Safety Quality Issue Pertaining to Medication Administration in a Health Care Setting

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Safety Quality Issue Pertaining to Medication Administration in a Health Care Setting

For this assessment, you will develop a 3-5 page paper that examines a safety quality issue pertaining to medication administration in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue. Health care organizations and professionals strive to create safe environments for patients however, due to the complexity of the health care system, maintaining safety can be a challenge. Since nurses comprise the largest group of health care professionals, a great deal of responsibility falls in the hands of practicing nurses. Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce medical errors and sentinel events such as medication errors, falls, infections, and deaths. A 2000 Institute of Medicine (IOM) report indicated that almost one million people are harmed annually in the United States, (Kohn et al., 2000) and 210,000–440,000 die as a result of medical errors (Allen, 2013).

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The role of the baccalaureate nurse includes identifying and explaining specific patient risk factors, incorporating evidence-based solutions to improving patient safety and coordinating care. A solid foundation of knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals (NPSGs) program is vital to practicing nurses with regard to providing and promoting safe and effective patient care. INSTRUCTIONS The purpose of this assessment is to better understand the role of the baccalaureate-prepared nurse in enhancing quality improvement (QI) measures that address a medication administration safety risk. This will be within the specific context of patient safety risks at a health care setting of your choice. You will do this by exploring the professional guidelines and best practices for improving and maintaining patient safety in health care settings from organizations such as QSEN and the IOM. Looking through the lens of these professional best practices to examine the current policies and procedures currently in place at your chosen organization and the impact on safety measures for patients surrounding medication administration, you will consider the role of the nurse in driving quality and safety improvements. You will identify stakeholders in QI improvement and safety measures as well as consider evidence-based strategies to enhance quality of care and promote medication administration safety in the context of your chosen health care setting. Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score. Explain factors leading to a specific patient-safety risk focusing on medication administration. Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs. Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs. Identify stakeholders with whom nurses would coordinate to drive safety enhancements with medication administration. Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style. Additional Requirements Length of submission: 3–5 pages, plus title and reference pages. Number of references: Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old. APA formatting: References and citations are formatted according to current APA style. edition 7. For this assessment, you will develop a 3-5 page paper that examines a safety quality issue pertaining to medication administration in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue. Health care organizations and professionals strive to create safe environments for patients however, due to the complexity of the health care system, maintaining safety can be a challenge. Since nurses comprise the largest group of health care professionals, a great deal of responsibility falls in the hands of practicing nurses. Quality improvement (QI) measures and safety improvement plans are effective interventions to reduce medical errors and sentinel events such as medication errors, falls, infections, and deaths. A 2000 Institute of Medicine (IOM) report indicated that almost one million people are harmed annually in the United States, (Kohn et al., 2000) and 210,000–440,000 die as a result of medical errors (Allen, 2013). The role of the baccalaureate nurse includes identifying and explaining specific patient risk factors, incorporating evidence-based solutions to improving patient safety and coordinating care. A solid foundation of knowledge and understanding of safety organizations such as Quality and Safety Education for Nurses (QSEN), the Institute of Medicine (IOM), and The Joint Commission and its National Patient Safety Goals (NPSGs) program is vital to practicing nurses with regard to providing and promoting safe and effective patient care. INSTRUCTIONS The purpose of this assessment is to better understand the role of the baccalaureate-prepared nurse in enhancing quality improvement (QI) measures that address a medication administration safety risk. This will be within the specific context of patient safety risks at a health care setting of your choice. You will do this by exploring the professional guidelines and best practices for improving and maintaining patient safety in health care settings from organizations such as QSEN and the IOM. Looking through the lens of these professional best practices to examine the current policies and procedures currently in place at your chosen organization and the impact on safety measures for patients surrounding medication administration, you will consider the role of the nurse in driving quality and safety improvements. You will identify stakeholders in QI improvement and safety measures as well as consider evidence-based strategies to enhance quality of care and promote medication administration safety in the context of your chosen health care setting. Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you know what is needed for a distinguished score. Explain factors leading to a specific patient-safety risk focusing on medication administration. Explain evidence-based and best-practice solutions to improve patient safety focusing on medication administration and reducing costs. Explain how nurses can help coordinate care to increase patient safety with medication administration and reduce costs. Identify stakeholders with whom nurses would coordinate to drive safety enhancements with medication administration. Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style. Additional Requirements Length of submission: 3–5 pages, plus title and reference pages. Number of references: Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old. APA formatting: References and citations are formatted according to current APA style. edition 7

Case Study: Fetal Abnormality

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Case Study: Fetal Abnormality

Case Study on Moral Status Write a 750-1000 word analysis of \”Case Study: Fetal Abnormality.\” Be sure to address the following questions: 1. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain. 2. How does the theory determine or influence each of their recommendation for action? 3. What theory do you agree with? How would that theory determine or influence the recommendation for action? 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 Turnitin.

