The CEO of your firm has just announced that the organization is conside marketing healthcare services to the mature healthcare consumer or marketing healthcare services to international consumers.2) Draft two separate marketing proposals for the organization. Each proposal should be based on a marketing strategy covered in the course.In a separate 6- to 7-page Microsoft Word document3) Explain which proposal best supports the marketing opportunities outlined by the firm’s CEO. In other words does targeting one or the other group make sense in light of either of the proposals you have just drafted?4) Decide which (if either) of the strategies should be a part of your marketing proposal. Explain why and be sure to address each of the following:ByTuesday July 11 2017 submit your paper to theW5: Assignment 2 Dropbox.Save your document as SUO_HCM3006_W5_A2_LastName_FirstInitial.doc.Writing Components:Organization (10)Style (10)Usage and Mechanics (10)APA Elements (10)
Select a psychological disorder: Attention-Deficit/Hyperactivity Disorder and a local organization that provides mental health services. Research the organization’s website or speak to someone in the organization. Write a 700- to 1,050-word paper in which you examine your selected psychological disorder in the context of the chosen organization’s goals. Include the following in your paper: Identify multiple cultures the organization serves. Identify symptoms of your selected disorder and describe how the interpretation of the symptoms varies across cultures. Discuss how the impact of culture affects interpretations of symptoms and recommendations of services for that organization. Include a minimum of three credible, peer-reviewed references. Format your paper consistent with APA guidelines.
Q2
Importance of Health Care Research Write a 700- to 1,050-word paper on the importance of health care research in current times. Include your views on health care research and why you feel it is important as it relates to one of the concepts outlined below: -The impact of health care research on evidence-based practice -Key components of research studies affecting rigor, validity, and ethical considerations -How leaders can integrate research into a practice or health care network setting -Share your opinions on proper research and its influence on business success. Include references in your paper. No plagiarism and in APA format.
QUESTION
nursing
- Read the scenario below.
- Respond to the questions in full sentences. Be sure to use standard English grammar and spelling
- What biological, psychological, physical environmental, sociocultural, behavioral, and health system factors are influencing this situation?
- Is this a crisis situation? If so, what type of crisis would this be?
- What nursing interventions will you employ with this family?
- How might your interventions be different if you find that many families in the population are experiencing similar problem?
Task 2
Case Study
A final grade will be applied on successful completion of tasks 1, 2 and 3 This task will represent 50% of the final grade
The case study is to be completed in your own time using available reliable sources such as the course text books provided to you at orientation, credible internet sources such as the department of health and other text and online journals available to you through the online library service offered to all students and discussed at orientation.
It is important that you reference all sources of information that you use to obtain information used in your answers. Referencing must be included and failure to adhere to this requirement will result in a not satisfactory outcome for the assessment.
Use the following Case information for each Part of your case study.
Mr. Jones and Mr. Smith have both been referred for home nursing.
Mr. Jones is married and has a supportive wife and family but requires home visits for wound care due to a lower leg ulcer. He cannot attend the wound clinic because his wife does not drive. Mrs. Jones provides nutritious meals and helps him in the shower.
Mr. Smith is single, lives alone. He has a large dog on the premises and is a bit of a recluse.
There is evidence he also does not eat properly and is reluctant to shower unassisted. He continues to smoke.
Has been referred for home nursing as he has Chronic Obstructive pulmonary Disease( COPD) and has had 2 recent admissions to hospital for exacerbation of COPD .Mr Smith has appointments to attend the hospital’s outpatient clinic to assess his lung function and provide him with physiotherapy. Mr Smith does not want to attend the outpatient clinic.
PART A: The Nursing Process.
The nursing Process begins with a thorough client assessment to provide the information needed to plan appropriate care. It also provides a baseline for evaluation of nursing care that has been provided.
