Client Questions

4C (3PAGES) Maguire, A. (n.d.). 6 different pricing strategies: Which is right for your business? Retrieved from https://quickbooks.intuit.com/r/pricing-strategy/6-different-pricing-strategies-which-is-right-for-your-business/ Six different types of marketing pricing strategies are mentioned in the above article. In a 3 page paper, complete the following: 1.Rank each of the 6 pricing strategies in order of the effectiveness for health care (where 1 identifies the most effective strategy to use in health care). 2.Provide a detailed overview of each of the 6 pricing strategies, discussing their positives/negatives as it applies to health care. 3.Discuss what is meant by “Price Transparency” in health care, and its effects. CONCLUSION and reference. 4s (2pages) Identify four Marketing and Promotion Strategies (i.e., Advertising – Printed media vs. Television advertisements, etc.). For each of the strategies, explain the significance to BJc healthcare. Marlowe, D. (n.d.). Price as a Healthcare Marketing Strategy – Implications for Marketers. Healthcare Strategy Institute. Retrieved from https://www.healthcarestrategy.com/wp-content/uploads/2016/02/Marlowe_Misc_2014.pdf CONCLUSION and reference. 4D (1 PAGE) 1.Do you think that finding the right price to charge in health care is more difficult or less difficult than in other industries? Explain. In what ways is health care pricing strategies different than in other industries? Explain the relationship between costs and prices. 2. (http://www.plagiarism.org/)  contains blog posts and articles about various aspects of plagiarism. Select an article, blog post, or page on the site (preferably a brief one) and present an exciting talk about the topic and how understanding the concepts being discussed will be beneficial to lifelong learning.

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem. The PICOT question will provide a framework for your capstone project change proposal. In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome. Describe the problem in the PICOT question as it relates to the following: Evidence-based solution Nursing intervention Patient care Health care agency Nursing practice Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.  This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Rate yourself using the results from the “Nurse Manager Skills Inventory”: http://www.aone.org/resources/nurse-manager-skills-inventory.pdf Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below: Personal and professional accountability Career planning Personal journey disciplines Reflective practice reference behaviors/tenets Discuss how you will use your current leadership skill set to advocate for change in your workplace. Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal. While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Create an 8–10-slide mobilization plan PowerPoint presentation (with detailed speaker’s notes) for a mobilization plan by your health care organization to commit 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a hot zone in Africa.    This assessment is based upon the scenario below. The scenario is very limited in detail; where more detail is needed, incorporate any assumptions you make to flesh out the scenario. It is intended to assess your ability to communicate your approach to a challenge by evaluating issues of organization, leadership, safety, quality improvement, multiculturalism and diversity. Your approach should be very conceptual and high-level. Scenario Your health care organization has recently committed 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a “hot zone” in Africa. The director of your organization has asked you, because of your previous medical mission experience, to outline nursing-related plans for preparing for the mobilization and present this information at an upcoming staff meeting. Deliverable: Mobilization Plan PowerPoint Presentation Create an 8–10-slide PowerPoint presentation (with detailed speaker’s notes) of your mobilization plan. It should be targeted toward members of the hospital’s administrative staff, nurses, and the physicians who will also participate in this medical mission. Use bullet points and phrases on the slides. The narrative, or explanation for each slide, should be in the speaker’s notes section. The mobilization plan should address the following: Identify the major stakeholders within the health care system that would be affected by the mobilization plan. Analyze how the mobilization effort will impact staffing patterns and nursing care at the hospital. Describe the medical mission team’s organizational structure of the mission team and how power is distributed. Include one slide of an organizational diagram for the mission. Describe the roles (in the speaker’s notes). Assess how the organizational structure empowers team members. Provide 1–2 examples of how team members will have power. Identify key actions needed to assure quality of care and safety for mission patients and personnel. Evaluate potential power issues that may arise when dealing with a multinational contingent. (Be generic; that is, do not address individual nationalities, races, et cetera.) Consider interactions with health care personnel from other countries. Examine potential multicultural and diversity issues that mission personnel may encounter. Consider that the indigenous population may be hostile to treatment. Outline possible training requirements to improve cultural competencies of the personnel. Additional Requirements Written communication: Written communication should be free of errors that detract from the overall message. APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting. Length: Presentation should be 8–10 slides. Include speaker’s notes on each content slide. References: Include a minimum of three peer-reviewed resources on the final slide (in APA format). General formatting: Choose an appropriate theme if using a template. *Attached is an example of a well graded power point for this assignment to use as reference*

Describe one innovative health care delivery model that incorporates an interdisciplinary care delivery team. How is this advantageous to patient outcomes?

