ultrasound/sonography technician report

1.body of paragraph must be 3-5 pages with a separate cover page and a reference page.

2.Use correct spelling, grammar and syntax.

3. Include a minimum of six different sources of information (2 books, 2 professional journal articles, 2 websites)

4. There are five areas of the health care career that you will be writing about: Job description; Education and certification; Employment; Professional Activities; and a conclusion/reflection.

I. Job description

Describe the care/service provided by the healthcare professional. List professional certification or registration required (specific details will be in section II)

II. Education and certification

Educational requirements for the profession/occupation. Different types of educational institutions offering the program. What is the exact length of time and approximate cost of the education required? List degrees or certifications earned.

III. Employment

Job availability (what and where?) Growth trends in the field. Number of jobs advertised in the Sunday Herald, and other sources. Experience/No experience required. Salaries-Entry level and with experience. Advancement opportunities, with or without additional education.

IV. Professional Activities 

Local/State/National professional organizations (cost to join as a student) Professional journals with address to obtain and cost. Is continuing education available and expected in the profession/occupation. Are continuing educational units (CEUs) required for this profession?If so how many and how often?

V. Conclusion/reflection

Reflect on how you see yourself “fitting” into this profession. What did you discover in your exploration of this healthcare field? What did you find meaningful and important to you?

A reference page is required

 

Case Study, 3 References min, Similaritis less 5%, APA 6

Case Study

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”. 

HPI:  Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway. 

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History:  Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111,  R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF) 

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA) 

Differential Diagnosis: Peripheral Vascular Disease (PVD) 

Plan: 

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available. 

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease). 

Questions:

1.     According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2.     Does he need medication(s) given his history of MI? 

Thanks!

Read Carefully

  

Read & Complete Question 1

Due 3/15/18

9am New York/Time Zone

250 Word Count

Submit Plag Report

MLA FORMAT

Cite References Correctly

Session 7 Introduction

Babies passing through the birth canal are exposed to massive doses of their mother’s normal flora (biota). However, babies born via cesarean section (C-section) bypass this natural process. Some studies suggest that babies born by C-section may have a higher risk of certain conditions such as allergies and asthma, and researchers are not certain why. Some parents have taken it upon themselves to correct this imbalance of having these microbes withheld from their babies at birth by the mother having her vaginal canal swabbed and then applying this swab over her baby.

Question 1: Reflection: Though there are no approved procedures for this and very little supporting evidence so far that this technique has any benefit, do you think babies delivered by C-section should be swabbed? Are there any disadvantages?

NRS-410V Module 2 Mandatory Discussion Question

NRS-410V Module 2 Mandatory Discussion Question…8 Pathophysiology and Nursing Management of Clients Health Genetic Alterations and Cancer

The American Cancer Society (ACS) is a nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem. Together with its supporters, ACS is committed to helping people stay well and get well by finding cures and by fighting back.

Critical Thinking Questions:

1.Imagine that a family friend or colleague has just been diagnosed with cancer. Explain how the American Cancer Society might provide education and support. What ACS services would you recommend and why?

2.According to statistics published by the American Cancer Society, there will be an estimated 1.5 million new cancer cases diagnosed each year over the next decade. What factors contribute to the yearly incidence and mortality rates of various cancers in Americans? What changes in policy and practice are most likely to affect these figures over time

3.Select a research program from among those funded by the American Cancer Society. Describe the program and discuss what impact the research will have on the prevention or treatment of cancer

Module 02 Written Assignment – March of Dimes

 

Go to the March of Dimes website and find the professional resources. Find their online education and print materials.

After exploring the available resources, select a topic that is important to you. Write a 1 – 2 page paper discussing best practices related to perinatal health. Be sure to correctly format your paper using APA format.

Introduction to Leadership – Concepts and practice.

Complete the assigned reading to increase your understanding of emotional intelligence. In 650 — 700 words, complete the following prompts:

1. Provide an example of a nurse leader demonstrating emotional intelligence or an example where use of emotional intelligence could have altered an outcome of a situation you have encountered as a leader or with a leader. 

Note: I am a Psych charge nurse at a Psychiatric mental health unit.

2. Include two strategies to enhance emotional intelligence.

APA Style.

