Appraise an organizational strategic plan, develop a departmental strategic plan, and propose a quality improvement initiative

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You will appraise an organizational strategic plan, develop a departmental strategic plan, and propose a quality improvement initiative, respectively. The choice of health care setting as the context for this work is up to you. You may choose the organization in which you currently work, an organization in which you worked previously, or an organization about which you would like to learn more. You will use this health care organization, and a department or division within the organization, as the basis for the remaining assessments in this course.


Use the following section headings to ensure thorough content coverage and flow.
Strategic Plan Analysis.
Validity of Data and Analytical Strategies.
Stakeholder Input.
Balanced Scorecard Perspective.

Analyze an organization’s strategic plan.
Approach your analysis from a systems perspective.
What priorities appear to take precedence?
How well do the priorities align with the mission and vision of the organization?
Evaluate the validity of data and analytical strategies used to develop organizational priorities.
What data was most likely used to develop key performance indicators (KPIs)?
For example patient satisfaction data, 30-day readmission data, other internal performance indicators or external regulatory measures.
What was the source of the data?
For example Centers for Medicare and Medicaid Services (CMS), internal data, public health data, financial data.
Explain how input from stakeholders might have been elicited and incorporated into the development of strategic priorities.
For example, strategic priorities can be developed by the board of directors, elicited from employee focus or patient advocacy groups, or derived from a combination of these approaches.
You may need to interview an organizational stakeholder for this information. If this information is unavailable to you, identify the stakeholders you would approach for their inputs.
Create a balanced scorecard for an organization.
Use four standard balanced scorecard domains: 1) financial, 2) customer, 3) internal processes, and 4) learning and growth.
Are the organization’s strategic priorities balanced, or do one or more priorities receive more emphasis than the others?
Articulate meaning relevant to the main topic, scope, and purpose of the prompt.
Write with a specific purpose and audience in mind.
Adhere to scholarly and disciplinary writing standards.
Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your appraisal.
Apply APA formatting to in-text citations and references.

Working in a diverse healthcare organization

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Identify the benefits of working in a diverse healthcare organization. Include the benefits to patient care.
Identify the barriers to developing a diverse organization.
Apply your dominant leadership style and address the identified barriers to assist your organization in becoming more diverse. This leadership style may be the one you discussed in Week 1 or maybe one found in Chapter 8 of the textbook.
Lastly, identify how a diverse organization assists in creating a competitive advantage within the healthcare environment.

Reflecting on advanced nursing practice

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Instructions;
The role and satisfaction of the patient in today’s CQI process are important. Reflecting on advanced nursing practice,.
1. Discuss 1 patient satisfaction measurement found in a clinical or practice setting, and discuss how it is measured, how is it connected to reimbursement, and what impact it has on practice/outcomes.

2. Discuss strategies to improve patient involvement in CQI process to improve this outcome/measurement.
3. Apply the M-APR model as a diagnostic model of patient involvement to the aforementioned situation, and discuss strategies to improve how the patients, families, and caregivers can be involved. M-APR (“M” micro, meso, macro; and across two dimensions- the “APR” active/proactive and passive/reactive involvement. These dimensions indicate that patient, family, or public involvement can be achieved through various mechanisms.)

Differences among educational levels, the scopes of practice, and credentialing and licensure requirements

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Instructions
In this assignment, you will explore the differences among educational levels, the scopes of practice, and credentialing and licensure requirements for various employees in a healthcare organization.

Scenario: You are the HR manager of a newly established healthcare organization. The board of directors of the organization asks you to prepare a presentation on the required profiles for the following roles:

Administrator (i.e., chief executive officer, vice president of nursing or finance, etc.)
Physician
Registered nurse
Nurse’s aide
Laboratory technician
Dietary aide
Maintenance professional
Tasks:

For each role, provide the following information:

Educational qualifications required for the role
Scope of practice for the role
Credentialing and licensure requirements for the role
A description of the importance of the role in a healthcare organization
Explain the legal aspects of the HRM role.
For the workforce as a whole, address the following:

How would you build and maintain a climate of mutual respect and trust among employees?
What is the importance of diversity in the workforce?
In this assignment, you will explore the differences among educational levels, the scopes of practice, and credentialing and licensure requirements for various employees in a healthcare organization.

