Healthcare site visit Choose one type of healthcare setting to conduct a site visit. You may… 

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Healthcare site visit

Choose one type of healthcare setting to conduct a site visit. You may select from an acute hospital or a skilled nursing facility. You must use the compare website to select two facilities in your area. One must be a high performing facility and one must be a low performing facility. You will be expected to visit both sites, compile your impressions of the facility and how it represents quality healthcare. You are strongly advised to discuss how quality is measured and ensured with someone from administration at each site. Your analysis should be approximately 5 pages with the following information: Environment at each site, Staff observations at each site, interview with administrative staff about quality, how the compare web sites categorize each site for quality.identify 2 Healthcare sites in your area. One that is a lower quality score and one with a higher. Compare and contrast the two facilities.

****Grading Criteria for All Papers

Comprehensiveness: Is your analysis comprehensive? Have you briefly delineated the key issues and historical stages? (50%)

Execution: Is your paper well written, presentable, and well organized? Is it grammatically correct? (15%)

Documentation: Have you included references to the literature (especially class readings and a bibliography)? Use parenthetical references, e.g. (Torres-Gil, 1992). Do you handle the concepts well and use the readings appropriately? (25%)

Creativity and Original Thought: Do you bring anything new or original to your discussion? Do you look at issues in a new light or suggest new ideas in your paper? (10%)

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HLTEN511B: Diploma of Nursing- Lorna Hetherington- Nursing Case Study Assignment Help Task: Case… 

HLTEN511B: Diploma of Nursing- Lorna Hetherington- Nursing Case Study Assignment Help

Task:

Case Study
Lorna Hetherington is 85yrs old. She is a practicing Roman Catholic and was previously a regular church goer and participated in social activities with a variety of people. She is married and has one daughter.

Medical Condition
Lorna has breast cancer. She has undergone a total mastectomy and has received chemotherapy. However the disease has recurred and she has not responded to any of the recommended treatments. She recently had a bout of pneumonia which has not resolved itself. She is now in the wing of the hospice of a residential facility where you work. Lorna has recently been diagnosed with Bony Metastases. She also wears a hearing aid, but forgets to switch it on so communicating is very stressful for all.

Current condition
Lorna has verbalised that her pain is increasing; she is experiencing episodes of shortness of breath and progressive weakness. She has also developed a decline in her cognitive ability. Lorna Hetherington has verbally refused all medical treatment available and does not have an Advance Health Directive or a current Power of Attorney.

Task 1- Answer the following questions in the relation to the above case study.
1. How would you demonstrate a palliative care approach when caring for this client?
2. Describe the importance of teamwork in this specialised area.
3. Who else participated in the development of the client’s nursing care plan?
4. How would you support clients and others to contribute to the care plan and identify their
preferences for spiritual, cultural, needs and lifestyle options?
5. What support would you provide and relevant information to the client and their family members to prepare for the clients death?
6. Describe the pathophysiology of Bony Metastases and potential complications.
7. Identify the risks associated the diagnosis of Bony Metastases and discuss the nursing strategies to minimise the potential risks to the client.
8. Discuss how the Enrolled Nurse would observe and assess Lorna’s pain level and management within the health care team.
9. Discuss the legal and ethical implications of Mrs Hetherington refusing her treatment and not having an Advanced Health Directive or Legal Power of Attorney. What are your responsibilities in relation to your ANMC competencies and scope of practice.
10. How do you maintain the client’s dignity after their death?
11. Following the confirmed death the client, the family have requested an autopsy to investigat malpractice. What advice would you give the family with regards to officially requesting an autopsy and seeking relevant information post autopsy.

Task 2 – Develop a Plan of Care

Compose a plan of care that has the specific needs of Lorna and her family’s needs met appropriately.

A detailed plan of care is required including nursing diagnosis, nursing intervention, rationale and evaluation.

Hypergraphs and bipartite graphs ?? Why must a link be defined as the connection between just two… 

Hypergraphs and bipartite graphs ??

Why must a link be defined as the connection between just two nodes? Suppose eight papers are in the fields of physics or chemistry. Group membership, i.e., to which field a paper belongs, is presented as a hypergraph in Figure 8.22. Each dotted area is a group or a hyperedge, which is a generalization of an undirected edge to connect possibly more than two nodes. Papers 4 and 5 are “interdisciplinary” papers, so their nodes are contained in both hyperedges.

