MSN 5550 CASE STUDY

 Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed.  

Please check for  plagiarism and AI(artificial intelligence).The work must be in your own words.The last case study my score was too low due to high percent in AI.

Attached you can find the case study.

7

 The patient is a 71-year-old widowed man who is seen regularly in the clinic for health maintenance and follow-up of his chronic insomnia and anxiety. He has regular prescriptions for triazolam (Halcion) and clonazepam (Klonopin) for these problems. Recently he has been reporting frequent episodes of losing his balance and falling, and eight weeks ago was hospitalized for a hip fracture sustained during one of these falls resulting in hip surgery. On this visit, he also complains of becoming increasingly confused. 

Reading Between the Lines: Emotions

 

Edit your plan based on any instructor or collegial feedback from Week 4. Proof and finalize the plan. It should include the following information:

  • Company synopsis: This is a snapshot of the company, what it sells, and the number of employees.
  • Management’s philosophy on employee communication: An example of a management philosophy could be that any important communication about the company’s activities are shared internally before being shared externally on the Internet or in a news release.
  • Goals of the communication plan: One possible goal could be to help employees be more productive by establishing a clear and effective employee communication plan. The plan can be viewed as an organizational diagnostic that provides employees with consistent, accurate, and regular information about the company’s business goals and objectives.
  • Target audience characteristics: The plan should take into account cultural, gender, and linguistic differences to help employees understand the goals of the organization.
  • Communication tools: These can include various deliverables, including e-mails, newsletters, e-blasts, brochures, reports, conferences, employee meetings, and more.
  • Communication channels: Communication channels include internal and external Web sites, public relations venues, visits or speeches from management, and more.

This week, add the following sections to your final plan:

  • Review the evaluation methods for your plan. How will you communicate results to management on a regular basis? Consider a monthly report, management briefings, updates, and a yearly summary for board presentations.
  • Describe how you plan to deal with the negative emotions (from employees or other audience groups) that often accompany bad news or other information.

Finally, prepare the opening of the oral presentation that will describe your completed plan to management.

Presentation Notes

In your presentation notes, add 1 strategy for each of the following:

  • Reading the emotions of management: What to look for and how to respond
  • Dealing with any negative responses or emotions to the plan: Ways to resolve any possible conflict in the meeting
  • Finding approval for the plan: Continuing the meeting by moving past any negative emotions (resulting in a win-win for everyone involved)

Add your presentation notes to the end of the plan.

Provide 5–6 sources other than your textbook to support your answer. Use APA style for citations.

The materials found in the MUSE may help you with this assignment such as the presentation Emotions in Communication

Renal

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. 

Renal Failure

Patient Profile:

J.M. is a 37-year-old woman transferred to a large medical center from a small rural hospital for further evaluation of lower abdominal pain, nausea, vomiting, and progressive deterioration of urinary output.

Subjective Data:

-Long history of ETOH Abuse with a drinking binge two days ago

-Arthritis with heavy use of ibuprofen

-HTN for three years, treated with hydrochlorothiazide and a calcium channel blocker

-Borderline NIDDM for three years, does not want to take medications and has been trying

to lose weight and “watch her sugar intake.”

Objective Data:

B/P: 160/110 K: 6.3 mEq/L Urinary output: <15ml/hr Na: 149 mEq/L Lethargic Hgb A1C: 9.2%

Creatinine: 9.6 mg/dL BUN: 121 mg/dL

CRITICAL THINKING QUESTIONS…

1. Address how the various factors in her past medical history could have contributed to her present renal problem.

2. Is her acute renal failure likely to be prerenal, intrarenal, postrenal, or a combination? Why?

3. Discuss each of the laboratory values and how they reflect the pathophysiology that occurs in renal failure. What is the significance of her Hgb A1C level?

4. What are the specific priorities of treatment for J.M.?

5. Explain the types of dialysis available, their indications, and their advantages/ disadvantages. What type of dialysis will most likely be used for J.M?

6. After two weeks of intensive support and dialysis, J.M’s urinary output returns. Explain the diuretic phase of recovery in Acute Renal Failure, and what complications can occur.

7. Do you think she needs intervention for her diabetes? What guidelines did you consult? How would you start in treating a patient with newly diagnosed Type 2 diabetes? Which medication(s) might you want to start first? What patient education issues would you emphasize in the initial period?

MENTAL HEALTH DISCUSION

 Michelle, a 21-year-old female, has been admitted informally to an acute mental health unit this is her first admission.  

Hum Ecology & Environment w1

Hum Ecology & Environment week 1 discussion.

Instructions

Pick any one question and respond in an original discussion post by midnight, Day 4 of Week 1.