Please, see attached pictures for a better understanding of emotional intelligence.

week 5

  Professional socialization relates to the manner in which we learn the roles and functions of being a nurse once we enter the healthcare system. What are some of the ways this socialization occurs in your place of employment, and do you believe it leads to effective assumption of the nursing role? This socialization occurs in a patriarchal healthcare system that still remains predominantly male physician-based. Discuss the impact, you believe, this has on socialization to the nursing role.

 

References

Ares, T. L. (2014). Professional socialization of students in clinical nurse specialist programs. Journal of Nursing Education, 53(11), 631-640. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.3928/01484834-20141027-03

Author. (2016). Male Nurses Break Through Barriers to Diversify Profession. Retrieved July 14, 2018, from http://www.rwjf.org/en/library/articles-and-news/2011/09/male-nurses-break-through-barriers-to-diversify-profession.html

Ayala, R. R., Holmqvist, M. M., Messing, H. B., & Browne, R. R. (2014). Blessed art thou among women: male nursing students and gender inequalities in Chile. Nurse Education Today, 34(12), 1480-1484. doi:10.1016/j.nedt.2014.04.022.

Dinmohammadi, M., Peyrovi, H., & Mehrdad, N. (2013). Concept analysis of professional socialization in nursing. Nursing forum, 48(1), 26-34.

Ke, Y. T., Kuo, C. C., & Hung, C. H. (2017). The effects of nursing preceptorship on new nurses’ competence, professional socialization, job satisfaction, and retention: A systematic review. Journal of Advanced Nursing. (need volume, issue, and page number).

Moradi, Y., Mollazadeh, F., Jamshidi, H., Tayefeh, T., Zaker, M. R., & Karbasi, F. (2017). Outcomes of professional socialization in nursing: A systematic review. Journal of Pharmaceutical Sciences and Research, 9(12), 2468-2472. Retrieved from https://search-proquest-com.southuniversity.libproxy.edmc.edu/docview/1988074701?accountid=87314

Mousavizadeh, S., Ashktorab, T., & Shabani, F. (2016). Challenges of Nurses Professional Socialization and Solutions. (need journal name, volume, issue, and page number).

Skinner, J. (2017). Professional approaches to care. In editors …(Ed.). A Textbook of Community Nursing (pp. 61-83). Routledge (needs city and state?).

Zarshenas, L., Sharif, F., Molazem, Z., Khayyer, M., Zare, N., & Ebadi, A. (2014). Professional socialization in nursing: A qualitative content analysis. Iranian journal of nursing and midwifery research, 19(4), 432.

Tlaiss, H. A. (2013). Women in Healthcare: Barriers and Enablers from a Developing Country Perspective. International Journal Health Policy and Management, 1(1), 23-33. Retrieved fromhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3937934/

Psychiatric week two discussion 4

 How do cultures differ: Communication, space, social organization, Time, Environmental control and Biological variations? 

PURPOSE: It is important to understand how research can help you in your everyday environment as a nurse. In this assignment, you will identify a practical problem that emerges from the evidence in the extant literature or professional practice. DIRECTI

PURPOSE:

It is important to understand how research can help you in your everyday environment as a nurse. In this assignment, you will identify a practical problem that emerges from the evidence in the extant literature or professional practice.

DIRECTIONS:

Chose a problem that you are encountering in your practice or about which you have read in the current literature.

Write a paper (250 to 500 words) that describes a practical problem that emerges from the evidence in the extant literature or professional practice. The paper should do the following:Clearly describe the problem. Provide a rationale for the significance of this problem. The rationale must be supported by the current or seminal literature.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

APA format, 3 references, I work in a psych facility

Financial Analysis

  

Financial Analysis

How can you assess the financial viability and merit of your program? What indications will inform you and others whether your financial strategies are likely to result in positive health outcomes for the population?

This week you continue to develop Assignment 3, applying the principles of cost-effectiveness, cost-utility, and cost-benefit to your program design process.

To prepare for this week’s section of Assignment 3: Review      the information presented in the Learning Resources (see required reading      list further down below). Apply      the use of cost-effectiveness, cost-utility, or cost-benefit to your      program design to determine whether the monies put into your program will      result in positive health outcomes for the population.

