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traditional narrative style

Your Discussion post should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.

A 15-year-old male reports dull pain in both knees. Sometimes one or both knees click, and the patient describes a catching sensation under the patella. In determining the causes of the knee pain, what additional history do you need? What categories can you use to differentiate knee pain? What are your specific differential diagnoses for knee pain? What physical examination will you perform? What anatomic structures are you assessing as part of the physical examination? What special maneuvers will you perform?

With regard to the case study you were assigned:

· consider the insights they provide about the case study.

· Consider what history would be necessary to collect from the patient in the case study you were assigned.

· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

· Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

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patient’s treatment plan

In this course project assignment, you are presented with treatment notes for two different patients. Treatment Notes often include medication orders, medication administration, and documentation of procedures, such as physical therapy, respiratory therapy, nutrition counseling, and radiation therapy. These notes include details regarding the type, length, and necessity of treatment. Treatment notes are important to track the execution of the patient’s treatment plan and monitor progression of his or her health outcomes.

You will be exploring the medical terminology used in these test results and will be asked to interpret the meanings of various words and abbreviations.

To complete this assignment, do the following:

  1. Download the treatment notes for the two patients:

    Michelle Gibbler Treatment Notes

    Todd Anderson Treatment Notes

  2. Download, complete, and submit the document below. This document contains questions you will answer regarding the treatment notes for each patient.

    Module 05 Course Project Assignment Template

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attenuated vaccines

Answer Critical Thinking Questions 1-3 for Chapter 18 on page 526 and Clinical Application Question 1-4 for Chapter 19 on page 557. Answers should be submitted in a word document with any associated references used. 

Answer Critical Thinking Questions 1-3 for Chapter 18 on page 526 and

1) What problem are associated with the use of live attenuated vaccines? attenuated vaccines

2) Many of the serological tests require a supply of antibodies against pathogens. For example, to test for Salmonella, anti-Salmonella antibodies are mixed with the unknown bacterium. How these antibodies obtained?

3) A test for antibodies against Treponema pallidum uses the antigen cardiolipin and patient’s serum (Suspected of having antibodies). Why do the antibodies react with cardiolipin? What is the disease?

Clinical Application Question 1-4 for Chapter 19 on page 557

1) Fungal infections such as athlete’s foot are chronic. These fungi degrade skin Keratin but are not invasive and do not produce toxins. Why do you suppose that many of the symptoms of a fungal infection are due to hypersensitivity to the fungus?

2) After working in a mushroom farm for several months, a worker develops these hives, edema, and swelling lymph node

a) What do these symptoms indicate?

b) What mediators cause these symptoms?

c) How many sensitivities to a particular antigen be determined?

d) Other employees do not appear to have any immunological reactions. What could explain this?

(Hint: The allergen is conidiophores from molds growing in the mushroom farm)

3) Physicians administering live, attenuated mumps and measles vaccines prepared in chick embryos are instructed to have epinephrine available. Epinephrine will not treat these viral infections. What is the purpose of keeping this drug on hand?

4) A woman with blood type A+ once received a transfusion of AB+ blood. When she carried a type B+ fetus, the developed hemolytic disease of the newborn. Explain why this fetus developed this condition even though another type B+ fetus in a different type A+ mother was normal

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Value based Reimbursement 

2 pages

Topic: Value based Reimbursement 

– Describe the issues that were researched in the two selected Peer reviewed articles and how it enriches or relates to Value based Reimbursement.

– Include a summary of the articles and then your personal and team approach/comments (listed below) supported by the two peer-review articles

—Personal & team Approach:

***** As a team we feel as though all organizations should adopt value based reimbursement because it is more consumer friendly and is patient centered instead of organization centered. Long term Value based reimbursement will create better outcomes.*****

Attached are the two peer reviewed selected articles: PLEASE READ BOTH ARTICLES TO ASSIST IN WRITING THE TWO PAGES

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Audiences and Communities

Week 5: Communications, Marketing & Public Relations

Week 5: Audiences and Communities

One of the key steps in the health communication and social marketing process is identifying the population segments that can benefit from a specific health [service]. The more you know about your primary segment, the better you can reach them with messages, activities and policies.

—Centers for Disease Control and Prevention, 2012

As a health care administrator, you will likely engage in communication with different audiences. These audiences may include the patients or clients served by your agency, community leaders, physicians or medical staff, as well as non-medical employees/staff within your agency. Effectively understanding your intended audience influences the approaches you will take to engage in health communication. In developing a health services marketing plan, health care administrators need to consider those segments of the intended audience who will be exposed to the intended message as well as identifying those segments of the intended audience who are most likely to be most receptive to the message delivered.

