Take on the role of a clinician who is building a health history Case 1
Chief Complaint ” came for my annual physical , but do not want to be a burden to my daughter.”
The illness’s past and present (HPI) Asian man, 86 years old, who is at risk; he is financially and physically dependent on his daughter, a single mother with few resources to meet her father’s medical demands.
prior medical history Chronic prostatitis, hypertension (HTN), GERD (gastric reflux illness), and b12 deficiency
Cholecystectomy PSHS/PMedication HxCurrent: 100 mg of Cipro day, 20 mg of Prilosec daily, monthly B12 injections, and 10 mg of Lisinopril daily.
Allergies: none
Family Hx Review of Systems (ROS)
General + weight loss of 25 lbs over the past year; no recent fatigue, fever, or chills.
Head, Eyes, Ears, Nose & Throat(HEENT) No changes in vision or hearing, no difficulty chewing or swallowing. Neck No pain or injury Respiratory CV GI GU no urinary hesitancy or change in urine stream Integument multiple bruises on his upper arms and back.
MS/Neuro + falls x 2 within the last 6 months; no syncopal episodes or dizziness
General HEENT Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
Lungs CTA AP&L Card S152 without rub or gallop
Abd benign, normoactive bowel sounds x 4 GU Ext no cyanosis, clubbing or edema Integument multiple bruises in different stages of healing – on his upper arms and back. MS Neuro No obvious deformities,
CN grossly intact II-XII answer the following questions:
Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
Utilizing the five assessment domains, which ones would you utilize on your patients in conducting a comprehensive nutritional assessment.
Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?
Submission Instructions:In 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 years.
List the parts of a comprehensive mental status examination (MSE) for mental health patients. Give examples of each and describe the significance to the advanced practice nurse.
Submission Instructions
The assignment is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
The assignment should be formatted per current APA and 2-4 pages in length, excluding the title, abstract, and references page.
Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Population health promotion involves the improvement of the quality of life of the community through the provision of primary, secondary and tertiary healthcare services. The community health nurse should, therefore, play a supervisory role of the community member to control and regulate their health behavior. The primary function of the nurse in the partnership with the community stakeholders is to guide and advise them on the healthy practice that can promote a healthy living of the community (Eldredge et al., 2015).
For example, the community health nurse may choose to push community stakeholders to support each household’s building of a toilet. In this approach, the nurse will be delivering primary care through community stakeholders who have the ability to stop the spread of illness within the community. In addition, the nurse can use the community’s stakeholders to set up a meeting where she can counsel and instruct the people on behaviors related to seeking health and engaging in health-promoting activities.
Evaluating local resources such as nonprofits and religious institutions is essential to increasing community involvement in health promotion.For instance, religious institutions are against some social acts that can encourage the spread of diseases like premarital sex. Appraising such values in such institutions helps to improve the community’s understanding and participation in disease prevention and health promotion.
Using 200-300 words APA format with references in support of the discussion
Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion.
In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Develop a 2,500-4,000 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
Background
Clinical problem statement.
Purpose of the change proposal in relation to providing patient care in the changing health care system.
PICOT question.
Literature search strategy employed.
Evaluation of the literature.
Applicable change or nursing theory utilized.
Proposed implementation plan with outcome measures.
Discussion of how evidence-based practice was used in creating the intervention plan.
Plan for evaluating the proposed nursing intervention.
Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
Appendix section, for evaluation tools and educational materials, etc. are created.
Review the feedback from your instructor on the PICOT Question Paper, and Literature Review. Use this feedback to make appropriate revisions to these before submitting.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.4: Implement patient care decisions based on evidence-based practice.
2.2: Manage patient care within the changing environment of the health care system.
You are the Chief Information Officer (CIO) for a local health system. Your organization held its annual strategic planning session and decided that there needed to be a change in the Emergency Departments (ED) relative to the triage process at one of the facilities. The Chief Executive Officer has suggested a pilot program utilizing telemedicine to supplement its ED services. The use of telemedicine may reduce wait times at the ED and triage non-emergent needs to the appropriate level of care (i.e., urgent care or primary care). It would also allow for more resources to be deployed for ED related services, such as on-call physicians operating remotely.
