Tag: Clinical-Nursing

  • Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay

    Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay

    Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals
    ________________________________________
    The purpose of this paper is to better understand gynecological health care for lesbian, bisexual and transgender individuals.
    • Define and describe for lesbian, bisexual and transgender individuals.
    o Gender and sexuality concepts.
    o Social and political context.
    o Social determinants of health affecting lesbian, bisexual and transgender individuals.
    o Barriers to health care.
    o Health care disparities.
    Submission Instructions:
    • The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
    • The paper is to be no shorter than 4-5 pages in length, excluding the title and references page.
    • Your paper should be formatted per APA. academic sources no older than 5 years (2016-2021).
    • Incorporate current practice guidelines for diagnosis and treatment and a minimum of 6 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

     
     

    Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay

     

    Student Name

    Affiliation

    Course

    Instructor

    Due date

     
     

    Gynecological Health Care for Lesbian, Bisexual and Transgender Individuals

    An Overview of Lesbian, Bisexual, and Transgender Individuals

    The Lesbian, Gay, Bisexual and Transgender, Queer (LGBTQ) population represents a distinct community of Sexual and Gender Minority (SGM) individuals with a wide range of gender identities and sexual orientations (Quinn et al., 2020). Billard and Gross (2020) mentioned that whilst the LGBTQ community is made up of distinct groups, these identities and groups largely share the common bond of witnessing and experiencing disparities that are considered a major source of discrimination, prejudice and stigma. Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay Against this backdrop, this analytical essay seeks to create a better understanding of gynecological health care for lesbian, bisexual, gay and transgender individuals.

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    Gender and Sexuality Concepts

    Butler et al. (2016) elaborated that whilst LGB is a concept that refers to sexual orientation, T and Q, are often used as concepts that refers to gender identity.  Other empirical studies noted that the LGB orientation and Transgender and Queer identities, in the United States and the rest of the world, are medically under-served and experience a broad list of health disparities, and this has contributed to their increased vulnerability to communicable and non-communicable diseases as well as other social ills and socio-economic disadvantages (Rahman, 2019; Quinn et al., 2020).

    Social and Political Context

    Rahman (2019) observed that the non-heterosexual orientation is one of the major determinant factors in the challenges experienced by members of the LGBTQ community in accessing quality, tailored and affordable health care Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay.  According to recent statistics, about 1.2 to 15% of the mainstream population in the United States identifies as members of the LGBT community, and they are represent people from diverse ethnicities, ages, creeds, geography and cultural backgrounds (Quinn et al., 2020). In view of the minority stress model, Butler et al. (2016) asserted that the LGBT movement gained prominence as a powerful and global socio-political movement aimed at reflecting new forms of sexuality, away from the patriarchal heteronormative behaviors that had historically defined the mainstream understanding of gender and sexuality in most cultures across the world. Other findings by Hafeez et al. (2017) reported that the significant rise in social stigmatization faced by sexual minorities has  raised concerns over the high susceptibility of LGBT communities to a series of health problems such as HIV/AIDs, tobacco and illicit drugs, abuse of alcohol, unprotected sex, obesity, breast and cervical cancer, bullying, mental disorders, and violent behavior. Billard and Gross (2020) added that the social stigmatization experienced by the members of the LGBT groups is exacerbated by the prevalence of discriminatory practices and poor access to health care and support as a result of the growing levels of homophobia. Rahman (2019) noted that  homophobic tendencies has contributed to the growing experiences of prejudice and discrimination against the LGBT groups in different parts of the world amidst the formulation and enforcement of public health policies  in favor of pro-equality reforms. In a study that explored the status of the LGBT movements in the United States, Patrick and Markel (2020) commented that the LGBT movement has made significant attempts aimed at creating and utilizing networks, public demonstrations, riots, lobbying, political representation and other arrangements to maneuver in political places and spaces to initiate requisite political chance in support of LGBT rights. Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay.

     

     

    Social Determinants of Health Affecting LGBTQ

    Hafeez et al. (2017) asserted that whilst the establishment of the LGBT identity is considered a major development in favor of pro-equality reforms, the growing cases of homophobia represent a major barrier to accessing health care and support by members of the LGBT populations. Similarly, Alencar Albuquerque et al. (2016) commented that, a majority of health care providers and professionals have often employed the heterosexuality matrix as the standard for determining the case of gender and sexual identity, and this has contributed to discrimination, social stigmatization and inequality. A set of social determinants including the intersection between gender and sexuality, race, age, employment, and socioeconomic status have played a major role in impeded the equitable, universal and reasonable access to health care delivery. Other empirical findings reported that the demands from the LGBT movement have often emphasized inclusivity, diversity, tolerance and defense of gender identities and sexual orientation. Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay As a result, the implementation of inclusion policies and practices in different societal sectors including education and health has sought to promote the values of respect to peace, to diversity and to non-discrimination by gender identities and sexual orientation (Butler et al. 2016). However,  the Office of Disease prevention and Health Promotion (2021) reiterated that the controversy surrounding what behaviors are acceptable and whose identities associated are legitimate has contributed to a societal setting where the contested identities of the LGBT communities is said to have transformed the conventional social order. Amy and Davis (2021) insisted that the societal attitudes towards homosexuality and queerness are criticized for a possible shifty in the mainstream national cultures of most countries around the world against ‘permissive’ sexual mores. In practice, the social determinants affecting LGBT population’s health is largely embedded in the manner in which these populations have suffered social stigmatization and discrimination, which have greatly influenced the access to health care and support, status and outcomes of sexual minorities Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay.

    Barriers to Health Care

    From a gender-based diversity, Amy and Davis (2021) insisted that core barriers to health services access have historically undermined the current efforts aimed at integrating the wide spectrum of sexual and gender identities and communities into the mainstream populations. Some of the main barriers to health care access among the LGBT communities include limited access to health care and health insurance, poor socio-economic status, absence of availability of health care professionals providing fertility services to women who identify themselves as lesbian, deficit in provider training, biased practices by professionals, and cultural constraints (Patrick & Markel, 2020) Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay. The Office of Disease prevention and Health Promotion (2021) noted that the growing list of threats to LGBT groups and people’s health have been widely associated with the embedment of biphobia, homophobia, heterosexism and transphobia within all social and political institutions. As a result, the core barriers to health as experienced by most members of the LGBT communities are worsened by the discriminatory dynamics, stigma, social exclusion, and also the lack of health provider knowledge and invisibility of the plight of the LGBT people (Quinn et al., 2020).

    Health Care Disparities

    Hafeez et al. (2017) noted that the LGBT population is heavily confronted by the high prevalence of HIV/AID incidence and prevalence. Compared to heterosexual men, findings have reported that gay men are more likely to record higher rates of HIV infection. Other health disparities are also reported in the disproportionate rates of sexual transmitted diseases including gonorrhea, human papillomavirus, syphilis and others among men who have sex with men. Equally, lesbian, gay and bisexual adolescents and young adults were identified to be more obese and likely to use illicit substance and alcohol than their straight peers (Amy and Davis, 2021). As a result, most members of the LGBT communities are subject to substantially more physical, emotional and sexual trauma that could contribute to significant health disparities, and hence contributing to their higher rates of all-cause morbidity and mortality rates between LGT and heterosexuals (Patrick & Markel, 2020) Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay.

    Conclusion

    The findings in this report demonstrate that the LGBT communities experience a good deal of barriers when it comes to access to equitable, top-quality and patient-centered care and support. A myriad of social determinants as well as political and social constraints have over time contributed to the growing list of health disparities and their consequences on members of the LGBTQ populations in both developed and emerging worlds.

     

    References

    Alencar Albuquerque, G., de Lima Garcia, C., & da Silva Quirino, G.(2016) Access to health services by lesbian, gay, bisexual, and transgender persons: systematic literature review.
    BMC Int Health Hum Rights
    , 16, 2 (2016).
    https://doi.org/10.1186/s12914-015-0072-9

    Amy, L. & Davis, S. (2021).LGBT Social Movements.
    Oxford Bibliographies
    . DOI:
    www.10.1093/obo/9780199756384-0219

    Billard, T.J. & Gross, L. (2020).
    LGBTQ Politics in Media and Culture
    . In book: Oxford Research Encyclopedia of Politics. Oxford: Oxford University Press.
    https://www.researchgate.net/publication/343889708_LGBTQ_Politics_in_Media_and_Culture

    Butler M, McCreedy E, & Schwer N.,(2016).
    Improving Cultural Competence to Reduce Health Disparities [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2016 Mar. (Comparative Effectiveness Reviews, No. 170.) 3, Lesbian, Gay, Bisexual, and Transgender Populations.
    https://www.ncbi.nlm.nih.gov/books/NBK361118/
      Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay

    Hafeez, H., Zeshan, M., Tahir, M. A., Jahan, N., & Naveed, S. (2017). Health Care Disparities among Lesbian, Gay, Bisexual, and Transgender Youth: A Literature Review.
    Cureus,
    9(4), e1184.
    https://doi.org/10.7759/cureus.1184

    Office of Disease prevention and Health Promotion, (2021).
    Lesbian, Gay, Bisexual, and Transgender Health
    .
    https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health

    Patrick, D. & Markel, H. (2020).LGBT Politics in the United States.
    Oxford Bibliographies
    . DOI:   
    www.10.1093/obo/9780199756223-0188

    Quinn, G.P., Alpert, A.B., Sutter, M. & Schabath, M.B. (2020).What Oncologists Should Know about Treating Sexual and Gender Minority Patients With Cancer.
    Oncology Practice
    , 309-316.DOI:  
    www.10.1200/OP.20.00036

    Rahman, M. (2019).What Makes LGBT Sexualities Political: Understanding Oppression in Sociological, Historical, and Cultural Context.
    Oxford Handbook Online.
    DOI:
    www.10.1093/oxfordhb/9780190673741.013.2
      Gynecological Health Care for Lesbian, Bisexual & Transgender Individuals essay

  • Electronic Medical Records(EMR) System Essay

    Electronic Medical Records(EMR) System Essay

    Weekly Clinical Experience 4
    ________________________________________
    Describe the Electronical Medical Record system that is used on your clinical practice site.
    A. What are the Pros and cons you have found.
    B. Is E-prescription incorporated on the EMH?—Yes, it is called Athena Health
    C. Does it have adaptive learning? Electronic Medical Records(EMR) System Essay
    D. Does it have Incorporated patient doorway?
    E. Is there Flexibility with the absence of internet connectivity?
    F. Does it have effective documentation and Image management capability.
    Support and share your personal experience so all of us can learn.
    Submission Instructions:
    • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least at least 3 academic sources no older than 5 years (2016-2021).

     

     

    Electronic Medical Record (EMR)

    [Student name]

    [Department, College/ Institution]

    [Course Name]

    [Instructor’s Name]

    date

     

    Electronic Medical Record (EMR)

    The first real recommendation for technology to be used in healthcare came from the Institute of Medicine’s report in 1999 aptly titled
    To Err Is Human
    . The study found out that there were many preventable deaths occurring in hospitals as a result of foreseeable and preventable human errors. The recommendation made was that technology should be adopted in healthcare so that it can help reduce medical errors and prevent deaths and disability (Palatnik, 2016) Electronic Medical Records(EMR) System Essay. Later on, legislation made it mandatory to have especially the electronic health record or EHR system in every healthcare setting (McGonigle & Mastrian, 2017). This system captures, stores, and retrieves patient data electronically and more conveniently. The electronic health record system is a platform that has several components that confer to it its functionality. These components interface with one another and seamlessly enable nurses and physicians to deliver treatment and care in a coordinated way. The electronic medical record or EMR is one of these EHR components. The others include computerized provider order entry (CPOE), automated drug dispensing cabinets (ADCs), and bar code medication administration (BCMA) amongst others (Alotaibi & Federico, 2017). The purpose of this paper is to discuss the EMR as used at the writer’s clinical practice site Electronic Medical Records(EMR) System Essay.

    The Pros and Cons of the EMR Found

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    Pros

    There are fewer errors that are attributable to misinterpretation of handwritten notes.

    Patient records can be retrieved and accessed faster and more conveniently.

    There is more efficiency and accuracy in record-keeping (Wang et al., 2018).

    Electronic Medical Records(EMR) System Essay

    Cons

    The technology is expensive.

    Resources that include valuable time have to be spent to train and upskill healthcare workers on its use.

    Sometimes it paradoxically increases the workload as many details have to be entered correctly.

    There is a risk to HIPAA (Health Insurance Portability and Accountability Act) compliance due to cloud storage of patient data (Wang et al., 2018).

    E-Prescription and Adaptive Learning

    Indeed, e-prescription is incorporated in the center’s EMR that is from the company called Athena Health. This is the computerized provider order entry or CPOE allowing prescriptions to be made by the physician and automatically sent to the pharmacy as the record remains in the patient’s electronic charts (Alotaibi & Federico, 2017). The EMR also has adaptive learning technology and stores treatment preferences and the tests/ prescriptions each clinician orders frequently Electronic Medical Records(EMR) System Essay. Athena Health is a healthcare technology company that builds innovative technologies such as the EMR system at my clinical practice site. It is headquartered in Massachusetts.

    Incorporated Patient Doorway, Documentation, Image Management, and Internet Connectivity

    The EMR has an incorporated patient doorway that shows the patent’s vital signs, the brief reason for the visit, and short candidate instructions. Unfortunately, there is no flexibility with the absence of Internet connectivity. When this happens, the system freezes and slows down considerably. On the brighter side, the EMR has effective documentation meeting all the needs as well as state-of-the-art image management capability. From personal experience, the benefits of this EMR system far outweigh the disadvantages. It has improved efficiency of services and prevented very many medical errors that could have occurred and cost patient lives. This is an innovative technology that every healthcare worker must be conversant with. Electronic Medical Records(EMR) System Essay.

    References

    Alotaibi, Y., & Federico, F. (2017). The impact of health information technology on patient safety.
    Saudi Medical Journal, 38
    (12), 1173–1180. 
    https://doi.org/10.15537/smj.2017.12.20631

    McGonigle, D., & Mastrian, K.G. (2017).
    Nursing informatics and the foundation of knowledge, 4
    th
    ed
    . Jones & Bartlett Learning.

    Palatnik, A. (2016). To err is human.
    Nursing Critical Care, 11
    (5), 4.
    https://doi.org/10.1097/01.CCN.0000490961.44977.8d

    Wang, Y., Kung, L., & Byrd, T.A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations.
    Technological Forecasting and Social Change, 126
    (1), 3–13.
    https://doi.org/10.1016/j.techfore.2015.12.019 
      Electronic Medical Records(EMR) System Essay

  • NUR 514 Comprehensive Womens Health history Soap note

    NUR 514 Comprehensive Womens Health history Soap note

    Comprehensive Women’s Health History and Physical Template

    Encounter date:
    01/11/2021

    Patient Initials:
    O.R.
    Gender:
        Female  
    Age:  
    39 years           
    Race/Ethnicity:
    Haitian American

    Reason for Seeking Health Care
    : The chief complaint is stated by the patient as “I have noted some discharge on my underwear.”

    History of Present Illness (HPI)
    : The patient is a 39 year-old Haitian American female who presents with vaginal discharge to the clinic. She accepts a previous history of vaginal discharge on a number of occasions. The current discharge was noted by the patient three days before the visit NUR 514 Comprehensive Womens Health history Soap note . The location is the genitalia and specifically the vulva which remains wet with the discharge and stains the underwear. The discharge is constantly there since it was noted and is therefore not intermittent. It is characteristically fowl-smelling and yellowish-brown in color. The discharge is increased or aggravated by activity done while standing, but reduced or relieved by lying supine. The timing of the discharge is all day. The patient rates the severity of the symptoms at 6/10 NUR 514 Comprehensive Womens Health history Soap note .

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    Allergies
    (Drug/Food/Latex/Environmental/Herbal): The patient denies any allergies.

    Current Perception of Health
    : Her current perception of health is absence of disease and so she currently feels unhealthy and sick.

    Current Medications (including over the counter)
    : She is currently not taking any medications, including OTC drugs.

    Menstrual History

    Age at Menarche: 12 years old.

    Last menstrual period: 27/10/2021

    Menstrual Pattern: Regular

    Cycle Length: 28 days.

    Duration of Flow: Four (4) days.

    Amount of Flow: Heavy.

    Bleeding Pattern: Continuous.

    Break through Bleeding: Occasional but not regularly.

    Gynecologic History

    History of breast disease, breast feeding, use of self-breast exam, last mammogram (if applicable): The patient denies any history of breast disease in her or even her family NUR 514 Comprehensive Womens Health history Soap note . She is a mother of two and breastfed both of her children up to the age of two years. The first six months were for exclusive breastfeeding. She regularly does to herself breast self examination as she was taught years ago. Her last mammogram was done five years ago in 2016 and no masses were detected.

    Previous GYN surgery (may include that in surgical history): She has no history of gynecological surgery.

    History of infertility: She denies any history of infertility.

    History of diethylstilbestrol (DES) use by patient’s mother: Negative for use of DES by the patient’s mother.

    Last Pap smear, history of abnormal pap: The last Pap smear was three years ago in 2018, done together with the human papillomavirus or HPV test. She has had no history of abnormal Pap smear results.

    Pre-menopause/menopause

    Vasomotor symptoms: She denies any pre-menopause vasomotor symptoms such as hot flushes.

    Hormone Replacement Therapy: She denies any history of hormonal replacement therapy.

    Sexual and Contraceptive History

    Current method of contraception: Intrauterine contraceptive device (IUCD).

    Sexually active: She is positive about sexual activity.

    Number of sexual partners: Three (3).

    New partners in the 3-6 months: Yes, two.

    Condom use: Sometimes, not consistently.

    History of sexual abuse: She admits to having been sexually abused as a minor aged just ten years by a person known to her.

    History of sexually transmitted infections (STIs): She has been treated before for chlamydia and lymphogranuloma venereum.

    Obstetric History (
    including complications): She is a para 2 gravida 2 with two surviving children. Throughout her obstetric history she has never had a miscarriage. Both children were born at term with good Apgar scores and none was underweight or overweight.

    Past Medical History (PMH):
    The patient has a history of gestational diabetes mellitus that was treated and resolved. She is currently in impaired glucose tolerance or prediabetic phase with a random blood sugar range of 150 mg/dL to 188 mg/dL. She suffers no other chronic conditions. She has never been admitted to the hospital as an inpatient. NUR 514 Comprehensive Womens Health history Soap note .

    Major/Chronic Illnesses: None.

    Trauma/Injury: None.

    Hospitalizations: None.

    Past Surgical History:
    The patient presents no notable surgical history.

    Family Medical History:
    She reports that the mother is diabetic (type II) and the father has hypertension. There is also a history of overweight and obesity on the paternal side.

    Social History

    Living condition: She lives in a suburban community that is poor and lacks the basic commodities of everyday life. She however works as a housekeeper in a hotel and earns enough to guarantee her upkeep. Both her children are grown and no longer depend on her. Her children live within the same locality and regularly visit her.

    Marital status: She has never been married but got her two children from two different fathers from her past relationships.

    Education: She dropped out in high school when she got pregnant with her first child.

    Employment: She currently works as a housekeeper in a local hotel. NUR 514 Comprehensive Womens Health history Soap note

    Occupation: Housekeeper.

    Social supports: She has a strong social support system in the form of her children and parents who also live within the same state.

    Habits (smoking, alcohol use and illicit drugs use): She was a smoker of a pack a day up to two years ago when she stopped on the advice of a physician. She still drinks alcohol socially over the weekends when with friends.

    Health Maintenance

    Age-appropriate health promotion/maintenance and screening history: She has received health promotion and education as an antenatal mother. She has also received breast self examination education in the well woman clinic. After every three years, she goes for cervical cancer screening by way of a Pap smear and HPV test.

    Immunization history: She received all the childhood immunizations as a child under five years. She has also received a booster Tdp, Pneumovax, and recently two doses of Pfizer BioNTech Covid-19 vaccine.

    Review of Systems (ROS)

    General: Denies fatigue, malaise, weight loss, fever, or chills.

    Dermatology: Denies rashes, eczema, or itching.

    HEENT: Negative for headaches, diplopia, photophobia, otorrhea, tinnitus, sneezing, rhinorrhea, or sore throat.

    Neck: Negative for cervical lymphadenopathy r jugular distension.

    Pulmonary System: Denies dyspnea, coughing, or chest indrawing.

    Cardiovascular System (CVS): Denies palpitations, chest tightness, or pain in the chest.

    Breast: Denies any lumps or masses on breast self examination. NUR 514 Comprehensive Womens Health history Soap note

    Gastrointestinal (GI) System: Negative for abnormal bowel movements. She also denies diarrhea, vomiting, or nausea.

    Genitourinary (GU) System: Denies painful micturition but reports vaginal discharge.

    Female Genitalia: Denies visible lesions on the vulva, but reports fowl-smelling vaginal discharge.

    Musculoskeletal System: Denies myalgia or arthralgia/ joint pains.

    Neurological System: She is negative for syncope, paraesthesia, paresis, or paralysis.

    Endocrine: Denies polydipsia, polyphagia, or heat/ cold intolerance. Also denies hormonal therapy.

    Psychologic: Negative for hallucinations, delusions, or suicidality.

    Hematologic/Lymphatic: Denies lymphadenopathy or a history of splenectomy (Bickley, 2017).

    Physical Examination

    Vital Signs

    Blood Pressure (BP): 120/85 mmHg;   Temperature: 98.8°F;        Heart Rate (HR): 78 b/m   Respiratory Rate (RR): 17 breaths/ minute.

    Height: 167.6 cm   Weight : 100 kg   Body Mass Index (BMI): 35.6 kg/m
    2
        Pain: 0

    General Appearance: The patient is well-groomed with clothes that are appropriate for the time of the day and the weather.

    Dermatology: No rashes detected or any lesions suggestive of skin cancer (basal cell carcinoma).

    HEENT: Normocephalic. PERRLA, EOMI. Throat not erythematous.

    Neck: No lymph nodes enlarged.

    Pulmonary System: Scattered crackles in otherwise clear lung fields. No chest indrawing.

    Cardiovascular System (CVS): S1 and S2 audible with rate and rhythm regular (RRR).

    Breast: No lumps detected on breast examination. NUR 514 Comprehensive Womens Health history Soap note

    Gastrointestinal (GI) System: Bowel sounds present. No guarding.

    Genitourinary (GU) System: No lesions found on the vulva. Presence of a yellowish-brown discharge.

    Female Genitalia: No external lesions. Positive for a yellowish-brown fowl-smelling discharge.

    Musculoskeletal System: Full range of movements with no joint stiffness. Patellar reflex intact.

    Neurological System: She is alert and oriented in space, time, person, and event.

    Endocrine: No signs of hypothyroidism found.

    Psychologic: A normal mental status examination (MSE).

    Hematologic/Lymphatic: Spleen is present and palpable.

    Significant Data/Contributing Dx/Labs/Misc

    ·       Fowl-smelling discharge

    ·       CRP 3 mg/dL

    ·       ESR 30 mm/hr

    ·       WBC 12.5 x 10
    9
    /L

    Assessment

    Differential Diagnoses (3 minimum):

    Trichomoniasis
    : A protozoan causes trichomoniasis. The condition is typically transferred through sexual intercourse, but it can also be obtained through the sharing of towels or swimwear. It produces a foul-smelling green or yellow discharge. Inflammation and itching are also frequent complaints, while some patients may not have any (Hammer & McPhee, 2018; Jameson et al., 2018; Huether & McCance, 2017).

    Bacterial vaginosis
    : Bacterial vaginosis is a bacterial infection of the cervix. It is the most frequent cause of abnormal vaginal discharge in reproductive-age females. In some ladies, the illness generates a “fishy” smell and vaginal discomfort. Others may have no complaints at all (Hammer & McPhee, 2018; Jameson et al., 2018; Huether & McCance, 2017).

    Chlamydia/ Gonorrhea
    : Sexually transmitted diseases (STIs) such as gonorrhea and chlamydia can cause abnormal vaginal discharge. It is frequently yellow, greenish, or hazy in appearance (Hammer & McPhee, 2018; Jameson et al., 2018; Huether & McCance, 2017) NUR 514 Comprehensive Womens Health history Soap note .

    Primary Diagnoses: Trichomoniasis or bacterial vaginosis.

    Plan
    (For each primary diagnosis, include laboratory/diagnostic tests, therapeutic/pharmacological therapy, referrals, and follow-up ordered and patient education done for this visit):

    Diagnoses: Trichomoniasis.

    Laboratory/Diagnostic Studies: CRP (3 mg/dL), ESR (30 mm/hr), WBC (12.5 x 10
    9
    /L), microscopy (positive for
    Trichomonas vaginalis
    ).

    Therapeutic (Non-pharmacological interventions): Use of pomegranate extract or apple cider vinegar to kill off the parasite (Nall, 2019).

    Pharmacological Therapy: Metronidazole (Flagyl) 400 mg b.d. x 7 days. NUR 514 Comprehensive Womens Health history Soap note

    Patient Education/Anticipatory Guidance: Consistent use of condoms during intercourse if cannot be faithful to one sexual partner and counseling for HIV testing.

    Referrals: To counselor for HIV testing.

    Follow up: After one week to review effectiveness of the treatment.

    DEA#:  101xx010101                          STU Clinic                                   LIC# 100xx                                         

    Tel: (000) xx4                                                                             FAX: (000) 5xxx2

    Patient Name: (Initials) __Miss O.R. ___       Age ___39 Years Old__

    Date: __10.11.2021__

    RX _
    Metronidazole (Flagyl) 400 mg twice daily x 7 days.
    _

    SIG:

    Dispense
    :  ___________                                                    
    Refill:
    _________________

           No Substitution

    Signature:
    ____________________________________________________________

     

     

    Signature (with appropriate credentials): __________________________________________

     

    References

    Bickley, L.S. (2017).
    Bates’ guide to physical examination and history taking, 12
    th
    ed
    . Wolters Kluwer.

    Hammer, D.G., & McPhee, S.J. (Eds). (2018).
    Pathophysiology of disease: An introduction to clinical medicine, 8
    th
    ed
    . McGraw-Hill Education.

    Huether, S.E. & McCance, K.L. (2017).
    Understanding pathophysiology, 6
    th
    ed
    . Elsevier, Inc.

    Jameson, J.L., Fauci, A.S., Kasper, D.L., Hauser, S.L., Longo, D.L., & Loscalzo, J. (Eds) (2018).
    Harrison’s principles of internal medicine, 20
    th
    ed
    . McGraw-Hill Education. NUR 514 Comprehensive Womens Health history Soap note

    Nall, R. (June 24, 2019).
    Is it possible to treat trichomoniasis at home?

    https://www.healthline.com/health/home-treatments-for-trichomoniasis#popular-treatments

     

     

    Comprehensive Women’s Health History and Physical Template

     
     

    Encounter date:

     

    Patient Initials:
                        
    Gender:
                         
    Age:
                   
    Race/Ethnicity:

     

    Reason for Seeking Health Care

     

    History of Present Illness (HPI)

     

    Allergies
    (Drug/Food/Latex/Environmental/Herbal)

     

    Current Perception of Health

     

    Current Medications (including over the counter)

     

    Menstrual History

    Age at Menarche

    Last menstrual period

    Menstrual Pattern

    Cycle Length

    Duration of Flow

    Amount of Flow

    Bleeding Pattern

    Break through Bleeding

     

    Gynecologic History

    History of breast disease, breast feeding, use of self-breast exam, last mammogram (if applicable)

    Previous GYN surgery (may include that in surgical history)

    History of infertility NUR 514 Comprehensive Womens Health history Soap note

    History of diethylstilbestrol (DES) use by patient’s mother

    Last pap smear, history of abnormal pap

     

    Pre-menopause/menopause

    Vasomotor symptoms

    Hormone Replacement Therapy

     

    Sexual and Contraceptive History

    Current method of contraception

    Sexually active

    Number of sexual partners

    New partners in the 3-6 months

    Condom use

    History of sexual abuse

    History of sexually transmitted infections (STIs)

     

    Obstetric History (
    including complications)

     

    Past Medical History (PMH)

    Major/Chronic Illnesses

    Trauma/Injury

    Hospitalizations

     

    Past Surgical History

     

    Family Medical History

     

    Social History

    Living condition

    Marital status

    Education

    Employment

    Occupation

    Social supports

    Habits (smoking, alcohol use and illicit drugs use)

     

    Health Maintenance

    Age-appropriate health promotion/maintenance and screening history

    Immunization history

     

    Review of Systems (ROS)

    General

    Dermatology

    HEENT

    Neck

    Pulmonary System

    Cardiovascular System (CVS)

    Breast

    Gastrointestinal (GI) System

    Genitourinary (GU) System

    Female Genitalia

    Musculoskeletal System

    Neurological System.

    Endocrine

    Psychologic

    Hematologic/Lymphatic

     

    Physical Examination

     

    Vital Signs

    Blood Pressure (BP:           Temperature                Heart Rate (HR)        Respiratory Rate (RR)

    Height                    Weight            Body Mass Index (BMI)                Pain

     

    General Appearance

    Dermatology

    HEENT

    Neck

    Pulmonary System

    Cardiovascular System (CVS)

    Breast

    Gastrointestinal (GI) System

    Genitourinary (GU) System

    Female Genitalia

    Musculoskeletal System

    Neurological System.

    Endocrine

    Psychologic

    Hematologic/Lymphatic

     

    Significant Data/Contributing Dx/Labs/Misc

     

     

     

     

     

    Assessment

    Differential Diagnoses (3 minimum)

    Primary Diagnoses

     

    Plan
    (For each primary diagnosis, include laboratory/diagnostic tests, therapeutic/pharmacological therapy, referrals, and follow-up ordered and patient education done for this visit)

    Diagnoses

    Laboratory/Diagnostic Studies

    Therapeutic (Non-pharmacological interventions)

    Pharmacological Therapy

    Patient Education/Anticipatory Guidance

    Referrals

    Follow up

     

    DEA#:  101xxx                      STU Clinic                                   LIC# 100xx                                               

    Tel: (000) 5xx-123xx                                                                            FAX: (000) x5-12xx

    Patient Name: (Initials)______________________________        Age ___________

    Date: _______________

    RX ______________________________________

    SIG:

    Dispense
    :  ___________                                                    
    Refill:
    _________________

           No Substitution

    Signature:
    ____________________________________________________________

     

     

     

    Signature (with appropriate credentials): __________________________________________

     

    References
    (must use current evidence-based guidelines used to guide the care [Mandatory]) NUR 514 Comprehensive Womens Health history Soap note

  • Nursing Competencies Essay

    Nursing Competencies Essay

    The National Organization of Nurse Practitioner Faculties (NONPF) has determined nine broad areas of core competence that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This course was designed to prepare you to synthesize knowledge gained throughout the program and to apply each of the nine core competencies within your selected areas of practice and your representative communities.

    The nine areas of competency are:

    Scientific Foundations
    Leadership
    Quality
    Practice Inquiry
    Technology and Information Literacy
    Policy
    Health Delivery System
    Ethics
    Independent Practice
    To Prepare
    Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content.
    The Assignment
    For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency (for a total of at least nine paragraphs). Then, propose how you plan to engage in social change in your community as a nurse practitioner. Finally, describe 1–2 legislative and/or advocacy activities in which your state nurse practitioner organization(s) are involved. Be specific and provide examples.

    Nursing competencies

               
    Nursing competencies refer to incorporating a combination of professional skills and knowledge, personal principles, beliefs, values, and work experience in nursing practice (Lavoie et al., 2018) Nursing Competencies Essay. Nursing competencies play a vital role in nurse performance evaluation. A competent nurse must address the nine competencies of nurse practitioners for quality health outcomes to be achieved. The competencies are similar in all specialties of nurse practitioners. Therefore, a nurse practitioner must understand and apply these competencies in practice for a valid nurse practitioner license to be guaranteed. Nurse competencies are applied at all community levels to improve the general health status of a community. This paper aims to look at looking the nine core competencies of nursing and their effectiveness in practice.

    PLACE YOUR ORDER HERE

    Scientific foundation

               
    It is a competence that reflects on nursing education. The competence ensures that nurse practitioners acquire a comprehensive and robust foundation of medical sciences before graduating. All nurse practitioner students must gain an understanding of pharmacology and pathophysiology in their respective specialties. The scientific competence also requires a nurse practitioner student to understand clinical setting guidelines, evidence-based practices, treatment of vulnerable diseases, and various research translations (Park & Ji, 2018). Through scientific competence, I would engage in medical research through the guidelines of evidence-based practices to develop ethical health solutions at a community level Nursing Competencies Essay.

    Leadership

    It is a competence that prepares nurse practitioner students in professional scholarships and health advocacy roles. Leadership competence ensures that all practitioner students understand their roles as team leaders and their standards of practice while leading a team of healthcare providers (Park & Ji, 2018). Leadership competence also addresses the issue of quality communication skills and the diverse cultures that surround nurses in their daily routine. Through this competence, I would be able to gain quality communication skills, excellent decision-making skills, and the ability to solve problems. I would therefore be able to conduct programs concerning community health effectively.

    Quality

               
    It refers to the measure of success of any health service towards the increase of the target outcome. For quality health outcomes to be achieved, nurses must apply their knowledge and skills effectively. They must also be willing to deliver health services with reduced harm and errors. The main focus of quality competence is accessing and using information databases and evaluating and interpreting research findings (Hökkä et al., 2020) Nursing Competencies Essay. I would apply my clinical and medical skills and knowledge at the community level for health status and outcome improvement through this competence.

    Practice inquiry

               
    It is a competence that encompasses research translation. Nurse practitioners are expected to engage in academic research and understand applying the research into the clinical setting (Park & Ji, 2018). Through research application into the clinical setting, nurses understand how to apply research to their patients’ thus improving patient outcomes Nursing Competencies Essay. I would apply this competence at the community level as research-based to identify the existing health problems and the necessary solutions to these health problems. I would therefore be able to improve health status at the communal level through this competence.

    Technology and information Literacy

               
    It is a competence that focuses on the incorporation of technology in nursing practice. A nurse practitioner should use digital communication tools, have network access, manage and create effective communication during service delivery to their patients. Nurse practitioners should know about utilizing the available technology to facilitate patients’ health information privacy. Technology should also be utilized to improve patient outcomes. Utilizing information technology helps the caregivers understand the patients’ health conditions, thus motivating them to offer the necessary treatment (Lavoie et al., 2018). The use of information technology also motivates the patients as there is guaranteed safety in their critical health information. I would apply this competence at the community level by educating the community members on disease prevention measures. For this to be achieved, I would use various social platforms and media houses, thus facilitating quality health outcomes Nursing Competencies Essay.

    Policy

    Policy refers to all local, state, national and global level programs implemented to facilitate the allocation of health resources. Nurses play a vital role in the legislation and advocacy of these programs since they better understand patients’ primary and complex needs. Nurses, therefore, engage in policy legislation to help address social concerns such as literacy, poverty, and violence at the community level (Hökkä et al., 2020). Nurse students may opt to support any existing healthcare policy to help them understand policy development and implementation in a clinical setting. Through these existing healthcare policies, nurse students can also be able to develop other ethical healthcare policies. Nurses can use these policies to create awareness among community members of their health rights as citizens. As a nurse practitioner, I would use this skill to educate the community members on their rights, such as health insurance as US citizens.

    Health delivery systems

    Health delivery systems encompass the process of planning, developing, and implementing any public and community health program. Nurse practitioners engage in health delivery systems through developing major organizational reforms, enhancing decision making, and creating culturally competent care (Lavoie et al., 2018). The skill also helps the nurses to critically think on organizational resource allocation as well as organizational structures. Nurses can apply this skill at the community level in policy implementation after identifying an existing health problem.

    Ethics

    It involves gaining a proper understanding of ethical issues that should be observed between nurse-patient interactions. It plays a vital role in helping nurse practitioners make proper decisions on a patient’s health status. It also helps nurse practitioners understand all the consequences of the decisions made towards patient treatment procedures (Hökkä et al., 2020). Through the skills of ethics, community health dilemmas are handled by nurses in time. Quality care delivery by nurses is also maintained under the available guidelines that govern nursing practice. Ethics also helps nurses to maintain the privacy of the communal health information Nursing Competencies Essay.

    Independent practice

               
    It is a competence that embraces a nurse practitioner as a licensed healthcare provider who can independently work without any supervision. The skill, therefore, facilitates nurse practitioners to conduct health assessment, diagnosis, and treatment prescription to patients (Lavoie et al., 2018). Therefore, nurse practitioners are recognized by law as professionals who have the skills and knowledge to manage both diagnosed and undiagnosed patients independently Nursing Competencies Essay. Therefore, nurses are expected to offer quality healthcare services at the community level through critical thinking since not all decisions require clinical interventions. Nurses should ensure quality healthcare service delivery through offering culturally accepted health services.

    There are various advocacy activities that my home State of Illinois nurse practitioner associations are involved in. One of the most popular is the Illinois action coalition. It is a program that was implemented to provide solutions to health-threatening factors (de Cordova et al., 2019). It was also formed to implement solutions to the problems that nurses face in their daily routine.

    In conclusion, nurse competencies have been widely used to transform health community changes. Nurses utilize a combination of all these nine competencies, which have facilitated the improvement of health community status. These skills have also facilitated quality health service delivery by nurses. Nursing Competencies Essay Through these competencies, nurses have also been able to gain quality skills, knowledge, and experience that motivate them towards providing healthcare to their patients.

     

    References

    de Cordova, P. B., Steck, M. B. W., Vermeesch, A., Pierre, N., Rankin, A., Ohlendorf, J. M., …

    & Derouin, A. (2019, January). Health policy engagement among graduate nursing

    students in the United States. In Nursing forum (Vol. 54, No. 1, pp. 38-

    44).  
    https://doi.org/10.1111/nuf.12295

    Hökkä, M., Martins Pereira, S., Pölkki, T., Kyngäs, H., & Hernández-Marrero, P. (2020).

    Nursing competencies across different levels of palliative care provision: A systematic

    integrative review with thematic synthesis. 
    Palliative Medicine
    , 
    34
    (7), 851-870.

    https://doi.org/10.1177/0269216320918798

    Lavoie, P., Michaud, C., Belisle, M., Boyer, L., Gosselin, E., Grondin, M., … & Pepin, J. (2018).

    Learning theories and tools for the assessment of core nursing competencies in

    simulation: A theoretical review. 
    Journal of Advanced Nursing
    , 
    74
    (2), 239-250.

    https://doi.org/10.1111/jan.13416

    Park, S. J., & Ji, E. S. (2018). A structural model on the nursing competencies of nursing

    simulation learners. 
    Journal of Korean Academy of Nursing
    , 
    48
    (5), 588-600.

    https://doi.org/10.4040/jkan.2018.48.5.588
      Nursing Competencies Essay

  • STDs Essay

    STDs Essay

    An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient. 
Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact..




    An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
    In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. 
    To prepare:
    By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
    Assignment (1- to 2-page case study analysis)
    In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all may apply to each scenario):
    * The factors that affect fertility (STDs). STDs Essay.
    * Why inflammatory markers rise in STD/PID.
    * Why prostatitis and infection happens. Also explain the causes of systemic reaction.
    * Why a patient would need a splenectomy after a diagnosis of ITP.
    * Anemia and the different kinds of anemia (i.e., micro and macrocytic).
    Day 7 of Week 10
    Submit your Case Study Analysis Assignment by Day 7 of Week 10
    Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

    Discussion – Advanced Pathophysiology

     
    Student’s Name

    Institution of Affiliation

    COURSE CODE Course Name

    Instructor’s Name

    Date

     

    The factors that affect fertility (STDs)

    Factors affecting fertility include age, the timing of sexual intercourse, type of lifestyle (use of alcohol, cigarette smoking, weight, exercises), and prescription or over-the-counter drugs. For this case scenario, STDs are the most integral factor affecting fertility. Studies show that STDs such as gonorrhea and Trichomoniasis are associated with the development of fallopian tube damage (Smolarczyk et al., 2021) STDs Essay. Cases of STDs may present like pelvic inflammatory disease, which can involve the female reproductive organs. Studies associate pelvic inflammatory disease (PID) with tubal factor infertility, proving STDs are significant factors that face infertility.

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    Why inflammatory markers rise in STD/PID.

    Bacteria and other microorganisms are responsible for pelvic inflammatory disease and STDs. The presence of the pathogens in the body induces the secretion of cytokines and interleukins 1, 6 and 8 (Paulis, 2018). Interleukin 1 works in synergy with the Tumor Necrosis Factor to propagate the inflammatory process. The infiltration of substantial quantities of Tumor Necrosis Factor into organs (including organs in the pelvic) activates neutrophil-activating peptides. These inflammatory markers may be tested in the laboratory as C-reactive protein and procalcitonin. STDs Essay.

    Why prostatitis and infection happens. Also explain the causes of systemic reaction.

    Prostatitis occurs from the inflammatory process at the stroma lying close to prostate acini. Infections may take the form of acute bacterial, chronic or PID. Systemic spread of bacterial infection from the urinary tract into the prostate or from the lymph through the rectum may induce a systemic reaction. Acute prostatic bacterial infection may cause a systemic reaction. STIs including gonorrhea, chlamydia and human immunodeficiency virus are common causes of systemic infection.

    Need for splenectomy after a diagnosis of ITP

    Following the development of idiopathic thrombocytopenic purpura, the spleen may destroy and remove platelets from the circulation after wrongly considering them as foreign. According to Cooper and Ghanima (2019), a person diagnosed with ITP would require splenectomy to prevent unnecessary damage to platelets.

    Anemia and the different kinds of anemia

    Anemia is the condition of having a hemoglobin level that is lower than expected level for the respective age or gender (Bengi et al., 2018). The different kinds of anemia include:

    Hypo-proliferative anemias – include normocytic, microcytic, and macrocytic anemia based on the mean corpuscular volume

    Hypo-proliferative microcytic anemia – include anemia caused by chronic diseases, thalassemia, and iron deficiency anemia

    Hypo-proliferative macrocytic anemia – these anemias may drug-induced, or involve deficiencies in vitamin b12 and folate, alcohol, liver disease STDs Essay

    Hypo-proliferative normocytic anemia – aplastic anemia

     

    References

    Bengi, G., Keyvan, H., Durmaz, S. B., & Akpınar, H. (2018). Frequency, types, and treatment of anemia in Turkish patients with inflammatory bowel disease. 
    World journal of gastroenterology
    , 
    24
    (36), 4186.

    Cooper, N., & Ghanima, W. (2019). Immune thrombocytopenia. 
    New England Journal of Medicine
    , 
    381
    (10), 945-955.

    Paulis, G. (2018). Inflammatory mechanisms and oxidative stress in prostatitis: the possible role of antioxidant therapy. 
    Research and Reports in Urology
    , 
    10
    , 75.

    Smolarczyk, K., Mlynarczyk-Bonikowska, B., Rudnicka, E., Szukiewicz, D., Meczekalski, B., Smolarczyk, R., & Pieta, W. (2021). The Impact of Selected Bacterial Sexually Transmitted Diseases on Pregnancy and Female Fertility. 
    International Journal of Molecular Sciences
    , 
    22
    (4), 2170. STDs Essay

  • Balanced Scorecard Analysis and Strategic Plan example for a health care organization

    FHOS balanced scorecard and strategic plan

    Name

    Institution

    Table of contents

    Executive summary
    . 3

    Environmental analysis of FHOS
    . 4

    Strategic plan
    . 5

    Balanced scorecard
    . 14

    Communication plan
    . 18

    Conclusion
    . 21

    References
    . 22

     

     

     

     

     

    Executive summary

    An environmental analysis was conducted for FHOS using TOWS matrix that identified some opportunities and challenges unique to the internal and external environments. Strategic analysis determined that these challenges could be addressed and opportunities leveraged to improve the quality of care provided at the facility. This lead to the presentation of the strategic plan that offered actions that the facility can control and engage in to improve performance. Plan determined that focus should be on the administration and finance departments, as well as medical department with the actions planned to be carried out over a two year period. Even as the plan is presented, a balanced scorecard is necessary to determine whether the strategic plan achieved the set objectives in the set time of two years. The balanced scorecard was based on four quadrants presented as financial perspective and shareholder value, patient value perspective, process and internal operations perspective, and personnel learning and growth perspective. In addition, a communication plan was presented to identify the value of formal and informal communication approaches to the strategic plan implementation to include the importance of feedback.

     

    FHOS balanced scorecard and strategic plan

    Environmental analysis of FHOS

    Florida Hospital Orland South (FHOS) is identified as a medical facility that has been operational since 1908 as a nonprofit organization. It currently handles 106,024 emergency cases every year along with 55,301 inpatients, and 176,086 outpatients. It has 336 critical care beds and 1,414 licensed beds run by approximately 8,000 personnel who include about 2,000 physicians. Its extensive internal and external mechanisms are responsible for ensuring that the facility continues to function and survive even as it meets its objective of achieving longer, healthier, happier lives for the community that patronizes its health services. A review of the facility’s environment using TOWS analysis shows that the facility can leverage its services for better performance.

    A review of the external environment identified factors influencing the facility. Firstly, evaluating the political factors showed that the government support and political stability presents opportunities for the facility. Secondly, the prevailing economic conditions present some challenges in terms of balancing between income, expenditure, and profits. Thirdly, the existing social and cultural factors presents opportunities for the facility, particularly when addressing the ever-increasing healthcare needs of the population. Finally, the prevailing legal and ethical factors present some challenges, particularly the factors concerning medical records access, protection, and confidentiality, as well as treatment consent (Morrison, 2016).

    A review of the internal environment identified factors that influence the facility’s capacity to deliver care. Firstly, the facility’s mission statement, vision, and purpose present a formal principles that declare the range of activities that the facility can engage in. Secondly, a review of the facility’s technological capabilities shows that it needs to make an additional investment in technology, particularly in terms of facilitating the management of patient records with regards to access and confidentiality. Thirdly, a review of the supply chain shows that there is a need for improvements, particularly in terms of costs reduction and improved efficiency. Finally, an evaluation of the facility’s information system shows that there is a need for investment in improving the current system to improve quality of care and data security while avoiding possible legal sanctions under confidentiality laws (Jaana, Teitelbaum & Roffey, 2014). Given the results of the internal and external environmental analysis for FHOS, it is clear that the facility has opportunities for growth through addressing the existing shortcomings and leveraging the identified strengths (Arthur, n.d.).

    Strategic plan

    The environmental analysis based on TOWS matric identified some challenges that the facility is facing, and which would be best addressed through strategic actions that include:

    Increasing the number of patients who patronize the facility.

    Building the capacity of the personnel employed by the facility.

    Acquiring and offering modern medical equipment.

    Prudently managing the facility’s financial resources.

    Identifying and strengthening weak management systems and structures.

    Improving the sharing of information within the facility and with stakeholders.

    Improving monitoring and evaluation efforts.

    Strengthening research efforts.

    Expanding services and efforts.

    Subsidizing medical services to make them affordable by looking for alternative funding sources.

    Improving the satisfaction levels of the patients who patronize the facility.

    Collaborating with funding partners who include both governmental and non-governmental organizations.

    Improving the adequacy of relevant policies to include the standard operating procedures that influence the delivery of services, strategies for mobilizing resources, strategies for communication, procurement policies, and finance manual.

    Addressing staff turnover and understaffing concerns since they affect service delivery.

    Adequate job description.

    Strengthening the organization structure.

    Strengthening the facility’s information management system.

    Creating an asset register.

    Expanding services and facilities to meet the increasing demand.

    Improving the ICT infrastructure.

    Improving security and safety within the facility.

    Getting representation in health management and planning committees to direct policy development and implementation to be in line with the facility objectives.

    To address the identified strategic issues, a strategic direction was determined that would be implemented over the next two years with the focus being on six key areas. Firstly, focus will be on improving the patients’ satisfaction levels by addressing any shortcomings they may have identified. Secondly, putting measures in place to improve the security and safety of the patients and facility. Thirdly, improving health information system. Fourthly, providing modern medical facilities and equipment. Fifthly, improving physical infrastructure in the facility. Finally, strengthening the facility’s institutional capacity.

    The proposed direction will be implemented in two departments as identified in Tables 1 and 2.

    Table 1. Strategic direction for FHOS administration and finance departments

    Priority areas for the next two years

    Strategic goals

    Strategies

    Strengthening FHOS’ institutional capacity.

    To strengthen the facility’s administration.

    ·   Recruit a professional security agency to address the facility’s security concerns.

    ·   Offer a conducive working environment for personnel.

    ·   Offer work incentives that include insurance cover.

    To effectively manage the facility’s assess.

    ·   Review the procurement instructions and implement changes to improve activities.

    ·   Develop a policy to dispose non-useful assets even as useful assets are acquired.

    ·   Prepare a register of all the assets.

    ·   Strengthen the management of the facility’s procurement procedures.

    To increase the facility’s revenue by 20%.

    ·   Increase the patients’ satisfaction levels so that they continue to patronize the facility’s services even as they encourage others to do the same.

    To strengthen the facility’s financial management.

    ·    Develop strategies for collecting debts.

    ·    Developing and implementing annual budgets.

    ·    Reviewing the financial controls applied internally.

    ·    Encouraging sensible financial management.

    To strengthen ICT use that facilitates the efficiency of service delivery.

    ·    Procure ICT systems and equipment.

    ·    Develop ICT policies.

    To strengthen the facility’s human resource capacity.

    ·    Implement a performance management system.

    ·    Build staff capacity. Recruit personnel to address shortages.

    ·    Review the human resource manual and enforce it.

    ·    Strengthen human resource capacity.

    Waste and sanitation system management

    To improve sanitation and waste management.

    ·    Establish a biogas system that gets rid of the waste while supplementing energy supply.

    Strengthen records management

    To strengthen the management of records.

    ·    Strengthen how data is collected, analyzed and disseminated.

    ·    Train facility’s personnel on how to manage records.

    ·    Procure and install better records management systems that include an updated hospital information system.

    ·    Review the current system for managing records to identify and address shortcomings.

    Develop the facility’s infrastructure

    To expand the hospital’s infrastructure to handle a larger number of patients and address more medical conditions.

    ·    Procure medical equipment based on need and funds availability.

    ·    Expand health facilities.

     

    Table 2. Strategic direction for FHOS medical department

    Unit

    Priority areas for the next two years

    Strategic goals

    Strategies

    Community outreach programs

    Community outreach programs

    To promote community outreach programs.

    ·    Increase access to high quality medical care services.

    Doctors, clinicians and nurses

    Establish new medical units

    To establish new medical units.

    ·    Private wards to be established.

    ·    Establish emergency and casualty wings separately.

    Construct ad expand wards

    To construct and expand nursing stations and wards.

    ·    Construct and expand nursing stations and wards.

    Procure medical equipment

    Procure and install medical equipment in the facility’s wards.

    ·    Procure medical equipment.

    Strengthen the facility’s medical staffing capacity

    To strengthen the facility’s staffing capacity.

    ·    Train personnel.

    ·    Recruit personnel.

    Mortuary

    Mortuary expansion

    To expand the mortuary unit’s storage space.

    ·    Expand the mortuary working area and storage space.

    Procure mortuary equipment

    To procure and install mortuary equipment.

    ·    Procure mortuary equipment.

    Strengthen the facility’s mortuary staffing capacity

    To strengthen the facility’s staffing capacity.

    ·    Train personnel.

    ·    Recruit personnel.

    Theatre

    Procure theatre equipment

    To procure and install theatre equipment.

    ·    Procure theatre equipment.

    ·

    Strengthen the facility’s theatre staffing capacity

    To strengthen the facility’s staffing capacity.

    ·    Train personnel.

    ·    Recruit personnel.

    Pharmacy

    Expand the pharmacy unit

    To expand the pharmacy’s working space.

    ·    Expand the pharmacy’s working area.

    Procure equipment for the pharmacy unit

    To procure and install an information management system that integrates with the facility’s systems.

    ·    Procurement of information management equipment

    Strengthen the facility’s pharmacy staffing capacity

    To strengthen the facility’s staffing capacity.

    ·    Train personnel.

    ·    Recruit personnel.

    Radiology

    Procure equipment for the radiology unit

    To procure and install diagnostic imaging equipment.

    ·    Procurement of imaging equipment based on need, as well as furniture.

    Expand the radiology unit

    To expand the radiology’s working space.

    ·    Expand the radiology unit’s working area.

    Strengthen the facility’s pharmacy staffing capacity

    To strengthen the facility’s staffing capacity.

    ·    Train personnel.

    ·    Recruit personnel.

    Laboratory

    Redesign and expand the laboratory

    To redesign and expand the working space.

    ·    Redesigning and expanding the laboratory working area.

     

    Balanced scorecard

    A balanced scorecard refers to a strategic planning and management tool that is used to monitor performance against strategic goals, while improving external and internal communication, and aligning business activities with the organization’s strategy and vision. In fact, it suggests that exclusive use of traditional measures are myopic and ill-advised since they are an account of past events. In essence, it is a performance measurement framework that managers can use to gain an understanding of the facility’s performance in both the financial and non-financial arenas. This implies that it retains the traditional tools for measuring performance even as it includes other factors critical to success, which include relationship with stakeholders (such as patients and medical personnel) and capabilities. To facilitate the whole performance measurement, the balanced scorecard as applied for the FHOS case views the business model from four perspectives to include: learning and growth (personnel) perspective; process (internal operations) perspective; patients’ value perspective; and financial perspective (Kerin, Hartley & Rudelius, 2014). The present analysis makes use of a balanced scorecard to evaluate the strategic model for use by FHOS.

     

     

    Table 3. FHOS balanced scorecard quadrants

    Financial perspective and shareholder value

    1.     Market share: improve market share by 30% over the next two years through aggressive marketing and innovative medical services based on perceived local needs.

    2.     Revenues and costs: Improve revenues while reducing costs so that profitability increases by 15%. This would occur through expenditures review that focuses on profitable ventures as costs are reduced.

    3.     Profitability: Improve profitability by 15% through better spending reviews.

    4.     Competitive position: Invest 10% of profits on research activities to facilitate the development of innovative medical services.

    Patient value perspective

    1.     Patient retention or turnover: Ensure that 70% of patients repeatedly patronize the facility by offering a wider range of related medical services.

    2.     Patient satisfaction: Create a patient care center that is staffed by knowledgeable medical personnel capable of handling patient related issues. Additionally, evaluating the quality of all medical services in terms of comparisons with other medical facilities before offering them.

    3.     Patient value: creating a public relations office dedicated to addressing all the patients’ issues so that they feel a part of the facility.

    Process and internal operations perspective

    1.     Measure of process performance: developing feedback systems that match facility performance to the set objectives.

    2.     Service or productivity improvement: engaging knowledgeable and experienced personnel who can direct the facility operations to achieve the set objectives.

    3.     Operations metrics: engaging personnel in developing realistic matrices that measure actual performance.

    Personnel learning and growth perspective

    1.     Personnel satisfaction: reviewing remuneration packages to match responsibilities using competitive figures based on the industry standards.

    2.     Personnel turnover or retention: creating a system that collects personnel opinions and addresses them to improve their satisfaction levels. The target is 5% annual retention to include retirees.

    3.     Level of organization capability: organizing regular training programs for personnel so that they are aware of the latest advances in the healthcare industry as measured through the number of persons who successfully complete the training programs.

    4.     Nature of organizational culture or climate: adopting technological advances to augment personnel input as measured through medical industry reviews such as updating the information system to facilitate access to patient records.

     

    The first perspective is the financial perspective, which reinforces the need for traditional financial data in evaluating the performance of any business entity. Any business model would recognize that accurate and timely data is always a priority, making it clear that this need cannot be overemphasized and adding that there can never be enough processing and handling of data of any kind. By implementing a database and cloud-based system for medical data, FHOS intends to automate and centralize data related activities. The point is that the financial perspective has been given the same emphasis as the other three perspectives to result in a balanced situation, although there are situations when the financial perspective will be overemphasized, particularly when analyzing cost-benefits and risk assessment (see table 3; Kerin, Hartley & Rudelius, 2014).

    The second perspective is the patient perspective. It recognizes the increasing importance of patients and the need to satisfy them to ensure FHOS growth and success. With this in mind, the strategy applied at the facility must include indicators of patient satisfaction such as an understanding that failure to satisfy the patients will cause them to switch to other medical facilities that are able to meet their needs. As such, good performance within the patient perspective will act as an indicator that FHOS has a good future within the highly competitive healthcare industry, while poor performance in the patients perspective will act as an indicator that decline is likely to occur in the future even though the current performance figures paint a favorable picture. In developing the patient satisfaction matrix, FHOS must recognize that there are different patient groups who have diverse medical services needs (see table 3; Kerin, Hartley & Rudelius, 2014).

    The third perspective is the internal business processes perspective that will allow the managers and other supervisors to know how well the facility is being run, and whether it is in line with the stated mission and vision, as well as strategic objectives. This perspective would focus on whether the facility’s services conform to the requirements stated by the patients and industry expectations as stated by regulators. It includes matrices that have been prudently deliberated and presented by the facility’s personnel most knowledgeable about the operations since external consultants would be unable to develop effective matrices (see table 3; Winston et al., 2013).

    The final perspective is the learning and growth perspective whereby the facility is expected to make provisions for the inclusion of personnel training geared towards improving performance. This is based on the understanding that personnel are the most important knowledge repository. The rapid technological advances have made it necessary for FHOS personnel to be in a continuous learning mode thereby heightening personnel importance as a knowledge repository. In addition, the model includes a matrix that aids managers in allocating funds towards training activities that are anticipated to result in the most benefit for FHOS as a business. In any case, learning constitutes the foundation for success for the facility even as it anticipates to grow and succeed. It is important to note that training is only one aspect of learning, which includes other facets in the form of technical tools (such as computer systems and classroom environments), tutors and mentors, as well as facilitating good communication that allows FHOS personnel to get aid whenever problems arise (see table 3; Winston et al., 2013).

    The balanced scorecard facilitates performance measurement by focusing on four perspectives that include learning and growth perspective, process perspective, patient value perspective, and financial perspective. Overall, it is anticipated that applying the formulated balanced scorecard will allow FHOS to successfully meet the set strategic objectives.

    Communication plan

    Even as the strategic plan is prepared and applied, there is a need to prepare and apply a communication plan. The communication plan is intended to complement the strategic plan by improving information exchange within the facility. It recognizes that the strategic plan is intended to offer benefits to the facility by improving operational efficiency and effectiveness to achieve better patient outcomes. The facility will benefit from the communication plan since it allow the personnel to practice high-quality communication strategies and skills. This is based on the understanding that communication aids the facility to meet its goals and objectives (Ellis, 2016). In addition, the facility must have the capacity to manage and resolve conflicts that could arise when the strategy is implemented, reducing the misuse of informal communication by the stakeholders, and improving willingness to provide the facility’s management with constructive feedback. In essence, it ensures that informal organizational communication is not misused by the personnel through actions such as gossiping and peddling of rumors about the strategic plan intentions since such communication is unethical, decreases coordination and cooperation, destroys trust between relational partners, is likely to undermine interpersonal relationships and is not appropriate in a working environment. The official communication would be considered as the only reliable source of information to reassure personnel and prepare them for impending changes. For instance, the intention to hear more personnel must be addressed in terms of reassuring the present personnel that their jobs is not in jeopardy and some of them could even  be up for promotions or better employment terms when transferred to the new department (Kreps, 2011).

    The principal motivation for controlling and enhancing informal communication lines is to motivate personnel; particularly where rumor is concerned and involved. In order to enhance informal communication lines, the management is expected to unequivocally notify other personnel and stakeholders that immoral and unethical messages and communications will not be accepted since this could disrupt the strategic plan implementation in the facility. The facility’s personnel and stakeholders will have an occasion to report any cases of immoral and unethical informal communication anonymously with punitive action initiated against the violators. The punitive action may include forcing the offender to attend a training session on organizational ethics and morals. Even though it could be difficult to maintain control over informal communication for the strategic plan’s implementation, the upper management personnel must protect the quality of information flowing through the facility’s rumor mill (Abigail & Cahn, 2011).

    As has been established, the strategic plan intends to enhance communication within the facility. This will occur by focusing on refining both the formal and informal communication lines between all the personnel and stakeholders. Formal communication lines are significant for the reason that they are the principal conduit for all personnel to exchange work-related information such as the intended changes, involvement and implications. The main motive for enhancing formal communication lines is to buoy up the facility’s personnel to deliver constructive feedback to the management to improve the strategic plan and present their understanding of what is intended. Feedback – criticism – is important in the facility’s communication, since, it is the mainstay of effective communication. Short of feedback, both the message senders and receivers are unlikely to accomplish a common understanding of the message (Abigail & Cahn, 2011).

    In order to implement feedback within the facility’s communication structure, the management will have to provide some form of compensation for personnel who deliver relevant, timely, and honest feedback as a strategy. This will be achieved by starting a recompense program whereby personnel who provide the most relevant, timely and honest feedback can be rewarded with a certificate of recognition that can later be redeemed for financial gratuity. Another strategy for promoting feedback will involve instituting an open communication policy between the upper level and lower level personnel. For instance, the managers must avail themselves to listen and respond to any criticisms from other personnel, with the whole exchange done without any victimization. In order to institute an open communication policy, the managers must display active listening skills that allow them to fully comprehend the messages that other personnel are attempting to communicate to them (Trenholm, 2011). In this respect, the communication plan focuses in ensuring that there is effective communication that opens up the communication channels without creating an occasion for abuse so that it ends up supporting the implementation of the strategic plan.

    Conclusion

    One must accept that based on the environmental analysis, FHOS has opportunities for improving its capacity to offer higher quality medical care. In addition, one must acknowledge that a strategic plan actualizes the facility intentions to improve performance by identifying areas that require improvements and changes. Also, it is clear that even with the strategic plan, a balanced scorecard is necessary to assess the strategic plan’s implementation in terms of achieving the set intentions. Besides that, a communication plan is necessary since it informs personnel and other stakeholders about the strategic plan while offering an opportunity for feedback that facilitates changes to the strategic plan for better performance.

    References

    Abigail, A. & Cahn, D. (2011).
    Managing conflict through communication
    (4
    th
    ed.). Boston, MA: Allyn & Bacon Publishers.

    Arthur, L. (n.d.).
    The implications of environmental analysis on strategic plan
    .
    Houston Chronicle
    . Retrieved from http://smallbusiness.chron.com/implications-environmental-analysis-strategic-plan-35303.html

    Ellis, P. (2016).
    Evidence-based practice in nursing
    (3
    rd
    ed.). London: Learning Matter/SAGE Publications Ltd.

