USE THE PDSA CYCLE TO ADDRESS THE ISSUE OF PRESSURE ULCERS.

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USE THE PDSA CYCLE TO ADDRESS THE ISSUE OF PRESSURE ULCERS.

Case

Frustrated with ongoing complaints from family members, Reba Sanders, the administrator of 100-bed Lakeview Skilled Care and Rehabilitation Facility, replaced the director of nursing (DON) after she had been on the job for less than 2 years. At the exit conference with Reba, the DON had remarked, “I don’t think pressure ulcers have been a problem in this facility the way it is made out to be by some families. Some patients develop the ulcers at the hospital before they come here; we try our best to take care of them, and I have explained to the families what we are doing. I think firing me is unfair, but it is your decision.” Before the new DON, James Osterwal, was hired for the job, Reba had mentioned to him that looking into the pressure ulcer problem would be his first priority. Reba arranged for James to attend meetings of the local chapter of a national quality improvement organization for nursing homes. Based on some of the information presented at the meetings, James quickly settled on making pressure ulcer elimination as his primary goal. James was quite familiar with the PDSA quality improvement cycle. He discussed it with the charge nurses, decided how data would be collected, and started a campaign asking all nursing staff to adopt the motto: “We will eliminate pressure ulcers at Lakeview.” The associates liked the motto because it gave them a specific goal to work toward. At James’ request, Reba approved hiring an RN nurse coordinator to float between the three shifts. The charge nurses asked their nursing assistants to report to them right away all cases of skin breakdown. James trained the nurses in best practice protocols to treat pressure ulcers. After 4 months, data showed little to no improvement in the prevalence (total number of cases) of pressure ulcers at Lakeview. Both Reba and James could not understand why.

Questions
1.  Based on what you have learned to this point in the course, evaluate the quality improvement program as it pertains to pressure ulcers at Lakeview. Provide a specific outline of weaknesses in the overall approach.

2.  Use the PDSA cycle to address the issue of pressure ulcers. Be specific. For example, how should data be collected? How would you go about identifying root causes of the problem? What interventions would you implement? What roles should the various personnel and the administrator have?

 
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Describe how scholarly resources are essential for framing ethical and legal behavior and responsibilities in a health care environment.

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DESCRIBE HOW SCHOLARLY RESOURCES ARE ESSENTIAL FOR FRAMING ETHICAL AND LEGAL BEHAVIOR AND RESPONSIBILITIES IN A HEALTH CARE ENVIRONMENT.

TOPIC IS

  • Communitarianism.

Annotated Bibliography and Reference List

Submit your annotated bibliography and reference list for the project. The references used in your research should address value dilemmas that health care providers confront as well as reflect and support your chosen theory. Choose resources that help identify the ethical theory or rectify the problem situation.

Using APA formatting, summarizing each resource in four sentences and explain how it will be used in the final paper. Include a minimum of five references.GRADING SCALE

Connect scholarly research to ethical theories and legal and ethical practice standards in health care service delivery.

30%

Summarize scholarly resources on ethical theories, legal responsibilities, and legal and ethical dilemmas.

30%

Describe how scholarly resources are essential for framing ethical and legal behavior and responsibilities in a health care environment.

30%

Communicate in a manner that is professional and consistent with expectations for members of the business professions, and create a document that is clearly written, generally free of grammatical errors, and follows APA (6th ed.) style and formatting guidelines for references and citations.

 
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How can health care delivery systems  work collaboratively to address global health concerns?

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Select a global health issue impacting the international health  community. Briefly describe the global health issue and its impact on  the larger health care system (i.e., continents, regions, countries,  states, and health departments). How can health care delivery systems  work collaboratively to address global health concerns? Who are some of  the stakeholders that may work on these issues?
Readings within your text covering international/global health and  the following websites will assist you in answering these questions:

  1. U.S. Centers for Disease Control and Prevention (CDC) Global    Health website: http://www.cdc.gov/cogh/index.htm
  2. U.S.    Department of Health & Human Services (HHS) Global Health    website: http://www.globalhealth.gov/index.html
  3. Families USA – Why Global Health Matters—Here and Abroad    website: http://www.familiesusa.org/
  4. World Health    Organization (WHO) website: http://www.who.int
 
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Identify who was in the radius of significant others that shaped your development through your toddler, child, and adolescent years.

