The Homeless Patient Evaluation & Management Plan

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The nurse practitioner (NP) is working at a health clinic in a homeless shelter during the early evening. A 48-year-old African American man approaches the practitioner and asks to have his blood pressure taken, saying that he has not had it checked “in a while”.

The man appears to be in some type of distress and experiencing pain. The man walks slowly, using a guarded manner, and he appears diaphoretic. His mucous membranes also appear pale. The patient’s blood pressure is 210/98. The patient reports that he has not been diagnosed with hypertension previously. The patient reveals that he has severe abdominal pain that is radiating to his back. The nurse finds a heart rate of 110, respirations 30 with shallow inspirations, and temperature 102.2°F. The patient’s skin is cool and clammy.

The patient reports a history of alcoholism, homelessness, and lack of access to health care. He says that the symptoms have been present and worsening over 3 days. The man says he thinks he might have pancreatitis again, which he had “a couple of years ago”. The NP recommends that the man should be seen at a hospital for his condition, but the patient says he does not have health insurance, so he does not want to go.

The NP proceeds with a physical examination, finding severe abdominal pain in the epigastric area, yellowed sclera, no abdominal distention, and hypoactive bowel sounds. The clinic is equipped with basic materials but no means to conduct lab or radiologic testing. Discuss the following:

Considering the patient’s homelessness and lack of insurance, what action should the practitioner take?
When the patient asks why his condition cannot be managed outside of the hospital, how should the practitioner respond?
When the patient arrives at the hospital for further diagnostic work-up, what tests will likely be performed to evaluate the patient’s condition?
How will the severity of the pancreatitis be assessed when the patient is hospitalized?
How should the patient’s condition be managed when hospitalized?
What patient education should be included after the pancreatitis is resolved?
Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency

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NATIONAL ORGANIZATION OF NURSE PRACTITIONER FACULTIES (NONPF) COMPETENCIES

The National Organization of Nurse Practitioner Faculties (NONPF) has determined nine broad areas of core competence that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This course was designed to prepare you to synthesize knowledge gained throughout the program and to apply each of the nine core competencies within your selected areas of practice and your representative communities.

The nine areas of competency are:

· Scientific Foundations

· Leadership

· Quality

· Practice Inquiry

· Technology and Information Literacy

· Policy

· Health Delivery System

· Ethics

· Independent Practice

TO PREPARE

· Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content.

Resources:

· American Nurses Credentialing Center. (n.d.). Psychiatric-mental health nurse practitioner (across the lifespan) certification Links to an external site. (PMHNP-BC). https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nurse-practitioner/

· Scroll to ANCC Study Aids – Free for sample test questions and study guides to help you prepare for your certification exam.

· Buppert, C. (2021). Nurse practitioner’s business practice and legal guide Links to an external site. (7th ed.). Jones & Bartlett Learning.

· Chapter 12, “Lawmaking and Health Policy”

· Chapter 14, “Standards of Care for Nurse Practitioner Practice”

· Chapter 15, “Measuring Nurse Practitioner Performance”

· The National Organization of Nurse Practitioner Faculties. (2017). Nurse practitioner core competencies Links to an external site. . https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/20170516_NPCoreCompsContentF.pdf

· The National Organization of Nurse Practitioner Faculties. (n.d.). National organization of nurse practitioner faculties Links to an external site. . https://www.nonpf.org/

THE ASSIGNMENT

1. For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency (for a total of at least nine paragraphs).

2. Propose how you plan to engage in social change in your community as a nurse practitioner.

3. Describe 1–2 legislative and/or advocacy activities in which your state nurse practitioner organization(s) are involved. Be specific and provide examples.

4. At least 5 resources

5. APA 7

Writing journal article

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You are an IT industry expert who has spent many years managing complex information technology systems. You have been tapped to write a journal article for IT weekly that focus on innovative approaches to creating Systems Development Life Cycles (SDLC). Your specific focus has been the various SDLC methodologies trending in the business world today.

Instructions

  • Write a journal article that analyzes at least 3 different Systems Development Life Cycle methodologies and describe the advantage and disadvantages of each.
  • The article should also include analysis of 2 companies using creative/innovative SDLC methodologies. Explain why you think these approaches are unique and innovative.
  • Create a Systems Development Life Cycle plan that will support the acquisition, installation and sustainment of a new Database Management System to be included as an addendum to the journal article.
  • The article and addendum should both be submitted as one Microsoft Word submission. You will need a minimum of 3 pages with proper grammar, spelling, and punctuation.