After the initial post, you must provide substantive responses to 
at least 2 of your classmates’ posts and remain 
active on at least 2 additional days during Week 1.

There are 2 parts to this week’s discussion forum – Answer both parts in the same post.

First:

Introduce yourself to your peers. State how far along you are in the program, where you work, your future goals, and any experiences you would like to share. Brief info about me so you can develop a brief introduction: (Heidi Lugo, I’ll be graduating in March 2024, I work at Mercy Hospital in 7c med-surgical floor, goals (become a nurse practitioner))

Next, pick 
one of the two questions and answer.

1. How would you explain climate change to someone? What aspects would you include, and why? Next, how does climate change intersect with race and gender in its impact on people's health? Support your post with data. Lastly, can you think of areas impacted by climate change that the unit did not cover? How can nurses help in addressing this environmental concern? (USLOs 1.1, 1.2, 1.3, 1.4)

OR

2. Pick two recent events in the past five years that you think are climate-change-related and describe them briefly. Next, discuss why you consider them as environmental concerns. What measures could be taken at individual and institutional levels to prevent such events from occurring again? And how can nurses advocate for addressing this ecological concern? (USLOs 1.1, 1.2)

 

Each week, your discussion will be graded on a point scale. To successfully complete each weekly discussion assignment, you will need to address all items included in the discussion topic/question 
thoroughly.

Your input should be in your own words (to avoid plagiarism), demonstrating your understanding and comprehension of the topic. Be sure to support all your posts (initial post + responses) with specific references to the assigned readings, lecture material, and other relevant research you find appropriate in APA format.

Discussion

Discussion

Purpose

The final week will focus on Global Policy Reform and its impact on patient care.  Students read the Berwick article and respond to the required discussions.  In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses.

Requirements

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. 
Journal of American Medical Association, 320(13), 1317-1318. 

Read the Berwick article and reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Reflections should include the following: 

1. How to make informed decisions on nursing practice and patient outcomes on a global basis.  In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.   

2. Describe how one will apply content from NR506NP to the upcoming clinical courses.

2nd Discussion post

 

All students are expected to contribute meaningful discussion related to the discussion topic of cultural diversity.  The term “cultural diversity” can also refer to having different cultures respect each other’s differences. Please answer and discuss the following questions.

  • What is culturally sensitive nursing care?
  • How do you assess culture in nursing?
  • How can nurses improve/nurture diversity?

On-line etiquette and respect is expected! Plagiarism will not be tolerated. The student must document the use of sources per APA 7th edition guidelines. See Discussion Rubric under DQ content tab for grading requirements. I have also attached a link with the Rubric directly in the discussion question. 

1 Initial post due: 11/3/23 9:00pm 

  • Initial post 300 word minimum; 2 scholarly reference minimum within 5 yrs

2 Peer responses due: 11/17/23 9:00pm

  • 2 Peer responses 100 word minimum; 1 scholarly reference minimum within 5 years

Response

  

Respond to this DB using APA and include at least 2 scholarly references.

. Competing Needs in Healthcare Policy Development: Addressing the National Healthcare Issue of Rising Costs

         The United States faces a critical challenge in the form of escalating healthcare costs, which have profound implications for care delivery and patient outcomes. Crafting effective healthcare policies to address these rising costs is a complex process influenced by various competing needs, including those of the workforce, available resources, and patients. 

                                                    Competing Needs in Healthcare Policy Development

         The development of healthcare policy is a multifaceted process that requires the careful consideration of various competing needs, primarily concerning three key stakeholders: the healthcare workforce, available resources, and patients.

The Workforce

         A primary concern in healthcare policy development is the well-being and satisfaction of the healthcare workforce. Nurses, physicians, and other healthcare professionals are essential for delivering quality care. Policies that fail to address the workforce’s needs can lead to burnout, decreased job satisfaction, and, ultimately, a shortage of healthcare providers (Milliken, 2018).

Resources

         Another critical factor in healthcare policy development is the allocation of resources. These resources encompass financial budgets, medical equipment, hospital facilities, and research funding. Competing needs emerge when policymakers must strike a balance in resource allocation between different healthcare sectors, such as primary care, specialty care, and mental health services.

Patients

        The ultimate goal of healthcare policy is to improve patient outcomes and ensure equitable access to care. Policies that do not prioritize patient needs can result in disparities in healthcare access and quality. Patients require affordable care, timely access to services, and assurance of their safety and well-being (American Nurses Association, 2015).

                                              Impacts of Competing Needs on Rising Healthcare Costs

         Rising healthcare costs pose a significant national healthcare issue that is profoundly influenced by the following competing needs discussed below.