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Please refer to the directions in the Student Success Center. Case Study: Fetal Abnormality Jessica is a 30-year-old immigrant from Mexico City. She and her husband Marco have been in the U.S. for the last three years and have finally earned enough money to move out of their Aunt Maria’s home and into an apartment of their own. They are both hard workers. Jessica works 50 hours a week at a local restaurant and Marco has been contracting side jobs in construction. Six months before their move to an apartment, Jessica finds out she is pregnant. Four months later, Jessica and Marco arrive at the county hospital, a large, public, nonteaching hospital. A preliminary ultrasound indicates a possible abnormality with the fetus. Further scans are conducted and it is determined that the fetus has a rare condition in which it has not developed any arms, and will not likely develop them. There is also a 25% chance that the fetus may have Down syndrome. Dr. Wilson, the primary attending physician, is seeing Jessica for the first time, since she and Marco did not receive earlier prenatal care over concerns about finances. Marco insists that Dr. Wilson refrain from telling Jessica the scan results, assuring him that he will tell his wife himself when she is emotionally ready for the news. While Marco and Dr. Wilson are talking in another room, Aunt Maria walks into the room with a distressed look on her face. She can tell that something is wrong and inquires of Dr. Wilson. After hearing of the diagnosis, she walks out of the room wailing loudly and praying aloud. Marco and Dr. Wilson continue their discussion, and Dr. Wilson insists that he has an obligation to Jessica as his patient and that she has a right to know the diagnosis of the fetus. He furthermore is intent on discussing all relevant factors and options regarding the next step, including abortion. Marco insists on taking some time to think of how to break the news to Jessica, but Dr. Wilson, frustrated with the direction of the conversation, informs the husband that such a choice is not his to make. Dr. Wilson proceeds back across the hall, where he walks in on Aunt Maria awkwardly praying with Jessica and phoning the priest. At that point, Dr. Wilson gently but briefly informs Jessica of the diagnosis, and lays out the option for abortion as a responsible medical alternative, given the quality of life such a child would have. Jessica looks at him and struggles to hold back her tears. Jessica is torn between her hopes of a better socioeconomic position and increased independence, along with her conviction that all life is sacred. Marco will support Jessica in whatever decision she makes, but is finding it difficult not to view the pregnancy and the prospects of a disabled child as a burden and a barrier to their economic security and plans. Dr. Wilson lays out all of the options but clearly makes his view known that abortion is “scientifically” and medically a wise choice in this situation. Aunt Maria pleads with Jessica to follow through with the pregnancy and allow what “God intends” to take place, and urges Jessica to think of her responsibility as a mother. Case Study on Moral Status 1 Unsatisfactory 0.00% 2 Less Than Satisfactory 65.00% 3 Satisfactory 75.00% 4 Good 85.00% 5 Excellent 100.00% 70.0 %Content 25.0 %Determination of Moral Status Theory/Theories that determine the moral status of the fetus are incorrectly identified. Theory/Theories are identified that determine the moral status of the fetus for at least a few of the people listed in the case study, but explanation is lacking. Theory/Theories are identified that determine the moral status of the fetus for at least a few of the people listed in the case study. Some explanation is provided. Theory/Theories are identified that determine the moral status of the fetus for all of the people listed in the case study, including adequate explanation. Theory/Theories are identified that determine the moral status of the fetus for all of the people listed in the case study, including a detailed explanation. 25.0 %Recommendation for Action Recommendation for action shows little to no relevance to the case study. Recommendation for action is present, but lacks explanation. Recommendation for action is present, with some explanation. Recommendation for action is present, with explanation. Recommendation for action is present, with detailed explanation that shows a deep understanding of the subject. 20.0 %Personal Response to Case Study Personal response to the case study shows little to no relevance, and does not detail how the theory determines or influences the recommendation for action. Personal response to case study includes if you agree or disagree but does not detail how the theory determines or influences the recommendation for action. Personal response to case study includes if you agree or disagree and an explanation on how the theory determines or influences the recommendation for action. Personal response to case study includes if you agree or disagree and a detailed explanation on how the theory determines or influences the recommendation for action. Personal response to case study includes if you agree or disagree and a detailed explanation that shows a deep understanding of the subject including how the theory determines or influences the recommendation for action. 20.0 %Organization and Effectiveness 7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear. 8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English. 10.0 %Format 5.0 %Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately, or documentation format is rarely followed correctly. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Appropriate template is used. Formatting is correct, although some minor errors may be present. Appropriate template is fully used. There are virtually no errors in formatting style. All format elements are correct. 5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Case Study: Fetal Abnormality

