NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

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NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Discussion: Organizational Policies Outline

 

RE: Discussion – Week 3

COLLAPSE

How competing needs may impact the development of polices to address that issue

For years the healthcare system in the United States has relied on a fee-for-service payment system whereby each medical service and procedure is paid for separately. However, this payment model created several limitations, including fueling health care costs, overtreatment, and overutilization at the same time leaving others underserved and undertreated. In an attempt to counter these perverse incentives, the legislation of payment reforms which focuses on methods that reflect providers’ performances, primarily quality, safety, and patient experience, has been put in place to replace the traditional system of fee-for-service (Palumbo et al., 2017). The new healthcare payment reform has been designed to spur provider efficiency, reducing unnecessary spending subsequently reducing healthcare costs. However, competing needs such as the use of 12-hour shifts as employees’ retention strategy, workforce, and resources have affected the development and adoption of this critical policy following the necessity that surrounds competing needs to align with the agenda of payment reform. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Payment reforms such as Medicare, which pushes for bundled payment, whereby patients are required to use only one payment method covering all episodes of care, have to address nursing shortages. With the aging population steadily rising, Medicaid has been burdened with being the primary payer of healthcare for many Americans. Nurses play a critical role in driving system change because of their sheer numbers (Miller et al., 2017). It is estimated that as of 2019, over 3.8 million registered nurses were integrated into the American workforce, a lower number compared to the health care needs of the American people. As a result, the available nursing workforce is forced to register more hours in their workplaces, reducing quality, safety, and quantity of care service (Rivers & Glover, 2008). There are numerous severe ramifications associated with shortages of nurses, such as work overload of available healthcare personnel, which results in burnout and subsequently compromise patient safety and long waiting, which may cause more harm, including preventable deaths.

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References: 

Miller, B., Ross, K., Davis, M., Melek, S., Kathol, R., & Gordon, P. (2017). Payment reform in the patient-centered medical home: Enabling and sustaining integrated behavioral health care. American Psychologist, 72(1), 55-68. https://doi.org/10.1037/a0040448

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation?. Journal Of Professional Nursing, 33(6), 400-404. https://doi.org/10.1016/j.profnurs.2016.11.005

Rivers, P., & Glover, S. (2008). Health care competition, strategic mission, and patient satisfaction: research model and propositions. Journal Of Health Organization And Management, 22(6), 627-641. https://doi.org/10.1108/14777260810916597

Question Description
I need an explanation for this Health & Medical question to help me study.

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Discussion: Organizational Policies Outline

Discussion: Organizational Policies Outline

Add a section to the paper you submitted in Module 1. The new section should address the following:

Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
I uploaded the file below. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Week03_Assignment_Rubric
ADD A SECTION TO THE PAPER YOU SUBMITTED IN MODULE 1. IN 4–5 PAGES, ADDRESS THE FOLLOWING:

· IDENTIFY AND DESCRIBE AT LEAST TWO COMPETING NEEDS IMPACTING YOUR SELECTED HEALTHCARE ISSUE/STRESSOR.–

Excellent 23 (23%) – 25 (25%)
The response accurately and clearly identifies at least two competing needs impacting the healthcare issue/stressor selected.

Good 20 (20%) – 22 (22%)

The response identifies at least two competing needs impacting the healthcare issue/stressor selected.

Fair 18 (18%) – 19 (19%)

The response identifies at least two competing needs impacting the healthcare issue/stressor selected that is vague or inaccurate.

Poor 0 (0%) – 17 (17%)

The response describes at least two competing needs impacting the healthcare issue/stressor selected that is vague and inaccurate, or is missing.

· DESCRIBE A RELEVANT POLICY OR PRACTICE IN YOUR ORGANIZATION THAT MAY INFLUENCE YOUR SELECTED HEALTHCARE ISSUE/STRESSOR.

· CRITIQUE THE POLICY FOR ETHICAL CONSIDERATIONS AND EXPLAIN THE POLICY’S STRENGTHS AND CHALLENGES IN PROMOTING ETHICS.–

Excellent 27 (27%) – 30 (30%)
The response accurately and thoroughly describes in detail a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected.

The response accurately and thoroughly critiques in detail the policy for ethical considerations and explains in detail the policy’s strengths and challenges in promoting ethics.

