Summative Assessment: The Role Of A Health Care Manager Worksheet

Provide a 200- to 350-word response to each of the following prompts in which you identify and discuss the role of the health care manager in the following 4 office management functions: organizing, planning, controlling, and leading. Use your own words and do not copy your definitions directly from the textbook.

Summative Assessment: The Role of a Health Care Manager Worksheet

Complete the Weeks 1 and 2 readings located in the Learning Activities folder.

 

Provide a 200- to 350-word response to each of the following prompts in which you identify and discuss the role of the health care manager in the following 4 office management functions: organizing, planning, controlling, and leading. Use your own words and do not copy your definitions directly from the textbook.

 

1. Define how the task of organizing relates to a health care manager’s role. What is a specific workplace example of a health care manager organizing?

 

Enter your response.

 

2. Define how the task of planning relates to a health care manager’s role. What is a specific workplace example of a health care manager planning? Summative Assessment: The Role Of A Health Care Manager Worksheet

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Enter your response.

 

3. Define how the task of controlling relates to a health care manager’s role. What is a specific workplace example of a health care manager controlling?

 

Enter your response.

 

4. Define how the task of leading relates to a health care manager’s role. What is a specific workplace example of a health care manager leading?

 

Enter your response.

 

5. How do all 4 functions work together to create effective office management? What is a specific weekly or monthly routine a health care manager would complete that encompasses all 4 functions?

 

Enter your response.

 

 

 

Cultural, Spiritual, Nutritional, & Mental Health Disorders Assignment

Case #1

Subjective Data

Chief Complaint
(CC)
“I came for my annual physical exam, but do not want to be a burden to my daughter.”

History of Present Illness (HPI)
At-risk 86-year-old Asian male – who is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs.

Past Medical History (PMH)
Hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis

Past Surgical History (PSH)
S/P cholecystectomy

Drug Hx
Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily.

Allergies
NKA

Family Hx
None

Review of Systems (ROS)

General
+ weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills

Head, Eyes, Ears, Nose & Throat (HEENT) Cultural, Spiritual, Nutritional, & Mental Health Disorders Assignment
No changes in vision or hearing, no difficulty chewing or swallowing.

Neck
No pain or injury

GU
no urinary hesitancy or change in urine stream

Integument
multiple bruises on his upper arms and back.

MS/Neuro
+ falls x 2 within the last 6 months; no syncopal episodes or dizziness

Objective Data

PE
B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8

HEENT
Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous

Lungs
CTA AP&L

Card
S1S2 without rub or gallop

Abd
benign, normoactive bowel sounds x 4

Ext
no cyanosis, clubbing or edema

Integument
multiple bruises in different stages of healing – on his upper arms and back.

Neuro
No obvious deformities, CN grossly intact II-XII

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Once you received your case number, answer the following questions:
1. Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
2. Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.
3. Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?

Your initial post should be at least 550 words, formatted and cited in current APA style with support from at least 4 academic sources. Cultural, Spiritual, Nutritional, & Mental Health Disorders Assignment

Discussion 2

Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

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Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.  Nursing homework help

Case Study Questions

1. Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
2. Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
3. Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
4. The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
   In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
5. If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
6. Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D. Nursing homework help

 

Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.

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Case Study Questions

1. For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
2. What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
3. Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
4. How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
5. Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.

 

 

Submission Instructions:

Include both case studies in your post.

• Your initial post should be at least 550 words in total, (250 words per case study), formatted and cited in current APA style with support from at least 4 academic sources.  Nursing homework help

 

Care Across The Lifespan I Assignment

Journal

Welcome to the last week of your practicum! As you have proceeded through the practicum experience, you have been regularly challenged to reflect on your growth and development as you made progress on your goals. Additionally, your Preceptor has evaluated your skills and has provided feedback. As you end this practicum, consider what you have gained from the experiences in your practicum setting. Did you meet your goals and objectives? What were the challenges and how did you manage them? What were the successes and what lessons can you take from those experiences and apply to future experiences? Use your reflections to seek opportunities for growth in the areas you found challenging, while simultaneously celebrating your successes. Care Across The Lifespan I Assignment

This week, your complete a reflective journal on your practicum experience

 

Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.

Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum.

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To Prepare

• Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources, and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
• Refer to your Clinical Skills Self-Assessment Form you submitted in Week 1, and consider your strengths and opportunities for improvement.
• Refer to your Patient Log in Meditrek, and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

Journal Entry (450–500 words)

Learning From Experiences

• Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
• Reflect on the three (3) most challengin g patients you encountered during the practicum experience. What was most challenging about each? Care Across The Lifespan I Assignment
• What did you learn from this experience?
• What resources were available?
• What evidence-based practice did you use for the patients?
• What would you do differently?
• How are you managing patient flow and volume?
• How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

• Reflect on how you might improve your skills and knowledge, and communicate those efforts to your Preceptor.
• Answer the questions: How am I doing? What is missing?
• Reflect on the formal and informal feedback you received from your Preceptor. 

