Adjusting the Budget

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Exercise: Adjusting the Budget

Using the sample budget for the health information management service beginning on page 269 of the textbook, Follow the instructions in the Exercise:

Adjusting the Budget (on page 272-273 of the textbook). Respond to items 1, 2, and 3 in a written document. The items are provided below: 1. What would be the dollar impact if the 5% increase planned for January 1 were reduced to 3.5% and postponed until April 1? 2. As an alternative cost-saving strategy, determine the annual savings if all hourly staff were reduced from 40 to 37.5 hours as their standard workweek. Consider the top three staff—director, compliance specialist, and registries coordinator—as salaried and thus unaffected by the workweek change. 3. Determine the total dollar impact if both of the foregoing strategies were implemented together. Remember that the pay increase affects everyone, but the 37.5-hour week affects just the hourly staff. Points Possible: 30 (10 points per question) Text Book: “Management principles for health professionals 7th edition” By Joan Gratto Liebler & Charles R. McConnell

Affordable Care Act

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Affordable Care Act

 

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/0.5 Introduce your discussion in one (1) paragraph. The paragraph should end with a single-sentence thesis statement summarizing the purpose of the discussion. /3 Summarize one (1) section of the ACA that affects the population that you are preparing to care for. Include the name and number of the section associated with in your discussion. Discuss how the chosen portion of the ACA stands to affect (a) how you practice, and (b) the clients who seek your care. Support your conclusions with examples and current evidence. /3 Discuss how the selected ACA section is intended to improve (a) access to healthcare and (b) quality of care. /3.5 Discuss the economic and financial implications related to the selected ACA section. Use monetary and other pertinent data figures to support. /3 Use available evidence to analyze whether the ACA provision you chose is working or not working. Discuss your findings and support your conclusions with current research data. /3 How do APRN initiatives outlined in the ACA (eg, Medicare Graduate Nurse Education Demonstration, National Health Services Corps program, federally qualified health centers) (a) help the legislation achieve its intended goals and (b) promote the role of the APRN? Select at least one of these initiative to answer the posed question. Support your conclusions with current evidence. /0.5 Conclusion: Provide a single paragraph summary of the main points of the discussion. /2 Substantial cross posts to at least two (2) other students. Students should select ACA provision topics other than the topic selected for discussion in their initial post. The cross posts provide new or supplemental information to the original posting or raise additional areas for discussion. New or additional peer-reviewed references should be cited in both cross posts. /1.5 Students demonstrate active engagement in the discussion by responding to cross posts from their peers to their initial posting. References are not required for these responses. The key to this section is to demonstrate active engagement in the discussion through your interaction with your peers–watch for posts from your classmates and acknowledge their posting. *Note: if the student does not have peer cross posts for the initial posting, these points will be incorporated into the cross post section above

Health Promotion and Disease Prevention AND ASSESSING CONTEXT AND CULTURE

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Health Promotion and Disease Prevention AND ASSESSING CONTEXT AND CULTURE.

Retrieve TWO PEER-REVIEWED ARTICLES PERTAINING TO PSYCHOSOCIAL RESEARCH AND MY TOPIC OF ADULT PATIENTS LIVING WITH CHRONIC LOW BACK PAIN, DOES EDUCATIONAL SESSIONS ON OPIOIDS AND ADJUNCTIVE THERAPIES, COMPARED TO NON-EDUCATION, INCREASE ADHERENCE TO PAIN MANAGEMENT PLAN……..Critique each article, highlighting the strengths and the weaknesses of each article. Interpret the statistical analysis and significance of results.

Finally, analyze the feasibility of applying this evidence to MY topic OF ADULT PATIENTS LIVING WITH CHRONIC LOW BACK PAIN, DOES EDUCATIONAL SESSIONS ON OPIOIDS AND ADJUNCTIVE THERAPIES, COMPARED TO NON-EDUCATION, INCREASE ADHERENCE TO PAIN MANAGEMENT PLAN …………… Both articles should directly correlate Topics and Objectives of Healthy People 2020 (US Department of Health and Human Services, 2014) within your chosen topic. WRITE TWO PAGE APA FORMAT PAPER .

