challenge facing ambulatory surgery centers

UMUC HMGT300Assignment USHCS Perspectives: Stakeholder

Select and investigate a stakeholder organization from the list below. Post your selection in the Assignment #1 Discussion section so that your fellow students are aware of your choice. Only one student per Stakeholder Organization!

In this assignment students will gain expertise in identifying and analyzing the role of stakeholders in the U.S. Health Care Sector, examining the health care sector from the perspective of stakeholders, and examining the leadership and management of a stakeholder organization.

This assignment calls for a 3-5 page report (not including title page or reference page). The student should address the following:

Name and provide a brief overview of the stakeholder organization. Identify and describe the key health care issue the stakeholder is influencing, who is being represented by the stakeholder, the desired impact of the stakeholder on the issue and what the stakeholder’s members or constituents stand to gain if the desired outcome is achieved.

Identify and explain the stakeholder organization perspective: Payer (insurers, government payers, and employers); Provider (entities and individuals providing services in the health care system); Patient (consumers); or Producer (a product developer) could also be examined in this assignment.

Identify an organization that the stakeholder partners with OR an organization that opposes the stakeholder and describe their perspective on the same issue.

Identify the most senior leader of the organization. Describe his or her educational and positional background. Identify the duties and responsibilities of this leadership position and why this position is important to the stakeholder organization and healthcare as a whole. Describe the knowledge and skills this position requires, list some of the other the stakeholders this individual would work with and describe the nature of the stakeholder relationships. Describe the impact a person in this career might have in improving the health care system.

As is the case with all academic papers, a well-organized paper will have a clear introduction to the topic, a body, and a conclusion or summary paragraph. In addition, a well-written paper will have minimal grammar, spelling, or sentence structure mistakes and it will fully conform to all APA formatting standards.

Select an organization to investigate from the list below:

• Robert W. Johnson Foundation www.rwf.org

• Health Care Management Foundation www.hcmf.org

• National Association for Health Care Quality www.nahq.org

• Kaiser Family Foundation (Health Reform Source) http://healthreform.kff.org/

• Institute of Medicine www.iom.edu

• American Association of Healthcare Administrative Management www.aaham.org/

• Office of the National Coordinator for Health Information Technology

• American Medical Association www.ama.org

• National Association of Dental Laboratories NADL www.nadl.org/

• Food & Drug Administration (FDA) www.fda.gov

• Pharmaceutical Researchers and Manufacturers of America (PHARMA) www.phrma.org/

• The Brookings Institution- health http://www.brookings.edu/research/topics/health

• National Mental Health Association www.thenationalcouncil.org/

• The American Association of Physician Specialists www.aapsus.org/

• Medical Device innovation, Safety & Security Consortium (www.mdiss.org

• AARP-Health www.aarp.org

• Centers for Medicare and Medicaid Services (select a topic)

• Public Health Department (state or local level)

• Children’s Health Insurance Program (state)

• National Business Coalition on Health

• American Academy of Physician Assistants (AAPA) www.aapa.org/

• Patient-Centered Primary Care Collaborative (www.pcpcc.net)

• America’s Health Insurance Plans www.ahip.org

• National Conference of State Legislators (choose issue)

• Healthcare.gov (choose Medicaid or Medicare)

• National Association of Healthcare Access Management www.naham.org/

• American Health Information Management Association www.ahima.org/

• Alliance for Advancing Nonprofit Health Care www.nonprofithealthcare.org

•Health Care Administrators Association www.hcaa.org/

• Pharmacy Quality Alliance www.pqa.org

• Special interest group on Behavior health www.pcpcc.net/behavioral-health

• Population Health Alliance http://www.populationhealthalliance.org

• National Coalition on Care Coordination

• National Association of Area Agencies on Aging http://www.n4a.org/

• The Alzheimer’s Association http://www.alz.org/about_us_about_us_.asp

• Health Insurance Counseling and Advocacy Program https://www.aging.ca.gov/hicap/

• National Health Care for the Homeless http://www.nhchc.org/

• Immunization Action Coalition http://www.immunize.org/hcw/

• National Products Association http://www.npainfo.org/

• Healthy Americans: Wellness and Prevention in Health Reform http://healthyamericans.org/pages/?id=271

• Corporate Health & Wellness Association http://www.healthandwellnessassociation.com/

• US Food & Drug Administration- FDA Adverse Event Reporting Systems http://www.fda.gov/Safety/MedWatch/default.htm

• Mental Health Association of America http://www.nmha.org/

• Mobile Health Interlink http://www.healthinterlink.com/about.html

UMUC HMGT300Assignment # 2 Diagram The Health Care System: Linkages & Alliances

Organizations operating in the U.S. Health Care Sector (USHCS) are a part of a larger system of services. Identify a health care delivery organization, note how that organization is linked to other health care organizations in the delivery system. Every organization has a source of referral and a place they release their patients.