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This assignment allows you to explore the effects of social influences on personal development.
Write a 1,050- to 1,400-word paper in which you examine the concept of the self. Address the following:

  • Identify who was in the radius of significant others that shaped your development through your toddler, child, and adolescent years.
  • Identify verbal messages you recall that suggested situational or dispositional attributions about you.
  • Describe how you developed your current attitudes toward authority, competitors, subordinates, the opposite sex, or another generation.
  • Explore the effects your social world has had on your developing professional identity.

Cite at least 2 scholarly references.
Format your paper according to APA guidelines.
Choose two schools of thought  (physiology, experimental psychology, voluntarism, structuralism,  functionalism, or Gestalt psychology) that were adjacent in time.
Discuss how and why a change from one to the other came about. How  did the principles and values of psychologists change because of the  transition? Did the subject matter being studied change in this  transition? How did research methods used in the newer school of thought  reflect a change in thinking and practice from the previous way of  thinking and practicing? Support your ideas with specific examples from  the text or other relevant sources, and be sure to cite your sources.
Choose a school of thought you have not already written about in  another post. So that we can explore all of these schools of thought,  try to choose two that have not already been addressed, if possible.

 
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medical report

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Write a comprehensive medical report on a disease we have studied up to this point. Be sure to include all relevant medical history, testing/diagnostics, treatment options, and recommended plan of action. Paper should be in APA format and 4 pages submitted to the Submissions Area.

Here is an example for assignment 2:
First you can introduce a patient report-case study.

“DATE OF CONSULTATION:  MM/DD/YYYY

REFERRING PHYSICIAN:  John Doe, MD
CONSULTING PHYSICIAN:  Jane Doe, MD
REASON FOR CONSULTATION:  Surgical evaluation for coronary artery disease.
HISTORY OF PRESENT ILLNESS:  The patient is a (XX)-year-old female who has a known history of coronary artery disease.  She underwent previous PTCA and stenting procedures in December and most recently in August.  Since that time, she has been relatively stable with medical management.  However, in the past several weeks, she started to notice some exertional dyspnea with chest pain.  For the most part, the pain subsides with rest.  For this reason, she was re-evaluated with a cardiac catheterization.  This demonstrated 3-vessel coronary artery disease with a 70% lesion to the right coronary artery; this was a proximal lesion.  The left main had a 70% stenosis.  The circumflex also had a 99% stenosis.  Overall left ventricular function was mildly reduced with an ejection fraction of about 45%.  The left ventriculogram did note some apical hypokinesis.  In view of these findings, surgical consultation was requested and the patient was seen and evaluated by Dr. Doe.

PAST MEDICAL HISTORY:

1.  Coronary artery disease as described above with previous PTCA and stenting procedures.
2.  Dyslipidemia.
3.  Hypertension.
4.  Status post breast lumpectomy for cancer with followup radiation therapy to the chest.

ALLERGIES:  None.
MEDICATIONS:  Aspirin 81 mg daily, Plavix 75 mg daily, Altace 2.5 mg daily, metoprolol 50 mg b.i.d. and Lipitor 10 mg q.h.s.
SOCIAL HISTORY:  She quit smoking approximately 8 months ago.  Prior to that time, she had about a 35- to 40-pack-year history.  She does not abuse alcohol.

FAMILY MEDICAL HISTORY:  Mother died prematurely of breast cancer.  Her father died prematurely of gastric carcinoma.

