Tag: Clinical-Nursing

  • HCA-465 Health Care Administration And Management essays

    HCA-465 Health Care Administration And Management essays

    Concepts related to health care administration require extra efforts to complete assignments and academic tasks. Health Care Administration and Management require an understanding of various quality healthcare methods and provisions which make students ready for healthcare management. Students get their hands on various academic tasks which make them prepared for their future. Students with excellent academic performance can freely apply across multiple job openings. Employers hire those students who carry a high performing academic grade. Students can opt HCA-465 – Health Care Administration and Management course offered by Grand Canyon University.

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    Related HCA Health Care Administration Core Programs and Assignment Help Services!

    HCA-460 Operations and Risk Management in Health Care Assignment Help

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    HCA-465 Health Care Administration And Management essays

  • APNs Essay

    APNs Essay

    1. Briefly describe how your health system will “market” the roles of different types of APNs who are to be hired. Be sure to provide us a customized plan, one that speaks specifically to what you’ve already told us about how APNs will be used in your health system. In other words, while we need to see that you are working from ideas gleaned from the reading assignments, it is important that we see how you will adapt those general principles to the very specific needs of your health system and the very specific manner in which you have told us that you will use APNs. Remember that “marketing” involves selling others (specifically patients) on the concept of obtaining care from providers who are not physicians. APNs Essay.

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    2. How can an organization effectively incorporate APNs who are new graduates?

    3. It is common for some who promote APN practice to assert that there is a “cost-savings” that result from utilizing APNs (and PAs) to the fullest extent of their education and scope of practice APNs Essay. Making this assertion can be thorny: therefore, please address these points: (a) Do you agree or disagree that there would be a cost savings by using APNs and PAs? (of course, you must support either answer), and (b) If a health system felt strongly that there would be cost savings by using APNs and PAs, how could be the issues of equal pay for equal work be addressed?

     

    Nursing APNs Essay

    The organization can market APNs through campaigns that aim to improve the health condition of community members. For example, APNs can conduct health education interventions in the local community to increase their contact with the patients/community members. Secondly, APNs in the organization can provide care services to the needy at affordable prices (Ortiz et al., 2018). This marketing strategy has been shown to bring out positive outcomes. Moreover, the organization can share the different roles and scope of various APNs through social media, newsletters, as well as using patient-friendly blogs to educate the audience. APNs Essay.

    Incorporating APNs who are New Graduates

    First, it is important to engage all organizational stakeholders including physicians, nurses, pharmacists, etc., about the new APNs to ensure role clarity and the same time have the required support.  According to Contandriopoulos et al (2015) stakeholder participation during the introduction of APNs is important in ensuring support for the projected change. The organization needs to develop guidelines and expectations for the APN position and create a supportive environment that will effectively facilitate integration and implementation of the role. A systematic guide should be used to reduce or prevent barriers that can hinder the successful implementation of the APN roles in the organization.

    “Cost-Savings” with APNs

    I agree that there are cost-saving when using APNs. This is because APNs are paid less than physicians for providing the same services to patients. Also, evidence indicates that APNs reduce patient hospitalizations, prolonged hospital stay, visits at the emergency department and this keeps the healthcare costs down for patients and healthcare organizations as well (Martin-Misener et al; 2015). This is because APNs play an important role in health promotion and disease prevention.

    The issue of equal pay can be addressed by compensating APNs according to their training and scope of practice, but focusing the cost-savings on the role APNs play in reducing patient hospitalizations, prolonged hospital stays, visits at the emergency department through health promotion and disease prevention (Martin-Misener et al; 2015) APNs Essay.

     

     

    References

    Contandriopoulos, D., Brousselle, A., Dubois, C. (2015). A process-based framework to guide nurse practitioner’s integration into primary healthcare teams: results from a logic analysis.
    BMC Health Serv Res
    , 15(78).

    Martin-Misener, R., Harbman, P., Donald, F., Reid, K., Kilpatrick, K., Carter, N., Bryant-Lukosius, D., Kaasalainen, S., Marshall, D. A., Charbonneau-Smith, R., & DiCenso, A. (2015). Cost-effectiveness of nurse practitioners in primary and specialized ambulatory care: a systematic review.
    BMJ Open
    ,
    5
    (6), e007167. APNs Essay
    https://doi.org/10.1136/bmjopen-2014-007167
    .

