TB extended case study

1. Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer-reviewed articles and professional association guidelines (www.guideline.gov).

Cite a minimum of three resources.

Answer the following questions:

  1. What is the transmission and pathophysiology of TB?
  2. What are the clinical manifestations?
  3. After considering this scenario, what are the primary identified medical concerns for this patient?
  4. What are the primary psychosocial concerns?
  5. What are the implications of the treatment regimen, as far as likelihood of compliance and outcomes? Search the Internet to research rates of patient compliance in treatment of TB, as well as drug resistant TB.
  6. Identify the role of the community clinic in assisting patients, particularly undocumented patients, in covering the cost of TB treatment. What resources exist for TB treatment in community health centers around the United States? Compare the cost for treatment between, subsidized as it would be for a community health center, and unsubsidized.
  7. What are the implications of TB for critical care and advanced practice nurses?

 

Your paper should be 4 pages, (excluding cover page and reference page).

Your resources must include research articles as well as reference to non-research evidence-based guidelines.

Use APA format to style your paper and to cite your sources.

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Case Study 6

Acute Renal Injury and Chronic Kidney Disease

Will is a 68-year-old male with a history of hypertension. Eight months ago, he started regular dialysis therapy for ESRD. Before that, his physician was closely monitoring his condition because he had polyuria and nocturia. Soon it became difficult to manage his hypertension. He also lost his appetite, became weak, easily fatigued, and had edema around his ankles. Will debated with his physician about starting dialysis, but she insisted, before the signs and symptoms of uremia increased, the treatment was absolutely necessary.

  1. What is the difference between azotemia and uremia?
  2. Two years ago, Will’s physician told him to decrease his protein intake. In spite of what the physician ordered, Will could not stop having chicken, beef, pork, or eggs at least once a day. Why did his physician warn him about his diet?
  3. Will’s feelings of weakness and fatigue are symptoms of anemia. Why is he anemic?
  4. 4 – 5 pages with reference page
  5. Knowing what you do about Will’s history, why is left ventricular dysfunction a concern for his physician?

Requirements

  1. Make sure all of the topics in the case study have been addressed.
  2. Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content.
  3. All sources must be within five years.
  4. Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

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NURS 6241 Strategic Planning in Healthcare Organizations

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 8 Discussion

Course Project: Developing a Strategic Plan

Section 3: Balanced Scorecard

As you continue to develop your Course Project, it is important to consider how to evaluate the effects of your planned change on performance. Based on the work you have done thus far on your Course Project, this week you create a balanced scorecard.

To prepare:

  • Review your work on the summary of the issue and SWOT analysis from previous weeks.
  • Review the information about and examples of balanced scorecards presented by Dr. Carol Huston in this week’s media program and in the other Learning Resources. Conduct additional research to see additional examples of balanced scorecards and to deepen your understanding of how balanced scorecards are used in various organizations.
  • Reflect on the comments related to balanced scorecards exchanged in this week’s Discussion.
  • Conceptualize a balanced scorecard that could be used to measure and evaluate the impact of your planned change on performance, and determine if the costs are justified in terms of the outcomes. Consider what you would measure in terms of finances, customers, internal process, and learning and growth.
  • Think about how you would gather valid and reliable data.
  • Begin to create your balanced scorecard, which will be submitted next week.Course Project: Developing a Strategic Plan

Section 3: Balanced Scorecard

To prepare:

As introduced in Week 8,continue to refine your balanced scorecard. (Refer to Week 8 for the preparatory instructions as necessary.) Your balanced scorecard is one tool you can use to evaluate the effects of your planned change on performance.

To complete:

  • Create a balanced scorecard that could be used to measure and evaluate the impact of your planned change on performance, and determine if the costs are justified in terms of the outcomes.
  • Include what you would measure in terms of finances, customers, internal process, and learning and growth.

Section 4: Budgeting and Timeline Tools

As you have been examining this week, budgeting and timeline tools are vital for determining necessary resources and planning for a proposed change. For your Course Project, you use these types of tools to assess resources that may be required for the successful implementation of your strategic plan.

