The difference between 2 gait, 3 gait, and 4 gait canes

CASE STUDY: Esther is a 78 year old female who suffers from osteoporosis. She Esther lives with her only daughter and son-in-law and her two teenage grandchildren. Not to mention, she also has a family dog. Esther is very fragile, weighing about 120 lbs and barely likes to eat. She enjoys her days watching the news, cooking, and watching over the Yorkie while everyone is at work and school.  Though recently she tripped while going down a step to the patio and fractured her ankle. The family found her crying on the steps. They called the ambulance and she was taken to the ER. A couple days later she is discharged home and a home care plan is issued.

The project is to write a one page paper on patient teaching how to use a cane. The difference between 2 gait, 3 gait, and 4 gait canes. How Esther would use them, how to prevent any other fall. What side would the cane go on? (affected or non affected side)

Review the Learning Resources on the HITECH legislation and its primary goals.

 In order for organizations to receive the incentives offered through the HITECH legislation, they must be able to demonstrate that they are using the technology in meaningful ways. The following criteria for meaningful use must be evident to qualify for EHR incentives (U.S. Department of Health & Human Services, 2012). The technology must:

  • Improve quality, safety, and efficiency, and reduce health disparities
  • Engage patients and families
  • Improve care coordination
  • Improve population and public health
  • Ensure adequate privacy and security protections for personal health information

For this Discussion you consider the impact of the meaningful use criteria of the HITECH legislation on the adoption of health information technology.

To prepare:

  • Review the Learning Resources on the HITECH legislation and its primary goals.
  • Reflect on the positive and negative impact this legislation has had on your organization or one with which you are familiar.
  • Consider the incentives to encourage the use of EHRs. Focus on the definition of meaningful use and how it is measured.
  • Reflect on how the incentives and meaningful use impact the quality of patient care.
  • Find an article in the Walden Library dealing with one of the criteria to qualify for meaningful use and how it has been successfully met.

Post a description of how HITECH legislation has positively or negatively impacted your organization. Address how its related incentives influence the adoption of health information technology in health care and impact the quality of patient care. Provide a summary of the article you identified and explain how it demonstrates the ability of health information technology to meet the requirements of meaningful use.

Pregnancy and lactation can be challenging. Concerns of effects to the unborn fetus must be considered. Will treating the mother harm the unborn fetus or nursing infant?

The Medication Paper Final Draft “Byvalson”

paper must be a minimum of seven pages, not including your title or reference pages. You should include at least five recent references (published within the last five years), and the paper must be presented in APA format (see rough draft requirements in week 6).

The paper must include the following content information:

  • Manufacturing company
  • Brand name
  • Indication
  • First in class, or not first in class
  • Common side effects profile
  • Known contradictions

Make sure you explain the special considerations that your chosen drug has on the unique populations/client groups listed below. Special considerations should include absorption, clearance/elimination, distribution, metabolism half-life, loading dose, route of drug administration, and steady state.

Pediatric Patients

Pediatric patients are not little adults. There are special pharmacokinetic and pharmacodynamics variations in this patient group. Their reaction to medication can be very unpredictable. Accurate dosing is the key due to their limited body mass.

Geriatric Patients

Geriatric patients have altered pharmacokinetic and pharmacodynamics responses to medication. The process of aging and disease will change how the body responds to drug therapy. Memory limitations and increased sensitivity to drug therapy may cause unique problems with this population.

Patients With Renal Dysfunction

Many medications are excreted through the renal glands or metabolized and excreted renally. Dosage adjustment is the key in this population. Many agents may cause nephrotoxicity.

Patients With Liver Dysfunction

Liver disease produces alterations in the physiology of the drugs’ pharmacokinetics in the body. Special attention should be given to all drugs used in this client population

Obese Patients

Obese patients have alterations in their pharmacokinetic and pharmacodynamic response to medication. Many comorbidities and altered nutritional status can be seen as responses to taking these medications. Accurate dosing is paramount.

Pregnancy/Lactation

Pregnancy and lactation can be challenging. Concerns of effects to the unborn fetus must be considered. Will treating the mother harm the unborn fetus or nursing infant?

post one scholarly activity while you are in the BSN program, which should be documented by the end of this course.

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment

Analyze and evaluate the two most salient trends impacting the business operations and/or administration

 Jacobs, L.P. (2017). 10 Health Care Trends for 2017. Retrieved from http://www.trusteemag.com/articles/1184-10-health-care-trends-for-2017

Utica College. (2017). 10 New Trends in Health Care Management in 2017. Retrieved from http://programs.online.utica.edu/articles/10-trends-in-health-care-management-0321

Nelson, M. L., Nelson, M. L., & Sen, R. (2014). Decision support systems: Business rules management in healthcare: A lifecycle approach. Elsevier. doi:10.1016/j.dss.2012.10.044

 

based on this readings

  1. Analyze and evaluate the two most salient trends impacting the business operations and/or administration.
  2. Are these trends uniquely different for ancillary services vs. inpatient services?
  3. Where do you see these trends going in the future and why?

What leadership skills do you think are necessary when working in emergency public health situations?

sed on your research, respond to the following:

  • How do you think public health professionals and policy decision makers can work together more effectively to prepare for complex public health issues, such as health insurance accessibility or flu pandemics?
  • What leadership skills do you think are necessary when working in emergency public health situations?

Give reasons and examples in support of your responses. Be sure to cite any relevant resources.

Write your initial response in approximately 300 words. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

Create a resume detailing your license(s), earned degree(s), certification(s), professional experiences, previous positions held, membership in professional organizations, publications, and skills.

Write an introductory cover letter of no more than 500 words in which you explain your professional objectives, professional interests, and strengths as an applicant.

Create a resume detailing your license(s), earned degree(s), certification(s), professional experiences, previous positions held, membership in professional organizations, publications, and skills.

Both the cover letter and resume should be formally written using a professionally accepted format. Review “Resume Resources,” located at for http://www.resume-resource.com/examples-medical.html for examples of approved formats; however, other professional templates may be used.

Share your resume with a colleague and elicit their feedback. Revise your resume if needed and submit the resume in the assignment section of the course.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Compare and contrast how you would expect nursing leaders and managers to approach your selected issue

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
  2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
  4. Identify a possible funding source that addresses your issue. Consider looking at federal, state, and local organizations. For example: There are many grants available through the CDC, HRSA, etc.
  5. Use at least two references other than your text and those provided in the course.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 Turnitin. Please refer to the directions in the Student Success Center

Identify and discuss two (2) signs or symptoms of clinical deterioration associated with the presenting problem, from chosen case study

  1. The assessment tasks requires you to:
    1. Identify and discuss two (2) signs or symptoms of clinical deterioration associated with the presenting problem, from chosen case study. This discussion should consider the potential impact of case study data (e.g. pathology results, past medical history) on the health status of the patient in the chosen case.
    2. Following on from your presented discussion associated with point one (1), develop a clinical plan of care which identifies:

One (1) priority of clinical care and;

Discuss three (3) nursing interventions that directly address the identified clinical priority. The discussion should refer to relevant clinical assessments. Measurable outcome parameters for each intervention will be discussed to justify the intervention and evaluate its efficacy. Discussion is to be supported with contemporary research.

What do you think will be the greatest challenge for professional nurses in the next five years?

Conduct an interview with a Nursing leader which includes but is not limited to VP of Patient Care Services, Director of Nursing, Nurse Manager, Clinical Nurse Specialist, Nurse Practitioner, Charge Nurse, Team Leader or someone in another type of designated leadership position. Obtain the following information during your interview.

 General Background information:

GenderEducational PreparationWork HistoryMemberships in Professional OrganizationsNetworking strategiesWhat characteristics should a leader possess?

Do you feel as though you possess these characteristics?

Are there any aspects of leadership that you feel you lack or could improve on existing qualities? How has your outlook and/or behaviors changed over the years?

How do you deal with change?

What do you think will be the greatest challenge for professional nurses in the next five years?

How do you support or advocate new ideas?

What role do you play in performance improvement initiatives?

What is your role as a preceptor or mentor?

Who are you students or “mentees”?

Does anything motivate you to continue to precept or mentor, if so, what?

Do you have a choice in being a mentor or is it expected as part of your employment?