Consider how the structure and organization of the U.S. health care system affects delivery of services.

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CONSIDER HOW THE STRUCTURE AND ORGANIZATION OF THE U.S. HEALTH CARE SYSTEM AFFECTS DELIVERY OF SERVICES.

The U.S. health care delivery system is often described as a kaleidoscope, puzzle, or patchwork quilt—descriptions that emphasize the fact that health care delivery in this country involves multiple, loosely coordinated components, and does not function through one integrated system. The organization and structure of this “system” have a tremendous impact on the delivery of services. As such, health care professionals, consumers, advocates, and policy makers face tough choices with regard to health care costs, quality, and access.

To prepare for this Application Assignment:

  • Consider how the structure and organization of the U.S. health care system affects delivery of services.
  • Reflect on the interrelationships between and among health care costs, quality, and access in this country.
  • Bring to mind a specific example that illustrates potential trade-offs.

To complete this Application Assignment, write a 1- to 2-page paper that addresses a specific situation or issue that illustrates the trade-offs involved in decisions related to cost, quality, and access. Be sure that your paper includes answers to the following questions:

  • How could current and future efforts to contain costs affect quality and access?
  • How might measures to ensure the provision of high-quality care influence costs and accessibility?
  • How could efforts to promote universal access to care impact cost and quality?
  • How can the structure and organization of the U.S. health care delivery system bring about or impact cost, quality, and access to health care.

Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct.

 
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Describe the difference between an      antiseptic and a disinfectant.

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Bacteriology Lab

  1. Describe the difference between an      antiseptic and a disinfectant.
  2. What is the difference between a      bacteriostatic and bacteriocidal agent?

What conclusions can you draw about antiseptics tested?

  1. Which ones worked best?
  2. Which ones were not successful at      inhibiting the growth of bacteria?

What conclusions can you draw about disinfectants tested?

  1. Which ones worked best?
  2. Which ones were not successful at      inhibiting the growth of bacteria?
  3. Why might some antiseptics/disinfectants      work better on one group rather than the other?
  4. How do the antiseptics compare to      disinfectants? Explain.
  5. Based on what you know about chemicals      found in these antiseptics and disinfectants & the information you      learned in lecture, are you surprised at their ability to stop microbial      growth or lack thereof? Elaborate.

10. How does your group’s data compare to the course averages? Why is it important to use the course averages instead of just your groups when analyzing the data?

11. Are there any limitations/factors that can affect the accuracy of the disc diffusion method? [Hint: see background information]

12. What kind of experimental errors could have affected the results?

_____________

 

Throat Culture 

  1. Is there just 1 type of bacteria growing?
  2. Is there just 1 type of hemolysis?
  3. Which kinds did you see? Be sure to describe them.
  4. Describe the normal flora of the pharynx.      (You can consult your Textbook Ch.13 & 21 for more info)
  5. What type of media did we use?
  6. What conditions do we normally incubate      the media in?

Dental Caries Susceptibility 

  1. What type of media is used for the Dental      Caries test?
  2. What physical state was the media in when      you inoculated it? What state was the media when we put the tubes in the      incubator?
  3. Does the Dental Caries test, indicate a      person has cavities?
  4. A positive result shows as a color      change. What color was it & what color does it change? Why?
  5. If the result is positive, what metabolic      process is happening?
  6. Describe the normal flora of the oral      cavity. (You can consult your Textbook Ch.13 & 22 for more info)

Gram Stain of the Gum Line

  1. What did you find when you Gram stained      your gum line?
  2. What are you supposed to find (what types      of cells & what colors)?
  3. Describe the steps of the Gram stain.
  4. Describe the results of a Gram stain      & what it indicates.
 
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Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice.

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Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice.

