Category: Healthcare

Using media advocacy helps us think about news media as a mechanism for informing citizens and pressuring decision makers rather than solely as a tool for getting information to consumers. 
Writing 800-1000 words, using APA format, citations and references as appropriate, select a recent health issue reported by the media and answer the following questions: 
What is this issue about? 
Does the message expand or narrow the constituency? 
Does the message promote a frame that favors your position, or does it default to a negative frame? 
Does it increase or decrease the salience of the issue? 
Does it assign responsibility to those that have the power to change the problem?

250 words for each discussion.
Week 4 Discussion 1: Maximizing Engagement With HIM Systems
Note: Remember to adhere to the requirements for weekly discussion posts and responses addressed in the School of Nursing and Health Sciences FEM.
Implementing HIM systems can be challenging for managers because staff members are not always open to change. However, the complexity of HIM systems requires training and ongoing support. The end users of HIM systems must buy into the change and be competent in system user functionality.
Discuss two or three specific challenges you foresee that managers may face in getting end users to accept and engage fully with new or upgraded HIM systems and comply with current regulations.
Week 4 Discussion 2: Creating Effective Communication Plans
Note: Remember to adhere to the requirements for weekly discussion posts and responses addressed in the School of Nursing and Health Sciences FEM.
As new HIM technology is implemented in an organization, an effective manager must be able to lead change and employ best practices in change management to ensure that staff members are willing to support and comply with the changes.
Discuss effective communication strategies and best practices for creating an effective communication plan. Be sure to include communication issues directly related to health informatics challenges.

Develop a training presentation that explains how specific leadership qualities and leadership models can be used to improve the management of employees at Winter Valley Hospital. Your presentation must be 4–8 slides in length, include speaker notes, and cite any references using APA format.
***  See scenario attached in files

Part 1 
Group roles (3)
Task completion(3)
Cooperation(4)
Conflict resolution (2)
Focus on task (1)
Part 2:
I’d consider myself time manager so we can work everything out as a group and to make sure we are working within the rubric of the project 
2The digital product about teenagers vaping and i reached out for help with a friend that animator so they guide me step to step and teaching me about animation so we can deliver the most creative with the help of my group about the transcript for the video
3)I think when we divided the work everyone chose the task they are best when i chose time management to remind everyone of the time making sure everyone is doing their work on the time before submission i was happy and turning in early relieved me and i think it was a stress until we turned everything in 
4)I think the best process we made that helped us as a group is meeting regularly from time to time online and at campus this is the best thing we made that helped us as a group to keep track and give each other comments and ideas suggestions and any points to make sure we are working as the rubric 
5)I think i could have done better if i had a look on the presentation double checking the presentation before turning in so we couldn’t have over lapping of ideas on the introduction we worked together and this is the best group i worked with this course as everyone cares for the final outcome . But if id change one thing is to start earlier so we could not be in stress . I think we did the best group working together and cooperation was the best think and we all reply to each other quickly in WhatsApp group. I think we could have done better to edit the slides more and to make sure we are not over lapping ideas 
6)

With the advancement of technology, healthcare, and societal demands, nursing practice has undergone a specific amount of change over time. The adoption of evidence-based practice and the focus on critical thinking abilities are two of the biggest changes in modern nursing.
Mixing the best available data with clinical knowledge, patient choices, and values is known as evidence-based practice. It is an organized method of clinical decision-making that guarantees nurses are giving their patients the best possible care. To make well-informed judgments about patient care, critical thinking in nursing involves having the ability to properly examine and evaluate information. To deliver safe and effective care, nurses need to evaluate complex circumstances, take into account a variety of viewpoints, and predict alternative outcomes. 
In the article “13 Famous Nurses Who Shaped the World of Nursing” Mary Breckinridge is one of the famous leaders. She established the Frontier Nursing Service (1925) intending to provide rural healthcare to remote Appalachian villages that lacked access to healthcare. She delivered essential antenatal and postpartum care by using nurse-midwives. Her strategy greatly improved access to healthcare in rural America and inspired similar programs, having a large national impact on rural healthcare.
A significant event in nursing history mentioned by “The bolton act: Frances Payne bolton school of nursing: Case western reserve university”  is the Nurse Training Act of 1943, also known as the Bolton Act, Due to a lack of nurses during World War II, it provided federal support for nursing schools. As a result, nursing programs were established all across the country, addressing pressing needs and establishing guidelines for training. Due to its expansion of schooling and improvement of professional standing, this legislation has had a considerable impact on modern nursing practice.