REVIEW OF SYSTEMS:  There is no history of any CVAs, TIAs or seizures.  No chronic headaches.  No asthma, TB, hemoptysis or productive cough.  There is no congenital heart abnormality or rheumatic fever history.  She has no palpitations.  She notes no nausea, vomiting, constipation, diarrhea, but immediately prior to admission, she did develop some diffuse abdominal discomfort.  She says that since then, this has resolved.  No diabetes or thyroid problem.  There is no depression or psychiatric problems.  There is no musculoskeletal disorders or history of gout. There are no hematologic problems or blood dyscrasias.  No bleeding tendencies.  Again, she had a history of breast cancer and underwent lumpectomy procedures for this with followup radiation therapy.  She has been followed in the past 10 years and mammography shows no evidence of any recurrent problems.  There is no recent fevers, malaise, changes in appetite or changes in weight.

PHYSICAL EXAMINATION:  Her blood pressure is 120/70, pulse is 80.  She is in a sinus rhythm on the EKG monitor.  Respirations are 18 and unlabored. Temperature is 98.2 degrees Fahrenheit.  She weighs 160 pounds, she is 5 feet 4 inches.  In general, this was an elderly-appearing, pleasant female who currently is not in acute distress.  Skin color and turgor are good.  Pupils were equal and reactive to light.  Conjunctivae clear.  Throat is benign. Mucosa was moist and noncyanotic.  Neck veins not distended at 90 degrees.  Carotids had 2+ upstrokes bilaterally without bruits.  No lymphadenopathy was appreciated.  Chest had a normal AP diameter. The lungs were clear in the apices and bases, no wheezing or egophony appreciated.  The heart had a normal S1, S2.  No murmurs, clicks or gallops.  The abdomen was soft, nontender, nondistended.  Good bowel sounds present.  No hepatosplenomegaly was appreciated.  No pulsatile masses were felt.  No abdominal bruits were heard.  Her pulses are 2+ and equal bilaterally in the upper and lower extremities.  No clubbing is appreciated.  She is oriented x3.  Demonstrated a good amount of strength in the upper and lower extremities.  Face was symmetrical.  She had a normal gait.

IMPRESSION:  This is a (XX)-year-old female with significant multivessel coronary artery disease.  The patient also has a left main lesion.  She has undergone several PTCA and stenting procedures within the last year to year and a half.  At this point, in order to reduce the risk of any possible ischemia in the future, surgical myocardial revascularization is recommended.
PLAN:  We will plan to proceed with surgical myocardial revascularization.  The risks and benefits of this procedure were explained to the patient.  All questions pertaining to this procedure were answered.”

References:  Cardiology Consultation Transcribed Medical Transcription Sample Reports. (n.d.). Retrieved from Medical Transcription Samples

Note: Add the diagnostic tests before impression in your paper.

Take time to write about the disease. It can be described in more details  after your case study or integrated within it. Add more details regarding pathophysiology, differential diagnoses, explanation of testing methods, Add prognosis/potential outcome as well.

Your paper will look like a history and physical but with emphasis on discussing the disease, diagnostic tests, diagnosis(differential diagnoses) and treatments

You need to create a story about a patient with an illness we have looked at so far.

For your paper, you need to follow APA Style guidelines and must include the following standardized elements:

· Title page

· Main body

· In-text citations for paraphrased and quoted material

· References page

· Minimum number of credible, academic sources

· Running head

· Page numbers

· Double spaced on standard sized paper (8.5” x 11”)

· 1” margins

· 12 pt. Times New Roman

· Indent each new paragraph (tab ½” or 5 spaces)

AFTER ASSIGNMENT IS COMPLETED PLEASE ATTACH A TURNITIN REPORT. THIS ASSIGNMENT HAS TO BE SUBMITTED THROUGH TURNITIN! ALSO, CHECK YOUR GRAMMAR, SPELLING, AND PROUNCIATION ONCE EVERYTHING IS DONE!