This week, you explore health care administrator strategies for engaging in communications with different audiences. You analyze populations served by an agency’s health services marketing plan and examine strategies that health care administrators might implement to overcome barriers in the promotion of this marketing plan.

Learning Objectives

Students will:

· Analyze health care administrator strategies for communicating with different audiences

· Analyze population served by health services marketing plan

· Evaluate barriers to promoting health services marketing

· Analyze strategies to overcome barriers in promoting health services marketing plan

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings:

· Hillestad, S. G., & Berkowitz, E. N. (2012). Health care market strategy: From planning to action (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 3, “The Challenges of a Competitive Marketplace” (pp. 57-82).

· Parker, J. C., & Thorson, E. (Eds.). (2009). Health communication in the new media landscape. New York, NY: Springer. Chapter 3, “Communication Consumer involvement in Health care” (pp. 41-54)

Chapter 6, “Enhancing Consumer Involvement in Health Care” (pp. 119–143)

· Agency for Healthcare Research and Quality. (2014). Effective health care program stakeholder guide 2014 (AHRQ Publication No. 14-EHC010-EF). Retrieved from http://www.ahrq.gov/research/findings/evidence-based-reports/stakeholderguide/stakeholdr.pdf

· Heaney, C. A., & Israel, B. A. (2008). Social networks and social support. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (4th ed., pp. 189–210). San Francisco, CA: John Wiley & Sons.

· Health Behavior and Health Education: Theory, Research, and Practice, 4th Edition by Glanz, K.; Rimer, B.; Viswanath, K. Copyright 2008 by John Wiley & Sons – Books. Reprinted by permission of John Wiley & Sons – Books via the Copyright Clearance Center.

· Lillrank, P., Groop, P. J., & Malmström, T. J. (2010). Demand and supply-based operating modes – A framework for analyzing health care service production. Milbank Quarterly, 88(4), 595–615.

Note: Retrieved from Walden Library databases.

· McAlister, A. L., Perry, C. L., & Parcel, G. S. (2008). How individuals, environments, and health behaviors interact. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (4th ed., pp. 169–188). San Francisco, CA: John Wiley & Sons.

· Health Behavior and Health Education: Theory, Research, and Practice, 4th Edition by Glanz, K.; Rimer, B.; Viswanath, K. Copyright 2008 by John Wiley & Sons – Books. Reprinted by permission of John Wiley & Sons – Books via the Copyright Clearance Center.

· Mattson, M., & Basu, A. (2010). The message development tool: A case for effective operationalization of messaging in social marketing practice. Health Marketing Quarterly, 27(3), 275–290. Note: Retrieved from Walden Library databases.

· Sidibe, S., Pack, A. P., Tolley, E. E., Ryan, E., Mackenzie, C., Bockh, E., & Githuka, G. (2014). Communicating about microbicides with women in mind: Tailoring messages to specific audiences. Journal of the International AIDS Society, 17(3 Suppl. 2), 1–8. Note: Retrieved from Walden Library databases.

· Williams, C.–A. N., Khanfar, N. M., Harrington, C., & Loudon, D. (2011). Marketing retail health clinics: Challenges and controversies arising from a health care innovation. Health Marketing Quarterly, 28(3), 270–285. Note: Retrieved from Library databases.

Discussion Part

Discussion: Communication Strategies for Different Audiences

1. How does a health care administrator communicate with different audiences? What potential challenges might exist for health care administrators when engaged in communication with these audiences?

As mentioned previously, health care administrators engage in communication with different audiences. Not surprisingly, the approaches used to effectively communicate with a patient or client may not be as effective when communicating with a physician, other medical staff, or non-medical employees/staff. While the approaches used to communicate with these different audiences will certainly vary, clear, concise, and direct messages will contribute to the effectiveness of your communication as a health care administrator.

· For this Discussion, review strategies in the resources for this week that health administrators might use to communicate with different audiences. Reflect on what strategies you might use as a health care administrator when engaged in communication with these audiences. Then, consider how these strategies might differ when delivering the same message to different audiences.

By Day 3

· Post a brief description of health care administrator strategies for communicating with different audiences (providers, patients, and staff). Then, explain how these strategies might differ depending on the audience and why.