Tools for Measuring Quality in Nursing Practice

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Tools for Measuring Quality in Nursing Practice

Assignment: Tools for Measuring Quality How do we determine quality? Quality in other areas of our lives can be subjective, so as it relates to our nursing practice, how do we specifically ensure that quality is clearly defined and measurable? Tools for measuring quality are used to assess the value measured, collected, or compared. These tools allow for subjectivity to be replaced with objectivity through data, formula, ranking, and analysis.

For this Assignment, you will explore at least three rate-based measures of quality. You will deconstruct each measure to explore your understanding of the it, including its importance and its impact on patient safety, the cost of healthcare, and the overall quality of healthcare. To Prepare: • Review the Learning Resources for this week, and reflect on tools for measuring quality in nursing practice. • Select three rate-based measurements of quality that you would like to focus on for this Assignment. o Note: These measurements must relate to some aspect of clinical or service quality that directly relates to patient care or the patient’s experience of care, and for the purposes of this Assignment, an analysis of staffing levels is not permitted. o You can find useful information on quality indicators that are of interest to you on these websites and resources (see required resources below). You may choose only one of the three measures to be some form of patient satisfaction measure. • Consider how the three rate-based measures (you will select) are defined, how the rates were determined or calculated, how the measures were collected, and how these measures are communicated to both internal and external stakeholders. • Reflect on how the three rate-based measures (you will select) may relate to organizational goals for improved performance. • Reflect on the three rate-based measures (you will select), and consider the importance of these measures on patient safety, cost of healthcare, and overall quality of healthcare. The Assignment: (8-pages) • Describe the three rate-based measures of quality you selected, and explain why. • Deconstruct each measure to include the following: o Describe the definition of the measure.

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o Explain the numerical description of how the measure is constructed (the numerator/denominator measure counts, the formula used to construct the rate, etc.).

o Explain how the data for this measure are collected. o Describe how the measurement is compared externally to other like settings, and differentiate between the actual rate and a percentile ranking. Be specific. o Explain whether the measure is risk adjusted or not. If so, explain briefly how this is accomplished. o Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace. Be specific and provide examples.

• Describe the importance of each measure to a chosen clinical organization and setting. o Using the websites and resources you can choose a hospital, a nursing home, a home health agency, a dialysis center, a health plan, an outpatient clinic, or private office. A total population of patient types is also acceptable, but please be specific as to the setting. That is, if you are interested in patients with chronic illness across the continuum of care, you might home in a particular health plan, a multispecialty practice setting or a healthcare organization with both inpatient and outpatient/clinic settings. • Explain how each measure you selected relates to patient safety, to the cost of poor quality, and to the overall cost of healthcare delivery. Be specific and provide examples. Required Resources http://www.ihi.org/resources/Pages/Tools/Quality-Improvement-Essentials-Toolkit.aspx Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press. • Chapter 4, “Data Collection” (pp. 107–26) • Chapter 5, “Statistical Tools for Quality Improvement” (pp. 127–169) Agency for Healthcare Research and Quality. (2018)). Key driver 2: Implement a data-driven quality improvement process to integrate evidence into practice procedures. https://www.ahrq.gov/evidencenow/tools/keydrivers/implement-qi.html

Dashboard Benchmark Evaluation Assignment

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Dashboard Benchmark Evaluation Assignment

Write a report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels. In addition, advocate for ethical action to address benchmark underperformance and explain the potential for improving the overall quality of care and performance, as reflected on a performance dashboard.  Review the performance dashboard metrics, as well as relevant local, state, and federal laws and policies. Consider the metrics that are falling short of the prescribed benchmarks. Structure your report so that it will be easy for a colleague or supervisor to locate the information they need, and be sure to cite the relevant health care policies or laws when evaluating metric performance against established benchmarks.  Option 2: Actual Dashboard  Use an actual dashboard from a professional practice setting for your evaluation. If you decide to use actual dashboard metrics, be sure to add a brief description of the organization and setting that includes:  The size of the facility that the dashboard is reporting on. The specific type of care delivery. The population diversity and ethnicity demographics. The socioeconomic level of the population served by the organization. Note: Ensure your data are Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information.  Option 3: Hypothetical Dashboard  If you have a sophisticated understanding of dashboards relevant to your own practice, you may also construct a hypothetical dashboard for your evaluation. Your hypothetical dashboard must present at least four different metrics, at least two of which must be underperforming the prescribed benchmark set forth by a federal, state, or local laws or policies. In addition, be sure to add a brief description of the organization and setting that includes:  The size of the facility that the dashboard is reporting on. The specific type of care delivery. The population diversity and ethnicity demographics. The socioeconomic level of the population served by the organization. Note: Ensure your data are HIPAA compliant. Do not use any easily identifiable organization or patient information.  Instructions  Note: Your evaluation of dashboard metrics for this assessment is the foundation on which all subsequent assessments are based. Therefore, you must complete this assessment first.