 
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Each student will select one technology application and describe its use within nursing in general or in patient education

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(Application of Technology in Nursing and Patient Education)
Each student will select one technology application and describe its use within nursing in general or in patient education. Address the significance of the selected technology, attributes of the selected technology (i.e., accuracy, cost, accessibility, etc.), and provide specific examples with rationale of situations in which the technology application as an educational tool would provide advantages as well as disadvantages. In addition, relate the use of the selected technology application to the appropriate professional standards and competencies.
This assignment may be completed in one of the following formats (with quantitative criteria) listed below:
1.APA-formatted paper (1,000-1,250 words)  (Select That )
2.PowerPoint presentation with comprehensive speakers’ notes (12-15 slides)
3.Podcast (10-15 minutes)
4.Blog or Web page (1,000-1,250 words)
5.Any other technology application as approved by the instructor
In addition to the course materials, you are required to use a minimum of three current scholarly, peer-reviewed resources (less than 5 years old).
After you have completed this assignment, you will further post the assignment to the Topic 4 Discussion Forum as specified by the instructor. Within the Topic 4 forum, select and review four technology applications that are new to you in that you have not experienced them in the nursing environment. Explain how each of the four reviewed applications may be modified or adapted for your specific field or to a specific patient population. Ask questions as needed to each classmate about the application. In addition to providing constructive feedback to your peers, your posts should include responses to any questions asked, as well as replies.
APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 
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Discuss a time when you felt that your level health literacy was not adequate to understand a health issue you or a loved one were facing. You do not have to reveal personal medical information that you are not comfortable sharing.

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Discuss a time when you felt that your level health literacy was not adequate to understand a health issue you or a loved one were facing. You do not have to reveal personal medical information that you are not comfortable sharing.

 

 

health educators

The health educators’ 7 Areas of Responsibility define the role of the health education specialist. These Responsibilities were verified through the 2010 Health Educator Job Analysis Project. There are two levels of certification: CHES is the entry-level for which you will be prepared by the time you graduate from this program. It means “certified health education specialist”. MCHES is the advanced level. It means “master certified health education specialist”.

The CHES and MCHES designation after a health educator’s name is one indication of professional competency and commitment to continued professional development.

The 7 Areas of Responsibility are described in detail at https://www.nchec.org/credentialing/responsibilities/

Foundation for this assignment

A Certified Health Education Specialist (CHES) is someone who has met the standards of competence established by the National Commission for Health Education Credentialing Inc. (NCHEC) and hassuccessfully passed a national exam that is based on the 7 Areas of Responsibility. The CHES designation after a health educator’s name is one indication of professional competency and commitment to continued professional development. There is also an advanced level of certification, MCHES (Master Certified Health Education Specialist) for those with a higher level of expertise.

Self-reflection and application of the module materials is improtant, especially when establishing a foundation for the course. Before completing the assignment, read the expectations below.

Task for this assignment — write a 2-page paper that includes the following information:

1. Discuss a time when you felt that your level health literacy was not adequate to understand a health issue you or a loved one were facing. You do not have to reveal personal medical information that you are not comfortable sharing.

Describe how you dealt with the situation — did you take steps to improve your health literacy? If so, what did you do? How has that action affected your health behaviors?

If not, why not? How has that decision affected your health behaviors?

2. In one paragraph, summarize how this assignment has helped you in developing proficiency in the Health Education Areas of Responsibility. Be specific in mentioning the Area and its associated Competencies.

SLP assignment expectations, in order to earn full credit:

You will be assessed on your ability to apply your understanding of the module materials to your future career as a health educator. Your papers will be evaluated on the following factors:

Precision – follow all instructions and answer each part of the assignment.
Breadth – show broad knowledge of the module?s topic.
Depth – go into detail to show more critical thought about the specific assignment.
Clarity – the extent to which you elaborate and include discussion or examples as asked.
Critical thinking – thinking that goes beyond simple description, repetition, or quotation, and comes to a relevant conclusion.
Application – the extent to which you apply the information to a real-life situation related to the assignment.
You must clearly show that you have read the module homepage and ALL required background materials.

You are welcome to do research in addition to — but not instead of — the required readings.

