Health & Medical

Unfolding Case Study for Public Health Course Requirements for Students: ·       Provide answers to all Case Study Questions. ·       Utilize evidence-based resources such as textbooks, reliable websites like .gov, .org, and .edu, and/or peer-reviewed/scholarly journal articles. Provided information must be up to date (within 5-year period). ·       Provide in-text citation and reference page in APA format. ·       Submit the answers as per faculty instructions. Case Study (Part 1) RN position: case manager/field nurse at the home health agency. The agency receives a phone call from the hospital social worker about a new referral. Patient will have to be admitted to home health after discharge from the hospital s/p embolic stroke for physical therapy, occupational therapy, speech therapy, social worker, skilled nursing and certified nurse assistant services. As per social worker, patient was offered but refused inpatient rehab facility admission and requested to be discharged home with home health services. After receiving a fax which includes patient demographic and insurance information as well as a brief history of hospitalization, the billing department acquires prior authorization for the ordered disciplines. The office manager contacts the patient who will be discharging from the hospital today to schedule an appointment for initial skilled nursing visit and to address all the questions that patient might have about home health care services. Patient’s homebound status is confirmed. Below is a brief information on history of present illness faxed from the hospital. ER visit notes.  Chief Complaint: left-sided weakness, fatigue, headache, facial drooping Admission diagnosis: Ischemic CVA History of Present Illness: Johnathan Gray is 63 year-old male with past medical history of systolic and diastolic CHF, A-fib, DM type II, Gout, HTN, Depression, Osteoarthritis, Hyperlipidemia, CAD, Anxiety, Bipolar disorder, long-term use of anticoagulants who presented to the ER today with c/o left-sided weakness, headache, fatigue and facial drooping. Mr. Gray stated that the onset of symptoms was sudden and it happened while he was outside talking to the neighbor. The neighbor then called 911. Mr. Gray was brought to the ER by EMS. MRI results revealed right-sided ischemic stroke. At the time of admission, patient’s BP 170/90 mmHg, HR 98, RR 20, temp 97.6 F. O 2 saturation 94% on RA, INR 1.1, PT 13.5. Patient is full code. Mr. Gray has allergies to PCN (hives and difficulty breathing). At this time patient has left-sided (non-dominant) hemiparesis, dysphasia, dysphagia and facial drooping. Patient is alert and oriented to place, person and disoriented to time and situation. Treatment plan included administration of tissue plasminogen activator (t-PA) IV.  Past Medical History: Systolic and diastolic CHF, Osteoarthritis, CAD, A-fib, DM type II, gout, HTN, Depression, Anxiety, Bipolar disorder, Hyperlipidemia. Past Surgical History: ORIF s/p fx of the femur (2015), quadruple bypass surgery (2018), appendectomy (2000).     Case Study Questions (Part 1) 1.     Write comprehensive pathophysiology of CVA (include disease process, types, predisposing factors, signs and symptoms, complications, long-term management of residual effects). 2.     Describe comorbidities from the past medical history. What do you think could have led to ischemic stroke? Analyze vital signs and lab results as well. 3.     What s/s of CVA did patient exhibit upon admission to the hospital? What type of CVA was the patient diagnosed with? Are the symptoms exhibited by patient consistent with the s/s described in question 1 (pathophysiology of CVA)? Analyze the lab/diagnostic test results and vital signs data. 4.     What residual effects does the patient have from CVA? 5.     What disciplines do you think will have to be involved for care and therapy and why? Provide rationale.