Good 24 (24%) – 26 (26%)

The response accurately describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected.

The response accurately critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics.

Fair 21 (21%) – 23 (23%)

The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague or inaccurate.

The response critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics that is vague or inaccurate.

Poor 0 (0%) – 20 (20%)

The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague and inaccurate, or is missing.

The response critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics that is vague and inaccurate, or is missing.

· RECOMMEND ONE OR MORE POLICY OR PRACTICE CHANGES DESIGNED TO BALANCE THE COMPETING NEEDS OF RESOURCES, WORKERS, AND PATIENTS WHILE ADDRESSING ANY ETHICAL SHORTCOMINGS OF THE EXISTING POLICIES. BE SPECIFIC AND PROVIDE EXAMPLES. NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

· CITE EVIDENCE THAT INFORMS THE HEALTHCARE ISSUE/STRESSOR AND/OR THE POLICIES AND PROVIDE TWO SCHOLARLY RESOURCES IN SUPPORT OF YOUR POLICY OR PRACTICE RECOMMENDATIONS.–

Excellent 27 (27%) – 30 (30%)
The response provide one or more accurate, clear, and thorough recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies.

Specific and accurate examples are provided.

Accurate and detailed evidence is cited that informs the healthcare issue/stressor selected and a specific synthesis of at least two outside scholarly resources in full support of the policy or practice recommendations is provided. The response integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the healthcare issue/stressor selected.

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Good 24 (24%) – 26 (26%)

The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies.

Specific examples may be provided.

Evidence is cited that informs the healthcare issue/stressor selected and a synthesis of at least one outside scholarly resource that may support the policy or practice recommendations is provided. The response integrates at least 1 outside resource and 2 or 3 course-specific resources that may support the healthcare issue/stressor selected.

Fair 21 (21%) – 23 (23%)

The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies that is vague or inaccurate.

Examples may be provided.

Vague or inaccurate evidence is cited from 2 or 3 resources that informs the healthcare issue/stressor selected and may support the policy or practice recommendations provided.

Poor 0 (0%) – 20 (20%)

The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies that is vague and inaccurate, or is missing.

Examples are missing.

Vague and inaccurate evidence is cited that informs the healthcare issue/stressor and may include at least 1 scholarly resource that vaguely and inaccurately supports the policy practice recommendations is provided, or is missing.

WRITTEN EXPRESSION AND FORMATTING – PARAGRAPH DEVELOPMENT AND ORGANIZATION:

PARAGRAPHS MAKE CLEAR POINTS THAT SUPPORT WELL-DEVELOPED IDEAS, FLOW LOGICALLY, AND DEMONSTRATE CONTINUITY OF IDEAS. SENTENCES ARE CAREFULLY FOCUSED—NEITHER LONG AND RAMBLING NOR SHORT AND LACKING SUBSTANCE. A CLEAR AND COMPREHENSIVE PURPOSE STATEMENT AND INTRODUCTION IS PROVIDED WHICH DELINEATES ALL REQUIRED CRITERIA.–

Excellent 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

Good 4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

Poor 0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided.

WRITTEN EXPRESSION AND FORMATTING – ENGLISH WRITING STANDARDS:

CORRECT GRAMMAR, MECHANICS, AND PROPER PUNCTUATION–

Excellent 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.

Good 4 (4%) – 4 (4%)

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Contains several (3 or 4) grammar, spelling, and punctuation errors.

Poor 0 (0%) – 3 (3%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

WRITTEN EXPRESSION AND FORMATTING – THE PAPER FOLLOWS CORRECT APA FORMAT FOR TITLE PAGE, HEADINGS, FONT, SPACING, MARGINS, INDENTATIONS, PAGE NUMBERS, PARENTHETICAL/IN-TEXT CITATIONS, AND REFERENCE LIST.–

Excellent 5 (5%) – 5 (5%)
Uses correct APA format with no errors.

Good 4 (4%) – 4 (4%)

Contains a few (1 or 2) APA format errors.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Contains several (3 or 4) APA format errors.

