Decision Making In Specialized Areas Of Care

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Decision Making In Specialized Areas Of Care

Mrs. Adams is a 96-year-old Caucasian female who has recently been diagnosed with colon cancer. She was admitted to the hospitalist service through the ED with dehydration and rectal bleeding. The bleeding resolved, and she received 2 units of PRBs and fluid/electrolyte replacement. She is stable and ready to be discharged home. Decision Making In Specialized Areas Of Care

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Mrs. Adams is in remarkably good health, and other than arthritis and mild HTN, she has no significant medical or surgical history. She is able to carry out all of her essential daily living activities. She pays her own bills, is competent, and has good functional abilities. She was driving up until last year. Now, she has neighbor’s assist with weekly shopping and transportation to church. Her sensory, functional, and cogitative abilities were evaluated this admission and remain intact. She has been offered palliative surgical intervention, but deferred all treatment. Her only son is in agreement with his mother’s decision. Her parents and husband are deceased. You have been asked to obtain advanced directives. What will your discharge treatment plan be for Mrs. Adams?

To prepare:

  • Reflect on the provided patient information.
  • Think about potential outcomes for the patient in the case study you selected.
  • Consider how care, treatment, and/or support might be facilitated for the patient. Reflect on how you might also address the needs of the family.

Post an explanation of potential outcomes of the patient in the case study you selected. Then, explain how care, treatment, and/or support may be facilitated for the patient. Include how you might address the needs of the patient’s family as well.

Decision Making In Specialized Areas Of Care

Assignment 1: The Primary Care Clinic

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Assignment 1: The Primary Care Clinic

You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, LPNs, and CMAs, the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area, the community has been growing and now includes promising opportunities in employment, education, and comfortable living spaces for young families. However, there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations.    Assignment 1: The Primary Care Clinic

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The central city includes two (2) large acute care facilities, and one (1) tertiary care facility that is known for its excellent pulmonary care. Both acute care hospitals provide the usual services such as labor and delivery, outpatient surgery, chronic diseases care, etc. and have fully equipped ancillary departments, such as lab and radiology. Up until this point, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.

Write a five to seven (5-7) page paper in which you:

  1. Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years.
  2. Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services.
  3. Analyze and discuss one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions.
  4. Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services. Begin by naming a goal, and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal.
  5. Determine how you would then address whatever opportunities for improvement seem to exist and what processes you would put in place.
  6. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources. Assignment 1: The Primary Care Clinic
  7. Format your assignment according to the following formatting requirements:
    1. Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
    2. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.
    3. Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.

The specific course learning outcomes associated with this assignment are:

  • Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.
  • Examine the political, economic, and social forces that have influenced the organizational foundations of the United States healthcare system.
  • Explain how public policy has shaped the development of the U.S. healthcare system.
  • Use technology and information resources to research issues in health services organization management.
  • Write clearly and concisely about health services organization management using proper writing mechanics.

Assignment 1: The Primary Care Clinic

 

 

Information Systems In Nursing

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Information Systems In Nursing

Overview:

Write 3–5 pages in which you discuss how a current information system used in the delivery of patient care contributes to improved patient outcomes. Information Systems In Nursing

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

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  • Competency 1: Describe the importance of effective scholarship and evidence-based information to advance the profession of nursing.
    • Describe how an information system used in nursing contributes to evidence-based nursing practices.
  • Competency 2: Identify strategies and best practices for using informatics in nursing and health care.
    • Describe how a nurse researcher uses information technology to define patient safety within the context of outcomes.
  • Competency 3: Explain the use of information management tools and technologies to monitor and improve health care delivery and patient outcomes.
    • Describe how nurse leaders and nurse informaticists use technology and evidence-based practice to contribute to improved patient outcomes.
  • Competency 4: Communicate in a manner that is consistent with the expectations of a nursing professional.
    • Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.

Directions:

Write a paper in which you analyze an information system for its effectiveness in improving patient care.

Select an example of a current information system used in the delivery of patient care. Note: Ideally, select a system from your workplace to examine. If you are not currently working, select a system from an organization close to where you live. This technology should be used for data management designed to improve patient care.