    Ortiz, J., Hofler, R., Bushy, A., Lin, Y. L., Khanijahani, A., & Bitney, A. (2018). Impact of Nurse Practitioner Practice Regulations on Rural Population Health Outcomes.
    Healthcare (Basel, Switzerland)
    ,
    6
    (2), 65. https://doi.org/10.3390/healthcare6020065 APNs Essay

  • NRS-434VN Health Assessment essays

    NRS-434VN Health Assessment essays

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    NRS-434VN HEALTH ASSESSMENT

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  • Sustainment for A Super-User electronic health records system Training Project

    Sustainment for A Super-User electronic health records system Training Project

    Sustainment for A Super-User Training Project

    To ensure that the informatics project is viable for a long time, it is important to ensure constant training for the end-users and providing them with real-time support. This is because nurses may lack experience with the new informatics project and thus it is important to constantly train users to ensure they have effectively mastered how to use the system. Similarly, technology systems are always getting updated with new features and thus regular retraining will ensure that nurses keep up with any introduced technology in the informatics project system (deRiel et al., 2018). It will be important to always engage users whenever a new electronic health application is being updated. Sustainment for A Super-User electronic health records system Training Project.

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    Secondly, it will be important to engage change champions who will continue advocating for and supporting the informatics project in the organization. The change champions will educate the staff members about the significance of accepting and supporting the implemented informatics project. This will not only get rid of any resistance to embracing the project but it will also ensure that staff members continue using the implemented electronic health records system (deRiel et al., 2018) Sustainment for A Super-User electronic health records system Training Project.

    Lastly, policies that support the use of the implemented system should be developed. Policies should mandate the use of the informatics project system whenever necessary (Moucheraud et al., 2017). This will ensure that the system is adopted and dutifully used by the staff members, long after its implementation.

    All these three actions will ensure the sustainability of the informatics project system long after its implementation.

    References

    deRiel E, Puttkammer N, Hyppolite N, Diallo J, Wagner S, Honoré J, Balan J, Celestin N, Vallès J, Duval N & Thimothé J. (2018).Success factors for implementing and sustaining a mature electronic medical record in a low-resource setting: a case study of iSanté in Haiti,
    Health Policy and Planning
    , 33(2), 237–246. Sustainment for A Super-User electronic health records system Training Project

    Moucheraud, C., Schwitters, A., Boudreaux, C., Giles, D., Kilmarx, P. H., Ntolo, N., Bangani, Z., St Louis, M. E., & Bossert, T. J. (2017). Sustainability of health information systems: a three-country qualitative study in southern Africa.
    BMC health services research
    ,
    17
    (1), 23. https://doi.org/10.1186/s12913-016-1971-8. Sustainment for A Super-User electronic health records system Training Project

  • NRS-427VN Concepts In Community And Public Health Essays

    NRS-427VN Concepts In Community And Public Health Essays

    A nursing student is needed to be completely aware of the factors associated with nursing and medication before composing any nursing assessments. From college and university days students get nursing assessments to ensure they own sound knowledge of the domain and have competency to apply theoretical skills on real world practices.

    Nursing scholars comprehend lots of issues with their assessments and they have no right procedure to deal with it. With the attainment of degree in nursing and finishing assessments and courses as per the instructions of professors, nursing students are licensed to grasp nursing as a major professional, so thus it is really mandatory to complete nursing assessments and own details of the course to score better marks. NRS-427VN Concepts In Community And Public Health Essays.

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  • Bronchiolitis case study differential diagnosis

    Bronchiolitis case study differential diagnosis

    Case Study 1:

    HPI: A 14-month-old Native American boy brought in by his mom due to cough, low grade fever and runny nose for the past 2 days. This morning, the mother noted that her son was breathing quickly and “it sounds like he has rice cereal popping in his throat.” Mom is worried because her son seems to have a lot of “bouts of colds”. Per mom, his oral intake is decreased. He didn’t want to eat this morning Bronchiolitis case study differential diagnosis.

    PE: Smiling, alert Native American boy.

    VS: Temp of 99.9, pulse 112, respiratory rate is 58, Pulse ox 96%

    HEENT: There is moderate, thick, clear rhinorrhea and postnasal drip.

    CV: His capillary refill is less than 3 seconds

    PULM: lung sounds are diminished in the bases, he has pronounced intercostal and subcostal retractions, expiratory wheezes are heard in all lung fields. Bronchiolitis case study differential diagnosis.

