Case study on resistance to antibiotics

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Case study on resistance to antibiotics

For this week’s discussion we will look at a case study on resistance to antibiotics. The case study examines resistance to the most commonly used antibiotics.

Look at a case study on resistance to antibiotics

For this week’s discussion we will look at a case study on resistance to antibiotics. The case study examines resistance to the most commonly used antibiotics.  For this week’s discussion you will have the opportunity to collect and also analyze data and discuss your results.

Read through the attached case study and answer any 4 questions using your textbook and the internet as resources. Make sure to let us know what question # you are answering.  Write your post in a narrative format based on your answers to the questions.

More details;

About Antibiotic Resistance

Antibiotic resistance happens when germs like bacteria and fungi develop the ability to defeat the drugs designed to kill them. That means the germs are not killed and continue to grow.

Infections caused by antibiotic-resistant germs are difficult, and sometimes impossible, to treat. In most cases, antibiotic-resistant infections require extended hospital stays, additional follow-up doctor visits, and also costly and toxic alternatives.

Antibiotic resistance does not mean the body is becoming resistant to antibiotics; it is that bacteria have become resistant to the antibiotics designed to kill them.

Antibiotic Resistance Threatens Everyone

Antibiotic resistance has the potential to affect people at any stage of life, as well as the healthcare, veterinary, and agriculture industries, making it one of the world’s most urgent public health problems.

Each year in the U.S., at least 2.8 million people are infected with antibiotic-resistant bacteria or fungi, and more than 35,000 people die as a result.

No one can completely avoid the risk of resistant infections, but some people are at greater risk than others (for example, people with chronic illnesses). If antibiotics lose their effectiveness, then we lose the ability to treat infections and control public health threats.

Many medical advances are dependent on the ability to fight infections using antibiotics, including joint replacements, organ transplants, cancer therapy, and treatment of chronic diseases like diabetes, asthma, and also rheumatoid arthritis.

Patient safety and organizational culture

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Patient safety and organizational culture

What are the current patient safety characteristics of your organizational culture? Identify at least three aspects of your culture that need to be changed with regard to patient safety, and suggest strategies for change.

Current patient safety characteristics of your organizational culture?

What are the current patient safety characteristics of your organizational culture?

Identify at least three aspects of your culture that need to be changed with regard to patient safety. Suggest strategies for change. Apply one MSN Essential to your discussion.

More details on the assignment:

Key elements of a culture of safety in an organization include the establishment of safety as an organizational priority, teamwork, patient involvement, openness/transparency, and accountability (Lamb, Studdert, Bohmer, Berwick, & Brennan, 2003).

What is the culture of safety in healthcare?
A ‘culture of safety’ describes the core values and behaviors that come about when there is a collective and continuous commitment by organizational leadership, managers and health care workers to emphasize safety over competing goals.
Which characteristic promotes a culture of safety within a health care organization?
In addition a safety culture is characteristics are core values and goals, non-punitive responses to adverse events and errors, and promotion of safety through education and training. A safety culture requires strong, committed leadership, along with the engagement and empowerment of all employees.
What are the characteristics of safety?
A strong safety culture has a number of characteristics in common:

Firstly, Communication. Communication is most effective when it comprises a combination of top-down and bottom-up interaction.

Secondly, Commitment.

Thirdly, Caring.

Fourthly, Cooperation.

Furthermore, Coaching.

Moreover, Procedures.

Also, Training.

Additionally, Tools.

What is positive safety culture?
Organisations with a positive safety culture involves communications founded on mutual trust, by shared perceptions of the importance of safety and by confidence in the efficacy of preventive measures.”
How is culture of safety measured?
Safety culture is generally measure d by surveys of providers at all levels. Available validated surveys include AHRQ’s Patient Safety Culture Surveys and the Safety Attitudes Questionnaire.

Health care plan for Johnsonville Community Hospital system

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Health care plan for Johnsonville Community Hospital system

This is an assignment that seeks to discuss the Health care plan for Johnsonville Community Hospital system. The paper discusses the various improvements that the new system can add to the hospital.

Health care plan for Johnsonville Community Hospital system.

Y‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ou have been newly hired into the Johnsonville Community Hospital System. There is a wide array of services available to the community of 80,000 people. Such services include many of the typically expected services found within most medium-sized hospitals. The community has also seen a notable amount of economic growth. Recently, with said growth has come a new Physician Practice specializing in a specific genre of care.

Secondly, the Board of Directors of the institution into which you have been hiring has asked how the new practice firm could be incorporated into your hospital system. Also, the immediate response they received from the CEO/COO team was that such change could be made with minimal effort. Your immediate question relates to requisite analyses of the established assessment; from what you can tell, there is no assessment. In addition, the decision seems to be based upon subjective perspective, which you know that this can lead to failure quickly.