To complete:

Write a 3- to 5-page paper* due by 22:00 tomorrow 1/17/18 in APA format with a minimum of 6 scholarly references (See Required Readings list below) that address the following:

1) Budget (developed in Week 7 [see attached file for that assignment])

a) Develop a simple revenue and expense budget for 6 months from start-up and develop a break-even analysis.

b) Articulate a justification for the revenue and expenses indicating where the funds are coming from to support the project and what resources the expenses are related to.

c) Explain any variance from the budget that is not budget neutral.

2) Financial Analysis (developed this week [see attached file for this assignment])

a) Articulate whether the monies put into the program will result in positive health outcomes for the population (resulting from your application of the use of cost-effectiveness, cost-utility, or cost-benefit to the program design process).

* Include tables or graphs in your paper to illustrate budget information.

P.S. Start this assignment with an introduction ending with a purpose statement and a conclusion as per the APA guidelines. Make sure to run this paper through TURNITIN to check for plagiarism.

Required Readings

Hodges, B. C., & Videto, D. M. (2011). Assessment and planning in health programs (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.

· Review Chapter 4, “Program Planning: The Big Picture”

· Review Chapter 5, “Social Marketing, Program Planning, and Implementation”

As you review Chapter 4, focus on the budgeting information presented on pp. 113–115.

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage. 

· Chapter 12, “Budgeting for Financial Control, Management, and Planning”

· Chapter 13, “Developing Line-Item, Functional, and Program Budgeting Systems”

·  Chapter 10, “Performance Measurement, Monitoring, and Program Evaluation”

As you read this chapter, pay attention to the financial functions associated with these forms of evaluation and the data to be collected.

Chapter 12 introduces budgeting as an important part of the planning process, noting that it also serves essential management and control functions for programs. Chapter 13 addresses three systems of budgeting—line item, functional, and program—each of which has a distinct focus.

Gaskin, J., Rennie, C., & Coyle, D. (2015). Reducing periconceptional methylmercury exposure: Cost-utility analysis for a proposed screening program for women planning a pregnancy in Ontario, Canada. Environmental Health Perspectives, 123(12), 1337–1344 doi.org/10.1289/ehp.1409034.

Palumbo, M.V., Sikorski, E.A. & Liberty, B.C. (2013). Exploring the cost-effectiveness of unit-based health promotion activities for nurses. Workplace Health & Safety, 61(12), 514–520.

U.S. Small Business Administration. (n.d.). Writing a business plan. Retrieved December 12, 2011, from http://www.sba.gov/category/navigation-structure/starting-managing-business/starting-business/writing-business-plan

The “Writing a Business Plan” section of this website introduces elements of a good business plan, which is an essential document for any program. Investigate the information presented. In addition, see the “Preparing Your Finances” section for information on break-even analysis and other budgeting-related matters.

Robbins, L.B., Pfeiffer, K.A., Weolek, S.M., & Lo, Y. (2014). Process evaluation for a school-based physical intervention for 6th and 7th grade boys: Reach, dose, and fidelity. Evaluation and Program Planning, 42, 21–31 doi.org/10.1016/j.evalprogplan.2013.09.002

Schalock, R.L., Lee, t., Verdugo, M., Swart, K., Claes, C., van Loon, J., & Lee, C. (2014). An evidence-based approach to organization evaluation and change in human service organizations evaluation and program planning. Evaluation and Program Planning, 45, 110–118. 

Optional Resources

Dirubbo, N. E. (2006). Break-even analysis: Can I afford to do this? Nurse Practitioner, 31(7), 11.

This article briefly explains break-even analysis and its use in initiating new programs.

McBryde-Foster, M. J. (2005). Break-even analysis in a nurse-managed center. Nursing Economic$, 23(1), 31–34

This article explains how break-even analysis can be used in a nursing environment and how to apply it for program proposals.

U.S. National Library of Medicine. (2008). HTA 101: IV. Cost analysis methods. Retrieved from http://www.nlm.nih.gov/nichsr/hta101/ta10106.html

· Published by the National Institutes of Health, this site offers an explanation of the types of cost analysis including comparison of cost-utility, cost-effectiveness, and cost-benefits.