NUR-621E4

Write a 1,250-1,500-word essay about delivery models in health care. Include the following in your essay:Address the triple aim as it relates to population health management and delivery models.Discuss current trends in health care delivery models.Describe how quality and safety impact delivery models in health care.Include at least three peer-reviewed/academic references in your essay, including the HealthyPeople website.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

NUR-621 E9(cancel duplicate assignment)

The purpose of this assignment is to prepare students to make staffing decisions based on sound financial management principles and compliance guidelines.Scenario: You are the nurse leader of a 30-bed medical surgical unit and have to account for all staffing, including any discrepancies. Using sound financial management principles, complete the “NUR-621 Topic 8: Staffing Matrix” in the provided excel template.After completing the matrix, compose an 1,000-1,250-word reflection answering the following questions:Why is it important to use a staffing matrix in your health care setting?Briefly describe your staffing matrix. How many FTEs (full-time equivalent) on the staffing roster are required to cover daily needs? What units of services or work measurement did you use and why? What financial management principles did you use to determine your staffing matrix?Explain how you adjusted your staffing based on changes in the patient census.You receive your financial report for the month. You have used more FTEs than what was budgeted for your census. How will you make up the variance? How would you reallocate resources to make up for the variance and still comply with guidelines?Include two to four peer-reviewed references in your essay, including the textbook.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

2-3 pages case study- HIST410N

Required ResourcesRead/review the following resources for this activity:Textbook: Chapter 2, 4 of contemporary world history 6th edition by Duiker, William J.LessonMinimum of 1 scholarly source (in addition to the textbook)See additional required resources within the option instructions.InstructionsFor this assignment, select one of the following options:Option 1: ImperialismThe exploitation of colonial resources and indigenous labor was one of the key elements in the success of imperialism. Such exploitation was a result of the prevalent ethnocentrism of the time and was justified by the unscientific concept of social Darwinism, which praised the characteristics of white Europeans and inaccurately ascribed negative characteristics to indigenous peoples. A famous poem of the time by Rudyard Kipling, “White Man’s Burden,” called on imperial powers, and particularly the U.S., at whom the poem was directed, to take up the mission of civilizing these “savage” peoples.Read the poem at the following link:Link (website):White Man’s Burden (Links to an external site.)(Rudyard Kipling)After reading the poem, address the following in a case study analysis:Select a specific part of the world (a country), and examine imperialism in that country. What was the relationship between the invading country and the native people? You can select from these examples or choose your own:Belgium & AfricaBritain & IndiaGermany & AfricaFrance & AfricaApply social Darwinism to this specific case.Analyze the motivations of the invading country?How did ethnocentrism manifest in their interactions?How does Kipling’s poem apply to your specific example? You can quote lines for comparison.

developmental markers a nurse should to assess 9 months old female infant

developmental markers a nurse should to assess 9 months old female infant

Discussion post

There are many reasons that we need to sleep.  It is a restorative process that helps us function.  Suppose that a new “miracle pill” allows a person to function with only one hour of sleep per night.  However, because a night’s sleep is so short, a person who takes the pill will never dream again.  Knowing what you do about the functions of sleep and dreaming, what would be some advantages and drawbacks of such a pill from a personal standpoint?  Would you take such a pill?  You should offer at least one citation to support your work.Please add in-text citation and references at the end of post. Post should be 250 words minimum.

