In this assignment, you are asked to write two fictional reports on two different patients. Each patient should have at least one medical condition. For each condition, write a progress report based on the patient coming to see the doctor today. Include at least 5 medical terms in each report. Each case should be at least 250 words.
In this assignment, you are asked to write two fictional reports on two different patients. Each patient should have at least one medical condition. For each condition, write a progress report based on the patient coming to see the doctor today. Include at least 5 medical terms in each report. Each case should be at least 250 words.
Case study:James is a 60-year-old male with a known history of chronic obstructive pulmonary disease (COPD). He has a 30-pack-year history of smoking but quit 10 years ago. He has been compliant with his medications, which include an inhaled corticosteroid/long-acting beta-agonist (ICS/LABA) combination inhaler and short-acting beta-agonist (SABA) rescue inhaler. What are the known diagnoses for this patient?3. What is the plan for this patient?
Chief Complaint: Shortness of breath and increased sputum productionBackground Information: James is a 60-year-old male with a known history of chronic obstructive pulmonary disease (COPD). He has a 30-pack-year history of smoking but quit 10 years ago. He has been compliant with his medications, which include an inhaled corticosteroid/long-acting beta-agonist (ICS/LABA) combination inhaler and short-acting beta-agonist (SABA) rescue inhaler. W John lives alone and manages his activities of daily living independently.Presenting Symptoms:1. Shortness of Breath: James reports increasing shortness of breath over the past three days. He states that even simple tasks like getting out of bed or walking to the bathroom leave him breathless.2. Increased Sputum Production: He notes a significant increase in the amount of yellow-green sputum he’s been coughing up, which is thicker and stickier than usual.3. Chest Tightness: James describes a sensation of chest tightness and increased use of his SABA inhaler, but it provides only temporary relief.4. Decreased Exercise Tolerance: He mentions that he used to take short walks daily, but now he struggles to even leave his bedroom.Vital Signs:Temperature: 98.6°F (37°C)1. General Appearance: James appears anxious, sits leaning forward with pursed lips, and uses accessory muscles for breathing.2. Respiratory Assessment:o Diffuse wheezing is heard upon auscultation.o Increased anterior-posterior chest diameter is observed.3. Cough: John has a productive cough, and his sputum is yellow-green and purulent.Laboratory Findings:1. Arterial Blood Gas (ABG):o pH: 7.32o PaCO2: 60 mm Hgo PaO2: 56 mm Hgo HCO3-: 30 mEq/Lo SaO2: 88%2. Complete Blood Count (CBC):o White Blood Cell (WBC) Count: 14o Platelets 1503. Basic Metabolic Panel (BMP):o Sodium (Na): 139o Potassium (K): 3.1o Bicarbonate (HCO3): 30 mEq/Lo Creatinine: 2.1Chest X-ray:The chest X-ray reveals hyperinflated lungs with flattened diaphragms and increased retrosternal airspace, consistent with COPD.2. 2. What are the known diagnoses for this patient?3. What is the plan for this patient?4. Compare and contrast the workup, diagnosis, and treatment for a patient with asthma vs a patient with COPD.
Describe how the following example illustrates one or more of the system characteristics that contribute to dynamic complexity. Example: Medical Associates is a for-profit medical group of 40 physicians that operates two facilities and offers services in several medical specialties, including cardiology; ear, nose, and throat; family medicine; gastroenterology; general surgery; pediatrics; and obstetrics and gynecology. Medical Associates is open six days a week in each location from 8:00 am until 6:00 pm. Plans are being developed to extend its hours to 9:00 pm two days a week. For several years, Medical Associates discounted its listed fees by 3 percent to 5 percent for its managed care contracts, but a few years ago, it had to accept larger discounts to remain in the networks of health plans.
Instructions: Describe how the following example illustrates one or more of the system characteristics that contribute to dynamic complexity.
Example: Medical Associates is a for-profit medical group of 40 physicians that operates two facilities and offers services in several medical specialties, including cardiology; ear, nose, and throat; family medicine; gastroenterology; general surgery; pediatrics; and obstetrics and gynecology. Medical Associates is open six days a week in each location from 8:00 am until 6:00 pm. Plans are being developed to extend its hours to 9:00 pm two days a week. For several years, Medical Associates discounted its listed fees by 3 percent to 5 percent for its managed care contracts, but a few years ago, it had to accept larger discounts to remain in the networks of health plans. Lower reimbursements led
Medical Associates to change its staffing from relying solely on registered nurses (RNs) to hiring medical assistants (MAs) as well. Currently, all physicians assigned to primary care service are assigned one RN or MA to assist with patient care. Physicians assigned to surgery are assigned one RN for every two physicians. As RNs retire or reassign, they have been replaced with MAs. On five recent occasions, when an RN assigned to a senior physician resigned, the senior physician demanded that the RN assigned to a junior physician be reassigned to him and that a new MA be hired to fill the vacancy with the junior physician. This ad hoc system of job switching has caused internal turmoil between the senior and junior physicians and has led to the subsequent resignation of two RNs who did not want to be reassigned
. Confusion exists around staff reporting relationships and who has the authority to change job assignments. (Seidel and Lewis 2014, 215)
Companion Readings
Anderson, A. 2014. The Impact of the Affordable Care Act on the Health Care Workforce. The Heritage Foundation. Published March 18. www.heritage.org/research/reports/2014/03/the-impact-of-the-affordable-care-act-on-the-health-care-workforce.
Coutou, D. L. 2003. Sense and Reliability: A Conversation with Celebrated Psychologist Karl E. Weick. Harvard Business Review 81 (4): 8490.
Lipsitz, L. A. 2012. Understanding Health Care as a Complex System: The Foundation for Unintended Consequences. Journal of the American Medical Association 308 (3): 24344.
Nelson, E. C., M. Godfrey, P. B. Batalden, S. A. Berry, A. E. Bothe, K. E. McKinley, C. N. Melin, S. E. Muething, G. Moore, J. H. Wasson, and T. W. Nolan. 2008. Clinical Microsystems, Part 1: The Building Blocks of Health Systems. The Joint Commission Journal on Quality and Patient Safety. Published July. http://clinicalmicrosystem.org/wp-content/uploads/2014/05/jc_quality_safety_01.pdf.
New England Complex System Institute. 2016. About Complex Systems. Accessed November 8. www.necsi.edu/guide.
Peters, D. H. 2014. The Application of Systems Thinking in Health: Why Use Systems Thinking? Health Research Policy and Systems. Published August. https://health-policy-systems.biomedcentral.com/articles/10.1186/1478-4505-12-51.
Senge, P. M. 1990. The Leaders New Work: Building Learning Organizations. Sloan Management Review (Fall): 14965.
You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately. Include and Introduction. Provide an answer to this content
Instructions: Describe how the following example illustrates one or more of the system characteristics that contribute to dynamic complexity.
Example: Medical Associates is a for-profit medical group of 40 physicians that operates two facilities and offers services in several medical specialties, including cardiology; ear, nose, and throat; family medicine; gastroenterology; general surgery; pediatrics; and obstetrics and gynecology. Medical Associates is open six days a week in each location from 8:00 am until 6:00 pm. Plans are being developed to extend its hours to 9:00 pm two days a week. For several years, Medical Associates discounted its listed fees by 3 percent to 5 percent for its managed care contracts, but a few years ago, it had to accept larger discounts to remain in the networks of health plans. Lower reimbursements led
Medical Associates to change its staffing from relying solely on registered nurses (RNs) to hiring medical assistants (MAs) as well. Currently, all physicians assigned to primary care service are assigned one RN or MA to assist with patient care. Physicians assigned to surgery are assigned one RN for every two physicians. As RNs retire or reassign, they have been replaced with MAs. On five recent occasions, when an RN assigned to a senior physician resigned, the senior physician demanded that the RN assigned to a junior physician be reassigned to him and that a new MA be hired to fill the vacancy with the junior physician. This ad hoc system of job switching has caused internal turmoil between the senior and junior physicians and has led to the subsequent resignation of two RNs who did not want to be reassigned
. Confusion exists around staff reporting relationships and who has the authority to change job assignments. (Seidel and Lewis 2014, 215)
Companion Readings
Anderson, A. 2014. The Impact of the Affordable Care Act on the Health Care Workforce. The Heritage Foundation. Published March 18. www.heritage.org/research/reports/2014/03/the-impact-of-the-affordable-care-act-on-the-health-care-workforce.
Coutou, D. L. 2003. Sense and Reliability: A Conversation with Celebrated Psychologist Karl E. Weick. Harvard Business Review 81 (4): 8490.
Lipsitz, L. A. 2012. Understanding Health Care as a Complex System: The Foundation for Unintended Consequences. Journal of the American Medical Association 308 (3): 24344.
Nelson, E. C., M. Godfrey, P. B. Batalden, S. A. Berry, A. E. Bothe, K. E. McKinley, C. N. Melin, S. E. Muething, G. Moore, J. H. Wasson, and T. W. Nolan. 2008. Clinical Microsystems, Part 1: The Building Blocks of Health Systems. The Joint Commission Journal on Quality and Patient Safety. Published July. http://clinicalmicrosystem.org/wp-content/uploads/2014/05/jc_quality_safety_01.pdf.
New England Complex System Institute. 2016. About Complex Systems. Accessed November 8. www.necsi.edu/guide.
Peters, D. H. 2014. The Application of Systems Thinking in Health: Why Use Systems Thinking? Health Research Policy and Systems. Published August. https://health-policy-systems.biomedcentral.com/articles/10.1186/1478-4505-12-51.
