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Metabolic Panel (CMP)

Here is the background of the question.

You are working in an extended care facility (ECF) when M.Z.’s daughter brings her mother in for a week stay while she goes on vacation. M.Z. is an 89-year-old widow with a 4-day history of dysuria, back pain, incontinence, severe mental confusion, and loose stools. Her most current vital signs (VS) are 118/60, 88, 18, 99.4° F.

The medical director ordered several lab tests on admission. The results were as follows:

  • WBC: 11 thou/cmm
  • Complete Metabolic Panel (CMP) within normal limits (WNL)
  • Post-void catheterization yielded 100 ml, and urinalysis (UA) showed WBC 100+/HPF (high-powered field), RBC 3 to 6/HPF, bacteria rare.
  • Urinary culture and sensitivity (C&S) results were as follows: Escherichia coli, more than 100,000 colonies, sensitive to ciprofloxacin, trimethoprim-sulfamethoxazole, and nitrofurantoin.

HERE IS THE QUESTION:

Correlate the patient’s need for teaching with the concept of mobility.

I need at least 500 wordings, and at least 4 references. I will check the references to see if it matches what is on the essay, thank you.

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Case of Elizabeth.

Chapter 3 – The Intervention and Assessment Models
Chapter 4 – Tools of the Trade

Question(s): Case of Elizabeth.

Ana is a 45-year-old white female who is recently divorced. She is not doing well in her love life and comes to you to get some immediate help. She expresses feeling sad most of the time with suicidal ideation. She looks unkempt, sad, and has a hard time putting words together.

1. Of the nine intentional strategies depicted in your book, which ones are the most important ones in this situation (mention 3 in the order of priorities)

2. Why are those the most important? (explain and justify your answer)

Guidelines:The answer should be based on the knowledge obtained from reading the book, no just your opinion. If there are 2 questions in the discussion, you must answer both of them. Your grade will be an average of both questions (50% each question). First question: Mention the adequate strategy for this case scenario (50%). Second part of this question:  explain / justify your answer (50%).

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group

In a 5- to 10-slide PowerPoint presentation, address the following:

  • Provide      an overview of the article you selected, including answers to the      following questions:
  • What       type of group was discussed?
  • Who       were the participants in the group? Why were they selected?
  • What       was the setting of the group?
  • How       often did the group meet?
  • What       was the duration of the group therapy?
  • What       curative factors might be important       for this group and why?
  • What       “exclusion criteria” did the authors mention?
  • Explain      the findings/outcomes of the study in the article. Include whether this      will translate into practice with your own      client groups. If so, how? If not, why?
  • Explain      whether the limitations of the study might impact your ability to use the      findings/outcomes presented in the article.
  • lease use attached article.

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information management tools

Please check the CRITERIA attached at the end!

Write 3–4 pages describing the effective use of patient-care technologies, communication systems, and information systems across the care continuum of a health care system of your choice. Add a one-page executive summary your organization could use to disseminate these ideas.

Because a lack of knowledge when using technology can lead to errors in patient care, effective use of technology in health care is paramount to providing a safe health care delivery environment.

 

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

  • Competency 3: Explain the use of information management tools and technologies to monitor and improve health care delivery and patient outcomes.
    • Describe effective use of technology across the care continuum in a health care setting.
    • Describe how to manage change and technology to improve positive outcomes.
    • Support description of effective patient care with current nursing and informatics theoretical ideas.
  • Competency 4: Communicate in a manner that is consistent with expectations of a nursing professional.
    • Write coherently to support a central idea in appropriate format with correct grammar, usage, and mechanics.

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

  • How might standardized nursing language (SNL), interprofessional communication, information system support, staff and patient education, organizational culture, and state and national regulations influence technology use?
    • What are the complexities in using technology across a continuum of care?
    • What are the opportunities?
    • What are the barriers?
  • How can we manage change and technology use to develop improved patient outcomes?

Assessment Instructions

 

In the role of a nurse leader, describe the effective use of patient-care technologies across the care continuum in a chosen health care system.