The Sunnyvale Care Clinic state of Alaska
List of the project objectives with a description.
List of project deliverables.
Patient visits by year graph.
Start-up costs
Pro Forma for a minimum of three years
Revenue
Gross revenue
Contractual adjustments
Net revenue
Operating Expenses
Salaries
List each position: Students should use actual average salaries for positions
Total Salaries
Benefits (Calculated at 30% of salaries)
Total Salaries & Benefits
Other expenses
Central sterile supply
Dietary
Depreciation hazardous waste disposal
Insurance
Maintenance/Housekeeping
Laundry/Linen
Miscellaneous (Define what is included in this category)
Office supplies
Rent
Repair of equipment
Staff development
Telephone
Utilities
Total Other
Total Expense
Net Income
Project Timeline 
Gantt Chart 
Critical Pathway 
Summary of project
Process for selecting site location.
Summary of the communication plan for the project.
Analysis of when the clinic has a positive net income (Net revenue – Total Expense). If the clinic does not have a positive net income, what recommendations would you make to decrease costs or increase revenue? Include specific rationale for the recommendations.

PATHOPHYSIOLOGY: 3 case study questions)
Utilizing the Case Study Template, provide your responses to the case study questions listed below.
You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
You must use the Clinical Practice Guideline (CPG) for the management of allergic rhinitis to answer the treatment recommendation questions. The guideline can be found at the following web address: https://journals.sagepub.com/doi/10.1177/0194599814561600.You may also use a medication administration reference such as Epocrates to provide medication names.
Proper APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.
Case Study Scenario 1
A 35-year-old woman presents to the primary care office with a history of nasal congestion that has worsened over time and recurrent sinus infections. She considered herself healthy until about 12 months ago when she began experiencing rhinorrhea, sneezing, and nasal stuffiness that ″seems to never go away″. She noticed that her rhinorrhea greatly improved when she attended her family reunion on a two-week Caribbean cruise but returned after being home a few days. She lives with her husband and 5- year-old child. They have two household pets: a dog that has lived with them for the last 4 years and a cat who joined the family 1 year ago. Upon exam, the NP observed eyelid redness and swelling, conjunctival swelling and erythema, allergic shiners (lower lid venous swelling), Allergic crease (lateral crease on the nose) and inflamed nares.
Case Study Questions
Pathophysiology & Clinical Findings of the Disease
Identify the correct hypersensitivity reaction.
Explain the pathophysiology associated with the chosen hypersensitivity reaction.
Identify at least three subjective findings from the case.
Identify at least three objective findings from the case.
Case Scenario 2
A 72-year-old male presents to the primary care office with shortness of breath, leg swelling, and fatigue. He reports that he stopped engaging in his daily walk with friends three weeks ago because of shortness of breath that became worse with activity. He decided to come to the office today because he is now propping up on at least 3 pillows at night to sleep. He tells the NP that he sometimes sleeps better in his recliner chair. PMH includes hypertension, hyperlipidemia and Type 2 diabetes.
Physical Exam:
BP 106/74 mmHg, Heart rate 110 beats per minute (bpm)
HEENT: Unremarkable
Lungs: Fine inspiratory crackles bilateral bases
Cardiac: S1 and S2 regular, rate and rhythm; presence of 3rd heart sound; jugular venous distention. Bilateral pretibial and ankle 2+pitting edema noted
ECG: Sinus rhythm at 110 bpm
Echocardiogram: decreased wall motion of the anterior wall of the heart and an ejection fraction of 25%
Diagnosis: Heart failure, secondary to silent MI
Discussion Questions
Differentiate between systolic and diastolic heart failure.
State whether the patient is in systolic or diastolic heart failure.
Explain the pathophysiology associated with each of the following symptoms: dyspnea on exertion, pitting edema, jugular vein distention, and orthopnea.
Explain the significance of the presence of a 3rd heart sound and ejection fraction of 25%.
Case Study Scenario 3 Utilizing the Case Study Template, provide your re. sponses to the case study questions listed below
Chief Complaint
A.C., is a 61-year old male with complaints of shortness of breath.
History of Present Illness
A.C. was seen in the emergency room 1 week ago for an acute onset of mid-sternal chest pain. The event was preceded with complaints of fatigue and increasing dyspnea for 3 months, for which he did not seek care. He was evaluated by cardiology and underwent a successful and uneventful angioplasty prior to discharge. Despite the intervention, the shortness of breath has not improved. Since starting cardiac rehabilitation, he feels that his breathlessness is worse. The cardiologist has requested that you, his primary care provider, evaluate him for further work-up. Prior to today, his last visit with your practice was 3 years ago when he was seen for acute bronchitis and smoking cessation counseling.
Past Medical History 
Hypertension 
Hyperlipidemia 
Atherosclerotic coronary artery disease
Smoker
Family History
Father deceased of acute coronary syndrome at age 65
Mother deceased of breast cancer at age 58. 
One sister, alive, who is a 5 year breast cancer survivor.
One son and one daughter with no significant medical history. 
Social History
35 pack-year smoking history; he has cut down to one cigarette at bedtime following his cardiac intervention. 
Denies alcohol or recreational drug use 
Real estate agent  
Allergies
No Known Drug Allergies 
Medications
Rosuvastatin 20 mg once daily by mouth 
Carvedilol 25 mg twice daily by mouth
Hydrochlorothiazide 12.5 mg once daily by mouth
Aspirin 81mg daily by mouth
Review of Systems
Constitutional: Denies fever, chills or weight loss. + Fatigue.
HEENT: Denies nasal congestion, rhinorrhea or sore throat.  
Chest: + dyspnea with exertion. Denies productive cough or wheezing. + Dry, nonproductive cough in the AM.
Heart: Denies chest pain, chest pressure or palpitations.
Lymph: Denies lymph node swelling.
General Physical Exam  
Constitutional: Alert and oriented male in no apparent distress.  
Vital Signs: BP-120/84, T-97.9 F, P-62, RR-22, SaO2: 93% 
Wt. 180 lbs., Ht. 5′9″
HEENT 
Eyes: Pupils equal, round and reactive to light and accommodation, normal conjunctiva. 
Ears: Tympanic membranes intact. 
Nose: Bilateral nasal turbinates without redness or swelling. Nares patent. 
Mouth: Oropharynx clear. No mouth lesions. Dentures well-fitting. Oral mucous membranes dry. 
Neck/Lymph Nodes 
Neck supple without JVD. 
No lymphadenopathy, masses or carotid bruits. 
Lungs 
Bilateral breath sounds clear throughout lung fields. + Bilaterally wheezes noted with forced exhalation along with a prolonged expiratory phase. No intercostal retractions.
Heart 
S1 and S2 regular rate and rhythm, no rubs or murmurs. 
Integumentary System 
Skin cool, pale and dry. Nail beds pink without clubbing.  
Chest X-Ray 
Lungs are hyper-inflated bilaterally with a flattened diaphragm. No effusions or infiltrates.
Important Info
The order was placed through a short procedure (customer skipped some order details).
Please clarify some paper details before starting to work on the order.
Type of paper and subject
Number of sources and formatting style
Type of service (writing, rewriting, etc)

