaches to Stop Hypertension (DASH), a carbohydrate-rich and low-fat diet that emphasizes fruits and vegetables, has been formally adopted into the 2013 dietary guidelines for cardiovascular risk prevention. Endothelial dysfunction underlies pathophysiologic mechanisms in the progression of HF and may be an important therapeutic tool in the management and prevention of HF. Several components of the DASH diet may be partly responsible for its salutary effects and influence on endothelial function. This study examined the effects of the DASH diet on endothelial function, exercise capacity, and quality of life in patients with chronic symptomatic (stage C) HF. Christian World View And Education Patients On The DASH Diet

METHODS

A single-center randomized controlled study was conducted. Patients were randomly assigned via a computerized assignment log into the DASH diet regiment or the comparison group, which required patients to follow the general HF dietary recommendations for 3 months. The study comprised 48 stable patients with chronic symptomatic (stage C) HF from the outpatient adult HF clinic at Advocate Christ Medical Center between February and July 2013. Institutional review board approval was obtained in January 2013. The study duration was 6 months. Inclusion criteria included adults over 18 years of age with stage C/New York Heart Association (NYHA) functional classes I–III and systolic or diastolic HF for at least 6 months. The patients were taking recommended medications for HF. Exclusion criteria included serum creatinine >3 mg/dL, allergy or intolerance to components of the DASH diet, chronic inflammatory bowel disease affecting gastrointestinal absorption, inability to perform the 6-minute walk test due to severe musculoskeletal disease, and dependency on using a walker or a cane for ambulation Christian World View And Education Patients On The DASH Diet.

Pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient

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Use the image in “Discussion Question Resource: Chest X-Ray” to answer the following Critical Thinking Questions.

Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.

Critical Thinking Questions

  1. Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.
  2. Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.
  3. What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.

PLEASE SEE ATTACHED DOCUMENT WITH ADDITIONAL INFORMATION.

THANK YOU

Na 141 meq/LMg 1.7 mg/dLpH 7.50
K 4.5 meq/LPO4 2.9 mg/dLPaO2 59 mm Hg on room air
Cl 105 meq/LGlu, fasting 138 mg/dLPaCO2 25 mm Hg
HCO3 29 meq/LHb 13.7 g/dL
BUN 16 mg/dLHct 39.4%
Cr 0.9 mg/dLWBC 15,200/mm³
Ca 8.7 mg/dLLymphocytes 10%

Pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient

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Use the image in “Discussion Question Resource: Chest X-Ray” to answer the following Critical Thinking Questions.

Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.

Critical Thinking Questions

  1. Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.
  2. Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.
  3. What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.

PLEASE SEE ATTACHED DOCUMENT WITH ADDITIONAL INFORMATION.

THANK YOU

Na 141 meq/LMg 1.7 mg/dLpH 7.50
K 4.5 meq/LPO4 2.9 mg/dLPaO2 59 mm Hg on room air
Cl 105 meq/LGlu, fasting 138 mg/dLPaCO2 25 mm Hg
HCO3 29 meq/LHb 13.7 g/dL
BUN 16 mg/dLHct 39.4%
Cr 0.9 mg/dLWBC 15,200/mm³
Ca 8.7 mg/dLLymphocytes 10%

Evidence-Based-Practice Proposal Presentation

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Evidence-Based-Practice Proposal Presentation

Prepare a PowerPoint presentation of 10-15-slides that covers all major sections of your Evidence-Based Practice Proposal – Final Paper. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the study materials for additional guidance on recording your presentation with Loom. In your PowerPoint presentation, include a cover slide with the Loom link at the beginning and an additional slide for References at the end.

Evidence-Based-Practice Proposal Presentation

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The PowerPoint presentation should cover the following:

  1. All major sections referenced in your Evidence-Based Practice Proposal – Final Paper.
  2. Include a slide that summarizes plans for disseminating evidence. Outline potential professional organizations, conferences, journals, or employers where you could present your findings. Identify one significant professional publication or conference in your dissemination plan most suited to presenting your findings and explain why you chose this professional venue over another.
  3. Include a slide that explains how participating in ongoing evidence-based research will deepen your knowledge and expand your skills. Describe how you will continue to incorporate new findings into practice.

Include slide notes for the presentation in which you annotate the explanation of the information in each slide.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, Evidence-Based-Practice Proposal Presentation

 

Discussion Alcohol And Drug Rehabilitation

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Discussion Alcohol And Drug Rehabilitation

Directions:  Be sure to save an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer in complete sentences, and be sure to use correct English, spelling and grammar. Sources must be cited in APA format. Your response should be four (4) double-spaced pages; refer to the “Assignment Format” page located on the Course Home page for specific format requirements. Discussion Alcohol And Drug Rehabilitation

In Lessons 5 through 8, you learned about the administrative requirements of medical assistants. You learned about patient reception, appointment scheduling, office technology, correspondence, medical records, billing and collections, medical insurance, medical claims and coding, and office management duties. For this written assignment, the concepts learned from Lessons 5–8 will be applied. Please review the learning objectives for Lessons 5–8 prior to beginning work on this assignment.

