. Why do you think there should be more support for health services/administration research?

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After reviewing this week’s readings, please answer the following questions in your main post. (2 to 3 paragraphs).

. Why do you think there should be more support for health services/administration research?
What specific areas of health administration would you like to see more research on? why? ( examples could be, patient privacy, leadership improvement, policy development etc…)
. DiscussionBoardGradingCriteriaandRubric.pdf DiscussionBoardGradingCriteriaandRubric.pdf – Alternative FormatsTo begin discussing in this forum, click the forum title, “Week 1 Discussion”. Then, click Create Thread on the Action Bar to post your initial reply. To reply to a fellow participant, click the title of the initial post, then click Reply.

Select 1–3 foreign countries, and provide the following information about the access, quality, and cost of health care:

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Select 1–3 foreign countries, and provide the following information about the access, quality, and cost of health care:

  • Compare a foreign country’s quality of care to the United States’ quality of care.
  • Compare a foreign country’s cost of health care to the United States’ cost of health care.
  • Compare 1 of the foreign countries’ access to medical care to the United States’ access to medical care.
  • Give examples of how the World Health Organization (WHO) helps to provide health care in times of need.

Be sure to support your information by citing at least 2 scholarly references using APA format.

A dental office was in the practice of flagging some of its medical records with red stickers containing the word “AIDS” on the outside cover. Further, office staff handled the records in a manner such that other patients and staff could read the stickers, even though they had no reason to know about the patients’ diagnoses. What HIPAA violation(s) can be identified in this scenario?

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he following case, which resulted in a complaint to the HHS Office for Civil Rights with a subsequent investigation and corrective action, demonstrates that HIPAA privacy violations can readily occur with paper health records and by small providers that may seem to operate under OCR’s radar. It also demonstrates that health consumers are often aware of HIPAA violations when they see them, and they do take action:

A dental office was in the practice of flagging some of its medical records with red stickers containing the word “AIDS” on the outside cover. Further, office staff handled the records in a manner such that other patients and staff could read the stickers, even though they had no reason to know about the patients’ diagnoses.

What HIPAA violation(s) can be identified in this scenario?
What are some ways to identify records of AIDS patients to safeguard staff while also maintaining the privacy of the patients?
As a representative of the Office for Civil Rights, what corrective action steps would you require the dental practice to make? Create these steps
What other types of mitigation could the dental practice employ?
Presume that this office had electronic health records instead of paper records. Would the risk of a privacy violation be as great? How could records of AIDS patients be identified to safeguard staff, while also maintaining the privacy of the patients? Construct these methods.

Discussion: Community Health Issues

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Discussion: Community Health Issues

To prepare for this Discussion, you will be required to read the assigned chapters in your Stanhope and Lancaster text. Then, call the Department of Health or your local Public Health Department and speak to a nurse. Find out the top health concern(s) for your community. Please focus your attention on the unique tools that nurses who work in the community utilize to care for populations, including the Intervention Wheel.

Please listen to Dr. Attia’s Ted Talk in the resources for this week and then respond to the following questions:

Pick a top health issue in your community and describe some ways in which a nurse might improve this issue at the population level. Topic : childhood obesity leading to diabetes
By Day 3

Post your response to this Discussion.

Support your response with references from the professional nursing literature.

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 words

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Briefly describe your community and then describe your practice setting. My practice setting is a children’s mental and behavioral health hospital and population at risk is children with obesity leading to diabetes

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scussion

Overview: As a community of practice, your task for this week is to collaborate with professionals across the health care system. With your community of practice, in the Discussion, find a gap in care or social determinant that often results in poor health care outcomes. You will begin to take the lead in advocating for and collaborating with others to improve the health care outcomes for populations at risk.

