Client Questions

Assignment: Analysis of a Pertinent Healthcare Issue The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time. In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. To Prepare: Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study. Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor. The Assignment (3-4 Pages): Analysis of a Pertinent Healthcare Issue Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following: Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.   Learning Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer. Chapter 2, “Understanding Contexts for Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 37–62) Chapter 3, “Current Challenges in Complex Health Care Organizations: The Triple Aim” (pp. 63–86) Read any TWO of the following (plus TWO additional readings on your selected issue): Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358–2360. doi:10.1056/NEJMp1801869 Note: You will access this article from the Walden Library databases. Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45. doi:10.1097/01.NAJ.0000530244.15217.aa Note: You will access this article from the Walden Library databases. Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231–245. doi:10.1097/NAQ.0000000000000303 Note: You will access this article from the Walden Library databases. Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256. doi:10.1370/afm.2230 Note: You will access this article from the Walden Library databases. Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400–404. doi:10.1016/j.profnurs.2016.11.005 Note: You will access this article from the Walden Library databases. Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604. doi:10.3122/jabfm.2018.04.170388 Note: You will access this article from the Walden Library databases. Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3   Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354–360. doi:10.1097/JXX.0000000000000040 Note: You will access this article from the Walden Library databases. Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874–1880. doi:10.1377/hlthaff.2013.0531 Note: You will access this article from the Walden Library databases.

Health Promotion in Minority Populations Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group. In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following: Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group? What are the health disparities that exist for this group? What are the nutritional challenges for this group? Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors. What health promotion activities are often practiced by this group?   Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why? Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content. Prepare this assignment according to the guidelines found in the APA Style Guide, abstract is not required.

Assignment 1: “Captain of the Ship” Project – Schizophrenia Spectrum and Other Psychotic Disorders In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” once again as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a schizophrenia spectrum/other psychotic disorder. To prepare for this Assignment: Select an adult or older adult client with a schizophrenia spectrum and other psychotic disorder you have seen in your practicum. In 3–4 pages, write a treatment plan for your client in which you do the following: Describe the HPI and clinical impression for the client. Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.) Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices. Identify medical management needs, including primary care needs, specific to this client. Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client. Recommend a plan for follow-up intensity and frequency and collaboration with other providers. LINK:  https://www.youtube.com/watch?v=LWYwckFrksg

Cost Comparison Analysis Economic issues are always to be considered during the process of program planning and evaluation. Economic evaluations are analyses that center on the cost of a program and the relationship of the cost to the outcome or impact of the program. A cost comparison analysis compares the costs of at least two programs. CEA, CBA, and CUA are examples of cost comparison analyses. Use the South University Online Library or the Internet to research on cost comparison analysis. Create a report in a 4- to 5-page Microsoft Word document that includes the following: An analysis and explanation of the pros and cons of a CEA. Describe how health program planners would use a CEA to assist them in making decisions about their programs. An analysis and explanation of the pros and cons of a CBA. Describe how health program planners would use a CBA to assist them in making decisions about their programs. An analysis and explanation of the pros and cons of a CUA. Describe how health program planners would use a CUA to assist them in making decisions about their programs. Select two public health programs that you would like to compare by means of an economic evaluation. Analyze, identify, and describe the type of economic analysis that you would use in the evaluation.        Use the  Respond link to post responses and materials that pertain to this assignment. Use the  Respond link beneath any existing postings to

Explain the value that professional nursing organizations have in networking and in the legislative process. Provide a rationale for your response.

Title of Assignment:  Module 5: Disorders of the genitourinary system Purpose of Assignment:  Health care providers must be aware of the issues related to sexually transmitted infections. This recent news release from the Centers for Disease Control and Prevention (CDC): Retrieved from: https://www.cdc.gov/nchhstp/newsroom/2018/press-release-2018-std-prevention-conference.html Course Competency(s): Determine pathophysiologic alterations that affect the reproductive and endocrine systems. Content: Review information in your assigned readings to work on the assignment. The website below also has a variety of information to support your readings for the week.  Instructions: Select a sexually transmitted infection (STI) and do research on it. Write a 3-5 page paper about the condition/issue. In the paper discuss the concepts below: What is the pathophysiology of one STI What is the etiology of the selected STI What are the clinical manifestations of the selected STI What is the treatment for the selected STI Use 2-3 evidence-based articles from peer-reviewed journals or scholarly sources to support your findings. Be sure to cite your sources in-text and on a References page using APA format. Need help finding evidence-based articles? Use this link: http://rasmussen.libanswers.com/faq/208365 Visit this link for an example of how to cite a video: https://guides.rasmussen.edu/apa/av#s-lib-ctab-4539348-3  Have questions about APA formatting? Visit the online APA guide: https://guides.rasmussen.edu/apa

InfoTech in a Global Economy 1. What are the two most important competencies needed by public managers to interface with policy informatics project?  2.What are the two most important competencies required by policy informatics analyst?

Collapse           Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality.  Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues.

In preparation for the capstone change project proposal, compile a list of three to five possible topics for your project and submit to the assignment instructor. Using PICOT formulate five original project topic from the following; 1. Bipolar 2. Metabolism syndrome 3.  Depression 4. Hypothyroidism 5. Hyperthyroidism Sample of PICOT questions:  In adult cardiac surgery patient  experiencing post-operative pain (P) immediately following surgery (P), is morphine (I) or fentanyl (C), administered intravenously, more effective in reducing postoperative(T) pain (O)? For immune-compromised patients, 50 years and older (P), does the use of pneumonia vaccine (I) reduce the future risk (T) of pneumonia (O) compared with patients who have not received the vaccine (C)?

Ok so I developed a change project for my unit at ICU for CVC’s lines care with HCG bath and early line removal to prevent infection. This project will be implemented in the next couple of months. There will be a checklist at the bedside for the nursing staff to monitor skills and interventions to be done per shift, including HCG bath every shift and dressing change every 7 days and as needed. So this papaer I need you to do is based on this. If you need more information, ask me. Follow the instructions below. Refer in the paper on 1st person, using “Me, I, ect..” My goals are to impact the facility to reduce the number of CVC’s line infections and create awareness among the nursing staff Develop your project aims, values, and desired outcomes portion of your paper using a clinical microsystem approach. Describe the project aim: The project aim should include examples of features and functions that will occur as a result of implementing your change project. Describe the project value: The value should describe the benefits of the change project implementation to the stakeholders, the organization, and the nursing profession. Describe the desired outcomes: Specifically, state the purpose, quality focus, and viewpoint of the project as well as its expected accomplishments. A project goal should reference the project’s business benefits in terms of cost, time, and/or quality that address individual and family healthcare needs or changes, results, impacts, or consequences that the project has on people, programs, or institutions. Goals and objectives should be measurable, shared, and agreed on by all key stakeholders. They are directly linked to the concept of project success factors.