Category: Health Medical

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In 1965, As part of Congress’s support for President Lynson Johnson’s “war on poverty”, Medicaid was anacted. Over its 50-year history Medicaid has evolved to become thenation’s largest helath care program, providing coverage to tens of millions of qualifying persons and famailies. While the number of individuals covered under Medicaid continues to grow it is not the principal reason for the strain on states budget.

Reflect on the reasons that contribute to Medicaids strain on budget. (what is the reason?)

What does the future of Medicaid look like as we move into the future?

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The word count distribution must include at least 350 words in response to each question. 1400 words total and 3 scholarly sources total. I wanted to address the “Real Time” requirement in the Case Summary section so that you don’t lose points unnecessarily. Here is a rule of thumb to work with: If the issue did not occur after January 2018, it should not feature in your case summary. This means your Case Summary essay should be an update of what has occurred over the past 12 months.

In addition, don’t quote scholarly journal articles in the Case Summary. Typically, scholarly journal articles will not be “real time.” Moreover, quoting scholarly journals in the Case Summary tends to make students stray into analysis and application, rather than remaining focused on summary. The scholarly journal references should be reserved for your analysis and application essays. References for the Case Summary section should be current online sources. RESEARCH: You need to cite at least three Scholarly Journal articles in addition to citing the course textbook.

Library research is required in the COMPLETE assignment of each unit. At least (2) of your citations must be from scholarly journal articles with references and must use citations from the downloaded book, Burns, L. R., Bradley, E. H., & Weiner, B. J. (2011). Shortell and Kaluzny’s Health Care Management: Organizational Design and Behavior (6th ed.).

Wikipedia, Wiki Answers, About.com, Ask.com, Yahoo Answers, eHow, Personal blogs, and other sources of that ilk are not credible for academic work. Quoting such sources as credible is strictly forbidden.

Finding Articles in EBSCO (Library Help)

Here are 2 links that should help you in finding articles in the library:

Ebsco-finding articles

Ebsco-in a minute

Read the Case Study on page 184 called The Case of Jesica Santillon. Answer the following questions.

1. In a narrative format, discuss the key facts and critical issues presented in the case.

2. What social and cultural barriers may have made it difficult for the doctors to communicate with Jesica’s family? What might have the doctors done to increase the chances that Jesica’s family understood the true nature of the problems in this terrible circumstance?

3. How would you organize the complex set of steps required in this transplant process to ensure that misunderstandings do not occur in handoffs between professionals?

4. If you were the Duke Medical Center CEO, what general communication strategy would you put in place to manage the stakeholders in this case? In particular, how would your messages to each group differ from the others?

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Individual Screening

Directions

Review the clinician provider guidelines and recommendations of the United States Preventive Task Force A and B Recommendations.

For the MSN prepared nurse, knowledge of epidemiology and its application to preventive screening guidelines is important in many clinical areas: administrative, education, and nurse practitioner fields. Consider you are working in a clinic and need to order a preventive screening on a patient for one of the conditions listed below. (While this is a preventative measure, it also can be a diagnostic tool in other circumstances. For this Assignment the screening is a secondary prevention measure.)

Please select one screening. Your screening methodology must come from the the United States Preventive Services Task Force guidelines.

• Abdominal Aortic Aneurysm
• Breast Cancer
• Cervical Cancer
• Colon Cancer
• Diabetes Mellitus II
• Lung Cancer

Explain the guideline, the correct application of the screening, and the epidemiology behind the guidance. Content required should include epidemiologic data such as statistical information as available ex. morbidity, mortality, incidence and prevalence of condition. Identify risk factors, risk assessment, testing interval, description of the patient population, screening test recommendations and other factors relative to the guideline.

Master’s-prepared nurse educators, leaders, nurse practitioners and all specialty nursing fields are contributors to health promotion in populations across the life span. You will demonstrate understanding and correct interpretations of preventive screening guidelines. You should be able to apply this knowledge to your specialty focus as it relates to health promotion and epidemiology.

This paper should be 2–3 pages, excluding your title page, and references. This paper should adhere to appropriate 6^thedition APA format.

