Healthcare Improvement Project Assignment

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Healthcare Improvement Project Assignment

Healthcare improvement project

COMPETENCIES
7073.2.1 : Implementation Projects

The graduate examines regulatory and compliance requirements for implementing an improvement project comprised of systematic activities and processes that are organized and implemented to improve organizational quality, safety, and performance.

7073.2.2 : Collaboration

The graduate collaborates with internal and external stakeholders to assess the need and readiness for a healthcare improvement project using improvement science methods and practices.

7073.2.4 : Initiating the Project

The graduate synthesizes relevant research, feasibility results, patient preferences, and interdisciplinary stakeholder perspectives to initiate a healthcare improvement project.

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INTRODUCTION

After your first course, the remaining specialty courses through your capstone will have a summative assessment that consists of an authentic performance assessment that scaffolds the tasks of the healthcare improvement project (HIP) through the project management lifecycle phases of project initiation, planning, implementation, and evaluation. Each performance assessment will focus on aspects of the proposal you will develop for a healthcare improvement project using a real-world approach to improving healthcare. Each phase will be described in different sections of a healthcare improvement project (HIP) paper. Healthcare Improvement Project Assignment

 

This task is focused on the knowledge you gained and the deliverables you completed to initiate the proposed HIP using information from a former or current organization. You will describe the collaborative process used to complete the business case analysis by determining the need, feasibility, and organizational readiness for your HIP. As the nursing leader developing the business case analysis in this initiation phase, your end goal is to justify the project.

 

This task requires the submission of your entire HIP paper template, including the following section(s) of your HIP paper which you will be developing in this performance assessment:

• “Stakeholder Identification”

• “Needs Assessment”

• “Problem Identification”

• “Problem Description”

• “Impact Analysis and Template”

• “SWOT Analysis and Template”

 

While you must submit your entire paper, you will only be graded on the project initiation section and related appendices. The following sections of the HIP paper template should be completed and submitted as appendices to your HIP paper:

• Impact Analysis Template (Appendix A)

• SWOT Analysis Template (Appendix B)

 

During your clinical practice experience (CPE), you will have an opportunity to identify project stakeholders (e.g., subject matter experts, colleagues from a former or current organization, faculty, and other nursing professionals) who have agreed to collaborate with you during this phase of your project. You will consult with appropriate stakeholders to complete and submit the “Impact Analysis Template” and “SWOT Analysis Template.” These deliverables will be evaluated in your CPE for completion, not quality. When you submit these deliverables as appendices with your HIP paper in this task, they will be evaluated for content and quality of completion, so please check your work to make sure it meets the requirements for your HIP paper. CPE provides you an opportunity to practice and improve these items before including them in your Task 1 of the performance assessment. Healthcare Improvement Project Assignment

REQUIREMENTS
Your submission must be original. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.

 

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

 

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

 

Complete the “Healthcare Improvement Project Initiation” section of your healthcare improvement project (HIP) paper by doing the following:

 

Stakeholder Identification

A. Summarize the process you used to identify three stakeholders who will contribute to the success of your project proposal by becoming members of your project team, including the following information:

• the technique you use to identify the three stakeholders

• a brief description of each stakeholder’s experience or expertise

• the role each stakeholder will have in supporting the proposed healthcare improvement project (HIP) Healthcare Improvement Project Assignment

Note: Do not include the actual names of people.

 

Needs Assessment
B. Explain the process you used to determine the need for an HIP, including the following:
• the method to capture ideas from stakeholders

• how these ideas were organized into themes

• the process for reaching consensus on the need for a HIP

 

Problem Identification
C. Present the problem or opportunity that will be the focus of your project and explain the significance of your project to your target population, your organization, and your nursing practice.

 

Note: Use the problem or opportunity determined by your needs assessment.

 

Problem Description
D. Describe the background information leading up to the problem or opportunity at your organization.

 

Impact Analysis and Template
E. Assess the feasibility of implementing the HIP by doing the following:

1. Submit a copy of the “Impact Analysis Template” that you completed during your CPE as Appendix A of your HIP paper.

2. Discuss the feasibility of the HIP using the results of your impact analysis and an interpretation of the impact ratio calculation.

 

SWOT Analysis and Template

F. Assess the organization’s readiness for the HIP by doing the following:

1. Submit a copy of the “SWOT Analysis Template” that you completed during your CPE as Appendix B of your HIP paper.

2. Describe the process used to complete the SWOT analysis, including how stakeholders or SMEs helped identify the factors that may impact the implementation of the HIP.

