Concepts of Altered Health in Older Adults

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Develop cooperative relationships with clients when teaching concepts concerning pathological states to individuals and families

Select one of the case studies below, and include discussion of your strategy for winning the patients cooperation while teaching concepts concerning pathological states to them and their families.

Requirements

  1. Make sure all of the topics in the case study have been addressed.
  2. Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content.
  3. All sources must be within five years. Concepts of Altered Health in Older Adults
  4. Do not use .com, Wikipedia, or up-to-date, etc., for your sources. Concepts of Altered Health in Older Adults

Case Study 1

Concepts of Altered Health in Older Adults

Joseph P. is an 82-year-old male living at home. He is in overall good health and enjoys taking long walks as often as possible. During his walks, he likes to stop for a cold glass of fruit juice at the local cafeteria. On cold or rainy days, he rides a stationary bicycle at home for 30 minutes to “stay in good shape.”

  1. What physiological factors would typically increase Joseph’s risk of falling while walking outdoors?
  2. What are the common changes in blood pressure regulation that occurs with aging?
  3. Joseph enjoys fruit juice when he walks. Considering the renal system in the older adult, why would dehydration be a particular concern?

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Case Study 2

Structure and Function of the Kidney

Rivka is an active 21-year-old who decided to take a day off from her university classes. The weather was hot and the sun bright, so she decided to go down to the beach. When she arrived, she found a few people playing beach volleyball, and they asked if she wanted to join in. She put down her school bag and began to play. The others were well prepared for their day out and stopped throughout the game to have their power drinks and soda pop. Several hours after they began to play, however, Rivka was not feeling so good. She stopped sweating and was feeling dizzy. One player noted she had not taken a washroom break at all during the day. They found a shaded area for her, and one of the players shared his power drink with her. Rivka was thirstier than she realized and quickly finished the drink.

  1. In pronounced dehydration, hypotension can occur. How would this affect the glomerular filtration rate of the kidney? What actions by the juxtaglomerular apparatus would occur to restore GFR?
  2. What is the effect aldosterone has on the distal convoluted tubule? Why would the actions of aldosterone be useful to Rivka in her situation? Concepts of Altered Health in Older Adults
  3. What does a specific gravity test measure? If someone tested the specific gravity of Rivka’s urine, what might it indicate? Concepts of Altered Health in Older Adults

4 pages not including title page and ref page

The concepts, processes, and tools needed to conduct a community health assessment

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Write a 2–4-page report on the concepts, processes, and tools needed to conduct a community health assessment, how to find the data, and how to validate the data. Explain the factors that can affect the health of a community, along with how to obtain that information.

Understanding community and state health care issues and concerns, the local resources available, and accessibility of those resources can inform health care practices and improve quality patient outcomes.  

Questions to Consider 

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

  • What types of techniques and activities should be included in a community health assessment?
  • How can these techniques and activities help determine both assets and gaps in health care services in a community? The concepts, processes, and tools needed to conduct a community health assessment

Assessment Instructions :

Imagine you work for an organization that has decided to open a satellite facility in an underserved community. Your organization asks you to move to the new location and assist with some of the preliminary work. Part of this work is to determine the health care needs of the community. How will you do this? What information will you need to know? Where will you find the information?

Preparation

Search the Capella library or the Internet for peer-reviewed journal articles on how to conduct a community health assessment. You will need at least 3 resources to use in this assessment.

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Directions

Develop a plan for a community health assessment in which you complete the following:

  • Describe the type of data needed to make an informed community health assessment.
  • Explain how the data will help determine the health care needs of the community.
  • Describe your strategy for obtaining the necessary data.
  • Explain the factors that impact the health and wellness of a community. (Hint: This is a very broad list. Think outside the box on this one!)
  • Explain how you will obtain information on these factors for your specific community.
  • Explain how you will determine if the data and information you obtain is valid and reliable.
  • Format this assessment as a report that you would submit to a director or other organizational leader. You are still required to follow APA guidelines for in-text citations and references.

Additional Requirements

  • Include a title page and reference page.
  • Ensure your assessment is 2–4 pages in length.
  • Use double-spaced, 12-pt., Times New Roman font. (Recommended) The concepts, processes, and tools needed to conduct a community health assessment

How alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes

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Details:

Prepare a 10-minute presentation (10-15 slides, not including title or reference slide) on organizational culture and values.

