Write a 700- to 1,050-word policy brief on the effects the legislation will have on your selected facility or service and on the state’s population.

/in /by

Select a health care facility or service (e.g., hospital, physician practice, long-term care facility, ambulance service, pharmacy, or skilled nursing facility). Identify and read one recently proposed or enacted state or federal legislation that has an impact on your selected health care facility or service. Write a 700- to 1,050-word policy brief on the effects the legislation will have on your selected facility or service and on the state’s population.
Use the following structure when putting together your policy brief: •Title page •Executive Summary (175 to 260 words) including recommendations [one page] Begin next page with: •Introduction ◦Body ◾Overview of problem ◾Review of relevant research ◾Application of research results ◾Policy Implications ◾Recommendation(s) ◾Conclusion Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality). Format your assignment according to APA guidelines.
 

 

Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning.

/in /by

No Plegarism please, assignment will be checked with Turnitin. 
Will need minimum of 3 pages, title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations.
 
Poor Patient Outcome
Relying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.
Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient’s symptoms and signs — is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.
This case portrays a poor patient outcome after a misdiagnosis.
Case scenario
A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.
On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.
The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.
Written Assignment:
Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning.
As an NP in primary care what would you have done differently?
Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?
If a serious diagnosis comes to mind based on a patient’s symptoms:
Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral?
Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario?
Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?
What other diagnosis could it be? How might the treatment to date have altered the patient outcome?
What other diagnostic and laboratory or imaging was needed in order to make a complete differential list?
What support tools would you consider using in helping to create a differential diagnosis list?
Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?

 

Describe the purpose of the app. what is the benefits dose it bring to the user? what are some potential disadvantages or risks of using it?

/in /by

Discusses various methods with which technology can assist personal health and exercise, including pedometers and GPS technology. There are also a wide variety of cell phone health apps that can assist in tracking distance run, heart rate, and calorie intake, among other health measures. Conduct your own search to identify a health app available on cell phone.
-Describe the purpose of the app. what is the benefits dose it bring to the user? what are some potential disadvantages or risks of using it?

 

Describe the four stages of development of ongoing teams. Do teams always develop as neatly as suggested by the four stages? Give an example of when they do not.

/in /by

Describe the four stages of development of ongoing teams. Do teams always develop as neatly as suggested by the four stages? Give an example of when they do not.
2. You have been appointed the director of a local health and human services department, which has been recently formed by the merger of an independent department of health and department of human services. You find that the different units in the department operate with very little communication and there is significant intergroup conflict across teams and departments within the organization. As a leader, how can you reduce this “silo mentality” and improve collaboration across teams?

 

This is to be a one- page information sheet that defines the PHR, explains the benefits of the PHR, and tells about the PHR that your facility is offering.

/in /by

CASE 1-25 Personal Health Record Education
As the patient advocate at your facility and a member of an EHR task force, you have been asked to write a patient information sheet for the PHR your facility is rolling out through the patient portal. This is to be a one- page information sheet that defines the PHR explains the benefits of the PHR, and tells about the PHR that your facility is offering. With the PHR, patients will have access to test results, key clinical findings, and secure e-mail to communicate with their doctors. Create this PHR information sheet. Keep in mind that it is being written for the patient to us
Cite your sources

 

Outline what duty-of-care obligations the support worker has to Margaret.

/in /by

Case study
Margaret is a 75 year old woman living in an aged care facility for residents with low-care needs. Margaret had polio as a young child and has one shortened leg requiring a built-up shoe. She also now has arthritis in her hands, back, hips and knees, which is making movement, transfers and balance difficult and painful. Margaret also has emphysema and requires oxygen via nasal tubes, medication via a nebuliser, tablets for her arthritis and she receives injections.
Following is a list of supports outlined on Margaret’s care plan.
Washing: Margaret can sit on a shower chair and independently wash the top half of her body, including genital area. She requires assistance to wash feet, legs and hair.
Margaret must be supervised and may need direction when stepping in and out of shower and transferring in and out of the shower chair.
She needs full assistance with drying herself, as she becomes breathless.
Dressing / undressing: Margaret needs assistance with dressing and undressing as she has difficulty moving and becomes breathless with exertion. She must have a built-up shoe on her left foot.
Grooming: Margaret likes to direct her own grooming and can do her make-up independently. She needs assistance with drying and styling her hair.
Nail care: Margaret needs regular monitoring and treatment for ingrown toenails and corns. She takes care of her fingernails independently.
Oral hygiene: Margaret has upper dentures and requires assistance to clean these and to open lids of cleaning fluid and containers.
Mobility: Margaret uses a four-wheeled walker at all times.
Transfer: Margaret requires direction to use handrails and chair arms, to transfer in and out of chairs.
Toileting: Margaret can use the toilet independently but wears incontinence padding due to difficulty getting to the bathroom in time, which results in occasional leakage.
Eating and drinking: Margaret has all meals in the facility dining room. She requires modified large-handled cutlery due to arthritis in hands.
Question
20.Outline what duty-of-care obligations the support worker has to Margaret.
22.Outline a procedure for a support worker to follow when Margaret is washing.