3. Describe one internal or external organizational regulatory or one compliance requirement that may impede or facilitate the implementation of your project. Healthcare Improvement Project Assignment

 

G. Incorporate the following components of APA style and formatting into your paper:

• bias-free language

• objectivity, credibility of sources, and evidence-based approach

• APA-specific rules regarding verb tense, voice, and perspective

• a title page and headers

• APA-specific formatting rules for in-text citations and references, margins, spacing, numbering, and indentation for the title page, main body, and appendices of your paper, including headers, bulleted and numbered lists, and tables and figures

H. Demonstrate professional communication in the content and presentation of your submission.

 

RUBRIC
A:STAKEHOLDER IDENTIFICATION
NOT EVIDENT

A summary of the process used to identify 3 stakeholders is not provided.

APPROACHING COMPETENCE

The summary does not logically explain the process used to identify 3 stakeholders that will contribute to the success of the project proposal. Or the summary does not include the technique used to identify the stakeholders, the experience or expertise of each stakeholder, or the role each stakeholder will have in supporting the healthcare improvement project.

COMPETENT

The summary logically explains the process used to identify 3 stakeholders that will contribute to the success of the project proposal. The summary includes the technique used to identify the stakeholders, the experience or expertise of each stakeholder, and the role each stakeholder will have in supporting the proposed healthcare improvement project.

B:NEEDS ASSESSMENT
NOT EVIDENT

An explanation of the process used to conduct a needs assessment is not provided.

APPROACHING COMPETENCE

The explanation of the process used to conduct a needs assessment does not represent a logical progression of ideas into themes for the purpose of reaching consensus on the need for a HIP. Or the explanation does not include all given components, or 1 or more of the given components contains inaccurate or irrelevant information.

COMPETENT

The explanation of the process used to conduct a needs assessment represents a logical progression of ideas into themes for the purpose of reaching consensus on the need for a HIP. The explanation includes all given components, which each contain accurate and relevant information. Healthcare Improvement Project Assignment

C:PROBLEM IDENTIFICATION
NOT EVIDENT

The submission does not present a problem or opportunity that will be the focus of the project.

APPROACHING COMPETENCE

The submission presents the problem or opportunity that will be the focus of the project but does not logically explain the significance of the project for the target population, the organization, or the nursing practice.

COMPETENT

The submission presents the problem or opportunity that will be the focus of the project and logically explains the significance of the project for the target population, the organization, and the nursing practice.

D:PROBLEM DESCRIPTION
NOT EVIDENT

A description of background information is not provided.

APPROACHING COMPETENCE

The description provides background information leading up to the problem or opportunity at the organization, but the information is not relevant to the candidate’s HIP.

COMPETENT

The description provides background information leading up to the problem or opportunity at the organization, and the information is relevant to the candidate’s HIP.

E1:IMPACT ANALYSIS
NOT EVIDENT

A completed “Impact Analysis Template” is not submitted.

APPROACHING COMPETENCE

A completed “Impact Analysis Template” is submitted, but 1 or more of the components of the impact analysis are not logical or do not relate to the HIP or assessing the feasibility of implementing the project. Or the “Impact Analysis Template” is not submitted as Appendix A of the HIP paper.

COMPETENT

A completed “Impact Analysis Template” is submitted as Appendix A of the HIP paper, and all components of the impact analysis are logical and relate to the HIP and to assessing the feasibility of implementing the project.

E2:IMPACT ANALYSIS RESULTS
NOT EVIDENT

A discussion of the results of the impact analysis is not provided.

APPROACHING COMPETENCE

The discussion of the results of the impact analysis does not accurately assess feasibility of the HIP, is not logical, or does not include an accurate interpretation of the impact ratio calculation. Healthcare Improvement Project Assignment

COMPETENT

The discussion accurately and logically assesses feasibility of the HIP using the results of the impact analysis and includes an accurate interpretation of the impact ratio calculation.

F1:SWOT ANALYSIS
NOT EVIDENT

A completed “SWOT Analysis Template” is not submitted.

APPROACHING COMPETENCE

A completed “SWOT Analysis Template” is submitted, but 1 or more of the elements of the SWOT analysis are not logical or not relevant to either the organization or the HIP. Or the “SWOT Analysis Template” is not submitted as Appendix B of the HIP paper.

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COMPETENT

A completed “SWOT Analysis Template” is submitted as Appendix B of the HIP paper, and all elements of the SWOT analysis are logical and relevant to the organization and the HIP.