Focused SOAP Note and Client Case Presentation

Tina Cherry

College of Nursing-PMHNP, Walden University

NRNP PRAC 6665C: Psychiatric Mental Health Nurse Practitioner Care Across the Lifespan I

 

Jannia Mendez MSN APRN PMHNP BC

Subjective:

CC (chief complaint): “I am pretty mentally ill.”

HPI: PL is transmale, 17 years old, using the pronouns he/him. He has been accompanied to the clinic by his grandmother diagnosed with depression, PTSD, ADHD, autism, and anxiety. He says he has been trying to change his medications, but his psychiatrist will not allow him. The patient says that, generally, he is sleeping fine. On a scale of one to ten, where ten is total happiness, the patient rates his life as a six out of ten. He says he is generally moody and has been experiencing side effects from the medications he is currently on. The patient denies any suicidal or homicidal ideation. He admits to experiencing hallucinations and reports that he has a low mood most of the time. He says that he was verbally, emotionally, and physically abused by his grandmother and father during his childhood.

Substance Current Use: Never used tobacco, occasional drinker, and smokes marijuana weekly.

Medical History:

 

• Current Medications: olanzapine 15 mg nightly, buspirone 10 mg TID, Effexor 150 mg daily, and Wellbutrin 100 mg daily.
• Allergies: Allergic to Paxil influences mental behavior. Also allergic to zthrromycin, which causes vomiting and nausea.

• Reproductive Hx: birth gender is female.

ROS:

• GENERAL: Individual is appropriately dressed for the occasion but not well groomed.
• HEENT: The patient’s skull is normocephalic and has no evidence of trauma. Vision is also normal with no recent changes. The patient has no auditory issues and passes the whisper test. The throat is normal with no inflammations.
• SKIN: there are no breakages in the patient’s skin, and it is sufficiently moist.
• CARDIOVASCULAR: The patient does not report any pains in the chest, edema, or orthopnea.
• RESPIRATORY: There is no wheezing or dyspnea. The patient does not experience any shortness of breath.
• GASTROINTESTINAL: The patient does not report any pains in the abdomen.
• GENITOURINARY: No dysuria or hematuria was reported, and no discomfort when passing urine.
• NEUROLOGICAL: The patient has not experienced any seizures, numbness, or focal weakness.
• MUSCULOSKELETAL: The patient’s gait is normal, and no joint pains are reported.
• HEMATOLOGIC: The patient does not report any blood clots or bleeding issues.
• LYMPHATICS: The patient has no inflammations, and the lymph nodes are normal.
• ENDOCRINOLOGIC: Polyuria and polydipsia are not reported.

Objective:

Diagnostic results:

Vitals: Height 5’2”; Weight 185 lbs; BI 33.84; Reported pain 0/10

GAD-7 total score: 14 PHQ-9 Total score: 21, MDQ (+)

Assessment:

Mental Status Examination:

The patient is well-oriented to time, person and place. During the examination, the patient changed in mood and appeared depressed. The patient is also experiencing sadness that is interfering with their normal functioning. During the examination, it is evident that the patient suffers from anxiety. The patient is also visibly nervous during the examination. Signs of sleep disturbance are evident from the examination, and the patient also has suicide ideation. The patient is also experiencing feelings of worthlessness and hopelessness. PL also presents with hallucinations and delusions.

Diagnostic Impression:

 

Moderate Bipolar Disorder

 

Moderate bipolar disorder is also called cyclothymic disorder (Ghaziuddin & Ghaziuddin, 2021). An individual experiencing moderate bipolar disorder is likely to present with cyclic lows and highs that can be apparent in considerable mood swings that also affect their energy levels (Ghaziuddin & Ghaziuddin, 2021). The cyclic lows and highs are also likely to lead to reduced energy levels affecting the individual’s ability to function normally (Ghaziuddin & Ghaziuddin, 2021). The changes in moods can take place rapidly and abruptly at any time. The individual will often have short periods of normal moods before their moods swing again (Ghaziuddin & Ghaziuddin, 2021). Moderate bipolar disorder is likely to appear in the adolescent stage to early adulthood. Symptoms of moderate bipolar disorder include needing very little sleep, being easily distracted, racing thoughts, being isolated, losing weight and appetite, suicide ideation, a considerable loss of energy, and low self-esteem (Ghaziuddin & Ghaziuddin, 2021). Care Across The Lifespan I Assignment

 

Posttraumatic Stress Disorder

 

PTSD is a mental health disorder that is caused as a result of a person experiencing or witnessing trauma. Some trauma that may lead to PTSD includes serious injury, sexual violence, death threats, terrorist acts, war, natural disasters, and many others (Watkins et al., 2018). An individual with PTSD is likely to experience disturbing and intense thoughts linked to the traumatic experience they underwent or witnessed, even if significant time has passed since the event. The individual may involuntarily relive the experience through nightmares or flashbacks that they cannot control or stop (Watkins et al., 2018). The individual may also feel intense sadness, anger, or fear while estranging from those around them. For a diagnosis of PTSD to arrive at, the individual has to have been exposed to trauma which may be firsthand or indirect (Watkins et al., 2018). Some of the symptoms of PTSD include intrusive, involuntary memories about the traumatic event, avoidance of reminders about the trauma, changes in moods and cognition, and irritability (Watkins et al., 2018).

