Explain how culture might impact the care of patients who present with a disorder

/in /by

 

Autoimmune Disease ( Type 1 diabetes)

 

Application: Protocol for Diagnosis, Management, and Follow-Up Care of Disorders

 

 

 

As pediatric patients grow from infancy to adolescence, there are many common body system disorders that may potentially present. As an advanced practice nurse caring for these patients, you must understand the pathophysiology and epidemiology of these disorders as this will help you to recognize symptoms and select appropriate assessment and treatment options. In this Assignment, you prepare for your role in clinical settings as you design a protocol for the diagnosis, management, and follow-up care for a common body system disorder.

 

 

 

To prepare:

 

 

 

•Reflect on the body system disorder that you selected (Autoimmune Disease ( Type 1 diabetes))

 

•Think about the pathophysiology and epidemiology of the disorder.

 

•Consider a protocol for the diagnosis, management, and follow-up care of the disorder you selected.

 

•Think about how culture might impact the care of patients who present with this disorder.

 

 

 

To complete:

 

Write a 2- to 3-page paper that addresses the following:

 

•Explain the disorder you selected, including its pathophysiology and epidemiology.

 

•Explain a protocol for the diagnosis, management, and follow-up care of this disorder as a provider .

 

•Explain how culture might impact the care of patients who present with the disorder you selected.

 

 

 

Reference( use 3 additional relevant current articles or references)

 

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

◦Chapter 25, “Endocrine and Metabolic Disorders” (pp. 529–556)

 

what contributes to making successful or unsuccessful systems

/in /by

Please click on this link:

 

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2732244/

 

Let’s discuss the Ten AMIA working groups together with the IMIA work group findings on Organizational and Social Issues for project failures and how to lessen those risks.  Specifically, let’s discuss communication, workflow, and quality; the complexity of IT undertakings; the need to integrate all aspects of projects, work environments, and regulatory and policy requirements; and the difficulty of getting all the parts and participants in harmony.

How do you address what “success” and “failure” mean, what contributes to making successful or unsuccessful systems, how to use failure as an enhanced learning opportunity for continued improvement, how system successes or failures should be studied, and what AMIA should do to enhance opportunities for successes?

 

What are the five main core development areas for Health IT?

/in /by

Healthcare Information Technology and Standards

The ability to exchange and use health information electronically is important in order to improve healthcare quality and safety. Interoperability is critical to future exchange of health data to reduce medical errors, improve quality, and contribute to medical research. In order for this to happen, it is necessary to come to agreement on a variety of data standards. It is also critical that health data is secure from all types of threats and technological vulnerabilities.

Using the South University Online Library or the Internet, research about healthcare IT and their standards. Based on your research and understanding, respond to the following:

· What are the five main core development areas for Health IT?

· What do we mean by data standards? Give five examples of current data standards that are being used. What is their purpose?

· What is needed to achieve interoperability between all providers? What types of network standards are necessary in addition to data standards?

· What has been the role of Office of the National Coordinator (ONC) for Health IT in data standards and interoperability? What is the Nationwide Health Information Network?

· How do the standards in the EHR systems and interoperability networks impact the working environment of healthcare professionals?

· What are the ways health organizations will need to protect health data from threats (man-made and natural disaster) and technological vulnerabilities?

Explain the ethical, legal, and economic factors that impact the health and wellness of the population

/in /by

Wellness Program Proposal

Health care initiatives focus on changing demographics and emerging health problems. Health care professionals need to develop skills in conducting gap analyses within their own communities, to design effective health education and wellness programs to address those gaps, and to remain mindful that effective care depends on the ability to build trust within the community being served.

For this assignment, you will develop a proposal for a wellness program that will help bridge the gaps in health care service delivery for the population you identified in your Windshield Survey assignment.

Use the Capella library and the Internet to find scholarly and professional resources that will help you design a wellness program for the health concern of your population. Find at least four resources to use in this assignment.

Requirements

Building on your Windshield Survey and Organizational Evaluation assignments, complete the following:

  • Design an evidence-based wellness program to address the primary health concern of the population that integrates:
    • Cultural considerations: Will you need to consult with someone from the population on how to approach the delivery of your program?
    • CAM, traditional medicine, holistic health, and spirituality considerations
    • Linguistic considerations: Will you need interpreters or translators for either written or oral presentations?
    • Educational considerations: What will be the best way to educate the population?
  • Describe how you will market or advertise the wellness program.
    • What are the benefits the program offers the population?
    • Will you need incentives to ensure participation and completion of the program?
  • Explain the ethical, legal, and economic factors that impact the health and wellness of the population. For example:
    • The ethical considerations (such as justice, non-malfeasance, and duty) that can affect preventative care and health promotion.
    • Local laws, federal laws, and the Affordable Health Care Act that can affect preventative care and health promotion.
    • The potential economic impact of clinical prevention and health promotion related to health disparities of your population.