F2:SWOT ANALYSIS PROCESS
NOT EVIDENT

A description of the process used to complete the SWOT analysis is not provided.

APPROACHING COMPETENCE

The description of the process used to complete the SWOT analysis is not logical or does not logically describe how the key stakeholders or SMEs helped identify factors that may impact the implementation of the HIP. Or the process used was not appropriate for completing a SWOT analysis.

COMPETENT

The description of the process used to complete the SWOT analysis is logical and logically describes how the stakeholders or SMEs helped identify factors that may impact the implementation of the HIP. The process used was appropriate for completing a SWOT analysis.

F3:REQUIREMENTS IMPEDE OR FACILITATE IMPLEMENTATION
NOT EVIDENT

A description of regulatory or compliance requirements is not provided.

APPROACHING COMPETENCE

The description of 1 internal or external organizational regulatory or 1 compliance requirement does not logically address how it may impede or facilitate the implementation of the improvement project or the description does not address at least 1 regulatory or 1 compliance requirement, or the description does not include plausible examples.

COMPETENT

The description of 1 internal or external organizational regulatory or 1 compliance requirement logically addresses how it may impede or facilitate the implementation of the improvement project, including plausible examples.

G:APA STYLE AND FORMAT
NOT EVIDENT

The submission does not incorporate the given APA style and format components as described in the current APA manual.

APPROACHING COMPETENCE

The submission does not accurately or consistently incorporate 1 or more of the given APA style and format components as described in the current APA manual.

COMPETENT

The submission accurately and consistently incorporates all of the given APA style and format components as described in the current APA manual.

H:PROFESSIONAL COMMUNICATION
NOT EVIDENT

Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.

APPROACHING COMPETENCE

Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.

COMPETENT

Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding. Healthcare Improvement Project Assignment

Future of Nursing Assignment Paper

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Future of Nursing Assignment Paper

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

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In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.

 

Include the following:

Discuss your options in the job market based on your educational level. (I have a BSN)
Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals. (MSN-Acute Care Practitioner & Educator 4years. want more bedside experience and want to take a break from school.)
Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.
Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.
Discuss whether continuing nursing education should be mandatory. Provide support for your response.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Future of Nursing Assignment Paper

NRS 433V Literature Search: Prevention of Surgical Site Infection

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NRS 433V Literature Search: Prevention of Surgical Site Infection

NRS 433V Literature Search: Prevention of Surgical Site Infection

Conduct a literature search to locate research articles focused on a practice problem of interest. This literature search should include both quantitative and qualitative peer research articles to support your practice problem or issue of interest in 350-750 words. NRS 433V Literature Search: Prevention of Surgical Site Infection

Identify six peer research articles which will be utilized through the next 5 weeks as reference sources. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts.

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Suggestions for locating qualitative and quantitative research articles from credible sources:

Use a library database such as CINAHL Complete for your search.

Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section.

When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative.

To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine that research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. NRS 433V Literature Search: Prevention of Surgical Site Infection

Prepare this assignment according to the APA 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.

PICOT question and literature search for Grand Canyon University

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

  1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
  2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
  3. The PICOT question will provide a framework for your capstone project.
  4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. NRS 433V Literature Search: Prevention of Surgical Site Infection

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Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and 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 433V Literature Search: Prevention of Surgical Site Infection

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 not required to submit this assignment to LopesWrite.

 

Literature Evaluation Table

 

Summary of Clinical Issue (200-250 words):

 PICOT Question: Will nurses benefit from more infection control measures as well as adequate PPE equipment and protocol education when dealing with contractible disease patients and hazardous drugs?

Criteria Article 1 Article 2 Article 3
APA-Formatted Article Citation with Permalink  

 
How Does the Article Relate to the PICOT Question?
Quantitative, Qualitative (How do you know?)
Purpose Statement
Research Question
Outcome
Setting 

(Where did the study take place?)
Sample
Method
Key Findings of the Study
Recommendations of the Researcher

 

 

 

Criteria Article 4 Article 5 Article 6
APA-Formatted Article Citation with Permalink  

 
How Does the Article Relate to the PICOT Question?
Quantitative, Qualitative (How do you know?)
Purpose Statement
Research Question
Outcome
Setting 

(Where did the study take place?)
Sample
Method
Key Findings of the Study
Recommendations of the Researcher

NURS 6211 Walden University Health Care Budget Paper & Excel Worksheet

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NURS 6211 Walden University Health Care Budget Paper & Excel Worksheet

I’m stuck on a Accounting question and need an explanation.