For this assignment, you will explore linkages and alliances. To this end, your paper should include:

A Title page

A 2-3 page (double spaced) description of the organization;

graphical representation of the linkages between the organization and other organizations/stakeholders. If you do a Google image search for organizational linkages, you will see plenty of examples of how they might look. You are not required to use a specific type of graphical representation; the key is to be able to understand the relationships between organizations by looking at your linkage graphic;

A properly formatted reference page.

As is the case with all academic papers, a well-organized paper will have a clear introduction to the topic, a body, and a conclusion or summary paragraph. In addition, a well-written paper will have minimal grammar, spelling, or sentence structure mistakes and it will fully conform to all .

UMUC HMGT300Assignment #4 Final Project-AMBULATORY SURGERY CENTER CASE STUDY

In the final project, students will apply the knowledge gained in this course to a case example.

Each student will select one of the scenarios below and develop a 10-12 slide PowerPoint presentation to discuss the current status of the organization, provide an overview of the organization, and make recommendations on how to manage the selected problem. You must include one or more slides that address the degree to which the Affordable Care Act might impact these services. Use APA formatting references and your reference slides. For this presentation, your title slide does not have to be in APA format.

Info on ASC’s here:

http://www.ascassociation.org/

SCENARIO OPTIONS. Pick one of the scenarios below. Your role is the manager in charge of an ambulatory surgery center (ASC). Restate the problem you are addressing. Make some logical assumptions. Make brief recommendations as to a reasonable solution to the problem in the scenario.

POINT OF CLARIFICATION: You will use an established independent ASC for either of the four scenarios listed below. Your presentation should be drafted as the administrator of the surgery center working to address one of the four scenarios. In your response, please be sure to address all components of the scenario.

1) One of the greatest challenges facing ASCs is maintaining and increasing volume. With all the external pressures, i.e. physicians pressured to become employees, mergers, decreasing payments from insurers, etc. – ASCs are challenged to keep physicians motivated to increase the number of cases and keep patients satisfied.What are some strategies you would use to increase referrals to your ASC while maintaining high patient satisfaction scores?

2) Another challenge facing ambulatory surgery centers is the recruitment of new physicians. Following a national trend, many local hospitals and health systems are purchasing physician practices, which could eventually lead to doctors referring surgical cases to a hospital’s same day surgery department. Assuming there is ample opportunity to increase surgical volume, how do you intend to recruit physicians to practice via your ASC? What are some strategies/offerings you could employ?

3) The ASC you are currently managing is experiencing out of network challenges. Additionally, the proposed reimbursement rates from payers do not match Medicare rates for your market. Most of your ASC contracts are based on the Medicare fee schedule and because many of your surgeries are not on that schedule, you have to negotiate a fee schedule on a case-by-case basis. What strategies could you employ as you work with payors to contract for reasonable rates that could save you both money in the short term?

4) In this changing environment, you are required to do more with less. Reimbursement rates are declining; supply and implant costs, taxes, utilities, rent, salaries and benefits and other operating costs are increasing and there are more regulatory requirements i.e., increased standards for accreditation (Joint Commission's additional requirements as an example), ICD-10, adoption of an EHR, etc. Additionally, your staff is wearing multiple hats; many working to register, bill, code, schedule and assist with back house operations. What strategies and tools can you implement to increase productivity, reallocate resources and boost employee morale?

Reengineering health care assignment

Reengineering health care assignment

Comment1.          Nurse managers and leader’s role in reengineering health care is by being advocates for patients and staff, as well as making sure the hospital’s environment is calm and functioning smoothly. “Advocacy is a process used to facilitate growth in others. Common methods of advocacy are: 1) providing others with information that empowers them to make their own decisions, and 2) acting on behalf of others who do not have the ability or power to advocate for themselves” (Reengineering, 2011). It is important for the nurse managers and leaders to create a hospital facility environment where patients are respected, and are empowered by educating them on their health and condition to enable them to make decisions about their treatment and care. Reengineering health care essay. It is also important for managers/leaders to continually check on their staff’s patient care feedback and any concerns they may have. It is also important for them to listen to their staff and patient. “Leaders must listen to the sounds of change. Leaders must help people work through the grieving process and conflicts experienced during time of change. Because the pace of change in health care is so rapid, leaders must be prepared to deal with the chaos and uncertainty through calm communication” (Reengineering, 2011).  Reengineering health care assignment

Comment2.