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    Analyze the patient information.

    Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

    Think about a treatment and management plan for the patient Bronchiolitis case study differential diagnosis. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.

    Consider strategies for educating patients and families on the treatment and management of the respiratory disorder Bronchiolitis case study differential diagnosis.

    This paper examines a case of a 14-month-old Native American boy brought in by his mom due to cough, low grade fever and runny nose for the past 2 days. It provides a differential diagnosis for the patient and suggests the most likely diagnosis. Moreover, it recommends both the pharmacologic and non-pharmacologic treatments with their appropriate dosages as well as considers the education strategies for patients and families on the treatment and management of the respiratory disorder. Bronchiolitis case study differential diagnosis.

    Differential diagnosis

    The differential diagnosis for the patient in the case study includes bronchiolitis. This is a common disorder of the lungs in infants and young children. It is characterized by congestion and inflammation of the airways and most often it is caused by viruses (Meissner, 2016).  The symptoms of the illness demonstrated by the patient include runny nose, cough, low grade fever, fast breathing, wheezing, moderate, thick, clear rhinorrhea and postnasal drip and respiratory distress for 2 days. Bronchiolitis case study differential diagnosis.

    The second differential diagnosis is community-acquired pneumonia. This is bacterial pneumonia which affects the lungs thus causing problems with breathing. It is manifested through coughing, shortness of breath and fever as seen in the patient (Burns et al., 2017). This respiratory condition is acquires from the environment and not the hospital setting which relates to the name.

    A third differential diagnosis of the patient is Reactive Airway Disease. This disease is associated with irritation or overreaction to substances which causes wheezing. This occurs in patients who haven’t been diagnosed with asthma. The patient in this case experiences wheezing, cough and shortness of breath which are the major symptoms of this disease (Burns et al., 2017) Bronchiolitis case study differential diagnosis. The most likely diagnosis for the patient is bronchiolitis since the patient conforms to most of the symptoms.

    Treatment and management plan

    The pharmacological management of the patient will be influenced by their weight. This will ensure the calculation of accurate doses of the medication. I would recommend an overnight hospital stay for the patient for better monitoring and treatment. This is due to his respiratory distress associated with wheezing, fast breathing, tachypnea, and subcostal and intercostal retractions which require immediate treatment. Depending on the findings of the patient’s weight, 0.15mg/kg of Albuterol nebulizer can be prescribed (Parlar-Chun & Arnold, 2020). This medication will be diluted in 2.5 to 3ml normal saline and administered every 4 hours. In order to maintain SpO2 >90% supplemental oxygen and nasal suctioning can be done Bronchiolitis case study differential diagnosis. For hydration, the patient will be given IV fluids of normal saline to prevent aspiration due to tachypnea and coughing. The daily use of energy will determine the level of hydration.

    Education is important to promote recovery and adherence of treatment plans. In this case, health promotion will enlighten the parent on the immunizations essential in building up the child’s immunity for prevention of respiratory diseases. The family can also be trained through participatory learning experiences which will help in the development of change attitudes and necessary skills for treatment, management and maintenance of respiratory health. Another strategy is communication through individual instructions or counselling, lectures and discussions, audio-visual aids, mass media, social media as well as social media (Gates et al., 2019). These platforms will help the patient and the family to gain important information on the treatment interventions, use of medication, adherence, possible side effects and positive impacts of treatment. Bronchiolitis case study differential diagnosis. They are also easily accessible which makes the dispensation of the health information on respiratory disease treatment and management fast, efficient and effective.

     

    References

    Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., Blosser, C. G., & Garzon, D. L. (Eds.). (2017). Pediatric primary care (6th ed.). St. Louis, Missouri: Elsevier

    Gates, M., Shulhan-Kilroy, J., Featherstone, R., MacGregor, T., Scott, S. D., & Hartling, L. (2019). Parent experiences and information needs related to bronchiolitis: A mixed studies systematic review. 
    Patient education and counseling
    , 
    102
    (5), 864-878.

    Meissner, H. C. (2016). Viral bronchiolitis in children. 
    New England Journal of Medicine
    , 
    374
    (1), 62-72.

    Parlar-Chun, R., & Arnold, K. (2020). Association of Various Weight Based Doses of Continuous Albuterol on Hospital Length of Stay. 
    Journal of Asthma
    , (just-accepted), 1-9 Bronchiolitis case study differential diagnosis.