Describe and provide rationale for which design you plan to use in   your DPI project. Be sure to indicate how your design in aligned with   the methodology chosen in Topic 1 DQ 1. 1 page, APA This project will use the quantitative methodology with a descriptive research design. Topic:  Use of Advanced Practice Providers in triage in improving waiting times in Emergency departments?  Holloway, I., & Galvin, K. (2016). Qualitative research in nursing and healthcare. John Wiley & Sons.

Based on last week’s reading, you now have an idea of the role of the APRN, and legal/professional issues in prescribing. As a future nurse practitioner, you have the authority, based on your state nurse practice act, to prescribe medications for the patients for whom you will provide care, and the responsibility of prescriptive authority is more than just simply writing a prescription correctly. Important Links: https://www.flsenate.gov/Committees/BillSummaries/2016/html/1424 http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html https://floridasnursing.gov/new-legislation-impacting-your-profession/ https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilege Discuss the role of advanced practice nursing in safe prescribing and 3  prescribing barriers for APRNs. 2. A minimum of 4 paragraphs is required for all posts (initials and replies). 3. Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years). 4. All posts are to be written in APA 7th edition format as required by the university.

Reply to my peers Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the  goal of of positive progress. As in all assignments, cite your sources in your work and provide references for the citations in APA format. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below Include references with peer responses Question Clinical practice guidelines use available evidence to develop recommendations that guide practice to improve patient care.  Select a clinical practice guideline, based on your area of interest, from one of the web sites below or another site. Describe the following information from the guideline you selected.  Identify the name of the clinical guideline and date developed Identify the population Identify 3 recommendations found in the guideline Identify the grade or level of recommendation for the three recomendations identified and describe what the assigned grade or level means. How can you use the information from the guideline in your practice? Peer #1 Identify the name of the clinical guideline and date developed           The name of the clinical guideline chose is “Screening for Prostate Cancer”. The guideline was presented by the Journal of the American Medical Association in 2018. Identify the population           The population of the study applies to adult men in the United States population that does not have a previous diagnosis or that does not have symptoms of prostate cancer. The article further differentiates the population by separating the men into three groups. The first group consists of the general population of men aging from 55-69 years of age. The second group consists of men that are considered to have increased risk by race as well as a family history of prostate cancer. The last group consists of men of age that is equal to or greater than 70. Identify 3 recommendations found in the guideline           The first recommendation provided is for men with an age of 55 – 69 in the US without symptoms or a current diagnosis of prostate cancer. The researchers recommend that this population of individuals should be selected individually on if they should be screened for prostate cancer by use of prostate-specific antigen (PSA) testing (Grossman et al., 2018). Based on the current studies, this population has been recorded from past studies to only benefit minimally from being screened for prostate cancer by PSA (Grossman et al., 2018). Studies have demonstrated that during a thirteen year follow-up, only an average of 1.3 deaths have been prevented out of 1000 screens for prostate cancer in this group (Grossman et al., 2018). The evidence suggests that there are little to no reduction in all-cause mortality within this group with screening (Grossman et al., 2018). While the lifetime risk of getting prostate cancer in the United States is approximately 11%, the risk of dying from prostate cancer is 2.5% (Grossman et al., 2018). The studies also supplied evidence that traditional routine testing on these groups of men often have more negative consequences than benefits. Negative consequences include false positive tests, which result in unnecessary psychological harm, as well as further diagnostic tests that can result in negative outcomes (Grossman et al., 2018). The main diagnostic test that has been described to cause negative outcomes in this instance is a prostate biopsy. Often times a prostate biopsy is done to follow up a positive PSA test. The complications of the biopsy include pain, hematospermia (blood in the sperm), and infection (Grossman et al., 2018). The recommendation also suggests that even if these groups of men do have prostate cancer, the chances of it having negative aspects on their lives or causing their death are around 2.5% (Grossman et al., 2018). The studies provided in this recommendation also suggest that even if these men do in fact have prostate cancer, that most would never become symptomatic during their entire lifetime due to the slow growing nature of this type of cancer. So in this group of individuals, the testing may cause more risks than it does benefits. The treatments that are used to treat prostate cancer if positive however, have many negative side effects that can affect the individuals for the rest of their lives. Some of the complications of treatment include long-term urinary incontinence and erectile dysfunction. The recommendation for this group is for the provider to explain the benefits and harms of screening, and to proceed with a shared decision regarding testing (Grossman et al., 2018).           A second recommendation refers to a higher risk group of individuals that include those that have a family history of prostate cancer or is African American (Grossman et al., 2018). These groups of individuals are considered much more likely to have a positive diagnosis of prostate cancer. While the two groups are higher risked to having prostate cancer, the USPSTF was unable to give a separate specific recommendation regarding the screening for these individuals (Grossman et al., 2018). They recommend that more studies be made to determine the risks and benefits for screening these individuals as well. However the researchers did state that an advance family history should be obtained from the males with a family history of prostate cancer, particularly those with metastatic prostate cancer, as they may need further education regarding the risks and benefits of screening (Grossman et al., 2018). The researcher’s state that doctors caring for these groups should discuss the details regarding screening so that they can appropriately decide if they wish to peruse testing as well.           