Tag Archive for: nursing

information systems and the organization design

Discussion Questions

1. How did the information systems and the organization design changes implemented by Knudstorp align with the changes in business strategy?

2. Which of the generic strategies does Lego appear to be using on this case? Provide support for your choice.

3. Are changes implemented by Knudstorp an indication of hypercompetition? Defend your position.

4. What advice would you give Knudstorp to keep Lego competitive, growing, and relevant?

Textbook attached. Need 125 words for each question.

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Assignment Overview

Required Reading

Nowicki, M. (2018). Introduction to the Financial Management of Healthcare Organizations (Vol. Seventh edition). Chicago, Illinois: Health Administration Press. Part 2; pages 93-179, and pages 198-211. Retrieved from the Trident Online Library. Please Attachment with the Ebook

View: Taylor, M. (2014). Managerial Accounting: Cost – Volume – Profit and Break-Even. Available at: https://youtu.be/zMb_IniBbDk

Assignment Overview

In recent years, healthcare pricing has come under much scrutiny. Calls for price transparency have been made, loudly and clearly. Discounting prices to some recipients or payers occur, but how and why does this happen? Patients with insurance typically pay an insurance-negotiated discounted rate, while patients without insurance can be asked to pay the full amount that is charged by the provider or facility. Why can’t you simply look on each provider’s website to see the exact cost of your office visit, or your x-ray? With the many methods of cost-setting available to us as healthcare managers, we see how there is a high degree of variability in the amount charged per service from person to person, and state to state. In moving towards either voluntary or state-mandated transparency in healthcare pricing, we consider the following Case assignment questions.

Homework Case 2 Assignment

After completing the required background readings, please complete the following questions:

  1. Describe the recent scrutiny of the methods of healthcare pricing. Is this scrutiny justified, or unjustified?
  2. What can healthcare managers do to be best prepared for increasing future calls for transparency (either voluntary, or state-mandated)?
  3. How have state transparency laws affected healthcare pricing in your home state, or state of current residency? Can you locate the exact costs of healthcare services you or your family may need in the near future?
  4. How is cost-shifting implemented within the healthcare settings? Do you believe this ethical?

Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your analysis.
  2. Provide a response of 3-5 pages, not including title page and references.
  3. As we have multiple required items to be addressed herein, please use subheadings to show where you’re responding to each required item and to ensure that none are omitted.
  4. Support your paper with peer-reviewed articles and reliable sources. Use at least three references, and a minimum of two of these from peer-reviewed sources. For additional information on how to recognize peer-reviewed journals, see http://www.angelo.edu/services/library/handouts/peerrev.php and for evaluating internet sources:
    https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
  5. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/. Paraphrase all source information into your own words carefully, and use in-text citations.

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knowledge of anatomy

A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?

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Case Study  

Case Study   II NEED PROVDE IN TURNITIN

Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours. She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse.

She is normally healthy. She had chickenpox at age 10 and a tonsillectomy/adenoidectomy at age 11. She has no medical problems. She has never been hospitalized. She has four children, all spontaneous vaginal deliveries.  She completed a bachelor’s degree in mathematics and a master’s degree in education. She quit smoking 10 years ago (two packs daily for 5 years); she drinks an occasional wine cooler, and she denies illicit drug use. Her father has a coronary artery disease (he had a stent placed at age 67) and a mother with hypertension.

She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia.

Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen. Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski.

Instructions:

Make a whole history and physical examination in a comprehensive manner with all its elements included: 

CC, HPI, PMH, FH, SH, MEDICATIONS, ALLERGIES, ROS PER APPARATUS OR SYSTEMNS, HEAD TO TOE PHYSIACL EXAMINATION PER SYSTEMS ( write your presentation in H&P format no paragraph format).

 

Based on this information, what is your presumptive nursing diagnosis? All nursing diagnosis that apply to the case written in NANDA format related to … and evidence by…., NO MEDICAL DIAGNOSIS.

Teaching plan and nursing care plan per each nursing diagnosis on this case.

 

       Requirements.

1- All written assignment and documentations must be  in APA 6th edition format.

2- Double spaces, minimum 4 pages long , minimum 3 up to date bibliography. (UP to date means last 3 years.), Note: you can use your test b

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sexual orientation

No plagiarism please.

Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.

Sexuality affects individuals and society across a broad spectrum of activities through health, but also through factors at multiple levels, such as gender relations, reproduction, and economics. Physiologic, behavioral, and affective measurement of sexuality and sexual behavior is complicated by cultural values and norms but is essential to individual health (including happiness) as well as public health. Cultural or structural norms that stigmatize aspects of sexuality, such as sexual orientation, have adverse effects on individuals across their lifespan, with homophobia being a prominent example of such.