Workforce Needs

         Healthcare professionals are indispensable for care delivery. However, addressing the workforce’s needs, such as fair compensation, manageable workloads, and a supportive work environment, often necessitates increased spending. This can directly contribute to rising healthcare costs as salaries and benefits for healthcare workers constitute a substantial portion of healthcare expenditures (Kelly & Porr, 2018). For example specialized settings like psychiatric hospitals, attracting and retaining mental health professionals is challenging due to the demanding nature of the work. To meet the workforce’s needs, policymakers may need to allocate additional funds for competitive salaries and mental health support programs.

Resource Allocation

         Effective resource allocation is crucial for managing rising healthcare costs. When resources are thinly spread across various healthcare sectors, inefficiencies, care delays, and increased costs can result. For instance, underinvestment in preventive care and community-based services can lead to higher costs associated with treating preventable chronic conditions for example, to address the escalating costs of psychiatric hospitals, policymakers may need to allocate resources for community mental health programs and early intervention services. This can help prevent hospitalizations and reduce the overall financial burden on the healthcare system.

Patient-Centered Care

         Policies that do not adequately prioritize patients’ needs can exacerbate healthcare costs. Patients who lack access to affordable care may delay seeking treatment, leading to more severe health issues and increased long-term costs. Furthermore, a lack of emphasis on preventive care can result in higher expenses associated with treating advanced illnesses for example, to address rising costs and ensure patient-centered care, policymakers may need to implement policies that expand access to affordable healthcare, including mental health services. This could involve subsidizing insurance premiums or increasing the availability of Medicaid programs.

                                                                   Addressing Competing Needs through Policy

         Effectively addressing the national healthcare issue of rising costs while considering the competing needs of the workforce, resources, and patients necessitates the implementation of several targeted strategies.

Workforce Support

         Policymakers should prioritize workforce needs by ensuring fair compensation, manageable workloads, and access to mental health support programs. This can help reduce turnover, enhance job satisfaction, and ultimately contribute to cost containment.

Resource Optimization

         Resource allocation should be evidence-based, maximizing efficiency and cost-effectiveness. This may involve investing in preventive care, telemedicine, and outpatient services to reduce the need for costly hospitalizations.

Patient-Centered Reforms

         Healthcare policies should prioritize patient needs, including affordability, accessibility, and safety. Expanding coverage options, implementing price transparency, and promoting preventive care can help reduce overall healthcare costs and enhance patient outcomes.

Interdisciplinary Collaboration

         Collaboration between healthcare professionals, policymakers, and healthcare administrators is essential. Interdisciplinary teams can develop and implement policies that effectively balance competing needs, drawing on diverse perspectives to find innovative solutions.

         Regular Review and Adjustment: Healthcare policies should remain dynamic and subject to regular review and adjustment. This allows policymakers to adapt to changing healthcare landscapes and emerging challenges while continuously optimizing resource allocation.

                                                                                                  Conclusion

         The development of healthcare policy is a multifaceted process influenced by competing needs, including those of the workforce, resources, and patients. Rising healthcare costs present a significant national healthcare issue, and addressing these competing needs is crucial to finding sustainable solutions. Ethical considerations, as outlined in the American Nurses Association’s Code of Ethics, play a pivotal role in ensuring that policies prioritize patient well-being, equitable access to care, and the support of healthcare professionals. By strategically balancing these competing needs and implementing targeted policy reforms, the healthcare system can work toward containing rising costs while delivering high-quality, patient-centered care.

                                                                                                   References

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. https://www.nursingworld.org/coe-Links to an external site. 

               view-only

Berwick, D. M., & Hackbarth, A. D. (2012). Eliminating waste in US health care. JAMA, 307(14), 1513-1516.     

              doi:10.1001/jama.2012.362

Cutler, D. M., & Sahni, N. R. (2013). If slow rate of health care spending growth persists, projections may be off by $770 billion.

               Health Affairs, 32(5), 841-850. doi:10.1377/hlthaff.2012.1258

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. Online   

               Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06.

Milliken, A. (2018). Ethical awareness: What it is and why it matters. Online Journal of Issues in Nursing, 23(1), Manuscript 1.

               doi:10.3912/OJIN.Vol23No01Man01.

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STRATEGIES FOR ACADEMIC PORTFOLIOS

To Prepare:

  • Reflect on strategies that you can pursue in developing portfolios or portfolio elements that focus on academic achievements.
  • Review one or more samples from your own research of resources focused on portfolio development.

BY DAY 3

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

A little about me: I am a behavioral health nurse with 6 years of experience, currently completing my masters in psychiatry nursing