Health care requirements need to adapt to changes based on the needs and demands of the community being served. Therefore reengineering is necessary to maintain safety in practice, improve processes and increase efficiency in care delivery while saving costs. A manager plays an important role in advancing and keeping the healthcare system in progress. The nurse manager initiates and coordinates the health care team in delivering high quality patient care services. For these managers or leaders to achieve this goal, several principles have to take place. These include ethical decision making and adhering to professional codes. Reengineering health care essay. “Ethical decision making like any other decision making requires the manager to gather information, identify the problem, generate alternatives or select an alternative to implement and evaluate results. Ethical decision making depends on the identification of the ethical principles that guide the selection and expectations of the outcome” (Grand Canyon University, 2013). Professionally, nurse managers should keep up to date with legal aspects in the health care system in order to protect patients, staff and the interests of the organization.  Reengineering health care assignment

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Comment1.

Health care reengineering is a discipline that helps organizations reorder priorities, provide more cost-effective care, and increase value to customers. Reengineering should be driven what is best for the organization and the needs of the organization. Reengineering is a critical “core competency” and “requisite skill”  for health care organizations if they are to succeed under managed care in the future. Managers and leaders play a vital role in the process of reengineering. The managers role is to ensure “that the mission of the organization, which focuses on providing excellent care for clients, is fulfilled through effective and efficient coordination of resources” (GCU, 2013). Managers display the skills for showing responsibility by guaranteeing that the staff is competent to provide the care of each individualized patient. Managers show their skills by holding staff accountable. Managers have been described as planners, problem solvers, delegators, and staffers (Huber, 2014). GCU, 2013, described the roles of management as planning, organizing, staffing, directing, and controlling. Reengineering health care essay. Leaders are the mentors and inspirations of the organizations. The leaders make the goals and outcomes known for the organization. The leaders are critical to organizations as they ensure that the operations than run from day-to-day are ran smoothly without any bumps in the roads. Managers and leaders have distinct roles with their organization but they both must integrate their roles to provide effective leadership. The managers and leaders work together to develop the “power” needed to accomplish goals, mission, and reengineering within the hospital.

Comment2.

A good leader is pivotal to play the role as a re-engineering of health care. A leader can sheer staff, patients, and their families through difficult decision-making processes. As laid out in our lecture notes, a leader can assist in the navigation of ethical decision-making, which impacts legal issues, patient, and staff conflict, change, conflict resolution, and communication. Reengineering health care essay.

Navigating ethical dilemmas can be incredibly challenging and time-consuming. In my health care system, we have a ethics committee, which is a forum in which we can present ethical patient dilemmas and talk them over in a forum to find the most ethical solution for the patient. Reengineering health care essay. The facility is a Catholic facility so much of our decision making for our patient population is based on our core values as an institution. As a leader in the organization, I encourage the staff to relay on this ethics forum for support when ethical dilemmas arise so that they can take part in the forum and have a role in made conclusions.  Reengineering health care assignment

Discuss the regulation of electronic nicotine delivery systems

Choose ONE of the following topics:

1) A voluntary health warning scheme for alcohol containers was implemented in Australia in 2011. Discuss the merits and disadvantages of voluntary industry self-regulation as an approach to providing health warnings for consumers on alcohol containers. In addressing this topic, you will need to discuss the literature about voluntary vs mandatory approaches to public health regulation as well as the circumstances in which the voluntary scheme was introduced and the research evidence about its effectiveness. 

2) Discuss the regulation of electronic nicotine delivery systems (e-cigarettes) in Australia. (Note: you will need to consider regulation at both national and state/territory levels). To what extent is Australia's regulation of e-cigarettes consistent with the Framework Convention for Tobacco Control and the World Health Organization's report on Electronic nicotine delivery systems (submitted to the sixth session of Conference of the Parties to the WHO Framework Convention on Tobacco Control in 2014)?

3) Choose a health-related profession that is not currently registered under the Health Practitioner Regulation National Law, such as social work, speech pathology, dietetics or audiology. Discuss the arguments for and against registration of this profession under the Health Practitioner Regulation National Law, in comparison with other regulatory approaches.

4) Victoria introduced a new approach to handling complaints about health services with the Health Complaints Act 2016 (Vic) and the establishment of the Office of the Health Complaints Commissioner in Victoria. How suitable is this approach as a model for other countries? Discuss with reference to a particular country which currently has a different process for handling health complaints. To address this topic you will need to analyse the key elements of the Health Complaints Act 2016 (Vic) and its applicability to the health system in the country you have chosen.

Presentation 
The assignment should follow an essay-style format with an introduction, body and conclusion. Sub-headings may be used but are not mandatory, and will contribute to the word count.

References 
In this assignment, you are expected to read widely and cite a wide range of sources, including peer-reviewed literature (journal articles and book chapters) as well as relevant legislation, along with government reports and other grey literature where relevant. 
In-text referencing must be used, according to a recognised referencing style such as APA6. The list of references will not be included in the word count.

References acknowledge that part of your work is based on the work and material of others. Failure to acknowledge that some of your opinions and information have come from others may be regarded as plagiarism.

