Margaret is a 40-year-old white female in for her annual examination

Margaret is a 40-year-old white female in for her annual examination

Margaret is a 40-year-old white female in for her annual examination. She states she has been under increased stress in her life for the past few months. She and her husband are currently separated and considering divorce.

Margaret is a 40-year-old white female in for her annual examination

Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and also examples; demonstrates a clear connection to the readings
In your participation responses to your peers, comments must demonstrate thorough analysis of postings and extend meaningful discussion by building on previous postings.

Note: Review South University’s Substantive Participation Policy Criteria, Helpful Tips, ad Late Policy available by clicking on the South University Policy and Guidelines navigation tab. The late policy applies to late discussion question responses.

Discussion 1:

Margaret is a 40-year-old white female in for her annual examination. She states she has been under increased stress in her life for the past few months. She and her husband are currently separated and considering divorce. Her teenaged sons are acting out and she is working extra hours to make ends meet. Secondary to the increased stress she has started smoking again, “about a pack per day” and also states “I know that I am not eating right.”

Margaret has been on the “pill” for almost 20 years and has always liked the method. She states the she has heard that smoking and taking the pill are not good, and she is worry about that. “I really do not need birth control since I am separated but just in case I probably need something.” She states that she has been in a mutually monogamous relationship (as far as she knows) since her marriage 18 years ago. She denies a new partner since her separation.

Menarche was at 11 years, her cycles when on the pill are regular and very light. Her menstrual period should start tomorrow as she just finished her active pills. She denies a personal history of abnormal Pap smears, gynecological issues, hypertension (HTN), or diabetes. She is G2P2002, and also her pregnancies were full term and uncomplicated at ages 24 and 26. Family history is significant for both parents with HTN and mom has type 2 diabetes.

Her paternal grandfather died at age 64 years from type 2 diabetes, HTN, and also coronary artery disease. Her other grandparents died in their late 70s early 80s and she is unaware of any medical issues.

Assessment:

Margaret’s examination finds her height 5’5″, weight 172 lb (up 10 lb. from last year), current body mass index (BMI 28.6), and blood pressure (BP) 148/88. Head, eyes, ears, nose, and also throat (HEENT) are grossly within normal limits (WNL).

No thyromegaly or lymphadenopathy. Heart rate is regular and rhythm is without murmurs, thrills, or rubs. Lungs are clear to auscultation in all lobes. Breasts are without masses, nipple discharge, asymmetry, or lymphadenopathy; self breast examination techniques and frequency reviewed during examination.

Abdomen is soft, nontender, with no masses or hepatosplenomegaly; bowel sounds present in all four quadrants. Pelvic examination reveals normal vulva and negative Bartholin’s and Skene’s glands; vagina is pink, rugated, with minimal white nonodorous discharge; cervix is pink, multiparous os.

Pap smear collected during speculum examination was normal. Bimanual examination reveals a retoverted, firm, mobile, nonenlarged, nontender uterus with negative cervical motion tenderness; adnexa nontender; and also ovaries palpable bilaterally, mobile, without masses. Lower extremities were without edema or varicosities.

Firstly, what options are appropriate for this patient?

Secondly, what contraceptive options are contraindicate d?

Thirdly, what type of patient education is indicate d?

Finally, given that she has a normal pelvic exam, does that change would that influence your decision?

Documenting a Patient Phone Call for a Electronic Health Record

Documenting a Patient Phone Call for a Electronic Health Record

This is a paper that focuses on Documenting a Patient Phone Call for a Electronic Health Record. The paper also provides framework on writing the report for the system.

Documenting a Patient Phone Call for a Electronic Health Record

Learning objectives
Firstly, demonstrate professional transcription skills when documenting in an Electronic Health Record (EHR).
Secondly, document accurately in the patient record.*
Structure, Organize, and Prioritize interview data into a professional note in the patient’s electronic health record.
Thirdly, analyze communications in providing appropriate responses/feedback.*
Then, advocate on behalf of patients.*
Fourthly, apply current knowledge of electronic health records and appropriate, accurate documentation.
Lastly, demonstrate telephone techniques* (if completed in lab setting).

*Directly maps to MAERB educational competencies.

