Health & Medical

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.Please include 1 intext citation and 1 reference.

For this assignment, research two real-life examples of HIPAA violations of privacy or security laws that occurred in the U.S. since the passage of the HIPAA law (after 1996). Each violation described should be serious, and one that resulted in a fine or penalty for the individual or company involved.You can find real-life examples of HIPAA violations in news reports, medical journals, professional health care publications, and other similar reliable factual sourcesFor each example violation, include the following information:1. A complete, descriptive summary of the case:How did the HIPAA violation occur?What policies, if any, did the organization have in place to protect against the violation?What was the penalty for the violation (fine, prison terms, termination of employment, etc?)2. Finally, describe three ways in which the organization could have prevented the violations.Requirements:Submit your essay in a Word document.  This assignment must be at LEAST 500 WORDS, with at LEAST 4 REFERENCES cited properly in APA format, and a title page (APA format).

What technology do you find most beneficial to use in your work or school setting? Least beneficial? Why do you find this tool useful or not? Then, using your imagination, look to the future and think about how this tool could be enhanced even further. Describe your dream technology, with consideration for patient care and safety.two scholarly articles

Healthcare Delivery Systems Research PaperA gap in efficiency related to rising cost of pharmaceuticals for the aging populationIntext Citation Reference and No PlegerisimI. IntroductionA. Describe a specific gap in the delivery of healthcare. Include the specific population affected by the gap.B. Briefly describe the history of this gap in access to healthcare. Has this been an issue historically, or is it a modern issue?C. Explain the impact that thesocioeconomic background of the population has on their access to healthcare.D. Describe how the healthcare delivered to the population is affected by the gap in access.E. Predict any potential implications if this gap in access is not addressed.II. Existing InitiativesA. Explain an existing healthcare initiative that was put in place to address this gap in access.B. Explain the specific goals of the existing initiative in place to address this gap in access.C. Describe the circumstances around the development of the existing initiative. Consider when it was developed and what factors wereconsidered.D. Describe the resources required to fund the existing initiative.E. Explain why the existing initiative is not meeting its intended purpose and now requires improvement.III. RegulationA. Explain a current regulation regarding the existing initiative that has been identified and the context in which it was developed. Why is thisregulation important?B. Describe the regulatory level that the existing initiative is being addressed at. Consider the potential for multiple levels of regulation.IV. Conclusion: Explain the effectiveness of the existing initiative and associated regulations in addressing this gap in the delivery of healthcare to the targetpopulation. Does the initiative align with initiative in place to support other gaps? Are there conflicting interests to be aware of?

Part B. NO MORE THAN 750 WORDSDiscuss why is it important for nurses to consider both their own socio-cultural identity as well as the client’s socio-cultural identity in their health assessment? What could be the result if the nurse does not consider either their own or the client’s socio-cultural identity in their health assessmentExplain how you would incorporate a culturally competent approach to your assessmentof the specific client described below.• You are going to assess a 28-year-old client, Maara Khaled. Maara recently arrived toCanada as a refugee from Syria. (V4)a. Please include at least two specific, relevant, and evidence-informedtechniques/strategies you would use within your RPN scope.b. Students should then include a brief explanation for why each technique was chosen.

Thyroid hormones exert their effects on cells in a manner similar to steroid hormones; describe the mechanism of action of thyroid hormones.Why wouldan imbalance in thyroid hormones have such widespread effects on the body?Why was goiter observed in George’s case?Why would calcium homeostasis be impaired in response to removal of the thyroid gland?What could be used to specifically destroy the thyroid gland and have minimal effects on other cells and tissues in the bodyCase Study:George is a thirty five year old hardware clerk. During his routine physical he casually mentions to his physician that he seems to be sweating more profusely than normal and most rooms that once were comfortable are now too “hot”. At home a room that his wife and children find to be comfortable causes him to sweat profusely. George also reports that he seems to be losing weight even though his appetite has increased. He also complains that he has a shortened attention span and that he always wants to be moving around. Despite the fact that he feels fatigued, George claims to have difficulty sleeping and seems to have more frequent bowel movements, occasionally accompanied by diarrhea. The physician discovers George has lost 15 pounds since his last physical. In checking his chart, the physician finds that George has a negative history for chronic illnesses, does not smoke, and has a low risk for cardiovascular disease. He does however have a positive family history for autoimmune diseases. His father suffers from idiopathic thrombocytopenia, his mother has been diagnosed with rheumatoid arthritis and his oldest sister was recently diagnosed with systemic lupus erythematosus.Results of George’s physical examination were within normal ranges with the exception of the following: he demonstrated tachycardia, loud heart sounds, and apparent cardiac arrhythmias accompanied by slight hypertension. These arrhythmias were confirmed by electrocardiogram to be supraventricular in origin. George’s eyeballs appeared large and protruding and his hair was fine and soft. He was also beginning to demonstrate some degree of alopecia. George was also observed to have palmar erythema. palpation of the neck revealed the presence of goiter. Results of blood tests indicated elevated concentrations of thyroid hormones (thyroxin and triiodothyronine), hypercalcemia, and decreased circulating concentrations of lipids. Based on the physical characteristics and the results of the blood tests, George’s physician suspected that George was suffering from some form of hyperthyroidism and sent him to an endocrinologist to confirm the initial diagnosis.ollowing the initial consultation and examination, the endocrinologist ordered tests to determine whether George was indeed hyperthyroid. The test results indicated an elevation in the concentration of thyroid hormones in the blood and the presence of thyroid-stimulating antibodies. These antibodies specifically stimulate the thyroid gland by binding with the thyroid stimulating hormone receptor located on the plasma membrane of the follicular cells of the thyroid gland. Based on these results, the endocrinologist concluded that George had Grave’s disease, a form of hyperthyroidism believed to be autoimmune in nature. George was presented with a number of possible treatment options. These included treatment with chemicals (propylthiouracil and methimazole) that decrease the production of thyroid hormones by the thyroid gland, radioisotopic destruction of the thyroid gland by the use of 131I, and surgical removal of the thyroid gland. After considering all the options, especially the possible effects of radiation on gamete development, George chose surgery. Following successful surgery, George was prescribed synthetic thyroid hormone to ensure that his body was receiving adequate thyroid hormone and told to return within 2 months for a follow-up evaluation of circulating thyroid hormone concentrations. He was also cautioned to carefully monitor his calcium intake.

Write a FORMAL compare and contrast paper on the difference between mRNA and regular vaccines.

Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies. Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post.

WEEK 6•    How does technology and health IT contribute to data monitoring, predictive analytics, and performance improvement (decreased errors, better clinical and organizational outcomes, and better information quality)?Week 7•    How does the health care administrator plan ahead to ensure that a facility or department maintains effective operation during a system’s implementation/update?•    Support your responses with reputable sources.Week 8•    What is the role of EHRs in supporting population health? Do they enhance patient engagement/outreach, care coordination/management, and health information exchange?

This paper should discuss the impact of physician impairment, how it impacts quality care, standards of practice and how you as a healthcare leader would deal with a situation like this. (2 pages)