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Crohn's Disease

An 18-year-old white female presents to your clinic today with a 2-week history of intermittent abdominal pain.  She also is positive for periodic cramping and diarrhea as well as low grade fever.  She also notes reduced appetite. She notes that She admits smoking ½ PPD for the last 2 years. Denies any illegal drug or alcohol use. Does note a positive history of Crohn's Disease.  Based on the information provided answer the following questions: 
1.    What are the top 3 differentials you would consider with the presumptive final diagnosis listed first?
2.    What focused physical exam findings would be beneficial to know?
3.    What diagnostic testing needs completed if any to confirm diagnosis?
4.    Using evidence-based treatment guidelines note a treatment plan.

135 Words  1 Pages

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Module 06 Project 


Create a Presentation on Healthcare Innovation Strategies, Technology Improvement, Quality, and Cost in the 21st-Century

Competency
Apply principles of organizational learning, innovation, and change in healthcare organizations.
Instructions
As the leader of this healthcare organization, you have been invited to a healthcare symposium to discuss organizational learning, innovation, and change in healthcare organizations. You are requested to give a presentation on your organization's changes for improvement, learning methods employed in the change process, and what innovations your organization used for the improvements.
You are presented with the following details to complete your presentation.
1. Explain the concepts of organizational learning in a healthcare setting. Cover at least three concepts with an example of each.
2. Outline steps used to create innovation in a healthcare setting in the face of a recessive marketplace. Provide a minimum of three steps with examples.
3. Discuss the overwhelming need for continuous change in a healthcare setting; provide examples.
On a separate slide, provide references in APA format.
NOTE - APA formatting and proper grammar, punctuation, and form are required. APA help is available from this link - APA.
If you are new to creating a PowerPoint presentation, visit the following free tutorial websites:

* Microsoft Office PowerPoint 2013 Tutorial
* PowerPoint 2013

222 Words  1 Pages

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Module 04 Project 


Create an Executive Summary of Leadership, Operations Management, and the Impact of Fraud

Competency
Analyze leadership challenges in healthcare.
Instructions
Healthcare leadership is often tasked with some of the most difficult challenges when it comes to leading. As a leader in D'Wellington Healthcare Group (DWHCG), which is a health plan, you are asked to assess and develop a strategic SWOT analysis that will help lead the organization into a company that will be able to compete on a national basis in the next 3-5 years.
 
For this assignment, you will focus on an in-depth path of leadership, operations management, and the impact of fraud and abuse in healthcare; then create an executive summary.
NOTE - APA formatting and proper grammar, punctuation, and form are required. APA help is available from this link - APA.
1. Explain what particular type of leadership style is needed to begin a robust leadership that contributes to growing the healthcare organization.
    * Describe what leadership is.
    * Discuss some leadership styles used in healthcare.
    * Compare and contrast leadership styles in healthcare.
2. Design and create the role of your Operations Manager, so that person can be empowered to be more effective in that role.
    * Decisions support systems.
    * Communication availability and use.
    * Technology availability and use.
3. Put a system in place to limit the likelihood of being able to commit fraud.
    * Focus on efficiency using decision support system resources.
    * Describe technology software that could add value to an anti-fraud system.
    * Explain the compliance and regulatory rulings regarding healthcare fraud.

276 Words  1 Pages

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What are the rules regarding controlled substances and narcotics? Where are they kept? What is the proper procedure for giving them?

32 Words  1 Pages

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Personnel Recruitment and Retention in Healthcare

17 Words  1 Pages

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Prompt

Cultural anthropologists rely on ethnographic research methods, such as participant-observation and semi-structured interviews, to understand human behaviors and cultures. For this essay, you are required to conduct an ethnographic study of a location you are particularly familiar with (a café, a gym, a store, etc.). Questions that you might want to address include (but are not limited to): who uses this particular location, and for what purpose? How do people interact, and what do they share? How is space occupied (by gender, age, etc.)? What habits do people have, what do they talk about, and how? Based on direct observation and two interviews with people who regularly come to this place, students will describe and analyze people’s behaviors and interactions, and the specific culture of this place more generally.