 

  • Calculate the budget ratios as directed in the Healthcare Budget Request Guide.

NOTE: You will copy your worksheet and analysis onto the Healthcare Budget Request Template (Word document) for submission.

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Part 2: Summary of Analysis and Interpretation of Results:

Create a brief (1- to 2-page) description of your budget and analysis that clearly describes the budget. Be sure to address the following:

  • During the course of 5 years, is there an estimated surplus or deficit?
  • What percentages of the budget are dedicated to various categories you have defined, such as startup costs, etc.?
  • What does this budget mean for your organization? NURS 6211 Walden University Health Care Budget Paper & Excel Worksheet

NRSG 612 Colorado Technical University Online Transitioning to Practice HW

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NRSG 612 Colorado Technical University Online Transitioning to Practice HW

I’m studying for my Nursing class and need an explanation.

write 500–700 words that respond to the following questions with your thoughts, ideas, and comments

This Discussion Board content will be incorporated into your Individual Project 4. Please discuss the key points below and integrate feedback from peers/instructor to make this area of your final paper (Individual Project 4) stronger.

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Part IV: The outcome(s) & time frame – what is the anticipated outcome from the change in intervention? And, over what period of time?

  • Based on your intervention and research, what do you propose as potential outcomes to measure? What change(s) are you want to make?
  • How would these outcomes be measured?
  • Would this be evaluated after a particular amount of time or at different periods of time? (If applicable)
  • How would it benefit the nursing profession if the intervention was changed based on the particular outcome(s)? NRSG 612 Colorado Technical University Online Transitioning to Practice HW

APA Style

At least 2 reference no older than 2017

NRSG 612 COLORADOTECH Comparing Research and Performance Improvement with Evidence Based Practices Paper

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NRSG 612 COLORADOTECH Comparing Research and Performance Improvement with Evidence Based Practices Paper

Need help with my Nursing question – I’m studying for my class.

 

Complete a literature review of 8 supporting evidence -based research articles based on your population, intervention, comparison, outcome, and time (PICOT) research question you developed in Unit 1.

Complete the following:

  • Using your PICOT research question, use the CTU Library to locate at least 8 scholarly articles that will support your PICOT question. The articles should not be more than 5 years old.
  • After you have identified the articles to support your research question, use the provided literature review template to break down the articles, gather the important points of the article, and determine how the article directly supports your PICOT question. The goal of completing this template is to use it as a resource when developing your final project, rather than having to refer back to all of the articles. The content that you add to the content does not have to be in APA format, with the exception of actual reference article you are using to support your PICOT question. Take care to be thorough when completing the table. This will become a valuable resource to use when working on the final assignment if done correctly. An example is provided in the template that is to be used. NRSG 612 COLORADOTECH Comparing Research and Performance Improvement with Evidence Based Practices Paper

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4-6 pages

APA Style

3 Reference no older than 5 years

Unit 1 Questions

Introduction

All information that access originates from a specific source. Knowledge may be innate, but it still originates from us. The various knowing methods dictate how we access information. The plans include intuition, memory, sense perception, faith, imagination, reasoning, language, as well as emotion. The various methods of knowledge help to perceive and translate information in the world. This paper seeks to address how one can determine the accuracy and validity of the data. The paper will also discuss the hierarchy of evidence models and places to find personal and professional life information.

Information accuracy and validity

It is essential to research every source of information to find out about its accuracy. Some information is meant to mislead people, while others are useful. Also, one should be in a position to differentiate between facts and opinions. Opinions are generalized ideas without evidence, while facts have been proven in one way or the other. To determine the accuracy of the information, one needs to research the source of information. The person’s previous agenda in their statements can be used to decide on their real intentions in their report (Ambrosio, Votto, Gouesbet, & Wang, 2018). Credible information sources are likely to be listed by other respected sources. NRSG 612 COLORADOTECH Comparing Research and Performance Improvement with Evidence Based Practices Paper

Similarly, one should not believe every information that is repeated by several sources as accurate. Research is needed to verify the information credibility. Likewise, information validity can be verified by researching the author’s educational background. Professionals are likely to provide more accurate information compared to amateurs. Citations and references can also be used to determine the validity of the data (Ambrosio et al., 2018). For instance, if the report lacks verifiable sources and a separate reference page, then it is likely to be inaccurate. Thus, its good to always use information with consistent citations. Therefore, before using any information, it is essential to find out its validity and accuracy.

