Describe the difference in lesion characteristics between benign and malignant lesions.What is the significance of the PSA testing in these patients? How would you differentiate between BPH and prostate cancer? What would your treatment plan be for each?

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Describe the difference in lesion characteristics between benign and malignant lesions.What is the significance of the PSA testing in these patients? How would you differentiate between BPH and prostate cancer? What would your treatment plan be for each?

Describe the difference in lesion characteristics between benign and malignant lesions. Discuss three common benign lesions and three precancerous or cancerous lesions.

Discuss the findings of BPH and prostate cancer. How would the presentation differ? What is the significance of the PSA testing in these patients? How would you differentiate between BPH and prostate cancer? What would your treatment plan be for each?

 

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Develop an action plan to share with the hospital staff and CDC local office to address and contain the outbreak in an effective and efficient manner at the hospital.

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Develop an action plan to share with the hospital staff and CDC local office to address and contain the outbreak in an effective and efficient manner at the hospital.

Apply major organizational perspectives and theories to real problems facing health services organizations.
Identify concepts in organizational decisions, strategic alliances, and managing efficiency and effectiveness.
Analyze decisions that impact the healthcare delivery system.
Analyze leadership challenges in healthcare.
Analyze operational decisions of healthcare organizations and the impact on business performance outcomes.
Apply principles of organizational learning, innovation, and change in healthcare organizations.
Introduction

Public health problems are diverse and can include infectious diseases, chronic diseases, emergencies, injuries, environmental health problems, as well as other health threats. The following project will allow you to demonstrate your ability and skill in applying major organizational healthcare theories, innovation, and change concepts that impact leaders and the decisions they make when facing operational challenges in the healthcare industry.

Scenario

Acting as the president of a local hospital in an economical and socially deprived county in the US, you have just received a phone call from the state’s CDC office advising the hospital of an outbreak of Whooping Cough. As of now, a majority of the state is being affected by the outbreak and resources are becoming scarce. Your hospital is the only medical center that serves the county. Based on trends and tracking, the CDC believes that your county in which can expect a major increase in patients in the next 48-72 hours with the disease. As the president of the 300-bed hospital which serves a diverse population of 50,000 citizens, it is the president’s responsibility to create a plan of action to help address and treat patients of the county who might become ill in the next 48-72 hours.

The first task you will undertake is to research the disease, its course of treatments, and cures to help effectively treat the potential outbreak. Once you have done so, you will create a presentation that you can give to the county board and CDC showing how your hospital will combat the disease, treat patients, and develop strategies to prevent the spread of the outbreak.

As the president, you will need to work with internal and external vendors on ensuring that the hospital has enough resources and that more resources can be ordered and delivered as quickly as possible. You will need to reach out to and gain assistance from other healthcare organizations in the area to help you track, treat, and control the spread of the disease. As the leader of the hospital, you will have to make decisions on how to properly manage the shortage of beds, doctors and nurses, and resources that may occur due to the outbreak.

Instructions

Create an executive summary addressing how best to successfully manage the problem outlined in the scenario. This plan has two parts. First is the executive summary followed by a PowerPoint presentation with audio.

Step 1 – Write an Executive Summary covering the following:

Develop an action plan to share with the hospital staff and CDC local office to address and contain the outbreak in an effective and efficient manner at the hospital.
Outline the process of developing alliances and partnerships to help treat and contain the outbreak through the use of efficient and effective approaches to the healthcare delivery systems.
Analyze the organizational decisions needed to be undertaken as a leader; that would play a part in addressing and containing the outbreak along with the use of limited resources.
Determine the best leadership style to use to effectively bring together multiple departments and agencies to work together as one team in containing and treating the outbreak.
Summarize innovative processes needed to address the outbreak given the shortage of resources and time to implement a strategy.
Outline any ethical considerations that should be addressed as part of the strategy in treating and containing the outbreak due to the shortage of resources such as money, manpower, and medicine.
Write a conclusion on the process changes needed to help improve reaction time and containment from the standpoint of the hospital.
Step 2 – Create a PowerPoint presentation with audio

As president of the hospital, you will need to create and record a 5-minute presentation using PowerPoint made up of at least 12 slides covering your findings and suggestions in dealing with the outbreak and containment of the disease. The presentation will be presented to local health officials including the officials from the counties identified by the CDC. Therefore the style of the presentation needs to be formal. You may use applications such as Screencast-O-Matic (research for tutorial videos if needed) to record your

 

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Compare and contrast research and evidence-based practice

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Question description
Overview
For this discussion, you will be defining research in nursing and evidence-based practice in nursing. Along with your definitions, provide one example of each. Provide a sample research question and a sample clinical question. You may use questions you found in reviewing the literature as a guide, but may not use them as your own example. You must provide an original example of a research question and clinical question. Examples from the readings cannot be used as the example for clinical/research questions.
Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.
Objectives

  • Compare and contrast research and evidence-based practice

References:

  • Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.

