Health & Medical

1.James, a 3-year-old, has been diagnosed with acute lymphoblastic leukemia and will begin receiving chemotherapy with the mitotic inhibitor teniposide (Vumon) and the alkylating agent cyclophosphamide (Cytoxan) in the morning.a. . What special considerations are needed for a child James’ age who will receive chemotherapy?2. Ms. Smith will be receiving chemotherapy for advanced breast cancer. She is 75 years old and resides in a long-term care facility. Her treatment plan will include the use of the hormone goserelin (Zoladex) and capecitabine (Xeloda), which is an antimetabolite.a. What special monitoring might Ms. Smith require during her treatment?b. What adjustments to Ms. Smith’s living arrangements might be required?

Guidelines for each assignment: (APA 7 format required)·        Indicate the objective you are addressing (OBJECTIVES 7 and 8) see attached·        Why is this a key competency for Nurse Mangers? (a minimum of 1 reference from a peer reviewed journal is required)·        Explain how you achieved this objective? (Be specific and detailed). Possible ways to meet each objective include, but are not limited to: Interactions with your preceptor? Meeting attended? Interview of another professional in the agency.If none of the above allow you to fully achieve the objective, you may supplement by referencing content from peer reviewed journal articles with the permission of your professor

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.

Respond to the prompts after each scenario.  Scenario 1:  Justin is a front-office assistant at a local physician’s office. On a busy day at the office, Justin is consumed by patients and their needs. While helping a patient, Sarah, the other front-office assistant, calls Justin over to answer questions regarding the patient intake process. Justin explains the process to Sarah and then continues to work with the patient at his window. Later that day, Justin reflects on the situation and is frustrated that he had to stop working with his patient to explain a process to Sarah that he has already explained a dozen times. Justin takes to social media to express his frustrations with Sarah and her inability to take care of patients properly even though she has been trained.    Write a 175- to 260-word response to the following prompts:  Explain how Sarah might perceive Justin’s actions. Explain the ramifications of using social media as an outlet for voicing frustrations about a co-worker.   Provide an example of a more effective communication method to use in this situation.    Scenario 2:  Jana works in a long-term care facility that cares for all types of patients. She receives emails from multiple co-workers throughout the day, and today she receives the following email from Sean:  “Hi Jana,  I noticed that I DIDN’T receive your monthly report yesterday. I NEED to get it as soon as possible TODAY so that I can finish the final report.   Thanks, Sean”   Write a 175- to 260-word response to the following prompts:  Explain how Jana might perceive the tone of this email. Describe whether you perceive Sean’s tone to be appropriate or inappropriate. Provide an example of a more effective communication method to use in this situation.   Scenario 3:   Robert is an older patient checking in at the window of his local retail health clinic. The office assistant is taking Robert’s insurance card and asking a couple of follow-up questions. Robert asks the assistant to speak up because of some background noise. The assistant starts speaking slower and enunciates her words instead of speaking louder.   Write a 175- to 260-word response to the following prompts:   Explain how Robert might perceive the office assistant’s reaction. Explain the ramifications of communicating with patients in this manner. Provide an example of a more effective communication method to use in this situation.   Cite a minimum of one reference to support your assignment. Format your assignment according to APA guidelines.  Submit your assignment (the three responses) in one document.

Research a federal agency within the U.S. federal government that is a stakeholder in health care. Consider the complexity of the issues that decision makers at this agency must consider. Write a research paper of 1,000-1,250 words addressing the following: Give an overview of the agency. Explain the types of concerns the agency addresses. Describe the impact the agency has on health care policy and delivery. Explain how each branch of government (i.e., judicial, legislative, and executive) impacts the agency’s mission.  Identify at least one current initiative the agency considers a priority, and provide a summary of the initiative. Explain whether it is a health law or health policy and why. Describe how and why a health policy analyst needs to consider policy problems and health economics to make decisions. A minimum of three scholarly sources must be cited, including your textbook. Wilensky, S. E., & Teitelbaum, J. B. (2020). Essentials of Health Policy and Law. Jones & Bartlett Learning.

What concept or strategy for health care financing and delivery of quality care do you feel will be most relevant in your future practice? Please discuss one or two ideas. Please support your ideas. *Please strive to make connections to the implications of the Affordable Care Act and/or potential repeal of aspects of the Affordable Care Act.