References show your reader the range and nature of your source materials. It is important that any reference you give to published sources provides sufficient detail to enable anyone to find the book or article you are citing.

Ethical Nursing Leadership Essay

Complete the assigned readings and the “Ethical Leadership Style Questionnaire” (Northouse, Chapter 12). I will upload my questionere.
i need 3 references—Northouse questionere can be used as one reference (I will edit the reference in) I only need 2 additional—

In an initial post of 450–500 words, respond to the following:

Based on your responses to the questionnaire,

1)what are your core values?

2)In planning for your future role as a Mental Health Nurse Practitioner, how will your values influence what you do? Ethical Nursing Leadership Essay.

Ethical Nursing Leadership

Student

Institution Affiliation

Course

Date

Instructor

 

Ethical Nursing Leadership

Core values

My core values are not only built on the delivery of care. My fundamental values also stand on a strong foundation of ethical behavior, a platform that is driven by value that looks beyond the patient’s race and religion. I also ensure that I have an economic standing that ensures the patients can get unbiased and optimal care. Beyond my call to respect the patient, my nursing values and beliefs’ concept comprise various components that enhances my working. Ethical Nursing Leadership Essay. Additionally, my core values involve doing what is right to the patients. Doing what is right means following a set of moral rules and regulations and engaging in activities that the profession expects of me when faced with an ethical dilemma (Addressing Ethics in Leadership, nd). I focus on fulfilling my moral obligations. Additionally, my core values encourages right-doing. For instance, I ensure I deliver empathy for the patient as they try to cope with their condition to demonstrate I care. My integrity helps me remain respectful of the dignity of the patient regardless of the issue or sickness. Besides, my diversity knowledge ensures that I honor the individuality of the patient regardless of their race, values or religion. Lastly, I believe in the value of excellence by working towards providing the most optimal care in all circumstances. Ethical Nursing Leadership Essay

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How my values influence what I do in planning for my future role as a Mental Health Nurse Practitioner

I possess more knowledge and I am also aware of the professional values as standards that offer high-quality and safe ethical care. My perspective on professional values will affect patient care and decision making. My values also greatly impact my actions and ethical decision making. This is because I usually care for patients whose value at times conflict with mine. Thus, my values will enhance my enduring attitude towards the patients.

My values have also helped in increasing my self-awareness, exploration of feelings and clarification of beliefs and values, which are crucial compassionate characteristics for effective nursing care in mental health. I am aware that these values are essential since I desire to have a therapeutic impact on patient care. Poorchngizi (2017) asserts that it is important that nurses possess the awareness and knowledge regarding professional values as standards that offer high-quality and safe care. My perspective on professional values will affect decision-making and mental health care of patients. Ethical Nursing Leadership Essay

Therefore, my personality and communication skills are vital elements of a mental health nurse (Townsend % Morgan, 2017). I am aware that I need good mental health knowledge and how to implement it in practice. Consequently, this will help in being empathetic to the patients and their mental health, which may include mental health social stigma that can be equally hard to overcome. I also believe that incorporating these values into my current nursing practice would enhance the mental health nursing care quality for individuals that experience grave and constant mental illness.

References

Addressing Ethics in Leadership. (nd). Sample Items from the Ethical leadership Style Questionnaire

Poorchangizi, B., Farokhzadian, J., Abbaszadeh, A., Mirzaee, M., & Borhani, F. (2017). The importance of professional values from clinical nurses’ perspective in hospitals of a medical university in Iran. BMC medical Ethics18(1), 20.

Townsend, M. C., & Morgan, K. I. (2017). Psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis.  Ethical Nursing Leadership Essay

SMART Goals and Project Objectives

Module 2: Capstone Project – SMART Goals and Project Objectives

Name: Date:
Overview: Capstone Project – Smart Goals and Project Objectives
In this assignment, you will locate and summarize content of 2 articles on the use of SMART goals/objectives: what they are, how they are used, and why they are effective. Assignment must contain citations and references in correct APA format.
You will also select 3 peer reviewed articles that address your chosen focus area for your Capstone Project and create 3-5 goals/objectives for your Capstone Project using the SMART Goals/Objective format.
Objectives
• Summarize 2 articles discussing what SMART goals are, how they are used, and/or why they can be an effective tool.
• Select 3 peer reviewed articles addressing chosen focus area to include in the provided grid.
• Create 3-5 objectives for Capstone Project using SMART format. SMART Goals and Project Objectives

