Discussion: Drug Treatments For HIV/AIDS

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While HIV/AIDS is still currently incurable, the prognosis for patients with this infectious disease has improved due to advancements in drug treatments. Consider the case of Kristy Aney. Kristy was diagnosed with HIV in 1992 and was told she would survive, at most, 10 more years. Despite unfavorable odds, Kristy is still alive 20 years later. Since her diagnosis, she has witnessed tremendous improvements in HIV/AIDS treatments which have helped patients live longer with fewer side effects. While she acknowledges that these drug treatments have kept her alive, she fears that improvements in drug therapy have led to more people becoming complacent about the disease (Idaho Statesmen, 2012). In fact, the number of people living with HIV/AIDS in the United States is higher than it has ever been (CDC, 2012). This poses the question: Is there a relationship between drug advancements, societal complacency, and infection?

To prepare:
  • Review Chapter 49 of the Arcangelo and Peterson text, as well as the Krummenacher et al. and Scourfield articles in the Learning Resources.
  • Reflect on whether or not the prevalence of HIV cases might be attributed to increased complacency due to more advanced drug treatment options for HIV/AIDS.
  • Consider how health care professionals can help to change perceptions and make people more aware of the realities of the disease.
  • Think about strategies to educate HIV positive patients on medication adherence, as well as safe practices to reduce the risk of infecting others.

With these thoughts in mind:

By Day 3

Post an explanation of whether or not you think the prevalence of HIV cases might be attributed to increased complacency due to more advanced drug treatment options.Then, explain how health care professionals can help to change perceptions and increase awareness of the realities of the disease. Finally, describe strategies to educate HIV positive patients on medication adherence, as well as safe practices to reduce the risk of infecting others.

Needs 3 reference sources above 2013 in APA.

Quality Improvement Milestones

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Throughout history, major events have influenced quality improvement efforts in health care. For example, the Institute of Medicine’s report To Err is Human: Building a Safer Health System revealed statistics about errors in patient safety that result in thousands of deaths annually. Health care providers must be cognizant of the purpose and philosophy of quality improvement efforts as they lead the charge for improving health outcomes and patient safety. This Discussion is intended to help you understand how various developments have shaped contemporary perspectives and approaches to promoting health care quality.

By tomorrow 11/28/17, write a minimum of 550 words essay in APA format with 3 references from the list below which addresses the level one headings as numbered below:

Post a cohesive scholarly response that addresses the following:

When “To Err is Human” was published in 1999, it marked an important milestone in Quality Improvement Science.

1) Analyze how this milestone has influenced the health care delivery system and nursing practice.

2) Provide an example from your own work history and experience as to how the patient safety movement has affected your practice. 

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

  • Chapter      1: “Healthcare Quality and the Patient”
  • Chapter      2: “Basic Concepts of Healthcare Quality”

Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press. 

Executive summary: Released in 1999, this groundbreaking report provides the rationale for implementing comprehensive improvements in patient safety, an important subset of health care quality. Although only the executive summary is required this week, you are strongly encouraged to read additional sections of this report as you proceed through the course.

Institute of Medicine, Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. 

Executive summary: This report was published by the Institute of Medicine in 2001 to highlight the significant gap between the state of health care quality and where it should be. The report draws attention to the need to improve the U.S. health care delivery system as a whole, and identifies six areas for improvement: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Although only the executive summary is required this week, you are strongly encouraged to read additional sections of this report as you proceed through the course.

Wachter, R. M. (2010). Patient safety at ten: Unmistakable progress, troubling gaps. Health Affairs, 29(1), 165–173.

This article presents an analysis of progress in patient safety since the publication of the IOM report, To Err is Human. As you read this article, evaluate the author’s critique, and consider recent developments that continue to shape patient safety efforts in health care.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Concepts of quality and patient safety. Baltimore: Author. 

This video examines the recent history of the quality improvement movement, including two pivotal IOM reports, To Err is Human and Crossing the Quality Chasm. Dr. Donald Berwick introduces six dimensions of quality: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Other topics addressed include transparency, the prevention of adverse events, and the usefulness of international comparisons for quality assessment and improvement.

Prenatal Health

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Write a 2-3 page APA formatted paper (not including cover sheet or reference page) utilizing a minimum of three resources based on the case scenario below. 

You may opt to do a power point presentation or Prezi with a minimum of 10 – 15 slides (not including cover sheet or reference slide) instead of the written paper. 

Scenario: A gravida two, para-one 34 year old woman comes into the office for pre-natal care. She is 28 weeks pregnant. Her blood pressure is 160/90 with a weight of 220 lbs and a height of 5’1. Her previous blood pressure at her visit 4 weeks ago was 122/ 78. Her previous weight was 210 lbs. She reports a history of gestational diabetes. Her fasting glucose is 108 with an A1C of 6.0. 

