Category: Nursing

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.” Laboratory values are as follows: .5in;=”” 0px=”” 0in;=””>Hemoglobin = 8 g/dl .5in;=”” 0px=”” 0in;=””>Hematocrit = 32% .5in;=”” 0px=”” 0in;=””>Erythrocyte count = 3.1 x 10/mm .5in;=”” 0px=”” 0in;=””>RBC smear showed microcytic and hypochromic cells .5in;=”” 0px=”” 0in;=””>Reticulocyte count = 1.5% .5in;=”” 0px=”” 0in;=””>Other laboratory values were within normal limits. .5in;=”” 0px=”” 0in;=””> Question Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

Analyze the health status of a specific minority group. Select a minority group that is represented in the United States (examples include: American Indian/Alaskan Native, Asian American, Black or African American, Hispanic or Latino, Native Hawaiian, or Pacific Islander.)

In an essay of 750-1,000 words, compare and contrast the health status of the minority group you have selected to the national average. Consider the cultural, socioeconomic, and sociopolitical barriers to health. How do race, ethnicity, socioeconomic status, and education influence health for the minority group you have selected? Address the following in your essay:

What is the current health status of this minority group? How is health promotion defined by the group? What health disparities exist for 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 given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice. Cite a minimum of three references in the paper.

You will find important health information regarding minority groups by exploring the following Centers for Disease Control and Prevention (CDC) links:

Minority Health: http://www.cdc.gov/minorityhealth/index.html Racial and Ethnic Approaches to Community Health (REACH): http://www.cdc.gov/chronicdisease/resources/publications/aag/reach.htm Racial and Ethnic Minority Populations: http://www.samhsa.gov/specific-populations/racial-ethnic-minority Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Research the forms of data used in the system of your choice. This system could be your own health care organization, the Patton-Fuller Community Hospital found in the University of Phoenix Virtual Organizations, or an organization from the course readings. Create a 10- to 15-slide Microsoft® PowerPoint® presentation, including detailed speaker notes, that identifies the forms of data collected and used in your chosen system. Include at least one slide per form of data. Answer the following questions: Where do the data come from, such as outside test results? Where do the data go—patient record, printer, physician folder, or other destination? How are the different forms of data used? What is the importance of each form of data? What kinds of data does the organization send out, such as quality measures, patient billing, purchase orders, and so forth? What security measures are taken to protect the data? What kinds of data do senior executives want mined? What do they use the data for? Who mines the data and who uses it? What kinds of statistics are used to validate the data? Develop a statistical validation as an example by mining some data from the system of your choice, graphing it, explaining it, and discussing why it is important.

After successful study of The History of Public Health and the Role of the Community/Public Health Nurse, you are assigned reading on the role of the nurse in a specific public health setting, and this week’s media presentation, address the following in a 2- to 3-page paper: Trace the history of the public health nurse including the contributions made by Lillian Wald and the Henry Street Settlement. Also, summarize the role of the nurse in the practice setting assigned. Include the following in your summary: Explain how the core functions of community/public health nursing and the standards of practice are met with that specific role. Describe the population served by the nurse in this role. Which interventions might the nurse in this role utilize? Explain the level of practice used in this practice setting (primary/secondary/tertiary). Describe an ethical dilemma that might be encountered in this nursing role.

Resource: Health Care Careers Diagram and Summary Grading Criteria Research mind mapping in the University Library or on the Internet. Select a health care career within the managed care organization, pharmaceutical company, research organization, college, information technology company, the health care continuum (hospital, ambulatory, longterm care), the mental health continuum (diagnostics, outpatient, inpatient), and so forth. • Describe selected career. • Identify two or three services and products within the selected career. • Identify the workforce roles within the services and products. • Discuss the impact of the roles on the health care organizations. Create a diagram with the career choice as the focal point and identifying the work roles within one of the services or product you identify. Complete a 350- to 700-word summary of your findings and a diagram. Format your summary consistent with APA guidelines

The practice of health care providers at all levels brings you into contact with people of a variety of faiths. This calls for acceptance of a diversity of faith expressions. Research three diverse faiths. Choose faiths that are less well-known than mainstream faiths or are less known to you, such as Sikh, Bahai, Buddhism, Shintoism, Native American spirituality, etc. Compare the philosophy of providing care from the perspective of each of these three faiths with that of the Christian perspective and your own personal perspective. In 1,250 -1500 words, summarize your findings, and compare and contrast the different belief systems, reinforcing major themes with insights gained from your research. Some of the questions to consider when researching the chosen religions are: 1. What is the spiritual perspective on healing? 2. What are the critical components of healing, such as prayer, meditation, belief, etc.? 3. What is important to people of a particular faith when cared for by health care providers whose spiritual beliefs differ from their own? 4. How do patients view health care providers who are able to let go of their own beliefs in the interest of the beliefs and practices of the patient? Compare these beliefs to the Christian philosophy of faith and healing. In your conclusion, describe what you have learned from your research and how this learning can be applied to a health care provider practice. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

Artistic Expression – Concept of Caring Guidelines with Scoring Rubric Purpose Nursing practice is both an art and a science with caring as a central concept to nursing practice and the profession of nursing. Caring is influenced by the nurse’s knowledge, skills, and attitudes formed through lifelong learning and experiences. The purpose of this assessment is to explore definitions of caring in nursing. Students will create a definition of caring and an artistic expression of their perception on caring.