Wikipedia is not an acceptable source of information.

Please write your paper in your own words, based on what you have learned in the module. That is the only way I can evaluate your level of understanding.

Even though this paper is primarily about your personal experience, use scholarly sources to support your positions. Be sure to cite your references in the text of all papers and on the reference list at the end. For examples, look at the way the references are listed in the modules and on the background reading list.

51
BIO110-1204B-05 The Human Body and Wellness
Task Name: Phase 2 Individual Project
Deliverable Length: Powerpoint presentation of 10–12 slides
Details: Weekly tasks or assignments (Individual or Group Projects) will be due by Monday, and late submissions will be assigned a late penalty in accordance with the late penalty policy found in the syllabus. NOTE: All submission posting times are based on midnight Central Time.

You have been asked to educate patients who are living in a nursing home about the muscular system. More specifically, you are to educate them on how the muscles experience changes as people age. Create a PowerPoint presentation of 10–12 slides that explains the following:

•What are the major muscles that are found in the upper extremity?
•What happens to the muscular system as a person enters late adulthood?
•Provide tips on how to prevent muscle loss, or maintain muscular strength as the body ages.
Be sure to cite any images or references you use in your presentation
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The post Discuss a time when you felt that your level health literacy was not adequate to understand a health issue you or a loved one were facing. You do not have to reveal personal medical information that you are not comfortable sharing. appeared first on nursing term paper.

 
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The Importance of Accountability, health and medicine homework help

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The Importance of Accountability, health and medicine homework help

Question descriptionWrite a 1,050- to 1,400-word paper that addresses the following:

  • Why is accountability important in the health care industry?
  • How is an employee’s accountability measured in the health care industry?
  • How does accountability apply to ethical considerations in leadership and management?
  • What does a checks-and-balances process look like in a successful organization?
  • How does accountability affect an organization’s working culture?
  • How can you maintain a positive working culture and avoid a culture of blame?

Cite a minimum of 4 peer-reviewed, scholarly, or similar references.

Format your paper according to APA guidelines.

Click the Assignment Files tab to submit your assignment.

The Importance of Accountability, health and medicine homework help

 
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What are the things that you are doing differently now when writing?

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Discussion Progression of perception about writing

Think how you perception and attitude towards writing is changing (if so) as you are going through this course. What are the things that you are doing differently now when writing? What was writing for you 11 weeks ago and what is it for you know? Are there skills that you have learned in this course so far? What other things would you like to learn or practice more? To get a full score, you response should have minimum 15 sentences.
Given that most nurses are considered technical, non-exempt employees under the Fair Labor Standards Act, how can you create a Pay for Performance process that will reward nurses for how they perform, as opposed to being paid hourly?
Please include 2 references and subtitles for each paragraph

 
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I have over twenty years of experience in Nursing, but I need the education that goes with it

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Please write a Paragraph answering to this discussion below:
I have over twenty years of experience in Nursing, but I need the education
that goes with it. I look forward to obtaining my Bachelors of Science in
Nursing for now, and eventually my Masters of Science in Nursing in the future.
It’s been a while since I have been in school, so my greatest fear is accomplishing
my educational goals with the use of technology. Back in the day we used paper
and pen so I’m afraid that I’m not that technology savvy. I do believe that I
will overcome this fear, though. To overcome my fears, I must be committed,
focused, determined, and have self-motivation. One educational fear that I
conquered was in my final year of nursing school back home in Ghana. I had to
do my capstone in nursing care study. I was assigned to our principal nursing
tutor so that she could help me with the course work. She was very strict,
unfriendly, and was never satisfied with what anyone had to offer. She
disagreed with the topic I chose to write about and instead wanted me to write
about a topic she had chosen for me. I took bold measures and explained to her
about the topic and disease condition that I intended to write about. I was
very afraid that she was going to reject my topic, but she accepted it even
though it took her about two weeks to finally approve my topic. By taking
initiative, I was approved of my topic and I passed the capstone course with
flying colors.

 
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