Sources and Formatting

This essay should rely on direct observation, two interviews with people who regularly use this place, and one peer-reviewed article. For this assignment, your textbook is not considered a peer-reviewed article. The source should be properly cited in ASA style and cited at the end of your essay. You also need to list the questions (at least 8) you used for your interviews at the end of your essay.

This essay must also be at least 1,000 words long.

226 Words  1 Pages

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You were recently hired as the Chief Operating Officer (COO) for a mid-sized hospital and the CEO has asked you to develop a brief strategy to address the possible need for a change in the structure of governing board. The CEO is concerned that the current structure is too conservative and that new members of the community need to be introduced, possibly even former patients. The CEO also believes this change needs to occur due to the new direction of the organization’s mission and vision statements.

What steps would need to be taken to create this change in the governing board? What benefits would ensure because of this change? What new members should be included?

Requirements:

The memo should be at least 1, but no more than 2 pages, single-spaced.
You need to cite at least 3 sources for this assignment,

152 Words  1 Pages

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Case Study Community Health Nurse:  You are a Community Health Nurse and are 
making a home visit to a family in a nearby town.  You do not know the family and have never met them before.  The father is not at home when you visit.  However, the mother is home caring for her son, Pedro, who is six-years old and home ill from school.  You assess Pedro and discover bruises on his chest and back.  You ask Pedro how he got the marks on his chest and back and he tells you his father. 



What should you do?  Include rationales for why you should take this action.

The first thing I will do is to make sure that Pedro is safe by checking whether there are any internal injuries and I will do it by carrying out an assessment or investigation (Clements, 2015). From my experience as a nurse, I know that a bruise form once a blow breaks blood vessels around the skin surface which causes the blood to drip into the tissues beneath the skin. One t appears it is reddish appearance matching the color of the blood in the skin. Besides, a bruise differs with age, among young people it may take fairly somewhat of force leading to a bruise. What in know it that blood vessels become more delicate as one becomes older.. To minimize bruise, I will try a cold compress that is by applying ice wrapped in a plastic paper bag in a towel. This will reduce blood flow in the affected area. Lastly, I will make sure the case is reported to the relevant body and action taken  ( Powell, 2016). I believe this child abuse and it should not be tolerated at all.  

What are the two assumptions you have related to this case?

I will assume that Pedro what hit by his dad

I will assume that there are no severe internal injuries.

What questions do you want to ask?

There are several questions I would like to ask to determine the level of damage or injury. The first question is what objects might the father used that led to the marks on his chest and back. The level of force applied that led to the bruises and last but not least, whether the dad had been hitting Pedro regularly    

Reference

Clements, P. T. (2015). Nursing Approach to the Evaluation of Child Maltreatment 2e (Vol. Second edition). Saint Louis: STM Learning.

Powell, C. (2016). Safeguarding and Child Protection for Nurses, Midwives and Health Visitors : A Practical Guide (Vol. Second edition). Maidenhead: McGraw-Hill Education.

444 Words  1 Pages

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trauma Nurse Case Study 



How could that be that the family did not drown?

Perhaps it wasn’t a deep river, and that it took a while for responders to arrive to the remote location. Or, if the river was deep, it is possible that a window was broke open, or someone was able to access the trunk and trunk release cord.



What are two assumptions you have related to this case?

Timing of arriving responders
Depth of river and survival skills of family members


What questions do you want to ask? 

Estimated time of arrival to prepare a team, I work in a rural critical care access hospital and studies have shown that deaths from non-collisions (single vehicle, overturning) and collisions (crash) behaved differently with respect to population density, with a higher risk of dying in a car accident by non-collision in areas of low population density. Related to this, the role of access to health services has been questioned as a risk factor of mortality in rural or low population density areas (Leveau, 2015).



Were they wearing seat belts, and were there any signs or symptoms of substance abuse related to the accidents?  Alcohol-impaired driving and speeding among adults also were examined because these risk factors are related to lower rates of seat belt use (Beck, 2017).



Responders state all family members were alive, however, are there any injuries, did was anyone projected from the car? Was there any loss of consciousness before, during or after the incident? In 2012, an estimated 2,519,471 emergency department visits resulting from nonfatal crash injuries occurred in the United States, with 7.5% of these visits resulting in hospitalization, accounting for an estimated 1,057,465 hospitalization days in 2012 (Bergen, 2014).  



