What are your thoughts 

When following and discussing problems with my preceptor we both had similar problems in common within our facilities. One of the major problems is readmission rates. Patients on the behavioral health unit have poor follow up care. In Texas there is not a lot of options for mental health outpatient, especially for those who are indigent. So case managers and social workers struggle to find good follow up care. “Medicare states that certain diseases will have decreased funds if patients are readmitted within 30 days, behavioral health patients somewhat fall under that umbrella.”(CMS,2020). These patients reimbursements are lowed if they are readmitted. The facilities can often struggle finically from these lower rates. One nurse implication for this would be to make sure to start teaching the patient about medication management as soon as the patient is admitted. If patients feel that they can manage their symptoms and understand depression and suicide and go to therapy to get to the core of what is going on then they can manage these problems at home and find support from family or friends they have a lower readmission rate. Also involving the family in the care and medication management helps with managing behaviors. Reaching out to the patients primary care physicians can also help with follow up treatments. 

Another problem that we discussed is one that I feel happens everywhere, nurse burnout causing a shortage. On our units we often have to work overtime due to not having enough staff. When we are working over our three 12 hour shifts most of us start to get burnout and eventually change departments or quit. This happen throughout most units in a facility. Another nursing implication for this is to help build team moral, the nurses who start to experience burnout should go to the team leads and be able to express their feelings. The managers in the units should utilize PRN employees or hire more PRN staff to help fill in the holes in the schedule. Funding doesn’t always allow for this but as the advocator for the unit they can reach out to the float pool and help so full time nurses can have the days off that are needed sometimes. 

Use at least 3 references. Minimum 500 words. APA format.

Read Chapter 10

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system? 

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome? 

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside? 

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

What does the organization/agency do that supports the hallmarks of quality? • 

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice?

 • Summarize how COVID-19 cases are related to social determinants of health of income, race, and immigrant status. (33%) • 

What might be the reasons why income, race and immigrant status would be related to the incidence of COVID-19? Use material from the first eight chapters to help answer this. (33%)

 • How would some of the recommendations provided in chapters 3-8 for improving the quality and distribution of the social determinants of health of income, employment security and working conditions serve to reduce the vulnerability of people to COVID-19? (33%) 

You are evaluating a 78-year-old white male who comes to your office today with unintentional weight loss of 10 lb in the last year, self-reported exhaustion weakness based on grip strength, and slow walking speed, and low physical activity. Patient notes that he has been feeling worse over the past 6 months and just does not have the strength to do anything anymore. The patient states he is not currently on any medications except a multivitamin. He notes that he lives alone and does not want to leave his house. Answer the following questions with supportive rationale:

1. What questions should you as the patient/family ask to further assess?
2. What screening tools would be appropriate in this case?
3. Do you have concerns with frailty in this patient?  If so, why?
4. What referrals should be made, if any, on this patient?

The purpose of this assignment is to stimulate reflection about an experience, rather than just documenting the experience.

First, complete the questionnaire portion of “What Is Your Role in Communicating Research Information? Part I Questionnaire and Scoring Guide” resource.

Score the questionnaire using the same resource.

One way to keep from simply documenting the event is to begin your answer to the above questions with one of the following phrases:

1. During my experience, I felt…
2. I learned… about myself.
3. The significance or meaning of my learning is…
4. I discovered I …

Refer to the “Feeling Words” resource. The list of feeling words may serve as an aid to identify feelings that may occur during health care professional-patient interactions.

Based on the questionnaire results, as well as the insights gained from the Topic 1 readings, write a 250- to 500-word reflection, addressing the following questions:

• How would you describe your success with communicating?
• What did you learn about your communication style that enables you to communicate effectively?
• How will you work to increase your communication ability with compassion and care for others?
• How will you use this research process to communicate what you have learned about your communication skills that will help you as a health care professional?

Workplace Environment Assessment

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

• Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
• Review and complete the Work Environment Assessment Template in the Resources.

By Day 3 of Week 7

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

Write a journal entry of one to two double-spaced pages in which you reflect on the cases of Elaine and Mrs. Jabolov in Chapter 4. Have you had similar experiences with patients or even a family member in the past? Would you handle it differently today than you did at the time? If you haven’t experienced something similar, think of a scenario in which you might be faced with a similar experience and describe how you would handle it. Be sure to identify select models of ethical decision making that support your resolution to the experience. Also, assess the usefulness of principlism as a framework for the experience. 

a summary of this health assessment 

https://nursingpapersmarket.com/product/comprehensive-assessment-of-tina-jones/

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles and four boxes approach.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart 

This chart will formalize the four principles and four boxes approach and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Please see attached.

I need 8 pages/2000 words. Due on Monday 26th

  Assignment 3 must:

· 0% plagiarism with Turnitin report

.be eight pages in length; not to exceed eight, excluding title page, references, and appendices;

· be typed, double–spaced, single-sided, with margins of 2.5 cm on all sides;

· follow the style guidelines found in the 7th edition of the APA Publication Manual; and

· include references to provide evidence of application of theory.