Practicum Discussion: During this week, you will identify a population at risk in your community. This population will be the basis for your Practicum Discussions and your individual presentations over the next 6 weeks, as well as the focus of your final PowerPoint presentation in Week 6. To review, a population is a group of individuals who share a common environmental or personal characteristic, such as obese individuals who are at risk for diabetes or cardiovascular disease (populations at risk) or those individuals who are otherwise healthy and could stay healthy if they do not develop risky behaviors (populations of interest). An example of this is teenagers who don’t yet smoke but might consider it due to peer pressure (Stanhope & Lancaster, 2020). Some of the topics you might consider are vaccination compliance, obesity rates among children and adults, teenage pregnancy, or infectious diseases such as Norwalk virus, genital warts, or sexually transmitted diseases/infections. You might look also at emerging public health problems such as Chagas or the Zika virus. Some of the places you might consider looking for information to substantiate and support your ideas about populations at risk in your communities are your local health department, the CDC, and the many evidence-based websites that the CDC supports, such as the CDC Wonder (http://wonder.cdc.gov/). You may also review the work of other community groups that focus on improving health care outcomes for your community. You should begin to support your selection of population and ideas about their health care problems through the use of health data and scholarly literature.

Please address the following points in your Practicum Discussion:

  • Briefly describe your community and then describe your practice setting. My practice setting is a children’s mental and behavioral health hospital and population at risk is children with obesity leading to diabetes
  • What are the determinants of health in your community? (https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health)
  • What are the most prevalent health problems in your community or in your practice?
  • Choose a population at risk and describe the health problem specific to that population. Remember that you will have to define the population’s age, culture, religious beliefs, foods, and traditions eventually as your project progresses.

By Day 4

Post your response to this Discussion.

Support your response with references from the professional nursing literature.

Pediatric Clinical Reasoning Case Study:Neonatal Sepsis

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Pediatric Clinical Reasoning Case Study:Neonatal Sepsis

I.   Data Collection

Chief complaint/History of Present Illness: Rennie is a 28-day-old female presenting to ER during thenight with presenting complaint of apneic episodes approximately 2/day with changing color to blue.Apneic episodes lasts 1-2 minutes, resolves with stimulation, chest rub, or gentle shaking. Apneicepisodes not associated with vomiting/spit ups. Baby completely recovers to her baseline withstimulation. Baby always sleeps on her back, no family history of SIDS. The current episode startedmore than 1 week ago. The problem occurs intermittently. The problem has not changed since onset. Nothing relieves the symptoms. Nothing aggravates the symptoms. Pertinent negatives include no fever, no stridor, and no intake of a foreign body. She had a lumbar puncture and chest X-ray as well as venous blood gases and lytes done in ER. Urinalysis and culture have been done. Ceftriaxone 380mg IV was given in ER after culture obtained.

What data is relevant to this patient that must be recognized as clinically significant to the nurse?

Rationale:

Personal/Social History: Family lives/stays sometimes in a friend’s place (who does not let the baby’sdad in) and a homeless shelter (the dad stays in a shelter and is allowed to bring family in). Mothersays she is a medical assistant, currently unemployed. Both parents smoke, they state they do notsmoke around the baby.

PMH:   Born 39 weeks, C/S (FTP) 8lbs. 8oz, no birth/nursery complications. Medical historysignificant for GERD, hiccups, and weight loss thought to be due to lactose intolerance, she has since been placed on soy formula with rice cereal added to the formula. Has been in ED x4 for umbilical bleeding (resolved), GERD (improved on Zantac), thrush (put on nystatin) and conjunctivitis (resolved).

Current Medications:

ampicillin 200 mg IV every 6 hoursceftriaxone 380 mg IV q 24 hours

nystatin 100,000 unit/mL suspension po every 24 hoursnystatin (MYCOSTATIN) cream topical 3 times a dayranitidine syrup 8 mg po twice daily

What is the relationship of your patient’s past medical history (PMH) and current medications?

(Which medication treats which disease?)