The format for this assignment should be a professional proposal. If possible, ask about the format used for proposals in your organization and follow that. Follow current APA style for your in-text citations and references.

Additional Requirements

  • Length of paper: 5–7 double-spaced pages, not including a title page and reference page.
  • References: At least four current scholarly or professional resources.
  • Formatting: APA format for in-text citations and references.
  • Font: Times New Roman, 12 pt.
Wellness Program Proposal Scoring Guide Grading Rubric
Criteria Non-performance Basic Proficient Distinguished
Integrate cultural considerations into an evidence-based wellness plan for a population.
13% 		Does not integrate cultural considerations into an evidence-based wellness plan for a population. Integrates cultural considerations into an evidence-based wellness plan, but the cultural considerations are not specific to any population. Integrates cultural considerations into an evidence-based wellness plan for a population. Integrates cultural considerations into an evidence-based wellness plan for a population, and shows a clear relationship between the considerations and the population.
Integrate CAM, traditional medicine, holistic health and spirituality into an evidence-based wellness plan for a population.
13% 		Does not integrate CAM, traditional medicine, holistic health and spirituality into an evidence-based wellness plan for a population. Integrates aspects of CAM, traditional, medicine, holistic health and spirituality into an evidence-based wellness plan, but the aspects are not specific to any population. Integrates CAM, traditional medicine, holistic health and spirituality into an evidence-based wellness plan for a population. Integrates CAM, traditional medicine, holistic health and spirituality into an evidence-based wellness plan for a population, and explains how it will promote positive outcomes.
Integrate linguistic considerations into an evidence-based wellness plan for a population.
13% 		Does not integrate linguistic considerations into an evidence-based wellness plan for a population. Integrates linguistic considerations into an evidence-based wellness plan, but the linguistic considerations are broad and not specific to any population. Integrates linguistic considerations into an evidence-based wellness plan for a population. Integrates linguistic considerations into an evidence-based wellness plan for a population and shows how errors in communication can negatively impact the health of a population.
Explain strategies for educating a population about health promotion and disease prevention
13% 		Does not explain strategies for educating a population about health promotion and disease prevention. Identifies strategies for educating a population about health promotion and disease prevention. Explains strategies for educating a population about health promotion and disease prevention. Explains strategies for educating a population about health promotion and disease prevention, and identifies ways to market an education plan to the population.
Explain the benefits of a health and wellness plan for a population.
13% 		Does not explain the benefits of a health and wellness plan for a population. Lists the benefits of a health and wellness plan for a population. Explains the benefits of a health and wellness plan for a population. Explains the long-term and short-term benefits of a health and wellness plan for a population.
Describe the ethical principles that can affect preventative care and health promotion.
10% 		Does not describe the ethical principles that can affect preventative care and health promotion. Lists the ethical principles that can affect preventative care and health promotion. Describes the ethical principles that can affect preventative care and health promotion. Describes the ethical principles that can affect preventative care and health promotion in both positive and negative ways for the organization and the population.
Explain how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion.
10% 		Does not explain how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion. Explains how local laws or federal laws or the Affordable Health Care Act can affect preventative care and health promotion, but not all three. Explains how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion. Explains how local laws, federal laws, and the Affordable Health Care Act can affect preventative care and health promotion in both positive and negative ways for the organization and the population.
Explain the economic impact of clinical prevention and health promotion related to health disparities for a population.
10% 		Does not explain the economic impact of clinical prevention and health promotion related to health disparities for a population. Explains the economic impact of clinical prevention and health promotion related to health disparities for a population, but omits key elements. Explains the economic impact of clinical prevention and health promotion related to health disparities for a population. Explains the economic impact of clinical prevention and health promotion related to health disparities for a population in terms of both positive and negative aspects for the organization and the population.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
3% 		Does not write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes content clearly and logically, but grammar, punctuation, and mechanics have frequent errors. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics; and uses relevant evidence to support a central idea.
Correctly format paper, citations, and references using APA style.
2% 		Does not correctly format paper, citations, and references using APA style. Correctly formats paper, but inconsistently formats citations and references using APA style. Correctly formats paper, citations, and references using APA style. Citations contain few errors. Correctly formats paper, citations, and references using APA style. Citations are free from all errors.