The purpose of this assignment is to a) identify a nursing theory, b) analyze the importance of the selected theory to the nursing profession, c) summarize key concepts and relationships among the concepts of the selected nursing theory, d) present views of the selected theory on areas of specialization, and e) communicate ideas in a clear, succinct and scholarly manner. Course Outcomes Through this assignment, the student will demonstrate the ability to: ¢ (CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1) ¢ (CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7,10) ¢ (CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4, 7) REQUIREMENTS: Description of the Assignment In this 5 page paper (not including the title or reference pages in the page count), the introduction contains a few statements about nursing theory in general, identification of one nursing theory to be used in this paper, and the sections of the paper. The selected nursing theory can be from any of the three types of theories: ¢ grand theory (e.g., Roy adaptation model), ¢ middle-range theory (e.g., Benner’s model of skill acquisition),or ¢ practice theory (e.g., Im’s theory on the pain experience of cancer patients). Note: the theories named here are examples only; students may choose any nursing theory. 1. The first section of the paper is a description of the importance of nursing theory, in general. 2. Key points and inter-relationships of those points of the selected theory are summarized. Biographical or historical information about the selected nursing theory or the nurse theorist is not included. 3. The selected nursing theory’s views or ideas about nursing leadership, nursing education, health policy, or nursing informatics (only one of these specializations) are discussed briefly, using two examples from real life to illustrate the views. Real-life examples come from a student’s own practice or from the scholarly literature. 4. The paper is concluded by presentation of insights gained (what was learned) about nursing theory through writing the paper. Criteria for Content ¢ Introduction includes general comments on nursing theory (such as a definition of nursing theory and past exposure or experience with nursing theory), the name of the selected nursing theory, and the sections of the paper. A heading is not used. ¢ Section one contains an analysis of the importance of nursing theory, in general, to the nursing profession. For example, one might address why nursing theory is studied and how nursing theory impacts the profession and patient care. ¢ Section two is a summary of key concepts and relationships among the concepts of the selected nursing theory. Remember to state the name of the theory again. Avoid biographical and historical information about the theory or theorist. At a minimum, include reasons for selecting this theory, the purpose(s) of the theory, key concepts, relationships among key concepts, and how this theory addresses nursing’s metaparadigm. Students are not limited to these areas. ¢ Section three presents a discussion of how the selected nursing theory views nursing leadership, nursing education, nursing informatics, or health policy, along with 2 real-life examples illustrating the views. If the selected theory does not explicitly discuss the chosen specialization, a possible view of the specialization can be proposed. Remember that real-life examples come from a student’s own practice experiences or from the scholarly literature. Keep each example succinct (about 1 “ 3 paragraphs).

 

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With the focus on medical interventions, laboratory values, and nursing diagnoses, theory is often under-represented.

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Nursing researchers have argued that nurses are taught to value clinical skills over theoretical knowledge. With the focus on medical interventions, laboratory values, and nursing diagnoses, theory is often under-represented. This can cause nurses to react to nursing theory as having little or nothing to do with the profession of nursing.
As you begin your graduate level nursing career, consider the following:

  • Do you agree with this assessment?
  • Based on your prior experiences, how much has theory been integrated into your nursing education?
  • In your opinion, how might a greater theoretical awareness benefit your education at the graduate level?
  • Be sure to supplement your discussion with your personal and professional experiences.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format. 

 
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. Discuss at least three ways that you can use your new understanding of psychology in your everyday personal and/or professional life

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Writing Assignment: Psychology at Work
Due in Week 7: 220 points
Choose one (1) psychological concept from the list provided below or another concept from
your webtext. Then, search online for an article that discusses how the concept you chose is
relevant to your major or career field. For example, type into google or the search engine of your
choice, “Management and operant conditioning” or “Finance and the intuitive heuristic.” The
article you choose should be from a reputable news or information source (not a blog, wiki,
Q&A site, or editable content site).
Write a 3-4-page paper in which you address all of the following:
1. Give the complete reference for the article and provide the link to the article. (5%)
2. Summarize the ways the article discusses that psychology is related to your career field.
(25%)
3. Discuss at least three ways that you can use your new understanding of psychology in
your everyday personal and/or professional life. (35%)
4. Does the information presented in the article you chose represent the author’s opinion or
verified research? Is the information credible? How do you know? (25%)
Your assignment must follow these formatting requirements: (10%)
• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins
on all sides; references must follow APA format.
• Use proper spelling, grammar, sentence structure, and support for your ideas.
• Include a cover page containing the title of the assignment, the student’s name, the
professor’s name, the course title, and the date. The cover page and the reference page
are not included in the required page length.
• Include a reference page (in APA format) listing all sources used in this writing
assignment.
The specific course learning outcomes associated with this assignment are:
• Identify ways that psychology is related to student’s career field.
• Relate specific psychological concepts (e.g., research methods, brain-based behavior,
nature-nurture, lifespan development, learning theories, psychological disorders, and
memory and cognition) to career field.
• Relate psychological concepts to real-word personal and professional situations.
• Understand how to evaluate the credibility of sources of information.
• Use technology and information resources to understand the relevance of psychological
concepts.
• Write clearly and concisely about psychology using proper writing mechanics.
Examples of Psychological Concepts
• Hindsight bias
• Relearning
• Serial position effect
• Overconfidence
• Intuitive heuristic
• Operant conditioning
• Social Learning Theory
• Mental illnesses
• Labeling people with disorders
• Development across the lifespan
• The scientific method
• Correlations
• Eyewitness testimony
• Mnemonics
• Prejudice and stereotypes
• Foot-in-the-door strategy
• Door-in-the-face strategy
• Achievement motivation
• The anchoring effects
• Group think
• Any other psychological concept that is discussed in your webtext!
Click here to view the rubric for this assignment.

