Action Campaign

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A hospital is planning to purchase new telemetry heart monitors for the intensive care unit (ICU). Emergency department (ED), and intermediate care unit (IMCU). To make the capital purchase productive, hospital administration forms a committee consisting of the unit managers, nursing representatives from each unit, a bio-med individual, and the financial officer. Each unit is allowed representation based on the number of nurses employed on the units. This results in three ICU nurses, three IMCU nurses, and one ED nurse.

Management is concerned about the costs of replacing the telemetry monitors; therefore, the financial officer pushes for the cheapest product, insisting that budget constraints and decreased revenue require the purchase of a less expensive system. However, the ICU, IMCU, and ED representatives gather after the meeting to discuss their support for the most expensive system. They devise a proposal that outlines the uninterrupted flow of patients with the system, explains how the telemetry units meet each area’s needs, and demonstrates how the system will save money in the long term.

They create a chart that compares the two models, demonstrating how the more expensive system could enhance patient outcomes. And convince the bio-med representative to side with them based on their knowledge that his mother is in the ICU and could benefit from the outcome.  The nurses also gain support from several local cardiologists for their desired system.

Respond to each of the posed questions.

  1. Describe how the nurses used political strategies to influence the decision.
  2. How does this case reflect the political power of nurses?
  3. How did the nurses demonstrate the political skills described in the text?
  4. What were the purposes behind the nurses forming a coalition?

Aging Parents

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HA4120D – Management of Continuum Care Services

Assignment 07: Aging Parents

 

Prepare a 3-4 page, cite 3-4 reliable sources that addresses the following scenario:

You are helping your parents, ages 62 and 64, plan their retirement and financial future.

• Research and discuss options for seniors’ long-term care, including programs through Medicare, Medicaid, managed care, and other private insurance, etc.

• What will you tell them about the potential need for, and costs of, long-term care? What about long-term care insurance?

• How will you advise them to prepare financially to cover their health needs and related issues as they age, based on their income, current payer coverage and current and future needs? Be specific.

• Detail trends affecting long-term care reimbursement and national spending from federal, state, and personal perspectives.

Long-Term Care-Vitalsource Bookself-username-crtshhill49@yahoo.com-Password-#magicMAN61

Complementary And Alternative And Crisis Intervention

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1) Minimum 10 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.

            Part 1, 2, 3,4: Minimum 1 page

 

 

 

    Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1, 2.doc 

 

__________________________________________________________________________________

Part 1:Complementary and Alternative Health Care

1. Expand on the background and concepts of Ayurvedic medicine

2. How Ayurvedic medicine is tied to health and illness.

Part 2:Complementary and Alternative Health Care

 

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.

1 Define complementary, alternative, and integrative practices as identified by current health paradigms.

2. Summarize history for complementary and alternative medicine.

3. Describe the extent to which complementary and alternative health practices are encouraged and used among multiple cultures.

4 Relate concepts into clinical practice in CAM.

5 According to the research, what is the regarding the efficacy of complementary and alternative practices and products in nursing.

6. Describe integrative medicine which embodies conventional and complementary and alternative medicine, making use of the best available evidence of all three approaches to healing within the patient’s personal plan of care.

7. (Write in the first person) Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent BSN Essential and sub-competencies (AACN, 2008) as a result of active learning throughout this course. Be sure to use examples from selected readings, threaded discussions, and/or applications to support your assertions to address the following sub-competencies:

a. Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes within healthcare microsystems.

b. Create a safe care environment that results in high quality patient outcomes.

c. Revise the plan of care based on an ongoing evaluation of patient outcomes.

d. Demonstrate clinical judgment and accountability for patient outcomes when delegating to and supervising other members of the healthcare team.

8. Conclusion (1/2) page

9.  Introduction. Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy (1/2) page

Part 3: Crisis intervention

 

There are a lot of individuals that have addictions, whether they are drinking alcohol, eating chocolate, gambling on blackjack, buying plaid sport coats, overspending on credit cards, or reading the sports page at breakfast. Anything that we start out wanting and not necessarily needing but end up either psychologically or physically craving may be considered addicting. Such addictive behaviors may be as simple as not being able to pass the candy bar machine to attending every place with them.

1. What would be some of the the difficulties they will face in forgoing their addiction for a day.?

Part 4: Crisis intervention

 (Write in the first person)

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.