What other basic rights of an individual may be compromised in times of an emergency?

/in /by

Rights and Duties during Emergencies

Consider the following scenarios related to interoperability and its impact on emergency preparedness. Utilize your course textbook and assigned readings as well as search the South University Online Library or the Internet to answer the questions that follow each scenario.

Scenario 1

One of the primary goals of the public health system is to protect the general public. The citizens of the United States enjoy specific freedom and basic rights guaranteed by the Constitution. However, in an emergency situation, it is possible that specific rights such as the right to confidentiality of an individual may be compromised in an effort to protect the public.

Research the South University Online Library or the Internet for an article involving quarantining an individual. Based on your research, answer the following questions regarding the above scenario:

· What occurred to warrant the quarantine? Was this justified?

· Does the need to protect the public outweigh an individual’s right to confidentiality? Why or why not?

· What other basic rights of an individual may be compromised in times of an emergency?

Scenario 2

A successful response to an emergency situation often involves collaboration with other agencies in the community and the government. Imagine you are the director of the local health department. You have just received a call about a suspected outbreak of Ebola hemorrhagic fever in the community.

On the basis of your understanding of the topic of “collaboration with agencies and the government” and the above scenario, answer the following questions:

· How would you put your bioterrorism preparedness plan into action? Which agencies will be involved in your plan and why?

· Would the agencies involved be different in case there was a natural disaster such as an earthquake? Why or why not?

Examine case studies related to renal and urologic systems and fluid and electrolytes

/in /by

WORDS – 400

DEADLINE – 24 HOURS

BUDGET – 7 USD

Assignment Objectives: Identify and select appropriate interventions including diagnostic tests and nursing interventions. Analyze physiological and psychological responses to illness and treatment modalities

Purpose: Examine case studies related to renal and urologic systems and fluid and electrolytes. Answer the assigned questions. This assignment should help refine your clinical/critical thinking skills.

Assignment Description: Answer the questions in the grading criteria related to each of the patients provided. Your answer must follow APA 6th edition format. Submit the answer in the assignment area of your course. This assignment is worth 50 points.

Patient 1 – A 52 year old female patient with a long-standing history of COPD and heart failure is being seen for recent onset of headache, muscle cramps, bilateral lower extremity edema, and nervousness. She also reports a 5-day history of watery diarrhea. Her medications include diuretics and long-acting and short-acting beta-2 agonists. The results of a Basic Metabolic Profile (BMP) reveal abnormally low serum sodium, potassium, and chloride levels. Her anion gap is normal.

a. Describe the relationship of sodium and potassium in the ICF and ECF.

b. Identify the acid-base imbalances for which this patient is at risk and why she is at risk for them.

b. Define “anion gap” and the significance of the anion gap being normal in this patient.

 

Patient 2-You are asked to see a 20 year old woman who has white blood cells present in her urinalysis results. How would you determine whether she has cystitis or pyelonephritis?

a. Differentiate between cystitis and pyelonephritis. Consider history, possible presenting symptoms, and urinalysis results,.

b. Provide specific patient education for this patient regarding possible treatments and behaviors to prevent this condition in the future.

 

Parameters: Mini Case Study Assignment Grading Criteria

Requirement Maximum Points Earned Points
     
Patient 1 – Described relationship of sodium and potassium in the ICF, ECF. Correctly identified possible acid-base imbalances. Defined anion gap and its signicance.
 		 20  
Patient 2 – Differentiated cystitis and pyelonephritis. Provided patient education information re: treatment and prevention future occurrences. 20  
Submitted the assignment on time and in the correct location 2  
Used APA 6th edition style guidelines consistently and accurately. 5  
Used correct spelling and grammar 3  
 Total 50  

Upon Completion of this assignment:

  • Upload your completed assignment, and
  • Upload your originality report from turnitin.

Discuss the changes taking place in long-term care reimbursement system in order to provide better reimbursement options both to consumers and providers.

/in /by

Working on the same two facilities that you identified in W3 Assignment 2, prepare a 8- to 10-page report in a Microsoft Word document including the following:

  • Describe the roles and responsibilities of the administration in each department of your chosen facilities.
  • Identify and list the sources of financing available to consumers for the various programs provided by your chosen facilities. Identify the key public and private sources of reimbursement available. Also discuss the role played by managed care and its impact on long-term care reimbursement.
  • Describe the various government and private resources available that assist in developing and maintaining quality improvement programs in your chosen facilities. Describe the ways in which quality and cost are controlled in your chosen facilities. Also discuss the ethical aspect of access to care in the facilities, including rationing.