https://blackboard.strayer.edu/bbcswebdav/institution/PSY/105/1184_Honors/Week%207/Assignment%201%20Rubric.html
Points: 220 Assignment 1 – Psychology at Work (Writing Assignment)
Criteria Unacceptable
Below 60% F
Meets Minimum Expectations
60-69% D
Fair
70-79% C
Proficient
80-89% B
Exemplary
90-100% A
1. Give the complete reference for the article and provide the link to the article.
Weight: 5%
Did not provide or incompletely provided the reference for and link to chosen article.
Insufficiently provided the reference for and link to chosen article.
Partially provided the reference for and link to chosen article.
Satisfactorily provided the reference for and link to chosen article.
Thoroughly provided the reference for and link to chosen article.
2. Summarize the ways the article discusses that psychology is related to your career field.
Weight: 25%
Did not summarize or incompletely summarized the ways the article discusses that psychology is related to your career field.
Insufficiently summarized the ways the article discusses that psychology is related to your career field.
Partially summarized the ways the article discusses that psychology is related to your career field.
Satisfactorily summarized the ways the article discusses that psychology is related to your career field.
Thoroughly summarized the ways the article discusses that psychology is related to your career field.
3. Discuss at least three ways that you can use your new understanding of psychology in your everyday personal and/or professional life.
Weight: 35%
Did not discuss or incompletely discussed at least three ways that you can use your new understanding of psychology in your everyday personal and/or professional life.
Insufficiently discussed at least three ways that you can use your new understanding of psychology in your everyday personal and/or professional life.
Partially discussed at least three ways that you can use your new understanding of psychology in your everyday personal and/or professional life.
Satisfactorily discussed at least three ways that you can use your new understanding of psychology in your everyday personal and/or professional life.
Thoroughly discussed at least three ways that you can use your new understanding of psychology in your everyday personal and/or professional life.
4. Does the information presented in the article you chose represent the author’s opinion or verified research? Is the information credible? How do you know?
Weight: 25%
Did not discuss or incompletely discussed how information presented in the article you chose represents the author’s opinion or verified research? Did not discuss or incompletely discussed whether or not the information is credible and how you know?
Insufficiently discussed how information presented in the article you chose represents the author’s opinion or verified research? Insufficiently discussed whether or not the information is credible and how you know?
Partially discussed how information presented in the article you chose represents the author’s opinion or verified research? Partially discussed whether or not the information is credible and how you know?
Satisfactorily discussed how information presented in the article you chose represents the author’s opinion or verified research? Satisfactorily discussed whether or not the information is credible and how you know?
Thoroughly discussed how information presented in the article you chose represents the author’s opinion or verified research? Thoroughly discussed whether or not the information is credible and how you know?
5. Writing: Support for ideas / Grammar and mechanics / APA formatting
Weight: 10%
Never uses explanations, examples, and evidence that logically support ideas. Serious and persistent errors in grammar, spelling, and punctuation. Lack of references and in-text citations.
Rarely uses explanations, examples, and evidence that logically support ideas. Numerous errors in grammar, spelling, and punctuation. Significant problems with APA formatting.
Partially uses explanations, examples, and evidence that logically support ideas. Partially free of errors in grammar, spelling, and punctuation. Some errors in APA formatting.
Mostly uses explanations, examples, and evidence that logically support ideas. Mostly free of errors in grammar, spelling, and punctuation. Mostly correct use of APA formatting.
Consistently uses explanations, examples, and evidence that logically support ideas. Free of errors in grammar, spelling, and punctuation. Correct use of APA formatting.
 