By Day 5

· Continue the Discussion and provide additional support or an alternative view of your colleague’s stance on communication strategies for the intended audiences. Be specific and provide examples.

By Day 5

Continue the Discussion and provide additional support or an alternative view of your colleague’s stance on communication strategies for the intended audiences. Be specific and provide examples.

Submission and Grading Information

Grading Criteria: To access your rubric

Week 5 Discussion Rubric

Post by day 3 and Respond by Day 5: To participate in this Discussion

Week 5 Discussion

Assignment Part:

Assignment: Engage Target Audience/Communities

1. Andre is a health care administrator for a public health agency in a densely populated urban area. His department just received funding to implement a new health services initiative for establishing prenatal care programs in low-income migrant rural communities. This program will allow individuals from these low-income migrant rural communities to come to the public health agency that Andre works for to receive free prenatal care. One of the challenges facing Andre is the realization that his target communities do not have access to traditional health care service delivery. Furthermore, these target communities are apprehensive about the free prenatal care options that Andre is promoting within his public health agency.

Andre is developing materials to distribute to his target communities at a health fair sponsored by the community liaisons in the low-income migrant rural communities that are targeted to benefit from these services.

· What considerations should Andre keep in mind to engage these communities effectively? How might Andre develop these materials to ensure that the communities fully understand and are receptive to the programs offered by his public health agency?

For this Assignment, consider how you might begin to target a population with your health services marketing plan. Also, consider potential barriers you might face in reaching these communities and how you might address them.

· Note: The completion of this Assignment will consist of the elements necessary for Component 3 of your Final Project.

The Assignment (2–5 pages)

· Explain which population will be most served by your health services marketing plan and why.

· Describe two barriers that you might face in promoting your health services marketing plan and suggest two strategies for overcoming the barriers you identified. Be specific and provide examples.

By Day 7

Submit your Assignment. Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

· Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name.

· Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment.

· Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

· Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click Open.

· If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

· Click on the Submit button to complete your submission.

Grading Criteria: To access your rubric

Week 5 Assignment Rubric: Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity: Submit your Week 5 Assignment draft and review the originality report.

Submit your Assignment

To submit your Assignment: Week 5 Assignment.

Week in Review

In this Week you examined health care administrator strategies for engaging in communications with different audiences. You analyzed populations served by an agency’s health services marketing plan and explored strategies that health care administrators might implement to overcome barriers in the promotion of this marketing plan. In the next Week you will focus on health care administrator consequences for health literacy in communications. You will also consider the importance of health literacy in influencing services for health care delivery and examine the health literacy of target audiences. Additionally, you will investigate strategies health care administrators might implement to tailor health communications based on differing levels of health literacy for target audiences.

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Health Policy and Politics,

APA format with citations.

No Plagiarism.

As part of the class on Health Policy and Politics, you are required to write a letter to their legislator. The letters to the legislator will be evaluated for content, form, and clarity.

This assignment will help the student become an active participant in the policy-making arena, which directly affects the nursing profession and our country at large. Included are suggestions for effective written communication to your legislator. The importance of letter writing should not be underestimated as it has been rated by Congress as the number one means of communicating with the legislator. Letters that are written to the legislator are usually reviewed by staff and the various view points are tabulated. Letters with significant opinions or information are directed to the legislator for individual consideration. It is important to note that form letters and post cards receive the least amount of attention from the legislator. Therefore, it is most appropriate to create a letter which is thoughtful and reflects an informed opinion.

You (the student) are required to create a letter to the legislator in your home district related to a current senate/house bill. You will choose a current health care legislative issue and draft a well written letter to your legislator discussing your opinion regarding the bill. Search http://mlis.state.md.us/#bill to find a health care related bill of interest to you. Attach a brief summary of the bill along with your letter.

When writing your letter, always refer to the issue by its bill name and number. You can look up the name and address of your local legislator at http://mlis.state.md.us. The following page outlines is a list of specific do’s and don’ts that you should consider when writing to your legislator. See

https://www.thoughtco.com/write-effective-letters-to-congress-3322301

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Home Health Care Agency

*****DUE IN 8-10 HOURS!!

Watch this video https://www.youtube.com/watch?v=BFZ1TEDJlqI

Read this scenario:

You have been hired as Assistant Manager of a Home Health Care Agency. The agency offers a wide range of skilled medical services such as nursing care, physical therapy, occupational therapy from qualified medical professionals. The agency also provides home health aide services including assistance with activities of daily living, such as bathing and eating.

