I currently work at a transitional care unit; we do the admissions for the whole clinic, cover the perception unit, and recoup all cardiovascular cath, pacemaker, and removal patients. Obviously we have a wide assortment of patients and keenness levels. Passing isn’t an ordinary event, yet it happens reasonably consistently. I have tended to patients on comfort mind just, currently kicking the bucket, and those that pass surprisingly because of heart failure. The plain first patient I had passed was a patient with terminal lung tumor. This experience genuinely opened my eyes to the agony and enduring numerous tumor patients perseveres. He was in horrible agony, where over a 4 hour time span he got 18mg of Dilaudid, and this scarcely made him agreeable. It was in this time I considered demise to be a help, so both him and his relatives.

I am ready to see passing from an exceptionally medicinal and logical point. In that passing does not trouble me to such an extent. I consider it to be a wild factor we as a whole should confront multi day. Including medicinal services aliments that prompt passing likewise makes a difference. At the point when my granddad passed away I was miserable for his misfortune, yet additionally mitigated that he every other week excursions to the ED for either CHF or DKA were finished. I knew he was prepared to go on as well. 

With this viewpoint I have been called craze about the subject. My mother does not see how I am ready to see death in such an easygoing way. I don’t feel I see it in an easygoing way, however a scientific and restorative way. I don’t know what occurs after death, but rather I discover comfort in knowing something more lies past it.

Comment2

I work in a telemetry floor. As well as post-cath lab procedures, we admit patient with diverse diseases. Most of them have been discharge home safely but many of the patients have died during our care. My first death was a woman around her 40s with a beautiful family. Unfortunately, eight months before she was diagnosed with stomach cancer. Her body only resisted one chemotherapy. I had this patient every night since she got admitted and I knew how much she wanted to live. Four weeks passed, and she got even worse. Everyone on the floor knew this patient. I can still remember her name and how many times she told me she wanted to live her life as normal person again. The night of her death was a sad night, but she was ready to go on. There were tears and even more when I was receiving a hug from the husband and the thankfulness for his wife care during her hospitalization. That was an unforgettable experience.

After that night I keep think how people still fight over material things; how is more important money that feelings. How many persons do not have respect for life? Life is short and sometimes unfair, but still is life, and still is beautiful. It is important to spend time with those who we love, and remind them every day how much you love those moments together.

Details: Explore The Technology Systems Offered By Nanthealth,

Details: Explore the technology systems offered by Nanthealth,
Explore the technology systems offered by Nanthealth, a provider of “telehealth” and health management services via the following link:

Prepare a brief (8-10 slides) PowerPoint presentation in which you do the following:
1. Identify at least two technology innovations to connect patients, providers, and insurers across the care continuum.
2. Describe how the technologies work to provide patients and providers with data necessary for health care decision making.
3. Discuss how the real-time data encourages outcome-focused planning.
4. Predict what impact the technology will have on future health care delivery. Provide rationale and examples.
Presentations must include speakers’ notes on each slide, as well as references for the presentation. The slide count (10-12 slides) does not include the introduction and References slide(s).
In addition to your textbook,The Interprofessional Health Care Team: Leadership and Development”. A minimum of FOUR academic references from credible sources are required for this assignment.

NURSING JOURNALS ONLY.