Discussion:

Discuss how one’s age, race, lifestyle, and demographics have an impact on your choice to complete a sexual history when working in the primary care setting with women across a lifespan.

Peer Post. I need Peer Response for this post:

#1

Every person we interact with in practice is unique and requires unique attention in order to properly be treated for their medical problems. Small details of their life affect what we prescribe and how successful it will be for that individual. Making sure we are able to initiate and complete a full sexual history is important in addressing sexual health concerns, as most people do not willingly bring up sexual health issues unless there is an obvious issue such as infection or pain. The World Health Organization defined sexual health as, “a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity in all matters relating to the reproductive system and to its function and processes” (Ariin, 2015, p. 1).

In regards to my personal opinion on sexual history and health, I find it just as important as any other aspect of their life. While establishing a new patient, I try to ask every woman of childbearing age if they are sexually active in order to open up the conversation to potential questions or concerns they may have. As a majority of our job is education, this is the ideal time to talk about sexually transmitted infections/diseases (STI/STD’s) and help prevent significant comorbidities related to infections in adolescents and young women (Rosenthal et al., 1997). Sexually transmitted diseases cause a large amount of emotional distress and tend to be higher in certain populations such as low-income and undereducated.

Despite major public health efforts that address the varied diseased caused by sexually transmitted diseases, rates of infections are on the rise globally (Haghir et al., 2018). Providers in the clinic should be focused on adolescents and young women who may partake in high-risk behaviors that are strongly associated with STD acquisition and spread. Educational pamphlets may be beneficial if time does not allow for in-depth conversations in the clinic.

#2

How age, race, lifestyle, and demographics impact the choice to complete a sexual history when working in the primary care.

Age

One’s age play an important role in determining the kind of care that an individual receives. Adolescents for example if given a choice to make their own choices in performing certain gynecological exams. The age at which the patient first started the examination also plays an important role. Young children may refuse examination compared to older adult. On the other hand, geriatric patients with advanced age impact examination especially if the patients have debilitating and chronic conditions. On the other hand adolescence find it difficult to disclose their sexuality.

Race and Lifestyle

According to Prather et al, 2016, racial needs varies when it comes to the health assessment of a female patient. Some cultures consider their sexuality sacred and do not feel comfortable performing sexual assessment and examination. Primary care providers need to be aware of patient cultures and belief in order to provide adequate care in a non-judgmental manner. Different race and cultures view sexual history differently. Some races are unable to disclose their sexual history because of fear of getting shunned in the community or the family.

Demographics

Patient demographics is one factor that plays an important in the choice of examination to be done. Multiculturalism affects the kind of illnesses as well as mortality and morbidity and as a result it forces people to adapt different cultures impacting the examination to be performed.(Ferguson,& Chor,2018). Patients from certain regions do not accepts some examination and are less likely to allow healthcare professionals to perform certain tests based on nationality. The United States is one of the country that is more accepting different sexuality. Approaching human sexuality needs understanding

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transcultural health care

Max Points: 150

Details:

Diversity has a significant influence on health care. Studying transcultural health care helps health professionals understand different cultures in order to provide holistic and individualized health care. Review the Purnell Model for Cultural Competence, including the theory, framework and 12 domains. Write 750-1,000 word paper exploring the Purnell Model for Cultural Competence. Include the following:

Explain the theory and organizational framework of the Purnell Model, and discuss its relevance to transcultural health care.
Describe Purnell’s 12 domains of culture, and assess how each of these domains plays an active role in the diversity of health care in your specific field.
Discuss how this model can be applied when working with different cultures in order to become a more culturally competent health care provider.
Cite at least three references, including the course textbook.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

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development of policy

Give an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

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traumatic vaginal birth

Baby Leah had a very traumatic vaginal birth. After a vacuum extraction for fetal heart rate tracing changes and a resultant shoulder dystocia, Leah has a mild Erb’s palsy, some facial and truncal bruising. Pediatrician has ordered physical therapy for the palsy and the doctor expects routine care to be provided to her. In addition, do not forget the education you must give to the new parents regarding this injury.  Due to the bruising there is an increase in bilirubin levels and some behavioral changes occur with Leah. Please describe what is different and what will you discuss with the family to ensure safety?   traumatic vaginal birth  The bilirubin level requires phototherapy. What precautions must you take?  What is essential to manage and treat the elevated bilirubin in addition to phototherapy?