Preparation

Choose any type of health care system, for example, acute, ambulatory, or home health or telehealth.

Directions

Submit the following for this assessment:

Technology Across the Care Continuum

Include the following in your 3–4-page description:

  • A brief overview of the care continuum in your selected health care system.
  • Describe the types of patient-care technologies and how they are used across the care continuum in your system. Be sure to include communication and information systems.
  • Identify strengths and weaknesses in the systems and describe how to manage change and technology to improve patient outcomes.
  • Support your description of effective patient care with current nursing and informatics theoretical ideas.
Executive Summary

Based on the description above, add a 1-page executive summary that captures the following points:

  • Current state of technology across the care continuum in your system.
  • Proposed improvements.
  • Risks of making or not making changes or improvements.
  • Recommended next steps.

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.
  • Number of resources: Cite a minimum of four peer-reviewed resources.
  • Length: Submit 4–5 typed, double-spaced pages.
  • Font and font size: Use Times New Roman, 12 point.

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abnormal values

Review the attatched case study and analyze and interpret the case appropriately. Address the points below in your response:

  1. Which lab values are abnormal?
  2. What clinical manifestations correspond to the abnormal values?
  3. Describe the changes (pathophysiology) in the body causing each abnormal value and link the value to a clinical manifestation present in the patient?
  4. What nursing care needs to be implemented? Consider what is nursing care?
  5. Provide one nursing diagnosis appropriate to this patient?

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teaching

Mark 8:29 Worksheet

Please address each question below with complete sentences and clear, specific explanation. The total word count of your writing should be between 750-1,250 words.

1.      Select one teaching of Jesus from one of the following Bible verses: Matthew 5:21-24, Matthew 5:43-48, Matthew 6:19-24, Matthew 7:15-23, Luke 15:1-32, John 13:1-17 & 34-35, John 15:1-11. Answer the following questions:

a.       What was Jesus’ point in the teaching?

 

b.      What sort of relevance does this teaching have for other worldviews?

 

c.       What does this teaching reveal about Jesus?

 

2.      Identify at least one claim that Jesus made about His nature and/or the purpose of His ministry (such as Mark 2:1-12, Matt 9:9-13, Luke 7:18-23, John 5:16-18, John 10:25-38, John 14:5-11). What is the significance of this claim?

 

How would you personally answer Jesus’ question, “But who do you say that I am?” Describe your own beliefs about Jesus

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manager’s power base,

  1. Explain what is meant by a manager’s power base, the ways a manager develops it, and how a manager can effectively use it to achieve organizational and personal goals.
  2. Discuss what is meant by upstream influence and the various influence tactics categories associated with it.
  3. Explain the difference between the University of Michigan studies and the Ohio State studies.
  4. Summarize the path-goal model of leadership. What theories of motivation can you tie to the assumptions of the model?
  5. Explain why the study of leadership styles and approaches tends to generate much controversy among researchers and academics.

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social media

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.

Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

In 500-750 words, summarize the findings of your review. Include the following:

  1. Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
  2. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
  3. Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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psychiatric mental health practice

Analyze salient ethical issues in psychiatric mental health practice
Compare ethical dilemmas with state health laws and regulations
Analyze ethical decision-making processes
Review literature for moral/ethical issues encountered by a PMHNP.
Select one of the articles you found that was published within the last 5 years to use as a focus for this assignment

Write a 2-page paper essay in which you do the following:
Summarize the moral/ethical issue in the article (no more than 1 paragraph).
Describe the moral and ethical dilemmas surrounding the issue.
Analyze the ethical issue and compare them to the state health laws and regulations in your state.
Outline the process of ethical decision making you would use to address this ethical dilemma..

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Evaluation Plan

Evaluation Plan

A plan for evaluation should be correlated well with the specific program for which it has been developed. As you continue to work on Assignment 4, it is important to bear in mind that an evaluation plan is distinct from–yet aligned with–the program plan and contains its own goals and objectives.

This week you integrate the knowledge and discernment you have developed to formulate a plan for how evaluation could be an integral part of your program (see attached file in file section named “Week 9 Discussion”).

