Campinha-Bacote’s cultural competency model

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Campinha-Bacote’s cultural competency model

Apply a model of cultural competence to personal practice beliefs. For this assignment:

  1. Reflect on the 5 constructs of Campinha-Bacote’s model of The Process of Cultural Competence in the Delivery of Healthcare Services: Cultural desire, Cultural Awareness, Cultural Knowledge, Cultural Skill, and Cultural Encounters.
  2. Review the Mission statements and values of St. Thomas University and its Nursing programs.
  3. Reflect on your learning during this course.
  4. Evidence of reflection on Campinha-Bacote’s cultural competency model and/or STU mission and values.
  5. Your personal beliefs.
  6. Your philosophy statement(s) related to culturally competent nursing care.
  7. Implementing your beliefs.
  8. Continuing your journey towards cultural competence.
  • Your paper should be formatted per current APA and references should be current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions)
  • The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • The paper is to be no shorter than 1 page; nor longer than 2 pages in length, excluding the title, abstract, and references page.

Rural Health Services

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Rural Health Services

People who live in rural areas deal with many health concerns that do not affect people living in urban areas.

Instructions: Find out whether Florida has received grants to establish or maintain rural health services by visiting the federal Health Resources and Services Administration website (http://www.hrsa.gov/ruralhealth/). Click on the “Grants Map by State” link. A geographical map will pop up.

Locate your state on the map, and find out what grants have been awarded to areas in your state by this agency.

Discuss what population changes have occurred in rural areas and the impact from receipt of the grants if any. Include the effects of migration on health care delivery and patient outcomes.

APA paper 1 page. Include references no later than 5 years.

physician employment

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physician employment

https://www.medpagetoday.com/blogs/themethodsman/69237 (link)

Chapter 5 tackles the subject of physician employment.  The employment of hospitalists is a growing trend.  For this assignment, you will read this article, (Links to an external site.) then answer the following questions regarding the use of hospitalists versus primary care physicians as care providers for admitted patients.  Before reading the article, make sure to read the section in Chapter 5 “Employment and Earnings of Physicians“.  After reading the article and the text, answer the following questions in 300 words or more in paragraph format (5 or more sentences, correct spelling a grammar, one or more paragraphs).  Do NOT respond in questions and answer format.  Thoughtfully respond to one or more classmates after you submit your original post.  Remember to use your own words.  There are comments at the end of the article; don’t make the mistake of plagiarizing their words.  I want your opinion, not someone else’s.

  • What is a hospitalist?
  • What is the difference between a hospitalist and a primary care physician?
  • Why is the number of hospitalists growing?
  • What did the results of the study indicate?
  • Although the study has not been replicated for reliability, what did you learn from the study?  How did the results make you feel?
  • If the study is repeated and the results turn out to be reliable, what changes would you recommend?  If you do not recommend changes, explain why.

Differential Diagnosis for Skin Conditions

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Assignment 1: Lab Assignment: Differential Diagnosis for Skin Conditions

Photo Credit: Getty Images/iStockphoto

Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities. Vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.

In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations. And use the techniques of differential diagnosis to determine the most likely condition.

To Prepare
  • Review the Skin Conditions document provided in this week’s Learning Resources. And select one condition to closely examine for this Lab Assignment.
  • Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
  • Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
  • Consider which of the conditions is most likely to be the correct diagnosis, and why.
  • Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
  • Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
  • Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.
The Lab Assignment
  • Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan). Note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
  • Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis. And explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

VisualDx. (n.d.). Clinical decision support. Retrieved June 11, 2019, from http://www.skinsight.com/info/for_professionals

Jean Watson’s Theory of Human Caring

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Jean Watson’s Theory of Human Caring

Holistic care refers to approaches and interventions that address the needs of the whole person: body, mind, emotion, and spirit. Consider the following case study:

You are caring for a first-time mother in a health clinic. While assessing the woman, you notice she is becoming visibly upset. When you ask, she notes that her mother, with whom she was very close, died last year and that she really would have loved to have shared this pregnancy with her. You empathize with the patient, as your own mother just died 6 months ago. She also notes that she and her partner have been bickering a lot lately on top of her feeling generally sore, tired, and overwhelmed.

Define holistic care in your own words. Describe four ways you can implement a holistic nursing approach to care and facilitate healing. In addition, you may consider the intersection of holistic care and caritas principles from Jean Watson’s Theory of Human Caring/Caring Science from Week 1.

  • Length: A minimum of 300 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

Copays And Deductibles for employees

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Consider this scenario: You are the manager of a small business. One of your responsibilities is to oversee the health care plan for 10 employees. In examining last year’s costs you note that the smokers in the group averaged 20% higher health care related costs than the nonsmokers. However, the employee diagnosed with cancer had higher costs than the other nine together. You must make a change to break even. Your options are:

  1. Raise weekly fees, deductibles, and copays for all 10 employees
  2. Raise weekly fees, deductibles, and copays for just the smokers and cancer patient (who never smoked)
  3. Raise weekly fees, deductibles, and copays for the smokers but not the cancer patient
  4. Lower the quality of the plan for all employees to maintain the same costs
  5. Raise premiums for all but offer lower deductibles and co-pays for nonsmokers and those who quit smoking

Customize your health care plan costs for your employees

Include the following aspects in the discussion:

advanced practice registered nurses (APRNs)

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advanced practice registered nurses (APRNs)

Select a care environment where advanced practice registered nurses (APRNs) may practice. Some examples to choose from may include:

  • Rural health clinic
  • Emergency department
  • Urgency care
  • Community health center
  • Family practice
  • Pediatric Clinic

Using the conditions listed in Box 11.1 in the Joel textbook, identify and discuss two different conditions that may have a significant impact on revenue in the care setting. Describe how these conditions might affect how APNs provide care in these settings?