Please add 2 more research article summaries, your pick. They just need to be peer reviewed.  Limitations to the 4 articles ( My 2 and your 2) The Evidence based practice summary and the specific recommendations for clinical practice. I attached the directions as a PDF.  In Post Discharged Patients, How Does A Follow Up Phone Call Compared to Standard Discharge Instructions Affect Readmission? 1. Introduction to the Problem This literature review will focus on examining readmission rates of patients discharged from a hospital setting.  According to a statistic reported by the Centers for Medicare and Medicaid Services (CMS), approximately 20% of all Medicare patients return to the hospital for readmission within 30 days of discharge (Polster, 2015). Events such as these do not only place strain on the hospital from increased costs, but are also associated with poor health outcomes for the patient. The Joint Commission suggests that healthcare professionals should use a “multifaceted approach” to prevent readmissions that includes the following: explanations of discharge instructions, self-care, and ongoing or emergency care; inventory of outpatient referrals and resources, medication reconciliation, and patient individualized instructions based on their level of education and understanding (Polster, 2015). While all of these tools are effective for helping prepare patients to transition their care into the home setting, this literature review will investigate on two specific tools: Standard discharge instructions given upon leaving the hospital and follow up phone calls completed by the patients healthcare team within 48 hours of discharge.  2. PICOT Question The PICOT Question: In the population of discharged patients (P), what is the effect of a follow-up phone call (I), compared with standard discharge instructions (C) on readmission rates following patient discharge?  3. Search Strategy A comprehensive search of the following databases was conducted: Cumulative Index of Nursing  and Allied Health Literature (CINAHL), MEDLINE and the Nursing & Allied Health Database. In addition to this, Google Scholar was also utilized to search for recent, unpublished articles. The search was limited to English, full text, peer-reviewed articles published after 2013. Each article included in this review explored whether or not a follow up phone call post-discharge significantly affected readmission rates in patients who have had recent hospital stays. The 5 articles chosen were reviewed using Critical Appraisal Skills Program Qualitative Research Checklist and then were further thematically analyzed.  Keywords included: Readmission rates, Rehospitalization, Discharge education, Follow up calls, Continuance of care, Discharge information. The Search terms included were as follows: Readmission rates or rehospitalization Phone calls or telephone calls or follow up calls Discharge education This search criteria yielded a small number of results. 13 articles were returned by CINAHL Complete, 9 were returned by MEDLINE complete and 4 were returned the Nursing & Allied Health Database. In search of more options, the criteria was then changed to the following: 1. Readmission or rehospitalization 2. Phone calls or telephone calls or follow up calls 3. Discharge This search yielded 142 results, inclusion criteria and limits remained the same as the first search. Medline produced 64 articles, CINAHL produced 58 articles and the Nursing & Allied Health Database produced 20 articles. and With a larger pool of articles to chose from, specific writings could be chosen for the literature review. 4. Brief Summary of the Articles The first study chosen was a controlled and randomized clinical trial that explored the success of  a clinical program put in place to call patients within 7 days of patient discharge form an inpatient unit. In order to improve generalizability of the results, the population included in the clinical trial consisted of patients discharged form general medical floors, and did not include those discharged from subspecialties. The trial utilized both a control and experimental group. The participants in the control group did not receive a follow up call in comparison to the experimental group who were contacted within their first week home. The results of the study revealed that participants who were contacted via telephone for any follow-up needs demonstrated lower readmission rates for the next 30 days. Patients who were not called displayed not only higher rehospitilization rates, but also exhibited longer mean hospital stays as well (Yiadom et al,. 2017). 2. The second article chosen led with a purpose similar to the article discussed above. The study utilized a retrospective observational study design and catered to a sample size of 5,507 eligible participants. Participants either received or did not receive a phone call within 72 hours of discharge from the hospital setting. The results did show a correlation between lower readmission rates and patients who were called and able to be reached, however it is noted that both ethnicity, race and lower socioeconomic status all played a role in the differential impact of the follow up call when compared to white patients. This study suggests that existing call-back programs could be better improved by increasing their phone outreach while concurrently working to refine the care given to patients during the calls. (Harrison et al.,).  Limitations to this study include population -A brief summary of each of the articles and the Level of Evidence rating for each, including the evidence rating scale used (i.e. Level I, Johns Hopkins Nursing Evidence Based Practice Scale) 5. Evidence Based Practice Summary  -In-depth discussion of major findings from the literature (EBP summary). This can be organized by article or major themes 6. Specific recommendations for clinical practice Findings Conclusion

The Future of Healthcare Informatics Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment. Identify the current role of the informatics nurse and predict the future role of the informatics nurse, based on scholarly sources. Explain what is meant by connected health.  Provide three examples of connected health in today’s healthcare environment.  Explain the benefits and drawbacks of each. In what ways has informatics impacted public health – please provide at least three examples. Assignment Expectations- Length: 500 words per essay prompt/section (1500 total for this assignment) Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.2 References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf) File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

Part 1 – 1400 words Discuss doing, being, belonging and becoming in relation to occupation, considering the impact of a change in life circumstances and influence on an individual’s identity, lifestyle, health and wellbeing. For this section you will consider what theory and literature tells you about: ·       1.The concept of humans as occupational beings ·       2. How occupations can influence identity, lifestyle, health and wellbeing ·       3. How life circumstances can positively and negatively impact an individual’s occupations ·       ·       4. To complete your assignment you are expected to use formal theory and published material (references) to support and justify your points in accordance to the Harvard Reference System. Books, journal articles and reliable UK websites

Identify disparities in health among populations for a Healthy People 2020 health issue. For this assignment: Describe the chosen Healthy People 2020 topic area and specific health issue. Contrast causes of disparities related to this health issue within populations. Propose a public health communication strategy to reduce disparity and promote health. Outline a plan for the communication. Describe an evaluation plan for the communication. Create targeted communication for each population. Reflect on learning through this project.   Submission Instructions: The paper is to be formatted per current APA, be clear and concise and students will lose points for improper grammar, punctuation and misspelling. The paper is to be 5 – 7 pages in length, excluding the title, abstract and references page. Incorporate a minimum of 3 current (published within 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 current APA style