small populations

/in /by

  

Select 3 processes from the following list that are relevant to the facility you are proposing for your new or improved health care service: EMR/EHR Patient check-in and check-out Patient visits e-Prescribing Appointment scheduling Laboratory orders Referral generation and management Office discharge Billing

Create 3 workflow diagrams that explain the workflow of each process that will occur in your facility. Include workflow between external systems and facilities.

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality). Wk 3 Individual Assignment: U.S. Health Care Systems for Small Populations, Part 3 Assignment Content Select 3 processes from the following list that are relevant to the facility you are proposing for your new or improved health care service:
EMR/EHR Patient check-in and check-out Patient visits e-Prescribing Appointment scheduling Laboratory orders Referral generation and management Office discharge Billing Create 3 workflow diagrams that explain the workflow of each process that will occur in your facility. Include workflow between external systems and facilities.

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

SPSS and interpretation

/in /by

  Using SPSS and obtain an output  Determine the statistics for each gender as follows: Frequency Counts, Mean, Standard Deviation, Minimum, and Maximum. Graphing and Descriptive Stats in SPSS: Create a bar graph with gender (axis X) and blood sugar (axis Y).

Data Set

Use the following data set for this assignment: You have a group of patients observed with a diagnosis of Diabetes and their blood sugar levels are listed below based on gender. Men: 74, 71, 75, 248, 388, 505, 42, 21. Female: 62, 68, 61, 71, 68, 80, 390, 148.

Summary

Write a 250-500 word summary of your results and how this statistical analysis may be applied to your prospectus. Provide a bar graph with gender on the x-axis and blood sugar levels on the y-axis. Add your SPSS output as an Appendix to this summary.

Engaged Patient website

/in /by

Check attachment for homework details. APA format, zero plagiarism. Please, kindly follow all the homework instructions.

Discussion Topic/ Today's workforce is diverse and has multiple conflicting priorities

/in /by

This is a discussion post, about 250 words, tittle page not require In- text citation is required original work please, reference source, website source strongly preferred.

QUESTION 2: 

Today’s workforce is diverse and has multiple conflicting priorities. As a nurse leader, you would like to see your hospital implement an outreach program that will benefit needy members of the community. What are some methodologies of communication you would use to develop a shared vision with your stakeholders? How would you apply strategic management to make your visions for the outreach program become reality?

Assignment: Application: Taking a Stand

/in /by

 

Assignment: Application: Taking a Stand

 

 

 

 

Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following: APA style and 5-6 academic references that are led than 5 years old

 

Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.Consider  an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma. 

 

The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references

 

 

 

Introduction

Ethical Framework for Decision Making – four ethical frameworks: utilitarianism, duty-based reasoning, right-based reasoning, intuitionism

Dilemma at the Workplace – a nursing example and my role as the moral agent or advocate

Self-Assessment – Keirsey Temperament Sorter questionnaire

 

 

 

 

 

 

Ventricular Septal Defect

/in /by

 

You can easily create a concept map using the insert tab in Microsoft Word. Click on Shapes, and drag the shape you choose to your paper. Then right click to add text to your shape. You can go to the format tab by right clicking on your shape to add color, depth, and other special effects. Be sure to cite your concept map in APA format.

Be sure to cover these topics:

Pathophysiology Assessment findings Diagnostic tests – labs, x-rays etc. Focused assessment Medications, surgical procedures and other treatments Preventative measures, risk factors, or at risk groups What client teaching might a practical nurse reinforce under the guidance of the RN? Prognosis and long term outlook for the patient Support groups Resources (cited in APA format)

     

Selects a relevant congenital disorder, and   discusses major symptoms of the disorder and assessment findings

1

 

Discusses the pathophysiology of the   disorder

1

 

Correctly identifies diagnostic tests (labs,   x-rays etc.).

1

 

Correctly identifies current treatments such   as medications, surgical procedures and complementary and alternative   treatment options

1

 

Discusses preventative measures, risk   factors, or at risk groups

1

 

Outlines important patient and family   teaching topics

1

 

Discusses the prognosis and long term   outlook for the patient

1

 

Identifies support groups and family   resources

1

 

Lists relevant Nursing diagnoses for the   disorder (minimum 3)

1

 

The concept map is free from spelling and   grammatical errors, is cited correctly in APA format, and uses a minimum of 3   credible resources.

1

 

   

Nursing / 5 pages / APA

/in /by

Due in 36 hours

Please no fluff writing with repetitive sentences.

Double spaced

APA

Use text attached.

In text citation

assessment 4 class 5

/in /by

see attachment

Movie

/in /by

you need to watch de movie in order to answer the questions

db 2 apa reference 2 replies

/in /by

Reply Candace

What would the focused clinical assessment include?

This writer’s clinical assessment would be focused on symptoms of depression. The history is key in diagnosing. Feeling depressed can be a normal reaction to loss, life’s struggles or an injured self-esteem. Patients should be asked questions that leads to them expressing symptoms such as complaints of feeling fatigued, irritability, and social withdrawal. Assessment of the patient hygiene and mood should be completed. These patients normally have a flat affect and poorly dressed. There are two questions that provide a preliminary screen for depression. The patient is first asked if he or she has felt down or hopeless over the past month and then asked if there has been little interest in doing things over the past month (Dunphy, Winland-Brown, Porter, & Thomas, 2015).

