Healthcare

Discussion Prompt 1The median and mean of a set of data can often times be quite different from one another. One example of this is household income in the United States. According to the U.S. Census Bureau’s 2014 Annual Social and Economic Supplement, mean household income in 2014 was $72, 641, while median household income was $51,939.Why are the mean and median so different in this case? Find another example of a statistic in which the mean and median values would be expected to be quite different and explain the difference. Discussion Prompt 2Multiple studies conducted in the United States, Canada, Germany, and the United Kingdom show that the probability of dying in the hospital is higher if you are admitted on the weekend. Why might this be? What factors might contribute to this probability? What could hospitals do to reduce/eliminate this phenomenon?2

Richard is a 40-year-old man with a history of 4 weeks of cluster headache once each year. These began when he was 35 years old. His cluster periods occur in the fall. The cluster period begins slowly, increasing over 1 week, reaching a peak where Richard has two or three severe cluster attacks each day. They occur from 10 p.m. to 3 a.m. Each cluster headache lasts from 40 to 90 minutes, and the headaches are severe. The pain is always on the right side, with eye tearing and nasal congestion.Richard comes into our office 1 week into this fall’s cluster series. The headaches are increasing in intensity, and he is miserable with the pain.Please complete the following questions:Describe Cluster Headache and its epidemiology.What would be your goals for therapy for Richard? Give rationale with evidence from articles.Please limit your posts to the above 2 questions.Provide 1 initial post (No Replies to Peers Required) using APA 6th ed. Work must be supported by peer-reviewed article published within 5 years.

Evaluate the Health History and Medical Information for Mr. C., presented below.Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.Health History and Medical InformationHealth HistoryMr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.Objective Data:Height: 68 inches; weight 134.5 kgBP: 172/98, HR 88, RR 263 pitting edema bilateral feet and anklesFasting blood glucose: 146 mg/dLTotal cholesterol: 250 mg/dLTriglycerides: 312 mg/dLHDL: 30 mg/dLSerum creatinine 1.8 mg/dLBUN 32 mg/dlCritical Thinking EssayIn 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:Describe the clinical manifestations present in Mr. C.Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Conceptual-Theory-Empirical (C-T-E) formalization is a way to analyze research by systematically testing or generating theory. The function of theory is to help us better understand the world. The C-T-E system is a whole system of nursing knowledge. Review the holarchy of nursing knowledge, note its application to real-world practice.Writing in the voice of your chosen theorist, describe the Conceptual-Theory-Empirical (C-T-E) structure process you used in creating your theory? at least 5 references

Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Scenario 1A 58-year-old female is admitted for a work up for a complaint of neck and low back pain. During admission, you discover that she underwent a renal transplant six years ago. The patient also had blood work collected. When you review the findings, you notice that her serum calcium is elevated at 13.9 (Normal values range from 8.5 to 10.2 mg/dl), her CBC shows a hematocrit of 33%, and hemoglobin of 11.1 g/dl (normal adult female hematocrit Range: 37-47%, normal adult female hemoglobin range: 12-16 g/dl).What could be the underlying cause of her pain and her abnormal lab values?What other assessments would be helpful?What interventions might be considered?

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.Case Study The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?What are characteristics of a human becoming nurse? What are strengths and weaknesses to this theory of nursing?What challenges exist for healthcare institutions to switch to this nursing approach?How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?From the nursing theories we have discussed, what additional theory would you apply to this case studyDevelop a plan of care to include both nursing theories (be specific and provide reasons)The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.

Option #1: Challenges for Hospitals in Aligning Strategy and Structure: The Multi-Generational Workforce and EHR AdoptionScenario: The healthcare industry is steadily shifting towards adoption of more Health-IT practices. One of them is the adoption of Electronic Health Records (EHR).You are the Director of Planning of a large hospital in an urban market. The hospital is one of the largest employers in the market and is composed of a culturally-diverse and multi-generation workforce. Some employees agree that adoption of EHR is the best way forward and are for the change. However, other employees disagree and are not particularly ready for EHR adoption.As the organization continues to move forward and prepare for its annual strategic planning retreat, the CEO has asked you to create a “white paper” (similar to a short research paper) that will:Educate the organization on the benefits of adopting an EHR system. Benefits include but are not limited to pecuniary, strategy, and quality of care.The CEO is also aware of the discord within the workforce with regards to adoption of EHR. Towards this, she requests you:Identify three culturally diverse or multi-generation workforce issues towards EHR adoption that you foresee.Outline strategies to mitigate the issues, and implement the adoption of EHR across the workforce within 1 year.The “white paper” should be well-written and meet the following requirements:2-3 pages (single-spaced) in length,Formatted according to the CSU-Global Guide to Writing and APA (Links to an external site.), andInclude at least three current references from the peer-reviewed articles. The CSU-Global Library is a good place to find peer-reviewed articles.

Discussion: One thing in life we cannot control is nature. What would your organization do if there was a natural disaster that destroyed electrical lines and internet servers? How would you take care of your patients if you could not access the EMR for a week or more? What recommendations can you make for improvement?Your initial posting should be at least 400 words in length.

Signature Assignment Description/Directions:Beginning in Module 1 of this course you have been researching a healthcare informatics topic of your choice. Now you will present your findings in a 7 to 12 minute recorded presentation complete with PowerPoint slides (no length requirement).My preferred topic is Compromised Infection Control in HealthcareDiscuss your topic and its relationship to your current (or future) practice. Discuss why the topic is important in healthcare informatics.What research have you have found on the topic? Describe how each scholarly article relates to the topic and your current (or future) practice. Describe what conclusions you have drawn based on your research of the topic.What ethical or legal issues does this topic present?Create a plan for implementing a change (or justify the need for no change). Who needs to be involved? What training programs are needed? Is there a need for on-going training? Discuss how you would evaluate the success of the change (or the continued success of what you are currently doing). What is the cost to implement or maintain this change? Who will be financially responsible? How feasible is this change?Finally, identify how changes in public policy and technological advances in the future could impact this topic. What would those changes mean to the healthcare industry?Assignment ExpectationsLength: Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox.Structure: Include a title slide, objective slide, content slides, reference slide in APA format.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 an mp4 document (.mp4) or share the link to the recordingPresentation: Use presentation software (ex. PowerPoint, Google Slides) to create a visual presentation. Then use a recording program to record a 7 and 12 minutes in length presentation. ***Please do not record as voice-over PowerPoint because this cannot be saved in mp4 format or a link.*** If you submit your assignment as a PowerPoint with voice over recording you will not receive credit for your assignment