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Write a report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels. In addition, advocate for ethical action to address benchmark underperformance and explain the potential for improving the overall quality of care and performance, as reflected on a performance dashboard.  Review the performance dashboard metrics, as well as relevant local, state, and federal laws and policies. Consider the metrics that are falling short of the prescribed benchmarks. Structure your report so that it will be easy for a colleague or supervisor to locate the information they need, and be sure to cite the relevant health care policies or laws when evaluating metric performance against established benchmarks.  Requirements  The report requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.  Evaluate dashboard metrics associated with benchmarks set forth by local, state, or federal health care laws or policies. Which metrics are not meeting the benchmark for the organization? What are the local, state, or federal health care policies or laws that establish these benchmarks? What conclusions can you draw from your evaluation? Are there any unknowns, missing information, unanswered questions, or areas of uncertainty where additional information could improve your evaluation? Analyze one challenge that meeting prescribed benchmarks can pose for a heath care organization or interprofessional team. Consider the following examples: Strategic direction. Organizational mission. Resources. Staffing. Financial: Operational and capital funding. Logistical considerations: Physical space. Support services (any ancillary department that gives support to a specific care unit in the organization, such as pharmacy, cleaning services, dietary, et cetera). Cultural diversity in the organization and community. Procedures and processes. Address the following: Why do the challenges you identified contribute, potentially, to benchmark underperformance? What assumptions underlie your conclusions? Evaluate a benchmark underperformance in a heath care organization or interprofessional team that has the potential for greatly improving overall quality or performance. Focus on the benchmark you chose to target for improvement. Which metric is underperforming its benchmark by the greatest degree? State the benchmark underperformance that is the most widespread throughout the organization or interprofessional team. State the benchmark that affects the greatest number of patients. Which benchmark affects the greatest number of staff? Include how this underperformance affect the community that the organization serves. Include the greatest opportunity to improve the overall quality of care or performance of the organization or interpersonal team and, ultimately, to improve patient outcomes, as you think about the issue and the current poor benchmark outcomes. Advocate for ethical action, directed toward an appropriate group of stakeholders, to address a benchmark underperformance. Who would be an appropriate group of stakeholders to act on improving your identified benchmark metric? Why should the stakeholder group take action? What are some ethical actions the stakeholder group could take that support improved benchmark performance? Organize content so ideas flow logically with smooth transitions. Proofread your report, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your evaluation and analysis. Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence. Be sure to apply correct APA formatting to source citations and references.  Supporting Evidence  Cite 4–6 credible sources from peer-reviewed journals or professional industry publications to support your analysis of challenges, evaluation of potential for improvement, and your advocacy for ethical action.

Analysis Of A Pertinent Healthcare Issue Assignment

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Analysis Of A Pertinent Healthcare Issue Assignment

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time. In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. To Prepare: • Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study. • Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. • Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

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The Assignment (3-4 Pages): Analysis of a Pertinent Healthcare Issue Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following: • Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). • Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. • Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples. Looking Ahead The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper. Analysis Of A Pertinent Healthcare Issue Assignment

Building A Health History Assignment

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Building A Health History Assignment

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following case: 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. PMH Hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis PSH S/ P cholecystectomy Drug Hx Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily. Allergies No allergies Family Hx General + weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills. Head, Eyes, Ears, Nose & Throat (HEENT) No changes in vision or hearing, no difficulty chewing or swallowing. Neck No pain or injury Respiratory CV GI 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 PE B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8 General 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 GU Ext no cyanosis, clubbing or edema Integument multiple bruises in different stages of healing – on his upper arms and back. MS Neuro No obvious deformities, CN grossly intact II-XII Once you received your case number, answer the following questions:

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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 500 words, formatted and cited in current APA style with support from at least 2 academic sources current ((published within the last five (5) years) scholarly journal articles)).