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Structure and Function of the Kidney

Case Study 2

Structure and Function of the Kidney

Rivka is an active 21-year-old who decided to take a day off from her university classes. The weather was hot and the sun bright, so she decided to go down to the beach. When she arrived, she found a few people playing beach volleyball, and they asked if she wanted to join in. She put down her school bag and began to play. The others were well prepared for their day out and stopped throughout the game to have their power drinks and soda pop. Several hours after they began to play, however, Rivka was not feeling so good. She stopped sweating and was feeling dizzy. One player noted she had not taken a washroom break at all during the day. They found a shaded area for her, and one of the players shared his power drink with her. Rivka was thirstier than she realized and quickly finished the drink.

  1. In pronounced dehydration, hypotension can occur. How would this affect the glomerular filtration rate of the kidney? What actions by the juxtaglomerular apparatus would occur to restore GFR?
  2. What is the effect aldosterone has on the distal convoluted tubule? Why would the actions of aldosterone be useful to Rivka in her situation?
  3. What does a specific gravity test measure? If someone tested the specific gravity of Rivka’s urine, what might it indicate?

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Social Media Campaign

Task 1: Social Media Campaign

Introduction:

Part of cultural competency is advocating for sensitive patient populations with regard to health issues or needed improvements in the community. A big part of advocacy is uncovering effective stories discovered in your community assessment. Equally important is understanding how to broadcast your discoveries to the larger community. In our society today, social media is a powerful leveraging tool to get a story out, build support, and demonstrate advocacy.

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Part 1: Field Experience Project Submission
Note: Your timelog must be submitted with your assessment. If both are not submitted at the same time, your task may be returned to you without evaluation.
A.  Submit a completed “Community Health Field Experience Timelog” by doing the following:

1.  Include the date of each activity.

2.  Include a brief description of each activity.

3.  Include the name of the contact person, a working phone number, and a full physical address.
Note: If an email address is available for the contact person, you may choose to include it.
4.  Include the number of hours spent on each activity (not including preparation time).

5.  Describe how each activity relates to your selected Field Experience topic.

6.  Record a total of 90 hours that meet each of the following requirements:

●  65 student planned activity hours based on the attached “Field Experience Activities List”

●  a maximum of five individual interview hours (i.e., no more than five interviews, no more than one hour per interview)

●  no prep time hours (i.e., prep time is not to be included in reported hours)

Note: If your timelog is returned from evaluation, you are required to do an addendum.  Please use the link below to access the DocuSign addendum document.  Both the original timelog and the addendum timelog must be submitted with the task.

Note: Random audits and verification of time log activities do occur. Violation of the WGU Code of Student Conduct or the Academic Authenticity Policy could result in disciplinary action. 
Part 2: Social Media Campaign

Note: The “CDCynergy” web link provided in the web links section below may be useful in completing your social media campaign. The use of this web link is optional, i.e., not required.
B.  Write your community health nursing diagnosis statement.

1.  Explain how the health concern from your community health nursing diagnostic statement is linked to a health inequity or health disparity within the target population.

a.  Discuss the primary community resources and primary prevention resources currently in place to address the health concern.

b.  Discuss the underlying causes of the health concern.
2.  Discuss the evidence-based practice associated with the Field Experience topic.

a.  Identify data about the selected Field Experience topic from the local (e.g., county), state- Florida, and/or national level.
C.  Develop a community health nursing social media campaign strategy that will convey your health message and address the Field Experience topic by doing the following:

1.  Describe your social media campaign objective.

2.  Recommend two population-focused social marketing interventions and justify how each would improve the health message related to your selected Field Experience topic.

3.  Describe a social media platform you would use that is appropriate for communicating with the target population-Adults

a.  Discuss the benefits of the selected social media platform in supporting preventative healthcare.
4.  Discuss how the target population will benefit from your health message.
D.  Describe best practices for implementing social media tools for health marketing.
E.  Create a social media campaign implementation plan by doing the following:

1.  Describe stakeholder roles and responsibilities in implementing the plan.

2.  Discuss potential public and private partnerships that could be formed to aid in the implementation of your campaign.

3.  Create a specific timeline for implementing your campaign.

4.  Explain how you will evaluate the effectiveness of the campaign.

5.  Discuss the costs of implementing your campaign.
F.  Reflect on how social media marketing supports the community health nurse’s efforts to promote healthier populations.

1.  Reflect on how your social media campaign could apply to your future nursing practice.
G.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
H.  Demonstrate professional communication in the content and presentation of your submission.

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