TWO REFERENCES FROM THE TWO PEER REVIEW ARTICLES AND THE ONE BELOW. Reference: US Department of Health and Human Services. (2014). 2020 topics & objectives – Objectives A–Z. Retrieved from http://www.healthy people.gov/2020/topicsobjectives2020/ ASSESSING CONTEXT AND CULTURE Kent and McCormack (2010) explore the importance of context and culture and their relationship to the implementation of evidence-based practice. After reading Developing Effective Research-Practice Partnerships for Creating a Culture of Evidence-Based Decision Making, describe and demonstrate how context and culture affect the implementation of evidence with your population or problem of interest.

ADULT PATIENTS LIVING WITH CHRONIC LOW BACK PAIN, DOES EDUCATIONAL SESSIONS ON OPIOIDS AND ADJUNCTIVE THERAPIES, COMPARED TO NON-EDUCATION, INCREASE ADHERENCE TO PAIN MANAGEMENT PLAN. Reference: WRITE ONE PAGE APA FORMAT PAPER . Riemer, M., Kelley, S., Casey, S., and Taylor Haynes, K. ( 2012). Developing effective research-practice partnerships for creating a culture of evidence-based decision making. Administration and Policy in Mental Health, 39(4), 248–257. doi: 10.1007/s10488-011-0368-6

Discuss violence the different types of violence and the relationship between violence trauma and mental health

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violence This assignment is in two parts: Part A: Discuss violence, the different types of violence, and the relationship between violence, trauma and mental health. Your discussion must include the incidence of IPV ( Intimate partner violence ) in Australia and the potential impacts of IPV on the mental health and wellbeing of individuals and families. (Approximately 1,200 words). Part B: Critically examine and discuss two mental health promotion approaches to prevent IPV. Your discussion needs to analyse the role of the nurse in one of these mental health promotion approaches. (Approximately 1,000 words).

Coronary artery disease

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Coronary artery disease is a common type of heart disease and the leading cause of death among both men and women in the United States. In this assignment, you will explore this disease in more detail using the scenario below. Scenario: One of your aging relatives is sedentary and smokes cigarettes. Out of concern for his health, you decide to research more about this disease. To complete this assignment, do the following: Research this disease using a minimum of 2 sources. In a minimum of 1 pages (not counting the references page), address the following: Explain how coronary artery disease develops in the human body. Describe the ways that your relative can prevent the onset of this disease. Explain what treatment options exist if steps to prevent the disease fail. Include a references page at the end of your document, formatted using the APA guidelines, that lists your research sources.

Compare the goals of patient care and summarize similarities and differences

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Compare the goals of patient care and summarize similarities and differences.Based on your knowledge about and personal experiences with the healthcare system rank all of them together from most important to least important and justify your reasons.

 

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Go to the internet and review the 2019 national patient safety goals for hospital

Acupuncture as an alternate method to treat chronic pain

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Acupuncture as an alternate method to treat chronic pain.

 

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Write a 6-page paper on “Acupuncture as an alternative method to treat chronic pain” this will be a paper of “Review Articles” or as a “digest” or summary of recent literature. I need a minimum 10 articles reviewed/referenced.

Health literacy Health Information and Information Technology

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Health literacy, Health Information, and, Information Technology Instructions: For this assignment, you will discuss the differences between information literacy and health literacy, and information technology skills. Give examples of each and describe the significance to the advanced practice nurse. Submission Instructions: • The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling. • The paper should be formatted per current APA and 4-5 pages in length, excluding the title, abstract and references page. • Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. • Complete and submit the assignment by 23:59 Sunday. • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.

Meaningful collaboration in health care leadership

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Resources: Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy, “If You Have To Fail — And You Do — Fail Forward” Create a 4- to 6-minute video about meaningful collaboration in health care leadership. The video should be part tutorial, part informative, and should be something you would share with your colleagues at an internal professional development session or a leadership conference. I would like to get some information to discuss part tutorial and part informative. Please separate tutorial info and informative info so I know what to discuss.

Pathophysiological processes of disease

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It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mrs. J., 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 Information Health History Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD. Subjective Data Is very anxious and asks whether she is going to die. Denies pain but says she feels like she cannot get enough air. Says her heart feels like it is “running away.” Reports that she is exhausted and cannot eat or drink by herself. Objective Data Height 175 cm; Weight 95.5kg. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. Intervention The following medications administered through drug therapy control her symptoms: IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Inhaled short-acting bronchodilator (ProAir HFA) Inhaled corticosteroid (Flovent HFA) Oxygen delivered at 2L/ NC Critical Thinking Essay In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following: Describe the clinical manifestations present in Mrs. J. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. 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.