To prepare for this week’s section of Assignment 4:

  • Keep your own program in mind as your      review the information presented in this week’s Learning Resources.
  • Develop an evaluation plan that      includes goals, objectives, and activities. Consider what type of data      will be needed.
  • Review your visual representation of      your program plan design (Week 6      [see attached file named “Assignment 2”]) and incorporate your      evaluation plan.
  • Revise your Gantt chart (Week 6 [see attached file named “Assignment      2”]) to include your evaluation plan.

The full Assignment 4 is due by Wednesday 1/30/19 before midnight of this week. Instructions have been provided in previous weeks to help you prepare.

By Day 3

To complete:

Write a 3- to 5-page paper in APA format with a minimum of 6 scholarly references. Include the level 1 and 2 headers as numbered below that addresses the following (Please make sure to follow the outline exactly as below):

1) Evaluation Methods (developed in Week 9 [see attached file in file section named “Week 9 Discussion”])

a) Identify an evaluation theory or model that is aligned to your program goal(s) and objectives.

b) Exhibit a performance measurement, monitoring, and evaluation timeline that:

o Demonstrates the appropriate use of performance measurement, monitoring, and summative evaluation

o Distinguishes between the long-term effects of impact evaluation versus short and intermediate health outcomes as a result of the implementation of the program.

2) Evaluation Plan (developed this week [see attached file named week 10 discussion”])

c) Develop an evaluation plan that includes goals, objectives, and activities. Specify the type of data needed.

d) Add your evaluation plan to the visual representation (e.g., table or graph) of your program plan design.

e) Add time line information for the evaluation plan to your Gantt chart.

Note: In addition to your paper, be sure to submit the following (which may be contained in a separate document):

  • An updated version of the visual      representation (e.g., table or graph) of your program design that includes      your evaluation plan (See attached file, then revise )
  • An updated version of your Gantt      chart that includes your evaluation plan

Be sure to make revisions to these items based on any feedback you received from your Instructor when you submitted them in Week 6 (see attached file).

Required Readings

Hodges, B. C., & Videto, D. M. (2011). Assessment and planning in health programs (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.

· Review Chapter 4, “Program Planning: The Big Picture”

· Review Chapter 5, “Social Marketing, Program Planning, and Implementation”

As you review Chapter 4, focus on the budgeting information presented on pp. 113–115.

· Chapter 6, “The Importance and Use of Theories in Health Education and Health Promotion”

The authors describe various theories, noting that theories are not universally applicable to every program.

· Chapter 10, “Program Evaluation: Background and Basics”

Chapter 10 outlines steps for designing evaluation during program planning.

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

· Chapter 2, “The Contribution of Theory to Program Planning”

This chapter examines the application of theory in program planning.

· Review Chapter 10, “Performance Measurement, Monitoring, and Program Evaluation”

· Chapter 11, “Impact Program Evaluation and Hypothesis Testing”

· Review Chapter 10 and read Chapter 11 to examine aspects of evaluation essential to program planning.

· Chapter 12, “Budgeting for Financial Control, Management, and Planning”

· Chapter 13, “Developing Line-Item, Functional, and Program Budgeting Systems”

·  Chapter 10, “Performance Measurement, Monitoring, and Program Evaluation”

As you read this chapter, pay attention to the financial functions associated with these forms of evaluation and the data to be collected.

Chapter 12 introduces budgeting as an important part of the planning process, noting that it also serves essential management and control functions for programs. Chapter 13 addresses three systems of budgeting—line item, functional, and program—each of which has a distinct focus.