Respeonse to nursing DB (Peer). 150 words. 1 reference within 5 years. NURSING JOURNALS ONLY.Change tends to bother many people both inside and outside the medical profession it can be an issue. At the CVICU I work in at Memorial Regional there is no exception from changing the equipment like the IV pumps to updating insulin protocols to remain current with new therapies there always seems to be resistance and trouble unifying the team at first.Guo Hao Liu and Zhou (2016) conducted a study on Nurses in several different specialties with varying levels of education and noticed a trend of increased compliance with evidence based practice in those nurses with higher levels of education experience with research and job satisfaction. I think this supports the trend of our nursing boards to increase the levels of education required to practice examples including their promotion of BSN only programs and as you discussed in class this week the transition of the MSN programs to the Doctorate level. The more educated one is and the more experience they have in the viewing the process behind what puts these new treatment modalities in effect then the more respect they have for the research itself and the information it provides.In my unit specifically there had been an issue one of our respiratory therapist had seen in administering breathing treatments such as albuterol to patients without a significant respiratory history. This protocol was formed by the surgeons and intensivists through their experience and research. The problem was addressed by involving these decision makers to educate the staff on their reasons in a non-confrontational and educational manner which allowed the respiratory therapists a chance to understand and buy into the programThis article and experience illustrates that this method of providing education instead of simply implementing new protocols may promote a positive outlook on evidence based decision making. Education and research should be presented to employees and the process explained so it can aid its acceptance and compliance.

PLEASE RESPOND TO BOTH DISCUSSION 100 WORDS EACH!!!!!!!!!!!!!!!!!!!!!
discussion1  noriko
It makes sense that non-for-profit organizations such as government, educational institutions, and community have different types of accounting. A prime example of a not-for-profit organization is governmental organizations. Governmental organizations use the governmental accounting standards board (GASB) instead of using financial accounting (FASB) as private businesses usually use. Even though private businesses such as Walmart, Apple, and Googles have a profit motive concept, non-for-profit organizations usually have a different purpose and aspects of view. Private businesses have concentrated on economic resource measurements that specifically try to measure the economic flow and adjust the monetary transactions based on those differences. However, non-for-profit organizations have management focused on the current financial resources that eliminate consideration of long-term resources and transactions such as long-term debt, investment, and assets. Non-for-profit organizations mainly consider current monetary transactions.
Non-profit organizations primarily focus on establishing the financial statement to make political and social decisions for following finical years based on current fiscal years of actual and budget compliance. That being said, non-profit organizations have to follow the principle of inter-period equity concept that shows whether current budgeted expenditures are covered by actual expenditures. When their budgeted compliances are not followed accordingly and cannot accomplish the current projects with the defined estimated funds, it causes problems that non-profit organizations have to consider review the budgeted funds with actual funds from their reported financial statement by compared with previous statements. According to Joseph (2019), non-profit organizations have to use the funds from current taxpayers that lead to spending for them in a finical year and cannot leave the expenditures to future taxpayers (budget on them). Thus, the accurate allocation of funds is very important for not-for-profit organizations. On the other hand, private businesses only focus on profit from their sales. Those are the huge differences that conclude non-profit organizations should use different accounting types to clarify what funds are expenses from different views.
Reference: 
Joseph, D. (2019). The Difference in Accounting Practices Between GASB & FASB. Accounting and Booking. Retrieved from:
https://smallbusiness.chron.com/difference-accounting-practices-between-gasb-fasb-79752.html
discussion 2 Eri
 
Not-for-profit organizations are not your typical business in the sense that they are not built to make a profit. Instead their main focus is to serve the people without expecting anything in return. Nonprofit organizations drive under the mission of serving the needs of society. Nor-for-profit organizations don’t have an owner(s) or stockholders that they need to report too or demonstrate that they can turn a profit in the next quarter. Instead they rely on income from fundraising events, contributions, public and private grants, program revenues, membership dues, and investment income. Since they serve different purposes, then their accounting needs will be different and NFP will lean towards fund accounting, with a focus on accountability rather than profitability. Fund accounting will allow NFP organizations to separate their resources into different accounts in order to identify where they need to spend the income and identify the use for it. Their reporting process and requirements will change. For instance, a NFP organization can be exempt from income taxes if they are approved by the IRS while a typical entity is required to pay yearly taxes or risk having the government step in and charge them on tax evasion.
Not-for-profit organizations doesn’t have stockholders that they need to maintain and keep happy. In that sense, they don’t report to anyone and are not required to have a balance sheet, statement of stockholder’s equity, income statement, or statement of operations. These would be document’s an investor/stockholder would need to determine if the organization is profitable and a reasonable investment. A NFP doesn’t have to demonstrate to stockholders how their money is being spent and invested, instead they provide a statement of activities that will keep track of their assets and liabilities to give you an ending net asset total. To keep track of their assets, a NFP will separate them into three categories: unrestricted, temporarily restricted, and permanently restricted. This will allow them to allocate funds for particular projects without risking the funds being used elsewhere. A profit entity would use one general ledger to keep track of all accounts while a NFP will have separate ledger accounts for each one of its different bank accounts/major programs.
Reference
Averkamp, H. 2020. Accounting Coach, LLC: Nonprofit Accounting. Retrieved from: https://www.accountingcoach.com/nonprofit-accounting/explanation