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Rubric
Use this rubric to guide your work on the Module 2 assignment.
NOTE: All assignments and discussion posts are expected to be completed on time.
Tasks Target Acceptable Unacceptable
1. SMART Goals Article Summary
(40 pts) Clear and strong summary of 2 articles on use of and purpose of SMART goals. Writes 2 summaries – one summary for each article. Each summary is 1 paragraph of 3-4 well-written, original sentences.
(40 pts)
General statements reflecting article summary and/or missing one article summary, missing SMART goal format.
(20 pts) No synthesis of articles on use of and formulating SMART goals.
(0 pts)
2. Creates 3-5 SMART goals/objectives.
(20 points) Creates 3-5 goals/objectives using SMART format including Bloom Taxonomy terms.
(20 points) 2 or less goals/objectives utilizing SMART goal format using Bloom Taxonomy terms.
(10 points) Goals/Objectives not written in SMART goal format and/or no use of Bloom Taxonomy terms.
(0 points)
3. Cites 3 peer reviewed articles related to the chosen focus area of Capstone project (management, education, or clinical specialty)
(30 pts) Correctly cites 3 peer reviewed articles for chosen focus area of Capstone project
(30 pts) Cites 2 or less peer reviewed articles. SMART Goals and Project Objectives

(15 pts) No peer reviewed articles cited to support SMART goals/objectives. SMART Goals and Project Objectives
(0 points)
APA format
(10 pts) Articles and lists the APA references correctly – no errors. (10 pts) Articles and lists the APA references correctly. 1-3 errors. (6 pt.) Articles and lists the APA references correctly. 4 or more errors. (0 pts)

1. Summarize Articles on SMART Objectives Format (Type in the box below)
Summarize content of 2 articles found on SMART goals/objectives. Write your summary in proper APA format. Must include in-text citations and references for both articles. Write one paragraph for each article summary. Should have paragraphs.
TYPE IN THE BOX BELOW (Box will expand as you type in it)

2. Create 3-5 Project Objectives (Type in the grid provided below).
3. Cite 3 Peer Reviewed Articles on Chosen Focus Area for Capstone Project
Create a minimum of 3 and maximum of 5 objectives based upon Bloom’s Taxonomy (See http://mysite.cherokee.k12.ga.us/personal/drew_lawson/site/Subject%203%20Notes/1/Blooms%20Taxonomy.pdf and/or https://tips.uark.edu/using-blooms-taxonomy/ and you can always “google” Bloom Taxonomy for more information). These objectives reflect the changes you want to see in the behavior of the participants/audience as a result of acquiring the information that you present. Remember: Objectives must be specific, measurable, attainable, realistic, and timed (S.M.A.R.T.) and each must include a Bloom term. At a minimum, at least one objective should be “immediate” and one “long term.” Use the table below to record the Objectives and Content for your Capstone Project. (You must create at least three objectives. If you have more, insert rows in the table). Remember that your final project will need at least three references (less than five years old). See the example for how to format this grid. SMART Goals and Project Objectives

Example Objectives
(3-5 Objectives) Example Content and Citing of Peer Reviewed Articles
(Total of 3)
1. By the end of the presentation, 98% of the audience will be able to identify three ways to prevent falls in the LTC until.
(Note: this is an immediate outcome, there is a time frame, there is a % of the audience, identify is the Bloom term. This goal is measurable). • Fall prevention
Doe, J. (2014). How to prevent falls in a long term care unit. Journal of Fall Prevention, 8(26), 23-32. Retrieved from EBSCOhost. SMART Goals and Project Objectives

2. Within three months of the presentation, 95% of the audience will be able to recite three reasons to use a fall assessment form with any change in condition for residents. SMART Goals and Project Objectives.
(Note: this is a long-term goal, there is a time frame, there is a % of the audience, and “recite” is the Bloom term. This goal is measurable). • Fall assessment forms
Smith, J. (2013). Why are fall assessment forms important? Journal of Fall Assessments, 7(4), 12-15. Retrieved from EBSCOhost.
3. (Write your third outcome here – it can be either immediate or long-term. Remember it must be SMART and include a Bloom term). • Content Topic
Must have at least one reference here as three are required for this assignment – one for each outcome. Please note that for your final project, you will need three references for each outcome that you have for a minimum of nine references. If you have four outcomes, you will need a minimum of twelve references. SMART Goals and Project Objectives

Grid provided below for assignment completion.

Complete this grid with your information. Must have a minimum of 3 and maximum of 5.

Project Objectives
(3-5 Objectives) Content and Citing of Peer Reviewed Articles
(Cite 3 Articles)
1. •

2. •
3. •
4. •
5. •

Uploading Completed Assignment Template:

• Save this completed assignment template with your individual assignment content to your computer in a file you can easily retrieve.

• Upload the completed assignment template into Module 2: Assignment 2 of 2 area in Module 2 of the course.  SMART Goals and Project Objectives

Health Policymaking in the United States

Paper Topic Question

Based on your knowledge of your personal skills and preferences, as well as your present

professional role, what would likely be a subject area, in which you might first exercise

your policy competence? Why? Use scholarly and professional literature to support your

opinion.