Familiarize yourself with the technology. Do some personal research to gain a deeper understanding about the technology. Visit the Web site of the company who markets the technology to familiarize with how the company positions the technology in the market. Read articles online and in the library related to your chosen system. Remember to take notes to keep track of what you discover. Examine the following aspects of the technology:

  1. How is the information system designed to contribute to safety and quality in the care of patients?
  2. What types of data are tracked, monitored, stored, and trended in the system?
  3. How well does it accomplish what it is designed to do in your chosen real-world setting?
  4. How is this information system used to support research or action by nurse researchers, leaders, and informaticists? If it is not currently being used to support research, how could it be used in the future?
  5. What types of opportunities are available for nurses, in any scope of practice, that gives them the chance to participate in the design and testing of this system?
  6. How might the technology be enhanced so it better meets the needs of the professionals currently using the system? Information Systems In Nursing

Compare what you learn with how your chosen technology is being used in the workplace. Think about your own workplace and consider speaking with other professionals who currently use the system.

Directions

Write an paper in which you discuss and apply what you have learned about how your chosen information system is used in the delivery of patient care and how it contributes (or does not contribute) to improved patient care. Include the following categories:

  • Describe your chosen information system used in nursing and how it contributes to evidence-based nursing practices.
  • Describe the types of data that are tracked and how the data are monitored, stored, and trended.
  • Describe how a nurse researcher, nurse leader, and nurse informaticist use information technology to define patient safety within the context of outcomes.
  • Describe how nurses can enhance the technology through participation in design and testing of the system.

Additional Requirements

  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • APA formatting: Format resources and citations according to current APA style and formatting guidelines. Include the following:
    • Title page.
    • Running head (a short title that appears on every page).
    • Title on the first page of text.
    • Level 1 headings for paper sections.
    • In-text parenthetical citations and a reference list.
  • Number of resources: Cite a minimum of four peer-reviewed resources.
  • Length: Submit 3–5 typed, double-spaced pages.
  • Font and font size: Use Times New Roman, 12 point. Information Systems In Nursing

Consider the following questions from the point of view of a specific organization:

  • Technologies used for direct care:
    • How are data used to improve patient outcomes?
    • How does technology contribute to safety and quality of care in this setting?
  • Technologies used for data management:
    • How are data tracked, monitored, stored, or trended in your data management system?
    • How is technology used for data archiving and retrieval?
  • Reliability and safeguards:
    • How do you know your data are reliable?
    • What types of safeguards are in place to protect patient data?
  • Research:
    • How are data extracted and used for research endeavors in your organization?
    • What are examples of how nurses at the bedside are involved in technology design and testing in your organization? In other organizations? How might you do it differently?
  • Technology and professional development:
    • What are the challenges for successful implementation of new technologies in health care environment and nursing practices—in general? Specific to your organization?
    • If you had the power to improve the way technology is used in your organization, what you would like to see changed or enhanced?

Information Systems In Nursing

Plan, Implement, And Evaluate Nursing Theory

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Plan, Implement, And Evaluate Nursing Theory

In this assignment, you are to select a theory of nursing that fits with your understanding of effective nursing values and practices. Prepare a thorough review of the theory, including a discussion of how this theory will guide your planning to implement the theory in your work as a nurse, will inform you anticipation of barriers to implementation and will assist you in creating a plan to evaluate the effectiveness of care provided while employing this theory.(Imogene king’s theory of goal attainment) Plan, Implement, And Evaluate Nursing Theory

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Use the following process to guide your work:

Select one nursing theory that is useful to your practice setting.

Research the literature for refereed journal articles (include current, classic – by theorist, and relevant scholarly sources) that discuss the use of the theory in practice. Use a sufficient number of scholarly sources in your paper, but at least five.

Critically review the nursing theory and develop a plan for how you would utilize this theory in your practice. Be sure to include thoughts related to holistic spiritual nursing care. (Use Chapter 3 of Smith & Parker to review theory.)

