concept analysis

Assignment:Complete a concept analysis on one of the following topics. Utilize the Overcoming concept analysis as an example. This part of the assignment should be at least 1000 words and contain the following parts: Introduction, Definition and Uses of the Concept, Defining Attributes, Antecedents, Consequences, Model Case, Borderline Case, Contrary Case, and Implications for Nursing Practice. Your chosen defining attributes should be clearly identified in each of the three cases.HopeCaringTrustTeamworkAppraise ways in which your nursing practice (patient care, education, research, administration, etc.) has been influenced by nursing (or borrowed) theory.The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material.  Please submit your assignment in one APA formatted document.

Deliverable 5 – Statistics and Quality Methods

CompetencyApply statistics to different quality methods in healthcare.Course ScenarioChaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:Emergency room      servicesIntensive careSurgical careObstetricsDiagnostic      servicesSome      rehabilitation therapiesInpatient      pharmacy servicesGeriatric      services andConsumer      physician referral servicesRecently, the CEO has been hearing complaints from both patients and staff. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and satisfactorily resolve them.Scenario ContinuedYour CEO has requested that you provide employee training on Quality Improvement. You have done an initial survey of patient satisfaction, and the CEO has asked you to explain how the data will be analyzed, using this initial data.Given the variety of complaints coming from both employees and patients, it is critical for everyone to understand the importance of conducting the survey and obtaining solid data.QuestionGreat5Good4OK3Fair2Poor1No   ResponseTotalFacility and ConvenienceHours   of Operations10173010040Convenience   of location1015533440Cleanliness1114843040Waiting   time in reception area9160411040Comfort   while waiting2010550040StaffExplained   procedure179806040Questions   answered1115723240Friendly   and helpful215572040Knowledgeable   and professional621433040Modesty   respected1214806040Confidentiality   respected (HIPAA)10101451040Overall SatisfactionOverall   impression of visit300532040Willingness   to return310900040Likelihood   of referring to others320431040Respondents were also asked about their wait times. Here is the data on wait times:Number respondingWait time before being checked in   at Reception410 minutes1615 minutes820 minutes1225 minutesNumber respondingWait time before being seen by a   healthcare professional210 minutes615 minutes1020 minutes2225 minutesInstructionsYou are to create an agenda for the training and a memo with bullet points to present the statistical analysis of the initial data. The memo should include an explanation of each of the statistical results. In particular, you should be able to explain what the results mean to the facility.Determine the percentages of the following:Percent who      responded with a 5 (Great) on “Overall impression of the visit”Percent who      responded with a 2 (Fair) or 1 (Poor) on “Overall impression of the      visit”Percent who responded      with a 5 (Great) on “Willingness to return”Percent who      responded with less than 5 on “Willingness to return”In the area of      “Facility and Convenience,” which indicator had the highest      percentage of 5 (Great) responses? Which had the lowest?In the area of      “Staff,” which indicator had the highest percentage of 5 (Great)      responses? Which had the lowest?What is the mean waiting time in the reception area?What is the mean waiting time to see a healthcare professional?Microsoft Word has many memo templates. In your memo, be sure to address each statistical analysis and what it means to the facility. Why ask these questions? How could the data be used for quality improvement?NOTE – APA formatting, and proper grammar, punctuation, and form required.

Module 08 Written Assignment – Individualized Health Promotion

Using resources such as the CDC, state and county health department websites, and various local resources, identify an opportunity for improved health behavior in an individual client. Your paper should be 1 – 2 pages in length in addition to the cover page and reference page. You should use a minimum of three references to support your work.Be sure to cover the following:Identify an opportunity to for improved health behavior in an individualized client.Identify short and long term goals for the achievement of the overall health goal.Using Healthy People 2020, identify which problem you are working on improving.Recognize local resources to aid in the resolution of the identified problem.Assist in the evaluation in the response to interventions.

