Chronic Back Pain

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Chronic Back Pain

Patients frequently present with complaints of pain such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain. Typically, for this type of pain, narcotic drugs are often prescribed. This can pose challenges for you as the advanced practice nurse prescribing the drugs. While there is a process for evaluating back pain, it can be difficult to assess the intensity of a patient’s pain because pain is a subjective experience. Only the person experiencing the pain truly knows whether there is a need for drug treatments. This makes it important for you, as the prescriber, to watch for red flags and warning signs of abuse. In this Discussion, you explore the ethical implications of prescribing narcotics to patients with chronic back pain Chronic Back Pain.

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To prepare:

•Review this week’s media presentation on evaluating back pain, as well as Chapter 15 of the Buttaro et al. text in the Learning Resources. Reflect on the evaluation process for a patient with a history of back pain.

•Consider how you might evaluate a patient that presents with back pain. Think about potential red flags and warning signs of drug abuse.

•Reflect on the ethical implications of prescribing narcotics for chronic back pain.

•Think about what you would prescribe and why.

Post  1 to 2 page  paper on:  A  description of how you might evaluate a patient who presents with back pain. Then, describe potential red flags and warning signs of drug abuse. Explain the ethical implications of prescribing narcotics for chronic back pain. Finally, explain what you would prescribe for patients and why.

References

Readings

•Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby.

◦Part 2, “Primary Care: Adolescence Through Adulthood”

 ◾Chapter 15, “Chronic Pain” (pp. 96–101)

◦Part 15, “Evaluation and Management of Musculoskeletal and Arthritic Disorders” (pp. 887–983) Chronic Back Pain

Long-Term Care Reimbursement

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Long-Term Care Reimbursement

The federal and state governments are the largest payers of health care services in the United States. The largest federal programs are the Medicare and Medicaid services.

Using the information from the textbooks, lectures, and Internet resources, provide a brief summary of Medicare and Medicaid services in a 3- to 4-page Microsoft Word document. To get up-to-date information on the programs, review the information shared on the following websites :

In your summary, include the following points Long-Term Care Reimbursement:

  • An overview of the different Medicare and Medicaid services
  • The population covered under Medicare and Medicaid services
  • The services of long-term care covered under Medicare and Medicaid, including the restrictions placed on them

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Support your responses with examples.

Cite any sources in APA format.

Regulations in Long-Term Care

There are many federal and state regulations when it comes to long-term care. Using the South University Online Library and the Internet, research any four specific regulations related to long-term care and summarize them.

Based on the regulations you identified, respond to the following questions:

  • What are the benefits and shortcomings of your identified regulations? Which of these shortcomings have an effect on the quality and the cost of health care services? How?
  • Do you believe there is a link between regulations and better care? Why or why not?
  • Why do you think long-term care services are subjected to so much external control by government agencies? Provide a rationale for your responses.
  • How is quality measured in long-term care? Is there only one, or are there several approaches to measure quality? What are they? Who should be given the responsibility to measure quality? Long-Term Care Reimbursement

Charismatic Leader

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Charismatic Leader

7.1 Presentation: Charismatic Leader Case Study Select a real or fictitious leader for a charismatic leadership case study presentation. Avoid obvious choices such as Gandhi, MLK, JFK, or other well-known charismatic leaders. Originality counts! Using the following guidelines, post a case study presentation the charismatic leader you select. The presentation should be no more than 9 slides not including the title slide, Title Slide: Include a title for your case study and your name. Slides 1-2: Introduce the charismatic leader you selected and provide a brief background on his or her main leadership role and a defining moment in the leader’s career (i.e., military leader/WWII/defining moment, political leader/era/defining moment, community leader/cause/defining moment, etc.). Slide 3-4: Summarize one main concept from the readings on Charismatic Leadership and apply it to the case. Define terms and summary concepts Slides 5-7:

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Explain how and why this concept applies to the leader in this case study. Provide specific examples. Slide 8: Summary/Implications: Explain how information gained from this case study can be used in real life leadership situations. Slide 9: References 9 slides max. Include citations within the presentation Charismatic Leader. 