F

F

C

B

A

0

1

2

3

4

Did notSubmit

No Pass

Competence

Proficiency

Mastery

Not Submitted

Analyzed 0-1 different Systems Development Life Cycle methodologies and described some of the advantage and disadvantages of each.

Analyzed 1-2 different Systems Development Life Cycle methodologies and described some the advantage and disadvantages of each.

Analyzed 2- 3 different Systems Development Life Cycle methodologies and described the advantage and disadvantages of each.

Analyzed 3 or more different Systems Development Life Cycle methodologies and described the advantage and disadvantages of each.

Not Submitted

Did not include a complete analysis of 1 company using creative/innovative SDLC methodologies and the explanation of why you think these approaches are unique and innovative lacked any detail.

Included analysis of 1 company using creative/innovative SDLC methodologies and the explanation of why you think these approaches are unique and innovative lacked some detail.

Included analysis of 2 companies using creative/innovative SDLC methodologies. Explanation of why you think these approaches are unique and innovative lacked some detail.

Included analysis of 2 companies using creative/innovative SDLC methodologies. Explained why you think these approaches are unique and innovative.

Not Submitted

Created a Systems Development Life Cycle plan that lacks support the acquisition, installation andsustainment of the new Database Management Systems request.

Created a Systems Development Life Cycle plan that will support some of the acquisition, installation and sustainment of the new Database Management Systems request.

Created a Systems Development Life Cycle plan that will support most of the acquisition, installation and sustainment of the new Database Management Systems request.

Created a Systems Development Life Cycle plan that will support installation and sustainment of a new Database Management Systems request.

Not Submitted

More than 10 mistakes on grammar, spelling, punctuation, and sentence structure.

Lacked most proper grammar, spelling, punctuation, and sentence structure.

Included mostly proper grammar, spelling, punctuation, and sentence structure.

Included proper grammar, spelling, punctuation, and sentence structure.

Sarbanes-Oxley (SOX) Act was created with the intent of improving the quality of accounting, Week 6 Discussion questions

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If you’re not comfortable with any of the questions, please
do not take the assignment, this will just make it easier for both of us.  Please try and use a reference with each
answer, I do know this is not always possible. 
Please number each answer, this just helps me to know which answer
belongs to which question.

1. 
The Sarbanes-Oxley (SOX) Act was created with
the intent of improving the quality of accounting, reliability of financial
statements to investors, and providing oversight to accounting professionals
through the creation of a new federal agency, Public Accounting Company
Oversight Board (PACOB). Create an argument supporting whether SOX achieved
these goals, and whether financial data reported today is more accurate and
reliable than prior to the Act. Provide support for your rationale.

2. 
Assess the impact to the Public Accounting
Profession with the creation of the PACOB and the inability of the profession
to be self-regulated. Indicate your level of support for the federal regulation
of the profession. Provide a rationale for your response.

3. 
Assess the impact to public trust when a
publically traded company restates its financial data, indicating how negative
impressions may be minimized. Provide support for your rationale.

4. 
Evaluate the current trend of companies
restating financial statements. Indicate the key drivers of this trend. Predict
the trend over the next five years, providing support for your rationale.

5. 
From the e-Activity, analyze the reasons why the
short-term project that you have chosen might be ranked higher under the NPV
criterion if the cost of capital is high, while the long-term project might be
deemed better if the cost of capital is low. Determine whether or not changes
in the cost of capital could ever cause a change in the internal rate of return
(IRR) ranking of two (2).

e-Activity:  Use the Internet to research two (2) mutually
exclusive investment projects to compare. The projects may involve any kind of
investment, as long as the time frame for one (1) of the investments is a
maximum of one (1) year (short term) and the time frame for the other
investment is five (5) years minimum (long term). Be prepared to discuss.

6. 
From the scenario, take a position for or
against TFC’s decision to expand to the West Coast. Provide a rationale for
your response in which you cite at least two (2) capital budgeting techniques
(e.g., NPV, IRR, Payback Period, etc.) that you used to arrive at your
decision.