Based on your observations and learning from the two facilities, discuss the changes brought in the long-term care system to make it reach full status as a competition-driven system. You may include the following points in your discussion:

  • Discuss the changes made in the control mechanisms (external and internal) in order to control the management, financing, and quality in the long-term care systems.
  • Discuss the changes taking place in long-term care reimbursement system in order to provide better reimbursement options both to consumers and providers.
  • Discuss the changes made in the efforts of providers to accommodate changing magnitude of the day-to-day needs of long-term care consumers.

Support your responses with examples.

Cite any sources in APA format.

  • attachment

    suo_hsc3010_w3_a2_ocran_p.docx_.pptx

Consider strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

/in /by

Diagnosis and Management of Hematologic and Metabolic Disorders

 

 

 

Case Study 2:

 

Jimmy is a 3-year-old “picky” eater according to his mother. He refuses to eat anything but waffles for breakfast and macaroni and cheese or chicken nuggets for lunch and dinner. He will eat apples and bananas but refuses all vegetables except corn. After a normal physical examination, you obtained blood testing that revealed the hemoglobin is 11.4 mg/dl and his hematocrit is 30% (both obtained by venipuncture). The CBC revealed microcytic hypochromic RBCs.

 

 

 

To prepare:

 

•Review “Endocrine and Metabolic Disorders” and “Hematologic Disorders” in the Burns et al. text

 

•Review and  Analyze the patient information.

 

•Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

 

•Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.

 

•Consider strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

 

TO COMPLETE

 

POST   1 TO 2 PAGES DISCUSSION PAPER ON :

 

1.An explanation of the differential diagnosis for the patient in the case study you selected.

 

2. Explain which is the most likely diagnosis for the patient and why.

 

3. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis.

 

4. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments.

 

5. Finally, explain strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

 

 

 

References

 

•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier

 

 

 

◦Chapter 25, “Endocrine and Metabolic Disorders” (pp. 529–556

 

 

 

◦Chapter 26, “Hematologic Disorders” (pp. 557–584)

 

•Hyperbilirubinemia: current guidelines and emerging therapies by Schwartz,H.P., Haberman, B.E., & Ruddy, R.M. in  Pediatric Emergency Care, 27(9), 884-889.

 

 

 

Why are models of cultural competence important as frameworks for program planning in multicultural populations?

/in /by

***I got 11 out of 23 correct***

of the different models:

Cultural sensitivity is most important for me- finding out what I know, and how to best take care of people from different cultures in a way that makes them feel most comfortable

Please use this part above in the discussion post ^^^

 

 

The Purnell and PEN-3 Models for Cultural Competence

  • Examine your own cultural competence through courses readings and personal reflection. You may want to incorporate the Quality and Culture Quiz, linked in Resources, into your personal reflection. Then, think about what you learned through the Purnell and PEN-3 models of cultural competence. If necessary, review Chapter 6 in your course textbook to ensure that you understand the models.
    • Why are models of cultural competence important as frameworks for program planning in multicultural populations?
    • Is there a model you gravitate to more than another? Explain why or why not.

Your initial posting should be at least 150 words, and you must reference the work of another writer (either as a quotation, paraphrase, or summary) to provide support for your ideas. The source can be the course text, another relevant book, any assigned reading, or an article you find on your own through the Capella University Library. When you incorporate the other writer’s ideas in your work, use APA citation style to give credit to that writer. Remember that an APA citation includes both the in-text citation (the author’s last name and the year of publication) and the full reference for the source.

How do management and leadership activities contribute to the success of change initiatives?

/in /by

Identify a Change Project

This week introduced the concepts of leadership and leadership theories. In addition, the media presentation and textbook readings discussed the difference between leadership and management. As you begin your practicum this week discuss with your manager possible change projects that focus on a quality and safety issue that are needed in the agency. Observe your manager and other leaders at your location. Identify how management and leadership activities contribute to successful change initiatives. Informally discuss options with your manager.

Please address the following:

  • What did you see as the difference between leadership activities and management activities?
  • How do management and leadership activities contribute to the success of change initiatives?
  • What change projects are needed in your agency at this time?
  • Which of these projects will you select for your practicum change project?

Support your response with references from the professional nursing literature.