The Hierarchy of evidence

The hierarchy of evidence refers to a rank applied in determining the strength of outcomes acquired from a particular study. Several hierarchies have been approved to assess medical pieces of evidence. The study design, as well as the endpoints, impact the evidence obtained. The evidence is ranked according to the possibility of being influenced by systematic bias. The top-ranked method is free from prejudice and contains information that is more valid compared to other ranks (Parameswaran, & Agarwal, 2018). Different states have a different hierarchy of shreds of evidence.

In the US, the hierarchy has five stages. The first stage describes evidence gathered from a randomized controlled experiment, while the second stage depicts data from well-designed analyses done without randomization. The third level is a cohort study from various research groups. The fourth level involves multiple designs obtained at different intervals without requiring interventions. The last stage involves opinions obtained from respected authorities (Parameswaran et al., 2018). The information is founded on experiences and descriptive studies. NRSG 612 COLORADOTECH Comparing Research and Performance Improvement with Evidence Based Practices Paper

The most useful stage that I drive both personal and professional information is the third rank. The rank involves data compiled from various study groups, which means the information is likely to be valid. For instance, regarding my college of choice, I had to research the best college offering my course of study from various online platforms. That’s how I ended up applying for admission to the institution. I was confident that I would get the relevant skills by attending the institution.

Questions

1. As a nurse, I have gained knowledge through research studies, experimental and reading various nursing materials. Also, experience in the field of nursing has helped me to learn a lot.

2. In most cases, I conduct experiments to verify the validity of the information. Also, comparing data from various sources helps to verify the accuracy of information.

3. There is no best practice of gaining information in nursing practices. Every report must be filtered to verify its accuracy before using. NRSG 612 COLORADOTECH Comparing Research and Performance Improvement with Evidence Based Practices Paper

NUR 2063 Rasmussen College Md 2 Treatment of Rheumatoid Arthritis Discussion

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NUR 2063 Rasmussen College Md 2 Treatment of Rheumatoid Arthritis Discussion

I don’t understand this Nursing question and need help to study.

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identify a person you know who has an immune system disorder or cancer. Review content in your text for potential types of disorders.

Interview the affected person and write a 3-5 page paper identifying your findings including:

  • Identify the pathophysiology of the immune system disorder
  • Discuss the treatment for the immune system disorder
  • Summarize the findings of the interview. NUR 2063 Rasmussen College Md 2 Treatment of Rheumatoid Arthritis Discussion
  • Use 2-3 evidence-based articles from peer-reviewed journals or scholarly sources to support your findings or identify therapies that may be new or different from what the affected person may be using. You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks
  • Cite your sources in-text and on a References page using APA format. Have questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa

Questions you may want to use to guide your interview:

  1. Which immune system disorder do you have?
  2. How long have you had this disorder?
  3. How has this disorder changed your life (home and work)?
  4. Are you able to carry out daily activities independently?
  5. What therapies are you using to manage this disorder?
  6. What, if any, side effects does the treatment have?
  7. What therapies are you using to manage this disorder?
  8. What, if any, side effects doe the treatment have?
  9. Has this disorder changed your body?
  10. Does this disorder have any emotional effects on you?
  11. Have alternative therapies, such as Eastern medicine (acupuncture, herbal treatment, yoga) been tried or recommended? NUR 2063 Rasmussen College Md 2 Treatment of Rheumatoid Arthritis Discussion

NUR 2063 Rasmussen College Week 11 Diabetes Case Study

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NUR 2063 Rasmussen College Week 11 Diabetes Case Study

Module 06 Written Assignment – Diabetes Case Study

Using the case study below, prepare a 3-5 page paper.

A 21-year old female (A.M) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink. NUR 2063 Rasmussen College Week 11 Diabetes Case Study

You get more information from A.M. and learn

  • She had some readings on her glucometer which were reading ‘high’
  • She vomits almost every time she takes in fluid
  • She hasn’t voided for a day but voided a great deal the day before
  • She’s been sleeping long hours and finally woke up this morning and decided to seek care

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Current labs and vital signs:

  1. What is the pathophysiology for the condition you believe A.M. has?
  2. Relate the etiology and clinical manifestations for the condition you identified for A.M.

The practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders these items:

  1. 1000 ml Lactated Ringer’s (LR) IV stat
  2. 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now
  3. CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
  4. 1800 calorie, carbohydrate controlled diet. NUR 2063 Rasmussen College Week 11 Diabetes Case Study
  5. Bed rest
  6. Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN
  7. Furosemide (Lasix) 60 mg IV push now
  8. Urinary output every hour
  9. VS every shift

The orders above — which are questionable related to her condition and which are appropriate?