pharmacology

A graduate school nurse has to prepare a presentation for a freshman class of nursing students on anxiolytic and hypnotic agents. The learning objectives include a review of the states that are affected by anxiolytic and hypnotic agents and key nursing considerations for patients receiving these medications. (Learning Objectives 1, 2, and 5)a.What are the definitions of the states affected by anxiolytic or hypnotic agents?b.What are the key nursing implementation considerations for a patient receiving a benzodiazepine?c.What should the nurse teach the students about the indications for zaleplon (Sonata) and zolpidem (Ambien)?Case Study, Chapter 23, Antiseizure AgentsA patient had a tonic–clonic seizure and has been started on a phenytoin medication. The patient tells the nurse he is very upset about not being able to drive and has several questions about epilepsy. (Learning Objectives 1, 2, and 5)a.What should be included in the patient teaching about the classification of generalized seizures?a.How does phenytoin work?c.What are the key implementation and rationale considerations for this patient who is receiving medication to treat generalized seizures?Case Study, Chapter 26, Narcotics, Narcotic Antagonists, and Antimigraine AgentsA new graduate RN has been assigned to a medical–surgical unit. The new graduate RN is in the week of nursing orientation and is administering medications. The RN has to administer an antimigraine medication to an adult patient, a narcotic to an older adult in acute pain, and a narcotic antagonist to a third patient. (Learning Objectives 1, 2, 3, and 5)a.What is the gate control theory of pain, and how does this block pain for a patient?b.What are the key lifespan considerations for an older adult when administering narcotics?c.What are the key nursing implementation considerations for a patient receiving a narcotic antagonist?d.What are the key lifespan considerations for an adult when administering antimigraine medication?Case Study, Chapter 30, Adrenergic AgonistsA patient is experiencing serious ventricular arrhythmias and shock following a heart transplant. The physician has ordered isoproterenol and dopamine to be administered to the patient. (Learning Objectives 2, 4, and 5)a.What is the therapeutic action for isoproterenol?b.What are the adverse effects of isoproterenol?c.What is the therapeutic action for dopamine?d.What are the adverse effects of dopamine?e.What are the key nursing implementation considerations for patients receiving an adrenergic agent?Case Study, Chapter 36, Adrenocortical AgentsA second-year nursing student has to prepare medication cards for clinical on adrenocortical agents. The specific medication cards that have to be prepared are for prednisone (Deltasone) and fludrocortisone (Florinef). Additionally, the student nurse has to prepare a patient teaching plan for mineralocorticoids. (Learning Objectives 1, 2, 4, and 5)a.What are the physiological effects of the adrenocortical agents?b.What are the key nursing implementation teaching points that need to be reviewed with a patient receiving an adrenocortical agent?c.What are the most common adverse reactions for fludrocortisone (Florinef)?d.What are the indications for prednisone (Deltasone)?Case Study, Chapter 38, Agents to Control Blood Glucose LevelsA diabetes registered nurse educator is preparing an in-service presentation for student nurses on agents to control blood glucose levels for diabetes mellitus. The in-service will include a brief review of the pathophysiology of diabetes mellitus. Drugs to be included in the presentation will include insulin, chlorpropamide (Diabinese), glyburide (Micronase), and metformin (Glucophage). (Learning Objectives 1, 4, and 5)a.What alterations in metabolic pathways and changes to basement membranes occur with diabetes mellitus?b.What are the key nursing implementation considerations for patients taking insulin?c.What are the indications for chlorpropamide (Diabinese)?d.What are the most common adverse effects of glyburide (Micronase)?e.What are the therapeutic actions for metformin (Glucophage)?f.What are the lifespan considerations for children who use antidiabetic agents?