Student instructions
1.     If you have questions about this activity, please contact your instructor for assistance.
2.     You will review the chart of Alec Allard to complete this activity. Additionally, your instructor has provided you with a link to the Documenting a Patient Phone Call activity. Click on 2: Launch EHR to review the patient chart and begin this activity.

However, refer to the patient chart and any suggested resources to complete this activity.
You will complete documentation in EHR Go as instructed below. Subsequently, when you complete this activity, you will download your Progress Report in EHR Go under 3: Download Work, save the Progress Report to your device, and then upload the Progress Report to your Learning Management System (LMS).

The activity

Firstly, launch the EHR and review Alec Allard’s EHR, specifically in the Notes, Vitals, and Orders Tabs. Then read through the telephone call transcript in this document.

In the EHR, go to the Notes tab and click on the New button in the bottom right of the screen. Select the Free Text Note template. For date and time, click into the box to change the date to tomorrow and the time to 0900. Leave yourself as the author and choose the Central Clinic as the location.

See below for an example of the correct selections in the Note Choice box.

Signature assignment chronic health problem – Hypertension

Signature assignment chronic health problem – Hypertension

This is an assignment that focuses on the topic Signature assignment chronic health problem-Hypertension. The paper also discusses the similarities of two EBP.

Signature assignment chronic health problem-Hypertension

G‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍uidelines:

Firstly, select a patient that you have encountered in your clinical practice with a chronic health problem. Interview the client/family members. Include the following information Setting: Community clinic, Private practice, Skilled nursing facility, Home health Clinical information: Chief complaint, HPI, PMH, PSH, FH, ROS, PE, Diagnostic Testing, Medical Decision Making, Diagnosis/Clinical Impression, Plan/Interventions, Recommendations, Education, Health promotion Ask your client/family members on areas of: Dependency with families/support systems Self-care management Adaptation/adjustment to the illness Social Isolation Body Image Cultural, racial, ethnicity, and spirituality Influences Functional Limitations Quality of Life Adherence to regimen Community Services or support Sexuality Communication Literacy Financial support Use of Research Findings and other evidence in Clinical Decision Making Choose 2 EBP resources influencing the care provided to your client. Discuss the similarities and diff‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍erences that you read for those two EBP peer reviewed articles.

Secondly, submit scholarly paper, with writing style at the graduate level, including all of the following: Reviews topic and explains rationale for its selection in the context of client care. Evaluates key concepts related to the topic. Describes multiple viewpoints if this is a controversial issue or one for which there are no clear guidelines. Assesses the merit of evidence found on this topic i.e. soundness of research Evaluates current EBM guidelines, if available. Or, recommends what these guidelines should be based on available research. Also, discuss the Standardized Procedure for this diagnosis. Discusses how the evidence did impact/would impact practice. What should be done differently based on the knowledge gained? Lastly, consider cultural, spiritual, and socioeconomic issues as applicable. This paper should be in APA Format, including citations and references Research: citations.

Client’s target heart rate using the Karvonen formula

Client’s target heart rate using the Karvonen formula

This is an assignment that focuses on the topic Calculate the client’s target heart rate using the Karvonen formula. The paper also provides a case study that is related to the topic.

Calculate the client’s target heart rate using the Karvonen formula

Calculate the client’s target heart rate using the Karvonen formula
T‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍his section of your final exam provides you with an opportunity to apply all of the information you have learned throughout the course to the work that you will be doing as a certified professional. You will be presented with two client profiles, and will be asked to design a 12-week periodized program for each client. In addition to describing the logistics of the program, you will also be asked to explain why you have designed the program the way that you have. Approach these clients as you would approach a real-life situation. Your client should be able to take your program and put it into practice without having to contact you for explanation of what to do or why to do it. Before you finalize your submission, make sure your program passes the following tests:

1. Firstly, is the training program that you are designing appropriate, safe, and effective for the client, given the client’s physical abilities and primary goals?

2. Secondly, could you defend your program from a legal standpoint? Who would be held liable if your client was injured during training because of either lifting too much weight or exceeding a certain heart rate?

3. Is your program justifiable from a business standpoint? Are you professional with your current clients? Would they refer their friends, family, or colleagues to you based on the guidance that you provide in your program design?

