All posts by : chebby

Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a “normal cold” and it will not go away. He has a productive cough for green mucous and has green nasal discharge. He says he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies.
In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally.

1. Is there any additional subjective or objective information you need for this client? Explain.
2. Would you treat Mr. JDs cold? Why or why not?
3. What would you prescribe and for how many days? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.
4. Would this treatment vary if Mr. JD was a 10 year-old 78 lb child? Include the class of the medication, mechanism of action, dosing, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings
5. What health maintenance or preventive education is important for this client based on your choice medication/treatment?

• In your own words, explain the law of diminishing marginal productivity. Be sure to mention why the law tends to hold in the short run.
• Based on your readings this week, in your opinion which factors impact the supply curve for physicians the most? In your own words, explain how each factor impacts the supply curve.

must be at least 250 words and at least 2 references 

Assignment and questions attached below! 

APA Format

The right of privacy is a major component of confidentiality.  Chapter 22 discusses the importance and application of this right.  Discuss your ideas in terms of the human service profession of how the right to privacy can be protected in an evolving, open information society? What laws pertain specifically to human service workers in protecting/honoring patient/client confidentiality? Provide a specific circumstance/case/example drawn from real life 

 Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes? What are some of the barriers that affect a patient’s ability to learn? How does a patient’s readiness to learn, or readiness to change, affect learning outcomes? 

250 words, please add references

You are to select and interview a professional in the medical field. You are to complete the interview in person or by phone. At the beginning of the interview, you will explain the P.R.I.C.E. elements to the interviewee and then ask these questions:

• Have you seen the impact of applying these elements in your career?
• Which element(s) is/are the most important in your career field?
• In what situations are these elements the most challenging to utilize?
• Would you add or subtract from this list of elements if you could?
• Do you feel these elements are applicable for careers in this field in the future?

While you have been given the questions for the interviewee to answer, you still need to take some time to be prepared in advance of the interview.  Be sure to either take notes during the interview or ask permission and tape responses so you can remember what was said while completing the Unit 1 worksheet.

Be sure to complete the Unit 1 worksheet.

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.
  • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life. 

Resources:

1. Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186

 Note: You will access this article from the Walden Library databases.

2. Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396

Note: You will access this article from the Walden Library databases.

3. Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483

Note: You will access this article from the Walden Library databases.

4. Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x

Note: You will access this article from the Walden Library databases.

1-Suppose you were planning to conduct a statewide study of the work plans and intentions of nonemployed registered nurses in your state. Would you ask mostly open-ended questions or closed-ended questions? Defend your answer.

2- APA style

3- 3 paragraphs of 3 sentences each

4- 2 references

This week we are move to learning more about the influences of social determinants of health and the impact of illnesses on population health.  I wanted to include a prezi presentation on social determinants of health to help add to your learning experience.  This presentation ( https://prezi.com/view/nw4a58n819Nci6P2wScA/ ) will give you an outline of the following:  

Social determinants of health (SDOH) and Outcomes: 

·  Defining SDOH and health disparities

·  Outlining the 5 key components of SDOH and impact on health and illness 

·  Timeline view of policies encacted to address health disparities and access to care

Community Health Assessment:

·  Call to Action- an assessment of resources in a county (Mecklenburg County, North Carolina-geopolitical/phenomenological), stakeholders (advisory committee), interventions by health care organizations (community resource) to combat health disparities 

·  Comparison of policies at competing organizations for recommending policy change

Recommendation:

·  In this presentation a model of care was utilized to help prioritize care and needs assessment

·  Healthcare organization in this presentation offers access to hospital and primary care services

·  Healthcare organization policy recommendation to revise policy to reach the masses of patients that fall in the gap still needing access to health care

This presentation is a supplement to your text.  It is optional to view, and post a substantive response for participation credit.  The idea of the presentation is to bridge the gap of last week’s lesson and introduce this week’s lesson.  Please remember to read and use your book and supplemental resources in the syllabus as a resource for learning.  As always, I am here as a resource as well.  

Wednesday 23

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.
You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.

Document: Strategies and Interventions (PDF)–attached below

For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing unit’s decision to celebrate? To what extent can the leadership be confident that the trend will continue?

By Day 3

Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome.

Support your response with references from the Resources and professional nursing literature. Your posts need to be written at the capstone level (see checklist).

This wks resources attached and follow:

https://support.microsoft.com/en-gb/office/use-charts-and-graphs-in-your-presentation-c74616f1-a5b2-4a37-8695-fbcc043bf526?ui=en-us&rs=en-gb&ad=gb

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)