DNP- LEADERSHIP FOR ADVANCED NURSING PRACTICE

I need 120 words for each question. Please ensure to post individual reference with each questionUnit 1Q 1;Identify two organizational structures used in health care. What are the central characteristics of each? To what extent is bureaucracy necessary in health care organizations? Explain.Q 2;How does a doctorally prepared nurse work across and between levels of an organization? What are the challenges and/or rewards to be gained? Does one outweigh the other?ResourcesDelmatoff, J., & Lazarus, I. R. (2014). The most effective leadership style for the new landscape of healthcare. Journal of Healthcare Management, 59(4), 245-249. URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=97206195&site=ehost-live&scope=siteArbab Kash, B., Spaulding, A., Johnson, C. E., & Gamm, L. (2014). Success factors for strategic change initiatives: A qualitative study of healthcare administrators’ perspectives. Journal of Healthcare Management, 59(1), 65-81. URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=94059299&site=ehost-live&scope=siteKritsonis, A. (2004/2005). Comparison of change theories. International Journal of Scholarly Academic Intellectual Diversity, 8(1) 1-7.  URL:http://qiroadmap.org/?wpfb_dl=12Suter, E., Goldman, J., Martimianakis, T., Chatalalsingh, C., Dematteo, D. J., & Reeves, S. (2013). The use of systems and organizational theories in the interprofessional field: Findings from a scoping review. Journal of Interprofessional Care, 27(1), 57-64. doi:10.3109/13561820.2012.739670 URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=84423842&site=ehost-live&scope=siteNarayana, E. A. (1992). Bureaucratization of non-governmental organizations: An analysis of employees’ perceptions and attitudes. Public Administration and Development, 12(2), 123-137. URL:https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/194674953?accountid=7374Klemsdal, L. (2013). From bureaucracy to learning organization: Critical minimum specification design as space for sensemaking. Systemic Practice & Action Research, 26(1), 39-52. doi:10.1007/s11213-012-9267-3 URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=84739308&site=ehost-live&scope=siteUnit 2Q 1:What are three payment structures used in the health care industry across the care continuum? How are they similar? How are they different? Is there a single problem that transverses all three of the identified payment structures? Explain.Q 2:Identify a significant problem with one of the three payment structures used in the health care industry across the care continuum (from DQ 1) and propose a solution from one of the other two payment structures.ResourcesFinancial and Business Management for the Doctor of Nursing Practice Read chapters 1 and 3.   URL:http://gcumedia.com/digital-resources/springer-publishing-company/2012/financial-and-business-management-for-the-doctor-of-nursing-practice_ebook_1e.phpInstitute of Medicine. (2013). Best care at lower cost: The path to continuously learning health care in America. Washington, DC: The National Academies Press.   URL:http://www.nap.edu/catalog/13444/best-care-at-lower-cost-the-path-to-continuously-learningKingsley, T. (2014). Diagnosing the Current Problems of the United States Health Care System Requires Examining the History of Health Reform. Kennedy School Review, 1463-69. URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=109211112&site=eds-live&scope=siteUnit 3Q 1:Does staffing contain, as opposed to elevate, costs? Is there a point where the care delivery model and staffing become a detriment to cost control? That is, where does the law of diminishing returns kick in, both cost-wise and care-wise?Q 2:How might health care leaders determine appropriate nursing and care delivery models to address rapidly changing populations?ResourcesFinancial and Business Management for the Doctor of Nursing Practice  Read chapters 2, 4, and 5.    URL:http://gcumedia.com/digital-resources/springer-publishing-company/2012/financial-and-business-management-for-the-doctor-of-nursing-practice_ebook_1e.phpSage, W. M. (2016). Minding Ps and Qs: The political and policy questions framing health care spending. Journal of Law, Medicine & Ethics, 44(4), 559-568 URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120397894&site=ehost-live&scope=siteUnit 4Q 1:What are two bills or laws that influence the doctorally prepared nurse? How do these bills or laws influence doctorally prepared nurses specifically and on nursing practice in general?Q 2:How does a doctorally prepared advanced practice nurse advocate for patients as well as the nursing profession? Is there a symbiotic relationship between the two goals? How is advocacy advanced effectively?ResourcesNurses Making Policy: From Bedside to Boardroom   Read chapters 1 and 2.    URL:http://gcumedia.com/digital-resources/springer-publishing-company/2014/nurses-making-policy_from-bedside-to-boardroom-custom_ebook_1e.phpCamargo Jr., K., & Grant, R. (2015). Public health, science, and policy debate: Being right is not enough. American Journal of Public Health, 105(2), 232-235. doi:10.2105/AJPH.2014.302241 URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ofs&AN=100375771&site=ehost-live&scope=siteUnit 5Q 1:What is the reasoning behind the need for doctorally prepared advanced practice nurses to be politically active? How is this accomplished? What ethical or other considerations must be taken into account as a nurse becomes politically active?Q 2:Why is it meaningful to have doctorally prepared advanced practice nurses as members of health care boards? What is the role of the nurse on these boards?ResourcesNurses Making Policy: From Bedside to Boardroom   Read chapter 4, 12, and 15.   