Thirdly, knowing your background in project management, share your concern. Also, the Board has asked for you to develop a project plan for better analyzing the problem. In an effort to continue to satisfy clients’ demands, you have been asked to evaluate and examine opportunity for increasing services available. Also, incorporating a new service line into already existing lines of effort within the system for which yo‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍u work.

Note:

The CEO, knows the need to reevaluate the suggested solution more objectively. They have asked that you lead an internal team to review current service lines, processes, procedures, and propose potential organizational changes along with how such change may improve the organization’s position to better meet the demands for the future. Write a paper that proposes the process you would implement for managing this project. Use the four distinct phases of project management to clarify how you better evaluate this project and arrive at a solution that answers questions posing by senior management: Pre-project approval, Project organization and definition, Project scheduling and design, and Project control and management.

Please note: the outcome of this assignment is not the right answer for the hospital, but how you use the steps of project management to develop a solution; thus, you need to develop the project, not a suitable outcome for the hospital system.
Key elements being evaluated in this assignment are: The inclusion of an executive summary of your project,

The scope

Timelines you believe most appropriate for examination of the problem

Resources you may require in developing a solution

Deliverables you expect to be able to provide leadership (including key outcomes and benefits), and Milestones at which you can assess progre‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ss.

Effect of a series of electro-acupuncture treatment

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Effect of a series of electro-acupuncture treatment

This is an assignment that focuses on the effect of a series of electro-acupuncture treatment. The paper main focus is the Yeung Analysis worksheet.

The effect of a series of electro-acupuncture treatment

Yeung Analysis Worksheet
Yeung Analysis Worksheet Yeung, C., Leung, M., & Chow, D. H. K. (2003). Additionally, the Use of Electro-Acupuncture in Conjunction with Exercise for the Treatment of Chronic Low-Back Pain. Journal of Alternative and Complementary Medicine

Objectives:
Firstly, determine the effect of a series of electro-acupuncture (EA) treatment in conjunction with exercise on the pain, disability, and functional improvement scores of patients with chronic low-back pain (LBP).
Design: A blinded prospective randomized controlled study. Subjects and Interventions: A total of 52 patients were randomly allocate to an exercise group (n = 26) or an exercise plus EA group (n = 26) and treat for 12 sessions. Outcome

Measures: Secondly, look at numerical Rating Scale (NRS), Aberdeen LBP scale, lumbar spinal active range of movement (AROM), and the isokinetic strength were assess by a blinded observer. Repeated measures analysis of variance (R-ANOVA) with factors of group and time was to compare the outcomes between the two groups at baseline (before treatment), immediately after treatment, 1-month follow-up, and 3-month follow-up.

Results: Thirdly, significantly better scores in the NRS and Aberdeen LBP scale were found in the exercise plus EA group immediately after treatment and at 1-month follow-up. No significant differences were observe in spinal AROM and isokinetic trunk concentric strength between the two groups at any stage of follow-up.

Conclusions:

Fourthly, this study provides additional data on the potential role of EA in the treatment of LBP, and indicates that the combination of EA and back exercise might be an effective option in the treatment of pain and disability associated with chronic LBP. https://www.ncbi.nlm.nih.gov/pubmed/14499023 Also, what was the research question? What were the independent variables? Then, what was the dependent variable? Lastly, what was the sample size and how was it chosen? What was the experimental design and use of control group?

Lastly, were the instruments of measurement shown to be reliable and valid? What data types were to include? Lastly, describe the statistics usage, what they were for, and the results. What were the researchers’ conclusions? How did they answer the research question(s)? How was error control? Did you see any concerns with the research study?

Health care market and the competitive forces in your delivery system

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Health care market and the competitive forces in your delivery system

The following is a paper that focuses on the health care market and the competitive forces in your delivery system.

Health care market and the competitive forces in your delivery system

U‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍se the Internet or Strayer online database to research the current health care delivery structures—both private and public—within your state. Write a six to eight (6-8) page paper in which you:

Firstly, analyze the current health care delivery structure in your state. Compare and contrast the major determinants of health care market power.

Secondly, analyze the main competitive forces in the your health care delivery system in your state, and compare the major factors that influence the fundamental manner in which these competitive forces determine prices, supply and demand, quality of care, consumerism, and providers’ compensation.

Thirdly, evaluate the positive benefits and negative aspects, respectively, of HMO managed care from the provider’s point of view—i.e., a physician and a health care facility—and from a patient’s point of view. Provide a rationale for your response.

Fourthly, assess the efficiency of the types of ‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍economic incentives available to providers in the delivery of health care services in your own state.

5. Propose who bears the financial risk of a capitation payment system: the provider, the patient, or the consumer-driven health plan itself. Additionally, Use at least five (5) current references.

Lastly, three (3) of these references must be from current peer- reviewed sources to support. Substantiate your comments and perspectives. Your assignment must follow these formatting requirements: ? Type, double space, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. However, check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assi‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍gnment page length

Subarachnoid haemorrhage implications- Pathophysiological mechanisms

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‌‌‍‌‌‍‍‍‌‍‍‌‍Subarachnoid haemorrhage implications- Pathophysiological mechanisms

This is an essay discussing on Subarachnoid haemorrhage implications in addition to how pathophysiological mechanisms can handle complications bought about by the condition.

Subarachnoid haemorrhage – Pathophysiological mechanisms

Firstly, discuss what is subarachnoid haemorrhage. Then describe what are the complications of brought about by the condition?

Secondly, identify what are the proposed pathophysiological tools of these complications and how do they manifest clinically. Thereafter, identify what is the current best management of these conditions?

Thirdly, identify what are the survival rates recorded of this type of stroke condition.

In writing the essay, plan your paper using the following structure:

Introduction: What is subarachnoid haemorrhage? (5%) What are the complications of SAH (50% total)? * Early complications * Late complications * Pathophysiological tools behind these complications  * Clinical manifestations of these complications and best practice management of these conditions. (35%) Short conclusion with some potential areas for future research. (10%)

Lastly, during referencing use main journals such as ICM, CCM, JAMA, or critical care, Annals of IC, Journal of IC, Journal of CC, Jama, Lancet, Nejm, American Journal of Respiratory and CCM. The blue journal lancet respiratory medicine, PubMed, OH’S intensive care manual. These journals provide in depth information on the condition in addition to the apparatus or tools available to deal with the condition.

Hypertension disease prevalence – effects of hypertension on individuals

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Hypertension disease prevalence – effects of hypertension on individuals

This is a paper that is focusing on the Hypertension disease prevalence in addition to the effects that hypertension has on individuals. An example of an effect is heart failure occurrence.

Hypertension disease prevalence – effects of hypertension on individuals

Firstly, read the case scenario below.

Y‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ou are caring for a 59-year-old African American male who is a non-smoker and a non-drinker. The individual has a healthy weight for his height. On weekends, he coaches a youth baseball team in his community and enjoys eating hot dogs and nachos with the children after games. He has been monitoring his blood pressure at the community center and noted that the highest reading was 168/92 mm Hg. He is pleased with this number, as the results were “lower than previous readings.” However, his healthcare provider is still concerned. She informed him about the dietary choices he was making and reminded him to limit his sodium intake. She also renewed the individual’s prescription for a thiazide diuretic and added an ACE inhibitor to his treatment regime.

Questions

Secondly, answer the following prompts in your analysis of the case: Speculate how the individual’s ethnicity contributes to his hypertension.

Discuss other determinants of health that contribute to the prevalence of hypertensive disease in this population. Then, discuss the significance of an elevated systolic pressure, even in the absence of diastolic hypertension. Detail the pathophysiology behind‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ elevation in blood pressure and the ultimate development of hypertension.

Identify if this individual is at risk for developing heart failure. If so, what type of heart failure would he be most at risk of developing? Additionally, discuss briefly,  the mechanism of action of the two classes of drugs this individual was prescribing from the management of his hypertension. be sure to: ?

Lastly, introduce main elements and concerns and identify the pathology. ? Use the associated questions to guide your paper and explain the pathology in the development of a plan of care. ? Explain the role patient-care technologies (i.e., point of care testing, computer provider order entry, bar-coding medication administration, EMR/EHR) in caring for the individual(s). ?

Apply critical thinking in analyzing and interpreting the data. ? Include evidence to support your analysis of the case. ? Write clearly and concisely, following standard rules of grammar. . At least two peer-reviewed sources cited in APA format‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍.

Consulting for the Caring Angel Hospital case study

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Consulting for the Caring Angel Hospital case study

This is a paper that is focusing on the analysis of Consulting for the Caring Angel Hospital case study. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:

Consulting for the Caring Angel Hospital case study

Part 1. Discussion Question
From your discussion preparation, examine the primary reasons why medical tourism is becoming popular among Americans. Also, determine whether or not the health care industry should encourage this consumer behavior. Give at least two specific examples associated with such patient medical consumerism behaviors.

Part 2 Case Study
Consulting for the Caring Angel Hospital

Overview

Imagine that you are a senior consultant at Practical Health Care Consulting. Your supervisor has instructed you to spend three months at the Caring Angel Hospital to help improve the quality of care. Additionally, to add value to the organization, improve employee morale, design an efficient organizational chart, create a strong team environment, and create the hospital’s competitive advantage. The hospital has traditionally made losses year after year. Furthermore, it is not performing well financially, and the banks are not willing to lend it large sums of money for more effective marketing.