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Disasters come in many forms and occur from a variety of situations. Disasters can be classified as natural or man-made and contain aspects of both (Nies & McEwen, 2019). In October of 2015 my area of Columbia SC was struck with a historic flooding event that broke many records for 1 day 2 day and 3-day rainfall totals since recording began. This event was caused by a cold front which became stationary near the coast which combined with an area of low pressure and tropical moisture (Weather.gov, 2015). This created on onshore flow of moisture which remained in place for several days. Rain totals in my area were over 12 inches in a 48-hour period with 20+ inches locally in the Charleston area. At times the rainfall fell at a rate of over 2 inches per hour. To compound the problem, the area had been subject to heavy rainfall recently so there was little watershed available to absorb the deluge. The impact to my community was widespread. The Columbia metropolitan area obtains much of it’s power needs from the Lake Murray hydro-electric dam which was already at full stage from recent rainfall. This led to the emergency release gates being utilized for the first time since the reservoir’s completion in the 1920’s. This caused already high river levels in the Columbia area to overflow and burst many levies and dam’s below Lake Murray which led to widespread historic flooding of the Columbia area. Locally in the town of Lexington many ponds and earthen dams were eroded away which caused a cascade flood because most bodies of water are supplied by the outflow of other dam’s upstream. This meant that for each breach of a dam there were several other breaches downstream from the compounding of flooding. This resulted in 10 deaths, the closure of 550 roads and bridges, 40,000 people without water, and 26,000 people without power (USAtoday.com). The level 1 trauma center in Columbia was impacted by this event, leading to the hospital losing access to fresh water for several days and running on backup generators during the event. Firsthand accounts from fellow nurses who worked during the outage described having to bring in bottled water for patient intake, bathing and toileting due to flooding and no municipal water pressure in the building. This was a historic event never before seen in my area before which caught all emergency management resources off guard. Many things changed after this event to better prepare the area if this setup were to ever take place again. The first step to making the appropriate changes was to update the flood maps from flood data taken during the event. The USGS compiled flood data taken from the storm and created 20 new maps indicating new flood concerns. (“USGS.gov,” 2016). The trauma center which was affected by the flood waters instituted a potable water plan to prevent the need for bottled water to be utilized for patient care in the event of a loss in municipal water pressure. Many area dams were examined by the Army Corps of Engineers and repairs were made where necessary but many dams and levies remain open in order to prevent a future cascade of flooding caused by the rapid failure of so many structures. There has also been a noticeable increase in community education on the dangers of flood waters and the phrase “turn around, don’t drown” is now used to describe the action to be taken when approaching a flooded road. Low head dam’s now have signage indicating the dangers of flood situations and drowning risk associated with these types of structures. Hopefully these changes will never need to be tested again but if another high rainfall event were to take place Columbia will be better prepared for it.

Best regards,

Donnie Bloodworth

References

New maps of 2015 floods help SC prepare for the future. (2016). Retrieved from https://www.usgs.gov/news/new-maps-2015-floods-hel…

Nies, M. A., & McEwen, M. (2019). Community/public health nursing (7th ed.). St Louis, MI: Elsevier.

October 1st-5th historic rainfall and flooding. (2015). Retrieved from https://www.weather.gov/cae/HistoricFloodingOct201…

South Carolina floods: death toll rises to 10 in unrelenting storm. (2015). Retrieved from https://www.usatoday.com/story/news/nation/2015/10…

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For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

1. Access the Ethical Case Studies media piece to review the case studies you may use for this assessment.
   • Select the case most closely related to your area of interest and use it to complete the assessment.
     • Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
   • Include the selected case study in your reference list, using proper APA Style and Format.
2. Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
   • Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
   • Identify who is involved or affected by the ethical problem or issue.
   • Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
     • Apply the three components outlined in the Ethical Decision-Making Model media.
   • Analyze the factors that contributed to the ethical problem or issue identified in the case study.
     • Describe the factors that contributed to the problem or issue and explain how they contributed.
3. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
   • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The How Do I Find Peer-Reviewed Articles? library guide will help you locate appropriate references.
     • Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
     • Review the Think Critically About Source Quality resource.
       • Assess the credibility of the information source.
       • Assess the relevance of the information source.
4. Discuss the effectiveness of the communication approaches present in a case study.
   • Describe how the health care professional in the case study communicated with others.
   • Assess instances where the professional communicated effectively or ineffectively.
   • Explain which communication approaches should be used and which ones should be avoided.
   • Describe the consequences of using effective and non-effective communication approaches.
5. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
   • Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
   • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
   • Discuss the key lessons this case provides for health care professionals.
6. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
   • Describe the proposed solution.
   • Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
   • Discuss how likely it is the proposed solution will foster professional collaboration.
7. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
   • Apply the principles of effective composition.
   • Determine the proper application of the rules of grammar and mechanics.
8. Write using APA style for in-text citations, quotes, and references.
   • Determine the proper application of APA formatting requirements and scholarly writing standards.
   • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 1 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

• Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
• Font and font size: Times New Roman, 12 point.
• APA template: Use the APA Style Paper Template [DOCX] as the paper format and use the APA Style Paper Tutorial [DOCX] for guidance.
• Written communication: Use correct spelling, grammar, and punctuation.
• References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
• APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

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This question is a continuation from MOdule 1

Community education project

Assignment:

1. Project Concert: Please document your hours for this module in Project Concert. Access Project Concert. You should have an estimated 10-15 hours for project log
2. Discuss aspects of a health concern not being addressed despite the efforts of services and partnerships involved and describe the ultimate outcome(s) or goal(s) from Healthy People 2020 relating to that specific health concern.

Answering the following questions may assist in data interpretation:

• What similarities are apparent between the data that were gathered and the data that were generated?
• What differences are apparent between the data that were gathered and the data that were generated?
• What are the weakness and strengths of this community?
• In what areas is improvement needed in this community?

The assignment should be written in an APA-formatted essay. The essay should be between 1500 and 2000 words in length and include at least two scholarly sources other than provided materials.

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Review the following case study from your text and respond to one question from Category A and one question from Category B.

Sarah is 28 years old and 7
months pregnant with her third child. Her other children are 2-1⁄2 and
1-1⁄2 years old. She had uncomplicated pregnancies and deliveries. Sarah
is 5′ 6″ tall; she weighed 142 pounds at the beginning of this
pregnancy, which made her prepregnancy BMI 23. She has gained 24 pounds
so far. Prior to her first pregnancy, her BMI was 20 (124 pounds). She
is unhappy about her weight gain, but the stress of having two young
children and being a stay-at-home mom made losing weight impossible.

She went online for her MyPlate plan, which recommends she consume
2,400 calories per day. She doesn’t think she eats that much because
she seems to have constant heartburn. She takes a prenatal supplement,
so she feels confident that even if her intake is not perfect, she is
getting all the nutrients she needs through her supplement.

A typical day’s intake for Sarah:

Category A

• Does she have any risk factors for a high-risk pregnancy? Explain your answer.
• Evaluate her prepregnancy weight and weight gain thus far. How much total weight should she gain? Explain your answer.
• Is her attitude about supplements appropriate? What would you tell her about supplements? Explain.

Category B

• Based on the 2,400-calorie meal pattern, what foods should Sarah
  eat more of? What food is she eating more than the recommended amounts?
  How would you suggest she modify her intake to minimize heartburn?
• What would you tell her about weight gain during pregnancy? What
  strategies would you suggest to her after her baby is born that would
  help her regain her healthy weight?
• Devise a 1-day menu for her that provides all the food she needs in the recommended amounts and alleviates her heartburn.

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• Required Deliverables

  Parts 1–3 of this five part assessment will guide the recommendations you make in Part 4, and help determine what form of leadership is needed in Part 5.

  • Part 1: SWOT (Strengths, Weaknesses, Opportunities, Threats) or PEST (Political, Economic, Socio-cultural, Technological) Analysis Table.
  • Part 2: Brief Organizational Assessment Narrative and Organizational Scorecard Table.
  • Part 3: Brief Gap Analysis Narrative and Gap Analysis Table.
  • Part 4: Executive Briefing Report.
  • Part 5: Brief Leadership Implications Narrative.

  Preparation

  Before you create and submit your Deliverables, select a familiar health care organization to use in each assessment in this course. Choose the organization where you currently work, an organization where you have previously worked, or an organization where you might like to work in the future.

  Directions

  Conduct an organizational analysis for your selected organization. Incorporate each of the following parts and be sure you carefully read the requirements for each.

  Part 1: Environmental Assessment

  Conduct a brief environmental analysis using a tool such as SWOT or PEST and summarize your findings in table format. You may choose to do both a SWOT and a PEST (or other) analysis, but you are only required to do one. Include impact from the Affordable Care Act in your analysis.