Create a 1–2-page data collection and evaluation plan that supports your proposed measurement strategy and, more generally, informs the creation and evaluation of your OIP.

Note: You must complete Assessments 1–4 before you can begin this assessment.

By successfully completing this assessment, you will demonstrate proficiency in the following course competencies and assessment criteria:

o Competency 2: Apply theories, models, and practices of global operations management to address business problems.

 Explain tools, techniques, and resources for collecting data about a process.

o Competency 3: Integrate operations management analyses into general business management planning and decision making.

 Justify the selection of specific tools for gathering data about a process.

 Describe a data collection and evaluation plan for use with an OIP.

 Analyze how a data collection plan informs or supports an OIP.

o Competency 4: Communicate in a manner that is professional and consistent with expectations for members of the business professions.

 Communicate in a manner that is professional and consistent with expectations for members of the business professions.

Context

The key to success for an organization is to improve continuously and maintain a competitive edge. This can be accomplished only when a total process improvement plan is embraced and adapted as a standard operating procedure (SOP). Focus on improved business practices, improved technology, better products, and enhanced customer service is fundamental to an organization’s maintenance of its competitive competencies. From the standpoint of continuing the enhancement of processes, the Deming Wheel technique—”plan, do, check, act” (Marquis, 2011)—provides excellent auditing procedures.

Just-in-Time Limitations

The benefits of the just-in-time (JIT) production strategy are frequently lauded, but it is important to recognize that this strategy can also have some limitations and may not be applicable in all cases. A vice president of operations for Eureka Lighting stated that the company must still carry an average of seven days of finished product to support the volatility and uncertainty of market demands. Additionally, suppliers are not always reliable. Safety stock further compounds the issue, and supplier quality is not completely certain. In the Eureka Lighting case, over 10,000 packaged units about to be shipped were delayed due to a packaging error. The operating instructions for one of the top-selling products were not included in the box, but a last-minute inspection caught the error (Microsoft Corporation, 2006). Imagine the external failure cost component associated with such a mess in your organization. More importantly, think about the loss of customer goodwill and future purchases.

Data Collection

The use of an appropriate data collection tool ensures that appropriate information is available to adequately measure and monitor the process improvement. Commonly used data harvesting tools include written, Internet, and phone surveys; questionnaires; and other monitoring tools. These tools can then be transposed into interpretation models including Pareto and bar charts, histograms, and matrix tables.

References

Marquis, H. (2011). How to roll the Deming wheel. itSM Solutions DITY Newsletter. Retrieved from http://www.itsmsolutions.com/newsletters/DITYvol5iss28.htm

Microsoft Corporation. (2006). Eureka Lighting: Lighting manufacturer uses ERP solution to shine light on inventory, reduce costs. Retrieved from http://www.onespotmarketing.com/docs/eureka lighting_case study.pdf

Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

o Why are inventories held in business? What are the differences between continuous and periodic inventory systems?

o What is the ABC technique of inventory control?

o What are ways of controlling work-in-progress inventory?

Physician’s Practice Management: “Group Medical Practices in the U.S.

According to the textbook, a comparison of several countries with different levels of income shows that quality of healthcare and life expectancy among these nations are similar. However, the cost of care in the U.S. is the highest among the nations in the comparison. Analyze the main specific factors that affect the cost of healthcare services in the U.S. and recommend one (1) way that physician practices can help reduce the overall cost of healthcare services in the U.S. Provide a rationale for your response.

2. Assess the key different types of physician practices and evaluate three (3) administrative challenges that practice administrators face in providing quality services to the communities they serve. Support your analysis with specific examples.

Challenges for Group Practice Administrators and Recruitment Strategy for Practice Managers”

Predict two (2) external and / or internal challenges facing today’s medical group practice administrators. Compose a strategy to manage the challenges in question. Justify your response. Imagine that you work for a medium-sized healthcare organization and the organization is hiring a medical practice manager. Determine three (3) areas of competency that you think are most important to effectively manage a medical group practice. Next, suggest a recruitment strategy that includes the method you would use to advertise the position and the information you would include in the job posting to attract qualified candidates. Justify your response.