Healthcare

 What are human factors, and how do they contribute to errors in healthcare? What are some strategies for developing a safety-conscious culture in the healthcare environment? Provide examples.  For more information on Human Factors read this: https://en.wikipedia.org/wiki/Human_factors_and_ergonomics

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time. In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. To Prepare: Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for the study. Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.  Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor. The Assignment (3-4 Pages): Analysis of a Pertinent Healthcare IssueDevelop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following: Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples. Looking Ahead The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper. For more information on Quadruple Aim read this: https://en.wikipedia.org/w/index.php?search=Quadruple+Aim&title=Special%3ASearch&go=Go&ns0=1

Reaching out a SolutionIn a Microsoft Word document of 4-5 pages formatted in APA 7 style, you will develop a process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so.This assignment consists of answering each of the questions listed below from the “Political Analysis and Strategies” chapter of your course textbook. Write each question as a new topic area; then follow with a paragraph or two to answer the question.***Let us assume that you are a school nurse in a high school. At a recent school athletic event, a spectator suffered a cardiac arrest in the stands. A coach of the home team went into the high school to fetch the automatic emergency defibrillator (AED) only to find out that it was not readily available. In the meantime, an emergency squad arrived and resuscitated the spectator. On Monday morning, you learn of the absence of the AED only to find out that it had been locked in the custodian’s closet. Reflect on the following questions outlined in the “Political Analysis and Strategies” chapterWhat is the issue?Is it my issue, and can I solve it?Is this the real issue or merely a symptom of a larger one?Does it need an immediate solution, or can it wait?Is it likely to go away by itself?Can I risk ignoring it?What are the possible solutions? Are there risks to these solutions?What steps would you need to take in order to solve the issue?Does anyone else at the school need to be involved in the solution?Where is the power leverage in the school to reach the preferred solution?Reaching a solution requires the use of power vested in the nurse. Review Box 8-1 (Sources of Power) and determine which type(s) of power the school nurse has in this situation. State your reasons for your answer.On a separate references page, cite all sources using APA 7 format.Please note that the title and reference pages should not be included in the total page count of your paper.

Case Study: HypertensionNo PLAGERISM, READ THE HIGLIGTED ONLY BULLETED ANSWERS FOR #2 AND #3 question is all you have to answerAfter reviewing the case, please provide answers to the questions that follow. Concise, bulleted answers are highly preferred. Points will be removed for lengthy answers.1st VisitBackground:PT is a 64 year old African American schoolteacher who presents today for her annual flu shot. She is afebrile. Her blood pressure is noted to be 182/98 mm Hg and a diagnosis of hypertension is made.Vitals:· Height: 5’3”· Weight: 86 kg (IBW = 52 kg)· Blood pressure: 182/98· Pulse: 60PMH:· High BP measurement at last 2 clinic visits· Osteoporosis· Rheumatoid arthritis· Hyperlipidemia· Chronic constipationFamily History:· Mother with hypertensionSocial History:· Non-smoker· 1 glass of red wine nightlyCurrent Medications:· Lovastatin 40 mg po QD· Ibuprofen 600 mg po QID· Premarin (conjugated estrogens) 0.625 mg po QD· Calcium carbonate 1250 mg po QD· Alendronate 70 mg po Q weekLabs:· Na 140· K 4.0· BUN 20· SCr 0.7Questions1. What stage should PT’s blood pressure measurement of 182/98 mm Hg be classified as?· Stage 32. What factors may be increasing PT’s blood pressure levels (i.e., secondary hypertension)?3. Which non-pharmacologic, lifestyle modifications should be recommended for PT?

The Health Care Delivery System1. You are a home health care nurse scheduled for a home visit to your patient, a retired account payable clerk who is7 days postsurgical with a new colostomy. Your patient lives with her husband who is involved in her care; they compile a list of questions between visits to ask upon your arrival at their home. During this visit, the patient has questions regarding her colostomy equipment and stoma care; her husband has questions regarding his current medication regimen. Both of them express concerns over recent changes in their health care coverage. a. What data in the scenario are pertinent?b. Outline your nursing care responsibilities, as the home health care nurse, in this scenario. Compare and contrast these responsibilities with those found in the acute care setting.c. What would be your recommendation for the husband’s medication questions? What is the home health care nurse’s role and responsibilities related to the challenges of health care reform? 2. You are a nursing student attending clinical at a large, urban university hospital where you engage in direct patient care with clinical instructor supervision. At the nurses’ station, you overhear various nurses addressing patient care needs, including an RN requesting consults with a physical therapist, a respiratory therapist, a dietitian, and a social worker. Another nurse discusses the potential need for palliative or hospice care consults for a patient. You observe a physician assistant approach the nurse with a list of written orders. a. Outline the roles of the various licensed health care workers mentioned in this scenario.b. Compare and contrast palliative and hospice care. What is the major difference between the two?c. As a nurse, what is your responsibility regarding physician assistant (PA) orders? For more information read this: https://en.wikipedia.org/wiki/Drug_delivery

Within the Discussion Board area, write 300-400 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions with your classmates. Be substantive and clear, and use examples to reinforce your ideas. Locate a recent within the last five years peer-reviewed article from a health care journal that reports on how well the Patient Protection and Affordable Care Act (PPACA) is working. Provide an analysis of whether or not you agree with the author of this article, and assess what can be learned from past health reform efforts that can help improve the U.S health system in the future. Use APA formating. For more information read this: https://en.wikipedia.org/wiki/Category:Patient_Protection_and_Affordable_Care_Act

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice. This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission. New practice approachesInterprofessional collaboration Health care delivery and clinical systems ethical considerations in health care practices of culturally sensitive are ensuring the integrity of human dignity in the care of all patients population health concerns the role of technology in improving health care outcomes health policy Leadership and economic models health disparities while APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion

 Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population. Write a 500-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue. Follow this outline when writing the policy brief: Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources. Create a problem statement. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrators) and budget or funding considerations, if applicable. Discuss the impact on the health care delivery system. Include three peer-reviewed sources and two other sources to support the policy brief.

This is the final version of the individual concept paper. It is from 8-10 pages and consists of an in-depth analysis of the health disparity at hand. However, you will devise an intervention based on your own involvement and experience with the cultural group you identified and describe why you think your strategy will work. You will also describe some data collection activities to evaluate if your intervention would work. Choose a cultural group that you feel you have an active identity around or involvement with For this community, introduce a health disparity Present data that supports your beliefs about a certain health disparity in a given population; Criteria Point Total Description of the community being studied? 5 pts Disparity within given population?? 5 pts Significance/outcome of disparity?? 10 pts Factors impacting disparity??? 10 pts Organized around ecological model 5 pts Length: Eight to ten double spaced pages 5 pts Intervention 2.5 pts Data Collection Justification 2.5 pts Mechanics (spelling, grammar, proper usage) 2.5 pts Citations/References (APA, minimum 5) 2.5 pts

It is well known that smoking is bad for your health. The health education about smoking has always centered around smoking tobacco. Now that marijuana for recreational use is legal in several states, the incidence of smoking is rapidly rising. In addition, smoking alternative products, such as those in vaping, is also on the rise. Your research project is to research smoking and the autonomic system. Why does smoking increase the risk of heart disease? Discuss how smoking impacts autonomic function. Expand your analysis to include smoking of all forms. Does the current research support health education beyond tobacco use to include marijuana and other substances? Expectations Due: Monday Midnight Length: 3-5 pages Format: APA format, cover page, references page See USU Written Assignment Grading Rubric with APA – UG for additional details and point weighting.