What focused assessments would you expect the practical nurse to perform? What important data would need to be communicated to her health care team?

Spelling and grammar is correct throughout the presentation. APA format is consistently done and correct. All information is referenced throughout the body of the presentation. Uses a minimum of 3 credible references.

1

Discusses the significance of blood pressure. What will be reported based on this finding? What condition are you looking for? How urgent is the reporting of this problem? 

2

Discusses the significance of the blood glucose finding. Outline what other focused assessments will be made based on this finding. What will be reported based on this finding? What condition are you looking for? 

-Briefly discuss the common findings of pregnancy induced hypertension (PIH), and nursing care and management of this disorder.

-Briefly discuss the common findings of gestational diabetes mellitus (GDM), and nursing care and management of this disorder.

-Includes SBAR report for this patient

Spiritual Needs Assessment And Reflection

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This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Review The Joint Commission resource found in topic materials, which provides some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include a minimum of five questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

  1. What went well?
  2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?
  3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?
  4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript does not figure into the word count.

Prepare this assignment according to the guidelines found in the APA Style Guide,

Organizational Risk Management Interview

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Select a health care organization in your community to conduct an interview with an appropriate risk management employee. The organization can be your current employer, or a different health care facility in your community. Acute care, urgent care, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. (MUST BE WITHIN MARYLAND). 

Make sure to select an individual who can provide sufficient information regarding how that organization manages risk within its facility to answer the questions below.

In your interview, address the following:

  1. Identification of the challenges the organization faces in controlling infectious diseases.
  2. Risk management strategies used in the organization’s infection control program, along with specific      examples.
  3. How the facility’s educational risk management program addresses key professional issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
  4. Policies the facility has  implemented that address managing emergency triage in high-risk areas of health care service delivery.
  5. Strategies the facility utilizes to monitor and maintain its risk management program.

Post-interview, compose a 1,000 word summary analysis of the interview to include the questions above as well as the following elements:

  1. A brief assessment of the organization’s risk management program, including what works well and what      could work better (the pros and cons).
  2. Action steps you would take to improve the program. Select one area and provide your rationale and possible steps required to implement your suggestion.

Cite appropriate references as needed to support your statements and rationale. MINIMUM OF 3 REFERENCES

Prepare this assignment according to the guidelines found in the APA Style Guide.

Nutrition Intervention for Patient with Cancer

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Assignment Overview

After reading the case study below, you will provide the patient with suggestions to increase his intake to prevent weight loss and muscle wasting. Please refer to the Grading section of this document for the distribution of these points. You will also find Writing Guidelines at the end of this document that will assist you in meeting the expectations for writing your care plan.

This assignment is intended to explore basic nutritional principles such as energy requirements, sources, and uses. Additionally, you will formulate nutritional assessments and describe nutritional requirements corresponding to specific disease states. You will also examine how effective nutritional counseling is contingent upon collaboration, organization, and concurrence among the members of the health care team.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· Please review the following case study:

Case Study:

Steve Palmer has been undergoing chemotherapy for liver cancer. In the past 3 months, Mr. Palmer has lost 25 pounds from his pre-cancer weight of 190 lbs. He is 6 ft 2 inches tall. He reports decreased appetite, nausea, vomiting, and dry mouth. He reports feeling full quickly and extreme fatigue. His oncologist refers him to you for suggestions on increasing his food intake.

· Use your textbook to respond to the following questions (provide your responses in the Assignment Worksheet section on page 3)

· Submit the Week 8 Assignment via Blackboard by clicking on the “Week 8 Assignment” link.

· Include the proper file naming convention: SCI115_wk8_assn_jsmith_mmddyyyy.

Grading:

Gradable items in assignmentPoints
Identify the main objectives for nutrition intervention in cancer patients15
Calculate nutrient needs for protein, calories, and fluid10
Discuss dietary suggestions for decreased appetite and nausea5
Discuss dietary suggestions for xerostomia5
Adhere to Writing Guidelines (see below).5
Total Points40

Assignment Worksheet:

· What are the main objectives in nutrition intervention for cancer patients?

[Write your answer here]

· What are Mr. Palmer’s protein and energy requirements? What are his fluid requirements?

[Write your answer here]

· List 3 dietary suggestions to address decreased appetite and nausea.

[Write your answer here]

· List 3 dietary suggestions to address dry mouth (xerostomia).

[Write your answer here]

What are health data standards and how do they relate to your role as an informaticist?