  1. Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.
  2. Discuss how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem solving. Incorporate how system needs and the culture of health may influence the outcomes. How does this relate to health promotion and disease prevention in the larger picture? How alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes
  3. Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

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While APA style 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, 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.

 Organizational Values Presentation apply rubric

1
Unsatisfactory
0.00%

2
Less than Satisfactory
75.00%

3
Satisfactory
79.00%

4
Good
89.00%

5
Excellent
100.00%

80.0 %Content

26.0 %Describes how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.

A description to how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes is not provided.

A description to how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes is provided; however, relevant information is missing as indicated in the assignment instructions.

A description to how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes is provided and meets the basic criteria for the assignment as indicated in the assignment instructions. How alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes

A description to how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes is offered in detail.

A description to how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

26.0 %Discusses how an individual can use effective communication techniques to Overcome Workplace Challenges, Encourage Collaboration Across Groups, and Promote Effective Problem-Solving.

A discussion to how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem-solving is not provided. The influence of system needs and culture of health is not included; a correlation of how these relate to health promotion and disease prevention is not established.

A discussion to how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem-solving is not provided. is offered; however, relevant information is missing as indicated by the assignment instructions. The influence of system needs and culture of health is referenced but not discussed; a correlation of how these relate to health promotion and disease prevention is not established.

A discussion to how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem-solving is not provided. is offered and meets the basic criteria for the assignment as indicated by the assignment instructions. The influence of system needs and culture of health is summarized; a clear correlation of how these relate to health promotion and disease prevention is not established.

A discussion to how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem-solving is offered in detail. The influence of system needs and culture of health is discussed; a general correlation of how these relate to health promotion and disease prevention is established.

A discussion to how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem-solving is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. The influence of system needs and culture of health is thoroughly discussed; a strong correlation of how these relate to health promotion and disease prevention is established How alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.

28.0 %Identify a specific instance from your own professional experience in which the values of the organization and the values of individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

Identification of a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align is not provided.

Identification of a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align is offered; however, relevant information is missing such as a description of the impact this had on nurse engagement and patient outcomes.

Identification of a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align meets the basic criteria for the assignment as indicated in the assignment instructions.

An example from your professional experience is offered in detail.

An example from your professional experience is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

15.0 %Organization and Effectiveness

5.0 %Layout

The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.

The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.

The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability.

The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.

The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

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15.0 %Organization and Effectiveness

5.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of ?primer prose? indicates writer either does not apply figures of speech or uses them inappropriately.

Some distracting inconsistencies in language choice (register) and/or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

Language is appropriate to the targeted audience for the most part.

The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly How alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes

The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

15.0 %Organization and Effectiveness

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Slide errors are pervasive enough that they impede communication of meaning.

Frequent and repetitive mechanical errors distract the reader.

Some mechanical errors or typos are present, but are not overly distracting to the reader.

Slides are largely free of mechanical errors, although a few may be present.

Writer is clearly in control of standard, written academic English.

5.0 %Format

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Contains no title slide, no references section, and no correctly cited references within the body of the presentation.

Title slide is incomplete or inaccurate. References section includes sources, but many citation errors. Citations are included within the body of the presentation but with many errors.

Title slide has minor errors. References section includes sources, but they are not consistently cited correctly. Citations are included within the body of the presentation but with some errors.

Title slide is complete. References section includes correctly cited sources with minimal errors. Correct citations are included within the body of the presentation.

Title slide is complete. References section includes correctly cited sources. Correct citations are included within the body of the presentation How alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes

100 %Total Weightage

Creative approaches that may be helpful in construction of an action plan to implement the recommendations

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        Assignment Information       