Patient Care Begins: When you walk into the room for your initial assessment, you areoverwhelmed with the smell of dirty feet, which appears to be from dad since he is barefoot, and his Timberline boots are under the crib. The baby is whimpering and neither parent seems to notice. You ask when the baby last ate, and Dad tells you he doesn’t know but probably not since the middle of the night as he just woke up. You pick up the baby and notice a cold soggy wet diaper that you immediately change. You tell the parents that a renal sonogram is scheduled for the morning, as well as several consults.

Throughout the morning you observe the mother sleeping most of the time and dad is engrossed with his laptop. Two grandmothers are in the room talking most of the day. Neither parents norgrandmothers seem to pick up on the baby’s cues for feeding or wet diapers and the baby does notcry very much. Other patients are complaining about the smell in the hallway by your baby’s room.

Your Initial VS:

T: 36.6 (97.8)

P: 164

R: 58

BP: 80/42

O2 sats: 95% on room air

Weight: 3.81kg (8.3lbs)

What initial data is relevant to this patient that must be recognized as clinically significant to the nurse?

Rationale:

Your Initial Nursing Assessment:

Gen: Asleep, comfortable, reactive to stimulation. Resp: no congestion or nasal discharge, MMM.Slightly increased WOB, nasal flaring, no retractions, lungs clear bilaterally A&P, no wheezing. CV:RRR, brachial and femoral pulses 2+ equal bilat, cap refill <3s. Ab: Soft, active BS, small amountspit up.  Ext: WNL, no edema or cyanosis, moves all extremities equally. Neuro: normal grasp andsuck, normal tone, normal strength. Skin: mild diaper rash, cold wet diaper. IV infusing 24 g. D5 1/2NS with 20 mEq. KCL at 15 ml/hr per pump, in right hand. Site without redness or edema. PainFLACC 1/10                 PEWS 1

What physical assessment data is relevant that must be recognized as clinically significant to the nurse?

–        Patient has evidence of work of breath, showing nasal flaring. Skin integrity has signs of breakage due to diaper rash.

Rationale:

II.   Clinical Reasoning Begins…

1.     What is the most likely medical problem that your patient is presenting with?

2.     What is the underlying cause /pathophysiology of this concern?

3.     What is your primary nursing priority right now?

4.     What nursing diagnostic statement will guide your plan of care?

5.     What interventions will you initiate based on this priority?

6.     What is the worst possible complication to anticipate?

7.     What nursing assessment(s) will you need to identify and what responses if this complication develops?

Medical Management: Rationale for Treatment & Expected Outcomes

Physicianorders:

Weight onadmission anddaily

Cardiac/apneamonitor with VSevery 4 hours

Titrate O2 tokeep sats above94%

Similac Advancead lib

May DC IV whentaking po fluids

Strict I & O everyhour

Activity ad lib

DropletPrecautions

RefluxPrecautions

Rationale:

Expected Outcome:

8.    Dosage Calculation:

Medication

Safe dosage range calculations:

Mechanism of action and Nursingimplications:

ampicillin 200 mgIV every 6 hours

cefTRIAXone 380mg IV q 24 hours

Started in ER

nystatin 100,000unit/mLsuspension poevery 24 hours

nystatin(MYCOSTATIN)

cream topical 3times a day

ranitidine syrup 8mg po twice daily

IVF dex 5%-nacl0.45%- infusion

at 15 ml/hr

Maintenance fluid calculation:

Radiology Reports: Chest X-Ray IMPRESSION: Mild strandy and hazy pulmonary opacitiesdiffusely within both lungs. This patient remains within the upper age range of the neonatal period and neonatal pneumonia remains within the differential diagnosis. Bronchiolitis related to a viralinfection is in additional possibility.

What data above is relevant to this patient that must be recognized as clinically significant to the nurse?

How do these radiology findings relate to primary problem?