To prepare:

  • Review the information on budgeting in this week’s Learning Resources. Which tools (e.g., Revenue Projection Model, Capital Budgeting Analysis, Depreciation Calculator, Profit and Loss Projection) would be most useful for developing your strategic plan?
  • Use one or more budgeting tools to outline the financial resources for your proposed change. Reflect on any challenges that arise as you evaluate the financial resources required for this change now and in the future.
  • Review the information on PERT and other timeline tools in this week’s Learning Resources, including Dr. Huston’s presentation in the media program.
  • Use PERT or another tool to analyze and represent the activities that need to be completed to successfully plan and implement your proposed change. Be sure to note dependencies (e.g., a task/milestone that must be completed in order to trigger the next step) and realistically assess the minimum time needed to complete the entire project.

To complete:

  • Outline the financial resources for your proposed change. Describe the budgeting tool(s) you used to arrive at these determinations. Explain what challenges, if any, you encountered through the budgeting process. Provide documentation (e.g., Excel worksheets) to support your analysis.
  • Outline the timeline for the implementation of your proposed change using PERT or another timeline tool. Consider how your timeline can allow leeway for variance.

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Disorders of the Reproductive Systems

Select two disorders of the male and/or female reproductive systems that interest you. Post a description of the two reproductive disorders you selected, including their similarities and differences. Then, select one of the following factors: genetics, ethnicity, age, or behavior. And explain how the factor you selected might impact the diagnosis of treatment for the reproductive disorders.

– This work should have Introduction and conclusion

– This work should have at 4 to 5 current references (Year 2013 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

LEARNING RESOURCES

**Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter      32, “Structure and Function of the Reproductive Systems”

This chapter establishes a foundation for examining alterations of reproductive systems by examining the female and male reproductive systems. It covers the development of both reproductive systems and effects of aging on the systems.

  • Chapter      33, “Alterations of the Female Reproductive System

This chapter covers alterations of the female reproductive systems. It also explores the epidemiology, clinical manifestations, evaluation, and treatment of sexually transmitted infections.

  • Chapter      34, “Alterations of the Male Reproductive System”

This chapter covers alterations of the male reproductive systems. It also explores the epidemiology, clinical manifestations, evaluation, and treatment of sexually transmitted infections.

**Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter      22, “Disorders of the Female Reproductive Tract”

This chapter reviews the normal structure and function of the female reproductive tract. It then examines disorders specific to the female reproductive tract such as menstrual disorders and infertility.

  • Chapter      23, “Disorders of the Male Reproductive Tract”

This chapter reviews the normal structure and function of the male reproductive tract. It then explores disorders specific to the male reproductive tract such as male infertility and benign prostatic hyperplasia.

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PSY

 Please complete attached “Speep and Dream Diary”. You should complete the grid each morning when you first wake up. In this weeks’ assignment you will need to analyze results of your “Sleep and Dream Diary” and come up with the hypotheses. For example, one might hypothesize that those who spend more time sleeping also spend more time dreaming and thus can report more dreams.
Please formulate your hypotheses and write a two page summary of your hypothesis and supporting facts and findings.

This assignment must be submitted in “doc” or “ docx.” format. Additionally, it must be typed, double spaced, Times New Roman font (size 12), one inch margins on all sides. Type the question followed by your answer to the question. A title page is to be included. The title page is to contain the title of the assignment, your name, the instructor’s name, the course title, and the date.

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Healthy People 2020 and Nursing

Review Healthy People 2020. Identify objectives that are amenable to parish nurse intervention.

  • Describe how faith communities can contribute to the accomplishment of these national health objectives and accomplish the goal of improving the health of the public.
  • How can nurses working in the community form partnerships with parish nurses and faith communities?
  • How would such partnerships be beneficial?

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Health care beliefs of the Russian, Polish, and Thai heritage

1. Describe the health care beliefs of the Russian, Polish and Thai heritage and how they are related to the delivery of health care.

2. Is there any similarity between these 3 cultures. If yes or no, please explain.

3. Give your opinion on how the beliefs of these 3 cultures influence the delivery of health care.

– APA format.

– A minimum of 500 words.

– A minimum of 2 evidence based references no older than years 5 years.

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NRS 451 Week 1 Topic 1 DQ 1 and DQ 2

Topic 1 DQ 1

Based on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale.