Instructions
In your role as CIO, you will need to research the use of telehealth in the ED and its implications for the organization. Draft a memo outlining the readiness of the organization to implement the change strategy. Your memo should include:
A SWOT analysis identifying internal and external forces and trends that may impact the change initiative.
A discussion of the challenges facing the ED based on research into the utilization practices of the ED in your community or in a community with which you are familiar.
Recommendation of the organization’s potential readiness for the change, including any actions that should be taken to increase readiness.
Using the Rasmussen library, research common challenges facing Emergency Departments. In addition, research utilization practices commonly aligned with ED visits. Use information from your current facility (or one you are familiar with or can research) to develop a SWOT analysis. Your recommendation should be based on both your SWOT analysis and your research into ED challenges.
INSRUCTIONS-Research a selected local, national, or global nonprofit organization or government agency to determine how it contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3-5 page report.
INSTRODUCTION – Many organizations work to better local and global communities’ quality of life and promote health and safety in times of crisis. As public health and safety advocates, nurses must be cognizant of how such organizations help certain populations. As change agents, nurses must be aware of factors that impact the organization and the services that it offers. Familiarity with these organizations enables the nurse to offer assistance as a volunteer and source of referral.
PREPARATION– You are interested in expanding your role as a nurse and are considering working in an area where you can help to promote equal opportunity and improve the quality of life within the local or global community. You are aware of several nonprofit organizations and government agencies whose work contributes to this effort in some way. You have particular interest in one of these organizations but would like to know more about its contributions to public health and safety improvements. You would like to report the results of your research in a scholarly paper that you could submit for publication.
Research a selected local, national, or global nonprofit organization or government agency from the list provided. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3-5 page report.
As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and
improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment.
Choose the organization or agency you are most interested in researching:
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
Instructions
Research a selected local, national, or global nonprofit organization or government agency from the list provided. Determine how the organization or agency contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3-5 page report.
As you begin to prepare this assessment, it would be an excellent choice to complete the Nonprofit Organizations and Community Health activity. Complete this activity to gain insight into promoting equal opportunity and improving the quality of life in a community. The information gained from completing this activity will help you succeed with the assessment. After completing this activity, choose an organization or agency from the list that you are most interested in researching.
· A title page and references page. An abstract is not required.
· Appropriate section headings.
· Your paper should comprise 3-5 pages of content plus title and references pages.
Supporting Evidence
Cite at least three credible sources from peer-reviewed journals or professional industry publications published within the past 5 years that support your research findings.
Graded Requirements
The research requirements, outlined below, correspond to the grading criteria in the assessment scoring guide, so be sure to address each point.
· Explain how the organization’s mission and vision enable it to contribute to public health and safety improvements.
· Include examples of ways a local and/or global initiative supports organizational mission and vision and promotes public health and safety.
· Evaluate an organization’s ability to promote equal opportunity and improve the quality of life in the community.
· Consider the effects of social, cultural, economic, and physical barriers.
· Assess the impact of funding sources, policy, and legislation on the organization’s provision of services.
· Consider the potential implications of funding decisions, policy, and legislation for individuals, families, and aggregates within the community.
· Explain how an organization’s work impacts the health and/or safety needs of a local community.
· Consider how nurses might become involved with the organization.
· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
· Write with a specific purpose and audience in mind.
· Adhere to scholarly and disciplinary writing standards and APA formatting requirements.
Additional Requirements
Before submitting your paper, proofread it to minimize errors that could distract readers and make it difficult for them to focus on your research findings.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Analyze health risks and health care needs among distinct populations.
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· Explain how an organization’s work impacts the health and/or safety needs of a local community.
Competency 2: Propose health promotion strategies to improve the health of populations.
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· Explain how an organization’s mission and vision enable it to contribute to public health and safety improvements.
