Develop a realistic case and Identify a chronic illness and its relationship to rehabilitation. Could be from a previous experience on your career.

1. Identify chronic illness and its relationship to rehabilitation.
   Choose from one:
   COPD, CHF, Stroke, Hip fracture
2. Create interventions that support an older adult’s adaptation to the chronic illness or disability.
3. Describe the nurse’s role in assisting older adults in managing chronic conditions.
4. From your readings and knowledge which opportunities do you think can be change in the health care system to improve care for older adults with chronic illness and disability.

Submission Instructions:

• The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper is to be 5 pages in length, excluding the title, abstract and references page.
• Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Journal articles and books should be referenced according to APA style

TURNITIN LESS THAN 20%

• Write a 4-6 page paper in which you discuss the value of ratio analysis in decision making for health care organizations. Complete the following in your paper: 
• Discuss the meaning of ratio analysis in healthcare.
• Pick only one (1) ratio from EACH major group from the financial statements. (e.g. Current ratio, ROE, Debt to equity, ALOS)
• Major Groups:
  • Liquidity ratios (Current ratio, Days Cash-on-Hand, Quick Ratio)
  • Profitability ratios (ROE, ROA, Total Margin, Operating Margin)
  • Leverage/Capital Structure Ratios (Debt ratio, Equity ratio, Debt to Equity Ratio)
  • Nonfinancial Ratios (Occupancy rate, payer mix, ALOS, Expense per discharge, FTE per bed, HMO penetration)
• Discuss one (1) ratio (from EACH major group) using the following criteria:
  • What is the meaning of each ratio?
  • Evaluate the meaning of the ratio related to the financial health of the health care organization. Show the calculations.
  • Explain the factors that affect the results related to the financial health of the organization. 
• Format your paper consistent with APA guidelines.
• Provide a minimum of two (2) cited sources in your paper. Properly cite in APA format.

#1  A 35 year old G1P0 is 20 weeks gestation with a past medical history of hypertension.  Her pregnancy has been uneventful; however, at today’s appointment, her blood pressure was 150/100mmHg at first check and 15 minutes later was still 136/90 mmHg.  She is also complaining of light-headedness and palpitations.

     A.  What actions would you take as her nurse?

     B.  What change should this patient be encouraged to do?

     C.  What are the expected outcomes?

#2.  The patient is a 17 year old female who arrives to the emergency department in active labor with a questionable past of obstetrical history.  She indicates that she has had no prenatal care, does not remember her last menstruation period, and is evasive if this is her first pregnancy.  Blood work indicates she is Rh negative.

     A.  What are some concerns you as her nurse should be prepared for?

     B.  What teaching does this patient need?

     C.  What are the expected outcomes for this patient?

#3  A 15 year-old female has come to the urgent care complaining about nausea, vomiting, and feeling tired all the time.  Her complaints are vague, but the nurse is suspicious she may be pregnant when the girl mentions she is late for her period.

     A.  What nursing care will you provide to this young lady if she is pregnant.

     B.   What nursing diagnoses will apply to this situation?

     C.  What are some expected outcomes?

#4 A woman in labor has been progressing well with minimal difficulties.  The nullipara woman has been working with her coach, progressing through the process.  The fetal monitor has indicated that the fetus is in stable condition.  Suddenly, the monitor alarm goes off and exam reveals a possible prolapsed cord.

     A.  What steps should you take as her nurse?

     B.  What care does the mother and infant need?

     C. How would you evaluate that your interventions were helpful?

#5  Your patient is a petite 23-year-old G1P0 woman.  Prenatal assessment has determined that this woman will need a cesarean birth due to cephalopelvic disproportion.

     A.  What can this patient and you as the nurse do prenatally to ensure a safe delivery?

     B.  What potential risks and/or complications should the nurse be aware of and prepare for?

     C.  What postoperative care will this mother and/or infant need?

what strategies would you recommend encouraging culturally competent care of African Americans?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Your assignment will be graded according to the grading rubric.

Discussion RubricCriteriaRatingsPoints

Identification of Main Issues, Problems, and Concepts

5 points
Distinguished

Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.

4 points
Excellent

Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.

2 points
Fair

Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.

1 points
Poor

Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.

5 points

Use of Citations, Writing Mechanics and APA Formatting Guidelines

3 points
Distinguished

Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.

2 points
Excellent

Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.

1 point
Fair

Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.

0 point
Poor

Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.

3 points