  • Length: A minimum of 300 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

Summary Of Healthcare Concern

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Summary Of Healthcare Concern

20 Slides powerpoints

Please be creative. APA 7, citation. No plagriarism

References 2017-2021 only.

A minimum of five (5) appropriate research-based scholarly references must be used. These may include references. Please follow Rubric.

Description of the Assignment

This assignment provides a PowerPoint presentation that summarizes the healthcare policy presentation to the elected official.

Criteria for Content

  1. Overview of healthcare policy in the nursing profession: This section provides an overview of healthcare policy advocacy as it relates to advanced practice. It should contain the following elements:
  1. Selected healthcare policy concern and resolution: This section provide an identification of the selected healthcare concern and its proposed resolution. It should contain the following elements:
    • Provide a comprehensive description of the healthcare concern
    • Describe the impact of the concern upon the population group and community
    • Describe, with detail, the proposed solution to healthcare concern
    • Clearly identify the slides provided to the elected official
  2. Description of the meeting with the elected official: This section provides a detailed description of the meeting with the elected official. It should contain the following elements:
  • The name and position of the elected official
  • Explanation of why this individual was selected
  • Description of the meeting by including information as:
    • Day/time of meeting
    • Location of meeting
    • Materials/handouts used during the presentation
  • Describe the response of the elected official to your presentation and proposed solution

  1. Summary Of Healthcare Concern

  2. Self-reflection: This section provides an opportunity to self-reflect upon the healthcare concern, the proposed solution, and presentation to the elected official. It should contain the following elements:
  • Explain the new insights you have gained regarding your selected healthcare concern
  • Identify the new insights you have gained regarding your proposed solution to the healthcare concern
  • discus  the revisions you would make regarding your presentation to the elected official
  • Identify the insights you have gained regarding healthcare policy and the importance to the nursing profession
  1. Future plans regarding selected healthcare concern: This section provides an opportunity to discuss way to foster ongoing or future advocacy regarding the selected healthcare concern and proposed resolution. It should contain the following elements:
  • Describe possible future opportunities to be an advocate for your selected healthcare concern and proposed solution
  • Identify the revisions you would make in the proposed solution
  • Select a professional nursing organization and discuss how this organization could be helpful in fostering or supporting your proposed solution
  1. Conclusion: This section requires a summary of the key points regarding the healthcare concern, proposed solution and presentation to the elected official

Preparing the assignment

Criteria for Format and Special Instructions:

A young woman with Depression

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Case #2 A young woman with Depression

A young woman with Depression

 

SUBJECTIVE

Stefanie is a 32-year-old female from Puerto Rico who presents to your office today with complaints of difficulty sleeping. You learn that Stefanie can go for a few days with minimal sleep (about 3 hours/night), but does not seem to be fatigued the next day. Stefanie explains that after 3 days with minimal sleep, she “crashes” and has a good night’s sleep. She states that sleep will be “alright” for a few days, even a few weeks, and then she will have a similar issue with sleep.

You learn throughout the assessment process that Stefanie has had this problem for years. She noticed that it began in college and thought it was just because of the workload and academic demands. However, she found that it persisted after college. She also notices that she has periods where she will engage in increased amounts of goal-directed activity, states that things will just “pile up” at work and she gets this burst of energy to “make everything right.” She states that these bursts will last most of the day. She states that these periods show up probably every 2 to 3 weeks.

Stefanie also confesses to problems with being “down in the dumps.” She states that when she has her episodes in which she endeavors to “make everything right,” she feels fantastic and on top of the world. However, when these periods of energy end, she reports that she feels “depressed”—but then states: “well, maybe not depressed, but I definitely feel sad and empty.” She also endorses feelings of fatigue and a decreased ability to concentrate when she is feeling sad. She finally tells you: “I have lived with this for so long, I have to admit that it is finally a relief to tell someone how I feel!”

Physical assessment

OBJECTIVE

Stefanie is dressed appropriately to the weather. She has no gait abnormalities. Physical assessment is unremarkable. Gross neurological assessment is within normal limits.

 

MENTAL STATUS EXAM

Stefanie is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. Self-reported mood is “sad.” Affect does appear consistent with dysphoria. Eye contact is normal. Speech is clear, coherent, and goal directed. She denies visual or auditory hallucinations. No overt evidence of paranoid or delusional thought processes noted. She denies suicidal or homicidal ideation and is future oriented.

At this point, please discuss any additional diagnostic tests you would perform on Stefanie.

Decision Point One

BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHICH OF THE FOLLOWING DIAGNOSES WOULD THE PSYCHIATRIC/MENTAL HEALTH NURSE PRACTITIONER (PMHNP) GIVE TO STEFANIE?

In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.

 

Bipolar I, current phase, depressed

 

Bipolar II, current phase, hypomanic

 

Cyclothymic disorder

Major Health Information Technology (HIT)

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Major Health Information Technology (HIT)

Hajor health information technology (HIT) regulations aim to ensure privacy and confidentiality of patient health information. In this assignment, you will be asked to research your state privacy laws and standards specific to patient health information.

Tasks:

The following resources are provided for this project:

From the Internet, review the following: