December 20, 2019

Analyze how this organization has changed since the 1980s as a result of economic and political forces

Part 1Choose a specific health care organization that has been in existence since the 1980s (e.g., a for-profit hospital by name; nonprofit hospital by name; governmental clinic; military or VA health care facility by name; private health care clinic by name; ambulatory surgery center by name; diagnostic imaging center by name; nursing home by name; assisted living facility by name). Describe the organization and the basic health care services it provides. Part 2Analyze how this organization has changed since the 1980s as a result of economic and political forces (i.e., ethical and legal). You should identify a minimum of 3 significant changes from the 1980s to today that should include considerations for technology, personnel and professionals involved, patient demographics, supply and demand imbalance, and so on.Part 3In summary, evaluate how these changes have impacted the organization’s efficacy (negatively and positively) from the administrator’s viewpoint. Then, proffer the influence of these changes on the U.S. health system overall (negative and positive). Your paper should be 3 to 4 pages excluding the cover page, abstract page, and reference page (common assessment). Be sure to support your work with at least 3 academic or professional peer-reviewed sources published within the past 5 years. For a resource guide on using the online library to search for references, click here.
December 20, 2019

Discuss how you will initially prioritize your care according to your patient’s conditions and treatment (750 words).

Written Assessment—Case Study Details As a new graduate nurse on your last rotation, you are working on a busy acute combined medical / surgical ward. You have arrived for an evening shift and receive handover from the staff from the previous shift. You have been allocated to care for the following five patients 1. Steven is a 27 year old who presented with acute appendicitis via the Emergency Department that required emergency appendectomy overnight. He is currently NBM and has IV 0.9% Sodium Chloride infusing at 100mls per hour. Steven is complaining of abdominal pain and has a temperature of 39.2. He has been reviewed by the surgical team and has been ordered intravenous Metronidazole 500mg TDS. 2. Peter is a 55 year old male who had an ERCP today (endoscopic retrograde cholangiopancreatograghy) and removal of gall stones x 3 after persistent epigastric pain for 2 days. He is currently complaining of nausea and mild right shoulder tip pain. 3. Phillip is a 68 year old male who has been admitted for infective exacerbation of his COPD. He is currently on nasal prongs at 2 litres a minute and is due for his IV hydrocortisone (100mg BD) and Piperacillin with Tazobactam (Tazocin) IV (4.5G TDS). His oxygen saturation is 94%. 4. John is 75 year old male who was admitted with chest pain via the Emergency Department earlier on in the day. He has a background history of angina and coronary heart disease. He has been commenced on an intravenous heparin infusion and aspirin 100mg daily. The APTT is to be kept between 50 to 75 seconds. 5. Melinda is a 42 year old female who presented with sudden onset of severe headache. She has been admitted under neurosurgery. Her CT scan revealed a small (Grade 1) subarachnoid haemorrhage from a cerebral artery aneurysm which was successfully coiled in the interventional radiology suite 5 days ago. She is currently prescribed Nimodipine 60mg oral tablets. She has a GCS of 15. PLEASE ANSWER THESE QUESTIONS AS PER THE ABOVE SCENARIOS Question1. Discuss how you will initially prioritize your care according to your patient’s conditions and treatment (750 words). Question2. When reviewing Peter in bed 2, he states that his nausea is becoming worse. You review the medication chart and no antiemetic is ordered. Discuss what your actions would be in this situation (250 words). Question3. While assessing John in bed 4, you review his last coagulation profile and note that his APTT is > 150 seconds. What is the significance of this result? Referring to the ward protocol below, rationalise your actions. (250 words) aPTT (second) Bolus dose IV Stop infusion IV rate change(mL/hr) Repeat aPTT 50 Nil 60 minutes Restart at 0.1 mL/hr less than previous rate 6 hours Question4. When reviewing Melinda in bed 5, she complains of feeling faint when she gets out of bed to mobilize to the bathroom. You assess her blood pressure and it is 80/40. What is the significance of this result and what could be contributing to the hypotension? What would be your response? (250 words) Marking criteria and standards: Q1: Prioritises and justifies initial assessment and care of patients. (Mark:15) Outstanding, clear, concise and expert identification and critical discussion of the prioritisation and initial assessment and care of the four patients. Interesting, complex, original, cogent, excellent critical discussion related to prioritisation and initial assessment and care of the four patients. Q2. Rationalises action for additional medication order(Mark:15) Outstanding, clear, concise and expert identification and critical discussion of the significance of the medication and rational for intervention. Interesting, complex, original, cogent, excellent critical discussion related to the significance of the medication order and rational for intervention. Q3. Relates significance of Heparin with APTT result and rationalises intervention. (Mark:15) Outstanding, clear, concise and expert identification and critical discussion of the significance of the medication and rational for intervention.Interesting, complex, original, cogent, excellent critical discussion related to the significance of the medication order and rational for intervention. Q4. Evaluates clinical situation and prioritises patient intervention and calls for assistance. (Mark:10) Outstanding, clear, concise and expert identification and critical discussion on the prioritisation of care and calling for assistance.Interesting, complex, original, cogent, excellent critical discussion related to prioritisation of care and calling for assistance. Presentation and Referencing (Mark:5) Flawless referencing, with all references adequately and correctly given, both in text and in final reference list according to designated APA style. Outstanding, publishable level of writing style and use of language evidenced. Publishable or outstanding level of clarity of expression and scholarly writing style, with no evidence of any discriminatory use of language noted in the work. Expert, coherent, logical organised sequencing. Essential texts: Chang, E., & Daly, J (2012). Transitions in nursing (3rd ed.). Sydney, Australia: Elsevier. Tollefson, J. (2010). Clinical psychomotor skills: Assessment tools for nursing students. South Melbourne, Australia: Thomas Learning Australia Perry, A. G., Potter, P. A. & Ostendowf, W.A. (2010). Clinical nursing skills and techniques (8th ed.). Missouri, MO: Mosby/Elsevier. Brown, D., & Edwards, H. (Eds.). (2012). Lewis’s medical-surgical nursing: Assessment and management of clinical problems (3rd ed.). Sydney, Australia: Elsevier Le Mone, P., & Burke, K. (2011). Medical- surgical nursing: Critical thinking in client care (Vol. 1). French’s Forest, Australia: Pearson. Bullock, S., Manias, E. & Galbraith, A., (2011). Fundamentals of pharmacology. (6th ed.). Sydney, Australia: Pearson Education Australia Additional reading list:
December 20, 2019