The third recommendation mentioned in the article is that men over 70, regardless of race or risk factors, should not be screened for prostate cancer (Grossman et al., 2018). The research suggests that these individuals have the highest risk of over-diagnosis and false positives. They also state that these individuals have a greater risk of complications by the screening used for diagnosis particularly regarding the prostate biopsy. Adequate evidence suggests that there is no benefit on prostate cancer mortality in this group by PSA screening. Identify the grade or level of recommendation for the three recommendations identified and describe what the assigned grade or level means. The recommendation for the first two guidelines discussed are both rated C. A recommendation of grade C means that the service should be selected on an individual basis regarding the patient and their presenting history. In this instance, education should be provided regarding the screening for prostate cancer by providing the patient with the risks and benefits associated. The doctor should discuss everything with the patient and make an individual recommendation with the guidance of the patient’s wishes. The American Urological Association recommends that these individuals with a life expectancy of 10 to 15 years be informed of the benefits and harms associated with screening, and to engage in a shared decision on how to proceed (Grossman et al., 2018).           The third recommendation is regarding men that are equal to or over the age of 70. The recommendation is that these men should not be screened for prostate cancer (Grossman et al., 2018). This recommendation has a rating of D, which means that USPSTF recommends against testing in this group. Men over 70 have a much higher risk of over diagnosis as well as false positives for prostate cancer. Given that prostate cancer is slow growing, many of these individuals would have more detrimental effects from the treatment of prostate cancer than the actual cancer itself. The article discussed that men over 70 also have a high degree of competing mortality during prostate cancer treatment. How can you use the information from the guideline in your practice?             This study is very helpful in determining the benefit verses the risk of screening for prostate cancer for different groups of men. I feel that the article should be more wide spread to provide education on the current evidence regarding the potential harms of routinely obtaining PSA without discussing or knowing the risks involved. Men who are at the age for traditional prostate cancer screening should be provided with the information regarding the harms associated with the testing. The benefits should always outweigh the risks when performing tests or procedures. The evidence provided in this article sheds light upon the evidence that has been compiled regarding such a widespread practice. References Grossman, D. C., Curry, S. J., Owens, D. K., Domingo, K., Caughey, A. B., Davidson, K. W., … Tseng, C. (2018). Screening for Prostate Cancer. JAMA, 319(18), 1901-1913. http://dx.doi.org/10.1001/JAMA.2018.3710 Peer# 2 Identify the name of the clinical guideline and date developed The guideline that I chose to focus on this week is called “Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication”. It was published November 13, 2016. Identify the population This guideline included three sets of population, and with all the populations the USPSTF considered these persons to be candidates for primary prevention interventions (Statin Use for the Primary Prevention, 2016). The first population are adults 40-75 years of age with no history of CVD, one or more CVD risk factors, and a calculated 10- year CVD event risk of 10% or greater. The second population includes adults who were 40-75 years of age with no history of CVD events, one or more CVD risk factors, and a calculated 10- year CVD event risk of 7.5% to 10%. The third and final population are adults 76 years and older with no history of CVD. It should be noted that in this guideline a risk factor for these populations who have a risk factor of dyslipidemia, that this was defined by an LDL-C level greater than 130mg/dl or a HDL-C level less than 40mg/dL (Statin use for the Primary Prevention, 2016). Identify 3 recommendations found in the guideline The first recommendation found in this guideline pertained to the first population. The USPSTF recommends that in this population a low-to-moderate dose statin for prevention of CVD events and mortality when all three criteria are met. The criteria include: Age 40-75, have one or more CVD risk factors such as dyslipidemia, diabetes, hypertension, or smoking, and have a calculated 10- year risk of CVD events 10% or greater. The second recommendation is that for the population who has a 10-year CVD event risk of 7.5% to 10%. The recommendation is that the clinician chooses whether to offer a low-to-moderate dose statin. This is due to a lower probability of disease and uncertainty in individual risk prediction (Statin Use for the Primary Prevention, 2016). This should reflect and assessment of patients’ specific circumstances (Statin Use for the Primary Prevention, 2016). The third recommendation found in this guideline states that there is insufficient evidence to assess the balance of benefits and harms for starting statin use for the primary prevention of CVD events and mortality that do not have a history of heart attack or stroke (Statin Use for the Primary Prevention, 2016). Identify the grade or level of recommendation for the three recommendations identified and describe what the assigned grade or level means. Describing the strength of a recommendation is an important part of communicating its importance to clinicians and other users (Statin Use for the Primary Prevention, 2016). Each recommendation received a grade. The grade for the first recommendation is a B. This means that the USPSTF recommends this service, and there is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial (Statin Use for the Primary Prevention, 2016).The grade for the second recommendation was a C. This means that the USPSTF recommends offering or providing this service selectively and to individual patients based on professional judgment and patient preferences (Statin Use for the Primary Prevention, 2016). There is moderate certainty that the net benefit is small (Statin Use for the Primary Prevention, 2016). The grade for the final recommendation received an I. The grade means that the USPSTF concluded that the current evidence is insufficient to assess the balance of benefits and harms (Statin Use for the Primary Prevention, 2016). The evidence lacks quality and is conflicting. In this case the service is offered, the patient should understand the uncertainty about the balance between benefits and harms. How can you use the information from the guideline in your practice? In my practice many of our patients have risk factors for CVD, but with no history of events. The guideline sets recommendations of how to treat those patients. Patients must have their cholesterol screening including total cholesterol, LDL, and HDL to implement this guideline (Statin Use for the Primary Prevention, 2016). By using the parameters in this guideline, we can see by which population our patient falls into and what would be beneficial or possibly harmful to that individual patient. Periodical assessments and lipid screening are important to review possible risk factors for each patient.   References Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication (2016, November 13). Retrieved July 2, 2020 from https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/statin-use-in-adults-preventive-medication#fullrecommendationstart