Your supervisor told you that she recently received a call from an advocate whom an employee consulted via the Employee Assistance Program because the employee felt that she had been treated unfairly after contracting an illness. She explained that a few months ago, one of your agency’s home health aides, Sara, became ill. Sara had been coughing for approximately six weeks, lost weight without trying, had no appetite, was having difficulty sleeping, and had an intermittent fever. She became concerned and went to see a healthcare professional who diagnosed her with active tuberculosis (TB).

Sara missed a lot of time from work while completing treatment for TB. Her physician cleared her to return to work after she was no longer contagious. Upon returning to work, Sara felt isolated because her boss and co-workers refused to spend time with her. She heard that someone from the agency’s Human Resources Department told her co-workers her diagnosis. The stressful circumstances at work became even worse when another home health aide started to display the same symptoms Sara had.

Your supervisor has asked you to review the entire situation and how it was handled by the agency.

Now, in a complete 600-800 words paper, address the following questions: (DO NOT WRITE QUESTIONS IN THE PAPER)

  1. Identify relevant “health behavior(s)” that contributes to increasing and/or decreasing risk factor for contracting the disease.
  2. Identify and describe a surveillance system that monitors disease or health-related risk factors in the United States.
  3. Was risk communication essential for Sara’s co-workers? Why or why not?
  4. Describe the key components in developing crisis and emergency risk communication messages.

Your paper must include:

  • · 100% originality
  • · 600-800 words count excluding title and reference page
  • · Proper introduction and conclusion
  • · 3 credible references cited in APA

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policy or regulation

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization  could hypothetically use to explain the health or nursing informatics  policy/regulation you selected. Your fact sheet should address the  following:

  • Briefly and generally explain the policy or regulation you selected.
  • Address the impact of the policy or regulation you selected on system implementation.
  • Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
  • Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

 

This week you will complete the Week 11 Assignment, ” Policy/Regulation Fact Sheet“. For this Assignment, you will examine a recent nursing informatics-related healthcare policy  and share relevant details via a fact sheet designed to inform and  educate colleagues in your organization. First you want to  concisely explain the policy/regulation you selected. Then you need to  explain the impact of the policy/regulation on four areas:

  • System implementation
  • Clinical care
  • Patient/provider interactions
  • Workflow

Finally you will identify organizational policies and procedures that are or will be in place at your healthcare organization to address the policy/regulation you selected. Below are the instructions from Module 6.

 

class.

It  has come to my attention that the assignment rubrics do not specify the  number and types of resources required for the following assignments:

Module 1: Week 2 Assignment

Module 2: Week 3 Assignment

Module 5: Week 10 Assignment

Module 6: Week 11 Assignment

The  syllabus does require you to integrate credible, outside and course  specific resources to demonstrate critical thinking and lend support to  your ideas in your assignments. As a guide, you should integrate 3 or  more peer-reviewed sources and 2 or more course resources for these four  assignments. The full statement on assignments from the syllabus is  also provided below. If you have any questions, please feel free to  contact me.

2.  Assignments: The Assignments provide you with the opportunity to apply  the skills and knowledge gained through the Learning Resources and the  practicum experience. See the Assignment area of specific weeks for  detailed descriptions of the assignments. In grading the required  Assignments, your Instructor will be using rubrics located in the Course  Information area.

Note:  The course Assignments will require that you completely and accurately  demonstrate critical thinking via assimilation and synthesis of ideas  when using credible, outside and course specific resources (i.e. video,  required readings, textbook), when comparing different points of view,  highlighting similarities, differences, and connections, and/or when  lending support to your Assignment responses.

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Linguistically Appropriate Services

Go to the link https://www.thinkculturalhealth.hhs.gov/clas/standards (Links to an external site.).

View the National Culturally and Linguistically Appropriate Services Standards (CLAS) categories aimed at equity and quality care (HHS, n.d.). Notice how these standards overlap with many of the expectations and standards in professional nursing practice!

1.In what ways are you and your peers using these standards in your areas of nursing practice?

2.Discuss one nursing action you might incorporate to improve cultural competence in your organization.

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Application: Taking a Stand

Assignment: Application: Taking a Stand

Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare:

· Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.

· To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.

· Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).

· What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership.

· Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?

To complete:

Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:

· Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.

· Consider  an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.

· Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.

· Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma.

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