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Complete Parts A, B, C, and D for this assignment.

Part A: A pharmaceutical representative has just arrived at the office of Dr. Joseph Henderson, a board-certified orthopedic surgeon. The waiting room is swarming with patients waiting to see Dr. Henderson, because he was delayed with an unexpectedly complicated lumbar spinal fusion and laminectomy.

The representative is very insistent, almost belligerent, about seeing the physician immediately, even though she did not have an appointment to see him. In fact, the visit was totally unexpected, as the representative had just been in two weeks ago. Last time the representative was in, she gave Dr. Henderson a variety of readily usable and dispensable medications. She has more of the same today—injectable cortisone with Novocain, muscle relaxants, NSAIDs, and even some Tylenol with codeine. Usually, Dr. Henderson is quite receptive to receiving these samples, as they help ease the financial burden on his patients for whom he uses or to whom he dispenses these samples. The office is, in fact, running quite low on these particular medications because of Dr. Henderson’s heavy patient load. Discussion Alcohol And Drug Rehabilitation

Provide detailed answers for each of the following questions. Your response should be at least 150 words in length.

· What is your response to the sales representative?

· Should a sales representative ever take precedence over scheduled appointments?

· Does the fact that Dr. Henderson is usually quite anxious to receive any and all samples for his patients enter in as a factor?

· Does the diminished supply of these samples alter the situation?

· Can the medical assistant ever accept delivery of any or all of these samples?

Part B: Dr. Jonas runs a private practice. He admits patients and makes rounds in two local hospitals. He uses one type of EHR software in his private office and two other packages in the two hospitals. Not only must Dr. Jonas learn three software systems, but he also may at times be unable to move patient information between those systems because of incompatibility. What might Dr. Jonas do to address these issues? Your response should be at least 100 words in length.

Part C: Lisa Medina, a certified coder, performs medical coding for a large multi-specialty clinic. You have just been hired as Lisa’s assistant. She has asked you to review the encounter forms for the day, on which physicians have checked off the diagnoses of each patient. You notice that Dr. Parker, an endocrinologist, has checked off the box for Diabetes unspecified for most of his patients without checking off any manifestations or complications. You think this is unusual because many diabetic patients do have complications. Discussion Alcohol And Drug Rehabilitation

Provide detailed answers for each of the following questions. Your response should at least 150 words in length.

· What are the options for handling this situation?

· Which option would you select? Give three reasons for your choice.

· With whom should you consult before acting on your choice?

Part D: Sarah Egan is the office manager in Dr. Williams’s practice. Nell Jacobs, who has worked as a CMA (AAMA) in the office for one year, has frequently been absent or tardy on Mondays. Sarah suspects that Nell has a drinking problem. However, Nell has never arrived at the office intoxicated—until today. Sarah has just observed Nell stumbling in the parking lot when getting out of her car. Her speech is slurred, and her breath has a fruity odor that Sarah thinks could be alcohol. Nell does not appear to understand anything that Sarah is saying to her.

Provide detailed answers for each of the following questions. Your response should at least 250 words in length.

· Given the situation, as the office manager, what should Sarah do immediately regarding Nell? Discussion Alcohol And Drug Rehabilitation

· If Sarah decides to send Nell home, should she call Nell’s husband to come and get her, or, perhaps, insist that Nell go home in a cab?

· Does Sarah have an obligation to tell Dr. Williams about her suspicions regarding Nell?

· Should this incident become part of Nell’s employment record?

· Is this incident grounds for firing an employee?

· Because Nell is a CMA (AAMA) and works with patients, is it within Sarah’s rights to demand a blood and urine screening for alcohol and drugs?

· Should the police be notified of the incident?