Berhane, A., Biadgilign, S., Berhane, A., & Memiah, P. (2015). Male involvement in family planning program in Northern Ethiopia: An application of the Transtheoretical model. Patient Education and Counseling 98, 469–475

Kroelinger, C.D., Rankin, K. M., Chamgers, D.A., Diez Roux, A.V., Huges, K., & Grigorescu, V. (2014). Using the principles of complex systems thinking and implementation sceice to enhance maternal and child health program planning and delivery. Maternal Child Health Journal, 18, 1560–1564. doi 10.1007/s10995-014-1586-9

Silverman, B., Champney, J., Steber, S., & Zubritsky, C. (2015). Collaborating for consensus: Considerations for convening Coalition stakeholders to promote a gender-based approach to addressing the health needs of sex workers. Evaluation and Program Planning 51,17–26 doi.org/10.1016/j.evalprogplan.2014.12.002

Smith, T.L., Barlow, P.b., Peters, J.M., & Skolits, G.J. (2015). Demystifying reflective practice: Using the DATA model to enhance evaluators’ professional activities. Evaluation and Program Planning, 52, 142–147.

Albert, D., Fortin, R., Herrera, C., Riley, B., Hanning, R., Lessio, A., & Rush, B. (2013). Strengthening chronic disease prevention programming: The toward evidence-Informed practice (TEIP) program evidence tool. Preventing Chronic Disease, 10,1–9

Baron, K., Hodgson, A., & Walshe, C. (2015). Evaluation of an advance care planning education programme for nursing homes: A longitudinal study. Nurse Education Today, 35, 689–695.

Schmitt, C.L., Glasgow, L., Lavinghouze, S.R., Ricker, P.P., Fulmer, E., McAleer, K., & Rogers, T. (2016). Measuring infrastructure: A key step in program evaluation and planning. Evaluation and Program Planning, 56, 50–56 doi.org/10.1016/j.evalprogplan.2016.03.007

Gaskin, J., Rennie, C., & Coyle, D. (2015). Reducing periconceptional methylmercury exposure: Cost-utility analysis for a proposed screening program for women planning a pregnancy in Ontario, Canada. Environmental Health Perspectives, 123(12), 1337–1344 doi.org/10.1289/ehp.1409034.

Palumbo, M.V., Sikorski, E.A. & Liberty, B.C. (2013). Exploring the cost-effectiveness of unit-based health promotion activities for nurses. Workplace Health & Safety, 61(12), 514–520.

U.S. Small Business Administration. (n.d.). Writing a business plan. Retrieved December 12, 2011, from http://www.sba.gov/category/navigation-structure/starting-managing-business/starting-business/writing-business-plan

The “Writing a Business Plan” section of this website introduces elements of a good business plan, which is an essential document for any program. Investigate the information presented. In addition, see the “Preparing Your Finances” section for information on break-even analysis and other budgeting-related matters.

Robbins, L.B., Pfeiffer, K.A., Weolek, S.M., & Lo, Y. (2014). Process evaluation for a school-based physical intervention for 6th and 7th grade boys: Reach, dose, and fidelity. Evaluation and Program Planning, 42, 21–31 doi.org/10.1016/j.evalprogplan.2013.09.002

Schalock, R.L., Lee, t., Verdugo, M., Swart, K., Claes, C., van Loon, J., & Lee, C. (2014). An evidence-based approach to organization evaluation and change in human service organizations evaluation and program planning. Evaluation and Program Planning, 45, 110–118.

Moore, H.K., Preussler, J., Denzen, E.M., Payton, T.J., Thao, V., Murphy, E.A. & Harwood, E. (2014). Designing and operationalizing a customized internal evaluation model for cancer treatment support programs, Journal Cancer Education, 29, 463–372 doi10.1007/s13187-014-0644-8

Redwood, D., Provost, E., Lopez, E.D., Skewes, M., Johnson, R., Christensen, C., Sacco, F., & Haverkamp, D. (2016). A process evaluation of the Alaska Native colorectal cancer family outreach program. Health Education & Behavior, 43(1), 35–42 doi: 10.1177/1090198115590781

Robbins, L.B., Pfeiffer, K.A., Weolek, S.M., & Lo, Y. (2014). Process evaluation for a school-based physical intervention for 6th and 7th grade boys: Reach, dose, and fidelity. Evaluation and Program Planning, 42, 21–31 doi.org/10.1016/j.evalprogplan.2013.09.002

Optional Resources

Ahmad, F., Roy, A., Brady, S., Belgeonne, S., Dunn, L., & Pitts, J. (2007). Care pathway initiative for people with intellectual disabilities: Impact evaluation. Journal of Nursing Management, 15(7), 700–702.

