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

In order to undertake this 1500 word essay you will need to research the topic using current and relevant peer reviewed literature and review of:  The lecture and tutorial material associated with the relevant topic.  Your knowledge and understanding related to: 1. The physiology and pathophysiology of the primary diagnosis and associated clinical data identified within the chosen case study; 2. The physiological assessments relevant to the features within the case study. 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

Describe how improved communication, collaboration, and teamwork can improve conditions in your department.

Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)

Reorganization in Response to Merger or Consolidation of Services

Layoffs as a Result of Declining Revenues

Influx of Registry, Part-Time, and Temporary Contract Staff

Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars

Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

Inform the staff of the two issues (from the topics provided) your organization is facing.

Describe the impact of these issues on your department.

Describe how improved communication, collaboration, and teamwork can improve conditions in your department.

Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.

A minimum of three academic references from credible sources are required for this assignment.

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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

What are the pros and cons of a DRG payor system, and a capitated payor system?

1. What are the pros and cons of a DRG payor system, and a capitated payor system? If you were a health care czar, which one would you favor and why?include personal view point

2.Discuss the impacts of a large portion of the population being uninsured and how this affects the health care system. If this continues, how do you anticipate that the health care system will respond to it? What are the ethical issues and the practical ones?include personal view point

Challenges with Implementing a Community-Based Potable Water System Project in a Rural Honduran Community

course Project Part 1

This week, you will be expected to identify a topic and create a framework for your Course Project. By now, you have consumed a vast amount of information and it may be difficult to delineate a specific topic area. In order to pick a topic, consider developing a research question. You have selected a geographic location to study. You have also considered the health statistics, demographics, and policies that may impact the area. Now, you are expected to delineate a topic area.

For example, you might ask, what types of services are provided for diabetic patients in Oklahoma? What are the policies related to diabetes care in Oklahoma? What are some of the social determinants of health that may impact the risk of diabetes or diabetes management? What are preventive methods? What have leaders in Oklahoma done to assure prevention and management of diabetes?

You might also ask, how will the implementation of the Affordable Care Act impact pregnant women in my state. Narrowing down your topic area to a specific policy and target population will enable you to focus your research and in writing your assignment. It is critical that you understand the purpose and intent of the policy as well as study your target population and the policies of the state or community you chose. It will also be important for you to understand what advocacy and community organizations are doing in your state in support or against the implementation of the policy.

Read the following case study from your textbook:

Case 7: Challenges with Implementing a Community-Based Potable Water System Project in a Rural Honduran Community

Then, accomplish the following tasks to complete this assignment:

Choose a health topic or issue that significantly or adversely impacts the target population in the geographic region or location you have chosen. Describe why the health topic or issue is important to consider.

Research health policies, programs, resources, and all other related materials, such as news articles, press releases, etc., that may provide relevant information on the topic.

Summarize your findings and create an outline for your Course Project in the following format:

On the first page, provide background information on your selected target population and region.

Then, provide demographic information as well as major health issues in your chosen area.

On the following pages, highlight the topic areas of your paper in an outline format.

On a separate page, cite all sources using the APA format.

Submission Details:

Write a 5-7 page paper in Microsoft Word format. Apply APA standards to citation of sources.

Use the following file naming convention: LastnameFirstInitial_W3_A2.doc.

By the due date assigned, deliver your assignment to the Submissions Area.

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Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.

Briefly discuss the common findings of pregnancy induced hypertension (PIH), and nursing care and management of this disorder.

Write a 2-3 page APA formatted paper (not including cover sheet or reference page) utilizing a minimum of three resources based on the case scenario below.

You may opt to do a power point presentation or Prezi with a minimum of 10 – 15 slides (not including cover sheet or reference slide) instead of the written paper.

Scenario: A gravida two, para-one 34 year old woman comes into the office for pre-natal care. She is 28 weeks pregnant. Her blood pressure is 160/90 with a weight of 220 lbs and a height of 5’1. Her previous blood pressure at her visit 4 weeks ago was 122/ 78. Her previous weight was 210 lbs. She reports a history of gestational diabetes. Her fasting glucose is 108 with an A1C of 6.0.