Health Care Policy

Complete this week’s assigned readings, chapters 70, 72, 74 of this book:
-Policy and Politics in Nursing and Health Care
Author: Diana Mason, Deborah Gardner, Freida Outlaw, Eileen O’Grady  Publisher: Elsevier – Health Sciences Division Edition: 7th, Seventh, 7e
After completing the readings, post a short reflection, approximately 1 paragraph in length, discussing your thoughts and opinions about one or several of the specific topics covered in the textbook readings pertaining to health policy and politics. Identify which one MSN Essential most relates to your selected topic in your discussion.
As a reminder, no scholarly sources are required and students do not have to reply to a classmate’s original post.
Please READ these Chapters of this book not the other book.

Review
 
Ms. Mist is employed as an internal auditor by Universal Imports Limited (UIL), a Canadian-controlled private corporation.  To drive to UIL’s locations, as required in her employment, UIL provides her with a car and withholds an amount for her salary to cover personal kilometers.  During 2019, Ms. Mist used the car for 21,000 employment kilometers and 9,000 personal kilometers.  When on an auditing assignment, she is out of town at least five days.
 
Ms. Mist provides you with the following information related to 2019:
 

Gross salary $ 140,000
Withheld from salary
  Income tax $ 42,000  
  Registered Pension Plan 8,500  
  Canada Pension Plan 2,594  
  Employment Insurance 858  
  Group term life insurance 750  
  Payment for personal use of company car    2,000     57,702
Net salary  $ 83,298
   
Travel allowance paid by employer   8,100
  $ 135 per day for 60 days
 
Actual reasonable travelling expenses for 2019 were:
$ 2,400 for meals
$ 4,400 for accommodation
$ 3,865 for air and ground transportation
 
Book value of company-owned automobile 31,280  
  Original capital cost in November 2018
Operating costs paid by employer in 2019
32,000
9,575
 
Employer contributions
  Group term life insurance policy Premium 450  
  Extended medical insurance premium 900  
  Registered Pension Plan 8,400  
Premium paid by Ms. Mist for private dental insurance 500
Expenses paid by UIL for Mr. Mist to accompany her on an auditing trip to Banff.  During the trip Ms. Mist broke her leg and personally incurred $3,000 in medical expenses. 3,000
Luggage set received as a birthday gift 300
Airport premium lounge passes received in recognition of five-year service, it was the first long term service award received by Ms. Mist 400
Bonus payable on December 31, 2019, that was paid to Ms. Mist in January 2020 5,000
Fees paid by Ms. Mist to the Institute of Internal Auditors, a professional body recognized by legal statute 450
Fees paid by UIL for a Wantlen University Spanish course. 950
Fees paid by Ms. Mist paid to Super Fit Athletic Club 900
Donation made to BC Search and Rescue, a registered charity 500
Interest received on total return bond portfolio 200
Dividends received on UIL stock 750
Proceeds received from sale of 1,000 shares of UIL stock acquired under the employee stock option plan
The options were granted in 2015 with an exercise price of $10 when the market value of the shares was $12 per share.
Ms. Mist exercised the options in 2015 when the fair market value was $13 per share.
15,000
Gain on sale of shares held in her non-registered portfolio 5,000
Loss on sale of shares in her TFSA portfolio (7,500)
Carryover of a net capital loss on shares sold in 2014 (3,500)
Ms. Mist received a $100,000 low interest home purchase loan in 2018.
The balance is due in 2021.  Interest paid in 2019 was $100.
100