This article is an example of an impact evaluation.

Gard, C. L., Flannigan, P. N., & Cluskey, M. (2004). Program evaluation: An ongoing systematic process. Nursing Education Perspectives, 25(4), 176–179.

This article discusses the use of accreditation standards and site visits as a plan for ongoing evaluation for a nursing program.

Graff, J. C., Russell, C. K., & Stegbauer, C. C. (2007). Formative and summative evaluation of a practice doctorate program. Nurse Educator, 32(4), 173–177.

Milne, L., Scotland, G., Tagiyeva-Milne, N., & Hussein, J. (2004). Safe motherhood program evaluation: Theory and practice. Journal of Midwifery & Women’s Health, 49(4), 338–344.

This article identifies and evaluates the different approaches to program evaluation related to safe motherhood.

Centers for Disease Control and Prevention. (2007). Chronic disease indicators [Data set]. Retrieved from https://www.cdc.gov/cdi/.

This site allows you to search and compare different regions for specific chronic disease indicators.

Hulton, L. J. (2007). An evaluation of a school-based teenage pregnancy prevention program using a logic model framework. Journal of School Nursing, 23(2), 104–110.

This article describes the use of the logic model to develop, implement, and evaluate a nursing intervention in a school setting.

Johnson, S. S., Driskell, M., Johnson, J. L., Prochaska, J. M., Zwick, W., & Prochaska, J. O. (2006). Efficacy of a transtheoretical model-based expert system for antihypertensive adherence. Disease Management, 9(5), 291–301.

This article introduces the use of the transtheoretical model and stages of change as applied to interventions aimed at medication adherence for patients with hypertension.

Rogers, L. Q., Shah, P., Dunnington, G., Greive, A., Shanmugham, A., Dawson, B., & Courneya, K. S. (2005). Social cognitive theory and physical activity during breast cancer treatment. Oncology Nursing Forum, 32(4), 807–815.

The social cognitive theory is utilized to examine associations with physical activity in breast cancer patients. This article posits that the social cognitive theory can be used as a mediator for intervention evaluation with this population.

W. K. Kellogg Foundation. (2004). Using logic models to bring together planning, evaluation, and action: Logic model development guide. Battle Creek, MI: W. K. Kellogg Foundation. Retrieved from http://www.wkkf.org/resource-directory/resource/2006/02/wk-kellogg-foundation-logic-model-development-guide.

This report offers a guide for the use of the logic model in program planning and outcome-oriented evaluation for nonprofit projects.

Dirubbo, N. E. (2006). Break-even analysis: Can I afford to do this? Nurse Practitioner, 31(7), 11.

This article briefly explains break-even analysis and its use in initiating new programs.

McBryde-Foster, M. J. (2005). Break-even analysis in a nurse-managed center. Nursing Economic$, 23(1), 31–34

This article explains how break-even analysis can be used in a nursing environment and how to apply it for program proposals.

U.S. National Library of Medicine. (2008). HTA 101: IV. Cost analysis methods. Retrieved from http://www.nlm.nih.gov/nichsr/hta101/ta10106.html

· Published by the National Institutes of Health, this site offers an explanation of the types of cost analysis including comparison of cost-utility, cost-effectiveness, and cost-benefits.

Required Media

Laureate Education (Producer). (2011). Design and evaluation of programs and projects [Video file]. Baltimore, MD: Author.

“Performance Measurement, Monitoring, and Evaluation” (featuring Dr. Donna Shambley-Ebron, Dr. Melissa Willmarth, and Dr. Debora Dole)

You may view this course video by clicking the link or on the course DVD, which contains the same content. Once you’ve opened the link, click on the appropriate media piece.

In this week’s videos, Dr. Donna Shambley-Ebron, Dr. Melissa Willmarth, Dr. Debora Dole discuss evaluation for programs.

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