Words Limits

  • Initial Post: Minimum 200 words excluding references (approximately one (1) page)
 
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Describe at least two repercussions of unethical research.

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uestion description
After reading The Truth About Chicago’s Crime Rates and viewing Law Schools Still ‘Inaccurate’ on Employment Numbers, Says Law Prof (9:30), discuss the following in your initial post:

  • Describe at least two repercussions of unethical research.
  • Explain the impact that unethical research has on the results of that research. Provide an example.

In your responses to at least two of your peers, comment on the example provided. Offer possible alternatives to the data collection used that would ensure the unbiased collection of data for valid research findings.
Refer to the Discussion Rubric
Answer all of these question in detail using the attached PDF
Discuss the following with your classmates:
•What is the ethical issue involved?
•Which ethical principle is of concern?
•How does this ethical issue impact nursing and health care?
•What is the relevance of this ethical issue?
•Why you think this ethical issue is important to resolve?
300 plus words required, APA reference using the PDF and only the PDF
for directions on completing this discussion.

 
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Electronic Medical Records

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Electronic Medical Records

HAVE A INTRODUCTION AND CONCLUSION IN ESSAY FORM SEE ATTACHMENT FOR APA EXAMPLE TO FORMAT
Answer all of the following questions using headers to separate topics.

  1. Attack or defend the following statement and then explain what you would do, in concrete terms, to improve things in your involvement or what you have observed. “It seems that the people behind the new computerized systems perceive that the people who work here and the roles they play are to make the computer’s job easier as opposed to the systems being here to help transform average healthcare workers into super workers.”
  2. It has been argued that getting nursing involved in the implementation of all of the computer systems in healthcare is a good thing, but doing that is in conflict with current patient care and the reality that many nurses are uncomfortable with some of the changes they see and would rather not be involved. To what extend does this resonate with your personal experience? What do you believe are the key prerequisites that must be addressed before enough of the right nurses and other key role players in the healthcare process and what concrete steps would you recommend to address these and why?
  3. Chapter 5 in the text provides a perspective for implementing Clinical Information Systems. From your experience, what are the more critical issues or concerns you have with the material presented in this chapter and what would you advocate should be done to improve the likelihood that such projects would be successful. (You can address technical issues, skill issues, change and fear issues, as well as business and/or leadership issues.)
  4. Chapter 6 focuses on the Electronic Medical Records and physician adoption and utilization. Reflect on your experiences with physicians and other key, scarce, and therefore costly healthcare professionals. How well do you believe these professionals would react to the kinds of changes and approaches covered in the chapter. Have the authors done a good job addressing the really key issues and concerns? If not what did they miss? To what extend do you believe what is advocated would work in your environment or healthcare facilities with which you are familiar? Sketch what you might propose be done differently, if anything.
 
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Proposed health care reform and legislation

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Future Direction of Health Care
In a three- to five-page paper:

  • Describe a minimum of five challenges from the list below that are defining the future strategic direction of health care.
    • Proposed health care reform and legislation
    • Information technology advancements such as the electronic medical record (EMR)/ electronic health record (EHR)
    • Accreditation, quality of healthcare, and organizational compliance
    • Economics, including third party payers, future funding, rising costs, the Medicare and Medicaid programs
    • Access to health care including the uninsured and those in the poverty levels
    • Public entities in controlling the demand aspects of health service
    • Market shares and advancing age of population
    • Maintaining a skilled workforce
    • Pay for performance
  • Describe how an organization can adapt its direction and strategies to effectively address these challenges.

Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Utilize a minimum of two scholarly sources that were published within the last five years. One source must be obtained from the Ashford University Library. All sources must be documented in APA style as outlined in the Ashford Writing Center.

 
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Demonstrate an ability to reflect on interpersonal and interactional processes with individuals, families, and groups and critically analyze own role in relation to them.

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Demonstrate an ability to reflect on interpersonal and interactional processes with individuals, families, and groups and critically analyze own role in relation to them.

#8 Evaluate the outcomes of therapeutic nursing interventions and plan further interventions accordingly.