After spending two months within the hospital, you are very happy with your progress. You think you are capable of acquiring more patient base and expanding the hospital market. However, with a closer look, you notice that your patients are still hopping from one specialized hospital to another in search of various specialized treatments. You also notice that the seats are not comfortable in the waiting area, and the patients continuously show up for appointments on the wrong dates.

The nurses and the employees are not smiling during patient conversations. Everyone looks for ways to blame others for failures in the patient treatment process. Everyone seems to work alone and hide what they do from their colleagues.
At the end of the 3-month period, you must provide a report with your recommended strategies designed to help Caring Angel Hospital achieve its goals.
Note: You may create or make all necessary assumptions needed for the completion of this assignment.

Ageing population change our families and social trends

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Ageing population change our families and social trends

How will our ageing population change our families and social trends?Demographic trends, changes in family economic well-being, and family structures Apr 22, 2015 Eileen Crimmins

How will our ageing population change our families and social trends?

How will our aging population change our families and social trends?

1. Journal Entry 1

Firstly, watch video Demographic trends, changes in family economic well-being, and family structures Apr 22, 2015 Eileen Crimmins https://www.youtube.com/watch?v=fAObaU92VSE :

Secondly, How will our aging population change our families and social trends?

2. Journal Entry 2.

Firstly, Discuss effect of three landmark issues; The Defense of Marriage Act, United States v. Windsor (570 U.S. ___ 2013); and Obergefell v. Hodges

Secondly, Discuss the international legality of gay rights

3. Journal Entry
Using England’s research on “hooking up” discuss the advantages and disadvantages of hooking up.

Further, Discuss the effect of the sexual revolution of the 1960s.

Also, Discuss the benefits of marriage described in the text.

4. Journal Entry 4.
Answer and explain/discuss the four questions:

Firstly, How old are people today when they

Secondly,  How many babies are born to unmarried women?

How does the aging population affect society?

If the retirement age remains fixed, and the life expectancy increases, there will be relatively more people claiming pension benefits and fewer people working and paying income taxes. The fear is that it will require high tax rates on the current, shrinking workforce.
Further, What are the social economic and political implications of an aging population?
Economic implications. One key economic implication of an aging population is the strain on social insurance programs and pension systems. With a large increase in an aged people, many nations must raise their budget allocations for social security. The situation is also precarious for pensions.
How would an aged people impact health care?
Heart disease, stroke, and cancer have been the leading chronic conditions that have had the greatest impact on the aging population, especially in high-income countries. Lastly, Managing these chronic conditions, along with a patient’s level of disability, will increase the financial demands on our health care system.

 

 

 

Research on the Alzheimer’s Disease relation to its caregivers

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Research on the Alzheimer’s Disease relation to its caregivers

This is an assignment that focuses on the investigation of the Alzheimer’s Disease relation to its caregivers. The paper also analyzes various aspects on the caregiver side of view.

Investigation of the Alzheimer’s Disease relation to its caregivers

H‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ere is my literature introduction from last paper and the problem that ultimately led me to my research topic. In this literature review,

I aim to differentiate if men and women caregivers are impacted as it relates to caregiver burden and burns out while caring for loved ones suffering from Alzheimer’s Disease. I want to discover all the factors that contribute to whether men or women would be impacted more than the other as it relates to caregiver burden. Burden leads to burnout of the caregiver. Still, I want to find interventions in the literature, that are trying to address the impact that before the responsibility is too much to handle.

Problem Alzheimer’s disease is an ongoing epidemic in the aging population. It continues to be a prevalent problem as this population grows. The disease attacks the brain’s nerve cells, causing memory loss, behavioral changes, confusion, and deterioration of language skills. Alzheimer’s disease affects more than 5 million Americans, 65 and older. (Wennberg,2015). This disease not only causes problems with the carrier, but there is a significant impact that is associated with being the caregiver. Specifically an informal caregiver that may be being launched into this role unexpectedly. The role of an informal caregiver can be tasking, expensive, draining, and rewarding, but these factors can all occur at different stages.

Investigation of the Alzheimer’s Disease relation to its caregivers

In the past, many people have conducted research surrounding this disease. It should continue as many families continue to deal with the hardship of the care needed. This is in addition to support a loved one with Alzheimer’s disease. What information is available to help those in a position to cope with it, and should as a society. We should be concerned about the factors that attach to caregiver burnout. Caregiver burnout and burden are part of critical social issues as this could not only affect the care recipient, an aged person with significant cognitive decline, but it also affects the caregiver’s health.

The goal will be to conduct proper research to help find interventions for informal caregivers. This is to ensure the dignity and safety of both the caregiver and care recipient. My current research question is. How are the resources available to informal caregivers caring for loved one suffering Alzheimer’s dementia. Also, to help‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ combat burden and improve the overall quality of care provided to the care recipient?