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TO PREPARE: What are health data standards and how do they relate to your role as an informaticist? Health data standards are the agreed upon representations of nursing data. From the coding of medical processes to documentation formats and terminology definitions, health data standards help to align nursing language. Being knowledgeable in health data standards is imperative to the data aggregation and informatics system selection process. It is the informaticist’s responsibility to not only understand the nursing domains of each standard, but also to be educated on the standards development organizations (SDO) that create, maintain, and approve these standards. •Review the health data standards presented in this week’s Learning Resources. (THIS IS THE LINK TO THE STANDARDS : http://www.phdsc.org/standards/health-information/D_Standards.asp ) •How does each provide a framework to align the terminologies and data sets used in health care settings? •Reflect upon your current health care setting. •Does your setting currently use any of the standards outlined by a specific organization? Why? •How might standards impact the documentation processes of your setting? Furthermore, which standards might most apply to you in your work as a nurse? DIRECTIONS: WRITE a description of the health data standards your setting uses and how these standards impact documentation and your specific nursing role. Explain how standard development organizations impact your health care setting.

EXPLAIN THE RELATIONSHIP BETWEEN FAMILY SYSTEMS AND HEALTHY DEVELOPMENT.

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This week you have a short essay to write (approximately 600 words). Please include the word count in your essay. The focus of this essay is about the relationship between family systems and healthy development. There should be 2-3 scholarly references. Please read the instructions carefully for this assignment. Essay 1 Instructions Family Systems Explain in detail (using your readings/presentations from this module/week to support what you say) the relationship between family systems and healthy development. How can one discern a healthy family system? What are the determining factors that distinguish healthy family systems? Discuss the effects of an unhealthy family system on development. Give details on family systems and how they affect physical (neural), emotional, spiritual, and social development. Reference Feldman, R. S. (2014). Development across the life span (Custom 7th ed.). Boston, MA: Pearson. ISBN: 9781269621984. 100% Plagiarism free

COMPARE THE USE OF PRINT MEDIA AND THE INTERNET IN THE PROMOTION OF HEALTHCARE SERVICES.

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Part 1: Promotion of Healthcare Services In recent years, promotions have become an important part of healthcare strategy. Promoting a service is often very different than the promotion of a product. Equally important is the medium through which you promote your service, whether it is in person; online or through traditional promotional avenues, promotion has become a critical aspect of a marketing strategy. Compare the use of print media and the Internet in the promotion of healthcare services. What are the advantages and disadvantages of each? Explain. Part 2: How HIPAA works with strategy? In 1996, the Health Information Portability and Accountability Act was put into effect. This legislation profoundly changed the way the healthcare industry work in the United States. As such, healthcare organizations have had to create and change their strategies around this landmark legislation. Discuss the Health Information Portability and Accountability Act of 1996 (HIPAA) and the impact it has had on the exchange of data that includes health-related patient information.

Strategic human resources management aligns human resource practices with the strategic objectives of an organization. Successful health care managers need to understand how human resource functions can be utilized to fulfill their organization’s mission and goals,

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Strategic human resources management aligns human resource practices with the strategic objectives of an organization. Successful health care managers need to understand how human resource functions can be utilized to fulfill their organization’s mission and goals, such as the promotion of high-quality care, a customer-service orientation, and financial viability. In addition, today’s health care environment requires that organizations demonstrate the value-added for the services they provide—and this includes those related to human resources management. The traditional approach to evaluating HR services has been based on productivity, volume, and efficiency measures. Such measures include the percentage of people who participated in a training program, time to fill a position, and cost per hire. These are valid measures but only capture part of the HR role. In current thinking, the HR department should not only work efficiently and productively, but also should add value to the organization. This means that the work of HR begins with the concerns of the business. And while HR groups typically see themselves as responsive to internal customers, a value-added approach means that HR needs to be aligned with internal and external stakeholders and be a source of competitive advantage for the organization. In preparation for this Discussion, review this week’s Learning Resources and consider the following: Based on your experiences and the information presented in the Learning Resources (particularly the article “Why We Hate HR”), how would you assess the HR function in most health care organizations? Is it closer to the negative or the positive view of HR? Why does HR often have a negative reputation? What have you learned in previous courses or through your professional experiences that informs your understanding of strategic human resources management? What do you see as your current or future responsibility for ensuring that an organization’s human resources practices align with its mission and objectives? How do you think the efficiency, productivity, and/or value added by HR services should be assessed? What types of metrics would you suggest be used? Why? Post by Day 4 a response to the following: Share key insights you have gained about the impression (positive, negative, or mixed) that you and others have of human resources management. Also, explain what factors might be contributing to this perception. Describe how you view your current or future responsibilities for promoting strategic human resources management within health care. Analyze two metrics and indicate how each could be used as an indicator of HR efficiency, productivity, and/or value added.