7.2 Application: In 2-3 paragraphs, discuss how you will apply what you have learned from the article. How will information from the article change the way you approach a situation, project, or discussion related to this topic at work? Be specific. ( use this article) Sauer, S. J. (2011). Taking the reins: The effects of new leader status and leadership style on team performance. Journal of Applied Psychology, 96(3), 574-587 Charismatic Leader.

NURSING PRESENTATION

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Part One of your Course Project is due in Module 06; however, you should work on this project throughout your lab.

Part One: 
Using the Disease/Condition List provided below, choose 10 different diseases and create a Word document that contains the following information:

  • List the name of the specialist for the disease
  • Explain what body system is involved
  • Explain what the disease is in 1-3 sentences
  • Explain what classifications of medications are commonly used
  • List 1-3 commonly used Trade Name medications
  • List any side effects of the medication
  • Define and explain any patient teaching you would include in your discharge teaching.
    • This would include side effects of the medication the patient should watch for, changes in diet, when to take the medication, and are there any routine labs that need to be monitored while on the medicine.

PART 2. PRESENTATIONS

POWERPOINT 13 SLIDE NEEDED  WITH PHOTOS . AND ALSO REFERENCES

TITLE: GLAUCOMA

Policy Analysis Paper [Major Assessment 2]

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In previous Discussions and Application Assignments, you have examined various aspects of the policy process: exploring the unintended consequences of policies, agenda setting, and analyzing policy recommendations. In this Application Assignment, you will have the opportunity to further develop your analysis skills by working through the policy analysis process. To be an effective agent for social change, you must be able to logically and critically analyze policy from multiple perspectives and contexts and then present your insights in a succinct and professional manner. This exercise will afford such an experience.

For this Application Assignment, you will examine a particular policy of interest to you (perhaps the one you selected for this week’s Discussion), and apply a policy analysis framework to understand the impact associated with the implementation of the policy. You will then develop a policy analysis paper, which is due the end of Week 11. This paper will also serve as your Major Assessment for this course.

To prepare:

Select a health care policy and a policy analysis framework to utilize for this Application. You may use the policy and framework you identified in this week’s Discussion or change your selection.  I introduced a policy that would include breastfeeding and breast milk as a “point” in patient acuity in the neonatal intensive care. Nurses are assigned to patients according to their acuity score.  Breastfeeding mothers or breast milk for feeding are not considered and yet it takes a lot of time, more than giving blood yet blood is accounted for in the acuity and not breast milk or breastfeeding.  You get the picture. 

To complete:

Write an 8- to 10-page analysis paper (including references) in which you succinctly address the following:

·  Part 1:

·  Define the policy issue.

·  How is the issue affecting the policy arena?

·  What are the current politics of the issue?

·  At what level in the policy making process is the issue?

·  Part 2: Apply a policy analysis framework to explore the issue using the following contexts:

·  Social
Ethical

·  Legal

·  Historical

·  Financial / economic

Theoretical underpinnings of the policy

Include in this section:

·  Who are the stakeholders of interest?

·  Is there a nursing policy/position statement on this health care issue? If so, who developed it?

Part 3: Policy options/solutions

·  What are the policy options/solutions for addressing the issue? Include at least three levels of options/solutions: no change; partial change; radical change or maximum change.

·  What are the theoretical underpinnings of the policy options/solutions?

·  What are the health advocacy aspects and leadership requirements of each option?

·  How does each option/solution provide an opportunity or need for inter-professional collaboration?

·  What are the pros and cons of each suggested change? Include the cost benefits, effectiveness, and efficiency of each option along with the utility and feasibility of each option.

·  Part 4: Building Consensus

·  Outline a plan for building consensus around your recommended option/solution for solving the policy issue.

·   

·  Part 5: References

·  Limit your references so this section is no more than 2 pages. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in- text citations and reference list are correct.

Discuss how institutional racism has been enacted and perpetuated throughout Australia

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Aboriginal and Torres Strait Islander Peoples' Well-Being Assignment – Cultural Safety Essay

Read – The vision of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023.