Poor 0 (0%) – 3 (3%)

Contains many (≥ 5) APA format errors.

wk2assnsingletaryn.docx
pertinent_healthc

Discussion: Organizational Policies Outline

Discussion: Organizational Policies Outline

Assignment: Knee Pain Case

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Assignment: Knee Pain Case

Assignment: Knee Pain Case

 

three references

zero plagiarism

Case 3 : KNEE PAIN.

A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform?

Assessing Musculoskeletal Pain: Knee

Patient Initials: MA Age: 15 years Gender: Male

SUBJECTIVE DATA:

Chief Complaint (CC): “My knees hurt, panful and with clicking sound. I experience catching sensation under the patella. ” The additional history will be assessed by asking questions related to the onset of the pain in terms of acute or gradual, duration of the pain and its associated symptoms and previous treatment for the pain.

History of Present Illness (HPI): MA is a high school sophomore who came to the doctor complaining of knee pain. He is an active basketball player for his school team. He started experiencing knee pain in the last week. He claims to be suffering clicking sounds from both knees.

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Location: bilateral knees.

Onset: Eight days while playing basketball.

Character: Dull intermittent pain.

Associated signs and symptoms: A catching sensation under kneecaps.

Timing: For the past 8 dyas.

Exacerbating/ relieving factors: gets worst while patient treks to school. The pain subsides with mediciation rest and ice pack.

Severity: 7 on a pain scale of 1-10 after pain medication Ibuprofen 200mg 2 tabs orally was taken and 10/10 worst pain level after a trek to school.

Medication: Ibuprofen.

Allergies: No allergy to medication but allergic to shellfish.

Past Medical History (PMH): The patient sprained his left knee four months ago, and history of Rheumatic fever during his early childhood.

Past Surgical History (PSH): No history of medical surgery.

Sexual/Reproductive History: None. The patient is not sexually active.

Personal/Social History: Denies smoking, drinking alcohol, or using any other drugs.

Immunization History: All immunizations are up to date as per the parents. Received flu vaccine 10/5/19.

Significant Family History: MA lives with his parents. Both grandfathers have diabetes, his mother is obese. His two other siblings are healthy. The family has a history of obesity.

Review of Systems: MA has presented a complaint of dull knee pain that he experiences in both knees. The pain is clicking and accompanied with a catching sensation under the patella. The pain mostly persists during physical activity.

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OBJECTIVE DATA:

General: MA is a healthy 15 years old who has maintained a healthy body. MA is alert and oriented and very active in school when it comes to basketball and running. No complaint of pain in other joints.

HEENT: He denies headache or any sign syncope. Denies loss of vision, has no hearing loss and last visited dentist two months ago.

RESPIRATORY: MN denies a cough and shortness of breath.

Cardiac: No irregular heart rate noted

Extremities: Both knees show no sign of edema and tenderness, but the knees are slightly misaligned with the thigh bone.

Physical Exam: Vital signs: BP 112/72, P 76, regular, T 98.6 temporal, RR 18, and regular. His current weight is 165. Height 5 feet 8inch.

Cardiovascular/Peripheral Vascular: Heart rate is regular and has good S1, S2; no S3 or S4; no murmur. There is no pedal edema or erythema.

Genitourinary: No abnormalities reported with frequencies urination

Psychiatric: The patient appears to be alert and oriented x3. Denies depressive mode

Neurologic: Alert and oriented to persons, place, and time.

Skin: Skin is intact and is warm to touch and appears moist.

Assignment: Knee Pain Case

Assignment: Knee Pain Case

Hematologic: No evidence of clotting conditions reported.

Allergic/Immunologic: Allergy to shellfish.

Manual Muscle Testing: Knee flexion 5/5, pain. Knee extension 5/5, painful. Knee ER 5/5, Knee IR 5/5.

Musculoskeletal Tests: The patient can perform a regular activity such as walking, bending the knee with slight discomfort noted.

Diagnostic tests: Computerized tomography (CT) scan, Bilateral Knee X-ray, CBC, and Magnetic resonance imaging (MRI).