Lab Results:

CBC

Current

WBC (4.5-11.0)

12.1

HGB (12-16)

13.8

PLTS (140-440)

574

Neuts. % (42-72)

68

Bands % (0 – 5)

14

Lymphs % (46-76)

20

Mono% ( 1-10 )

8

Eosinophiles % (0-5)

0

Identify the relevant lab results to this patient and their clinical significance:

Which labs when trended are showing improvement and/or reveal concerning potential complications?

Basic Metabolic Panel

Current

Sodium (134-146)

143

Potassium (3.0-6.3)

4.8

Chloride ( 98-106 )

106

Glucose (74-127)

78

BUN (7-25)

8

Creatinine (0.5-1.3)

0.2

Identify the relevant lab results to this patient and their clinical significance:

Which labs when trended are showing improvement and/or reveal concerning potential complications?

UA

Current

Color (yellow)

Light yellow

Clarity (clear)

Cloudy

Sp. Grav (1.002-1.030)

1.006

Protein (neg)

Neg

Glucose (neg)

Neg

Ketones (neg)

Trace

Blood (neg)

Trace

Nitrate (neg)

Neg

RBC’s (0-2)

1

WBC’s (0-5)

4

Bacteria (0-few)

Few

Epithelial (0-few)

Few

Identify the relevant lab results to this patient and their clinical significance:

Which labs when trended are showing improvement and/or reveal concerning potential complications?

Appearance CSF (clear)

Bloody

Polys CSF (0-30)

15

Lymphs CSF (0-100):

75

Monos CSF (0-100):

8

Eosinophiles CSF (0-1):

1

Glucose CSF (50-80):

55

Protein CSF (10-45)

109

Identify the relevant lab results to this patient and their clinical significance:

Which labs when trended are showing improvement and/or reveal concerning potential complications?

Venous Blood Gases

Current

Initial

pH (7.35-7.45)

7.38

7.37

pO2 (80-100)

99

100%

pCO2 (35-45)

45

48

HCO3 (18-26)

27

24

O2 sats (>92%)

98%

100%

Oxygen delivery

.21%

0.5L

Identify the relevant lab results to this patient and their clinical significance:

Which labs when trended are showing improvement and/or reveal concerning potential complications?

Radiology Reports: Complete Abdominal Ultrusound: The liver is homogeneous inechogenicity. No focal hepatic mass or intrahepatic ductal dilatation is identified. The gallbladder isnot abnormally distended. There are no gallstones, wall thickening or pericholecystic fluid. Thecommon duct measures less than 1 mm. No significant sonographic abnormality of the pancreatichead, neck or body is identified. The spleen is homogeneous in echogenicity, measuring 4.2 cm inlength. The right kidney is normal in echogenicity relative to liver. The right kidney measures 4.7 cmin length. Corticomedullary differentiation is preserved. There is no right-sided renal mass, calculus or hydronephrosis. The left kidney measures 4.5 cm in length. Corticomedullary differentiation ispreserved. There is no left-sided renal mass, calculus or hydronephrosis. The bladder is partiallydistended with urine and demonstrates a small amount of debris.

Doppler evaluation demonstrates normal monophasic hepatopetal flow within the main portal vein. The visualized portions of the aorta and IVC demonstrate normal gray scale and color Doppler appearance.

Normal renal lengths for age range from 4.0 to 6.0 cm. IMPRESSION:

1.  Small debris in bladder.

2.  Otherwise, normal abdominal ultrasound.

What data above is relevant to this patient that must be recognized as clinically significant to the nurse?

How do these radiology findings relate to primary problem?

Application

9. Choose two of the most relevant abnormal labs for your patient and address the following:

Lab

Value

High/Low

Relevance

Normal value

Critical value

What causedderangement?

Treatment

Nsg. Assessments/interventionsrequired:

Lab

Value

High/Low

Relevance

Normal value

Critical value

What causedderangement?

Treatment

Nsg. Assessments/interventionsrequired:

III.   Evaluation:

Evaluate the response of your patient to nursing & medical interventions during your shift. All physician orders have been implemented that are listed under medical management.