 

Mental Health Disorders Assignment

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Mental Health Disorders Assignment

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following case: 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. PMH Hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis PSH S/ P cholecystectomy Drug Hx Current Meds: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily. Allergies No allergies Family Hx General + weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills. Head, Eyes, Ears, Nose & Throat (HEENT) No changes in vision or hearing, no difficulty chewing or swallowing. Neck No pain or injury Respiratory CV GI 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 PE B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8 General 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 GU Ext no cyanosis, clubbing or edema Integument multiple bruises in different stages of healing – on his upper arms and back. MS Neuro No obvious deformities, CN grossly intact II-XII Once you received your case number, answer the following questions:

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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 500 words, formatted and cited in current APA style with support from at least 2 academic sources current ((published within the last five (5) years) scholarly journal articles)). Mental Health Disorders Assignment

 

Effect Of Disparities Of Health Services Paper

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Effect Of Disparities Of Health Services Paper

Describe the effect of disparities of health services to that population on health-promotion outcomes Step 1 Answer the following prompts in your initial post due Wednesday at 11:59 pm Mountain Time: Identify a vulnerable population that you see in your caseload or that lives in your community. Describe the effect of disparities of health services to that population on health-promotion outcomes.

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Your initial post should be 2-3 paragraphs long and follow the requirements outlined in the discussion rubric. Please add to the discussion in your peer responses with informative responses, instead of posts similar to “great idea! I really agree with you.” APA guidelines and plagiarism prevention matter in discussion posts just like with other scholarly assignments. Cite all references appropriately using APA format. Effect Of Disparities Of Health Services Paper

Identify The Pathophysiology Of Chronic Venous Insufficiency And Deep Venous Thrombosis. Consider The Similarities And Differences Between These Disorders.

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Identify The Pathophysiology Of Chronic Venous Insufficiency And Deep Venous Thrombosis. Consider The Similarities And Differences Between These Disorders.

Assignment: Disorders of the Veins and Arteries Advanced practice nurses often treat patients with vein and artery disorders such as chronic venous insufficiency (CVI) and deep venous thrombosis (DVT). While the symptoms of both disorders are noticeable, these symptoms are sometimes mistaken for signs of other conditions, making the disorders difficult to diagnose. Nurses must examine all symptoms and rule out other potential disorders before diagnosing and prescribing treatment for patients. In this Assignment, you explore the epidemiology, pathophysiology, and clinical presentation of CVI and DVT.

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To Prepare Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders. Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic venous insufficiency and one for venous thrombosis. Consider the epidemiology and clinical presentation of both chronic venous insufficiency and deep venous thrombosis.

To Complete Write a 2- to 3-page paper that addresses the following: Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis. Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

Research Study Proposal II Assignment

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Research Study Proposal II Assignment

Instructions Research Study Proposal Part II Research Study Proposal Part I and Research Study Proposal Part II are one large assignment divided into two parts. This is the second part of your Research Study Proposal, which builds upon the work you completed in Part I. Using the same topic you selected for Part I of your proposal, discuss all components denoted below. Use each numbered item as a required subheading in your paper. 1. Data Collection Procedures (Describe the step-by-step process you would use to collect your data) (1 page minimum). 2. Data Analysis (Select two types of statistics you would use to analyze gathered data; not stats formula details, but which stats you would use) (1 page minimum).

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3. Contribution to the Field (explain the benefits to individuals, groups and society as a whole of the study results. Example: Using the first hypothetical social psychology study from Part I, if we find that public awareness ads are associated with improved changes in attitudes toward the severely mentally ill, might we use such study results as a means of advocating for Federal funding for expanding advertising efforts; or if study results show no to little association between ads and public attitude changes, might we better serve the severely mentally ill by pursuing other means of reducing stigma? (1 page minimum). 4. Research Limitations (1/2 page minimum). Discuss limitations that you foresee in Part I and Part II of your Research Study Proposal. It may be helpful to review your Instructor feedback for Part I of this assignment. 5. Discussion (1/2 page minimum). Discuss and reflect on your conclusions of the research process and this assignment in its entirety. The Research Study Proposal Part II must: Use each numbered item as a required subheading in your paper. Be a minimum of 4 and a maximum of 5 full pages, size 12 font, Times New Roman, double spaced with 1 inch margins, NOT including the Title and References pages. Be in APA format, including a title page and reference page. Be proofread and contain few to no grammar errors, misspellings, incorrect APA formatting, or typographical errors. Incorporate a minimum of three supportive scholarly citations and references to support content and conclusions. Research Study Proposal II Assignment