Public health research has traditionally focused on problems, deficiencies, disease, and contributing factors to public health problems. In recent years, community health assessments have also included community assets or resources. The process of identifying these contributions to the public health of a community is called asset mapping. One strategy for identifying assets is geographic information system (GIS) mapping. Although the asset-mapping approach to community health assessment is appealing for many reasons, not every asset map is successful or yields results that would be relevant to a community health assessment or public health program. It is important to know the benefits and limitations of asset mapping with regard to community health assessment. For this week’s Discussion, review the media titled Identifying Assets. Consider the use of community assets in Belize. Using this information, and the information you gathered in the Resources, consider the benefits and limitations to using community asset mapping and GIS in community health assessment. With these thoughts in mind: Post an explanation of one benefit and one limitation of using asset mapping in community health assessment. Provide a specific example of when you might use asset mapping and explain why. Then, explain one benefit and one limitation for the use of geographic information systems (GIS) mapping. Provide a specific example of when you might use GIS and explain why. Use the Resources and current literature to support your response.

While it is true that seeking to preserve the health and well-being of individuals as well as communities is a noble effort, it is not without its challenges with regard to ethical conduct and practice. Consider for example, the role of clarifying the benefits of placebos in clinical trials in developing countries for progressive diseases such as cancer. Is the detriment to some for the preservation of the many, ethical practice? What about the mandatory reporting of HIV status in public schools? Quandaries such as these may present challenges for health educators in practice.   By adhering to the Society for Public Health Education (SOPHE) code of ethics as well as abiding by NCHEC’s Areas of Responsibility for Health Educators, you will ensure the professional delivery of health education for target populations. As a health educator, you must ensure that your client’s best interest as well as your professional capacity is in line with the standards set forth by the profession.   For this assignment, review the following scenario. Consider how the SOPHE code of ethics may apply to the scenario.   Scenario – As the health and fitness director of a large corporate wellness program, you have been asked to provide data to your supervisor that supports the effectiveness of your program. The trend in the company has been to cut programs that do not “carry their weight.” The “bottom line” is important. In your review of the data related to your program, it is obvious that the data are not strong. However, in fairness to you, the program has been in operation for only two years, and it is too early to see the type of results management is looking for. You are the only one who has access to the data, and no one will know if the data you submit are accurate. How will you handle this situation? 1.    Give an explanation of which article(s) of the SOPHE code of ethics might best inform the role of health educators in the ethical scenario you were assigned and why. 2.    Be specific and provide examples of how these articles of the SOPHE code of ethics http://www.cnheo.org/ethics.html applies to the practice of health education. 3.    Then provide a brief description of two article(s) of the SOPHE code of ethics you believe are most important for informing your practice in the field of health education and explain why. 4.    Lastly, suggest two alternative articles of the SOPHE code of ethics that you didn’t describe, that are of value to the practice of health education. Explain how the articles that you propose might apply to the ethical practice of health education. http://www.cnheo.org/ethics.html