What ages are the family members? Teens and young adults aged 15–29 years account for 21% of the population but accounted for 38% of the costs for patients treated and released for crash injuries (Bergen, 2014).



What interventions took place by responders/law enforcement prior to arrival to the hospital and current VS of all members? 



Question: I once encountered a situation where EMT’s arrived with a patient who was involved in a MVA roll over where a patient was ejected from the vehicle,  it was reported that the patient was walking and talking when EMT’s arrived to location of the roll-over and were currently A&O X4.  By the time the patient arrived to the ED she was unresponsive. We transferred the patient via flight and the patient had major internal injuries at which the patient did not survive. Have you ever encountered a situation where a patient was A&O upon report, but arrived unresponsive? If so, did that change your reaction mentality to MVA’s?

References
Beck, L. F.-S. (2017). Rural and Urban Differences in Passenger-Vehicle-Occupant Deaths and Seat Belt Use Among Adults. MMWR Surveillance Summaries, 1-13. doi:doi-org.ssuproxy.mnpals.net/10.15585/mmwr.ss6617a1

Bergen, G. P. (2014). Vital Signs: Health Burden and Medical Costs of Nonfatal Injuries to Motor Vehicle Occupants. MMWR: Morbidity & Mortality Weekly Report, 894-900. Retrieved from http://search.ebscohost.com.ssuproxy.mnpals.net/login.aspx?direct=true&db=hch&AN=98782404&scope=site

Leveau, C. M. (2015). Residence place as a risk factor in different types of fatal car accidents. International Journal of Injury Control & Safety Promotion, 95-99. doi:doi-org.ssuproxy.mnpals.net/10.1080/17457300.2013.843568

This is the second time this semester that I have forgotten to copy and paste my references, I apologize and will pay closer attention.

586 Words  2 Pages

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Head-to-Toe Assessment
For this assignment, perform a complete head-to-toe assessment on one of your chosen participants. Your analysis should include the following:

Topical headings to delineate systems.
For any system for which you do not have equipment, explain how you would do the assessment.
Detailed review of each system with normal and abnormal findings, along with normal laboratory findings for client age.
An analysis of age-specific risk reduction, health screen, and immunizations.
Your expectation of normal findings and what might indicate abnormal findings in your review of systems.
The differential diagnosis (disease) associated with possible abnormal findings.
A plan of care (including nursing diagnosis, interventions, evaluation).
Client and age-appropriate evidenced based practice strategies for health promotion.
Pharmacological treatments that can be used to address health issues for this client.
Provide your answers in a 6- to 7-page Microsoft Word document.
Support your responses with examples.

156 Words  1 Pages

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The courses that comprise the health care emphasis of your doctoral program have addressed areas such as organizational structures, governance, health care regulation, professional development, leadership, community, and sustainability. Take a few moments to reflect back over the key themes of the emphasis courses. Which of these resonates with you most strongly? Why? How will this influence your dissertation research now that your topic is largely solidified?

78 Words  1 Pages

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A positive culture that includes shared leadership creates buy-in and fuels the sustainability of the organization. In addition, research notes that a satisfied staff leads to better patient outcomes. Is the promotion of a positive culture primarily the role of management in a health care organization? Why or why not? How can members of a health care organization cooperate to ensure an organizational culture that promotes the sustainability of quality safe care? Explain.

84 Words  1 Pages

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We expect you to do some research for the following essay, and you will need to support your argument. If you choose to quote directly or otherwise reference someone else's original idea, please include proper, in-text citation, Chicago style. Identify a contemporary policy issue that interests you and take a stance on the direction the policy should take. What would a successful solution to the problem be, and why?  For the purposes of this essay, imagine that the audience is familiar with the topic, but that you need to defend any assertions you make to be convincing. The admissions committee will evaluate you not on whatever position you take, but on how well you can clearly defend your thesis with solid arguments, evidence, and reasoning. A strong essay will explicitly identify and respond to counterarguments to your thesis; citations are not included in the work count. 

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I want the issue to be mental health policy and prison reform so that mental illness is treated instead of ignored. 

179 Words  1 Pages
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