All posts by : chebby

Pick any Acute Disease (Asthma • Atelectasis • Basal/Squamous Cell Carcinoma • Bronchitis • Chronic Obstructive Pulmonary Disease and Emphysema • Cystic Fibrosis • Influenza • Legionnaires’Disease • Sleep Apnea,Obstructive • Pleural Effusion • Pneumonia • Pulmonary Emboli • Sarcoidosis • Tuberculosis (TB) )

Must use the sample template for your soap note, keep this template for when you start clinicals.

Late Assignment Policy

Assignments turned in late will have 1 point taken off for every day assignment is late, after 7 days assignment will get grade of 0. No exceptions 

Follow the MRU Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program) 

reply to this discussion post..

Quality improvement changes or education programs can come across many different barriers as time continues. One barrier that could occur with my education program as time passes is that the education is not as updated with the current resources available to assist the new parents. New gadgets to assist with breastfeeding and soothing are constantly being put on the market so my education could be behind the times in 6 months, a year, etc… Another potential barrier could be the change in frequently asked questions. It appears that throughout all postpartum and newborn time periods, similar questions do arise however there could be new questions that require answers that would not be on the current education pamphlet.

The best way to continue the effectiveness of this education program for the OB clinic includes continuously updating the education, receiving feedback from the community and utilizing knowledge from the frequently asked questions to make the changes that are necessary to assist with postpartum and newborn questions.

The purpose of this assignment is to gain real-world insight into how risk management programs operate within health care organizations.

Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below.

In your interview, address the following:

1. Risk management strategies used in the organization’s risk control program, along with specific examples.
2. How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
3. Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).
4. Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.).
5. Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.

After conducting the interview, compose a 750‐1,000 word summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:

1. An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.
2. Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.

Cite appropriate references as needed to support your statements and rationale.

Prepare this assignment according to the 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.

Organizational Policies and Practices to Support Healthcare Issues

     Being a leader in the healthcare industry is very taxing, as many difficult decisions must be made, and numerous competing needs must be met. Healthcare is a business, and the bottom line must be met so the business can continue to run. However, healthcare is so much more than just a business; it is where people turn when they need healing. More often than not, the bottom line and the healing of patients do not run the same course. This means that leaders are left with a choice to make, knowing that at least one need will not be met. These differing needs often affect policy, and when needs are unmet, it can lead to problems such as nurse burnout.

The Effect of Competing Needs on Policy

     The effect of competing needs on policy can be seen clearly in many standardized clinical pathways, where patient care is often jeopardized with a standardized approach to care (Kelly & Porr, 2018). These standardized clinical pathways are often inflexible and do not allow for personalized care that will best meet the patient’s needs (Kelly & Porr, 2018). Administrator’s priorities when constructing new policies are often different than those implementing the policies and coming into direct contact with patients. As there are so many needs in healthcare that must be met, it is next to impossible for leaders to make decisions and construct policies that will meet all needs. With that being said, leaders must clearly communicate and explain the reasoning behind decision-making to help those whose needs have not been met understand the choices made (Laureate Education, 2009). If these choices are not clearly communicated, then the repercussions of not meeting all needs can be much more consequential.

The Effect of Competing Needs on Nurse Burnout

     Unmet needs in the healthcare industry can have many negative consequences. One of these consequences is nurse burnout. Leaders in healthcare typically prioritize the needs of the organization’s budget and patient outcomes. These priorities often overshadow the needs of the workforce. When nurses’ needs are not being prioritized and addressed, it can contribute to nurse burnout. Inadequate staffing is often a result of financial restrictions that have been prioritized over maintaining adequate staffing ratios. This leads to nurses being overworked, which is a component of nurse burnout (Brown et al., 2018). There are currently fourteen states that have laws and regulations in place that address nurse staffing (American Nurses Association [ANA], 2019). Healthcare organizations should have specific nurse staffing policies in place and ensure that they are strictly followed. This is not just important to prevent nurse burnout, but adequate staffing helps improve patient outcomes. Safe staffing ratios should be prioritized as it will help meet more than one of the competing needs that are seen in the healthcare industry.  

References

American Nurses Association. (2019). Nurse staffing advocacy. https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-advocacy/

Brown, S., Whichello, R., & Price, S. (2018). The impact of resiliency on nurse burnout: An integrative literature review. Medsurg Nursing, 27(6). https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=11&sid=ef9c2b5f-a5cc-4dfe-8116-de60692fca86%40pdc-v-sessmgr01

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance rn practice. The Online Journal of Issues in Nursing, 23(1). https://doi.org/10.3912/OJIN.Vol23No01Man06

Laureate Education. (2009). Working with individuals [Video]. Baltimore, MD: Author.

2 page paper needed

I need these answered in about 150 words each  

1. It is pretty much expected that a lot of information related to quality improvement or patient safety is embedded in the EHR. It is also important to remember that in the completion of your DPI project, HIPAA rules are adhered to. Can you share a little more specifically if you will access the patient’s chart in the EHR, what information you will collect in the EHR if you will access and what ethical considerations are in place to ensure you stay within regulations?