  1.   Due Date                  Sunday, November 1, 2018                   11:59 PM    Points Possible                100       
  2. Vila Health: Marketing Plan
    Overview
    Effective marketing plans begin with thorough external environmental  and internal organizational assessments, alignment with strategic plans,  and clear identification of directional strategies. The marketing plan  must reflect logic, cohesion, realistic interventions and costs, and  ideally work with the strengths and opportunities that fit the overall  context of the proposed service line. In this assignment, you will  develop a conceptual level marketing plan for St. Anthony Medical  Center’s Labor and Delivery service line, which is based on your  assessment. Additionally, the marketing plan will include evidence-based  recommendations and your creative insights regarding how to optimally  position and communicate the Labor and Delivery service line to  prospective consumers.
    Recall from your previous visit with the leadership team, that your  CEO has communicated a growth strategy for St. Anthony Medical Center.  The marketing director and leadership team have further determined that  the Labor and Delivery service will implement a market pull strategy  where consumers will be drawn to the organization based on some unique  feature or features of the service line (also known as differentiators).  You are competing against two other similar services at area hospitals,  so your marketing conceptual level recommendations will need to assure  that you have differentiated St. Anthony Medical Center’s Labor and  Delivery service in a competitive manner. Consider how a health care  organization might differentiate it’s service from a competitor (review  your Unit 2 readings or conduct research in the Capella University  Library on strategic marketing and differentiation strategies). You may  wish to reflect on some of the facets that you as a consumer consider  when selecting health care providers and organizations.
    Your marketing director and the Labor and Delivery unit manager would  like to discover your fresh perspective and recommendations. At a  conceptual level, given the organization’s desired target versus actual  performance, what suggestions might you offer to convert prospective  consumers into satisfied Labor and Delivery patients? Remember to assess  gaps between actual performance versus desired targets (review the  current Labor and Delivery budget to determine current versus targeted  number of deliveries, profit margin, and so forth).
    This all corresponds with steps four and five of Kotler’s Marketing Plan format in Health Care Marketing. Savvy interns will read the assignment scoring guides and construct an outline before beginning research for this activity.
    Last week, you were exposed to a lot of information about St. Anthony  Medical Center in general and the Labor and Delivery unit in  particular. You may want to consider reviewing those documents,  interviews and e-mails again while working on this unit’s assignment.
    Instructions
    Review the vision, mission, values statement, strategic directional  strategy for St. Anthony Medical Center, and assess the Labor and  Delivery service line offerings.
     
    • Conduct a gap analysis of St. Anthony Medical Center’s Labor and Delivery service relative to internal goals.
    • Construct a competitive analysis of St. Anthony Medical Center’s Labor and Delivery service relative to competitors.
    • Propose general or conceptual level recommendations to close gaps  such as missing services, missing marketing channels, suboptimal  profitability, and so forth.
    • Formulates insights or creative approaches that may be helpful in  construction of an action plan to implement the recommendations.
    • Submit your assignment by due date. Be sure to use current APA style and formatting throughout.

Creative approaches that may be helpful in construction of an action plan to implement the recommendations

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        Assignment Information       

  1.   Due Date                  Sunday, November 1, 2018                   11:59 PM    Points Possible                100       
  2. Vila Health: Marketing Plan
    Overview
    Effective marketing plans begin with thorough external environmental  and internal organizational assessments, alignment with strategic plans,  and clear identification of directional strategies. The marketing plan  must reflect logic, cohesion, realistic interventions and costs, and  ideally work with the strengths and opportunities that fit the overall  context of the proposed service line. In this assignment, you will  develop a conceptual level marketing plan for St. Anthony Medical  Center’s Labor and Delivery service line, which is based on your  assessment. Additionally, the marketing plan will include evidence-based  recommendations and your creative insights regarding how to optimally  position and communicate the Labor and Delivery service line to  prospective consumers.
    Recall from your previous visit with the leadership team, that your  CEO has communicated a growth strategy for St. Anthony Medical Center.  The marketing director and leadership team have further determined that  the Labor and Delivery service will implement a market pull strategy  where consumers will be drawn to the organization based on some unique  feature or features of the service line (also known as differentiators).  You are competing against two other similar services at area hospitals,  so your marketing conceptual level recommendations will need to assure  that you have differentiated St. Anthony Medical Center’s Labor and  Delivery service in a competitive manner. Consider how a health care  organization might differentiate it’s service from a competitor (review  your Unit 2 readings or conduct research in the Capella University  Library on strategic marketing and differentiation strategies). You may  wish to reflect on some of the facets that you as a consumer consider  when selecting health care providers and organizations.
    Your marketing director and the Labor and Delivery unit manager would  like to discover your fresh perspective and recommendations. At a  conceptual level, given the organization’s desired target versus actual  performance, what suggestions might you offer to convert prospective  consumers into satisfied Labor and Delivery patients? Remember to assess  gaps between actual performance versus desired targets (review the  current Labor and Delivery budget to determine current versus targeted  number of deliveries, profit margin, and so forth).
    This all corresponds with steps four and five of Kotler’s Marketing Plan format in Health Care Marketing. Savvy interns will read the assignment scoring guides and construct an outline before beginning research for this activity.
    Last week, you were exposed to a lot of information about St. Anthony  Medical Center in general and the Labor and Delivery unit in  particular. You may want to consider reviewing those documents,  interviews and e-mails again while working on this unit’s assignment.
    Instructions
    Review the vision, mission, values statement, strategic directional  strategy for St. Anthony Medical Center, and assess the Labor and  Delivery service line offerings.
     