  Part 2: Organizational Assessment

  Create a table based on your internal analysis of the organization’s mission, vision, values, culture, and strategic direction. Then, write a brief narrative in which you explain the organization’s mission, vision, values, and culture, as well as the current strategic direction.

  • Apply a framework such as the organizational, or balanced, scorecard to measure performance relative to the strategy. Indicate if the strategy fits the external environment.
  • You may use any table format you wish, but be sure you include 1–2 priority performance indicators, internal benchmarks or targets (be sure you include financial and quality targets), and the four categories.

  Note: Part 2 is comprised of your brief narrative and the organizational scorecard in table format.

  Part 3: Gap Identification

  Select 1–2 priority performance indicators within each of the four major categories: business operations, finance, customer satisfaction, and organizational learning and growth.

  • Identify the performance measurements and internal benchmarks or targets for each of the priority performance indicators. Be sure you include financial and quality targets. Use a table similar to the organizational scorecard to identify the gaps between desired and actual performance. Be sure you integrate the strategic direction and scorecard into your gap identification.
  • Conduct a gap analysis of actual to benchmark or target outcomes. Refer to and integrate the organizational strategic direction and scorecard. Briefly explain any additional gaps you identified between stated organizational values and actual culture.

  Note: Part 3 is comprised of your gap identification table and a brief narrative.

  Part 4: Leadership Recommendation

  Write an executive briefing report in which you clearly and concisely outline evidence-based recommendations to close the identified gaps and better align with organizational strategy and targets.

  • Include within your recommendations the resources that will be needed, such as human, financial, technical, and so on. Be sure that you reference your resources to support your recommendations. Keep in mind that this is an executive briefing report; you want to be thorough while still being concise.
  • Reference a minimum of five resources in this assessment. Look for professional, scholarly research articles on improving performance in health care organizations, how the Affordable Care Act is affecting health care organizations, and other related topics to use in guiding the recommendations you will make to close the gaps you have identified.

  Part 5: Leadership Implications

  Write a brief narrative in which you explain the role of the organization’s leader with regard to shaping strategic direction, aligning organizational values and culture, and managing change. What are the critical success competencies needed to achieve desired organizational outcomes? Cite your resources to support your statements.

  Additional Requirements

  • Structure: Include a title page, table of contents, and reference page.
  • Length: There is no required number of pages. Your length will vary depending on the organization you use. Begin each part of the briefing report on a new page. Your goal—and your challenge—is to provide as much detail and information as possible in a direct and concise way.
  • References: Cite at least five current scholarly or professional resources.
  • Format: Use APA style for citations and references only. Otherwise, follow the formatting and style conventions of an executive briefing report. Use headings and subheadings as appropriate for a professional document.
  • Font: Times New Roman font, 12 point.

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Assignment Guidelines:

• This assignment must be in APA format: Times Roman 12 font, double spaced, and include title and reference page.

• The assignment should be in paragraph form using complete sentences and avoiding bullet points and numbered list.

• Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual).

• Title and reference pages do not count toward the total word or page count.

• Textbook and outside sources need to be referenced and cited in the paper.

Essays: (at least 300 words per prompt)

1. George, while working in the bar, ran a rusty nail through the bottom of his foot. What infectious disease should he be concerned about? Why is this disease usually associated with injuries from rusty nails? What are the signs and symptoms, diagnosis, and treatment for this disease?

2. A 16 year old was admitted in meningitis. What are the signs and symptoms of meningitis? What diagnostic test is use to diagnosis the cause of meningitis and how many types of meningitis are there? What is the recommended treatment for each type? What is the new recommendation for meningitis vaccinations (how many total and what age)?

3. As we age, most of us will experience changes in our hearing and vision. Discuss the signs and symptoms, diagnostic test, and treatment options for the following: Presbycusis and Macular degeneration.

4. Can mental illnesses be prevented, cured, or are people born with the illness, explain? What are some of the early warning signs of mental illness? Do you feel there is a social stigma around some or all mental illnesses, explain.

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The Inclusion of Nurses in the Systems Development Life Cycle

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources.
• Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system.
• Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology.

By Day 3 of Week 9

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

The Inclusion of Nurses in the Systems Development Life Cycle

In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences.

In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development.