 

1. Integrate theories and concepts from liberal education into nursing practice.

2. Synthesize theories and concepts from liberal education to build an understanding of the human experience.

3. Use skills of inquiry, analysis, and information literacy to address practice issues.

4. Use written, verbal, non­verbal, and emerging technology methods to communicate effectively.

5. Apply knowledge of social and cultural factors to the care of diverse populations.

6. Engage in ethical reasoning and actions to provide leadership in promoting advocacy, collaboration, and social justice as a socially responsible citizen.

7. Integrate the knowledge and methods of a variety of disciplines to inform decision making.

8. Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system.

9. Value the ideal of lifelong learning to support excellence in nursing practice.

10. Conclusion (1/2) page

11.  Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy (1/2) page

formal role where a nurse is in a position of leadership

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formal role where a nurse is in a position of leadership

1. Discuss a formal role where a nurse is in a position of leadership. Outline the essential responsibilities of that role and the educational preparation required. Explain what leadership traits, styles, or qualities are required to be successful in this role and why.

2. The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace. In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently?

ethical principles

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Whole question

Judge the medical case studied in class during Week 7 in the Discussion Board. In the video, philosophers applied the three major ethical principles you learned in this class: Kant’s Categorical Imperative, Utilitarianism, and Virtue Ethics. In a five paragraph essay, apply ONE ethical theory to decide the moral course of action in the medical case of the premature twins studied in class. Apply the ethical theory in each paragraph to support your arguments throughout the entire essay. Not using the ethical theory results in an automatic zero. Using more than one ethical theory results in an automatic zero. (50 points) You have 4 hours to complete this exam. You only have ONE attempt to complete this exam.

 

This is the medical case you will judge in the Final Exam essay question.

 

Moral Dilemmas… Can Ethics Help? on Vimeo

source-oriented medical records categories

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 source-oriented medical records categories

1.- How are grouped the source-oriented medical records categories?

2.- What is SOAP and POMR formats?

3.- What are the Progress notes? What do we have to include on them?

4.- Please name and explain the Filing Systems.

5.- Please name the classification of Medical Records. For how long do we have to store the Medical Records?

Concept Map 

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Concept Map 

Mr. Charles Lamont is a 45-year-old patient who is visiting his primary care physician for his an annual checkup. His wife is waiting for him in the lobby; she is hoping that Mr. Lamont will tell the physician about his recent bout of coughing and shortness of breath. Mr. Lamont works for a construction company as a heavy machine operator. He smokes 1½ packs of cigarettes per day. His wife has been encouraging Mr. Lamont to stop, but he has not showed any interest in quitting. Laura, the registered nurse, takes Mr. Lamont to an examination room. Laura asks him about his overall health and he tells her about a nagging cough and how he sometimes feels short of breath. He then denies any other health problems. Laura takes Mr. Lamont’s vital signs and gets the following results: blood pressure, 156/94 mm Hg; temperature, 99.8° F orally; apical pulse, 104 beats/min; respiration, 25 breaths/min and regular; and pulse oximetry, 95%.

Ethical Behaviors In Regard To Health Information, Technology, And Social Media

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Scenario 1: social media posting

Every time a patient visits any medical facility, they always expect quality care and confidentiality.  With increased and advanced technology, many people are capable of accessing patient’s information, making it difficult for healthcare workers to fully secure patients’ confidentiality. in the first place, healthcare personnel is supposed to ensure that the information that they share on their social media platforms no sensitive information is shared through these platforms because they are not secure. The information provided should not jeopardize the security and privacy of the patients. a nurse must first consider whether the information provided can lead to the patient’s identity being revealed and what the consequences are.

This nurse has gone against the HIPAA rule. According to HIPAA, the patient’s demographic such as their past, present, or future, and health care they have received, should be protected (Cannon, & Caldwell, 2016). In this case, the nurse has revealed the patient data such as their weight and diagnosis, which can lead to the identification of the patient.

Today, It is easier to access patient’s information due to the high technological advancement. Therefore, the healthcare providers are supposed to be very careful with the kind of information shared on the online platforms because once it is shared, they may have little or no control of who will access the information provided. this worker does not show any professionalism that is required by a health worker. Spreading the patient’s information on online platforms is illegal, and it is a violation of patient’s rights. Every time a patient visits any medical facility, they always expect quality care and confidentiality

 Scenario 2: presentation poster

Privacy is the patient’s right to personal information protection.  Confidentiality is very critical in ensuring that the third party does not access the patient’s information. All healthcare professionals are bound by these rules that prohibit them from discussing a patient’s medical information with anybody else without consent. The patient’s information should also be stored in a way that guarantees the patient’s privacy. In this case, the nurse should use the pictures but de-identify all the data that can lead to the patient being identified by the third party.