  1. What are the expected treatments for this condition?

Instructions:

Summarize the questions above and formulate what may be happening with A.M. and how you would improve her condition.

Use two evidence-based articles from peer-reviewed journals or scholarly sources to support your findings. Be sure to cite your sources in-text and on a References page using APA format. http://rasmussen.libanswers.com/faq/208365

You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks

Need help finding evidence-based articles? Use this link: http://rasmussen.libanswers.com/faq/208365

Have questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa

Case study adapted from:

Harding, M.M. & Snyder, J.S. (2015). Winningham’s critical thinking cases in nursing: Medical-surgical, pediatric, maternity, and psychiatric. Retrieved from: https://ebookcentral.proquest.com/lib/ras/detail.action?docID=2072336.

Module 06 Assignment

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below: NUR 2063 Rasmussen College Week 11 Diabetes Case Study

Jstudent_exampleproblem_101504

 

NUR 431 Excelsior College Controlling Health Care Costs Case Study

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NUR 431 Excelsior College Controlling Health Care Costs Case Study

I’m studying and need help with a Health & Medical question to help me learn.

 

M3D1: Controlling Health Care Costs – A Case Study

Module 3

An active discussion is the key to an interesting and engaging online course. Discussion in this course is designed to simulate a classroom discussion. As others join in the discussion, you should read what has already been posted and add substantively to the discussion. We will go through the questions one at a time, moving on to the next question once we have fully explore the current question. I will guide you through the discussions.

The modules in this course are one week in length. Time goes quickly, so remember to post early! Get in the habit of checking the discussions as often as you can to see what others have posted and to respond. The earlier in the week that you begin posting, the deeper the conversation and learning will be. NUR 431 Excelsior College Controlling Health Care Costs Case Study

In this descriptive case study, you will work together to explore the rationale for how and why decisions are made about health care treatment within cost containment parameters. Please read the case study and then engage in discussion on the questions that follow.

In your opinion, based on what you have learned so far this term:

  • Lisa had a very strong position regarding Don’s treatment. Based on the information provided in this case and what you have learned so far this term, what arguments would Lisa most likely have made to support his need for this treatment when she approached his insurance company? Why do you think the insurance company was so unresponsive?

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Now applying your readings, let’s go through these questions together one at a time. I will guide us through:

  • Knowing what you now know about methods typically used to manage health costs, what do you think was going on in this scenario? What role did managing health care costs play in the decisions made?
  • Health providers are in the business of treating and healing people. Yet, providers must also “make ends meet” in terms of income, or they will not remain in practice very long. If you and your classmates were in the position of deciding whether or not Don should receive this treatment, what factors would you want to weigh as you consider your decision? What other information might you want to have available to help you to make this decision? Work together on developing recommendations and be sure to support your recommendations with this week’s materials. NUR 431 Excelsior College Controlling Health Care Costs Case Study
  • Consider Don’s treatment path from his initial diagnosis through his death. Based on this case and your readings, do you feel it is possible for the health care delivery system to provide compassionate care within the parameters of cost containment? Why or why not? Be sure to speak to some of the current trends in financing that we have learned about this week.

Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click on “Reply.” Then copy/paste the text into the message field, and click “Post Reply.”

To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.

This discussion will be graded using a rubric. Please review this rubric prior to beginning the discussion. You can view the rubric by clicking on “Discussion Rubric” on the Course Rubrics page within the Start Here module. All discussions combined are worth 35% of your final course grade.

Module outcomes that are addressed in this discussion include:

  1. Examine the financing and reimbursement of public health and health care services. (CO3)
  2. Evaluate cost control methods used in the health care delivery system. (CO3)
  3. Analyze current trends in health financing. (CO3) NUR 431 Excelsior College Controlling Health Care Costs Case Study

NURS 6650 Walden University Group Therapy Session Paper

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NURS 6650 Walden University Group Therapy Session Paper

I’m stuck on a Nursing question and need an explanation.

 

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

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Then, in your Practicum Journal, address the following:

  • Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
  • Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
  • Using the DSM-5, explain and justify your diagnosis for each client.
  • Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach.
  • Explain any legal and/or ethical implications related to counseling each client.
  • Support your approach with evidence-based literature. NURS 6650 Walden University Group Therapy Session Paper