 

What general principle or rule can you specify that would tell residents and hospitals when adding an incremental hour of residency training and work during a specific week no longer is a good idea?

/in /by

Medical schools and hospitals are heavily involved in the training of new physicians. After prospective new physicians have graduated from medical school and have earned an M.D. degree, and perhaps have done an internship, nearly all do a “residency” for several years. During their residency, the new M.D.s typically are trained in a sub-specialty and work under the supervision of a veteran physician.
It costs both time and money to train and supervise residents. Rules adopted in 2010 limit the hours of a medical resident to no more than 80 per week, averaged over four weeks.
(a) Keeping the Law of Diminishing Returns in mind, comment on the quality of teaching and learning that occur when a resident successively works her 60th, 70th, 80th and 90th hours in a week.
(b) What general principle or rule can you specify that would tell residents and hospitals when adding an incremental hour of residency training and work during a specific week no longer is a good idea?

 

What are the negative health effects of consuming excessive amounts of protein on a regular basis (>35% of total calorie intake)?

/in /by

Nutrition case studies.
Using the information, answer the following questions
Case Study A Joe plays football for his high school team. He is 17 years old, 6 feet tall and weighs 180 pounds. His coach has recommended that he gain 10 pounds over the next six months, but not at the expense of his speed and quickness. He has increased his food intake, including whey protein shakes twice a day, each containing 50 g protein. He works out in the weight room three times per week after school. According to Supertracker, he is consuming 204 grams of protein each day.
1. What are Joes protein requirements? Is his intake too low, adequate, or too high?
2. A friend told Joe to eat lots of protein and not many carbs. Give two reasons why adequate carbohydrate intake important for Joe. Be sure to explain how carbohydrate is protein sparing
3. What are the negative health effects of consuming excessive amounts of protein on a regular basis (>35% of total calorie intake)?
4. Joe usually works out at 3 pm. What would you recommend he consume for lunch at 12:00?
5. What is your opinion of the whey protein shakes that Joe is consuming? If Joe wants to include whey protein in his diet, when would be the best time?
6. How much protein should he consume after exercise (calculate using grams protein per kg of Joes body weight)?
7. Give an example of a recovery feeding that will provide ample carbohydrate and protein for Joe. (Use grams of carbs and protein per kg body weight). Specify amounts of the foods/and or beverages)
 
Show transcribed image text

 

Evaluate and assess the patients response to nursing interventions and upgrade information accordingly. -Use the ISBAR tool as a guideline for the handover.