De-identification is removing identifiers from the health information that can help identify the patient, thus mitigating risks. De-identification also helps the healthcare workers to use the patient to support research without going against the set rules and regulations (Sokol, 2017). The HIPAA rules are critical in that it provides directions regarding re-identifying the PHI using a unique code. This code is very important and thus is not to be disclosed. In this case, the patient can use the client’s lesion for education purposes but ensure that there is no data that can lead to the identification of the patient by the third party. HIPAA provisions allow using information that does not identify the patient

Scenario 3: long term care

There are various privacy and security issues that are related to a patient sharing their information with a long-term care facility. One of the major issues is the patient controlling the information that they provide to the healthcare workers. Therefore, there is a great concern regarding who should be controlling the access and the sharing of information in the long-term care facility. The patient information is critical, and the control issue should be appreciated with the owner’s approval. The patients are therefore supposed to control the information that they provide. In this case, Marcus is not sure who he should provide his information with. The patient may therefore hide some of the information because he is not sure who he should be providing the information with and the security of the provided information.

There is also the other issue of trust between the patient and the healthcare provider. In order to have a successful healthcare system, trust between the patient and the healthcare providers is paramount. The absence of trust may make the patient fail to disclose the necessary information required to help better the patient’s outcome. Failure to disclose some information may lead to adverse effects.

There is also the likelihood of gaps in the legislative aspects of the privacy and security-related institutions that help safeguard the patient’s information. These gaps arise because of a lack of proper policies and lack of knowledge. This may lead to unauthorized persons accessing the patients’ information.

References

Cannon, A. A., & Caldwell, H. (2016). HIPAA violations among nursing students: teachable moment or terminal mistake—a case study. J Nurs Educ Pract, 6(12), 41-48. Retrieved from; https://www.researchgate.net/profile/Hollie_Caldwell/publication/305479324_HIPAA_violations_among_nursing_students_Teachable_moment_or_terminal_mistake-A_case_study/links/579787a108aec89db7b9a86b.pdf (Links to an external site.)

Sokol, A. J. (2017). Clinical Research and Data: HIPAA, the Common Rule, the General Data Protection Regulation, and Data Repositories. Merrill Series on The Research Mission of Public Universities, 47-62. Retrieved from: https://journals.ku.edu/merrill/article/view/7750/7359 (Links to an external site.)

The Disaster, Man-Made or Natural

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Section 1: The Disaster, Man-Made or Natural

  • What disasters may strike your community and why? For example, do you live in “Tornado Alley,” or has climate change resulted in unusual cold weather snaps or blizzards in your community? Are you located in a flood plain? Include possible diseases that may result from a natural disaster, such as tetanus or cholera.

Section 2: The Nursing Response

  • Formulate responses to the disaster, considering systems and community levels of intervention.
  • Review websites where a disaster plan may be available for the public, or if one is not currently available, call public health department to see if a disaster plan exists for your community and what the plan contains.
    • In addition to reviewing websites for information about your local disaster plan, you will need to locate best practice/evidence-based practice guidelines in professional literature to determine whether your community’s disaster plan is as sound as it might be or if there is room for improvement.

Section 3: Is My Community Prepared for a Disaster?

  • What conclusions can you draw about your community’s preparedness plan from having completed this evaluation?

pairs of spinal nerves

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pairs of spinal nerves

Compose 400 words or more discussion to respond the following:

How many pairs of spinal nerves are there? Can you name them?

What is a plexus? Name the four major pairs of plexuses.

What is a dermatome? A myotome?

List the names and numbers of the 12 pairs of cranial nerves.

Mention the primary function of each pair cranial nerves.

Distinguish among a motor nerve, sensory nerve and mixed nerve.

What is the principle of autonomic antagonism? Give an example.

Which division of the Autonomic Nervous System (ANS) is the dominant controller of autonomic effectors when the body is at rest?

Name the two major types of cholinergic receptors and the two major types of adrenergic receptors.

What is the difference between a cholinergic fiber and an adrenergic fiber? Between a cholinergic receptor and an adrenergic receptor?