What focused assessments would you expect the practical nurse to perform? What important data would need to be communicated to her health care team?

Spelling and grammar is correct throughout the presentation. APA format is consistently done and correct. All information is referenced throughout the body of the presentation. Uses a minimum of 3 credible references.

1

Discusses the significance of blood pressure. What will be reported based on this finding? What condition are you looking for? How urgent is the reporting of this problem?

2

Discusses the significance of the blood glucose finding. Outline what other focused assessments will be made based on this finding. What will be reported based on this finding? What condition are you looking for?

-Briefly discuss the common findings of pregnancy induced hypertension (PIH), and nursing care and management of this disorder.

-Briefly discuss the common findings of gestational diabetes mellitus (GDM), and nursing care and management of this disorder.

-Includes SBAR report for this patient

What are the major challenges that have faced the long-term care system in recent years?

The field of long-term care has gone through and is still experiencing, a time of great change. It has been, as such times tend to be, both trying and exciting. It has presented challenges to providers, consumers, payers, and regulators alike. Some of these challenges have been met, at least in part. Others have not. The desire of consumers to receive care in the most appropriate setting and the desire for a high quality of life have led to development of more and better alternative services such as hospice and adult day care. They have also stimulated more home- and community-based care. This has improved access to care for many.

Reference

Pratt, J. R. (2010). Long-term care: Managing across the continuum (3rd ed.). Sudbury, MA: Jones and Bartlett

What are the major challenges that have faced the long-term care system in recent years?

What are the most likely ethical challenges to be faced in the near future?

Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes

Prepare a 10-minute presentation (10-15 slides, not including title or reference slide) on organizational culture and values.

Describe how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.

Discuss how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem solving. Incorporate how system needs and the culture of health may influence the outcomes. How does this relate to health promotion and disease prevention in the larger picture?

Identify a specific instance from your own professional experience in which the values of the organization and the values of the individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

While APA style format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be 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 not required to submit this assignment to Turnitin.

RUBRIC:

Describes how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes.

A description to how alignment between the values of an organization and the values of the nurse impact nurse engagement and patient outcomes is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought

Discusses how an individual can use effective communication techniques to Overcome Workplace Challenges, Encourage Collaboration Across Groups, and Promote Effective Problem-Solving.

A discussion to how an individual can use effective communication techniques to overcome workplace challenges, encourage collaboration across groups, and promote effective problem-solving is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. The influence of system needs and culture of health is thoroughly discussed; a strong correlation of how these relate to health promotion and disease prevention is established.

Identify a specific instance from your own professional experience in which the values of the organization and the values of individual nurses did or did not align. Describe the impact this had on nurse engagement and patient outcomes.

An example from your professional experience is offered in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

Layout

The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in control of standard, written academic English.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Title slide is complete. References section includes correctly cited sources. Correct citations are included within the body of the presentation.

Post an evaluation of your organization’s use of EBP and how it is furthered or hindered by organizational culture and policies

An abundance of evidence can be found on almost any medical issue or health topic. Often, the availability of information is not the concern, but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change, even to changes that can vastly improve the quality, effectiveness, and efficiency of health care. However, there are many strategies that nurses can employ to bring about changes to practice.

In this Discussion, you focus on how to create an organizational culture that supports evidence-based practice.

To prepare:

Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of EBP.

Reflect on your own organization’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist?

Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your organization.

Reflect on the significance of evidence-based practice in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings?

Reflect on how nurses can disseminate findings from evidence-based practice research.

Post an evaluation of your organization’s use of EBP and how it is furthered or hindered by organizational culture and policies. Describe how you could disseminate the findings. Propose a strategy for strengthening the culture of EBP within the organization. Discuss a nurse’s responsibility to further the use of EBP, providing a rationale supported by specific information from the Learning Resources.

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Details:

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

Personal and professional accountability

Career planning

Personal journey disciplines

Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be 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 Turnitin. Please refer to the directions in the Student Success Center.