The practitioner must assess for abnormalities during musculosketal examination. The lower extremities must be examined for alignment with the edge between the femur and tibia under 15 degrees (Ball, Dains, Flynn, Solomon, and Stewart, 2015). Range of motion must be assessed in patients with suspected fracture (Ball et al., 2015). McMurray test to rule out tear of the meniscus, Varus-valgus stress test to check for knee stability, and Lachman test for anterior cruciate ligament. The three diagnostic test will help to examine the tissues around the knee, check for patella abnormalities or dislocation, and rule out knee fracture.

ASSESSMENT/Differential Diagnosis:

Priority diagnosis would be Osgood Schlatter Disease: A common cause of knee pain in adolescents. This in an inflammation underneath the knee where the ligament from the patellar tendon attaches to the tibia.

Differential Dx: These include

Osteogenic Sarcoma – This condition is associated with people age 10-25 yrs, and it is characterized by intermittent pain (Ryan, Maryam, & Hue, 2016).
Patellar dislocation. This condition is associated with shifting of the knee patella from its normal positioning and is characterized by pain in the patella (Rudavsky & Cook, 2014)
Patella fracture. The condition is where the kneecap suffers breakage or cracking and result to pain in the knee, accompanied by swelling and bruising around the knee (Reinking, 2016). Though the patient does not have all these symptoms, it is a probability.
Medial meniscus- This condition is associated with knee pain, difficulty flexing, clicking, or catching of the knee movement, just like in the case of the patient (Wu et al. 2018).
Patellar chondromalacia. This is when the cartilage in the kneecap gets worn by age or injury and is accompanied by discomfort of the inner knee and pain that aggravate from the physical activity just like in the case of the patient (Pak, Lee, & Lee, 2013).
References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to

physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Rudavsky, A., & Cook, J. (January 01, 2014). Physiotherapy management of patellar tendinopathy (jumper’s knee). Journal of Physiotherapy, 60, 3, 122-129.

Reinking, M. F. (January 01, 2016). Current concepts in the treatment of patellar tendinopathy. International Journal of Sports Physical Therapy, 11, 6, 854-866.

Pak, J., Lee, J. H., & Lee, S. H. (January 01, 2013). A novel biological approach to treat chondromalacia patellae. Plos One, 8, 5.

Wu, J. L., Lee, C. H., Yang, C. T., Chang, C. M., Li, G., Cheng, C. K., Chen, C. H., Lai, Y. S. (January 01, 2018). Novel technique for repairing posterior medial meniscus root tears using porcine knees and biomechanical study. Plos One, 13, 2.

Ryan, A. D., Maryam, M., & Hue, H. L. (December 01, 2016). Review of Osteosarcoma and Current Management. Rheumatology and Therapy, 3, 2, 221-243.

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Assignment: Knee Pain Case

Assignment: Knee Pain Case

NRS430 Grand Canyon University

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NRS430 Grand Canyon University

NRS430 Grand Canyon University

The field of nursing has changed over time. In a 750‐1,000 word paper, discuss nursing practice today by addressing the following:

Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual.
Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse.
Identify a patient care situation and describe how nursing care, or approaches to decision‐making, differ between the BSN‐prepared nurse and the ADN nurse.
Discuss the significance of applying evidence‐based practice to nursing care and explain how the academic preparation of the RN‐BSN nurse supports its application.
Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NRS430 Grand Canyon University

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This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Reading Materials

Read Chapter 3 in Dynamics in Nursing: Art and Science of Professional Practice.

URL:https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/dynamics-in-nursing_art-and-science-of-professional-practice_1e.php

Read “Creating a More Highly Qualified Nursing Workforce,” by Rosseter (2015), located on the American Association of Colleges of Nursing (AACN) website.

URL:http://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Workforce

Read “The Impact of Education on Nursing Practice,” by Rosseter (2017), located on the American Association of Colleges of Nursing (AACN) website.

URL:http://www.aacnnursing.org/News-Information/Fact-Sheets/Impact-of-Education

Read “Scope of Practice,” located on the American Nurses Association (ANA) website.

URL:https://www.nursingworld.org/practice-policy/scope-of-practice/

Read “What is Nursing,” located on the American Nurses Association (ANA) website.

URL:https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/ NRS430 Grand Canyon University

Managerial Epidemiology Discussion Question

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Managerial Epidemiology Discussion Question

Managerial Epidemiology Discussion Question

 

Question Description
Help me study for my Science class. I’m stuck and don’t understand.