Senge, P. M. 1990. The Leaders New Work: Building Learning Organizations. Sloan Management Review (Fall): 14965.
. Do not write who you are in the answer.
A nursing degree can open up many different career opportunities, but with so many levels of nursing, it can be confusing to know which one is right for you. One nursing student recently found a great resource at https://www.nursingpaper.com/questions/what-are-levels-of-nursing/ that provided detailed information on the different levels of nursing, from Certified Nursing Assistants (CNAs) to Doctor of Nursing Practice (DNP). With this information, the student was able to better understand the different educational and training requirements for each level, as well as the scope of practice and potential career paths. Armed with this knowledge, the student felt more confident about choosing the right nursing degree program and career path for their goals and interests. What are some other levels of nursing that are not mentioned in the article, and how do they differ from the ones mentioned?
A nursing degree can open up many different career opportunities, but with so many levels of nursing, it can be confusing to know which one is right for you. One nursing student recently found a great resource at https://www.nursingpaper.com/questions/what-are-levels-of-nursing/ that provided detailed information on the different levels of nursing, from Certified Nursing Assistants (CNAs) to Doctor of Nursing Practice (DNP). With this information, the student was able to better understand the different educational and training requirements for each level, as well as the scope of practice and potential career paths. Armed with this knowledge, the student felt more confident about choosing the right nursing degree program and career path for their goals and interests.
What are some other levels of nursing that are not mentioned in the article, and how do they differ from the ones mentioned?
Suppose that the average cell phone bill at Bellevue University is $38.90 per month with a standard deviation of $3.64 per month. If I take a sample of 44 students, what is the probability that the mean amount of their monthly phone bill is greater than $41.00? Explain in words how you used Excel to find the z-score and probability, then attach a screen shot of the two outputs in Excel. For your second post, find the probability that the mean amount of their monthly phone bill differs from the expected mean by more than $1.00, again showing your output and explaining your solution,
Suppose that the average cell phone bill at Bellevue University is $38.90 per month with a standard deviation of $3.64 per month. If I take a sample of 44 students, what is the probability that the mean amount of their monthly phone bill is greater than $41.00? Explain in words how you used Excel to find the z-score and probability, then attach a screen shot of the two outputs in Excel. For your second post, find the probability that the mean amount of their monthly phone bill differs from the expected mean by more than $1.00, again showing your output and explaining your solution,
What are some signs of a struggling or at-risk elementary reader? Explain how you might identify the reader and support his or her reading development through curricular and instructional choices
What are some signs of a struggling or at-risk elementary reader? Explain how you might identify the reader and support his or her reading development through curricular and instructional choices. ONE RESOURCE FOR THIS QUESTION
In your own words, explain visual literacy, why it is important, and how you might incorporate visual literacy into your elementary English language arts classroom. ONE RESOURCE FOR THIS QUESTION
Why do healthcare leaders need to understand finances and learn to use financial tools?
Discussion 1: Engage in research online and find the Mission and Vision of a Healthcare Organization.
Answer the following questions:
Identify the organization by name
Paste the Mission statement
Paste the Vision statement
Critique the mission and vision statement in 2 paragraphs
In the 3rd paragraph indicate if these directional strategies resonate with you and why you might want to work for an organization like this one.
Discussion 2: Why do healthcare leaders need to understand finances and learn to use financial tools? (2 paragraph response minimum)
Discussion 3: What are the differences between strategic plans and marketing plans? (2 paragraph response minimum)
How does a nurse know what (if any) knowledge in a research study is usable for clinical practice? What would a critical thinker look for in the evidence before deciding to change?
As you complete the gathering and evaluation of the evidence, its important to review the significance and next steps related to EBP.
Consider the following questions in your discussion post:
How does a nurse know what (if any) knowledge in a research study is usable for clinical practice?
What would a critical thinker look for in the evidence before deciding to change?
What influence do credibility and clinical significance have on your decisions to integrate research-based evidence into your practice?
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the students position.
nd references must adhere to APA format.
After studying the instructional material from Italian Interiors explain the three (3) most significant lessons you learned. You must provide a rationale as to why they are so significant or relevant.
After studying the instructional material from Italian Interiors explain the three (3) most significant lessons you learned. You must provide a rationale as to why they are so significant or relevant.
Answer should be inimum response.
Use book as reference ” history of interior design- Jeannie Ireland”- photos attached
1st person point of view.
first person point of view uses the pronouns I, me, we, and us,
Identify a recent decision by the U.S. Supreme Court and discuss the nature of the case and the basis of the argument the Supreme Court used to reach the decision. Explain why you agree or disagree with the ruling?
Identify a recent decision by the U.S. Supreme Court and discuss the nature of the case and the basis of the argument the Supreme Court used to reach the decision. Explain why you agree or disagree with the ruling?