    Ginter, P., Duncan, W. & Swayne, L. (2013) .
    Strategic management of health care organizations
    (7
    th
    ed.). San Francisco, CA: Jossey-Bass.

    Jaana, M., Teitelbaum, M., & Roffey, T. (2014).
    IT strategic planning in hospitals: From theory to practice
    . International Journal of Technology Assessment in Health Care
    , 30(3), 289-297.

    Kerin, R., Hartley, S. & Rudelius, W. (2014).
    Marketing
    (12
    th
    ed.). New York, NY: McGraw-Hill Education.

    Kreps, L. (2011).
    Communication in organizations
    . San Diego, CA: Bridgepoint Education Publishers.

    Morrison, M. (2016).
    PEST/ PESTLE analysis Introduction
    .
    RapidBI
    . Retrieved from https://rapidbi.com/Introduction-to-the-PESTLE-analysis-tool/#PESTLEtemplete

    Trenholm, S. (2011).
    Thinking through communication
    (6
    th
    ed.). Boston, MA: Allyn & Bacon Publishers.

    Winston, W., Stevens, R., Sherwood, P. & Dunn, J. (2013).
    Market analysis: assessing your business opportunities
    . London: Routledge.

     

    Assessment 5 needs to go along with Assessment 1,2,3,and 4….

    Assessment 5
    Balanced Scorecard Analysis and Strategic Plan

    Overview
    Create an integrated strategic management and implementation plan for a health care organization that incorporates instructor and real world feedback into a final balanced scorecard analysis and strategic plan.

    Note: The assessments in this course are presented in sequence and must be completed in order. You may not begin this assessment until you have completed and received feedback from your instructor for each of the previous assessments in this course.

    SHOW LESS
    The successful implementation of a strategic plan requires effective communication and a thorough understanding of not only the role of the organization within the greater community, but the role of leadership within the organization. By effectively engaging stakeholders and understanding the philosophy of strategic management, leaders can mitigate challenges and hurdles that face those directing change.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    Competency 1: Analyze organizational structure, design, culture, and climate in relation to environmental forces.
    Analyze potential long-term opportunities and operational components in the strategic planning process.
    Competency 2: Develop a strategic organizational plan that provides human and financial resources to support targeted organizational outcomes.
    Analyze the effect of the strategy formulation on human, financial, and technical resources.
    Competency 3: Recommend an organizational structure and design to optimize a strategic plan.
    Apply strategic planning tools and research to determine alternative strategies for a health care organization’s future success.
    Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration.
    Incorporate feedback from stakeholders and colleagues in the construction of an integrated strategic plan.
    Assemble a professional final report that meets the needs and expectations of a specific audience.
    Competency Map
    CHECK YOUR PROGRESS
    Use this online tool to track your performance and progress through your course.
    Toggle Drawer
    Context
    In the workplace it is essential to periodically measure outcomes of key performance indicators on the strategic plan in order to meet the overall goals of the organization.

    Toggle Drawer
    Questions to Consider
    To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

    SHOW LESS
    What is the purpose of the balanced scorecard?
    How do key performance indicators in the four perspectives affect the department, service line, or strategic business unit in which you currently work or desire to work?
    From the time that a new vision and directional strategy are defined, what are the logical steps that you as a healthcare leader can take to assure that your actions align with the needs of the organization?
    How do you, your team, your department, et cetera, add value in a measurable way to the organization?
    Toggle Drawer
    Resources
    Suggested Resources
    The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

    Capella Resources
    Click the links provided to view the following resources:

    ePortfolio.
    Using Kaltura [PDF].
    APA Paper Template.
    APA Paper Tutorial.
    SHOW LESS
    Skillsoft Tutorials
    If you feel you need help using PowerPoint the following resources will help you expand your skills.

    Search Capella Tutorials for PowerPoint tutorials.
    Library Resources
    The following e-books or articles from the Capella University Library are linked directly in this course:

    Ballé, M., Morgan, J., & Sobek, D. K. (2016). Why learning is central to sustained innovation. MIT Sloan Management Review, 57(3), 63–71.
    Daly, R. (2014). The structure of value. Healthcare Financial Management, 68(1), 56–63.
    Gingrass, J. (2015). Changing the channel: Strategies for expanding patient access. Healthcare Financial Management, 69(4), 64–68.
    Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013) . Strategic management of health care organizations (7th ed.). San Francisco, CA: Jossey-Bass.
    Mangelsdorf, M. E. (2016). Mastering strategy. MIT Sloan Management Review, 57(2), 67–71.
    Sheffi, Y. (2015). Preparing for disruptions through early detection. MIT Sloan Management Review, 57(1), 31–42.
    Course Library Guide
    A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the MHA-FP5010 – Strategic Health Care Planning Library Guide to help direct your research.

    Assessment Instructions
    Overview
    This assessment is the culmination of your work in the course. It includes the analyses you made of your selected organization, details of your proposed strategic plan, and recommendations for implementing your plan. An important aspect of this assessment is providing the rationale used when you incorporate feedback from stakeholders and/or colleagues (instructor, mentor…) into your integrated final report.

    Preparation
    To successfully complete this assignment, you will be expected to:

    Use strategic management and knowledge management theory and research to analyze the current environment of a health care organization.
    Apply strategic planning tools and research to determine alternative strategies for a health care organization’s future success.
    Synthesize operational and financial components in the strategic planning process.
    Evaluate the effect of your strategy formulation.
    Integrate additional knowledge that you have gained and feedback you have received as the course progressed.
    Incorporate any necessary instructor feedback and real-world feedback (from colleagues, for example) into previously submitted assessments, including your Kaltura recording and PowerPoint presentation.
    Integration of Feedback
    Step One: Share this plan with a colleague in your profession (preferably in the health care organization you are analyzing) and receive feedback on your management and implementation strategies.
    Step Two: Integrate additional knowledge that you have gained along with the feedback you have received as the course progressed. Incorporate real-world and instructor feedback into previously submitted elements, including your Kaltura recording and PowerPoint presentation.
    Refine each element accordingly and assemble a fully integrated plan. Create footnotes where refinements were made as a result of feedback received. Call out your rationale for changes made or reasons you chose to retain elements even though a stakeholder might have called for a change.
    Re-record your 5–10 minute presentation as needed.
    Final Report
    Create a 12–15-page final report addressed to senior leadership in your selected organization that contains your balanced scorecard analysis and your proposed strategic plan. Your final report should contain the following elements.

    Title page.
    Executive summary: This is a 1-page summary of the main points of your analysis, an overview of the feedback you have received from stakeholders, along with the major recommendations contained in your strategic plan.
    Table of Contents.
    Section headings and sub-headings (based on the content of your analysis and your strategic plan).
    Footnotes: Provide a reference or footnote where substantive refinements were made from previous assessments. Support your rationale for changes or lack of changes in both management strategies as well as implementation strategies with relevant scholarly resources.
    References.
    Appendices.
    Additional Requirements
    Written communication: Written communication should be free of errors that detract from the overall message.
    APA formatting: Resources and citations are formatted according to current APA style and formatting.
    Number of resources: Minimum of 10 peer-reviewed research resources.
    Length of PowerPoint presentation: 10–12 presentation slides.
    Length of final report: 12–15 pages, excluding cover page and references.
    Submit your integrated strategic plan, PowerPoint presentation, and refined Kaltura presentation to this assessment.

    Portfolio Prompt: You may choose to save this assessment to your ePortfolio.

    Balanced Scorecard Analysis and Strategic Plan Scoring Guide

    Due Date:
     End of Unit 5.

    CRITERIA

    NON-PERFORMANCE

    BASIC

    PROFICIENT

    DISTINGUISHED

    Analyze potential long-term opportunities and operational components in the strategic planning process.

    Does not analyze potential long-term opportunities and operational components in the strategic planning process.

    Analyzes potential long-term opportunities and operational components in the strategic planning process, but the analysis is unclear or incomplete.

    Analyzes potential long-term opportunities and operational components in the strategic planning process.

    Analyzes potential long-term opportunities and operational components in the strategic planning process, and identifies specific criteria that could be used to measure success.

    Analyze the effect of the strategy formulation on human, financial, and technical resources.

    Does not analyze the effect of the strategy formulation on human, financial, and technical resources.

    Analyzes the effect of the strategy formulation on human, financial, and technical resources, but the analysis is unclear or incomplete.

    Analyzes the effect of the strategy formulation on human, financial, and technical resources.

    Analyzes the effect of the strategy formulation on human, financial, and technical resources; identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis).

    Apply strategic planning tools and research to determine alternative strategies for a health care organization’s future success.

    Does not apply strategic planning tools and research to determine alternative strategies for a health care organization’s future success.

    Lists strategic planning tools and research options for a health care organization, but does not demonstrate how the tools or research was or can be used to determine alternative strategies.

    Applies strategic planning tools and research to determine alternative strategies for a health care organization’s future success.

    Applies strategic planning tools and research to determine alternative strategies for a health care organization’s future success, and identifies specific criteria that could be used to measure success of the alternative strategies.

    Incorporate feedback from stakeholders and colleagues in the construction of an integrated strategic plan.

    Does not describe feedback from stakeholders and colleagues in the construction of an integrated strategic plan.

    Describes, but does not respond or incorporate feedback from stakeholders and colleagues in the construction of an integrated strategic plan.

    Incorporates feedback from stakeholders and colleagues in the construction of an integrated strategic plan.

    Incorporates feedback from stakeholders and colleagues in the construction of an integrated strategic plan, and provides an sound rationale for feedback for the inclusion or omission of feedback received.

    Assemble a professional final report that meets the needs and expectations of a specific audience.

    Does not assemble a professional final report that meets the needs and expectations of a specific audience.

    Assembles a final report for a specific audience, but the needs and expectations of that audience are only partially met.

    Assembles a professional final report that meets the needs and expectations of a specific audience.

    Assembles a professional final report that exceeds the expectations of a specific audience, by demonstrating superior ability to deliver specific evidence-based recommendations that support and sustain the mission, vision and goals of the system at large.

  • NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

    NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

     

     

    Academic and Professional Success Plan Template

     

    Prepared by:

     

    Trudi Walker

     

     

    This document is to be used for
    NURS 6003 Transition to Graduate Study for Nursing
    to complete Assessments 1-6. Just as importantly the document serves to organize your
    thoughts
    about planning for your academic and professional success.NURS 6002 / 3
    Part 1: Developing an Academic and Professional Network
    Example

    For specific instructions see the weekly assessment details in the course, or ask your instructor for further guidance.

     

    ORDER A PLAGIARISM-FREE PAPER HERE

     

    Week 1 | Part 1: My Academic and Professional Network

     

    I have identified and secured the participation of the following academic (at least two) and professional (at least two) individuals and/or teams to form the basis of my network. This network will help me to clarify my vision for success and will help guide me now and in the future. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

    Directions: Complete the information below for each member of your network. For more than four entries repeat the items below with details of your additional network member(s) in the ‘ADDITIONAL NETWORK MEMBERS’ section.

     

     

    NETWORK MEMBER 1

     

    Name: xx

     

     

    Title: Student Success Advisor

     

     

    Organization: xx

     

     

    Academic or Professional: Academic

     

     

    Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: xxx has been calling to check in to make sure I have everything I need academically. She has been helping me with navigating the University page and figuring my way out as its been a lot. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

    Notes:

     

     

     

     

     

    NETWORK MEMBER 2

     

    Name: xxx

     

     

    Title: Enrollment Specialist

     

     

    Organization: xx

     

     

    Academic or Professional: Academic

     

     

    Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: I selected xxx because he has been very instrumental in me getting back into the groove of school and helping me keep up and reminding me when things are due. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

    Notes:

    NETWORK MEMBER 3

     

    Name: xxx

     

     

    Title: PMHNP Student/RN

     

     

    Organization: xx

     

     

    Academic or Professional: Professional

     

     

    Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: I selected Raquel because she has been encouraging and inspiring me every step of the way, as well as giving me the drive and motivation needed to go when life says otherwise.

     

    Notes:

     

     

    NETWORK MEMBER 4

     

    Name: xxx

     

     

    Title: Special Educator

     

     

    Organization: xxx

     

     

    Academic or Professional: Professional

     

     

    Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: xxx has been my main motivator when I think I just cannot make it anymore she is always there to push me through. Always there to help me with finding research or researching difficult assignments.