Evaluate the expansion of United General Hospital’s intensive care unit (ICU). Create a detailed presentation with comprehensive presenter notes that explain each slide for United General’s CEO and board of directors. Read the United General Hospital ICU Expansion Case Study and prepare a PowerPoint presentation that will guide the CEO and board of directors to follow the recommendation(s) presented to expand the hospital’s ICU unit.  As you complete the assessment, remember the following: The presentation should include the elements necessary to effectively communicate the data used to develop the business case. A specific statement of the clinical and financial data types involved in the business case should be included. The presentation should provide a clear evidence-based, data-driven recommendation(s) regarding the expansion of the hospital’s ICU. The presentation should provide an opportunity statement that presents the problem, the recommendation presented to solve the problem, and the multiple options considered. The presentation should take into account the needs of the community, the patients, the hospital, and investors when researching and presenting your findings. The presentation should offer alternative methods of data management such as cloud-based storage and the possible use of Application Service Provider (ASP) HIT models. presentation should include the following: Introduction (5–6 slides) Explain the importance of evidence-based decision making in health care. Discuss how this evidence applies to patient care outcomes, financial outcomes, competitive advantage, and organizational transparency. Your slides must include: A definition of evidence-based decision making. An explanation of the relevance of evidence-based decision making in the health care industry. A clearly defined the problem you intend to solve through the use of evidence-based decision making. A description of the types of HIT systems that recommend to support decision making. Recommendation & Rationale (8–11 slides) Using the data provided, analyze the current and future state of the ICU. Consider three scenarios for the future state, one without additional beds and two with additional beds. Based on your research and analysis, determine two viable scenarios for bed count and present these scenarios. Use graphics, text, and charts as required. The slides and presenter notes should include: An overview of three options for the ICU that you analyzed. The presenter notes should provide a 2- to 3-paragraph analysis of the three options, using academic resources to support your options. A description of how each option will address the issues in the ICU. The presenter should provide 2- to 3-paragraph detailed explanation of how each option will address the issues in the ICU. A final recommendation for one of the options and an explanation of why it will maximize the benefits to the hospital, patients, and community. A detailed rationale justifying your recommendation. A graphic comparison between the current state of the ICU vs. the remote monitoring ICU implementation in 5 years. The presenter notes should include a detailed explanation of the graphic. An explanation of the impact of your recommendation on staffing, productivity, competitiveness, and finances, using appropriate qualitative and quantitative data to support your explanation. The presenter notes should include an explanation regarding how the data supports your explanation. Evidence Evaluation Knowing that United General’s leadership team focuses on evidence-based decision making, address the following, in 3–4 slides: Summarize the evidence used in developing the opportunity statement and recommendation. Describe why each piece of evidence is relevant to patients, the community, and the hospital. Summarize the analysis used to create the recommendation. Evaluate the validity and reliability of the data. Recommend methods to improve the validity and reliability of the data. The presentation should be a minimum of 16–20 slides, not including the title and reference slide. Assignment must be written in standard edited English. Be sure to support your work with specific citations from the provided resources and additional scholarly sources as appropriate. Assignment should show effective application of triangulation of content and resources to show your conclusion and recommendations.

What do you want the readers of your application to know about you?  Choose from the options below: Discuss a time when you faced a challenge, setback or failure.  How did it affect you, and what did you learn from the experience? Write about a lesson you recently learned—and how it changed your outlook. Share an essay on any topic of your own choice.

give a brief description of your program plan that includes its objectives; ethical and legal considerations and their anticipated effect on healthcare reimbursement, policy, and governance; anticipated issue-related outcomes; how your identified resources will support the success of the program; target population being served (if applicable); and a timeline for meeting program objectives

Think about a time when someone made you a promise that they did not keep. They neglected to do something. When this occurs in healthcare, the outcomes can be devasting, even deadly. In this week’s discussion, you are going to explore the elements of a negligence case of your choice. Locate a medical malpractice case from a scholarly source. Your initial posting must cite the case. Be sure to include the corresponding reference list. In the discussion, address the following: In your own words, briefly summarize the case. Who is the plaintiff and defendant? Why is the plaintiff seeking litigation? Assess the strength of the case by discussing the four essential elements that must be present in a negligence case (the 4 Ds) Summarize what you learned from these findings. How can you take this week’s discussion topic and apply it in the real world?