Conducting a nursing assessment means getting to know the client and their family, their environment and lifestyle as well as their goals and perception of care. Assessment in this context includes an assessment of the client’s needs and a risk assessment. The information you gather enables you and the client and responsible family members to identify actual and potential problems.
Nursing care in the primary health environment is client focused and includes understanding and using available family and resources. Expected outcomes are identified; this provides a guide for implementing care and the achievement of goals. Goals need to be set in partnership with the client and appropriate family members.
Care plans are individualised and incorporate clinical pathways and best practice objectives to ensure that care is evidence based and meets quality standards.
When formulating nursing care plans the Primary Health Care Nurse (PHCN) should consult and collaborate with the client, registered nurse and /or case manager.
It is important to consider who will be involved in providing the planned care. If a partner or relative or appropriate other person is to be significantly involved, then the plan will need to include provision of adequate information to ensure safe, relevant care is delivered. Care providers roles need to be clearly defined. Planning of care for clients in a home environment also incorporates identifying relevant referrals and accessing additional services.
A care plan should also include appropriate education of the client and family.
You must prepare thoroughly before your visit. An organisational pre visit check list is completed to ensure aspects associated with the client, family and the specific environment have been identified.
Questions and Assessment Part A:
Use the above client scenario information as a guide to complete the following:-: (Refer to Marking criteria Part A)
1 Identify 3 specific care needs (Nursing Diagnoses) and 3 Goals for each client.
2. Provide individual pre-visit check lists for each scenario. Your pre-visit check lists should include identification of any risks
PART B: Nursing Intervention and Rationale.
Nursing interventions must be provided in a professional, ethical and legal manner. Interventions reflect the client’s needs and individuality. Nursing interventions should be specific and relate to the goals.
When providing nursing interventions in the primary care environment, remember that you are not in a facility where the client is subject to the organisations routine. You are a guest in their home. Respect their privacy, beliefs, lifestyle and requests. Adapt your nursing interventions to meet their needs while maintaining professional, ethical and legal standards. Informed consent forms part of those standards.
Nursing Interventions must have rationales and should be specific to each client.
Questions and Assessment Part B:
Use the above client scenario information as a guide, and your client assessment, nursing diagnosis and goals for each client to complete the following:-: (Refer to Marking criteria Part B)
1. Provide nursing interventions for each client. The nursing interventions for each client
should include teaching that is specific to each client scenario. Identify what teaching you would need to
include in each scenario.
2. Provide nursing rationales for each client.
3. The nursing Interventions should include community and other resources that match the client’s needs and
how to access these resources.
4. Compare the likelihood of success for each client. How could you increase the likely hood that your
interventions will be successful?
5. Document what you would do when you do when you arrive at each client’s house.
PART C: Evaluation
Evaluation is the final step in the nursing process. Evaluation identifies the achievement of outcomes. Evaluation can also lead to re-assessment of care. During evaluation it becomes evident whether the previous steps of the nursing process were effective and if the expected outcomes have been reached. The purpose of evaluation is to monitor the client’s responses to nursing interventions and their progress toward planned goals.
Evaluation of care should be a continuous process that occurs with every visit to the client and through the documenting and reporting process. Each evaluation that is made depends on your ability to form a judgement or an opinion about the data that has been collected. Evaluation findings will help to:
• Determine if original assessment data still applies
• Identifies further potential or actual complications
• Analyse responses to nursing interventions, this may identify the need for first aid or emergency care.
• Determine if care meets standards and is evidence based
• Identify opportunities to improve the quality of care
• Assess outcomes from other health care team members
Questions and Assessment Part C:
Use the client scenario information as a guide and refer back to your previous client assessment and nursing care plans to complete the following :- (Refer to Marking criteria Part C)
1. What criteria would you look for when evaluating whether you have met the goals you set for each
client?