  • HCA 470 Strategic Planning And Implementation In Health Care essays

    HCA 470 Strategic Planning And Implementation In Health Care essays

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    HCA 470 Strategic Planning And Implementation In Health Care essays

  • Acute otitis media case study

    Acute otitis media case study

    Case Study 1:

    HPI: A mother presents with her 2-year-old African American male child with complaints of ear pain and decreased sleep. Earlier this week, he had a runny nose and congestion with a mild cough that occurred mostly when lying down. His temperature is 100.7.

    PE: Pt is walking around room, exploring in no acute distress.

    HEENT: Mild nasal congestion, clear postnasal drainage, and lungs clear to auscultation. Ear exam reveals right tympanic membrane erythematous, translucent, in a neutral position, with no pus or fluid noted. Left tympanic membrane is full, reddish/orange in appearance, and opaque with pus. Acute otitis media case study.

    Neck: Shotty anterior cervical adenopathy

    Lungs: Clear to auscultation

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    Although many pediatric patients present with common HEENT disorders such as ear infections, allergies, and strep throat, some patients present with rare disorders requiring specialist care. In your role, making this distinction between when to treat and when to refer is essential. For this Discussion, examine the following case studies and consider potential diagnoses and management strategies.

     

    Diagnosis/Differential Diagnosis

    Based on the signs and symptoms that the patient in this case scenario presented, it is likely that it is an infection of the middle ear called acute otitis media. (Peterson & Reintjes, 2016). These symptoms often occur during or after cold symptoms and are associated with the symptoms of headache, fever otorrhoea, irritability, vomiting, and diarrhea. Similarly, in this case, the child presented with complaints of nasal congestion, a running nose, and a cough before the ear pain Acute otitis media case study.

    Besides, the clinician visualized a red, translucent, neutrally positioned and non-pus filled right tympanic membrane. The left tympanic membrane was reddish-orange, opaque, full and filled with pus. According to Peterson & Reintjes (2016), visual findings are consistent with acute otitis media. In the advanced form, acute otitis media can precede otitis media with effusion when patients present with vertigo, ringing in the ears or hearing loss. Potential differential diagnoses, in this case, include AOE and OME. In the former, patients present with a red, painful and itchy ear canal Acute otitis media case study.

    Treatment and Management/Education

    According to Hochman & Shapiro (2016), amoxicillin is the most recommended antibiotic for managing acute otitis media. However, not all cases of acute otitis media are managed using drugs. In other instances, patients are given supportive treatment since it is a self-limiting illness and this helps to prevent bacterial resistance. Otitis media is preventable using xylitol (Azarpazhooh, Lawrence & Shah, 2016).  This substitute helps to reduce the proliferation and adherence of
    H influenzae and S. pneumonia
    in the oral and nasal cavities. Caregivers should be informed of the need to receive influenza and pneumococcal immunizations, avoiding exposure to tobacco and breastfeeding to boost a child’s immunity. Acute otitis media case study.

    References

    Azarpazhooh, A., Lawrence, H. P., & Shah, P. S. (2016). Xylitol for preventing acute otitis media in children up to 12 years of age. 
    Cochrane Database of Systematic Reviews
    . doi:10.1002/14651858.cd007095.pub3

    Hochman, M., & Shapiro, N. (2016). Treatment of Acute Otitis Media in Children. 50 Studies Every Pediatrician Should Know, 87-92. doi:10.1093/med/9780190204037.003.0013

    Peterson, S., & Reintjes, S. (2016). Otitis Externa, Otitis Media, and Mastoiditis. 
    Oxford Medicine Online
    . doi:10.1093/med/9780199976805.003.0011 Acute otitis media case study

  • HLT-362V Applied Statistics For Health Care Professionals

    HLT-362V Applied Statistics For Health Care Professionals 

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    We have provided here a short introduction for academic unit HLT-362V Applied Statistics for Health Care Professionals –

    Applied Statistics for Health Care Professionals unit is a major course from health science discipline that puts focus on various concepts of statistics and emphasizing applications for health care professionals. This course allows the study of learning the basic concepts of statistics and its appropriateness for different kinds of settings. It includes the study of different factors and courses such as reliability factors and statistical analysis concepts for variable and experimental designs based on descriptive statistics such as mean, mode, median and sampling methods and power analysis! HLT-362V Applied Statistics For Health Care Professionals 

    We have covered here other health science courses and academic units such as –

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