(a) We can transform the hypergraph in Figure 8.22 into an undirected bipartite graph by introducing two more nodes, each representing one of the hyperedges, and linking a “standard” node to a “hyperedge” node if the former is contained in the corresponding hyperedge. Draw this bipartite graph.

(b) Define an incidence matrix B of size 2 × 8 with

where group 1 is “Physics” and group 2 is “Chemistry.” Write down B for this

graph.

(c) Compute the matrix B^T B. What is its interpretation?

(d) Compute the matrix BB^T. What is its interpretation?

In today’s current healthcare settings, the increasing diversity, globalization, and expanding… 

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In today’s current healthcare settings, the increasing diversity, globalization, and expanding technologies produce complex ethical pressures that influence nursing practice and practice outcomes. To be effective in a master’s-prepared advanced nurse practice role it is important to understand personal values, beliefs, strengths, and limitations. The purpose of this assessment is to promote introspective reflection related to implicit and/or explicit personal biases. Students will develop a plan to reduce bias and promote personal and professional growth.Course Outcomes

CO 1: Examine roles and competencies of master’s-prepared nurses essential to performing as leaders and advocates of holistic, safe, and quality care. (PO 1-5)

CO 2: Apply concepts of person-centered care to nursing practice situations. (PO 1, 2, 5)Total Points Possible

This assessment is worth 125 points.
Requirements

Criteria for Content

Complete a self-inventory on personal biases you hold. The biases might be implicit or explicit.

1. In a one to two-page summary, address the following.
   • Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics).
   • Discuss how biases can impact outcomes in selected nursing practice settings.
   • Identify personal biases and attitudes toward people with various cultural, gender, sexual orientation, age, weight, and religions that are different than your own.
   • Select one bias that you have.
   • Develop one strategy to reduce this bias.

Preparing the paper

Submission Requirements

1. Application: Use Microsoft Word 2013™ to create the written assessment.
2. Length: The paper (excluding the title page and reference page) is at maximum two pages.
3. A minimum of two (2) scholarly literature references must be used. Make sure to use references that are current, no older than 5 years.
4. Submission: Submit your files: Last name_First initial_Assessment 2_Addressing Bias

Final Project: Biopsychological Analysis of a Neuropsychological Disorder

In your Final Project, you will synthesize an overview of the major theories relating to the pathology of a disorder as well as provide a detailed discussion of the etiology (causes) and clinical interventions, using research to support your analysis.  Your topic will be the neuropsychological disorder that was selected and approved by the instructor in your Week One assignment, and for which you provided an outline in the Week Two assignment.

The disorder is autism

In keeping with the focus of this class, the emphasis of your paper will be on the neuroscience aspects of the disorder, to include:

• Theories of etiology (causes)
• Associated factors in development of the disorder (genetic, environmental, familial, lifestyle)
• Pathology (abnormalities of physical structure and function, including genetic and biochemical aspects)
• Treatment options (pharmacologic and nonpharmacologic, with rationales for use based on current understanding of the disorder)
• Diagnostic and research technologies employed in clinical diagnosis, care, and basic science research

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Your research will include a minimum of six to eight peer-reviewed sources, which provide evidence-based information regarding the biological and psychological features of the disorder and were published within the last five years. At least four of your references should be peer-reviewed publications of original research studies. To justify your assertions, provide in-text citations for all factual statements taken from your research, with corresponding references drawn from scholarly sources.  All citations and sources are to be documented according to APA style, as outlined in the Ashford Writing Center, and should support and enhance your analysis of the selected disorder. Sources may include review articles, original research articles, information from government agencies (e.g., National Institutes of Health, Centers for Disease Control, Food and Drug Administration, Drug Enforcement Administration) or professional societies (e.g., professional society position papers or clinical practice guidelines).

Final Project- Components

Section I:  Introduction

This section should provide a general introduction to the topic as well as an overview of the background and history of the disorder. Further, it should provide a succinct thesis statement of the purpose and overall direction of the paper.  For instance, if your paper will have a large focus on the role of particular neurotransmitters in the etiology of the disorder as a rationale for treatment options, you should indicate this in the introduction. Finally, this section should provide demographic data that indicates the prevalence of the disorder in both general and specific populations.