In a 6-8 page (not including the title and reference pages, no abstract required for this paper) 6th edition APA paper using spelling/grammar following APA guidelines:

Introduction (Overview, purpose, your rationale for selecting the nursing theory, and plan for paper)

Synthesis of selected nursing theory

Examine the nursing theory’s components

Design plan for implementing nursing theory into practice

Anticipate potential barriers/challenges to implementation

Create plan for evaluating the effectiveness of care provided using this nursing theory

Construct examples.

Summary (explain how you have met the purpose of this paper

Plan, Implement, And Evaluate Nursing Theory

Multidisciplinary Approach to Health Promotion

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Multidisciplinary Approach to Health Promotion

Think about the approach to strategic planning and the resource allocation related to promoting a holistic health care promotion plan for diabetic Latino population. Who are the stakeholders that will be involved in the implementation of the plan? How will you get them on board with the plan? How will you incorporate culturally sensitive strategies in this endeavor? Also, identify resources that will help empower your chosen population in attaining and maintaining health. Multidisciplinary Approach to Health Promotion

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Address the following in this assignment:

1. Describe the potential disciplines that will participate in health care promotion as well as disease prevention and management for Latinos with diabetes.

2. Describe the potential interrelationships and communication among different health care delivery settings for Latinos with diabetes. Include the involvement of patients, families, groups, nurses, interdepartmental health care teams, community-based stakeholders, and governments (local, state, and federal).

3. Explain how the incorporated health care promotion strategies are culturally competent.

Identify and advocate for resources that may empower populations in attaining and maintaining health.

Written Requirements

Written communication: Written communication is free of errors that detract from the overall message.

APA formatting: Resources and citations are formatted according to APA style and formatting.

Number of resources: 8–10 citations.

Length of paper: 5–8 pages.

Font and font size: Times New Roman, 12 point.

Multidisciplinary Approach to Health Promotion

 

Communicable Diseases

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Communicable Diseases

  1. Choose one of the following topics and submit a short paper:
    1. Research and present on the local, state, national, and global trends such as incidence, prevalence, and populations at risk for their communicable disease group.

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    2. Investigate and present communicable diseases of interest in your local community.
    3. Research the different types of organisms that could be used to create an epidemic as a result of bioterrorist activity, such as smallpox, anthrax, or botulism. Use the Center for Disease Control (CDC) Website to find out about organisms and their transmission routes, signs and symptoms, prevalence and incidence, and primary prevention treatment. Present your findings and discuss the differences in impact on the healthcare community and the population, and the role of the community health nurse.
  2. Your response should be 1-2 pages. APA format, at least 1 reference.
  3. Be sure to use standard English grammar and spelling (Location is Miami, FL).

Communicable Diseases

Evolving Practice Of Nursing And Patient Care Delivery Models

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Evolving Practice Of Nursing And Patient Care Delivery Models

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals. Evolving Practice Of Nursing And Patient Care Delivery Models

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  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Evolving Practice Of Nursing And Patient Care Delivery Models

 

Peripheral Vascular Disease Case Studies

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Peripheral Vascular Disease Case Studies

A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg. Peripheral Vascular Disease Case Studies

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Studies

Results

Routine laboratory work

Within normal limits (WNL)

Doppler ultrasound systolic pressures

Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure)

Arterial plethysmography

Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves

Femoral arteriography of right leg

Obstruction of the femoral artery at the midthigh level

Arterial duplex scan

Apparent arterial obstruction in the superficial femoral artery

Diagnostic Analysis

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.

Critical Thinking Questions

1. What was the cause of this patient’s pain and cramping?

2. Why was there decreased hair on the patient’s right leg?

3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation?

4. What would be the treatment of intermittent Claudication for non-occlusion?

Peripheral Vascular Disease Case Studies

Leadership Theories In Practice

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Leadership Theories In Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject. Leadership Theories In Practice

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However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

  • Review the Resources and examine the leadership theories and behaviors introduced.
  • Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented in the three resources that you selected for review.

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

Leadership Theories In Practice

 

Case Study On Death And Dying

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Case Study On Death And Dying

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview. Case Study On Death And Dying

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

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Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Given the above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide

Case Study On Death And Dying