2. As the PHCN conducting the home visits, who would you report the outcomes to?
3. What specific documentation would you complete after the home visit for Mr Jones, and Mr Smith?
QUESTION
Nursing research and evidence based practice with picot question
Today is week 1 day 2. I need discussion question by Weds. The picot question in this discussion question will be the question for the paper. So I need discussion question complete and the 3 part paper.
Discussion: Nursing Research and Evidence-Based Practice
In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care.
Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).
To prepare:
- Consider a recent clinical experience in which you were providing care for a patient.
- Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?
- What questions have you thought about in a particular area of care such as a procedure or policy?
- Review Chapter 2, pages 31–34 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.
- Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.
- Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.
By Day 3
Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization.
Course Project: Part 1—Identifying a Researchable Problem
One of the most challenging aspects of EBP is to actually identify the answerable question.
—Karen Sue Davies
Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.
In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.
To prepare:
- Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.
- Review the section beginning on page 75 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.
- Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.
- Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.
- Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?
Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.
- Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.
To complete:
Write a 3- to 4-page paper that includes the following:
- A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice
- The 5 questions you have generated and a description of how you analyzed them for feasibility
- Your preliminary PICOT question and a description of each PICOT variable relevant to your question
- At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections
By Day 7
Submit your Project. It will also be a component of your Portfolio Assignment for this course, which is due by Day 7 of Week 10.
Reference:
Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144
2nd part
Course Project: Part 2—Literature Review
This is a continuation of the Course Project presented in Week 2. Before you begin, review the Course Project Overview document located in the Week 2 Resources area.
The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.
To prepare:
- Review the information in Chapter 5 of the course text, focusing on the steps for conducting a literature review and for compiling your findings.
- Using the question you selected in your Week 2 Project (Part 1 of the Course Project), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Walden Library’s databases.
- Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the Literature Review Summary Table Templatelocated in this week’s Learning Resources.
- Prepare to summarize and synthesize the literature using the information on writing a literature review found in Chapter 5 of the course text.
To complete:
Write a 3- to 4-page literature review that includes the following:
- A synthesis of what the studies reveal about the current state of knowledge on the question that you developed
- Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.
- Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry
- Your literature review summary table with all references formatted in correct APA style
Note: Certain aspects of conducting a standard review of literature have not yet been covered in this course. Therefore, while you are invited to critically examine any aspect of the studies (e.g., a study’s design, appropriateness of the theoretic framework, data sampling methods), your conclusion should be considered preliminary. Bear in mind that five studies are typically not enough to reflect the full range of knowledge on a particular question and you are not expected to be familiar enough with research methodology to conduct a comprehensive evaluation of all aspects of the studies.
By Day 7 of Week 5
This part of the Course Project is due. It will also be a component in your Portfolio Assignment in this course, which is due by Day 7 of Week 10.
3rd part
Course Project: Part 3—Translating Evidence Into Practice
In Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.
Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.
To prepare:
- Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?
- With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
- Explore possible consequences of failing to adopt the evidence-based practice that you identified.
- Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?
To complete:
In a 3- to 4-page paper:
- Restate your PICOT question and its significance to nursing practice.
- Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.
- Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.
- Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?
By Day 7 of Week 10
This part of the Course Project is due. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.
Note: In addition, include a 1-page summary of your project.
For this final iteration, you will need to:
- Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary.
- Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.
Course Scenario
Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:
Emergency room services
Intensive care
Surgical care
Obstetrics
Diagnostic services
Some rehabilitation therapies
Inpatient pharmacy services
Geriatric services
Consumer physician referral services
Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.
Scenario Continued
You have been asked to present a narrated visual report for the CEO and Board of Directors on a video conference call to share your major findings and to discuss recommendations.
Competencies:
Describe different quality methods within healthcare.
Explain the basic models of quality improvement in healthcare.
Evaluate the role and importance of patient satisfaction.
Evaluate the role and importance of the patient experience.
Apply statistics to different quality methods in healthcare.
Apply quality improvement methods.
Instructions
Your visual report should include the following:
Types of measurements that will be used.