Details: In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are required to submit this assignment to LopesWrite. NRS410V.R.CaseStudy2_Student_02-11-13.docx     Case Study 2 Case Study 2 Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him. Question Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following: · Describe your approach to care. · Recommend a treatment plan. · Describe a method for providing both the patient and family with education and explain your rationale. · Provide a teaching plan (avoid using terminology that the patient and family may not understand).

The following post is another student post to wish i have to react adding some extra information related to the student post.  APA STYLE AND LESS THAN 20 % SIMILARITY     a- I will leave earlier even if my planned new route was supposed to take me the same time, just because I am unfamiliar with it. I would be apprehensive about this change b- I will probably meet different people changing my route c- I will for sure see different sights d- No, the unknown route would add stress to my drive when my mind will be distracted by the upcoming final. e- Small changes can be unnerving or refreshing depending on the way they are taken. Still every change creates a level of unrest until adaptation to it happens. The easiness with which changes is accepted has much to do with leadership, and can be seen as improvement and opportunities to grow. (Weiss & Tappen, 2014) 2.  a- As I became a mother I had to quickly adapt to the requirements of my new role, and support my husband in assimilating the changes in his own role and our relationship b- Yes, even though we are told all the time that having a child will change your life, it is hard to understand how much of a change it will be. From the loss of sleep and the physical challenges, to the psychological changes, I think that we were ill equipped to deal with parenthood as it was. c- The birth of my child threw out of the window our comfort zone, completely unfreezing our situation, there was no more sleeping through the night, no more independence, no more going out without having to take into account the care of the new member of the family. Changes in routine, sleeping schedules, shopping habits and entertainment habits took place giving way to the discomfort zone. Adaptation eventually happened to the new normal, allowing refreezing to happen. Reference Weiss, S. A., & Tappen, R. M. (2014). Essentials of Nursing Leadership and Management. Philadelphia, PA: F.A. Davis Company.