URL:http://gcumedia.com/digital-resources/springer-publishing-company/2014/nurses-making-policy_from-bedside-to-boardroom-custom_ebook_1e.phpLucia, L., Dietz, M., Jacobs, K., Chen, X., and Kominski, G. F. (2015). Which Californians will lack health insurance under the Affordable Care Act? Berkeley/Los Angeles, CA: UC Berkeley Center for Labor Research and Education/UCLA Center for Health Policy Research. URL:http://ucla-dev-web01.reliam.com/publications/Documents/PDF/2015/uninsuredbrief-jan2015.pdfTotten, M. K. (2010). Nurses on healthcare boards: A smart and logical move to make. Healthcare Executive, 25(3), 84-87. URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=bth&AN=52411351&site=ehost-live&scope=siteUnit 6Q 1:How do servant leaders, as compared with leaders who follow the transformational model of leadership, manage organization dynamics and lead change to ensure the continued success of the stakeholders to be served? Is servant leadership or transformational leadership the best approach to these tasks?Q 2:Considering the various virtues or dimensions of character for a servant leader (e.g., virtue, credibility, trust), how might the application of servant leadership be appraised in a health care setting? Is servant leadership, versus transformational leadership, plausible in the health care setting that often depends on a hierarchy of command for the safety of patients?ResourcesSmith, M. A. (2011). Are you a transformational leader? Nursing Management 42(9), 44-50. doi:10.1097/01.NUMA.0000403279.04379.6a URL:https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006247-201109000-00008&LSLINK=80&D=ovftYaslioglu,M. M., & SelenayErden, N. (2018). Transformational leaders in action:Theory has been there, but what about practice? IUP Journal of Business Strategy, 15(1), 42-53. URL:https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=128932995&site=ehost-live&scope=siteGeorge, B. (2005). Authentic leaders. Leadership Excellence, 22(10), 3-4. URL:https://lopes.idm.oclc.org/login?url=http://search.proquest.com/docview/204611923?accountid=7374Humphries, J. H. (2005). Contextual implications for transformational and servant leadership: A historical investigation. Management Decision, 43, 1410-1431. URL:https://lopes.idm.oclc.org/login?url=http://search.proquest.com/docview/212084894?accountid=7374Russell, R. F. (2001). The role of values in servant leadership. Leadership and Organization Development Journal, 22(2), 76-84. URL:https://lopes.idm.oclc.org/login?url=http://search.proquest.com/docview/226915965?accountid=7374Schneider, M. (2002). The stakeholder model of organizational leadership. Organization Science, 13(2), 209-222. URL:https://lopes.idm.oclc.org/login?url=http://search.proquest.com/docview/213834613?accountid=7374Explore the Robert K. Greenleaf Center for Servant-Leadership website. URL:http://www.greenleaf.org/Use this to assist with Part One of the Comparison of Leadership Models and Styles assignment. URL:http://lc.gcumedia.com/zwebassets/courseMaterialPages/ldr802_leadershipChart.phpUse this chart to assist with the Comparison of Leadership Models and Styles assignment. URL:http://lc.gcumedia.com/zwebassets/courseMaterialPages/mgt410_core-values-v1.1.phpUse this questionnaire to assist with Part Two of the Comparison of Leadership Models and Styles assignment.  URL:http://www.nursingleadership.org.uk/test1.phpUnit 7Q 1:Should all nurses be considered leaders? What characteristics of a nurse makes one a leader? How does the doctorally prepared advanced practice nurse collaborate with others for company resources? Explain.Q 2:Reflecting back on this and all previous courses, how has your thinking about your DPI Project changed? What will you take from this course and apply directly to your DPI Project?ResourcesFinancial and Business Management for the Doctor of Nursing Practice  Read chapters 7, 8, and 12.   URL:http://gcumedia.com/digital-resources/springer-publishing-company/2012/financial-and-business-management-for-the-doctor-of-nursing-practice_ebook_1e.phpAligned To: 0 Learning ObjectivesMurray, A. (2014). What is the difference between leadership and management? Wall Street Journal. URL:http://guides.wsj.com/management/developing-a-leadership-style/what-is-the-difference-between-management-and-leadership/Scott, K.A., & Mensik, J. S. (2010). Creating the conditions for breakthrough clinical performance. Nurse Leader 8(4), 48–52. doi:10.1016/j.mnl.2010.05.004  URL:https://lopes.idm.oclc.org/login?url=http://dx.doi.org.lopes.idm.oclc.org/10.1016/j.mnl.2010.05.004Aligned To: 0 Learning ObjectivesAligned To: 0 Learning ObjectivesUnit 8Q 1:How is ethical behavior an integral part of the doctorally prepared advanced practice nurse’s role? Why is the doctorally prepared advanced practice nurse considered a role model? How does one display the characteristics of a role model? Does a doctorally prepared advanced practice nurse have a legitimate right and/or ethical foundation to interject their ideas into business practice?Q 2:Locate the “Comprehensive Assessment Part One: Competency Matrix” assignment in this topic and identify any competency “blank spaces” that were left unmet by either programmatic or course-based assignment completion thus far. Also locate the instructor feedback notes you made while completing the matrix regarding both programmatic and course-based assignments to date. What program competencies were left unmet in your matrix?  What content areas do you need to address and strengthen based on instructor feedback? Develop and post an action plan to address these two areas as you move forward into the practicum stage of the programResourcesReview three or four DPI Project Examples from the DPI Project Examples document at the links provided in the DNP Program Documents folder on the DC Network. URL:https://dc.gcu.edu/dnpAmerican Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. URL:http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.htmlFinancial and Business Management for the Doctor of Nursing Practice  Read chapters 11, 13, and 16.   URL:http://gcumedia.com/digital-resources/springer-publishing-company/2012/financial-and-business-management-for-the-doctor-of-nursing-practice_ebook_1e.phpAligned To: 0 Learning ObjectivesAligned To: 0 Learning Objectives Silverman, H. J. (2000). Organizational ethics in healthcare organizations: Proactively managing the ethical climate to ensure organizational integrity. HEC Forum, 12(3), 202-215. URL:https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/229344211/483ED71DE7304704PQ/3?accountid=7374#