References – Australian Government. (2013). National Aboriginal and Torres Strait Islander Health Plan 2013-2023.

Learning outcomes –

1. Apply the principles of cultural safety to the context of Aboriginal peoples' and Torres Strait Islanders' health and well-being to analyse and advance your current position on the continuum of cultural safety.

2. Describe historical, social, and political issues and how they inform current experiences of health and well-being, in order to realise their significance as determinants of current health and well-being of Aboriginal peoples and Torres Strait Islanders.

3. Discover the everyday experiences of Aboriginal peoples and Torres Strait Islanders that inform their health care and describe how effective partnerships with individuals, families, and communities enables the sharing of experiences and perspectives.

Respond to the follow assessment tasks:

Step 1- Demonstrate your understanding of the following key concepts.

a) Compare and contrast personal racism and systemic/institutional racism (150 words).

b) Briefly discuss the power dynamics associated with the concept of whiteness and describe how it may relate to contemporary nursing practice in Australia (150 words).

c) Compare and contrast the concepts cultural safety and cultural competency (200 words).

Step 2 – In accordance with the 5Rs of Reflection Framework, report on one of the prescribed readings (from Week's 1-5) that grabbed your attention, and then describe your response to this prescribed reading (100 words).

Step 3 – Discuss how institutional racism has been enacted and perpetuated throughout Australia's history, particularly in regards to Indigenous peoples' access to adequate health care, education and employment. Describe how these actions relate to the concept of white privilege (400 words).

Step 4 – Discuss how culturally safe nursing practice does address personal and institutional racism that impact on Aboriginal and Torres Strait Islander peoples' access to health care. (300 words)

Step 5 – In accordance with the 5Rs of Reflection Framework, reflect on the transformation of your understanding regarding the role of nurses in addressing the health needs of Aboriginal and Torres Strait Islander peoples in a culturally safe way. Consider how your knowledge and understanding has developed through your engagement with the learning material and activities (i.e. the required and recommended readings, videos, lectures and tutorial material and activities) (500 words).

Your task is to report, respond, relate, reason and reconstruct your understanding of your role in ensuring culturally safe nursing care for Aboriginal and Torres Strait Islander peoples.

Length: 1800 words.View less »

Health Insurance and Quality

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Health Insurance and Quality

Imagine that you are the clinic manager of an urgent care center. Recently, your center has seen an increase in complaints regarding long wait times, inadequate or incomplete information from staff during visits, and the relatively small number of insurance types accepted at the facility.

Write a 2-3 page paper in which you:

  1. Examine at least three (3) examples of quality initiatives that could increase patient satisfaction and potentially reduce healthcare cost. Support your response with examples of the successful application your chosen quality initiatives.
  2. Defend your position on the decision to accept Medicare or Medicaid as potential pay sources for your urgent care center. Provide support with at least two (2) examples that illustrate your position.
  3. Use at least two (2) quality references. Note: Wikipedia and other Websites do not qualify as academic resources Health Insurance and Quality.

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Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Analyze the impact of healthcare financing and health insurance on healthcare access, quality, and cost.
  • Determine the factors that affect healthcare quality in healthcare organizations.
  • Use technology and information resources to research issues in healthcare policy, law, and ethics.
  • Write clearly and concisely about healthcare policy and law using proper writing mechanics Health Insurance and Quality.

Identify managerial issues related to the health care industry.

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Identify managerial issues related to the health care industry.

Assignment 2: Organization and Management of a Health Care Facility

Due Week 7 and worth 200 points

Your duties at 21st Century Solutions Health Care Hospital require you to interface with many different professionals, including physicians, nurses, and allied professionals in various areas of health care. The facility also has a new information technology management center, which handles all professional staffing solutions within the hospital. As part of the management protocols, the hospital has tasked you with tracking professional certifications, tracking legal issues within the hospital, and providing detailed monthly reports on the general functionality of the health administration department Identify managerial issues related to the health care industry..