4 Dicussions each of is about 250-300 words per one. please following the questions please and thank you! I provided the links as well. Discussion Question #1 Based on your program evaluation proposal assignment, place yourself in the position as the Program Manager. Explore week-7 Learning Activities, to include the ACF’s Office of Planning, Research and Evaluation – Program Manager’s Guide to Evaluation. Also, CDC’s Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide, attention to Step 1 & Step 6. (https://www.cdc.gov/eval/guide/index.htm) Write a 250- to 300-word response to the following: How will you prepare your staff, program participants and stakeholders for the evaluation? What ethical factors should be addressed? Discussion Question #2 Based on your program evaluation proposal assignment, place yourself in the position as the Program Manager. Explore week-7 Learning Activities, to include the ACF’s Office of Planning, Research and Evaluation – Program Manager’s Guide to Evaluation. Also, CDC’s Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide, attention to Step 1 & Step 6. (https://www.cdc.gov/eval/guide/index.htm) Write a 250- to 300-word response to the following: How will you use the final evaluation report? Consider transparency in findings, to include unexpected findings as well. Discussion Question #3 Review the Program Evaluation job descriptions below. Feel free to use the direct link to the jobs. What commonalities between the two positions? Share what you found interesting in the job descriptions. Program Evaluator- Texas Health and Human Services Commission (https://jobshrportal.hhsc.state.tx.us/ENG/careerportal/Job_Profile.cfm?szOrderID=468189&szReturnToSearch=1&szWordsToHighlight= ) Under limited supervision of the manager of the Chronic Disease Epidemiology (CDE) branch, performs program evaluation activities for chronic diseases programs including School Health, Tobacco Prevention and Control Program, and other chronic disease programs within the Health Promotion and Chronic Disease Prevention (HPCDP) section. Work involves planning, monitoring and implementing evaluation plans and writing reports for chronic disease programs. Ensures accurate and timely data collection to capture appropriate outcome and process measures of community intervention projects. Responsible for developing logic models, evaluation data collection tools, monitoring data, and updating on evaluation related analyses and findings. Works with CDE and other HPCDP section program staff collaboratively to identify and resolve evaluation-related problems, and recommend appropriate solutions. Assists in development of grant applications and action plans for community program improvement. Coordinates with internal and external partners. Works with considerable latitude for the use of initiative and independent judgment. Manager, Evaluation MCH Collective Impact March of Dimes Foundation (https://re31.ultipro.com/MAR1021/JobBoard/JobDetails.aspx?__ID=*EA01BBB05645ED69) The Evaluation Associate, MCH Collective Impact position will be housed in the Data Science and Mission Strategy department. Under the supervision of the Associate Director, Evaluation, this position will work closely with the MCH Collective Impact program team to contribute to monitoring, evaluation, and learning activities for the national MCH Collective Impact program in collaboration with diverse, local community teams throughout the USA.  Contribute to the planning, implementation, and analysis of project and program monitoring, evaluation, and learning for the national MCH Collective Impact program at local sites. Support the development of quantitative and qualitative data collection and analytic plans to assess community needs, project and program impact, and to identify opportunities for learning. Includes but is not limited to: community and partner needs and readiness assessments, pre and post surveys, interview guides, and focus group discussion plans. Assist to build and implement an internal data measurement system to track shared impact across multiple site locations and the National Office using a results-based approach dashboard Build MCH Collective Impact community team capacity at local sites to develop a monitoring and evaluation model and appropriately collect and enter data. Oversee data collection and entry quality and engage with MCH Collective Impact program local community teams to support reporting using program targets and indicators. Provide educational opportunities about data collection strategies and tools to community teams as needed. Clean and analyze project and program data using quantitative and qualitative methods. Conduct analysis of quantitative data retrieved from national and state-based sources to inform the impact of the MCH Collective Impact program. Create quarterly and annual reports and presentations describing MCH Collective Impact program progress for the March of Dimes National Office, MCH Collective Impact program, Steering Committees, and external audiences. Reports may include, but are not limited to: presentation of analytic findings, visualization of data and findings, and interpretation. Discussion Question #4 Are you interested in Program Evaluation as a career option?

Healthcare Leadership Training Develop a training presentation that explains how specific leadership qualities and leadership models can be used to improve the management of employees at Winter Valley Hospital. Your presentation must be 4–8 slides in length, include speaker notes, and cite any references using APA format. please utilize the learning ressoures

You will need to write a paper on the pharmaceutical management of patient with Covid-19.  Include a brief pathophysiology of COVID-19 -19, is it a viral or bacterial infection? investigational drug such as Remdesivir (Veklury), Hydroxychloroquine, Chloroquine, Dexamethasone, and the latest Vaccine.   Please create a Concept map for each of the above drug.