· If Nell is indeed intoxicated or under the influence of alcohol, is Sarah obligated to refer Nell to counseling at an alcohol and drug rehabilitation facility? Discussion Alcohol And Drug Rehabilitation

Ethical Dilemmas in Healthcare

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Ethical Dilemmas in Healthcare

Ethical dilemmas are often solved by various stakeholders coming together, analyzing the situation, and making recommendations. In the health care setting, this is the responsibility of an ethics committee. Ethics committees may be comprised of individuals from various roles within the organization, ranging from leadership positions to mid-level patient care professionals. Instructions: Scenario:  You are a member of your hospital’s ethics committee. A physician, Dr. Pierce, presents the following case to the committee, seeking a recommendation:  Jane Smith is currently hospitalized, for the seventh time in 11 months, and is suffering from the following conditions: hypertension, atrial fibrillation, and alcoholic fatty liver (exacerbated by continued heavy alcohol consumption). Jane is severely obese and unable to walk unassisted. Jane’s medical condition is stable enough to be discharged, however, Dr. Pierce cannot in good conscience discharge her home, as she is unable to walk, and has no assistance at home. Jane is resistant to transfer to a skilled nursing facility, which is Dr. Pierce’s professional recommendation. Jane is also receiving Medicare benefits.      Briefly summarize the discussion points you would make during the committee meeting, including any questions for Dr. Pierce.  Ethical Dilemmas in Healthcare

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One of your fellow committee members proposes that Adult Protective Services be called. What is the ethical implication of following this course of action, without informing Jane first?     If Jane continues to refuse the skilled nursing transfer, and Adult Protective Services is not involved, could Dr. Pierce and/or the hospital be held liable if Jane passes away at her home due to her lack of mobility? Be sure to include in-text citations to support this response.     In a concise paragraph, provide the committee’s official recommendation, including rationale, for Jane’s case. [Assume answers to your questions for Dr. Pierce]. This recommendation will be legal and ethical protection for Dr. Pierce, and the hospital.     Include a minimum of three references, in APA format, for this assignment.

Ethical Dilemmas in Healthcare

 

Discussion: Time Series In Health Care

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Discussion: Time Series In Health Care

Pam is a healthcare administration leader for a large  network of hospitals and health service centers that is attempting to  predict future healthcare utilization at their centers over the next 5  years. She obtains data regarding patient use across the hospital  network and health service centers and projects forward over the next 5  years to determine which areas might experience continued growth. After  applying her time series model, she is able to demonstrate that, indeed,  the hospital network and health service centers will experience  significant growth. As she prepares to share her results and findings  with the board, she also considers advocating for the development of a  new regional health service center to fill one of the areas that will  experience the most growth according to her forecast projections. Discussion: Time Series In Health Care

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As a current or future healthcare administration leader, you may be  asked to assess strategic planning and decision making using time series  analysis.

For this Discussion, review the resources for this week, and reflect  on time series models and forecasting. Think about how you might  implement these methods for healthcare administration practice.

By Day 3

Post a description of some variables that you might  evaluate using time series in your health services organization or one  with which you are familiar. Then, explain what types of models might be  most appropriate to measure, and analyze these variables. Be specific,  and provide examples. Discussion: Time Series In Health Care

 

Deliverable 3 – Memo About Patient Intakes

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Deliverable 3 – Memo About Patient Intakes

Instructions

You have recently been promoted to Health Services Manager at Three Mountains Regional Hospital, a small hospital located in a mid-size city in the Mid-West. Three Mountains is a general medical and surgical facility with 400 beds. Last year there were approximately 62,000 emergency visits and 15,000 admissions. More than 6,000 outpatient and 10,000 inpatient surgeries were performed. Deliverable 3 – Memo About Patient Intakes

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As a means to build trust between the organization and the patients, you have been tasked with the drafting of a memorandum (memo) to all employees that perform patient intake functions. The focus of this Memo is to highlight the necessary forms that need to be completed during the intake/admissions process and an explanation as to why they are necessary. Often patients are handed a form to fill out, but do not receive a proper explanation as to why it is necessary for them to provide the required information. Without the proper information, patients, more now than ever, are hesitant to provide all of the necessary information. You will need to address the following components in your memo: Deliverable 3 – Memo About Patient Intakes

  1. Introduction: Explain why you are sending this memo. Provide an overview of the patient trust issues and why it is important for the employees to be able to discuss each of the forms with the patients during the intake process.
  2. List of the Required Forms: List and describe each of the required forms at admission.
  3. Importance of each form to the organization: For each form you list, you will need to add why that form is important to the organization and necessary for the patient to complete.
  4. Conclusion: In this part, you will wrap up the memo and provide additional resources available to the employees if they have further questions.
  5. Proper Memo Formatting: Â This a professional document and needs to be structured as a memo and not as an essay. You will still need to supply both in text and full citations for the sources of your information. If you need further assistance with how to structure a memo, click on this link.

Deliverable 3 – Memo About Patient Intakes

New diagnostic tool for the treatment of diabetes in adults or children

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1. Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

 30.0 %Research or Evidence-Based Article Identified. Article Focuses on a Specific Diabetic Intervention or New Diagnostic Tool.  

50.0 %Summary of Article Includes the Following Content: Discussion of Research Performed Clinical Findings, and Significance to Nursing Practice