 
Ms. Mist’s husband received a severance package in 2018 and used 2019 to renovate their house.  His taxable income in 2019 was $5,000.  Their 20-year-old son dependant lives with them.  In 2019 they paid $8,000 in tuition at a recognized Canadian University and also his $4,000 medical bill following a mountain biking accident.  Their son’s income in 2019 was $10,000.  Ms. Mist receives annual spousal support of $12,000 from a prior marriage.
 
 
Required:
 

  • Determine the federal tax payable for Ms. Mist in 2019. Clearly identify sources of income, net income for tax purposes, taxable income and federal tax in your calculation.  Present all aspects of the required calculations.

 

  • Explain any tests applied in the determination of the appropriate tax treatment.

 

  • Explain any amounts excluded from your calculation of tax payable.

 
 
 

Adoption of EHRs – New Technology Systems in Nursing

As a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things. Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:
1. Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things. 2. Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices. 3. Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur. 4. Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities. 5. Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.
For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation.
To prepare:
1. Review the Learning Resources this week about successful implementations of EHRs. 2. Consider how you would present the new EHR system to the nurses to win their approval. 3. Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success?
Write a 3- to 5-page paper which includes the following:
A. Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance. B. Analyze the role of nurses as change agents in facilitating the adoption of new technology.

This Assessment constitutes a Performance Task in which you are asked to evaluate various sources of information related to a topic in the early childhood field. You will choose a topic from the options below, evaluate the credibility of both scholarly and Internet sources, analyze ethical guidelines, and synthesize your findings.
Access the following to complete this Assessment:

You will evaluate research related to your chosen topic and write a 5- to 7-page response using the template provided.
Topic Options:

  • The use of technology in early childhood programs
  • Dual language instruction in early childhood programs
  • Inclusion within the early childhood environment
  • Childhood obesity prevention strategies

This Assessment requires submission of one (1) document:  a completed Performance Task Submission Template.

  • attachment

    rc003_-performance-task-assessment-submission-form3.docx

documents attached

Discussion: Foundational Pioneers in Informatics The smartphone has become an increasingly valuable tool in the field of medicine. Because of the phone’s small size and powerful computing capabilities, doctors, nurses, and researchers use these smartphones in a wide range of areas. For example, smartphones can be used as an electrocardiogram, to perform ultrasound procedures, to track patient progress, and as a decision support tool for generating diagnoses (Ozdalga, Ozdalga & Ahuja, 2012). Like most innovative technologies, the smartphone and its applications are a result of many years of incremental research and development. In this Discussion, you focus on those who set the stage for the field of informatics today. By Day 1, your Instructor will assign you one of the pioneers in the field of informatics to research. To prepare:

  • Read the articles listed in the Learning Resources for your assigned informatics pioneer.
  • Conduct research in the Walden Library or on the Internet to find additional works by or information about the individual.
  • Determine his or her area of interest and affiliations in the medical world.
  • Reflect on the contributions he or she made to the field of informatics. What most interests you? What most surprises you?
  • Consider how these contributions impact the field of informatics today.
  • Assess why it is important to be familiar with the foundational documents of nursing informatics.
By tomorrow 11/30/2016 12pm Post a minimum of 550 words essay in APA format with a minimum of 3 scholarly references (See list provided below), which addresses the level one headings below: 1)      An overview of the individual to whom you were assigned, including his or her principal areas of interest and medical affiliations. 2)      Highlight the contributions this individual made to the field of informatics, and explain how these contributions impact the field of informatics today. 3)      Comment on the importance of being familiar with the foundational documents of nursing informatics.  ]]>