4. Imagine that YOU are the paying client. Would you feel that your money was well spent if you were handed the training program/dietary recommendations?

Case Study 1 Calculations:

Calculate the client’s target heart rate using the Karvonen formula. Training Program: Design a full 12-week periodized training program for the client described in the Client Profile. Be very specific as you design the training program. This is an opportunity for you to demonstrate your full comprehension of the information and concepts discussed throughout the course. List the types of exercise, duration, sets, reps, rest intervals, and so on. Include the following in your case study submission:

A description of your professional responsibilities as discussed in the stages of the drawing-in process (Unit 12) Discussion of any fitness tests, methods of evaluation, and data collection used to assess. Also, evaluate the client’s needs. Specific conditions that you ha‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ve identified in the client profile. A fully detailed 12-week comprehensive and periodized training program including specific exercises, sets, repetitions, suggested rest times, etc. Use an integrated approach in your program recommendations. Specific and detailed nutritional strategies and an explanation as to how the strategies will assist the client in meeting energy needs. Explanation for your chosen assessment, programming, and nutritional recommendations.

Calculate the client’s target heart rate using the Karvonen formula

(Be sure to reference course concepts when discussing rationale for your recommendations. Keep in mind that a client should be able to take your program and put it into practice without having to contact you to clarify what you intended by your recommendations or to explain parts of your program. Don’t forget your explanation for WHY you listed and recommended what you did. Reference the concepts and theories covered in the course.

For example: if you are developing a program for a beginner client without any resistance training experience, explain how your program addresses the lack of experience. Additionally, initial need for foundational development, process by which you would safely progress the client, etc. Tying your program to course concepts is a critical component of your case study. Lastly, review the Client Profile below. Client Profile: Jamie Summers Age: 53 Gender: Female Resting Heart Rate: 90 bpm Height: 5’5″ Weight: 165 lb Body Fat Percentage: 35%

Background and Goals: Jamie is a working mother of three teenagers. She has not been consistently active for many years. Also, she was recently diagnosed with high blood pressure. This is likely caused by her high-stress corporate job and physical inactivity. She also has an affinity for processed and sugary foods.

Investigation of a problem related to a PICOT question SOAP NOTE

Investigation of a problem related to a PICOT question SOAP NOTE

This is an assignment that discusses the Investigation of a problem related to a PICOT question. The paper also involves creation of a power point for presentation.

Investigation of a problem related to a PICOT question

A‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ssignment Criteria:

Develop a PowerPoint presentation that includes the following criteria:

1. Firstly, describe the problem related to the PICOT question.

2. Secondly, state the PICOT question and describe the components

3. Describe the intervention.

4. Summarize the evidence that supports the intervention.

5. Provide a brief summary of the pilot project.

6. Lastly, discuss the implementation process for the intervention and include a timeline. 7. Describe how the intervention will be evaluated. Include measurement tools and a timeline. 8. Consequently, explain the implications of the intervention on practice and the science of nursing. 9. Once the PPT is created,

Presentation

For presentation clarification, include presenter’s notes in the click to add section to explain the slide.The PowerPoint presentation should not be more than 10-12 slides and 10-12 minutes in length. Additionally, be complete and concise. Use bulleted statements not complete sentences or paragraphs. 12. Use APA format for PPT, which always includes a title slide, a reference slide, and APA requirements. Resources found in APA Documents/Resources. 13. A minimum of four (4) references will also be required for this assignment. References should be from scholarly peer-reviewed journals (check Ulrich’s Periodical Directory) and be less than five (5) ye‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ars old. Include the following slides: • Slide 1: Title-develop a title slide. This should include the title of the presentation, student name, and the university name. Use APA format (does not need to be in Times New Roman for a PPT).

Slide 2: Purpose of presentation-verbiage is in the assignment instructions above. • Slide 3: Describe the problem related to the PICOT question. (Describe the problem identified and the need within the organization. Convince the audience that this is a problem that requires attention). • Slide 4: State the PICOT question and explain each of the components • Slide 5: Describe the intervention • Slide 6: Summarize the evidence that supports the intervention. However, convince the audience that the review of the literature was diligent and thorough in the search for the best evidence available on the clinical practice-based problem/topic.