Instructions for paper

3 page in length

Double spaced

3 professional references

APA style

Readings

1. Health Policymaking in the United States, Chapter 10: Building Policy Competence for Health Professionals

2. Abood S, Influencing Health Care in the Legislative Arena. http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPerio dicals/OJIN/TableofContents/Volume122007/No1Jan07/tpc32_216091.htmlDocument Preview:

Paper Topic Question Based on your knowledge of your personal skills and preferences, as well as your present professional role, what would likely be a subject area, in which you might first exercise your policy competence? Why? Use scholarly and professional literature to support your opinion. Instructions for paper 3 page in length Double spaced 3 professional references APA style Readings 1. Health Policymaking in the United States, Chapter 10: Building Policy Competence for Health Professionals 2. Abood S, Influencing Health Care in the Legislative Arena. HYPERLINK “http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPerio%20dicals/OJIN/TableofContents/Volume122007/No1Jan07/tpc32_216091.html” http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPerio dicals/OJIN/TableofContents/Volume122007/No1Jan07/tpc32_216091.html

Explain current treatments for the identified chronic problems

The case report should include information related to only ONE patient (word limit less than 70 words
each):
1. Brief introduction (one paragraph)
2. Presenting complaint, assessment data and diagnosis
3. Past medical and health history including medications
4. Discuss the clinical manifestations of the chronic health problems on the body systems
5. Identify two (2) actual and two (2) potential health issues of the patient
6. Explain current treatments for the identified chronic problems. Name and explain a few resources and
support services which can be utilised to meet patient’s care needs.
7. Answer followingDocument Preview:

Student Assessment Student Assessment HLTENN012 Implement and monitor care for a person with chronic health problems HLT54115 Diploma of Nursing Record of Assessment Outcome Student Name: Student ID: Summary of evidence gathering techniques used for this assessment: O Questioning O Scenario O Case Report O Professional Practice Experience The evidence presented is: O Valid O Sufficient O Authentic O Current Unit Result: Competent O Not Competent O The student has been provided with feedback and informed of the assessment result and the reason for the decision. Assessor Name: Date Assessed: Assessor Signature: SCEI Contact: info@scei.edu.au Student declaration on assessment outcome I have been provided with feedback on the evidence I have provided. I have been informed of the assessment result and the reason for the decision. Student Name: Date: Student Signature: Student Assessment HLT54115 Diploma of Nursing HLTENN012 – Version 2.1 Jul 2017 1Student Assessment Reasonable Adjustment Was reasonable adjustment applied to any of the assessment tasks? (please tick) Yes O No O If yes, tick which assessment task(s) it was applied to. O Questioning O Scenario O Case Report O Professional Practice Experience Provide a description of the adjustment applied and why it was applied. Name of Assessor: Assessor Signature: Name of Student: Student Signature: Student Declaration Plagiarism constitutes extremely serious academic misconduct and severe penalties are associated with it. By signing below, you are declaring that the attached work is entirely your own (or where submitted to meet the…

State of Texas and major hurricanes

Disaster ManagementSelect a natural disaster that has occurred twice 10-15 years apart in the same state or region in the United States. Analyze the two incidents based on the following points: State of Texas and major hurricanesThe nature and magnitude of the disasters The health status of individuals affected by the disasters. Include information about victims’ physical health, and social health statuses. The type of relief efforts provided by governmental, non-governmental, and private organizations in each disaster.Document Preview:

Disaster Management Select a natural disaster that has occurred twice 10-15 years apart in the same state or region in the United States. Analyze the two incidents based on the following points: State of Texas and major hurricanes The nature and magnitude of the disasters The health status of individuals affected by the disasters. Include information about victims’ physical health, and social health statuses. The type of relief efforts provided by governmental, non-governmental, and private organizations in each disaster. Inadequacies in relief efforts in the first disaster, and any improvements made during in the second disaster. Relief effort inadequacies during the second disaster. Recommend ways to address these. Present the findings in the form of a 3-page comparative study. Conclude the study by including measures to further improve disaster/relief management. Please follow the guidelines listed Analyzed the incidents based on the nature and magnitude of the disasters.Analyzed the incidents based on the health status of individuals affected by the disasters.Included information about victims’ physical, health, and social health statuses.Analyzed the incidents based on the type of relief efforts provided by governmental, non-governmental, and private organizations in each disaster.Analyzed gaps in relief efforts in the first incident and how these were resolved in the second disaster.Analyzed gaps in relief efforts in the second incident.Presented the comparative study, including measures to further improve disaster/relief management.

Comprehensive Care Plan Essay

Comprehensive Care Plan Essay

Introduction

For this assignment, the client is a 35 year old Hispanic male whose clinical diagnosis is Type II Diabetes Mellitus. The nursing diagnosis is uncontrolled levels of blood sugar due to non-compliance to medications as evidenced by a blood glucose level of 350mmol/l.  This paper details the clients comprehensive care plan and is divided into six sections which are adequately discussed namely; short term and long term nursing goals, nursing interventions, safety needs, the Cultural/Spiritual Implications and lastly the strategy for health maintenance, restoration and promotion.