Eight hours later…

VS:

I & O

T: 36.1

I

IV:

180

P: 134

Enteral:

265

R: 48

BP: 96/54

O

Urine/stool:

277

O2 sats: 98 %

Emesis:

60

What data is most relevant to this patient that must be recognized as clinically significant to the nurse?

Rationale:

Nursing Assessment:

Gen: Asleep, comfortable, reactive to stimulation. Resp: no congestion or nasal discharge, MMM.No increased WOB, no nasal flaring or retractions, lungs clear bilaterally A&P, no wheezing. CV:RRR, brachial and femoral pulses 2+ equal bilat, cap refill <3s. Ab: Soft, active BS, less spit up.Feeding well every 2-3 hours with prompts from staff. Ext: WNL, no edema or cyanosis, moves allextremities equally. Neuro: normal grasp and suck, normal tone, normal strength. Skin: diaper rashclearing up. SL in right hand. Site without redness or edema. Mom paying more attention to baby,more responsive to cues and crying. Pain FLACC 1/10                                                 PEWS 1

What assessment data is relevant to this patient that must be recognized as clinically significant to thenurse?

Rationale:

1.     Has the status of the patient improved or not as expected to this point?

2.     What data supports this evaluation assessment?

3.     Based on this assessment data, now what will be your nursing priorities and current plan of care?

The laptop contained PHI on 6,500 patients and included Social Security numbers. The employee who left the laptop in the car notified you immediately when the breach occurred.

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Breach Notification A laptop was stolen from the car of an employee. The laptop contained PHI on 6,500 patients and included Social Security numbers. The employee who left the laptop in the car notified you immediately when the breach occurred. The data were not encrypted but the laptop is password protected. 1. Identify the privacy and security violations. 2. Determine the facility’s course of action. 3. Identify who should be notified of the breach. 4. Identify the method(s) of notification that should be used.

When thinking of the change process, what is the role of the nurse leader/manager in the change process? What impact does change have within health care organizations as a whole?

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You are responsible for minimally at least 3 posts for each question in your discussion boards; your initial post and reply to two of your classmates. Your initial post(s) should be your response to the questions posed in the discussion question. You should research your answer and cite at least one scholarly source when appropriate, and always use quality writing. The discussion board is never a place to use text language or emoticons. You will also be asked to respond to your classmates. This is designed to enhance the academic discussion around the topic. It is all right to disagree with something posted by another, however your responses should always be thoughtful and respectful and reflect your opinions professionally.

Discussion Question:

Change is inevitable in healthcare and in nursing. When thinking of the change process, what is the role of the nurse leader/manager in the change process? What impact does change have within health care organizations as a whole?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates.

Discuss managed care, the initiatives implemented by private insurers to transform healthcare, and the various roles nurses play to improve quality patient outcomes tied to healthcare reimbursement.

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Discuss managed care, the initiatives implemented by private insurers to transform healthcare, and the various roles nurses play to improve quality patient outcomes tied to healthcare reimbursement. What are some strategies nurses can use to advocate for healthcare consumers and reduce the increasing cost of healthcare?

Discuss the history of private health insurance and manage care and how it involved into a healthcare industry?

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Assignment:

Financing Healthcare

Consider how compensation for healthcare services shape delivery of care, and reflects policy and policy changes and write a paper that addresses the bullets below. Be sure to completely address each bullet point. There should be four (4) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Include a “Conclusion” section that summarizes all topics. This assignment will be at least 1250 words.

This week you will reflect upon accountability in healthcare finance to address the following:

Discuss the history of private health insurance and manage care and how it involved into a healthcare industry?
Identify the key federal laws that protect individuals who are enrolled in private insurance.
Briefly discuss consumer-driven healthcare and the empowerment of the healthcare consumer.
Explore the opportunities which have emerged for nurses within the private insurance market.
Assignment Expectations

Length: 1250-1500 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment. Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.