    • Conduct a gap analysis of St. Anthony Medical Center’s Labor and Delivery service relative to internal goals.
    • Construct a competitive analysis of St. Anthony Medical Center’s Labor and Delivery service relative to competitors.
    • Propose general or conceptual level recommendations to close gaps  such as missing services, missing marketing channels, suboptimal  profitability, and so forth.
    • Formulates insights or creative approaches that may be helpful in  construction of an action plan to implement the recommendations.
    • Submit your assignment by due date. Be sure to use current APA style and formatting throughout.

Creative approaches that may be helpful in construction of an action plan to implement the recommendations

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       Creative approaches that may be helpful in construction of an action plan to implement the recommendations

 Assignment Information       

  1.   Due Date                  Sunday, November 1, 2018                   11:59 PM    Points Possible                100       
  2. Vila Health: Marketing Plan
    Overview
    Effective marketing plans begin with thorough external environmental  and internal organizational assessments, alignment with strategic plans,  and clear identification of directional strategies. The marketing plan  must reflect logic, cohesion, realistic interventions and costs, and  ideally work with the strengths and opportunities that fit the overall  context of the proposed service line. In this assignment, you will  develop a conceptual level marketing plan for St. Anthony Medical  Center’s Labor and Delivery service line, which is based on your  assessment. Additionally, the marketing plan will include evidence-based  recommendations and your creative insights regarding how to optimally  position and communicate the Labor and Delivery service line to  prospective consumers. Creative approaches that may be helpful in construction of an action plan to implement the recommendations
    Recall from your previous visit with the leadership team, that your  CEO has communicated a growth strategy for St. Anthony Medical Center.  The marketing director and leadership team have further determined that  the Labor and Delivery service will implement a market pull strategy  where consumers will be drawn to the organization based on some unique  feature or features of the service line (also known as differentiators).  You are competing against two other similar services at area hospitals,  so your marketing conceptual level recommendations will need to assure  that you have differentiated St. Anthony Medical Center’s Labor and  Delivery service in a competitive manner. Consider how a health care  organization might differentiate it’s service from a competitor (review  your Unit 2 readings or conduct research in the Capella University  Library on strategic marketing and differentiation strategies). You may  wish to reflect on some of the facets that you as a consumer consider  when selecting health care providers and organizations.

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  4. Your marketing director and the Labor and Delivery unit manager would  like to discover your fresh perspective and recommendations. At a  conceptual level, given the organization’s desired target versus actual  performance, what suggestions might you offer to convert prospective  consumers into satisfied Labor and Delivery patients? Remember to assess  gaps between actual performance versus desired targets (review the  current Labor and Delivery budget to determine current versus targeted  number of deliveries, profit margin, and so forth).
    This all corresponds with steps four and five of Kotler’s Marketing Plan format in Health Care Marketing. Savvy interns will read the assignment scoring guides and construct an outline before beginning research for this activity.
    Last week, you were exposed to a lot of information about St. Anthony  Medical Center in general and the Labor and Delivery unit in  particular. You may want to consider reviewing those documents,  interviews and e-mails again while working on this unit’s assignment. Creative approaches that may be helpful in construction of an action plan to implement the recommendations
    Instructions
    Review the vision, mission, values statement, strategic directional  strategy for St. Anthony Medical Center, and assess the Labor and  Delivery service line offerings.
     