“Tuberculosis in the Work Environment” Please respond to the following:

Imagine there has been a tuberculosis (TB) outbreak in your office building. Design a plan to address the prevention of TB in your particular work environment. Be specific.
Using the epidemiological foundation concepts of person, time and place, evaluate how you would investigate and report on the occurrence of TB in your workplace.
“Mad Cow Disease in the U.S.” Please respond to the following:

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From the case study, evaluate the economic cost to the U.S. due to investigating Mad Cow Disease, and determine whether or not diligent monitoring can safeguard against damaging the U.S. meat supplies. Provide at least two (2) examples to support your rationale.
From the e-Activity, evaluate the cost of treating infectious diseases in the U.S. compared to the U.K., in terms of person, time, and place. Discuss the specifics of your findings, determining whether or not the economic cost is justified.
E-Activity=

Using online resources or the Strayer Library, research the cost of treating infectious diseases in the U.S. compared to treating infectious diseases in the U.K. Evaluate these occurrences in terms of person, time, and place. Be prepared to discuss.

Assignment: Community Teaching Plan

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Assignment: Community Teaching Plan

Assignment: Community Teaching Plan

Assignment Benchmark – Community Teaching Plan: Community Presentation Max Points: 100

Details:

Note: This is an individual assignment. Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation to accompany the teaching plan and present the information to your community. Select one of the following options for delivery of the presentation:

Pamphlet presentation – 1 to 2 pages
Poster presentation
Appropriate community settings include:

Public health clinic
Community health center
Long-term care facility
Transitional care facility
Home health center
University/School health center
Church community
Adult/Child care center
Before presenting information to the community, seek approval from an agency administrator or representative.

Upon receiving approval from the agency, include the “Community Teaching Experience Form” as part of your assignment submission.

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APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

NRS-427V-RS-CommunityTeachingExperienceForm.doc
Assignment Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal

View Rubric

Max Points: 100Details:
Note: This is an individual assignment. Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of your community.

Select one of the following as the focus for the teaching plan:

Primary Prevention/Health Promotion
Secondary Prevention/Screenings for a Vulnerable Population
Bioterrorism/Disaster
Environmental Issues
Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.
Request feedback (strengths and opportunities for improvement) from the provider.
Complete the “Community Teaching Experience” form.
APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

NRS-427V-RS-CommunityTeachingExperienceForm.doc NRS-427V-RS-CommunityTeachingWorkPlanProposal.docx
Assignment Community Teaching Plan: Teaching Experience Paper

View RubricMax Points: 100

Details:
Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

Summary of teaching plan
Epidemiological rationale for topic
Evaluation of teaching experience
Community response to teaching
Areas of strengths and areas of improvement
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

Assignment: Management & Anesthesia Coding

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Assignment: Management & Anesthesia Coding

Evaluation And Management And Anesthesia Coding
Please answer all 20 questions correctly and get back to me within the next 3 hours 1. Modifier -P5 indicates that the patient A. experienced postoperative anemia. B. is not expected to survive without the operation. C. received a lower anesthesia dosage. D. is advanced in age. 2. Code 99217 is assigned for A. nursing home services. B. observation discharge services. C. established patient visits. D. new patient office visits. 3. Code range 99218–99220 denotes A. emergency room visits. B. initial hospital visits. C. initial observation care. D. follow-up hospital visits. 4. A physician performs an invasive surgical procedure. Prior to the start of the procedure, the anesthesiologist administers monitored anesthesia. Which modifier should be appended to the anesthesia code? A. -G10 B. -G8 C. -G1 D. -G9 5. When more than one surgery is performed during one anesthesia administration, the coder should A. report the anesthesia code with the highest base value unit. B. assign modifier -QS to the second surgery code. C. assign add-on code 01900 to indicate more than one surgery was performed during a single operative session. D. add modifier -QY to the first surgery code. 6. Modifier -P3 indicates that the patient A. received topical anesthesia. B. is in a coma. C. received local anesthesia. D. has severe systemic disease. 7. ___ modifiers indicate the number of anesthesia cases being directed at one time. A. Coordinated time B. Conversion C. Calculation D. Concurrent 8. A coder adds modifier -P2 to an anesthesia code. This modifier indicates the patient A. is allergic to lidocaine. B. received general anesthesia. C. is handicapped. D. has mild systemic disease. Assignment: Management & Anesthesia Coding