 

Topic 1 DQ 2

Describe how the concepts of leadership and management differ from each other. In what areas do they overlap? Explain how the goals of management and leadership may sometimes overlap. As a nurse leader, do you believe you can expand your influence to create change by taking advantage of this overlap? Explain your answer.

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Discussion: Creating, Developing, and Leading Effective Teams

Discussion: Creating, Developing, and Leading Effective Teams

Coming together is a beginning. Keeping together is progress. Working together is success.
—Henry Ford

A critical skill for all nurse managers is the ability to create, develop, and lead effective teams. When people are part of an effective and well-functioning team, they are more productive and have a stronger commitment to the organization. Nurse managers have a responsibility to create teams that fulfill functional needs within their units or departments. These can include leadership teams, ad hoc project teams, or primary work teams.

As a nurse manager, there is a variety of ways that you can enhance team functioning. The first step is developing the structural elements of the team and then designing the team with the appropriate membership. Just as you must critically examine each application during the employment process, so will you critically examine the skills and attributes of each employee before appointing him or her to a collective team.

In this week’s Discussion, you lay the groundwork for creating and developing a team for your unit, department, or health care setting. You also identify leadership strategies that you could employ to increase the team’s organizational effectiveness.

To prepare

  • Review Chapter 5, “The Art of Effectively Facilitating Processes” from the course text, From Management to Leadership: Strategies for Transforming Health Care. Carefully examine the section, “Essential Elements of a Team” to identify the six steps of creating an effective team.
  • Consider a team you might create for your current organization or one with which you are familiar. For example, is there a project to be accomplished or a problem to be solved? Perhaps there is a need for a leadership team within your unit or department?
  • Identify the purpose or goal for your team. Then, reflect on the following questions:
    • What type of team would you create (leadership, ad hoc, or primary work team) to accomplish this purpose or goal? What are the benefits or disadvantages of creating this type of team?
    • What staff members would you want on this team? Why? How could their skill sets and positions make them effective team members?
  • Explore this week’s Learning Resources to identify leadership strategies you might employ before, during, and after the team-building phase. For example, what leadership strategies might influence synergy among team members while also increasing the effectiveness of the team?

Post a description of the team you would create, including the purpose or goal the team would serve, the team type, and the specific skills each member would contribute as well as their job positions. Describe at least two leadership strategies you could implement to help this team effectively achieve its purpose or goal.

 

Required Readings

Manion, J. (2011). From management to leadership: Strategies for transforming health care (3rd ed.). San Francisco, CA: Jossey-Bass.
Chapter 5, “The Art of Effectively Facilitating Processes” (pp. 179–242)This chapter describes the many components that make up the facilitating process. Some of these elements include empowerment, authority, resolutions, and negotiation.

Chapter 6, “Getting Results” (pp. 243–282)The main points of this chapter are the components that contribute to effective teamwork. The author lists the benefits and pitfalls of proactive behavior, group decision making, and problem solving.Beeson, J. (2011). Build a strong team. Leadership Excellence, 28(2), 15.  Retrieved from the Walden Library databases.

Beeson’s article focuses on the importance of building a structured team. He provides five steps that leaders can implement in the workplace to create a strong team that benefits the whole workplace.Calendrillo, T. (2009). Team building for a healthy work environment. Nursing Management, 40(12), 9–12.  Retrieved from the Walden Library databases.

In this article, Calendrillo states that skilled communication is the foundation for strong team building in clinical settings. When skilled communication has been mastered and used, quality patient care and healthy work environments are among the many results.Pentland, A. (2012). The new science of building great teams. Harvard Business Review, 90(4), 60–70.  Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/76756181/76756183/15ba87a24642f03cb8854352b1d046fc

This article addresses how communication is a key to team efficiency. The author provides three communication dynamics that were used by the teams that were most communicative.

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nursing

I need the job for today in 2 hours. References (less than 5 years)in APA format. 3 pages

1-How would you evaluate and manage a pediatric patient who has a painful swelling of the hands and feet, fatigue, or fussiness? Which diagnostic studies would you recommend for this patient and why?

2-What physical exam findings and diagnostic results would be concerning to you and why? What would be three differentials in this case?

3-In SCD, the spleen doesn’t work properly or doesn’t work at all. This problem makes people with SCD more likely to get severe infections. What is the treatment for Miah and education for the family?

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