Short Term Goals

The client’s blood glucose levels will reduce to below 200within one hour.

The client will be able to demonstrate how to take his blood sugar levels and correctly interpret results.

Long Term Goals

The patient will be able to adhere to medications in the long term. Comprehensive Care Plan Essay

The patient will be consistent in self-management with diet, exercise and medications

The client will be able to adequately conduct self-risk-assessments at various time intervals

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Nursing Interventions

Basing on the short term goals, to reduce the client’s blood glucose levels, insulin will be administered as directed by the physician. To achieve the objective on the client’s ability to take his blood glucose and interpret to the results, a practical demonstration through vides will be provided.  Adherence to diabetic medications promotes constant blood glucose levels such that, the client has good blood flow and reduced health risks. The nursing intervention for this goal will be educating the patient on the significance of consistency in diabetic treatments. The long term goal of self-management through exercise and diet will be actualized through referral to a dietician and close monitoring of weight and nutritional habits. So that the patient is able to conduct an individual self-risk assessment, he will be educated on the potential risks and complications of diabetes.

Safety Needs

The patient is also hypertensive hence the need to urgently control his blood pressure. He is also still a heavy smoker and drunker. For adequate blood pressure and diabetic management, it will be mandatory that the client limits alcohol intake and stops smoking. Comprehensive Care Plan Essay

Cultural/Spiritual Implications

            Since the client is a Hispanic, there is the need to determine how culture and religion affect dietary and social life aspects as this has an influence on the management of diabetes. For instance, the Hispanic culture embraces a diet that is full of carbohydrates. Carbohydrates increase the levels of blood glucose and its intake should be controlled to prevent fluctuating blood glucose levels.

Strategy for Health Restoration/ Maintenance and Promotion

The client’s readiness to adhere to medications and potential barriers that hinder medication adherence will be determined. The client’s readiness to learn and signs for avoidance to learn will also be sought. A support person for the client will be identified and notified to provide the client with emotional support, moral support and psychological support when deemed necessary. The client will be expected to undergo basic health education on Diabetes. This education will be central to diabetes, its management, potential risks and significance. He will be provided with additional learning resources such as videos and websites on diabetes care. This will promote further learning based on the client’s speed and understanding. The client will also be provided with information about community resources, local community support groups and diabetic educators. Comprehensive Care Plan Essay

Clinical presentation of Mr. M Paper

Clinical presentation of Mr. M Paper

Mr. M. is a 70-year-old male patient. Mr. M denies any allergies. Mar M has an unsteady gain and experiences challenges in ambulating. Mr. M experiences memory lapses since he finds it difficult to remember the names of family members, the number of his room or repeating the words he has uttered. Mr. M shows fear and shows aggressiveness. Mr. M cannot bathe dress or feed without being assisted. Mr. M looks pale and tired due to lack of adequate rest and relies on Zolpidem to manage his sleep disorder. From the objective data collected from the lab tests, Mr. M has a normal body temperature hence no signs of fever. Mr. M has blood pressure of C BP 123/78 HR 93 RR 22 Pox 99%, which signifies prehypertension, which is usually asymptomatic. Mr. M shows no sign of being in any pain and denies feeling any pain. Mr. M is overweight after calculating his Body Mass Index Height: 69.5 inches; Weight 87 kg, which translates to a BMI of 28.4. Mr. M has a WBC count of 19.2 (1,000/uL) and lymphocyte count of 6700 (cells/uL).  The results from a CT scan of the head shows no alteration since the preceding scan. Mr. M Urinalysis read positive for a substantial amount of leukocytes and appeared cloudy. Mr. M protein analysis stood at 7.1 g/dL; AST: 32 U/L; ALT 29 U/L. Clinical presentation of Mr. M Paper

 

Primary and Secondary diagnosis

Primary diagnosis of Mr. M would include stroke, or a heart attack since has a C BP 123/78 HR 93 RR 22 Pox 99% which signifies prehypertension. Any reading above 120 systolic pressure means prehypertension even when the diastolic pressure ranges from 60 to 79 (Mymedicalscore, 2019). The worse reading is used in the event diastolic, and systolic pressure fall into different ranges. Furthermore, people with prehypertension have increased chances of experiencing heart attacks compared to individuals with lower blood pressure (Mymedicalscore, 2019). The second primary diagnosis would be to test for urinary tract infections in Mr. M due to the presence of leukocytes in urine. An unusual elevated number of leukocytes in urine signifies swelling or infection in the urinary tract, most commonly in the bladder or kidney (Pol et al., 2017). The diagnosis is essential to Mr. M, who is undertaking medications such as Lipitor and Lisinopril, which has known side effects to the kidneys. Hence, the diagnosis of urinary tract infection is necessary.