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Assignment: Management & Anesthesia Coding

9. The risk of morbidity or mortality would be considered as a part of A. review of systems. B. medical decision-making. C. history of present illness. D. chief complaint. 10. A patient who has not been seen by a physician or another physician in the same group within the last three years is a/an _______ patient. A. established B. new C. emergent D. existing 11. The dollar rate of each anesthesia unit is called the _______ factor. A. unit conversion B. conversion C. calculation D. base value unit rate 12. A patient who has been admitted to a hospital is a/an A. inpatient. B. established patient. C. new patient. D. ambulatory surgery patient. 13. A patient undergoes an esophagogastric tamponade with a balloon. How would this procedure be coded? A. 43460 B. 00500 C. 43460-P1 D. 00500-P1 14. Codes in the range of 99224–99226 represent services for A. critical care services. B. subsequent observations. C. consultations. D. initial observations. 15. Which of the following code ranges are add-on codes reported for prolonged physician services? A. 99458–99586, 99372 B. 99212–99252, 99344 C. 99673–99873, 99001 D. 99354–99357, 99359 16. A patient who has been treated by a physician or another physician in the same group within the last three years is a/an _______ patient. A. emergent B. new C. transmitted D. established 17. Modifier -QY indicates that A. anesthesia administration was abruptly terminated due to surgical complications. B. the surgeon is administering anesthesia. C. the physician is supplying topical anesthesia only. D. an anesthesiologist is directing the CRNA during anesthesia administration. 18. _______ circumstance codes are used in situations that increase the difficulty of administering anesthesia. A. UNIT administration modification B. Extenuating C. ASA relativity D. Qualifying 19. Other nursing facility services would be reported with code A. 99305. B. 99318. C. 99525. D. 99211. 20. A patient undergoes a pacemaker insertion. She is not expected to survive if she doesn’t have the operation. What code should be reported? A. 00530-P4 B. 33206-P4 C. 00530-P1 D. 33208-P2. Assignment: Management & Anesthesia Coding

Discussion: Current Practice Setting

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Discussion: Current Practice Setting

Discussion: Current Practice Setting

 

Part one:

Discuss your current practice setting (I work on a cardiac unit) and how informatics is involved in your practice. Include what work-related tasks you complete using healthcare informatics and what server your facility uses (We use epic) . Lastly, think of one or two topics for the Signature Assignment project (look ahead to Module 8 for details) you will complete during this course and provide a brief description.

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Please provide a brief description of Electronic Health Records: as this would be the topic for my project

Discussion: Current Practice Setting

Discussion: Current Practice Setting

Part two:

Assignment:

Introduction to Theory in Healthcare Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Write an essay addressing the following prompts:

Electronic health records (EHRs) are easier to read than the paper charts of the past, but many complain that healthcare providers are focusing too much on the computer screen instead of the patient.
Is this due to lack of skill or training, poor computer system design, or just the nature of computer charting?
Is patient care suffering from the implementation of EHRs?
Charting in an EHR consist of clicking boxes, do you feel this provides enough detail about the patient, condition, and events if there was a law suit?
Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46).
Identify and explain another type of data, specific to your practice, that is being tracked by an organization.
Why do you feel this data is important to track?
Identify and discuss the organization that is tracking the data.
Are there any ethical concerns with an outside organization tracking this data, explain and give examples?
In this week’s discussion post, you identified and explain the topic selected for the project.
Provide a description of your selected topic based on input from the discussion forum. What is your project, why is it relevant to this class, and why is it important to you?
Identify an informatics/healthcare theory from pages 29-30 of the textbook that aligns with the project and explain why.
Assignment Expectations:

Length: 500 words per essay prompt/each section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Attached are pages from the textbook to help with the assignment

Assignment: Telehealth Case-Study

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Assignment: Telehealth Case-Study

Assignment: Telehealth Case-Study

DNP 805 Topic 6 Assignment Telehealth

Details:

Telehealth encompasses a wide range of basic to complex health care delivery options, with an equally expansive array of technologies that may be employed. For this assignment, you will locate a scholarly article published within the last 3 years in a peer-reviewed journal on telehealth. This assignment consists of two parts; Part One requires you to develop and present a two-paragraph assessment comprising a précis and critical evaluation of a scholarly article focusing on a telehealth technology, and the second part requires you to construct a Mind Map to generate ideas about how the telehealth technology you identified can be used in your current practice.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

Directions:

PART I: Précis and Critical Evaluation.