Scenario: You are the HR manager of a newly established healthcare organization. The board of directors of the organization asks you to prepare a presentation on the required profiles for the following roles:

Administrator (i.e., chief executive officer, vice president of nursing or finance, etc.)
Physician
Registered nurse
Nurse’s aide
Laboratory technician
Dietary aide
Maintenance professional
Tasks:

For each role, provide the following information:

Educational qualifications required for the role
Scope of practice for the role
Credentialing and licensure requirements for the role
A description of the importance of the role in a healthcare organization
Explain the legal aspects of the HRM role.
For the workforce as a whole, address the following:

How would you build and maintain a climate of mutual respect and trust among employees?
What is the importance of diversity in the workforce?

Why it is important for nursing professionals to be aware of their personal leadership style

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Explain why it is important for nursing professionals to be aware of their personal leadership style, traits, and practices.

The purpose of this assignment is to assess leadership styles, traits, and practices as a nursing professional, establish the importance of effective interprofessional communication as a leader in nursing, and to explore the role of servant leadership in nursing practice.
Read the study materials on leadership and complete the topic quiz activities to better understand your leadership qualities.
Upon completion, summarize and share with your group what you learned about your specific leadership qualities, so you can become familiar with how you are similar and different from your peers when it comes to being a leader.

osteoporosis and its general effects on the body

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Marisa, a petite, Caucasian, 15 year old, just learned this morning that her 55-year-old grandmother, with whom she has lived since the death of her parents, was diagnosed with osteoporosis after visiting her doctor because of chronic hip and wrist pain.

For the past year, Marisa’s life has been one tragedy after another. Her happily married parents were killed in a car crash nine months earlier on the way home from their sixteenth-anniversary surprise party. Her boyfriend of two years moved to a different state a few months back and ended their relationship shortly after. To make things worse, her first year in high school was disastrous. Not only did she fail algebra, but she also didn’t make the soccer team as she had hoped.

Marisa’s grandmother lives far from where Marisa used to live, and because she is an only child, Marisa often finds herself feeling lonely and on the brink of depression. The only person she feels she can count on besides her grandmother is her best friend, Tara. She told Tara about her grandmother’s disease as soon as she found out. Marisa has no idea what osteoporosis is or what it does to the body. All she knows is that her grandmother is the only close living relative she has, and she can’t fathom losing another loved one.

 

Your task

You must define osteoporosis and its general effects on the body. In addition, the following concepts must be addressed in detail. The research will be shared with the class. Ultimately, you must address the specific type of therapy, if any, that Marisa’s grandmother might use and the risks and benefits of her choice.

Bone Physiology:
  1. Describe bone physiology and the bone remodeling cycle. Be sure to emphasize the two types of bone tissue and the roles of osteoblasts and osteoclasts.
  2. Explain the relationship between calcium and bones.
  3. Explain how the body controls calcium levels in the bones and blood. Be sure to describe the roles of parathyroid hormone (PTH) and calcitonin in detail.
  4. Explain specifically how osteoporosis affects the bone matrix and the normal bone remodeling cycle.
Risk Factors:
  1. Discuss what scientists know about the genetics behind osteoporosis.
  2. Explain the relationship between calcium and bones.
  3. List as many risk factors for this disease as you can, both controllable and uncontrollable.
Signs and Symptoms:
  1. What are the symptoms or telltale signs of osteoporosis?

 

Pediatric Case Study; Katy is a six-year-old girl, had colic the first three months, cried extensively and was difficult to comfort.