Competency 3: valuate health policies, based on their ability to achieve desired outcomes.
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· Assess the impact of funding sources, policy, and legislation on an organization’s service delivery.
Competency 4: Integrate principles of social justice in community health interventions.
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· Evaluate an organization’s ability to promote equal opportunity and improve the quality of life in a community.
Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
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· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
Scoring Guide
Use the scoring guide to understand how your assessment will be evaluated.
Community Resources Scoring Guide
CRITERIA
NON-PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
Explain how an organization’s mission and vision enable it to contribute to public health and safety improvements.
Evaluate an organization’s ability to promote equal opportunity and improve the quality of life in a community.
Assess the impact of funding sources, policy, and legislation on an organization’s service delivery.
Explain how an organization’s work impacts the health and/or safety needs of a local community.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
This is a description of the class – make it positive feedback
The nurse practitioner’s (NP) role in the health care delivery system has evolved. As healthcare delivery constantly changes, the nurse practitioner must evaluate and adapt accordingly. This course examines where the NP role started and how the scope of practice has changed. You will examine advanced practice registered nurse (APRN) history, role, and regulatory and professional issues. You will take a close look at professional organizations and current healthcare trends in your own community. In addition, we will begin to explore the world of evidence-based practice, an advanced practice core competency. Then we will discuss leadership and ethics as they relate to the advanced practice nurse.
This is the assignment –
A reflection is similar to other essays or discussions in that it needs to be easily understood and well structured. Still, the content is more akin to something personal, like a diary entry. In a reflection, the person primarily examines his or her life experiences, hence the term ‘reflective’. The purpose of composing a reflection is to provide a platform for the author to not only recount a particular life experience but also explore how he or she has changed or learned from those experiences.
As you decide on the content of your reflection, you need to remember that a reflective essay is highly personal and aimed at engaging the reader or target audience. And there’s much more to a reflection than just recounting a story. You need to be able to reflect on your experience by showing how it influenced your subsequent behaviors and how your life, as a student, has been particularly changed as a result.
An excellent way to get started is to pick out some reflective questions which will help you think deeper about the impact and lasting effects of your experience. Here are some examples:
· What have you learned about yourself as a result of the experience?
· Have you developed because of it? How?
· Did it have any positive or negative bearing on your life?
· Looking back, what would you have done differently?– What are your thoughts on the experience in general?
· Was it a valuable learning experience? — What specific skills or perspectives did you acquire as a result?
· Please demonstrate thoughtfulness and reflection in your response.
· Please be professional in your grammar and language.
APA is not required because this is your original thought. However, proper grammar and spelling are expected.
You have arrived at your course project. Begin by selecting a topic from the following list:
Determinants of Health
Organization Structures in Health Care
Groups and Teams in Health Care
Recruiting and Retaining Health Care Staff
Leadership in Health Care
Motivating Health Care Employees
Managing Change in Health Care
Professionalism in Health Care
In your course project, you will research information based on your topic, including these requirements:
describe the role of environment as it relates to your topic,
explain the impact of planning and development processes,
describe the role of health care finance
discuss the leadership approach that is most appropriate for your topic
discuss the structure and role of governing boards for health care organizations.
As you create your project, be sure to consider the roles of both management (the leadership team) and board of directors (governing board), also consider how management and the board should work together for a successful organization.
In addition, provide the following:
an introduction
an explanation on how decision-making in health care and managing changes in health care are vital to your project discussion, and
a summary of your findings.
Your project should be at least four pages in length; include a title page and reference page (title and reference pages do not count toward minimum page requirement). You must utilize the three resources that were already found and used in researching your project topic and then for developing your outline plus at least one additional resource that should be from the CSU Online Library.
Understanding cultural differences is a very important aspect of delivering health care to various populations who have immigrated to the United States from various parts of the world. Part I: Individual work Select 1 chapter in The Spirit Catches You and You Fall Down that discusses Hmong history (Ch. 8 to 14) to read individually. Write a 350-word summary of the chapter that includes the following:
Identify the historical events or cultural practices in your selected chapter.