Donald Davidson, in his book, American Composition and Rhetoric, discusses the précis as follows:

“A précis is not an outline, but a summary or digest. It is useful as an exercise in grasping the essential ideas of an already completed composition and in stating these ideas in concentrated form. The précis shears away all elaborations of the thought and gives only what is left, in such a way as to make the summary a complete composition. It does not, therefore, skeletonize the original composition so much as it reduces its scale. Many of the articles in The Reader’s Digest are only précis, so skillfully done that the average reader does not know that he is reading a summary. Since the précis says a great deal within a brief space, it is of great service in taking notes on library assignments and general reading.”

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The précis should be an organization of ideas, include logical sequencing of points, contain clear and meaningful expression, and use language suitable to the situation. When finished, the précis should clearly state:

A statement of what was studied (i.e., argued, discussed, deliberated).

A statement of focus of the scholarly article you selected, (i.e., how it was organized and completed).

A statement of what information was identified or learned from the scholarly article.

A statement of why the information in the article is important to your field of study.

PART II: Mind Map.

Brainstorm to generate ideas about how the telehealth technology you identified can be used in your current practice using a mind map. Submit the final map along with the précis to the Topic drop box.

How to do it:

Take a sheet(s) of paper and write an identifiable main idea in the center of the page, using a one-three words. (You may also achieve this via an electronic sheet of “paper”).

Draw a branch off your main idea; on the branch write or draw a main topic related to your main idea.

Continue to branch off from your main idea with main topics as needed.

From your main topics, branch off with subtopics.

From your subtopics, branch off with supporting details (write and/or draw). Continue to add more details. You are free to add more topics, subtopics, or any other items.

When you stand back and survey your work, you should see a map: hence the name for this activity. At this point you can start to form conclusions about how to approach a potential area of practice change. At the end of the day, what you do with the particular “map” or “cluster set” or “web” that you produce depends on what you need.

Submit both the précis and the final mind map in fulfillment of this assignment.

Discussion: Nursing Diagnosis Handbook

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Discussion: Nursing Diagnosis Handbook

Discussion: Nursing Diagnosis Handbook

 

Please do Parts A, B, C of the following case study. Upload
your results to the drop box

Ackley: Nursing Diagnosis Handbook, 11th Edition

Lecture Notes

Problem-Based Learning/Critical Thinking

Case Study – Carlo Stamm (Peanut Allergy)

Case Scenario

Carlo Stamm is a 10 year old boy who has known dairy
allergies. During a class trip to the local zoo last year Carlo was feeding
animals and rubbed his eyes without washing his hands. He began to complain of
itchiness around his eyes and there was noticeable periorbital swelling. One of
the chaperones on the class trip recognized the manifestations as an allergic
reaction and called Carlo’s mother. Carlo was taken by his mother to an urgent
care center where the primary care practitioner and nurse reviewed Carlo’s
history and assessed him.

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Nursing Assessment

Carlo Stamm is 10 years old with a BMI of 22. He is in the
fifth grade at a public school where a nurse is present on Tuesdays and
Thursdays. His vital signs are: blood
pressure – 102/62; temperature – 98.8 degrees F.; heart rate – 90 BPM; respirations
– 18 per minute. The nurse at the urgent center called the local zoo and
requested information on the animal food that Carlo handled. The animal food was composed of multigrains
and peanuts. Carlo was given
?diphenhydramine orally and his mother was given a prescription for an epinephrine
autoinjector. Carlo was observed for an hour and his periorbial edema subsided
as well as the itchiness. Carlo was drowsy from the diphenhydramine and taken
home to rest. Discussion: Nursing Diagnosis Handbook

A. ASSESS

1. Identify
significant symptoms by underlining them in the assessment.

2. List those
symptoms that indicate the client has a health problem (those you have
underlined).

3. Group the
symptoms that are similar.

B. DIAGNOSE

1. Select
possible nursing diagnoses for this client.

Do this by looking at the list of nursing diagnoses in, the
book, Ackley/Ladwig Nursing Diagnosis Handbook: An Evidence-Based Guide to
Planning Care or by accessing the care plan constructor at the EVOLVE SITE and
viewing nursing diagnoses listed there.
(You can copy and paste the information from the EVOLVE SITE
in the areas below.)