A secondary diagnosis that needs to be carried out include liver damage due to the daily intake of Lisinopril and Lipitor, which have damaging effects on the liver (Emedicinehealth, 2019). The second diagnosis is that of the mental health condition of Mr. M. The reason is that Mr. M. experiences mental loss and cannot remember his rooms or the words he has spoken despite CT scan showing no changes (Pol et al., 2017). The other secondary diagnosis that would be necessary is to check for kidney stones since the elevated amount of leukocytes can at times, indicate the presence of kidney stones Clinical presentation of Mr. M Paper.

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Expected abnormalities would you expect to find

The expected abnormalities a nurse would expect to see include changes in the vital signs of the patient. These include body temperature changes, changes in blood pressure, decreased increased respiratory rate, which may vary from time to time depending on the presence or absence of infection. Besides, Mr. M denies may pain; a nursing assessment on him would prove otherwise (Registered Nursing, 2018). The baselines of vital signs are recorded because they are vitally crucial for comparison during and after treatment. Vital signs are highly responsive to abnormalities and changes of a patient

Physical, psychological and Emotional aspects to the patient and family

Mr. M’s health condition has significantly impacted on him physically. Mr. M. experiences challenges in ambulating and does not have a steady gait. Also, Mr. M. has a tibial fracture status postsurgical repair. The condition has also lead to memory loss, and Mr. M finds it difficult even to remember his room number, names of family members, or words he had uttered.  Mr. M has also been affected psychologically and emotionally in that when he is aggressive and agitated easily. Mr. M’s unsteady mental state sees him wander at night and often get lost. The condition has also affected his family since Mr. M. has become dependent with many ADLs. Initially, Mr. M could bathe, dress, and feed on his own; however, right now, he depends on his family members to assist him doing ADLs. Besides, Mr. M becomes in approachable, especially when he is aggressive as he becomes fearful and afraid.

Interventions that can be put in place

Interventions to be implemented include mental assessment of Mr. M., and Mr. M. needs to be assigned to a therapist to help in the recovery process to minimize his aggressive behaviour. In addition, the family needs to hire a private practitioner or assistant to assist Mr. M. in his ADLs, thereby reducing the burden on the family members. Mr. M from the case study seems lonely, and that’s why he wonders alone and get lost, putting him up in a facility with other people of the same age or health conditions would undoubtedly help in his recuperation. Furthermore, he forgets the names of family members, occasional visits by family members would be helpful for bonding or otherwise arrange visits to the homes of family members away from the assisted living facility.

Potential problems faced by Mr. M. due to his condition.

Due to hypertension and hypercholesterolemia, Mr. M has a potential of developing stroke. A stroke occurs when a blood vessel transporting oxygen and nutrients in the brain is blocked or bursts. A stroke occurs when blood supply to the brain is reduced (Mayo Clinic Staff, 2019). The second potential problem Mr. M can face is the risk of cardiovascular failure. Hypertension can strain the heart leading to weakening of the heart muscles making the heart to work less efficiently, and with time, the heart gets overwhelmed and fails (Mayo Clinic Staff, 2019). Hypercholesterolemia can also increase the likelihood of Type 2 diabetes because diabetes can impact different cholesterol levels and increases the chances of developing atherosclerosis (Mayo Clinic Staff, 2019). Mr. M. is also at the verge of developing dementia. Dementia is a disease of the brain that leads to challenges of thinking, speaking vision, movement, and reasoning (Mayo Clinic Staff, 2019). There are several causes of dementia one being vascular dementia, that is caused by narrowing and blockage of arteries that supply blood to the brain. Clinical presentation of Mr. M Paper

 

References

Mayo Clinic Staff. (2019, January 09). How high blood pressure can affect your body. Retrieved from https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/high-blood-pressure/art-20045868

 

Pol, J. G., Levesque, S., Workenhe, S. T., Gujar, S., Le Boeuf, F., Clements, D. R., … & Fucikova, J. (2018). Trial Watch: Oncolytic viro-immunotherapy of hematologic and solid tumors. Oncoimmunology7(12), e1503032.

 

Mymedicalscore. (2019). 123/78 Blood Pressure – Good or Bad? – MyMedicalScore. Retrieved from https://mymedicalscore.com/blood-pressure/123-78/

 

Emedicnehealth. (2019). Lipitor (atorvastatin) Side Effects, Interactions, Uses & Drug Imprint. Retrieved from https://www.emedicinehealth.com/drug-atorvastatin/article_em.htm

 

RegisteredNursing.org. (2018, May 29). Changes and Abnormalities in Vital Signs: NCLEX-RN. Retrieved from https://www.registerednursing.org/nclex/changes-abnormalities-vital-signs/ Clinical presentation of Mr. M Paper