Examine and describe how these differences create disparities between U.S. health care and the Hmong in California.
Share your summary with your team. Part II: Teamwork Discuss as a team the key historical events or cultural practices you each found in your reading and summary. As a team, identify commonalities of Hmong history and cultural practices that recur throughout the chapters. Create a list of 3 to 5 key cultural practices or factors that could impact health care program delivery to the Hmong community. Include a 2- to 3-sentence description to support your choices. Part III: Individual Reflection: Write a 350-word summary explaining how the 3- to 5-key factors your team identified apply to the chapter you read. Describe how these factors impact disparities between U.S. health care and the Hmong in California. 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).
Part 2
Respond to the following in a minimum of 175 words:
What are the primary responsibilities of the health care industry in preventing child abuse and neglect, responding to child abuse and neglect, and supporting and preserving families?
What circumstances should be present (or what considerations should be made) before removing a child from the guardianship of the parent?
Include sources/references to support your perspective.
GET SOLUTION FOR THIS ASSIGNMENT, Get Impressive on aspect of delivering health care to various populations who have immigrated to the United States from various parts of the worldtype of disability and research context in Australia
Scenario: You are an IT security intern working for Health Network, Inc. (Health Network), a fictitious health services organization headquartered in Minneapolis, Minnesota. Health Network has over 600 employees throughout the organization and generates $500 million USD in annual revenue. The company has two additional locations in Portland, Oregon and Arlington, Virginia, which support a mix of corporate operations. Each corporate facility is located near a co-location data center, where production systems are located and managed by third-party data center hosting vendors.
Company Products
Health Network has three main products: HNetExchange, HNetPay, and HNetConnect.
HNetExchange is the primary source of revenue for the company. This service handles secure electronic medical messages that originate from its customers, such as large hospitals, which are then routed to receiving customers such as clinics.
Many of the company’s HNetExchange clients manage safe payments and invoices using the HNetPay online interface. The HNetPay online gateway, which is housed at Health Network production facilities, communicates with credit card processing businesses and accepts a variety of payment methods. In order to help Health Network consumers discover the appropriate level of treatment at the appropriate locations, HNetConnect is an online directory that includes listings for physicians, clinics, and other medical institutions. It includes the personal details of the doctors, their workplace addresses, their credentials as physicians, and the range of services that the clinics and doctors provide. Doctors receive credentials and have the ability to edit the data on their profiles. All three of the company’s goods are accessible to Health Network’s clients, who are the hospitals and clinics. Using HTTPS websites that are accessible via the Internet, doctors and prospective patients may update their profiles and make payments. Overview of the Information Technology Infrastructure Three production data centers where Health Network operates offer high availability for all of the business’s products. Around 1,000 production servers are housed in the data centers, while Health Network manages 650 business laptops and employee-owned mobile devices. Threats Recognized Following an evaluation of the present risk management strategy, the following dangers were found: Loss of data due to hardware removal from production systems; Loss of data on lost or stolen company-owned property, such as laptops and mobile devices; Loss of customers due to production outages brought on by various events, such as natural disasters, change management, unstable software, etc.; Internet threats because company products are available online; Insider threats; and Alterations in the regulatory environment that may have an impact on operations Organizational Request Health Network’s senior management has concluded that a new risk management strategy has to be created because the organization’s current one is out of date. Senior management is supportive of the effort to create a new strategy and dedicated to it since risk management is crucial to the firm. It is your responsibility to create this new strategy. During the risk assessment process, when reassessing the present danger environment, additional hazards beyond those already mentioned may be found. Due to senior management’s intention to respond to any and all major risks identified in the new plan, the budget for this project has not yet been established. It is possible to estimate realistic expectations based on the company’s yearly sales.
Deliverables
This project is divided into several parts, each with a deliverable. The first four parts are drafts. These documents should resemble business reports in that they are organized by headings, include source citations (if any), be readable, and be free from typos and grammatical errors. However, they are not final, polished reports.