2. You make a good point that an intervention over an 8-week period might be more effective than one over a 4 week period as well as the discussion of Internet based technology interventions. For your project looking at the nurse led education intervention, how are you specifically going to use technology? Will you do these education interventions via an Internet based technology like zoom? what if a patient does not have Internet access? will you exclude those patients? One would argue that the folks who may not have Internet access are ones experiencing socio-economic difficulties which place them at an increased risk of health complications and so would be the ones needing your intervention the most. There have been many systematic reviews looking social determinants of health and their impact on health outcomes including glycemic control in type 2 diabetics and there is a clear correlation there ( Walker et al, 2014)

3. What technology will you use to gather your data and analyze it? What statistical tests will you run if any? What specific data analysis will complete once you have your data? For example, will only look at descriptive data? what specific descriptive data? will you do a t test?…using what software? If you are unsure, this might be a good time to revisit your statistics material or reach out to a statistician to review

Healthcare Policy Case Scenario: A 45-year-old female has requested a copy of her 80-year-old father’s health record. She has presented a power-of-Attorney (POA) and has a legal right to access his records. You provide a copy to the woman, but she has many questions regarding documentation of her father’s diagnosis. He has a Living-Will but the daughter does not have the right to make medical decisions. He was admitted to the intensive-care-unit (ICU) last week from the skilled nursing facility. When discharged, he was transferred to a long-term care facility that is part of the same healthcare system.

Instructions:

1. Explain the continuum of healthcare delivery across systems and services. 

2. Use the case scenario to provide examples of a continuum of care in a healthcare system.

3. Evaluate the case and impact of policies on healthcare delivery.

4. Determine one U.S. federal, one state, and one local level healthcare policy that may impact the case.

5. Evaluate the impact of the patient’s age, the relationship of the requestor, and the POA for health record access.

6. Assess the impact of a Living-Will and why the daughter may/may not have the right to make medical decisions.

7. Interpret each policy, in relation to the case.

8. Justify your rationale for applicable policies.

9. Evaluate how the policy affects national and global health delivery systems, both directly and indirectly.

1. Why is the subject of workplace health and safety of concern to nurses? 

How are these concepts related to patient safety and patient outcomes? 

2. What action is suggested when you are faced with an angry or hostile coworker?

3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?

4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work? 

5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.

6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety? 

• Latex allergies

• Needlestick injuries

• Violence 

3. Go to the ANA website and explore the sections on workplace and patient safety under the heading “Professional Nursing Practice.” 

Which concepts discussed in these sections are particularly important to the beginning RN? Why? 

4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.

• Substance abuse among nurses

• Emergency preparation 

• Quality of work life within the organization

250 words or more

3 references 

APA citation

Holistic Assessment of the Older Adult

This assignment is a voice over PowerPoint recording of 13-15 minutes.

For the PowerPoint and recorded presentation, create a presentation that addresses each of the following points/questions. Be sure to completely answer all the prompts or questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) scholarly sources throughout your presentation, referencing in APA style. Include title and references slides in the presentation. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Ensure that you have permission from your older adult to conduct the health assessment and ensure that they are not identified on the PPT. Review the Signature Assignment rubric criteria for this assignment.

Part 1: Assessment: Choose an adult (65 years or older) friend or relative and perform a holistic health assessment. Clearly discuss your discovered holistic health assessment data. Your assessment should include the following parts for the holistic assessment:

• General Health History
• Physiological Assessment
• Psychological Assessment
• Social Assessment
• Cultural Assessment
• Developmental Assessment
• Spiritual Assessment

Part 2: Interpretation (Abnormality and Coping)

• Choose one abnormality from the data gained in the assessments and discuss possible reasons/causes for the abnormality. 
• How does this abnormality impact the other areas of the patient’s life?
• Discuss the client’s stress and coping mechanisms.  
  • Are they healthy? 
  • What recommendations and improvements could be made that are individualized for this person?

Part 3: Teaching Plan: Create a teaching plan that addresses the client holistically by applying the assessment data you have analyzed. 

• Describe at least one client goal for each of the six categories (each category should have a goal) (physical, psychological, social, cultural, developmental, and spiritual).
• Discuss one strategy per goal you would use to teach your client about each individual goal
• Explain how you will evaluate if your teaching was effective 
  • Title Slide (1 slide)
  • Objective Slide (1 slide)
  • Assessment
    • General Health History (1slide)
    • Physical (1 slide)
    • Psychological (1 slide)
    • Social (1 slide)
    • Cultural (1 slide)
    • Developmental (1 slide)
    • Spiritual (1 slide)
  • Interpretation (Abnormality and Coping)
    • Abnormality, Reasons/Causes, Impact on Life (1 slide)
    • Stress, Coping, Recommendations (1 slide)
  • Teaching Plan
    • Physical Goal and Teaching Strategy (1 slide)
    • Psychological Goal and Teaching Strategy (1 slide)
    • Social Goal and Teaching Strategy (1 slide)
    • Cultural Goal and Teaching Strategy (1 slide)
    • Developmental Goal and Teaching Strategy (1 slide)
    • Spiritual Goal and Teaching Strategy (1 slide)
    • Evaluation Plan (1 slide)
  • References (1 slide)

Assignment Expectations:

Length: PPT of 19-21 slides; Recording 13-15 min

Structure: Include a title slide, objective slide, content slides, and reference slide in APA format. Recording is of PPT slides, with voice only.

References: Use appropriate APA style in-slide citations and references for all resources. A minimum of four (4) scholarly sources are required.

1. When caring for older adults, it is important for the nurse to understand special considerations for medication use in the older population. List at least two considerations and education you would provide for following medication: Analgesics: Aspirin, acetaminophen and Diuretics: Thiazides, loop diuretics, potassium-sparing diuretics?

Chapter 18

1. You are the nurse caring for an 82-year-old patient with a diagnosis of: Ineffective Breathing Pattern. List two (2) interventions for this diagnosis with supporting rational.

Please use the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.

All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

Discussions must have a minimum of two references, not older than 2015.