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Instructions
Pediatric Case Study Assignment
Katy is a six-year-old girl, the second of two children of a middle-class family living in a suburban area of a northwest city. Katy has one sister that is two years older than her. Her mother’s pregnancy was normal and Katy’s birth was normal. Katy had colic the first three months, cried extensively and was difficult to comfort. After three months she became passive and cried very little with comfort from her mother. Her growth and development appeared to be normal. She met all the developmental milestones her first three years. She interacted normally with her sister and parents, except that she would become tearful and anxious when her parents would get a babysitter.
At age four, she was in nursery school and appeared to function normally except during the first month when Katy had difficulty when her father would drop her off at school. The nursery school was a small private school with a lot of personal attention given to each child. Although shy, she made friends and liked going to nursery school after she became adjusted to the new setting. Her parents liked the school so much that they decided to keep Katy in kindergarten at this school with her same teachers and friends. However, tuition at the school became a problem after Katy’s mother became sick with lupus and was unable to work.
At age six, Katy’s parents enrolled her in first grade at the public elementary school in their neighborhood. For the last two weeks, she has refused to go to school and has missed six school days. She is awake almost all night worrying about going to school. As the start of the school day approaches, she cries and screams that she cannot go, chews holes in her shirt, pulls her hair, digs at her face, punches the wall, throws herself on the floor, as well as experiences headaches, stomachaches, and vomiting. Over the past two weeks, she has become gloomy, has stopped reading for fun, and frequently worries about her mother’s Lupus and that she may die. In addition, Katy is phobic of dogs, avoids speaking and writing in public, and wets the bed every night.
Her parents immediately made an appointment to see her PCP. Her doctor conducted a thorough physical exam, found no physical abnormalities and then referred her to you, a Family PMHNP.
Family history of mental health includes the following: mother has a history of panic disorder; her father has a history of treatment with medications for ADHD as a child; and she has a cousin diagnosed with Asperger’s syndrome.For your assignment, write a paper that addresses the following prompts using evidence-based references to support your answers:
1. What is your provisional diagnosis, as well as the possible differentials?
2. Justify your answer with DSM-5 criteria (be short, brief and to the point).
3. Is Katy too young to diagnose, or is there a basis for early identification and intervention?
4. What psychiatric scales or assessment tools might you use with this patient? With the parents? List and describe briefly.
5. How would the typical symptom patterns and phases be manifested in children this age? In adolescents?
6. What would be your treatment plan for medications, if any? If you do choose to offer medication as part of the treatment plan, please address the following medications issues:
a. Target symptoms
b. Receptors affected
c. Psychiatric and system effects
d. Possible parental concerns
7. What would be your school-based treatment plan, if any?
8. What would be the implications for the families of children and adolescents with these diagnostic pictures?
9. How does the mother’s health play into the picture of Katy’s diagnosis? What type of therapy would you recommend for Katy (and her family) to work through her issues?
10. Identify resources for patients/families with this diagnosis in the form of community groups, web-sites, advocacy, as well as treatment resources available in your service area.
11. What are you worried about (if anything)? Consider this question in terms of treatment, assessment, alliance, compliance, effectiveness, safety, and other factors.

Health History and Medical Information: bariatric surgery for obesity

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Health History and Medical Information

Mr. C., a 32-year-old single male, is seeking information at the outpatient centre regarding possible bariatric surgery for his obesity. He currently works at a catalogue telephone centre. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.
Objective Data:
Height: 68 inches; weight 134.5 kg
BP: 172/98, HR 88, RR 26
3 pitting edema bilateral feet and ankles
Fasting blood glucose: 146 mg/dL
Total cholesterol: 250 mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Serum creatinine 1.8 mg/dL
BUN 32 mg/dl
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:
Describe the clinical manifestations present in Mr. C.
Describe the potential health risks for obesity that are of concern. Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.
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

why and when specific drugs should be considered for patients.

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Instructions:

This assignment is a critical thinking assignment to look at why and when specific drugs should be considered for patients. please read the attached case study. you want to consider what health issue/diagnosis is being treated and specific pharmacotherapeutics associated with the drug selected: the drug to be discussed is: tiotropium-inhaler for long-term therapy for a copd patient.

Focus: the main drug to discuss is tiotropium- the handheld inhaler preparation.
comparison drugs should include other anticholinergics for copd and long-acting beta-2 adrenergic agonists.

You will need to research scholarly resources in addition to the textbook

please provide a minimum of 4 evidence based guidelines/articles.
2 of the 4 articles should be a clinical database or a clinical guideline. (clinical key is a good place)
1 of the references should be from a drug resource. example: medscape