Archive for month: January, 2019

The completed case report will need to be submitted via the Health of Older Adults (NURS 2024) course site
Assessment 3: case report link by the assessment due date.

Background:
In order to plan and provide optimal patient-centered nursing care, Registered Nurses need to be able to interpret clinical information and draw upon their knowledge of pathophysiology and evidence-based clinical practice. Therefore, the purpose of this assessment is to support the development of the skills needed to evaluate evidence and to develop reflection and clinical reasoning skills.
Case Report:
Based upon the Horizons Hospital & Health Service (HHHS) NURS 2024 Health of Older Adults client Mary Young, construct a case report. The case report will draw upon your knowledge of pathophysiology and relevant academic literature to support an evidence-based plan of care.
Headings and a description of the content for each section of the report have been provided. These serve as a guide for how you will present your case report; however, it is important that all sections of the report are conceptually connected. For example, your knowledge of pathophysiology and your understanding of this particular client should underpin the nursing problems that you identify which should, in turn, drive the nursing management that is relevant for this clinical situation.
The case report should include the following:
Introduction (150 words)
Introduce the client and provide a brief overview of their case. Provide an outline of the purpose and structure of the report.
You might like to think about the overview of the case study like a verbal clinical handover: what is the key information from the HHHS patient information, progress summary and medication chart that would be relevant for the plan of care for this client?
Primary admission diagnosis (200 words)
Identify the primary diagnosis for the client (i.e. the reason the client was admitted to the HHHS). Provide a brief description of the pathophysiology for the primary diagnosis.
As part of this discussion, it is important to relate the pathophysiology to client’s risk factors and relevant previous medical history.
Nursing problems (200 words)
Use your knowledge of pathophysiology and the subjective and objective data provided in the HHHS progress summary notes to identify five (5) nursing problems that may arise as a result of the client’s primary diagnosis. These problems may be actual or potential nursing problems. Provide a brief description for why these problems may arise for this client.
From these, select two (2) nursing problems as the focus for the remainder of the case report. Provide a rationale for your selection.
Nursing Management (600 words)
The nursing management should focus on the nursing assessment, nursing interventions and the role of the Registered Nurse (RN) related to medication management for this client and will address the two (2) selected nursing problems.
Nursing Problem 1: Nursing assessment, nursing intervention, medication management.
Discuss one (1) method of nursing assessment that would need to be performed related to the ongoing nursing management of this nursing problem. Provide a rationale for this type of assessment and briefly describe how this assessment would be conducted in this case.
Discuss one (1) nursing intervention that you would need to implement related to the ongoing nursing management of this nursing problem. Provide a rationale for the intervention.
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Discuss the role of the RN in the medication management related to the ongoing nursing management of this nursing problem.
Nursing Problem 2: Nursing assessment, nursing intervention,medication management.
Discuss one (1) method of nursing assessment that would need to be performed related to this nursing problem. Provide a rationale for this type of assessment and briefly describe how this assessment would be conducted in this case.
Discuss one (1) nursing intervention that you would need to implement related to the ongoing nursing management of this nursing problem. Provide a rationale for the intervention. Discuss the role of the RN in the medication management related to the ongoing nursing management of this nursing problem.
Discharge planning (250 words)
Identify five (5) issues/challenges that you may need to address for this client prior to discharge home. Discuss how you would facilitate discharge planning for this client, with consideration to two (2) of these concerns?
Conclusion (100 words)
Summarise the major findings of this case report.
References
Please refer to the Harvard Referencing System to accurately reference your case report: https:// lo.unisa.edu.au/course/view.php?id=3839

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Describe two (2) financial career options that an individual with a finance education might pursue and explain the value that such a position adds to a company.
Careers in Finance

Finance is an exciting field in need of intelligent, skilled people. The job opportunities range from corporate finance; financial planning; investment banking; insurance; and real estate from individuals, institutions, government, and businesses. Finance managers acquire, spend, and manage money and other financial assets.

Use the Internet and / or Strayer Resource Center to research career options within the field of finance. Consider the Bureau of Labor Statistics Website, and the Websites of finance professional associations such as the Association for Financial Professionals (AFP), Society of Financial Service Professionals (SFSP), The National Association for Personal Financial Advisors (NAPFA), and Financial Management Association International (FMA).

Write a two to three (2-3) page paper in which you:

Describe two (2) financial career options that an individual with a finance education might pursue and explain the value that such a position adds to a company.
Explain the essential skills that would make a person successful in each of the described positions.
Recommend one (1) of the career options. Identify the most attractive features of the position.
Format your assignment according to the following formatting requirements:
Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.
The specific course learning outcomes associated with this assignment are:

Describe the forms of business organizations and the role of financial managers within an organization.
Use technology and information resources to research issues in finance.
Write clearly and concisely about finance using proper writing mechanics.

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What are the steps involved in the statistical forecasting process?In preparation for a meeting with upper-level management, you decide to conduct research on the role of statistical forecasting in decision analysis.

Write a paper of 5–7 pages discussing the importance of accreditation and credentialing, strategies for quality improvement, and the role of statistics and statistical forecasting in the process. Your paper should address the following:

What are the steps involved in the statistical forecasting process?
Provide at least 3 examples of statistical analysis tools used for forecasting.
What role does statistical forecasting play in the quantitative health care decision analysis process?
How can forecasting used to determine the needs within an organization for purposes of quality improvement?
Your discussion should include how you can use statistical forecasting related to patient treatment, readmissions, emergency room (ER) wait times, and so forth as a means of determining what areas to focus on for the quality initiative.
Also, but seperate

Based on your review of the data, you have identified 3 key areas of concern that you would like to address as part of the quality improvement initiative. If not addressed, these areas of concern may affect the organizations accreditation and/or profitability:
Patients are having to wait for extended periods of time in the emergency room (ER).
AKT is not implementing effective capacity management strategies for the resources that are currently available.
There are a high number of readmissions due to patients being discharged too early.
You decide to work with staff and management to develop and implement new policies that are grounded in evidence-based practice (EBP). To communicate the new policies with the staff, you will write a 2-page memo addressing the areas of concern and the new EBP policies that now be in place. In the memo, address the following:

Discuss the 3 areas of concern and how these can affect accreditation and/or financial status of the organization.
What is evidence-based practice?
How can evidence-based practice approaches be used to improve health care outcomes?
A set of new policies and procedures that includes 2-3 strategies based on EBP approaches for each area of concern that will be effective immediately
The memo should cite specific examples from the research reviewed regarding EBP approaches to resolving the issues

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Analyze the pros and cons of diagnosing Anna with a mental health disorder.One of the great controversies in the field of psychology relates to how we define normal and abnormal behavior.

One of the great controversies in the field of psychology relates to how we define normal and abnormal behavior. There is general agreement with the official definitions of abnormal behavior; that is, abnormal behavior is severe or maladaptive enough to need diagnosis and psychological or psychiatric treatment. These official definitions are contained in the Diagnostic and Statistical Manual of Mental Disorders (DSM). There have been many revisions of this manual over the years. Currently, we are using the fifth edition, or the DSM-5 (APA, 2013).

Children and adolescents who display certain behaviors that cause them to have significant difficulty in their everyday functioning are likely to be diagnosed with one of the disorders in the DSM. Some of those diagnoses are temporary, whereas others are life-long.

Review the following case:

Anna, a four-year-old Mexican-American girl, lives with her mother and father. Anna’s parents immigrated to the United States years before her birth. Her mother speaks only Spanish with her, while her father speaks only English. Anna’s parents are migrant workers who must move regularly. Anna and her parents have moved over ten times since her birth. They hope to provide Anna with more stability, now that she is approaching school age. Therefore, they are seeking other forms of employment.

Anna recently completed kindergarten orientation. The school psychologist recommended that her parents have her evaluated further, as her speech development is significantly delayed. She speaks very little; her vocabulary was screened at the kindergarten orientation and was found to be at least two years behind typical speech development. During the kindergarten screening, Anna was hyperactive, unable to sit still, distracted, and unable to complete the tasks. She was unable to complete them partially due to their difficulty level, but also due to her inability to focus sufficiently.

After a thorough evaluation at the local mental health center, Anna was diagnosed with attention-deficit/hyperactivity disorder (ADHD). She began participating in a behavioral modification program with a bilingual therapist, who speaks both English and Spanish. She will be evaluated in a few weeks by the psychiatrist, who will decide whether to prescribe stimulant medication for the ADHD.

Based on your analysis of the case, respond to the following:

Analyze the pros and cons of diagnosing Anna with a mental health disorder. Identify at least three benefits and at least three costs Anna and her family may experience as a result of her diagnosis. When deciding which pros and cons to identify, consider benefits and costs related to at least fourof the following categories:
Stigma
Prescription of psychiatric medication to children
Selection of a psychotherapy approach
Multicultural factors
Labeling or mislabeling of children
Early intervention

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Evaluate the pros and cons of linking electronic health records (EHR) to at least three clinical information systems (e.g.,. LIS, PIS, RIS, etc. and physician mobile devices).
Review the following article from this week’s required reading:

Murphy, J. (2011). Information systems & technology. Patient as center of the health care universe: A closer look at patient-centered care. Nursing Economic$, 29(1), 35-37.

Prepare a paper that meets or exceeds the following requirements:

Compose a brief summary of the author’s main points.
Assess the value and challenges of clinical decision support systems (CDSSs), in general, and of computerized physician order entry systems (CPOEs), in specific, to achieve the patient-centered care goals set forth in the article.
Evaluate the pros and cons of linking electronic health records (EHR) to at least three clinical information systems (e.g.,. LIS, PIS, RIS, etc. and physician mobile devices).
Explain and defend the rationale for classifying EHR, CPOEs, and CDSS as patient-centered management systems.

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