: the issue I would like you to write about is stress
Identify one issue within the mind, body, health literature that we have studied in this course and that needs improvement in your life.  Write a 3–5-page paper (double-spaced) that includes the following headings and information:
Context – Provided a background of the issue as it relates to your own life. Be brief and provide examples to provide context. (1-2 paragraphs)
Assessment summary – Cite and complete at least 3 assessments
Two formal – from textbook and sites .edu, .gov,
One informal – cites like yahoo, Cosmo, etc. (they can all be formal if you can find them.
After finding and taking three assessments, summarize the results. (1- 2 paragraphs)
Solutions and strategies – Provide a description of 3-4 strategies or recommended solutions to address this issue. Use at least 2 websites and one other source to gather information about the problem and its recommended solutions. Cite your sources.
Action plan – Propose an action plan or personal intervention to begin managing this issue. Include any relaxation techniques practiced in class. (1-2 paragraphs)
Reflection – Begin to apply at least on strategy in your action plan and reflect on the progress, usefulness, and impact on the problem. (2-3 paragraphs)

The purpose of this assignment is to evaluate personal and professional accountability in the context of social media. Social media plays a significant role in modern society and is now a common tool used by individuals and organizations alike to evaluate a person’s values, authenticity, and reputation. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates for employment. Inappropriate or unprofessional conduct on social media can pose legal problems for nurses as well as damage public trust in nursing.
For this assignment, log-in to each social media platform for which you have an account. Review your profile and most recent activity including pictures and posts. If you do not have a social media account, access one of the following social media platforms in order to view the social media posts and activities of others: Facebook, Instagram, Twitter, YouTube, TikTok. Reflect on the information and content you and others post on a daily basis.
In 500-750 words, summarize your findings. Include the following in your summary:
Describe the posts, conversations, and images you evaluated.
Does the activity on social media appear to align with your personal values and the professional values of your discipline?
Would family, friends, and colleagues consider the posts, conversations, and images authentic and representative of who you are as unique individuals?
Does the activity on social media respect the human value and dignity of others as reflected in Christian values?
Discuss why nurses have a responsibility to uphold a standard of conduct consistent with professional values, regulatory requirements, and workplace policies in both personal and professional interactions. Include a discussion of how personal conduct can violate the Health Insurance Portability and Accountability Act (HIPAA) of 1996 or be considered unethical and unprofessional. Provide an example to support your answer.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Individual reflection about a group project 
Can you write that i did the digital product i will send you the digital product