/in /by

reflective essay on nursing bedside handover using Gibbs reflecive cycle (1998) during my clinical placementReflective essay assigment instructions-word count; 750-1000 words.-Present your work in standard essay format.-The purpose of this assessment is for you to demonstrate your abillity to refelct on your clinical practice and understand the relationship between your practice and the NMBA(National competency standards for the registrerd nurse) competency standards.*Reflecting on your practice enables:-Alignment of practice to the NMBA National competency standards for the registered nurse (2006)-Professional and personal growth-Time to consider the complexities of health care delivery in contemporary settings.*Throughout the Retern to Register course you have been made aware of Gibbs reflective cycle (1998) which is comprised of the follwing steps:a description of what occureda description of what you thought and feltan evaluation of what was good and bad about the experiencean alalysis of what was learneda conclusion: describing what could have been done differentlyan action plan: describing what would be done in future if the same situation arose.Choose the learning goal which you consider to be your significant. Using the Gibbs cycle reflect upon your achivement of this goal. Remember to include any barriers that your encountered during clinical plaement and any strategies you used to overcome those barriers and achieve your goal.Throughout your reflection you must demonstrate an understanding of and alignment of practice with the NMBA National competency standards for the registred nurse (2006).My goal for this essay is*To be able to communicate effectively and deliver a clear accurate and relevant clinical bedside handover based on individualised nursing care by week 5 on the clinical placement.*Learning strategies and resources for the goal are:-Attend hand over to gather information at the beginning of my shift.-Observe and listen to other nurses handover to get useful strategies.-Attend the handover on time to not miss relevant clinical information.-Practice giving clinical handover with 2 patients by week 1 and building up to 6 patients by week 2 under preceptor supervision at the end of my shift.-Use the time management gird.-Collect relevant medical/surgical information from the various tools (ex: read progress notes check fluid balance chart medication chart observation chart pathology results and talk to patients) so that I know my patients well enough to handover.-Evaluate and assess the patients response to nursing interventions and upgrade information accordingly.-Use the ISBAR tool as a guideline for the handover.-Find/read the hospital policies and procedures related to the handover.-Simulated handover practice with my preceptor before giving the handover especially 1st week of clinical placement.-Learn and use medical terminologies and standard abbreviations appropriately during my handover.-Reflect on my own performance of handover and identify areas of improvement.Before ou submi your assignmen check that you have covered the following steps:*Identified a clear SMART goal*The refelction is structured according to the Gibbs cycle including:-Description-Feeling-Evaluation-Analysis-Conclusion-Action plan*There is evidence of practice alignment with the relevant NMBA standards.*The learning goal is evaluated in the conclusion of the essay.*Writing and referencing are correct.5 weeks theory part finished and I am doing the 6 weeks clinical placement in Orthopaedic ward night shift at the moment.My back ground of nursing is 4 years operating theatre in Korea and 5 years of Haemodialysis in Australia so Orthopaedic ward is quite different environment for me especially handover. Because the two parts where I used to work are the special areas at the hospital and not need much to give handover to the next shift nurse. Also my background is Korea(been in Australia for 12 years) and non english native speaker.That is why I chose the goal to learn and overcome about the nursing handover.Please help me to pass this course and if you need any more information to write the essay please contact me.Thanks in advance.PS: for the Referencesthese two have to be in and other internet resources are fine.-Nursing and Midwifery Board of Australia (NMBA) 2006 Competency standards for the registered nurse. Author Canberra-Gibbs Cycle of reflectionMay use NMBA code of ethics for nurses in Australia and NMBA code of professional conduct for nurses in Australia.

 

Identify which of the following behaviors may be (a) ethical but illegal (b) legal but unethical (c) illegal and unethical and (d) legal and ethical.

/in /by

nursing leadership chapter 4

Develop a personal philosophy of professional nursing.

2. Identify which of the following behaviors may be (a) ethical but illegal (b) legal but unethical (c) illegal and unethical and (d) legal and ethical.a. Working in a clinic that performs terminations of pregnanciesb. Respecting the wishes of a client suffering from ALS that he be permitted to die with dignity and not placed on ? breathing machines?c. Respecting the health surrogate?s wishes regarding termination of life support of his friendd. Observing a coworker take out two tablets of oxycodone as ordered for pain management for her patient but keeping one for herself administering only one tablet to the patient
3. Differentiate among the following: deontological theories utilitarianism and principalism.
4. what doyou think about health-care professionals disclosing information to clients about a poor prognosis even though the information may cause severe distress.What do they think about health-care professionals disclosing information to clients against family wishes?
5. Genetic counseling is not a new concept. Health-care practitioners have encouraged this practice for more than two decades for individuals considered high risk for genetic disorders. Geneticists create pedigrees for families known to carry genetic diseases to help them make choices regarding potential children. The Human Genome Project has identified every human gene and where certain genetic malformations occur with the idea of developing ways to prevent and eventually eliminate genetic disorders. Now that science has the ability to use these technologies to alter the genetic composition of human offspring many parents-to-be believe that these advances should be available to ?design? their babies.
a) Do you believe that it is ethical to offer this information to prospective parents? Explain your response.textbook: Essentials of Nursing Leadership and Management 5thDiane K. Whitehead; Sally A. Weiss; Ruth M. Tappen978-0-8036-2208-1 Davis Company F. A.