Summative Assessment: Outcomes and Quality Worksheet

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Provide a 175- to 200-word response to each of the following prompts and describe the process for tracking outcomes and improving quality and safety.Cite 3 references to support this assignment. 1 reference can be your course textbook.Format your citations and references according to APA guidelines and include your references in the “References” section.1. What are the impacts of external and internal standards? How would you ensure these are met?Enter your response.2. What is the role of continuous improvement in quality and safety? How could you ensure this process is occurring?Enter your response.3. What are approaches for employee development in quality and safety? How would you plan this for your own team?Enter your response.4. What is technology’s role in quality and safety? How could you use Microsoft® Excel® to help your team stay on track?Enter your response.

 
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Discussion 3 pathopsych Case Study: J.T.

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Scenario:J.T.  is a 20 year-old who reports to you that he feels depressed and is experiencing a significant amount of stress about school, noting that he’ll “probably flunk out.” He spends much of his day in his dorm room playing video games and has a hard time identifying what, if anything, is enjoyable in a typical day. He rarely attends class and has avoided reaching out to his professors to try to salvage his grades this semester. J.T. has always been a self-described shy person and has had a very small and cohesive group of friends from elementary through high school. Notably, his level of stress significantly amplified when he began college.You learn that when meeting new people, he has a hard time concentrating on the interaction because he is busy worrying about what they will think of him – he assumes they will find him “dumb,” “boring,” or a “loser.” When he loses his concentration, he stutters, is at a loss for words, and starts to sweat, which only serves to make him feel more uneasy. After the interaction, he replays the conversation over and over again, focusing on the “stupid” things he said. Similarly, he has a long-standing history of being uncomfortable with authority figures and has had a hard time raising his hand in class and approaching teachers. Since starting college, he has been isolating more, turning down invitations from his roommate to go eat or hang out, ignoring his cell phone when it rings, and habitually skipping class. His concerns about how others view him are what drive him to engage in these avoidance behaviors.Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.Generate a primary and differential diagnosis using the DSM-5 criteria.Develop a biopsychosocial plan of care for this client.Compare and contrast fear, worry, anxiety, and panic.Submission Instructions:at least 500 words ( 2 complete pages of content) formatted and cited in current APA style 7 ed  with support from at least 3 academic sources which need to be journal articles or books from 2018 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%.

 
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community 3

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Public

 
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(Nursing) Scenario #1 – Thorax and Lungs: 300 words

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You are working in the Emergency Room on the 7:00 am-7:00 pm shift. Upon arrival, a 27-year-old African-American male walked up to you holding his chest, and states: “I can’t breathe, help me”.  His diaphoretic, skin is warm and moist. Respiratory rate is 28 even and slightly labored, heart rate 112 even and regular. Blood pressure is 134/86. Lung sounds have bilateral wheezes.  His last meal was breakfast 30 minutes ago at McDonald’sBased on his presenting signs, what other questions would you elicit?How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?What would you assess?What could be the problem?

 
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Mixed methods research designs

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Mixed methods research designs combine quantitative and qualitative research methods to answer research questions requiring both perspectives.  What are the pros and cons of a mixed method research design?APA format, 7th ed (both citations and references)4 References within last 5 yearsPlagiarism less than 20%

 
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Mr D

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Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.Mr. DMr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction. Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest. Mr. D tells the physician that he wants all measures taken to save his life.Imagine that you are the nurse assigned to provide care to Mr. D, and address the following:Considering Mr. D’s advanced age, what are the benefits/risks associated with providing life-sustaining measures?What factors should you consider based on the Mr. D’s age and health history?If Mr. D were your family member, how would you respond to his decision?Review the posts made by your classmates and reply to someone expanding on their idea or offering an alternative for consideration.Please make your initial post by midweek, and respond to at least one other student’s post by the end of the week. Please check the Course Calendar for specific due dates.

 
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healthcare administrator might encounter

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stressful situation of your choosing that a healthcare administrator might encounter

 
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Discussion reply

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How can we identify health risks, strengths, and needs in our comprehensive health assessment?When conducting a comprehensive health assessment, it provides you with a snapshot of the patient’s health status and the health risk of empaneled patients. For example, the Comprehensive Geriatric Assessment (CGA). Stensvik et al. (2022) noted that “CGA is performed at varying levels of intensity in different settings; accordingly, its content may vary with healthcare settings” (p. 2). In addition, a comprehensive health assessment identifies health problems that could be treated properly for better health outcomes. Due to specialties in healthcare each specialty has a systemic evaluation of the older adult/adult/adolescent/child/infant, accompanied by an individual care plan. These specific care plans provide the patients’ goals of care, who is responsible for obtaining these goals, and an obtainable/realistic timeline to achieve these goals/outcomes. Health assessment is a process involving systematic collection and analysis of health-related information on patients for use by patients, clinicians, and health care teams to identify and support beneficial health behaviors and mutually work to direct changes in potentially harmful health behaviors. In addition, comprehensive health assessments provide insight on health risk integrated with health education programs. Stensvik et al. (2022) noted that “The CC-approach promotes a person-centered care perspective since it involves individualized interventions aiming at assessing unmet needs and health problems, thereby the potential to modifying NPS” (p. 2). In relation to the CC-approach as future providers we need to continue to effectively use comprehensive health assessments. This is evident by reviewing feedback and follow-up support for patients.Give two examples with rationale for each.As I stated, the utilization of CC (Case-conferencing) is a beneficial way to identify health risk, strengths and needs in a comprehensive assessment. Stensvik et al. (2022) noted that “Regular CC-meetings enable the staff to communicate in a structured, systematic, and goal-oriented way, and thereby establish a common thought-through understanding of each case” (p. 2). Another example is to understand what your patients expect out of their comprehensive health assessment. When conducting a comprehensive helth assessment patients want a place where it is safe, and their voices are heard when they state their health concerns that are most important to them. In addition, being able to sit and genuinely listen to your patient’s priorities can help further establish an agenda that will essentially provide a more efficient visit and long-tern plan of care for the patient. Both examples will facilitate patients to engage in their own health and healthcare. As a result, it will lead to improved health choices and behaviors in a prolonged period.

 
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ICare Concern

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Discuss how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teamsoverall in your unit ororganizations

 
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Michael Moore Sicko

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opinion on the Michael Moore sicko video

 
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