Possible nursing diagnoses:

2. Validate the
possible nursing diagnoses.

Compare the signs and symptoms (defining characteristics)
that you have identified from your client assessment with the defining
characteristics for the nursing diagnosis that you have selected. Also read the
definition and determine if this diagnosis fits this client.

Validated nursing diagnoses include:

3. Write/select a
nursing diagnostic statement for one of the nursing diagnoses by combining the
nursing diagnosis label with the related to (r/t) factors.

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a. The label is
the title of the nursing diagnosis as defined by NANDA.
b. A related to
(r/t) statement describes factors that may be contributing to or causing the
problem that resulted in the nursing diagnosis.

(You can copy and paste the information from the EVOLVE SITE
in the areas below.)

NANDA label:

Definition:
Risk Factors:
The complete nursing diagnostic statement is:

C. PLAN

Discussion: Nursing Diagnosis Handbook

Discussion: Nursing Diagnosis Handbook

1. Select
appropriate NOC outcome from Ackley/Ladwig text or from the EVOLVE Care Plan
constructor.
(You can copy and paste the information from the EVOLVE SITE
in the areas below.)

NOC outcome:

Fill out the grid with NOC indicators and the appropriate
Likert scale.
Select the appropriate point on the Likert scale to measure
the client’s current status.

Immune Hypersensitivity Response
INDICATOR
1 = not controlled
2 = slightly controlled
3 = moderately controlled
4 = well controlled
5 = very well controlled

2. Or write
outcomes to help resolve the symptoms (defining characteristics). Refer to
Section III of the Ackley/Ladwig text for the nursing diagnosis care plan or
the EVOLVE Care Plan constructor.

Outcomes:

3. Select
appropriate NIC interventions from Ackley/Ladwig text or care plan constructor.

(You can copy and paste the information from the EVOLVE SITE
in the areas below.)

NIC intervention:

4. Select
appropriate NIC activities.

Note: The Ackley/Ladwig text and the care plan constructor
gives sample NIC activities.

5. Select
interventions from the Section III care plan or the care plan constructor that
will enable the client to attain acceptable outcomes.

D. IMPLEMENT

The next step in the nursing process is to give the nursing
care utilizing the nursing interventions.

E. EVALUATE

After putting into effect the nursing interventions, the
results of the care should be evaluated by determining if the outcomes were
met. If the outcomes are acceptable, the care plan is resolved. If the outcomes
are not acceptable, further assessment should be done to answer the following
questions:

NOC Indicator
Rating at admission
Rating 30 minutes later
Rating 1 Hour later

Was the correct nursing diagnosis chosen?
Was the outcome appropriate?
Were the interventions appropriate in this situation?
What other interventions might have been helpful?

Changes in the nursing diagnosis, outcomes, and
interventions should be made as needed. This is continued use of critical
thinking to ensure appropriate nursing care.

Click here to access the Ackley, Ladwig Care Plan
Constructor to assist you in formulating your care plan. EVOLVE

Nursing Multidimensional Care Discussion

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Nursing Multidimensional Care Discussion

Nursing Multidimensional Care Discussion

 

Areas for reflection:

Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.
Describe how this new knowledge will impact your nursing practice.
Course Competencies

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Apply strategies for safe, effective multidimensional nursing practice when providing basic care and comfort for clients.
Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility.
Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
Prioritize strategies for safe, effective multidimensional nursing practice when providing care for clients experiencing sensory and perception disorders.
Apply knowledge of integumentary disorders when providing safe, effective nursing care.
Describe strategies for safe, effective multidimensional nursing practice when providing care for clients experiencing immunologic, infectious, and inflammatory disorders. Nursing Multidimensional Care Discussion