What are the differential diagnoses?

A careful history and physical must be done due to the many medical and neurological disorders and pharmacological substances can produce depression symptoms. Neurological disorders such as Parkinson’s which accounts for 50%-70% of depressive symptoms, Dementia, Multiple Sclerosis, and cerebrovascular accident (CVA). Endocrine disorders such as hypo and hyperthyroidism and mental disorders such as schizophrenia and eating disorders are amongst those displaying depressive symptoms. There also can be drug related issues such as cocaine abuse and central nervous system (CNS) depressants.

What major psychological question needs to be addressed?

There are many different test that can be given to determine whether a patient has depression or a differential diagnosis. A major question that can be asked, “In the past two weeks how often have you felt down, depressed or hopeless?”  Feeling down for more than half the days or nearly every day over the past two weeks suggests depression (Lliades, 2016).

What testing should be ordered to rule out medical problems?

Test can be done to rule out other medical conditions that might cause depression symptoms. Testing of the thyroid and adrenal function can be done. Assessment of patient medication to rule out substance abuse is also done. The most important test is called the DSM-5. This test states that if five of the symptoms that are listed on the criteria and are present for 2 weeks then the patient can be diagnosed with depression.

Plan of Care

The plan of care for the patient includes remission of symptoms. Remission is defined as an absence of depressive symptoms or a PHQ-9 score of less than 5, and this is the goal of therapy. Treatment will also begin with pharmacological and nonpharmacological interventions. A referral to a therapist can also be ordered to help the patient get through the depression.

Mainstay of Treatment

Treatment consist of the selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), norepinephrine reuptake inhibitors (NRIs), tricyclic antidepressants (TCAs), and dopamine agonists (DAs) are the first line of treatment. Non-pharmacological treatment include behavioral therapy with combination of psychotherapy can also be beneficial to the patient.

Follow Up Plan

Follow up treatment is necessary to assess adherence to therapy. The patient at 6 weeks should experience a 25% reduction in baseline symptom severity. Initially the patient should be seen one to two weeks after initiation of medication therapy than once in the succeeding four to eight weeks. If patients remain symptom free patients can be treated for 15 months to five years.

Patient Education

It is important that practitioner teach the patient to report the symptoms such as irritability, agitation and suicidal ideation. Emergency hotline numbers should be given in case the patient symptoms emerge. Patient and family should be educated regarding the signs and symptoms and also what to do in this case.

References

Dunphy, L., Brown, J., Porter, B., & Thomas, D. (2015). Primary Care: The Art and

Science of Advanced Practice Nursing. Philadelphia: F.A. Davis Company

Lliades, C. (2016). 5 Questions Doctors Ask When Screening for Depression. Retrieved

from www.everyda (Links to an external site.)Links to an external site.yhealth.com

Reply Amanda What would your focused clinical assessment include?

I would assess this patient’s mood, hygiene, appearance, affect and thought process. I would conduct a mini cognitive exam to rule out evidence of dementia. I would also complete a mini-mental-status exam (MMSE) to assess this patient’s cognitive function. What are your initial differential diagnoses?

Hypothyroid, depression, anxiety, dementia, and insomnia. What major psychological question needs to be addressed?

Do you want to harm yourself or others?

If you want to harm yourself, do you have a plan?

How would you do it? What testing would you order to rule out any medical problems?

CBC, CMP, and TSH What is your plan of care?

For this patient I would obtain routine lab work to rule out any medical conditions. Discuss appropriate coping mechanisms for stress, anxiety, and depression. Encourage routine exercise, healthy diet, and sleep hygiene. “Exercise is an efficacious treatment approach for the prevention and management of depression” What are the mainstays of treatment? What is your initial follow up plan?

Although many providers would begin a TCA, SNRI, or SSRI – I would be hesitant to do so in this case. I would feel more comfortable obtaining baseline labs, encouraging lifestyle modifications, and a follow up appointment. These popular pharmacologic interventions are not without side effects and may impose long term implications for patients.  The treatment of depression/anxiety/insomnia isn’t always as easy as a pill. I would have the patient return to clinic in 2 weeks to review lab work and discuss the effectiveness of cited lifestyle changes. What education would you provide to your patient?

I would educate this patient regarding needing lifestyle changes as well as the plan of care. I would inform her that if lifestyle modifications provide no change in symptoms there are pharmacological options. The treatment of depression, anxiety, and insomnia is multifaceted and may include nonpharmacological and pharmacological interventions (Sarris, 2011).

References 

Farris, S. G., Abrantes, A. M., Uebelacker, L. A., Weinstock, L. M., & Battle, C. L. (2019). Exercise as a nonpharmacological treatment for depression. Psychiatric Annals, 49(1), 6-10. doi:http://dx.doi.org/10.3928/00485713-20181204-01

Sarris, J. (2011). Clinical depression: An evidence-based integrative complementary medicine treatment model. Alternative Therapies in Health and Medicine, 17(4), 26-37. Retrieved from https://prx-herzing.lirn.net/login?url=https://search.proquest.com/docview/940001626?accountid=167104