Overall design of the survey.
Identifies who will lead the QI task force.
Identifies who should be on the task force.
Suggestions for implementing the results of the survey.
Your visual report should be done using Microsoft PowerPoint, or any other presentation software of your choosing that also allows for narration to be added.
APA formatting for the References slide, and proper grammar, punctuation, and form are required.
Please see attached grading metrics for information to be covered
Case Presentation:L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5’4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb. Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with Lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated. One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of micro-albumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes and HTN.Subjective data reveals that she is experiencing increased exertional SOB. She expresses concern because when this happens it takes her awhile to get her breath back to normal. Denies any pain or dizziness with these episodes.Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm. Otherwise exam is unremarkable.CC: “I am more short of breath when walking up stairs than I used to be”.
Questions NEED TO BE ABOUT 3-4 SENTENCES BUT THOROUGH ANSWERS
1. What are the effects of controlling BP in people with diabetes?
2. What is the target BP for patients with diabetes and hypertension?
3. Which antihypertensive agents are recommended for patients with diabetes?
4 What testing does this woman need ordered due to her change in status both SHORTNESS OF BREATH and BLOOD PRESSURE? (USE CASE STUDY ABOVE FOR THIS QUESTION)
5. What is the significance of microalbuminuria in this woman? How does this affect her cardiovascular risk?
Write this case study up as a clinical note including all elements of plan of care regarding issues presented in the case.
APA format 3 peer review references
Patient Initials: __JH_____ Age: __60_____ Gender: ____M___
Subjective Data:
Chief Complaint: Case #3 “I have a cough that’s getting worse.” (Laureate Education, 2012).
HPI: Mr. Hendricks is a 60 year-year old Caucasian male who presents today complaining of a cough that is progressively getting worse; more frequent over the past three days. He states that his cough is accompanied by expectoration of thick green secretions accompanied by some blood at times. He has associated symptoms of shortness of breath that is aggravated when walking and nothing seems to help. Patient also states that he had difficulty trying to fall asleep last night because he felt like he was getting a fever and had intermittent chills and sweats and took Tylenol. He states “I have never felt like this before and would like to know what’s going.”
Medications: over the counter Tylenol 650mg po at nights.
Allergies: No known drug or food allergies. No seasonal allergies.
Past Medical History: No medical history provided.
Past Surgical History: No surgical history provided.
Immunization history: Up to date with immunizations. Influenza shot received September 2018. Pneumococcal vaccine received October 2018.
Personal/Social History: Patient denies smoking, drinks wine socially, exercise with brisk walking three times weekly and tries to eat a balanced diet. He has a master’s degree in finance and works as an accountant at an accounting firm. He is a safe driver who drives to work daily and always wears seatbelt. He lives with his wife who is a homemaker who helps baby sit twin granddaughters. Patient denies history of recent travel to foreign country within the three months.
Review of Systems
General: productive cough with green phlegm and blood at times; shortness of breath, chills, night sweats, fever and restlessness.
HEENT: Patient denies head or nasal congestion, headache, nasal discharge, dizziness, vertigo. Patient states productive cough with green-colored sometimes bloody phlegm.
Cardiovascular: Patient denies palpations. Has some chest tightness.
Respiratory: Patient states that he has SOB that worsens with walking. Has productive cough with green-colored sputum and occasional hemoptysis. Patient states that he hears whistling noises when he breathes.
Objective Data:
Physical exam:
General: Mr. Hendricks is a 60 year old Caucasian male and a good historian who is relatively healthy and has good hygiene. Alert and oriented x 3, looks age appropriate with normal facial expression and appropriate behavior. He coughed a few times during exam and appears to be in some respiratory distress with shortness of breath.
Vital signs: Ht. 5’9”, Wt. 210 lbs; BMI= 30, blood pressure 128/70, pulse of 82, respirations of 20 and labored, temperature of 100.9 and O2 saturation on room air of 89%.