     

    Notes:

     

     

     

    ADDITIONAL NETWORK MEMBERS

     

     

    Week 2 | Part 2:
    Academic Resources and Strategies

     

    I have identified the following
    academic resources and/or strategies
    that can be applied to success in the nursing practice in general or my specialty in particular. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

    Directions: In the space below Identify and describe
    at least three academic resources
    or strategies that can be applied to the MSN program, and
    at least three

    professional resources
    that can be applied to success in the nursing practice in general or your specialty in particular. For each, explain how you intend to use these resources, and how they might benefit you academically and professionally.

     

     

    Academic Resource/Strategy
    1

     

     

     

     

    Academic Resource/Strategy
    2

     

     

     

     

    Academic Resource/Strategy
    3

     

     

     

     

    Professional Resource/Strategy
    1

     

     

     

    Professional Resource/Strategy
    2

     

     

     

    Professional Resource/Strategy
    3

     

     

     

     

    ADDITIONAL RESOURCES/STRATEGIES

     

     

     

     

     

    Week 3 | Part 3:
    Strategies to Promote Academic Integrity and Professional Ethics

     

    I have analyzed the relationship between academic integrity and writing, as well as the relationship between professional practices and scholarly ethics. I have also identified strategies I intend to pursue to maintain integrity and ethics of my academic work while a student of the MSN program, as well as my professional work as a nurse throughout my career. The results of these efforts are shared below.

     

    Directions: In the space below craft your analysis/writing sample, including Part 1 (The Connection Between
    Academic and Professional Integrity) and Part 2 (Strategies for Maintaining Integrity of Work).

     

     

    Part 1: Writing Sample: The Connection Between Academic and Professional Integrity

     

    In the space below write a 2- 3-paragraph analysis that includes the following:

     

    Explanation for the relationship between academic integrity and writing

    Explanation for the relationship between professional practices and scholarly ethics

    Cite at least 2 resources that support your arguments, being sure to use proper APA formatting.

    Use Grammarly and SafeAssign to improve the product.

    NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

    Explain how Grammarly, Safe Assign, and paraphrasing contributes to academic integrity

     

     

     

     

    PART 2: Strategies for Maintaining Integrity of Work

     

    Expand on your thoughts from Part 1 by:

     

    Identifying and describing strategies you intend to pursue to maintain integrity and ethics of your 1) academic work while a student of the MSN program, and 2) professional work as a nurse throughout your career. Include a review of resources and approaches you propose to use as a student and a professional.

     

     

    Week 4 | Part 4:
    Research Analysis

     

    I have identified one topic of interest for further study. I have researched and identified one peer-reviewed research article focused on this topic and have analyzed this article.  The results of these efforts are shared below.

     

    Directions: Complete Step 1 by using the table and subsequent space below identify and analyze the research article you have selected. Complete Step 2 by summarizing in 2-3 paragraphs the results of your analysis using the space identified.

     

     

     

     

     

     

    Step 1: Research Analysis

    Complete the table below

    Topic of Interest:

     

    Research Article:

    Include full citation in APA format, as well as link or search details (such as DOI)

    Professional Practice Use:

    One or more professional practice uses of the theories/concepts presented in the article

    NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

    Research Analysis Matrix

    Add more rows if necessary

    Strengths of the Research

    Limitations of the Research

    Relevancy to Topic of Interest

    Notes

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Step 2: Summary of Analysis

    Craft a summary (2-3 paragraph) below that includes the following:

    Describe your approach to identifying and analyzing peer-reviewed research

    Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research

    Identify at least one resource you intend to use in the future to find peer-reviewed research

    NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

     

     

     

     

     

    Week 5 | Part 5:
    Professional Development

     

    I have developed a curriculum vitae to capture my academic and professional accomplishments to date.

     

    The results of my efforts are below.

     

    Directions: Complete Step a curriculum vitae (CV) in the space provided.

     

     

     

    Curriculum Vitae (CV)

    Use the space below to write your CV based on your current education and professional background. Alternatively, you may write this in a separate document and copy/paste the results below.

    NOTE: If needed there are a variety of online resources available with tips and samples of graduate nurse CVs.

    Week 6 | Part 6:
    Finalizing the Plan

     

    I have considered various options for my nursing specialty, including a close look at my selected (or currently preferred) specialty and second-preferred specialty.  I have also developed a justification of my selected (or preferred) specialty. Lastly, I have examined one professional organization related to my selected or preferred specialty and considered how I can become a member of this organization.

     

    The results of my efforts are below.

     

    Directions: Complete Step 1 by writing 2-3 paragraphs in the space below comparing the nursing specialty you have selected – or the one you prefer if your choice is still under consideration –  to your second preference. Identify each specialty and describe the focus and the role that graduates are prepared for. Identify any other differentiators you feel are significant, especially those that helped or may help you reach a decision.

     

    Complete Step 2 by writing a paragraph identifying and justifying your reasons for choosing your MSN specialization. Be sure to incorporate any feedback you received from colleagues in this week’s Discussion Forum.

     

    Complete Step 3 by examining and identifying one professional organization related to your selected or preferred specialty. Explain how you can become a member of this organization. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

     

    Step 1: Comparison of Nursing Specialties

    Use the space below to write 2-3 paragraphs comparing the nursing specialty you have selected – or the one you prefer if your choice is still under consideration –  to your second preference. Identify each specialty and describe the focus and the role that graduates are prepared for. Identify any other differentiators you feel are significant, especially those that helped or may help you reach a decision.

     

     

    Step 2: Justification of Nursing Specialty

    Use the space below to write a paragraph identifying and justifying your reasons for choosing your MSN specialization. Be sure to incorporate any feedback you received from colleagues in this week’s Discussion Forum.

     

     

     

     

     

     

     

     

    Step 3: Professional Organizations

    Use the space below to identify and examine one professional organization related to your selected or preferred specialty. Explain how you can become a member of this organization. NURS 6002 / 3 Part 1: Developing an Academic and Professional Network Example

     

     

     

     

     

     

     

     

     

     

    – END –

  • Comprehensive Care Plan Example

    Comprehensive Plan of Care

    Institution of Affiliation

    Course Name

    Date

     

    Introduction

    For this assignment, the client is a 35 year old Hispanic male whose clinical diagnosis is Type II Diabetes Mellitus. The nursing diagnosis is uncontrolled levels of blood sugar due to non-compliance to medications as evidenced by a blood glucose level of 350mmol/l.  This paper details the clients comprehensive care plan and is divided into six sections which are adequately discussed namely; short term and long term nursing goals, nursing interventions, safety needs, the Cultural/Spiritual Implications and lastly the strategy for health maintenance, restoration and promotion.

    Short Term Goals

    The client’s blood glucose levels will reduce to below 200within one hour.

    The client will be able to demonstrate how to take his blood sugar levels and correctly interpret results.

    Long Term Goals

    The patient will be able to adhere to medications in the long term.

    The patient will be consistent in self-management with diet, exercise and medications

    The client will be able to adequately conduct self-risk-assessments at various time intervals

    Nursing Interventions

    Basing on the short term goals, to reduce the client’s blood glucose levels, insulin will be administered as directed by the physician. To achieve the objective on the client’s ability to take his blood glucose and interpret to the results, a practical demonstration through vides will be provided.  Adherence to diabetic medications promotes constant blood glucose levels such that, the client has good blood flow and reduced health risks. The nursing intervention for this goal will be educating the patient on the significance of consistency in diabetic treatments. The long term goal of self-management through exercise and diet will be actualized through referral to a dietician and close monitoring of weight and nutritional habits. So that the patient is able to conduct an individual self-risk assessment, he will be educated on the potential risks and complications of diabetes.

    Safety Needs

    The patient is also hypertensive hence the need to urgently control his blood pressure. He is also still a heavy smoker and drunker. For adequate blood pressure and diabetic management, it will be mandatory that the client limits alcohol intake and stops smoking.

    Cultural/Spiritual Implications

               
    Since the client is a Hispanic, there is the need to determine how culture and religion affect dietary and social life aspects as this has an influence on the management of diabetes. For instance, the Hispanic culture embraces a diet that is full of carbohydrates. Carbohydrates increase the levels of blood glucose and its intake should be controlled to prevent fluctuating blood glucose levels.

    Strategy for Health Restoration/ Maintenance and Promotion

    The client’s readiness to adhere to medications and potential barriers that hinder medication adherence will be determined. The client’s readiness to learn and signs for avoidance to learn will also be sought. A support person for the client will be identified and notified to provide the client with emotional support, moral support and psychological support when deemed necessary. The client will be expected to undergo basic health education on Diabetes. This education will be central to diabetes, its management, potential risks and significance. He will be provided with additional learning resources such as videos and websites on diabetes care. This will promote further learning based on the client’s speed and understanding. The client will also be provided with information about community resources, local community support groups and diabetic educators.

  • Applied Behavior Analysis Example

    Discussion: Applied Behavior Analysis

    Photo Credit: GoodIdeas / Adobe Stock

    You have made a significant decision to further your formal education in the field of applied behavior analysis. You likely have an interest in behaviors and their relationship with the environment and a desire to learn and apply behavioral techniques that will help individuals achieve beneficial behavioral change. While applied behavior analysts work with individuals of different ages, the skills of an applied behavior analyst are especially needed with children with autism.

    The Centers for Disease Control and Prevention (2020) reports that autism spectrum disorders (ASD) affect 1 in 54 children, representing a tripling of the prevalence rate since 2000. The respected and specialized behavior analysis assessment and intervention strategies you employ in your role as an applied behavior analyst can help autistic children and others with developmental issues to learn new skills and meet behavioral challenges.

    For this Discussion, you will analyze your decision to embark on a course of study that will lead to your becoming a Board Certified Behavior Analyst (BCBA).

    Reference:

    Centers for Disease Control and Prevention. (2020). Prevalence of autism spectrum disorder among children aged 8 years — autism and developmental disabilities monitoring network, 11 sites, United States, 2016
    .
     
    Surveillance Summaries
    , 
    69
    (4), 1–12. https://www.cdc.gov/mmwr/volumes/69/ss/ss6904a1.htm

    To Prepare

    Reflect on what motivated you to pursue a course of study that will lead to your becoming a Board Certified Behavior Analyst (BCBA).

    Consider what professional goals you will have once you earn your BCBA.

    By Day 4 of Week 4

    Post
     a reflection addressing the following:

    What led you to decide to study behavior analysis?

    What experience do you have in behavior analysis?

    What work do you hope to do once you earn your BCBA and how might this impact your desire for positive social change?

    Read
     your colleagues’ postings.

    Note:
     For this discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the 
    To Participate in this Discussion
     link, then select 
    Create Thread
     to complete your initial post. Remember, once you click on 
    Submit
    , you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking on 
    Submit
    !

    By Day 6 of Week 4

    Respond
     to at least 
    two
     colleagues’ posts by providing your perspectives on their professional goals once they earn their BCBA.

    Be sure to support your posts and responses with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or the internet for peer-reviewed articles to support your posts and responses. Use proper APA format and citations, including those in the Learning Resources.

    Return
     to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.

  • Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Transcript

    Started:
     Mar 05, 2022 | 
    Total Time:
     306 min

    All Lines (91)
    Interview Questions (54)
    Statements (9)
    Exam Actions (28)

    Hello. my name is xxx, I will interview you and later conduct a physical exam.

    Greet

    03/05/22 5:41 AM EST

    Hello. Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    What is your relationship with the patient?

    Question

    03/05/22 5:42 AM EST

    Oh, this is my mom.

    Hey, I’m Jackie Monroe. This is my daughter, Samantha.

    Why are you here today?

    ORDER SHADOWHEALTH HELP HERE

    Question

    03/05/22 5:42 AM EST

    I’m here for a sports physical. I’m gonna play on my school soccer team. We’re called the Nightingales, which is pretty cool.

    Any medical issue?

    Question

    03/05/22 5:43 AM EST

    Uh, nope. No health issues.

    Any history of surgery?

    Question

    03/05/22 5:43 AM EST

    I had my tonsils removed when I was like 9, but that’s it.

    Yeah, that was Samantha’s only surgery.

    Any missing organ? (No matching questions found.) Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Question

    03/05/22 5:45 AM EST

    Does your daughter have any missing organ? (No matching questions found.)

    Question

    03/05/22 5:46 AM EST

    Have you had any of your organs removed?

    Question

    03/05/22 5:46 AM EST

    Uh . . . no. All my organs are 100% present.

    Any allergies?

    Question

    03/05/22 5:49 AM EST

    No, I’ve never had any allergies before.

    Are your vaccinations current?

    Question

    03/05/22 5:50 AM EST

    Yeah, I’ve had all my vaccines.

    I always made sure she was up to date on her vaccinations.

    Are you using any medications?

    Question

    03/05/22 5:50 AM EST

    No, I don’t take anything.

    Are you using any vitamins or supplements?

    Question

    03/05/22 5:51 AM EST

    I take a multivitamin. Plus, I drink apple cider vinegar, which is kinda like a supplement.