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Chronic Illness

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Chronic Illness

Question descriptionIntroduction

While treating the chronically ill, a major challenge is developing a plan of care that addresses the specific needs of a patient and a caregiver. You need to be in close touch with patients and their support group, family and peers, to come up with an ideal plan.

In this course project, you are going to develop a plan of care for a chronic illness group of your choice using the Healthy People 2020 Topics. While executing the tasks of this project, remember that while you need to give a general overview of the biomedical considerations of the case, the focus should always be on the psychosocial elements. Your perspective in this care plan should be the patient’s goals rather than those of the medical team.

Each week, you will complete a part of this project. You will submit a final completed project in Week 5. Be sure to take the time to carefully complete each of the weekly assignments and then put it all together in Week 5.

Ensure that you save a copy of this course project after you have submitted it at the end of this course. You are expected to resubmit this project along with the other course projects at the end of the Registered Nurse (RN) to Bachelor of Science in Nursing (BSN) program. File Transfer Protocol (FTP) details will be provided in the Capstone course.

IDENTIFYING A GROUP

Identify an area of chronic illness of specific interest to you and that is represented as a Healthy People 2020 topic (healthypeople.gov). Explain your choice and your interest in it. Prepare a questionnaire utilizing your knowledge of health and illness, with the aim of acquiring all information you need from patients to prepare a plan of care for the specific illness group. Submit your information in a 4- to 5-page Microsoft Word document. In addition to your questionnaire, be sure to include the following details in your paper.

  • Chronic Illness of interest
  • Morbidity and comorbidity of the disease
  • Impact of the chronic illness and patient morbidity and the affect to overall health of nation
  • Healthy People 2020 goals and objectives for specific illness group

Support your responses with examples.

On a separate references page, cite all sources using APA format.

Use this APA Citation Helper as a convenient reference for properly citing resources.

This handout will provide you the details of formatting your essay using APA style.

You may create your essay in this APA-formatted template.

SUBMISSION DETAILS

  • Name your document SU_NSG4055_W1_A3_LastName_FirstInitial.doc.
  • Submit your document to the Submissions Area by the due date assigned.
 
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CALCULATE THE TOTAL GAH GAIN OR LOSS BY D-(D*E) IN COLUMN F. ASSUME A $250,000 ANNUAL MISCELLANEOUS EXPENSE. PREPARE (BASED ON THE TABLE), A FORECAST OF PROFIT OR LOSS FOR GAH FOR THE FIRST YEAR OF OPERATION.

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CALCULATE THE TOTAL GAH GAIN OR LOSS BY D-(D*E) IN COLUMN F. ASSUME A $250,000 ANNUAL MISCELLANEOUS EXPENSE. PREPARE (BASED ON THE TABLE), A FORECAST OF PROFIT OR LOSS FOR GAH FOR THE FIRST YEAR OF OPERATION.