 

Reflections

 

In this case, one of the main learning points was comorbidity. Comorbidity is the presence of more than one disorder in one patient (Auerbach et al., 2019). I learned that it is not rare for individuals to be diagnosed with more than one mental health disorder. One of the major challenges with comorbidities is getting an accurate diagnosis because of the overlap of symptoms the patient may present with (Auerbach et al., 2019). Treatment can also be challenging because an intervention for a specific disorder may have unintended effects on other disorders in the individual. In this case, one of the ethical considerations is patient autonomy (Shobassy, 2021). The patient is convinced that he should change his medications and is aware of their advocacy rights. However, the patient is also below 18 years old, which may mean that he is not capable of making such decisions on his own. In addition, he is accompanied by an adult, his grandmother, whom he accuses of having verbally, emotionally, and physically abused him in the past. A legal consideration linked to the issue of patient autonomy would be to determine what the state laws say about such a case. In some states, older adolescents have some autonomy rights (Shobassy, 2021).

Case Formulation and Treatment Plan:

The patient should continue taking olanzapine 10mg nightly. In addition, they should take Effexor 75 mg while continuing with Wellbutrin 100 mg daily. The patient should be scheduled for a follow-up appointment to evaluate how he responds to the changes in his prescription and if he is still experiencing adverse drug reactions. The patient should continue taking venlafaxine in the clinic appointment and begin bupropion taper. The patient should be started on Latuda 20mg, taken once daily during the same visit. The patient and his grandmother should monitor the medications for any side effects. In the case of an emergency, the patient or the grandmother should visit the hospital or contact 911. In order to ensure the patient and the grandmother have understood the treatment plan, they should both verbalize it. Care Across The Lifespan I Assignment 

 References

Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., … & WHO

WMH‐ICS Collaborators. (2019). Mental disorder comorbidity and suicidal thoughts and behaviors in the world health organization world mental health surveys international college student initiative. International journal of methods in psychiatric research, 28(2), e1752. https://doi.org/10.1002/mpr.1752

Ghaziuddin, M., & Ghaziuddin, N. (2021). Bipolar disorder and psychosis in autism. Psychiatric

Clinics, 44(1), 1-9. https://doi.org/10.1016/j.psc.2020.11.001

Shobassy, A. (2021). Legal and Ethical Issues. The Psychiatric Hospitalist: A Career Guide,

215.

Watkins, L. E., Sprang, K. R., & Rothbaum, B. O. (2018). Treating PTSD: A review of evidence-

based psychotherapy interventions. Frontiers in Behavioral Neuroscience, 12, 258. https://doi.org/10.3389/fnbeh.2018.00258

 

Food & Drug Administration Assignment

Not explain altogether. Write each question with its answer individually.

using formal APA writing convention, using the 7th Edition

References at least 5 and not more than 5 years ago

Plagiarism free work…. Thank you

USE: FSA-Drugs and DSM-5 book for reference

 

U.S. Food & Drug Administration. (n.d.). Drugs@FDA: FDA-approved drugs. https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm

Drugs@FDA: FDA-Approved Drugs

 

U.S. Food & Drug Administration. (n.d.). Drugs@FDA: FDA-approved drugs. https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm

 

Note: To access the following medications, use the Drugs@FDA resource. Type the name of each medication in the keyword search bar. Select the hyperlink related to the medication name you searched. Review the supplements provided and select the package label resource file associated with the medication you searched. If a label is not available, you may need to conduct a general search outside of this resource provided. Be sure to review the label information for each medication as this information will be helpful for your review in preparation for your Assignments.

· armodafinil · amphetamine (d) · amphetamine (d,l) · atomoxetine · bupropion · chlorpromazine · clonidine

· guanfacine · haloperidol · lisdexamfetamine · methylphenidate (d) · methylphenidate (d,l) · modafinil · reboxetine

 

Link: Psychopharmacologic Approaches to Treatment of Psychopathology (waldenu.edu)

 

In the link is the case study, with the general information of the patient and then each medicine, a click on each medicine and there is more information on where each decision will be made for the patient.)

 

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Decison1: Ritalin

Decision2: Ritalin LA

Decision3: continue Ritalin LA

Please answer each question very specifically, for example why, clinically relevant, why not select, hoping to archive, ethical considerations (this is repeated in each decision)

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Food & Drug Administration Assignment

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Food & Drug Administration Assignment

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature. Food & Drug Administration Assignment