HEENT: No headache or head masses. No lesions. Wears glasses. Pupils equal and reactive to light; ears symmetrical, no tenderness or discharge. No frontal or maxillary sinus tenderness. No discharge from nose and mucosa pink and moist. Wears partial upper dentures. Throat appears red. Good hygiene.
Neck: No masses, full range of motion. Thyroid size normal.
Integumentary: Warm and most
Respiratory: Thorax symmetrical with diminished breath sounds. B/L rales and expiratory wheezes throughout. Wet productive cough.
Cardiovascular: regular heart rate with good S1 and S2 heart sounds. No S3, S4 or murmur.
Gastrointestinal: abdomen protuberant. Normoactive bowel sounds in all four quadrants.
Peripheral vascular: No peripheral edema. 2+ dorsalis pedis pulses palpated bilaterally.
ASSESSMENT:
Lab Tests and Results:
- CBC: Blood tests are used to confirm an infection and to try to identify the type of organism causing the infection (Mayo Clinic, 2018.)
- Sputum culture: is taken after a deep cough and analyzed to help pinpoint the cause of the infection (Mayo Clinic, 2018).
- O2 saturation: decreased oxygen saturation indications indicates hypoxemia. Normal range should be 95-100% on RA (Mayo Clinic. 2018).
Diagnostics:
- Chest X-ray: helps your doctor diagnose pneumonia and determine the extent and location of the infection (Mayo Clinic, 2018).
Differential Diagnoses:
- Bacterial pneumonia: is an infection of the air sacs in one or both lungs which may fill with fluid or pus, causing cough with phlegm or pus, fever, chills, and difficulty breathing, dullness to percussion, decreased breath sound, fatigue. It is most commonly caused by Streptococcus pneumoniae(Mayo Clinic, 2018). Since the patient appears to have most of these symptoms, this is a great possibility.
- Acute bronchitis: Acute bronchitis, often called a “chest cold,” is the most common type of bronchitis. It occurs when the airways of the lungs swell and produce mucus which makes one cough. It is caused by a virus and often occurs after an upper respiratory infection. Symptoms include sore throat, soreness in the chest, fever, coughing with or without mucus production, fatigue, mild headaches and watery eyes (CDC, 2017b). This can also be a possibility based on the patient’s symptoms.
- Asthma exacerbation: Asthma is a disease that affects your lungs. It causes repeated episodes of wheezing, breathlessness, chest tightness, and nighttime or early morning coughing. Asthma can be controlled by taking medicine and avoiding the triggers that can cause an attack (CDC, 2017a). This can also be a possibility based on the patient’s symptoms.
- Bronchiectasis exacerbation: Bronchiectasis is a condition in which the airways (called bronchial tubes) that branch from the trachea into each lung become widened and inflamed. Such damage limits the ability of the airways to clear bacteria and mucus from the lungs, resulting in sputum production, cough, and shortness of breath. Bronchiectasis can be congenital or acquired as a result of an infection. Symptoms include cough, shortness of breath, wheezing, weight loss, fatigue and chronic sinusitis (Mount Sinai, 2018). Based on these symptoms, this can be a possibility for patient diagnosis.
- COPD exacerbation: chronic obstructive pulmonary disease (COPD) experiences long-term and progressive damage to their lungs. This affects air flow to the lungs. Symptoms include rapid shallow breathing, increasing amounts of mucus, which is often yellow, green, tan, or even blood-tinged, experiencing shortness of breath at rest or with minimal activity, such as walking from one room to another and wheezing more than usual (Healthline.com, 2018). Based on patient symptoms, this can also be a possibility for the patient condition.
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to
physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
Centers for Disease Control and Prevention (2017a). Asthma. Retrieved October 9, 2018 from:
Centers for Disease Control and Prevention (2017b). Bronchitis. Retrieved October 9, 2018
from: https://www.cdc.gov/antibiotic-use/community/for-patients/common-illnesses/bronchitis.html
Healthline.com (2018). COPD Exacerbation. Retrieved October 9, 2018 from:
Laureate Education. (Producer). (2012). Advanced health assessment and diagnostic reasoning.