    Do you pass out during exercise? (Clarified to Have you passed out during exercise?.)

    Question

    03/05/22 5:52 AM EST

    No way. I’ve never passed out while I was exercising. (Clarified to if I have passed out during exercise.)

    Any dizziness?

    Question

    03/05/22 5:53 AM EST

    Oh, no. I feel totally fine right now Samantha Monroe Adolescent Sports Evaluation shadow health Transcript.

    Have you ever been dizzy? (Clarified to Have you felt dizzy in the past?.)

    Question

    03/05/22 5:53 AM EST

    I’ve only been dizzy like once or twice. And that was because I skipped lunch and then had to go to gym class. (Clarified to if I have felt dizzy in the past.)

    Am sorry about that

    Educate

    03/05/22 5:54 AM EST

    Thanks for the heads-up.

    Any heart problems after exercising? (Clarified to Have you had heart problems after exercise?.)

    Question

    03/05/22 5:56 AM EST

    No heart problems after exercise. (Clarified to if I have had heart problems after exercise.)

    Have you had heart problems during exercise?

    Question

    03/05/22 5:57 AM EST

    Nope. No problems during exercise.

    Have you been diagnosed with a heart problem?

    Question

    03/05/22 5:58 AM EST

    No, I’ve never been diagnosed with any heart problems that I know of.

    No, no heart problems.

    How is your breathing during and after exercise?

    Question

    03/05/22 5:59 AM EST

    My breathing is fine during and after exercise.

    Any history of seizures?

    Question

    03/05/22 6:00 AM EST

    Pretty sure I’ve never ever had a seizure.

    That is correct. No seizures or anything like that.

    Any injuries?

    Question

    03/05/22 6:01 AM EST

    Um, well I did sprain my ankle when I was like 10. That’s really it, though. I’m always good to play.

    Any rashes?

    Question

    03/05/22 6:01 AM EST

    No rashes. Ew.

    Any history of head injuries?

    Question

    03/05/22 6:02 AM EST

    Nope. My head’s fine.

    Have you had a concussion?

    Question

    03/05/22 6:03 AM EST

    I’ve never had a concussion, but I did see my friend wipeout at the skatepark once. It was crazy. He was skating, then boom. I was filming, so it was, you know, pretty scarring.

    Any numbness or tingling?

    Question

    03/05/22 6:04 AM EST

    No numbness or tingling. That sounds weird.

    Any weakness in your limbs?

    Question

    03/05/22 6:09 AM EST

    Nope, no weakness.

    Do you exercise in the heat?

    Question

    03/05/22 6:14 AM EST

    Sure. We do gym outside sometimes. When soccer season starts, practice and games are outside.

    Any eye problems?

    Question

    03/05/22 6:16 AM EST

    My eyes are fine.

    Have you started your periods?

    Question

    03/05/22 6:17 AM EST

    No, I haven’t started my period yet. It’s kind of weird because all my friends have? Whenever they talk about it, like the cramps or whatever, I just pretend like I’ve had mine, too. Just to fit in.

    She asked how old I was when I got my first period. I told her I was about 12.

    I understand your concerns, but it’s normal for a person of your age to not have started their periods yet.

    Educate

    03/05/22 6:20 AM EST

    Cool. Good to know.

    Tell me about your family medical history.

    Question

    03/05/22 6:21 AM EST

    Wait, like the entire family medical history or do you mean something more specific?

    Any genetic conditions in your family? (Clarified to Does anyone in your family have a genetic heart condition?.) Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Question

    03/05/22 6:22 AM EST

    I don’t know. Mom? (Clarified to if anyone in my family has a genetic heart condition.)

    No, no one in the family has any genetic heart conditions.

    Any heart problems in your family?

    Question

    03/05/22 6:22 AM EST

    I don’t think anyone has heart problems, but I’m not totally sure.

    You know, I can’t think of anybody in the family who’s had heart problems.

    Any history of unexpected deaths in your family? (No matching questions found.)

    Question

    03/05/22 6:23 AM EST

    Any family history of unexpected deaths before the age of 35? (No matching questions found.)

    Question

    03/05/22 6:24 AM EST

    Has any of your family members had a pacemaker before age 35? (Clarified to Has anyone in your family had a pacemaker before 35?.)

    Question

    03/05/22 6:25 AM EST

    I’m not sure about the pacemaker thing. (Clarified to if anyone in my family had a pacemaker before thirty five.)

    To my knowledge, there isn’t anyone in the family who’s ever had a pacemaker.

    Do you feel your weight is okay? (Clarified to How do you feel about your weight?.)

    Question

    03/05/22 6:27 AM EST

    Um, I mean, I wish I could lose this baby fat. All my friends wear one size smaller than me, so it’s super awkward when they’re swapping clothes . . . and talking about their periods . . . just hard not to compare. (Clarified to how I feel about my weight.)

    I told her . . . middle school is tough, especially with all the social media they’re dealing with now. But luckily time goes by faster the older you get and one day you’re my age and it’s all in the rearview.

    I understand your concerns but you should not try to fit in or compare yourself to others.

    Educate

    03/05/22 6:29 AM EST

    Gotcha.

    Do you want to lose weight? (Clarified to Why do you think you need to lose weight?.)

    Question

    03/05/22 6:29 AM EST

    Just . . . to look more athletic, you know. Like I fit in with everybody. (Clarified to why I think I need to lose weight.)

    You should not try to fit in. Everyone is unique Samantha Monroe Adolescent Sports Evaluation shadow health Transcript.

    Educate

    03/05/22 6:30 AM EST

    Um, that makes sense.

    Tell me about your diet.

    Question

    03/05/22 6:31 AM EST

    I do the Mediterranean diet. It’s healthy. I try not to eat bad stuff. No candy, white carbs, processed food.

    Do you skip any meals?

    Question

    03/05/22 6:32 AM EST

    Yeah, I skip lunch once or twice each week.

    It is not advisable to skip any meal at your age because you are still growing

    Educate

    03/05/22 6:33 AM EST

    For sure. OK.

    How long have you been skipping your lunch? (Clarified to How long have you been skipping lunch?.)

    Question

    03/05/22 6:34 AM EST

    I started skipping lunch maybe a month ago? (Clarified to how long I have been skipping lunch.)

     Inspected weight and height growth chart

    Exam Action

    03/05/22 6:35 AM EST

     Inspected Skin

    Exam Action

    03/05/22 6:48 AM EST

     Assessed appearance Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Exam Action

    03/05/22 6:49 AM EST

     Assessed Cervical Spine Range of Motion

    Exam Action

    03/05/22 6:52 AM EST

     Assessed Spine Range of Motion: Full range of motion performed without discomfort

    Exam Action

    03/05/22 6:53 AM EST

     Assessed wrist range of motion

    Exam Action

    03/05/22 7:01 AM EST

     Assessed Elbow Range of Motion

    Exam Action

    03/05/22 7:03 AM EST

     Assessed range of motion of shoulders – adduction and abduction: Strength equal bilaterally against full resistance

    Exam Action

    03/05/22 7:06 AM EST

     Assessed Trapezius Strength: Strength equal bilaterally against full resistance

    Exam Action

    03/05/22 7:06 AM EST

     Assessed deltoid strength and shoulder rotation

    Exam Action

    03/05/22 7:07 AM EST

     Assessed Hand and Finger Range of Motion and Strength: Right and left hand strength equal bilaterally against resistance

    Exam Action

    03/05/22 7:08 AM EST

     Assessed Symmetry of Extremities

    Exam Action

    03/05/22 7:09 AM EST

     Assessed leg symmetry, knee and ankle effusion

    Exam Action

    03/05/22 7:09 AM EST

     Assessed Calf Symmetry and Leg Strength

    Exam Action

    03/05/22 7:10 AM EST

     Tested Hip, Knee, and Ankle ROM

    Exam Action

    03/05/22 7:11 AM EST

     Tested Cardinal Fields of Vision

    Exam Action

    03/05/22 7:14 AM EST

     Tested peripheral vision

    Exam Action

    03/05/22 7:15 AM EST

     Tested visual acuity

    Exam Action

    03/05/22 7:15 AM EST

     Tested balance: Expected

    Exam Action

    03/05/22 7:16 AM EST

     Auscultated lungs

    Exam Action

    03/05/22 7:17 AM EST

     Auscultated abdomen

    Exam Action

    03/05/22 7:18 AM EST

     Auscultated heart

    Exam Action

    03/05/22 7:18 AM EST

     Screened Adam’s Forward Bend

    Exam Action

    03/05/22 7:20 AM EST

    Mrs. Monroe please step out so I can have a private conversation with your daughter.

    Educate

    03/05/22 7:34 AM EST

    Sure, no problem.

    I will be asking you some personal questions and I need you to know that you are in a safe and a nonjudgmental environment.

    Educate

    03/05/22 7:36 AM EST

    OK. That sounds alright.

    Tell me about your school life, friends and hobbies.

    Question

    03/05/22 7:38 AM EST

    Everything’s fine. I mean . . . My grades are average. I get a lot of Bs. I feel like my friends used to be really chill but I don’t know what happened this year. It’s like everybody got super skinny and so many more followers on their social accounts. Soccer is gonna be fun, for sure, but . . . everything was easier before I turned 13.

    Am sorry about that. Everything will be fine.

    Empathize

    03/05/22 7:39 AM EST

    Thanks. I’m glad you understand.

    Tell me about your support system.

    Question

    03/05/22 7:41 AM EST

    Yeah, me and my mom are pretty close, and I have some friends who get it. We talk and stuff.

    Have you ever used tobacco?

    Question

    03/05/22 7:42 AM EST

    Definitely not. I feel like I’ve heard smoking can help you lose weight, but I’m not ever gonna do it because it’s so bad for your lungs. That would ruin my soccer game.

    Have you used any drugs?

    Question

    03/05/22 7:43 AM EST

    No. I wouldn’t ever do drugs.

    Have you used alcohol?

    Question

    03/05/22 7:44 AM EST

    I don’t drink. No way.

    Are you interested in relationships and dating?

    Question

    03/05/22 7:45 AM EST

    I’m not really interested in that yet.

    Are you sexually active? Samantha Monroe Adolescent Sports Evaluation shadow health Transcript

    Question

    03/05/22 7:45 AM EST

    No.

    I would like to know more about your feeling of nervousness or anxiety.

    Question

    03/05/22 7:54 AM EST

    I mean . . . school’s a lot. Projects and tests and stuff. And I want to do really well in soccer. But I guess it’s mostly the whole “keeping up with appearances” thing. It’s like a full-time job.

    Am sorry about that.

    Empathize

    03/05/22 7:55 AM EST

    Thanks.

    I noticed that you are concerned about your body image, weight, and diet.

    Question

    03/05/22 7:57 AM EST

    Well, I’ve definitely started paying more attention to health stuff, but I thought that was a good thing. I just want to post a selfie and not have a double-chin, you know?

    Have you ever considered doing anything more extreme to manage your weight?

    Question

    03/05/22 7:58 AM EST

    No, I wouldn’t do anything dangerous. I promise.

    Do you have any questions for me?

    Question

    03/05/22 7:59 AM EST

    No, I don’t think so.

     You will now discuss the appropriate non-pharmacological interventions with Samantha and her mother, Ms. Monroe. 
    You will not be automatically scored on your choices or responses in this activity, but your instructor may choose to review your responses.

    Exam Action

    03/06/22 8:19 AM EST

    I am ready to begin the conversation with Samantha.

    Question

    03/06/22 8:20 AM EST

     In your own words, discuss life-threatening health problems related to disordered eating with Samantha and Ms. Monroe.

    Exam Action

    03/06/22 8:20 AM EST

    Forcing yourself to diet or skip meals can make you very sick because strong bones teeth, and hair require adequate nutrition.

    Question

    03/06/22 8:23 AM EST

    Oh, um yeah. That makes sense. I don’t want any of that to happen.

    Thank you. This is pretty concerning so we’ll take this very seriously.

     In your own words, discuss limiting media intake with Samantha and Jackie.

    Exam Action

    03/06/22 8:24 AM EST

    You should limit media exposure and remember that your body deserves to be fed, cared or, regardless of the size.

    Question

    03/06/22 8:30 AM EST

    Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.

    We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.

     In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie.

    Exam Action

    03/06/22 8:33 AM EST

    You can try journalling, relaxation and stress management techniques, and affirmations

    Question

    03/06/22 8:58 AM EST

    Yeah, that make sense. It’s not like I want to feel this way, you know?

    I’m just glad we figured out that this was an issue. I had no idea.

     You have provided Samantha and her mother education on all appropriate non-pharmacological interventions Samantha Monroe Adolescent Sports Evaluation shadow health Transcript.