Prior to class, and after reading/viewing the module assignment, select one of the following, and conduct an assessment.

• Heart and Neck Vessels
• Peripheral Vascular System

You may conduct the assessment on a fellow student, friend, or family member. Remember to secure their permission.

Collect both subjective and objective data using the process described in the textbook.

Then, document your findings and bring them to class.

Your instructor may ask that you submit your documentation. If so,

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.

I need someone to help write a summary for me .

• Give a brief overview of the case (1 paragraphs)
• Research malpractice claims. What must the patient/family be able to prove in order to win the case? (1-2 paragraphs using outside research 1-2 sources)
• In your opinion, did Dr. Harris show negligence in Mrs. Taylor’s medical care and why? (1 paragraph)
• Multiple people and or teams were involved in the care of Mrs. Taylor. Identify ALL individuals/teams involved. Given what you have learned about teams in the previous week, would this be considered a team, collaboration, or a mix of both and why? Identify the sentinel event in the case? Could this have been prevented why or why not? (1-2 paragraphs)
• Switch gears, you are now the patient’s family. Explain how you feel and what you feel went wrong. (1-2 paragraphs)
• Lastly, you are a healthcare administrator review the malpractice case. You have heard both Dr. Harris’s side and the family’s side. What are your final conclusions on the case? (1 paragraph)
• In 1-2 sentences release public statement from the hospital addressing the incident. Be sure to respect HIPPAA and do not release specific information pertaining to the case.
• If you were the family would you be satisfied with the public statement that was released and why? (1 paragraph)

Must be APA format and include citations for any outside information used.

Healthcare Spending

Paying for health care consists of multiple approaches by insurance companies, state and federal governments, public payers, private payers, and the uninsured. Changes in payments for health care services occur as legislative changes are made, as well as changes to the Affordable Care Act (ACA).

Analyze how health care providers receive payment by health care users

Include the following aspects in the assignment:

Ø  Explore at least three types of health care providers.

Ø  What type of services does each health care provider provide (hospitals, nursing homes, home health care, MDs, APRNs).

Ø  Describe three types of healthcare users (private payers, public payers, and the uninsured).

Ø  Provide a listing of how each provider gets paid by users (insurance plans, self-pay, government agency pays).

Ø  Investigate several complicating factors in the actual financing of care of health insurances.

Ø  Complete this assignment in 1-2 pages.

Assignment

Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 27: 17-year-old male with groin pain.

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

Overview

Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (3–5 pages) in which you set one or more quantitative goals for the outcomes and propose a change plan that is designed to help you achieve the goals.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.

Knowing what is the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.

The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For, if we cannot effectively implement changes in practice or procedure, than our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.

This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.

Assessment Instructions

Scenario

Consider the current environment. This could be your current care setting, the care settings presented in the Vila Health: Using Evidence to Drive Improvement or Vila Health: Concept Maps as Diagnostic Tools media, or a care setting in which you are interested in working.

For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course (Vila Health: Using Evidence to Drive Improvement), a relevant data set that already exists (a data set from the case study you used as a basis for your Concept Map assessment, or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)

After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.

Potential topics for this assessment could be:

• Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your Concept Map assessment. As a starting point you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”
• Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point you could ask yourself, “How could the care environment be changed to enhance coping?”

Once you determine the change you would like to make, consider the following:

• What data will you use to justify the change?
• How can the team achieve this change with a reasonable cost?
• What are the effects on the workplace?
• What other implementation considerations do you need to consider to ensure that the change strategy is successful?
• How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?
• Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?

Instructions

Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: Change Strategy and Implementation to better understand how each grading criterion will be assessed.

• Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
• Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
• Justify the specific change strategies used to achieve desired outcomes.
• Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
• Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
• Communicate the change plan in a way that makes the data and rationale easily understood and compelling.
• Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 2 Example [PDF].

Additional Requirements

• Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.
• Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.
• APA formatting: Use the APA Paper Template linked in the Resources. An APA Template Tutorial is also provided to help you in writing and formatting your analysis. No abstract is required.