Specific required components of the Introduction:

1. Succinct thesis statement (one or more sentences detailing the focus of your Final Project and informing the reader about your topic and the scope of your paper)
2. Define the type of disorder
   1. Neurological
   2. Psychological
   3. Neuropsychological
3. Diagnostic criteria
   1. What components must be present for the disorder to be diagnosed?
   2. Include physical and psychological signs and symptoms.
4. Reason(s) why you chose this topic
   1. Personal experience
   2. Professional experience
   3. Other reason
   4. I will do this part
5. Epidemiology
   1. Who is affected?
   2. Are they young/old?
   3. Male/female
   4. Rural/urban
   5. Ethnicities

Section II: Discussion

This section should make up the majority of the Final Project in terms of size. Here, you will expand upon the main aspects of the disorder and provide details relating to the disorder and its management. This section should provide specific and detailed information (Reminder: All statements of fact require an in-text citation).   Cited/referenced sources should be used to support your analysis of the components of the discussion.

Specific required components of the Discussion section:

1. Detailed description of the disorder
   1. Signs and symptoms
   2. Epidemiology
   3. Any subtypes of the disorder
2. Detailed description of the natural history of the disorder
   1. How the disorder develops over time with treatment
   2. How the disorder develops over time without treatment
3. Methods used to diagnose, evaluate, and manage the disorder
   1. Initial diagnosis (e.g., physical exam, imaging and/or laboratory testing, special studies, psychological evaluation, psychometric testing)
   2. Ongoing management (e.g., physical exam, imaging and/or laboratory testing, special studies, psychological evaluation, psychometric testing)
4. Risk factors
   1. Genetics
   2. Lifestyle
   3. Environmental factors
5. Other causative factors
   1. Known
   2. Theorized
6. Nervous system structures and/or pathways involved in the disorder (detailed information regarding the underlying pathology as it applies to these structures and functional pathways)
7. Neurotransmitter(s) and receptor system(s) involved in the pathology of the disorder
8. Current treatment options
   1. Drug (pharmacologic) therapies
   2. Nonpharmacologic therapies (including psychological and other therapeutic services)
   3. Type of care providers (e.g., medical, nursing, therapists)
   4. Type of healthcare setting (e.g., hospital, home, outpatient, nursing facility)
9. Future areas of research
   1. Treatment options
   2. Evaluation and diagnostic methods for initial diagnosis
   3. Increasing knowledge relating to etiology and pathologic processes

Section III: Conclusion

Provide a concluding summary of your findings regarding your selected disorder. The conclusion is a summarization of information that has already been presented.  Typically, if you mention something in the conclusion section of an academic paper, you should have already mentioned this aspect of the topic earlier in the paper.

Specific required components of the Conclusion section:

1. The conclusion reaffirms your initial thesis statement.
2. The conclusion may be one or more paragraphs. Use the material you have discussed in the paper to support the validity of your synthesis and elaborate on the theme of your paper.

Writing the Final Project

The Final Project:

1. Must be 10 to 12 double-spaced pages in length, and formatted according to APA style as outlined in the Ashford Writing Center.
2. Must include a title page with the following:
   1. Title of paper
   2. Student’s name
   3. Course name and number
   4. Instructor’s name
   5. Date submitted
3. Must begin with an introductory paragraph that has a succinct thesis statement.
4. Must address the topic of the paper with critical thought.
5. Must include section headings, formatted according to APA style, to organize your paper. Each paragraph must have a minimum of three full sentences.
6. Must include in-text citations for all statements of facts obtained through your research.
   1. Remember that direct quotes (identical phrases or sentences taken from a source) require in-text citations with appropriate formatting.
   2. Statements of opinion should be clearly stated as such, and include a rationale to support why you hold this opinion (e.g., personal or professional experience, your research findings).
7. Must end with a conclusion that reaffirms your thesis.
8. Must use at least six to eight scholarly sources that were published within the last five years, including a minimum of four peer-reviewed original research studies.
   1. In general, dictionaries and encyclopedias are not considered appropriate resources for academic writing.
9. Must document all sources in APA style as outlined in the Ashford Writing Center.
10. Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.click here for more information on this paper