Module 5 discussion Maternal Child Nursing

Group A will complete the initial post. Group B will respond. You are called to the room and find Michael 2 hours old has been very irritable and spitting up large amounts of formula. He is very jittery. You do not know the maternal history before coming into the room so you advise the mother that you would like to return the baby to the nursery for an assessment and monitoring. In the medical record you focus on prenatal history. You witness the baby having some significant tremors. What would you suspect? Michaels VS are: T (axillary) – 36.0, RR- 70, HR- 166, he is very alert, irritable, and does not console easily. Is moving constantly, and sucking very vigorous on the pacifier you provide for comfort. You place the baby under the warmer and obtain what labs?It is determined that this baby is going through opioid withdrawal. Neonatal Abstinence Syndrome requires close observation and scoring. Methadone may be used. Neonatal Abstinence Syndrome Shows both the signs of withdrawal, scoring and the nursing care of a baby with Neonatal Abstinence Syndrome.Group B ResponseWhat is your feeling and knowledge regarding breastfeeding this baby?DISCUSSION BGroup B will complete the initial post. Group A will respond. Baby Leah had a very traumatic vaginal birth. After a vacuum extraction for fetal heart rate tracing changes and a resultant shoulder dystocia, Leah has a mild Erb’s palsy, some facial and truncal bruising. Pediatrician has ordered physical therapy for the palsy and the doctor expects routine care to be provided to her. In addition, do not forget the education you must give to the new parents regarding this injury. Due to the bruising there is an increase in bilirubin levels and some behavioral changes occur with Leah. Please describe what is different and what will you discuss with the family to ensure safety? The bilirubin level requires phototherapy. What precautions must you take? What is essential to manage and treat the elevated bilirubin in addition to phototherapy?Group A Response Phototherapy is discontinued at the hospital, but at home the parents are encouraged to provide some ‘routine’ therapy for Hyperbilirubinemia. What would you suggest? Do not forget routine discharge instruction for this parent. Please Include answer all questions with 3-4 references

madeline-leiningertranscultural-nursing-theory

Fix The feedback

pressure ulcers RUA

3-4 pages not including cover page and reference sheet. the topic is on pressure ulcers. The directions and rubric must be followed to a T! NO PLAGIARISM!! Attached is the template to use, guidelines and rubric.