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned and complete your participation for this assignment by Day 7. To support your work, use your course and text readings and also use resources from the South University Online Library.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

TASK

Post your initial response to one of the two topics below.

Sociocultural Norms, Health, and Nursing

Topic 1: Vulnerable Populations

As you discovered in this week’s lectures and textbook readings, numerous vulnerable populations exist in the community.

• Identify three local organizations in your community that deliver healthcare services to vulnerable populations.
• Based on your research findings, answer the following:
  • Which population does each organization serve?
  • What services does it provide?
  • Where does it get its funding (local, state, or federal sources)?
  • Evaluate the relative value of each organization’s services to individuals and families in the vulnerable population it serves.

Topic 2: Stigma Associated with Disease

Some vulnerable populations may have diseases, health impairments, and pregnancy that bring humiliation and predisposed judgment. Unfortunately, these health conditions can cause vulnerable populations to become ostracized by the general public.

• What ways would you choose to function as an advocate for vulnerable populations?
• Discuss the types of assistance you might provide to each of the following clients from a vulnerable population:
  • A 24-year-old pregnant woman who is currently homeless and unmarried
  • A 16-year-old girl who has run away from her foster home and who has an IV drug habit
  • An immigrant worker whose TB skin test just came back positive
  • An employed, married man who contracted Hepatitis B through a blood transfusion 30 years ago

A common task in healthcare involves a team assessing how changing regulations, mandates, or market conditions will impact an organization.  At times, the very survival of the entity depends on this analysis.  Each student will be assigned to a team and tasked with working together to develop a presentation on the following topic:

Since the 2016 presidential election, there have been multiple changes to the Patient Protection and Affordable Care Act (ACA).  What are they and how have they impacted healthcare access, cost, and quality?

Questions to be addressed in your research include:

·                  What is the status of those who were newly covered?

·                  What are exchanges and how are different States approaching them?

·                  What does the Medicaid program have to do with the ACA?

·                  How have health insurance premiums been affected?

·                  What variables are in play in the political debate over the impact of the ACA on cost, access, and quality of care?

·                  What are some of the key challenges facing state and national policymakers given the current status?

·                  On balance, has the ACA been a good or bad law?  Provide a clear, fact-based, non-emotional justification for your conclusion.

On balance, is the ACA a good or bad law? Provide a clear, fact-based, non-emotional justification for your conclusion.

Instructions:

Team projects occur in almost all health care worksites. This project encourages student-to-student interaction, the use of technology, and learning. You will be assigned to a team by the beginning of Week 2. 

Your project will take the form of a 10 – 15-minute multimedia presentation. You will publish your presentation to an Internet site (like Google, YouTube or your own website) and post the link to the project in the Group Presentation Assignment folder. Your presentation may contain: a PowerPoint Slideshow, a website, a video… the choice is yours. Be as creative as you can. An associated transcript with all the references is required. 

Here are some suggestions for creating and posting your project:

If you are into videos and YouTube, you likely already know how to create a video and post it to YouTube. Mac computers come with iMovie and PCs come with MovieMaker; both are easy to use tools for editing video. You can use a video camera to record your presentation. You don’t need anything fancy; the webcam on your laptop or even your phone will record video appropriate for this project. You could use a screen capture software to record the screen activities of your laptop. Quicktime Pro and Camtasia are solutions you can use for screen capture. Once downloaded and running on your machine, they allow you to record screen activity and save that recording as a movie file. There are many screen capture options available and some of them are either free or come with a free 30-day trial. Here is a web article that reviews 17 different free solutions for capturing your screen. Recording a video with either a camera or screen capture, then editing it with iMovie or MovieMaker is what I would suggest. 

Another free screen capture program, not listed at the link above, is Easyvid:  http://www.ezvid.com/.  It is well worth a look.

If you are not familiar with any of this, you can use PowerPoint to make a movie. Simply produce a slideshow in PowerPoint and record narration/timing in the slideshow settings. When you save the file, save it “as a movie”. This will create your movie file.