Baltimore, MD: Author.
Mayo Clinic (2018). Pneumonia. Retrieved October 9, 2018 from:
Mount Sinai (2018). What is Bronchiectasis? Retrieved October 9, 2018 from:
For the second written assignment of the course, you will continue in the design of your proposed model program by demonstrating your understanding of your selected population’s challenges, which negatively impact this group’s health and well-being. Based on this week’s research, conduct an assessment of the barriers, limitations, and other distinguishing features, as they exist within your community.
Prepare a recap of the model program for your community that you originally shared in the week 2 written assignment. As stated in the Week Two directions, changes to the potential program can be made as you research and develop the focus of the program.
Analyze and discuss at least three critical barriers that impact the health and well-being of your chosen group; one must be a micro-level (individual) barrier that is financial, one must be a macro-level (community/state) barrier that relates to access and funding for care, and the third barrier may be one of your choosing.
Discuss at least one proposed solution for each barrier. Your solution for the micro barrier must include an analysis of various potential funding options (both independent and integrated). Your solution for the macro barrier must include an analysis of financing resources for health care.
Research and analyze the regulatory, legal, ethical, and accreditation requirements and issues for the service(s) offered in your proposed program. Discuss how each will impact the management of the program.
Your assignment should be a minimum of three pages in length (excluding title and reference pages) and should include a minimum of three scholarly sources cited according to APA guidelines as outlined in the Ashford Writing Center. Please note: All assignments in this course are progressive; therefore you should use the same population selected in your Week Two assignment. The Week Two assignment’s contents do not need to be re-submitted with this assignment.
GTPA: stands for: gravida, term, preterm, abortions, living
Gravida: how many pregnancies a woman has had. Term how many pregnancies delivered that have reached or surpassed 37 weeks gestation.
Term: how many pregnancies a woman has had that delivered at 37 weeks or greater.
Preterm: how many pregnancies between 20-36 6/7 weeks gestation.
Abortion: how many pregnancies have been lost at less than 20 weeks. Abortions also may be induced by a physician or spontaneously lost. This also refers to miscarriages.
Living: how many children are living now?
******Multiple births ( twins, triplets and higher order multiples) count as one birth.
!. This is a mom’s 1st pregnancy:
2. This is a mom’s 3rd pregnancy and she had an abortion at 8 weeks for the 1st pregnancy and a miscarriage at 10 weeks, she has no preterm deliveries or living children at present.
3. This is a mom’s 3rd pregnancy the first pregnancy delivered at 38 weeks gestation and the 2nd pregnancy was twins delivered at 37 weeks. 1 of those children died.
4. This is a mom’s 2nd pregnancy. She delivered twins at 37 weeks and both of the babies survived.
5. This is a mom’s 3rd pregnancy. She delivered triplets at 28 weeks and 1 of the babies survived. She had an elective abortion at 6 weeks.
6. This a woman’s 5 pregnancies. She had a birth at 40 weeks, another one at 39 5/7 weeks, she had a third one at 35 6/7 weeks and a 4th one at 36 5/7 weeks. She had one induced abortion at 10 weeks and has currently 4 living children.
7. A pregnant woman who carried one pregnancy to term with a surviving infant; carried one pregnancy to 35 weeks with surviving twins; she carried one pregnancy to 9 weeks as an ectopic ( tubal ) pregnancy; and has 3 living children.
8. A woman who has given birth at term once and has had one miscarriage at 12 weeks would be recorded as?
This assignment is worth 8 points. Use page 259 in your text book. Include 1-3 references.
APA is worth .5
Case 1 is worth .5
Cases 2-8 are worth 1 point each.
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