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a six to eight (6-8) page paper in which you:

  1. Provide a detailed summary of your hospital’s organizational structure. Include a tabulated description of the levels of professionals within the organization. Describe the duties of each major head within the organization.
  2. Provide a detailed hypothetical mission and value statement for the hospital. Provide a rationale for the development of your particular mission and value statement.
  3. Outline a detailed feasibility plan for the hiring of nurses, physicians, and allied professionals. Provide a rationale for the chosen plan, and explain the main reasons why the plan in question would be suitable for use with different health care professionals.
  4. Justify the use of information technology to increase patient services. Provide a summative table of some pros and cons of using information technology in an era of networking and security breaches.
  5. Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.

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Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Identify managerial issues related to the health care industry.
  • Identify a plan that addresses legal and ethical issues in a health care policy.
  • Use technology and information resources to research issues in health care policy, law, and ethics.
  • Write clearly and concisely about health care policy, law, and ethics using proper writing mechanics.

Click here to view the grading rubric for this assignment Identify managerial issues related to the health care industry..

Identify managerial issues related to the health care industry.

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Assignment 2: Organization and Management of a Health Care Facility

Due Week 7 and worth 200 points

Your duties at 21st Century Solutions Health Care Hospital require you to interface with many different professionals, including physicians, nurses, and allied professionals in various areas of health care. The facility also has a new information technology management center, which handles all professional staffing solutions within the hospital. As part of the management protocols, the hospital has tasked you with tracking professional certifications, tracking legal issues within the hospital, and providing detailed monthly reports on the general functionality of the health administration department.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a six to eight (6-8) page paper in which you:

  1. Provide a detailed summary of your hospital’s organizational structure. Include a tabulated description of the levels of professionals within the organization. Describe the duties of each major head within the organization.
  2. Provide a detailed hypothetical mission and value statement for the hospital. Provide a rationale for the development of your particular mission and value statement.
  3. Outline a detailed feasibility plan for the hiring of nurses, physicians, and allied professionals. Provide a rationale for the chosen plan, and explain the main reasons why the plan in question would be suitable for use with different health care professionals.
  4. Justify the use of information technology to increase patient services. Provide a summative table of some pros and cons of using information technology in an era of networking and security breaches.
  5. Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Identify managerial issues related to the health care industry.
  • Identify a plan that addresses legal and ethical issues in a health care policy.
  • Use technology and information resources to research issues in health care policy, law, and ethics.
  • Write clearly and concisely about health care policy, law, and ethics using proper writing mechanics.

Click here to view the grading rubric for this assignment.

LEADERSHIP STYLE

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LEADERSHIP STYLE

Write a description of a leader, distinguishing his or her style as authoritative, democratic, or laissez-faire. Describe the characteristics that inform your perception, and explain which ones you would integrate into your own leadership style, as well as which ones you would prefer not to integrate. Explain at least one potential effect of this leadership style on health care quality and patient outcomes.

Throughout your career, you will work with many people who display differing leadership styles. As a nurse leader, it is imperative that you communicate well and get along with those whose leadership style does not align with your preferences. It is also important to understand your own leadership style, as this can prompt insight into how others relate to you and what skills you may need to develop as your leadership responsibilities grow LEADERSHIP STYLE.

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To prepare:

  • Review the information in the Learning Resources, including the leadership styles identified in Chapter 2 of the course text.
  • Bring to mind a leader in your organization or one with which you are familiar. Would you describe his or her style as authoritative, democratic, or laissez-faire? Why?
  • Which characteristics or approaches demonstrated by this person would you integrate into your own leadership style? Which ones would you prefer not to integrate?
  • Think about how this leader’s style and resulting interactions may impact health care quality and patient outcomes.

On the Week 9 Discussion Board, post on or before Day 3 a description of a leader, distinguishing his or her style as authoritative, democratic, or laissez-faire. Describe the characteristics that inform your perception, and explain which ones you would integrate into your own leadership style, as well as which ones you would prefer not to integrate. Explain at least one potential effect of this leadership style on health care quality and patient outcomes LEADERSHIP STYLE.