JOURNAL 5

TOPIC Clinical expertise, patient values, optimum safe care

DIRECTIONS Complex and even “simple” nursing interventions may consist of several steps or components and may require various resources (additional personnel or equipment) to safely implement depending on individual patient characteristics. For example, bathing a patient who is morbidly obese with chest tubes, central lines, and is unconscious and intubated can make this seemingly simple task a multi-person undertaking to insure patient safety and wellbeing.

“Factors such as the strength . . . of an intervention and the resources required for delivering it (e.g., personnel, setting and equipment) are rarely described, nor are extraneous variables such as contextual or environmental features and patient characteristics, which can significantly influence the intervention process . . . (Sidani & Braden, 1998)” (Thompson and Clark, 2012, p. 277).

Think of a nursing intervention that you have performed on a specific (complex) patient. Consider these “factors” and carefully outline each step to illustrate the actual detail of this intervention, noting the influence of extraneous variables and clinical expertise. Note a “take away” from this eye opening exercise. This may be in an essay format or as a concept map to illustrate the intervention and intertwining elements.

 

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1-2 page APA format on safety restraints

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1-2 page APA format on safety restraints

Question descriptionAfter you find a scholarly nursing journal article using the Chamberlain library resources, you will complete a one-two page summary and reflection on the article. The paper should be completed in APA format and include the following.  A cover page (not included in the page number requirement)  A reference page (not included in the page number requirement)  One direct quote from one of your references, appropriately cited in the body of your paper  One indirect quote (or paraphrased reference) appropriately cited in the body of your paper  Citations and references in APA format

Improper use of restraints leads to patient
safety concerns
Experts call for alternatives to physical restraints, particularly when managing ICU
patients and older adults with delirium
In a 2014 article published in The Atlantic, Ravi
Parikh, a resident in internal medicine and primary care
at Brigham and Women’s Hospital in Boston, describes
his time as a medical student at a different hospital,
where physical restraints were routinely used for elderly
patients in the ICU that were delirious.
In the article, Parikh admits that many of the patients
he cared for in the ICU did not need restraints. However,
physicians often fell back on the use of physical
restraints to devote necessary time to other high priority
patients in unit.
“As one of my senior residents confided in me, when
caring for the sickest patients in the hospital, restraining
a delirious patient might be the only way to devote time
to other seriously ill patients,” he wrote.
Still, Parikh said witnessing delirious adults straining
against their physical restraints “was one of the most
troubling things I witnessed as a medical student.”
The article brings to light some of the controver

 
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Determine, within the health care setting, the main features, capabilities, and operational benefits to a health care organization

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DETERMINE, WITHIN THE HEALTH CARE SETTING, THE MAIN FEATURES, CAPABILITIES, AND OPERATIONAL BENEFITS TO A HEALTH CARE ORGANIZATION

Write a five to six (5-6) page paper in which you: Determine, within the health care setting, the main features, capabilities, and operational benefits to a health care organization using the following: patient care applications management and enterprise systems e-Health applications strategic decision-support applications Provide specific examples of each. Assume that you are a senior health service administrator responsible for the health information systems within your organization, and create an argument to be presented to the leaders with the organization that a strategic plan is essential for the IM / IT. Indicate the most significant elements that the administrator should address in the plan. Provide support for the rationale. Assess the importance of a systems development life cycle as it pertains to both the development of a custom application, coupled with the selection of proprietary systems. Provide an example to support the response. Recommend the key element necessary to ensure secure access to health care and patient information within a health care management electronic system. Provide support for the recommendation. Make at least two (2) recommendations for improving the application of systems theory to health care IM / IT governance and planning. Provide specific examples to support the response. Use at least four (4) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.

Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. 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 assignment page length.

 
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Diabetes and Drug Treatments

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Assignment:
Diabetes and Drug Treatments

Need a least 2 and half  pages, APA style 3 credible sources above 2013.

Diabetes is an endocrine system disorder that affects millions of children and adults (ADA, 2011). If left untreated, diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations. In this Assignment, you compare types of diabetes including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

To prepare:
  • Review this week’s media presentation on the endocrine system and diabetes, as well as Chapter 46 of the Arcangelo and Peterson text and the Peterson et al. article in the Learning Resources.
  • Reflect on differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes.
  • Consider one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients including effects of drug treatments.

By Day 7

Write a 2- to 3- page paper that addresses the following:

  • Explain the differences between types of diabetes including type 1, type 2, gestational, and juvenile diabetes.
  • Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.
  • Explain the short-term and long-term impact of this diabetes on patients including effects of drugs treatments.
 
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