    • Conduct a gap analysis of St. Anthony Medical Center’s Labor and Delivery service relative to internal goals.
    • Construct a competitive analysis of St. Anthony Medical Center’s Labor and Delivery service relative to competitors.
    • Propose general or conceptual level recommendations to close gaps  such as missing services, missing marketing channels, suboptimal  profitability, and so forth.
    • Formulates insights or creative approaches that may be helpful in  construction of an action plan to implement the recommendations.
    • Submit your assignment by due date. Be sure to use current APA style and formatting throughout.

Creative approaches that may be helpful in construction of an action plan to implement the recommendations

/in /by

        Assignment Information       

  1.   Due Date                  Sunday, November 1, 2018                   11:59 PM    Points Possible                100       
  2. Vila Health: Marketing Plan
    Overview
    Effective marketing plans begin with thorough external environmental  and internal organizational assessments, alignment with strategic plans,  and clear identification of directional strategies. The marketing plan  must reflect logic, cohesion, realistic interventions and costs, and  ideally work with the strengths and opportunities that fit the overall  context of the proposed service line. In this assignment, you will  develop a conceptual level marketing plan for St. Anthony Medical  Center’s Labor and Delivery service line, which is based on your  assessment. Additionally, the marketing plan will include evidence-based  recommendations and your creative insights regarding how to optimally  position and communicate the Labor and Delivery service line to  prospective consumers.
    Recall from your previous visit with the leadership team, that your  CEO has communicated a growth strategy for St. Anthony Medical Center.  The marketing director and leadership team have further determined that  the Labor and Delivery service will implement a market pull strategy  where consumers will be drawn to the organization based on some unique  feature or features of the service line (also known as differentiators).  You are competing against two other similar services at area hospitals,  so your marketing conceptual level recommendations will need to assure  that you have differentiated St. Anthony Medical Center’s Labor and  Delivery service in a competitive manner. Consider how a health care  organization might differentiate it’s service from a competitor (review  your Unit 2 readings or conduct research in the Capella University  Library on strategic marketing and differentiation strategies). You may  wish to reflect on some of the facets that you as a consumer consider  when selecting health care providers and organizations.
    Your marketing director and the Labor and Delivery unit manager would  like to discover your fresh perspective and recommendations. At a  conceptual level, given the organization’s desired target versus actual  performance, what suggestions might you offer to convert prospective  consumers into satisfied Labor and Delivery patients? Remember to assess  gaps between actual performance versus desired targets (review the  current Labor and Delivery budget to determine current versus targeted  number of deliveries, profit margin, and so forth).
    This all corresponds with steps four and five of Kotler’s Marketing Plan format in Health Care Marketing. Savvy interns will read the assignment scoring guides and construct an outline before beginning research for this activity.
    Last week, you were exposed to a lot of information about St. Anthony  Medical Center in general and the Labor and Delivery unit in  particular. You may want to consider reviewing those documents,  interviews and e-mails again while working on this unit’s assignment.
    Instructions
    Review the vision, mission, values statement, strategic directional  strategy for St. Anthony Medical Center, and assess the Labor and  Delivery service line offerings.
     
    • Conduct a gap analysis of St. Anthony Medical Center’s Labor and Delivery service relative to internal goals.
    • Construct a competitive analysis of St. Anthony Medical Center’s Labor and Delivery service relative to competitors.
    • Propose general or conceptual level recommendations to close gaps  such as missing services, missing marketing channels, suboptimal  profitability, and so forth.
    • Formulates insights or creative approaches that may be helpful in  construction of an action plan to implement the recommendations.
    • Submit your assignment by due date. Be sure to use current APA style and formatting throughout.

How you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations

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APA  format 3 peer review references as directed in assignment instructions

Due Wednesday November 7th 2018 by 8pm EST

Scenario 7:

A 57-year-old man who was diagnosed with motor neuron disease 2 years ago is experiencing a rapid decline in his condition. He prefers to be admitted to the in-patient unit at a hospice to receive end-of-life care, but his wife wants him to remain at home. How you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations

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To prepare:

  • Select one scenarios, and reflect on the material presented throughout this course.
  • What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
  • Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

To complete:

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least 3 different references from current evidence based literature. How you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations

Programs and policies that support a culture of diversity

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This assignment will assess knowing of the following CAHIIM Competencies:

Domain VI. Leadership

                VI.H. Ethics

  1. Evaluate the culture of a department.
  2. Create programs and policies that support a culture of diversity.

Assignment Instructions

Part 1: Evaluate the culture of City Hospital HIM Department:

Background: City Hospital HIM Department employs 17 people. Only 1 employee is male, Ralph, and he is 74 years old and processes the disclosure documentation for the department. He keeps to himself because he feels that the other employees think he is slow and they have nothing in common. Seventeen-year-old Celine is a recent high school graduate who is going to school at night and enjoys social media and has a best friend who is getting married to his boyfriend this summer and it’s all Celine talks about. Teal is a 27-year-old hard worker who is always 7 minutes late for work in the morning and spends the first 15 minutes at her desk putting on her make-up for the day. When she does finally start working she gets a lot done and out performs the others in her department. Teal speaks English as a second language and is very hard for others in the department to understand. David is a 54-year-old department manager who is putting in his time before his retirement in 4 months. David is a family man who believes strongly in the beliefs of his church and often shares his church doctrine with his employees during their annual evaluations.  Programs and policies that support a culture of diversity

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Name of Employee

Potential Bias/prejudices

What training could help the department and the employee with cultural awareness

Ralph

Generational differences

Sample answer: Ralph should receive competency training on generational differences

Celine

Celine and David may have conflicts because of their difference beliefs

Teal

Others may think she is not as intelligent or able because of the language barrier

David

Religious beliefs

Part 2: List the key points that you would include in a diversity training for the departmental staff.  Include EEOC and ADA requirements in the training. I need the answer to this Question What training could help the department and the employee with cultural awareness? For celine teal and david and answer part 2. Programs and policies that support a culture of diversity

Ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues

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You are a corporate compliance officer for a hospital.  You are also a feature writer for The Medical Reporter, an online health magazine.  The editor asks you to write an 8-10 page feature story about the steps you should take when fraud and abuse cases are reported to a facility. This is very timely as you recently received a call on your “hotline” regarding a potential fraud and abuse issue.  The caller indicated that Dr. Greedy was billing for services that had not been provided.  You are in danger of losing reimbursement for Medicare and Medicaid programs if this behavior is not stopped.   Your feature should address the ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues.  Your research should include the following aspects:

  1. How to conduct an investigation.  It should include the following elements:
    1. Reviewing the initial complaint: What are the items you should look for in a compliant to determine validity?
    2. Notifying the appropriate upper management of the complaint unless they are implicated in the complaint: What are the steps to take to determine who is involved?
    3. Obtaining additional information as necessary and developing a plan for the investigation:  What other items are important to the investigation? Ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues
    4. Conducting interviews with staff, residents and/or management: Delineate the types of questions to ask in the interview.
    5. Determining if the allegations are substantiated or unsubstantiated: Identify criteria to determine if substantiated or unsubstantiated.
  2. How to develop a correction action plan. The plan may suggest:
    1. A recommendation for a subsequent audit or follow-up to the complaint and determination of when this is necessary.
    2. A recommendation to refund any overpayments to federal government, insurance company or individual payer and when that may be the best course of action.

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By the due date assigned, deliver your assignment to the Submissions Area.

Use the following file naming convention: LastnameFirstInitial_M5_A1.doc.

Assignment 1 Grading CriteriaMaximum PointsDiscussed the process for reviewing the initial healthcare fraud and abuse complaint and the items to look for to determine validity. Ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues

-Explained the steps to take to determine who is involved in the complaint.32Discussed how to obtain additional information to develop a plan for the investigation and the items, which would be important to the investigation.-

-Explained how to conduct interviews with staff, residents and/or management and the types of questions to ask in the interview.-

-32Identified the criteria to determine if the allegations are substantiated or unsubstantiated.32Explained how to determine when a recommendation for a subsequent audit or follow-up to the complaint is necessary.

-Discussed the best course of action when a recommendation to refund any overpayments to federal government, insurance company or individual payer is warranted.

-Written Components: Style (8 points): Tone, audience, and word choice Organization(16 points): Introduction, transitions, and conclusion Usage and Mechanics (16 points): Grammar, spelling, and sentence structure APA Elements (24 points): In text citations and references, paraphrasing, and appropriate use of quotations and other elements of style. Ethical and moral components that healthcare providers and healthcare facilities face with fraud and abuse issues