The Mission Viejo Medical Center (in the city of Mission Viejo, California) comprises two geographically adjacent institutions: Mission Hospital Regional Medical Center: Mission Hospital Regional Medical Center, and Children’s Hospital at Mission (CHM): Children’s Hospital at Mission (CHM) http://www.mission4health.com/affiliations/choc-childrens-at-mission.html The two hospitals serve — within less than a 10-mile radius — the populations of the following nine municipalities: Aliso Viejo, Ladera Ranch, Laguna Hills, Laguna Niguel, Laguna Woods, Lake Forest, Mission Viejo, Rancho Santa Margarita, and San Juan Capistrano. Retirement Communities: The city of Laguna Woods ( http://www.lagunawoodscity.org/), is home to “Leisure World” ( http://www.lagunawoodsvillage.com/), a retirement community of over 23,000 senior (55 years and above) residents. The city of Mission Viejo is home to “Casta Del Sol,” a retirement community of more than 3,000 senior (55 years and above) residents. Following the example and success of integrating a special CHOC – children’s hospital within the Mission Viejo Hospital, it is suggested for the purpose of MHA599 only, that an additional new hospital wing be built, catering to the special needs of the senior population, to be named: “Golden Age Hospital (GAH)”. The “MHA599 Consulting Team (MHA599CT)” has been tasked to research and develop a project feasibility plan for the future GAH. Module 3 – Assignment – Finance and Budgeting Based on your proposed organization and structure for the GAH and the Community Clinic, we will now focus on financing and budgeting issues. In order to do so, we will need to define the following requirements and assumptions: Cost of facility construction, initial medical equipment, and instrumentation, will not be calculated – as they will be fully paid by the state as a grant. All senior patients will be above the age of 65, and will have only the Federal Medicare health insurance. Research the major constructs of Medicare health coverage as defined by the “Medicare Prospective Payment System.” The hospital and clinic will be financially balanced, that is, income from Medicare payments will cover in full all operating costs. “Medicare Prospective Payment System” The hospital is reimbursed by the government per procedure and/or treatment by a predefined sum and not by the actual expenses performed for and on a particular patient. For example – a patient requiring open heart surgery will utilize the services of physicians, nurses, OR, laboratory, pharmacy, and occupies a hospital bed on average for six days. If a certain patient is discharged after four days, the hospital will still be paid the six-day amount. Hence, the incentive to operate efficiently and effectively, enabling the hospital to “save money.” Based on the services you have decided to provide – at least six, complete the table ( GAH Project ): Input services/treatments in column A. Input estimated and rounded Medicare reimbursement to GAH (in thousands of dollars) for each treatment in column B (assign for each a figure between $10,000 to $60,000). Your instructor has inputted the projected number of procedures/treatments performed annually at GAH in column C. Calculate the total income for GAH by multiplying columns B*C in column D. Your instructor has inputted the GAH Projected Performance percentage, relative to the Federal standard (100%) in column E. Calculate the total GAH gain or loss by D-(D*E) in column F. Assume a $250,000 annual miscellaneous expense. Prepare (based on the table), a forecast of profit or loss for GAH for the first year of operation. Conclusions and Recommendations. Your instructor will comment on your table in his feedback to you, on the basis of which you will be able to further develop your project plan.

 

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Describe how a researcher would ensure that this principle would be protected for participants of a research study.

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Describe how a researcher would ensure that this principle would be protected for participants of a research study.

Protection of human subject participants in nursing research – In Melnyk & Fineout-Overholt (2015) textbook Box 22.1 on page 516, select one (1) of the Fifteen Ethical Principles of the Universal Declaration on Bioethics and Human Rights. Describe the importance of the selected principle to ethical research. In addition, describe how a researcher would ensure that this principle would be protected for participants of a research study.

Directions:

Provide at least one (1) external source or evidence to support your position.

 

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What ethical issues do you think were highlighted by this article and connect and discuss how to improve the quality of this to direct nursing care

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What ethical issues do you think were highlighted by this article and connect and discuss how to improve the quality of this to direct nursing care

What ethical issues do you think were highlighted by this article and connect and discuss how to improve the quality of this to direct nursing care and in leadership roles at both local and national levels Research Paper
Week 3 Article Critique Elements APA formatting 6th edition. 3-5 pages, title page, running head and page numbers. 1. Introduction 2. Discuss the authors’ aim, purpose 3. Methodology and Design 4. Findings 5. What ethical issues do you think were highlighted by this article and connect and discuss how to improve the quality of this to direct nursing care and in leadership roles at both local and national levels 6.

 

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What nursing interventions will you include in the plan of care to address these concerns?

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What nursing interventions will you include in the plan of care to address these concerns?

General Survey/Skin/Nutrition

108 108 unread replies. 152 152 replies. Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit. Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs). Medications: Lopressor Lisinopril Plavix Metformin Novolin R per sliding scale *NEW* Multivitamin Colace Zithromax *NEW* Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch. Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home. What, if any, concerns related to Millie’s skin and nutritional status do you have? What nursing interventions will you include in the plan of care to address these concerns? What teaching strategies will you use to educate Millie and Fred on the new medications? Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.

 

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