Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.
Case Scenario
Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is so exhausted she cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin
Critical Thinking Questions
What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.
DIFFERENTIATE BETWEEN STRATEGIC MANAGEMENT, STRATEGIC THINKING, STRATEGIC PLANNING, AND MANAGING STRATEGIC MOMENTUM
Nursing HomeworksDIFFERENTIATE BETWEEN STRATEGIC MANAGEMENT, STRATEGIC THINKING, STRATEGIC PLANNING, AND MANAGING STRATEGIC MOMENTUM.
Due Week 4 and worth 300 points
For all assignments assume that you are the administrator of a fictitious organization of your choice. The organization can be any type of health care organization such as a hospital, nursing home, rehabilitation center, clinic, etc. As the administrator, you are faced with the challenges of declining reimbursements from insurance providers and increasing demands for patient services due to dramatic changes in the external environment. Such changes include those imposed by the Patient Protection and Affordable Care Act.
Your first step in evaluating the position of your organization will be conducting an environmental analysis. The purpose of this is to determine your organization’s ability to continue to provide quality care and remain financially solvent in the face of these challenges.
Write a six to eight (6-8) page paper in which you:
Determine two (2) specific forces in the external environment that will have the most impact on your organization. Provide a rationale for your decision.
Determine two (2) specific internal factors that the organization’s leaders need to consider in preparing for the future of health care and the future of the organization. Provide a rationale for your decision.
Discuss the impact of both the identified internal and external forces on the organization’s ability to develop a competitive strategy.
Recommend one (1) strategy that involves the organization’s managers in implementing and maintaining the momentum of the strategic plan.
Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites to not qualify as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Differentiate between strategic management, strategic thinking, strategic planning, and managing strategic momentum.
Analyze the significance of the external environment’s impact on health care organizations.
Examine the purpose and importance of service area competitor analysis.
Examine the role of internal environmental analysis in identifying the basis for sustained competitive advantage.
Use technology and information resources to research issues in the strategic management of health care organizations.
Write clearly and concisely about strategic management of health care organizations using proper writing mechanics.
What are health data standards and how do they relate to your role as an informaticist?
UncategorizedTO PREPARE: What are health data standards and how do they relate to your role as an informaticist? Health data standards are the agreed upon representations of nursing data. From the coding of medical processes to documentation formats and terminology definitions, health data standards help to align nursing language. Being knowledgeable in health data standards is imperative to the data aggregation and informatics system selection process. It is the informaticist’s responsibility to not only understand the nursing domains of each standard, but also to be educated on the standards development organizations (SDO) that create, maintain, and approve these standards. •Review the health data standards presented in this week’s Learning Resources. (THIS IS THE LINK TO THE STANDARDS : http://www.phdsc.org/standards/health-information/D_Standards.asp ) •How does each provide a framework to align the terminologies and data sets used in health care settings? •Reflect upon your current health care setting. •Does your setting currently use any of the standards outlined by a specific organization? Why? •How might standards impact the documentation processes of your setting? Furthermore, which standards might most apply to you in your work as a nurse? DIRECTIONS: WRITE a description of the health data standards your setting uses and how these standards impact documentation and your specific nursing role. Explain how standard development organizations impact your health care setting.
Create a topic for an upcoming meeting that would appeal to your target audience.
Uncategorizedprofessional Nursing organization
Choose a professional nursing organization that relates to the nursing profession or your clinical practice area. Assuming that you are the chairperson of membership for the organization, create a full-page flyer designed to recruit new members to the professional organization. In your flyer, include:
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines,this assignment uses a rubric.
>Management homework help
UncategorizedFor this assignment, submit an annotated bibliography in APA format.
Your final Annotated Bibliography will have 7 sources listed. Of those,
Submit this assignment with a cover page in APA format, double spaced, 12 pt. times new roman. The reference for each annotation should be in APA format. The annotations for each reference should be at least 150 words.
An annotated bibliography provides specific information about each source you have used. As a researcher, you have become an expert on your topic and have the ability both to explain the content and to assess the usefulness of your sources for those not in the know. Think of your paper as part of a conversation with others interested in the same things you are; the annotated bibliography allows you to tell readers what to check out, what might be worth checking out in some situations, and what might not be worth spending the time on. It’s kind of like providing a list of good movies for your classmates to watch and then going over the list with them, telling them why this movie is better than that one or why one student in your class might like a particular movie better than another student would. You want to give your audience enough information to understand basically what the movies are about and to make an informed decision about where to spend their money based on their interests” (“Annotated Bibliography”).
Here is a website with a sample:
https://owl.purdue.edu/owl/general_writing/common_writing_assignments/annotated_bibliographies/annotated_bibliography_samples.html
This provides a sample of an annotated bibliography
https://libguides.enc.edu/writing_basics/annotatedbib/apa
I ATTACHED THE LINK ABOUT THE TOPIC. Please follow the same topic!!
List factors that put men at risk for depression
Nursing HomeworksBased on the feedback you received on your submission from last week, submit a revised draft of your paper with this additional information:
Discussion ccjs 321
UncategorizedThere are 7 questions. 1 answer page per question and 3 references per answer.
>Management homework help
UncategorizedDescribe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
UncategorizedUse the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.
Case Scenario
Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is so exhausted she cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin
Critical Thinking Questions
What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.
HOW WOULD YOU DECIDE THE BEST WAY TO HONOR A PATIENT’S AUTONOMY IN A NURSING HOME AND WHAT WILL YOU DECIDE?
Nursing HomeworksHOW WOULD YOU DECIDE THE BEST WAY TO HONOR A PATIENT’S AUTONOMY IN A NURSING HOME AND WHAT WILL YOU DECIDE?
The rising number of uninsured patients has led to an increased reliance on the hospital emergency room for routine nonemergency care. EMTALA ensures patients’ access to the emergency room of any hospital, regardless of patients’ insurance status or their ability to pay. Using the South University Online library or the Internet, read about EMTALA. You can search for this act by using the keyword, “EMTALA” and respond to the following question:
Scenario 2
Autonomy is one of the most important ethical principles discussed in long-term care. Often, autonomy is in danger of being sacrificed when a patient is in need of a higher level of care. Imagine you are part of the staff at the local nursing home. The administrator has asked you and a group of other employees to discuss the principle of autonomy and how it can be aplied to the nursing home setting. As a staff member, answer the following questions:
Vilander Carecenters Inc. provides financing and capital to the healthcare industry, with a particular focus on nursing homes for the elderly.
UncategorizedVilander Carecenters Inc. provides financing and capital to the healthcare industry, with a particular focus on nursing homes for the elderly. The following selected transactions relate to bonds acquired as an investment by Vilander, whose fiscal year ends on December 31. 2017 Jan. 1 Purchased at face value $1,148,000 of Javier Nursing Centers, Inc., 10-year, 10% bonds dated January 1, 2017, directly from Javier. Dec. 31 Accrual of interest at year-end on the Javier bonds. (Assume that all intervening transactions and adjustments have been properly recorded and that the number of bonds owned has not changed from December 31, 2017, to December 31, 2019.) 2020 Jan. 1 Received the annual interest on the Javier bonds. Jan. 1 Sold $574,000 Javier bonds at 105. Dec. 31 Accrual of interest at year-end on the Javier bonds. a)Assume that the fair value of the bonds at December 31, 2017, was $1,262,800. These bonds are classified as available-for-sale securities. Prepare the adjusting entry to record these bonds at fair value. b) Based on your analysis in part (b), show the balance sheet presentation of the bonds and interest receivable at December 31, 2017. Assume the investments are considered long-term.