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.To Prepare:Review the concepts of technology application as presented in the Resources.Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.The Assignment: (4-5 pages)In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:Describe the project you propose.Identify the stakeholders impacted by this project.Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.Identify the technologies required to implement this project and explain why.Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

Developing Organizational Policies and Practices

· 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.

Asthma

Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.To Prepare· Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.· Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.ASSIGNMENTWrite a 2- to 3-page paper that addresses the following:· Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.· Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.· Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.Required ReadingsHuether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.Chapter 26, “Structure and Function of the Pulmonary System”This chapter provides information relating to the structure and function of the pulmonary system to illustrate normal pulmonary function. It focuses on gas transport to build the foundation for examining alterations of pulmonary function.Chapter 27, “Alterations of Pulmonary Function”This chapter examines clinical manifestations of pulmonary alterations and disorders of the chest wall and pleura. It covers the pathophysiology, clinical manifestations, evaluation, and treatment of obstructive lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema.Chapter 28, “Alterations of Pulmonary Function in Children”This chapter focuses on alterations of pulmonary function that affect children. These alterations include disorders of the upper and lower airways.Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.Chapter 9, “Pulmonary Disease”This chapter begins with an overview of normal structure and function of the lungs to provide a foundation for examining various lung diseases such as asthma and chronic obstructive pulmonary disease (COPD).Required MediaLaureate Education, Inc. (Executive Producer). (2012e). Mid-course review. Baltimore, MD: Author.This media is an interactive mid-course review covering course content.Review the animations, case studies, and review questions on the evolve textbook support link. http://evolve.elsevier.com/huetherOptional ResourcesAmerican Lung Association. (2012). Retrieved from http://www.lung.org/Asthma and Allergy Foundation of America. (2012). Retrieved from http://www.aafa.org

Gastrointestinal tract & The pathophysiology of Dosorders

Assignment 1: Gastrointestinal Tract: Disorders of MotilityJamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.To Prepare· Review this week’s media presentation on the gastrointestinal system.· Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.· Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.· Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.· Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.To CompleteWrite a 2- to 3-page paper that addresses the following:· Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.· Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.· Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.Assignment 2: The Pathophysiology of DisordersDuring the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.To Prepare· From the list below, select a disorder of interest to you:o Alzheimer’s diseaseo Asthma in childreno Chronic obstructive pulmonary disease (COPD)o Congestive heart failureo Hepatic disease (liver disease)o Hypertensiono Hyperthyroidism and hypothyroidismo Seizureso Sepsis· Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.· Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder.· Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder.To CompleteDevelop a 5- to 10-slide PowerPoint presentation that addresses the following:· Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.· Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.· Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.Use resources belowHuether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.Chapter 35, “Structure and      Function of the Digestive System”This chapter provides information relating to the structure and function of the digestive system. It covers the gastrointestinal tract and accessory organs of digestion.Chapter 36, “Alterations of      Digestive Function”This chapter presents information relating to disorders of the gastrointestinal tract and accessory organs of digestion. It also covers the pathogenesis, clinical manifestations, evaluation, and treatment of gastroesophageal reflux disease, gastritis, peptic ulcer disease, inflammatory bowel disease, and irritable bowel syndrome.Chapter 37, “Alterations of      Digestive Function in Children”This chapter presents information relating to disorders of the gastrointestinal tract and liver that affect children. It focuses on congenital impairment, inflammatory disorders, metabolic disorders, as well as the impairment of digestion, absorption, and nutrition.Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.Chapter 13,      “Gastrointestinal Disease”This chapter provides a foundation for exploring gastrointestinal disorders by reviewing the structure and function of the GI tract. It also describes mechanisms of regulation of GI tract disorders such as acid-peptic disease, inflammatory bowel disease, and irritable bowel syndrome.Chapter 14, “Liver Disease”This chapter reviews the structure and function of the liver. It then explores the clinical presentation, etiology, pathogenesis, pathology, and clinical manifestations of three liver disorders: acute hepatitis, chronic hepatitis, and cirrhosis.Chapter 15, “Disorders of      the Exocrine Pancreas”This chapter begins by reviewing the anatomy, histology, and physiology of the exocrine pancreas. It then examines the clinical presentation, etiology, pathology, pathogenesis, and clinical manifestations of acute and chronic pancreatitis, pancreatic insufficiency, and pancreatic cancer.de Bortoli, N., Martinucci, I., Bellini, M.,      Savarino, E., Savarino, V., Blandizzi, C., & Marchi, S. (2013).      Overlap of functional heartburn and gastroesophageal reflux disease with      irritable bowel syndrome. World Journal of Gastroenterology,      19(35), 5787-5797. doi:10.3748/wjg.v19.i35.5787