Uploading your presentation to YouTube is also fairly simple. If you do not have a YouTube account, it is free and simple to set up. All you need is an email address. In fact, if you have a Gmail account, you already have a YouTube account. Go to Youtube.com and register for a free account. Once you sign in, there will be an “Upload” button at the center top of your screen. Click upload and locate the movie file you saved. Be sure, in your YouTube settings, to make the movie either “Public” or “Unlisted”… No one but you will be able to see a movie that is set to “Private”. Once the movie is uploaded, navigate to it and copy the link in the address bar. Post the link to your presentation in the Team Presentation folder.

If you have trouble with any of this, there are many videos on YouTube and other tutorials on the Internet that will give you great ideas. Have fun with this assignment and be creative. You are not limited to just making a movie and posting it to YouTube. You may want to try an interesting presentation tool called Prezi. This tool allows you to create very fun, interesting, online presentations. You can even invite collaborators to create your Prezis with you. Check out the site and I encourage you to look for new and different ways to present your ideas. You can give your 10 – 15-minute presentation in any creative way you can think of.

Instructions
The following are the best practices for creating your speech presentation:

• Title Slide: Include the title, audience (who you prepared the presentation for – school or institution), the presenter who prepared it and will be the speaker, and date.
• Attention-Getter: Give the audience a reason to pay attention. Make them want to listen to your speech.
• Overview: List the main ideas and sections of your presentation for the following purposes:
  • To introduce the subject and why the subject is important.
  • To preview the main ideas and the order in which they will be covered.
  • To establish the tone of the presentation.
  • To include the questions you think your audience might have about your topic – questions you will answer during your presentation.
• Body of the Presentation: Include the information you found during your research and investigation and organize it in a visually pleasing manner.
  • Break out each main idea you will use in the body of your presentation.
  • Show some type of division like levels of headers or titles
  • Separate groups of bullets for the presentation.
  • Use a header for the title of your presentation or subtitle of the section.
  • Then, proceed to break out the main ideas. State the main idea, state major subpoints in each main idea, and provide evidence for each subpoint.
  • Cite your evidence, quotes, and statistics within your presentation, and use in-text citations in APA format.
• Summary and Conclusion: Summarizing is similar to paraphrasing but presents the gist of the material in fewer words than the original. An effective summary identifies the main ideas and major support points from the body of your outline or presentation. Minor details are left out. Summarize the benefits of the ideas and how they affect the thesis statement of the outline and main objective of the presentation.
• References: Use the APA citation format. The illustrations should be included with your resources. APA tutorials are available in the Chamberlain University library.
  • At least 4 authoritative, outside scholarly sources are required from Week 5 outline. (Anonymous authors or web pages are not acceptable.)
  • Appropriate citations within the presentation are required on the last slide. Just copy and paste this from the last page of your outline – the references page. References should be in APA format.
    • Each resource should be entirely double spaced.
    • All entries must use hanging indents – the first line is flush left, and all the rest are indented.
  • All Chamberlain University policies are in effect including the plagiarism policy.
• Additional Hints
• Use a minimum of 5 visual aids to further clarify and support the written part of your presentation. You could use example graphs, diagrams, photographs, flowcharts, maps, drawings, pictograms, tables, and Gantt charts. 
• Animation and video clips should not be used for this speech. YouTube is not allowed.
• Click on the following link to view a presentation of sample slides. Click on the arrows to scroll through the slide show.
• Link: Examples

Presentation Requirements (APA format)

• Time Length: 5-7 minutes
• Slide Length: Minimum of 8 slides
• Slide Content
  • Title slide
  • Attention-Getter
  • Overview
  • Body of the Presentation
  • Summary and Conclusion
  • References slide (minimum of 4 scholarly sources from Week 5 outline)
• Minimum of 5 visual aids

Grading
This activity will be graded based on W6 Presentation Grading Rubric.

Review the website (http://www.hopkinsmedicine.org/healthlibrary/conditions/pediatrics/the_growing_child_preschool_4_to_5_years_90,P02272/). Go to the 3 areas: Preschool, School-Aged and Adolescent. Pick one of the areas and discuss, in 500 words, as if preparing a refresher paper for teachers on the development of their students.