Slides

Slide 7: Describe the pilot project • Slide 8: Discuss the implementation process of intervention and include a timeline • Slide 9: Explain the evaluation process and include measurement tools and a timeline • Slide 10: Conclusion: Include a summary of the main points covered and the importance of implementing the intervention. • Slide 11: Lastly, put references in APA format (please include in-text citations on the slides). Reference‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ should be in APA format

Reducing Re-admission post hosptalization

Reducing Re-admission post hosptalization

Reducing Re-admission post hosptalization Choose a nursing issue that impacts your practice. The nursing issue may involve a structure, process, or outcome. Examples might include an increased number of patient falls, long wait times in the Emergency Department, high staff turnover, and poor medication compliance in an outpatient setting • Review the literature (including a minimum of eight peer-reviewed articles published within the last five years) related to the nursing issue • Your team is in charge of establishing a committee to address this issue • Establish membership of your committee including which disciplines should be represented and what individual responsibilities are • Provide goals and objectives for your committee • Provide a timeline for expected resolution of the issue and dissolution of committee • Provide guidelines for communication among committee members, including resolution of conflict • Describe how you will implement your evidence-based solution to the issue, addressing and measuring the effectiveness of your model • You are expected to interview nursing and other healthcare leaders and their facility to help develop their committee • You are also expected to attend interdisciplinary or interprofessional Development of team Membership Duties and responsibilities of team members Committee goals and objectives Timeline

Alternative Pain Management on a Medical Surgical Unit

Alternative Pain Management on a Medical Surgical Unit

Project #5: Implementation Plan Instructions This assignment requires that you adapt the analysis done for Projects #1 – 4 to a new environment. Use your prior work, i.e. the recommendation memo and network diagram, to develop a high-level plan for implementing an infrastructure that includes the required controls, changes, etc. to mitigate vulnerabilities and convergence issues in the second case study’s environment. You may need to do additional analysis to address issues specific to the second case study’s environment. Your high-level plan should include all the system development life cycle (SDLC) gates/decision points and all relevant tasks. Describe and relate the implementation solution to CIA and incorporate, people, processes and technology to this plan. Note: Make sure that you include (in detail) the steps you would take to secure the new infrastructure. Putting It All Together Your plan will be a combination of a paper and a detailed list of steps and resources that you would follow to implement and complete this project. Think about all of the actions, resources, and tasks that you would need in order to effect a successful implementation. These should also be included as part of the plan. The minimum structure for this assignment is below: • INTRODUCTION o Purpose of Plan • GOALS AND OBJECTIVES o Business Goals and Objectives o Project Goals and Objectives • SCOPE o Scope Definition o Items Beyond Scope • PROJECTED EXPENSES o System Development Life Cycle/Schedule o Milestones • ASSUMPTIONS o Project Assumptions • CONSTRAINTS o Project Constraints o Critical Project Barriers Additional Information 1. Consult the grading rubric for specific content and formatting requirements for this assignment. 2. Your 5 – 8 page Implementation Plan should be professional in appearance with consistent use of fonts, font sizes, margins, etc. You should use headings and page breaks to organize your paper. 3. Your paper should use standard terms and definitions for cybersecurity. See Course Content > Cybersecurity Concepts Review for recommended resources. 4. The CSIA program recommends that you follow standard APA formatting since this will give you a document that meets the “professional appearance” requirements. APA formatting guidelines and examples are found under Course Resources > APA Resources. An APA template file (MS Word format) has also been provided for your use CSIA_Basic_Paper_Template(APA_6ed,Nov2014).docx. 5. You must include a cover page with the assignment title, your name, and the due date. Your reference list must be on a separate page at the end of your file. These pages do not count towards the assignment’s page count. 6. You are expected to write grammatically correct English in every assignment that you submit for grading. Do not turn in any work without (a) using spell check, (b) using grammar check, (c) verifying that your punctuation is correct and (d) reviewing your work for correct word usage and correctly structured sentences and paragraphs. 7. You are expected to credit your sources using in-text citations and reference list entries. Both your citations and your reference list entries must follow a consistent citation style (APA, MLA, etc.)