Respiratory infections

Chapter 37A 67-year-old female patient presents to the emergency room you work at complaining of shortness of breath and pain on the right side of her chest. Upon auscultation of the lung field during the physical exam, you note flatness and diminished breath sounds over the right lung. Her temperature is 101.3°F.a.            What are possible causes of her symptoms and what tests might you expect to be ordered to determine the specific cause of this patient’s symptoms? Why?b.            This patient’s husband tells you he does not understand why she feels short of breath. How might you explain to him the lung physiology that underlies her symptoms?

Analyzing an Ethical Decision

Assignment: Practicum Journal Entry: Analyzing an Ethical DecisionIn your role as a PMHNP, you will encounter several situations that will require your ability to make sound judgments and practice decisions for the safety and well-being of individuals, families, and communities. There may not be a clear-cut answer of how to address the issue, but your ethical decision making must be based on evidenced-based practice and what is good, right, and beneficial for patients. You will encounter patients who do not hold your values, but you must remain professional and unbiased in the care you provide to all patients regardless of their socio-demographic and ethnic/racial background. You must be prepared to critically analyze ethical situations and develop an appropriate plan of action. For this Assignment, you review the literature and discover the various ethical dilemmas PMHNPs encounter and how these issues are typically addressed in your state.Learning ObjectivesStudents will:· Analyze salient ethical issues in psychiatric mental health practice· Compare ethical dilemmas with state health laws and regulations· Analyze ethical decision-making processesTo prepare:· Review literature for moral/ethical issues encountered by a PMHNP.· Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment.Write a 2-page paper in which you do the following:· Summarize the moral/ethical issue in the article (no more than 1 paragraph).· Describe the moral and ethical dilemmas surrounding the issue.· Analyze the ethical issue and compare them to the state health laws and regulations in your state.(Texas)· Outline the process of ethical decision making you would use to address this ethical dilemma.Note: Be sure to use the Practicum Journal Template, located in this week’s Learning Resources.see class rulesUse subheadings when writingcite scholarly resources including peer-review journals and current practice guidelinesA clear purpose statement (The purpose of this paper is to…) is required in the introduction of all writingsPlease all bullets points, bold, red and highlighted area must be attended to.

Soap Note: Meniere disease

SUBJECTIVE:Routine Follow up/Chronic ConditionChief Complain:Symptoms analysis/HPI:PMH:Immunization:Surgical History:Family History:Social Hx:CONSTITUTIONAL:Neurologic:HEENT: Head:Eyes:. Ear:Nose:. Throat:Respiratory:Cardiovascular:describe aboveGastrointestinal:Genitourinary:MusculoskeletalSkin:Objective data:CONSTITUTIONAL: Vital Signs T: °F (Oral), HR:  bpm, regular, RR: , BP: , SpO2:  % on room air, Weight: , Height in BMI . Report pain 0/10.General appearance:NEUROLOGIC:HEENT: Head:. Eyes: PERRLA, sclera white, no discharge noted.Ears:Nose/Sinus:Mouth:Throat:Neck:Respiratory:CardiovascularGastrointestinal:Genitourinary:Musculoskeletal:Integumentary:Assessment:Differential diagnosis: is based in secondary causes of diabetes• These basic laboratory tests are:Pharmacologic treatment:Non-Pharmacologic treatment:Education Non-Pharmacologic treatment:•Office procedures:Follow-ups/referrals:in one week for evaluation follows up.References: Less 5 years ago. APA format, 5