Scenario:  attached (there are 3 attachments, 2 of them
are just showing how they got answers)

The Strategic Management Report for GAP Inc. 1500words

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Structure of the Management Report
 Non-anonymous cover sheet: This must contain the module title and code, assignment title,
your name and ID number, name of your specific seminar tutor, submission date and word
count
 Executive summary: This should present a ‘snapshot’ of the report – What did you find out?
What conclusions have you drawn? [This will help you to start formulating the Executive
Summary for your Summative.]
5
 Introduction: An introduction that places the organisation within context – its financial
status, operations (what it does), its proposed strategy and their key competitors.
 An analysis of the organisation’s external business environment – macro factors (PESTEL
framework).
 An analysis of the sector/industry through Porter’s Five Forces model.
 An analysis of the organisation’s internal business environment – specifically the capabilities
of the organisation. This will include the use of the VRIO framework.
 A critical evaluation of the chosen company’s strategic position, based on an assessment of
the organisation’s internal and external business environment using the appropriate
frameworks – SWOT/TOWS
 Conclusions – [What conclusions do you draw from undertaking the various examinations of
the above topics/issues? This will help you to start formulating some of your conclusions for
CW2
 References: These must be in the Harvard Format. Additionally there must be
appropriate in-text citations throughout your work. [NOTE: You must seek out reliable and
validated sources of information for your assignments – Please refer to comments elsewhere
in this document and other guides on the M002 Moodle pages.]
 Appendices: No more than four pages in total.

Define social insurance and describe the social insurance programs available in the U.S.

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Social Insurance
A program of compensation provided and controlled by a government for the elderly, the disabled, or the unemployed people is known as the social insurance program. Acceptance in a social insurance program is not guaranteed and individuals seeking to be covered have to meet certain requirements. Social insurance may come in the form of healthcare or monetary compensation. Define social insurance and describe the social insurance programs available in the U.S. Discuss how these programs affect access to care and the role the government plays in providing them.

How will it differ from treating patients face-to-face?

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You have been asked to evaluate the implementation of a telemedicine program in your healthcare setting. Using the information from your resources in the syllabus this week, choose a healthcare setting and describe the telemedicine service/s you will develop?

How will it differ from treating patients face-to-face?
How effective can telemedicine be in the treatment of these patients? What are some of the benefits of this service to the organization and patient?
What are the financial circumstances surrounding this telemedicine service? Describe things like costs of equipment, people facilities etc.
How might this telemedicine service and others play a role in the provision of healthcare in the future?
Read the following articles, available from the South University online library:

Cannon, N. J., Jurski, K., & Ulferts, G. W. (2014). Telemedicine. American Journal of Health Sciences, 5(2), 95-102.
doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.19030/ajhs.v5i2.8961

Diversity in Health Services

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Diversity in Health Services

Diversity often is used in the context of legal requirements as mandated by discrimination and harassment laws, and in the past has referred to “protected classes,” such as gender, race, color and religion. In fact, diversity encompasses all of the potential differences that affect how we interpret and behave, differences that are so commonly encountered that we might fail to understand their power. It is important to take a look at how diversity impacts a growing and changing healthcare industry. Analyze three ways the growing diversity of the healthcare workforce affects the management of a healthcare organization today. How can management can enhance the use if diversity throughout the organization? Use examples in your response that show how this can happen

differences between ethical issues and legal issues?

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Home>Nursing homework help
health
Ethics vs. Law

Health care professionals practice in an environment that is complex, with many regulations, laws, and standards of practice. Performing an abortion is legal but may not be considered ethical by other health care professionals or members of the public at large. Other ethical dilemmas arise at the end of life, when a decision must be made to turn off life-support machines and allow death to occur. Other common ethical issues a health care professional might face are confidentiality, relationships with patients and matters related to consent, especially in the treatment of minors. Being an effective leader/manager is essential if a health care organization is to provide high-quality care and succeed financially. All healthcare leaders/managers at all levels of the healthcare organization, which depend on other people for efficient and effective work performance, require leadership ability. The quality of leadership is crucial to how work gets done in a well-managed healthcare organization. Discuss the following issues:

What are the differences between ethical issues and legal issues?
Analyze a scenario in which an issue may be unethical, but legal.
Analyze a scenario in which an issue may be ethical, but illegal. Explain your choices.
What traits and characteristics of a health care leader and/or manager are important in the steps of ethical decision-making? Why?

Write two short ted talk discussions

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First, make sure you are majoring Theatre and drama areas before your work! Here are the original requirements of this work:

In Chapter 3, we’ve read all about play structure and the elements of a drama. Watch this Ted TALK by Sarah Kay about spoken word poetry. It takes about 18 min to watch. If you are military around the world you might have difficulties just email and let me know.

https://www.ted.com/talks/sarah_kay_if_i_should_have_a_daughter?language=en (Links to an external site.)

Make two post this week. Share your thoughts about the TED talk. If you have a list or poem you would like to share feel free to share here.

And the CHAPTER mentioned above is from the book ‘ Theatre in Your Life’, I have uploaded the e-book below in the zip file. You can have a read if it is necessary.

The first one post needs to share the thoughts in about 100 words. And the another post needs to be the list or poem you would like to share.

This work is very important to me. So quality must be ensured. Looking forward to your good work!