Temporomandibular joint disease

Temporomandibular joint disease

For the assignment, you will write a case study about temporomandibular joint disease using words and abbreviations from the course, as well as other words as needed. You will be able to select a disease of interest from a list that I will provide. A format for the case will be provided, and you will need to include a list of references from quality websites or books. I have given you a list of NIH websites to get you started in the right direction. Make sure to have 3-8 citations. NO PLAGIARISM Links to NIH Institues The NIH has various institutes that cover human diseases of interest. It is excellent quality information. To get background information for your case, select the appropriate institute. Then pick your disease off their list. Use the webpage as a citation. NIH National Cancer Institute http://www.cancer.gov/types NIH National Eye Institute https://nei.nih.gov/health NIH National Heart Lung and Blood Institute http://www.nhlbi.nih.gov/health/health-topics/by-alpha/ NIH National Institute of Allergy and Infectious Diseases https://www.niaid.nih.gov/diseases-conditions/infectious-diseases NIH National Institute of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov/Health_Info/default.asp NIH National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov/health-information/health-topics/Pages/default.aspx NIH National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/disorders/disorder_index.htm NIH homepage https://www.nih.gov/institutes-nih/list-nih-institutes-centers-offices

Use of Clinical Systems to Improve Outcomes and Efficiencies

Use of Clinical Systems to Improve Outcomes and Efficiencies

Netflix Case Study  his case paper is different than other papers that you may have written in that your paper will not only be read by me, but also by other members of the class. With this in mind, you will want to make the paper as engaging and interesting as possible so as not to bore your classmates. Some strategies to do this would be to pick a company that others in the class may not have heard about or to present an interesting business problem that a company may encounter. I will grade your paper based on the following three criteria: Interestingness: Is your paper engaging and is it written with the audience’s interests (the class and me) in mind? Does your paper include the appropriate marketing terminology that is presented in the textbook? Writing Style: see writing rubric below. A successful paper is usually at least four pages (1.5spaced). Some possible topics could include: A company that successfully balances corporate social responsibility and profit. A company that has used outstanding marketing practices to reinvigorate the firm and increase profitability by creating a competitive advantage in the marketplace. A domestic firm (or organization) that has successfully entered the international marketplace. A new firm (<10 years old) with extraordinary growth and marketplace success. Things that you may want to include in your paper are: (although you are free to deviate and choose a format that you feel is more interesting for the class). A situation analysis with product/service description and SWOT analysis. A description of the firm’s marketing activities that include target market selection, product positioning strategy, and the important elements of distribution, promotion and pricing. A discussion of how the firm satisfies the needs of its customers and what elements about the company makes them extraordinary. Have they been able to create a sustainable competitive advantage? A note about writing: Excellent writing abilities are imperative to success in business and this is a skill that you can expect to improve during this course. This is a graduate level course and I expect graduate level accomplishment in writing. I will grade not only on your mastery of the content, but I also expect the correct use of grammar, spelling and business terminology. I will also expect you to have a polished writing style. If you know your writing is weak, then consider having a friend proofread your paper and/or contact the Academic Support Center for an appointment, http://www.uww.edu/acadsupport/tutorial/ — This is a free service provided by the University.

Stress in the Healthcare Workplace Nurse Burnout

Stress in the Healthcare Workplace Nurse Burnout

Description

Stress is a common phenomenon in healthcare. Write about stress in healthcare and the impact it can have on employees, organizational performance, the delivery of patient care, etc. Identify and describe the different kinds of stress that can occur. Discuss why stress in a healthcare environment may be more of a pressing issue as compared to other industries (be sure to address factors, such as, professional hierarchy, personalities, ethnicity, gender, etc.). Describe if / how employee burnout (due to stress) is impacting the delivery of care. Once you have written about stress in the workplace, identify some best practices to alleviate the negative effects of stress in the workplace. How should managers behave so that employees experience less stress on the job? Ground all your work in existing theory. What strategies can the organization use so that the employees experience less stress on the job? This write-up has to be supported by current facts and literature. Possible Deliverables • What does the healthcare environment look like currently? • Why is stress more prevalent in healthcare? What impact can it have on an organization, employees, and patients. • Define stress – when is it good and when is it bad? • What can administrators do to address employee stress? What can employees do to better manage stress? • Using established theories to describe stress in a healthcare environment