Identify and describe medical and / or nursing interventions.

I need you to use this video website: http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php. and the document attached bellow to respond this assignment. This is a group assignment and I need […]
December 20, 2019

Assume the role of an apprentice herbalist who is working with an experienced herbalist in an integrative clinic that caters to an underserved immigrant section of the population

Pattern Recognition Assume the role of an apprentice herbalist who is working with an experienced herbalist in an integrative clinic that caters to an underserved immigrant section of the population. It is winter, and people’s bodies are adapting to the changes in season, temperature, and other shifts in environment. A large portion of the patients seen at the clinic have come down with specific symptoms associated with flu and/or cold. These patients have requested herbs be used to treat their symptom patterns as opposed to standard pharmaceutical treatments. You have been tasked by your mentor herbalist to select an herb that coincides and opposes the patterns presented by each of the patients requesting herbal interventions. Review the HCS339 final paper patient information document that includes specific information critical to creating the profiles for each of the three patients. Using the Information attached and supporting your statements utilizing a minimum of eight scholarly resources, six of which must be from the Ashford University Library, create a profile, prescribe an herb from the sedatives or astringents categories, and create an evaluation for each of the patients. In your Final Paper, include the following elements. Profile Differentiate between potential constitutions (temperaments) and identify, based on the information, which primary constitution (temperament) best fits the patient. Differentiate between qualities of tissue states and describe what would typically be seen in the diseased tissue for the patient’s identified constitution (temperament). Herbal Formula Evaluation Explain the doctrines of Similimum and Opposition in terms of each of the patients’ identified constitutional (temperamental) patterns. Apply energetic classifications and explain the effects of the prescribed herbs on the patient’s constitution and tissue states using primal therapeutic laws. Provide a rationale for why your mentor prescribed that specific herb for the patient. Must be eight to ten double-spaced pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Must use a minimum of eight scholarly sources, including six from the Ashford University Library and the course texts – Micozzi, M. S. (2015). Fundamentals of complementary and alternative medicine (5th ed.). St. Louis, MO: Saunders Elsevier. Rolfe, R. (2002). The four temperaments: A rediscovery of the ancient way of understanding health and character. New York, NY: Marlowe & Company. Wood, M. (2004). The practice of traditional western herbalism: Basic doctrine, energetics, and classification. Berkeley, CA: North Atlantic Books. Must document all sources in APA style Must include a separate references page formatted according to APA style
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