Review the case study and identify 2 differential diagnoses (Asthma and Obstructive Sleep Apnea Syndrome) please provide rationales to support them. also discuss treatment plans for them.

Please use the two differential diagnoses provided

Please use and provide 3 peer review journals thank you

“My daughter has been coughing for the past 3 months.  She cannot even play & run with her playmates.” HPI:  3  1/2 year old Shelly has been seen several times in the office for colds, cough and wheezing.  She has been on Orapred 3 times in the past year for this.  No other meds have been given.

 PMH:  She was a term baby delivered without complication. No feeding, growth issues and is developmentally on target for age.  Mom does report 3 years ago Shelly was very sick in the hospital with an infection in New Jersey.  Immunizations are up to date.

 

Review of Systems: (obtained from mom)

General:  “A normal 3 year old, she just coughs all the time, and when she has a cold it settles in her chest!”

HEENT:  She sometimes has very dark circles under her eyes. I think it is from her not sleeping and coughing all night.

Chest/Resp:         Coughing, sometimes to the point of not catching her breath.  Maybe she is out of shape but she can’t play like her friends, she just coughs and has to stop. Coughs every day & night, especially in the winter. (FMH of both parent with Asthma)

Chest/Card:         No color changes

GI/GU:  Eats well, no issues

MSK/Extremities:   Walks without an issue

PE:

She is wheezing bilaterally, is unable to really take in a good breath, afebrile, and VSS.

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Considering the Policy Process (Chapter 7 – Berkowitz in Mason, Levitt, & Chaffee), appraise a recent healthcare policy change on your unit or in your organization using the Policy Process.  This discussion may also present for you an opportunity to reflect back on a “burning question” that you may have as a nurse.

 

1. Problem:  What was the basis for the policy change?  What was the problem? How was it identified?
2. Evidence-based rationale: What evidence was used to determine the problem was significant enough to result in a change?
3. Options:  Were there alternative options for consideration prior to developing the policy? How was the policy implemented?
4. Stakeholder Involvement: Who was informed and educated about the decisions and issues surrounding the problem, issue, and policy?
5. Implementation: What were the actions and steps to implementation?
6. Evaluation:  Did the policy work (resolve the problem it was designed to address)?  Were there any unintended consequences of the policy?  How likely will the policy impact change on the unit, in the organization or in your practice?

please put reference.

• Describe one cancer that predominately impacts women (i.e. breast, lung, colorectal, endometrial, cervical, uterine, ovarian, skin).
  • How many people are diagnosed with this cancer every year? Has the rate gone up/down?
  • What are the signs and symptoms of cancer?
  • What (if any) is the screening recommendations? How can you prevent this cancer?
• Describe risk factors for cardiovascular disease.
  • What are the risk factors for cardiovascular disease? Which risk factors are modifiable?
  • Why are women at increased risk for cardiovascular disease? Other than gender, who (race/ethnicity, age, income) is more at risk for cardiovascular disease?
  • What can you do to decrease your risk factors?
• In the U.S. there are more than 30 million cases of diabetes, equally common in men and women. Why?
  • What are the three forms of diabetes?
  • What are the risk factors for diabetes? What are the rates of these risk factors?
  • Provide 1-2 reasons and justify why this might be the case.

Competency

Analyze the importance of managing a diverse workforce.

 

Scenario

You work for a company that has employees from each of the five generations: Traditionalists, Baby Boomers, Generation X, Millennials, and Generation Z. Because there is a great deal of generational diversity in your company, your managers have sometimes struggled to effectively communicate with their teams. In order to help your colleagues, you decide to put together a part of a training plan to discuss the importance of managing a diverse workforce and provide guidance to managers.

Instructions

Create  training plan that:

• Researches and summarizes each of the five generations in the workforce:
• Traditionalists
• Baby Boomers
• Generation X
• Millennials
• Generation Z
• Identifies effective strategies for communicating with, motivating, and supporting a generationally diverse workforce.
• How does each generation prefer to communicate?
• How do you keep them engaged?
• Examines the benefits that companies have experienced employing multigenerational workforces and why these are important for organizational success.
• Analyzes potential communication and collaboration challenges that could occur among the different generations and why these are important to understand when managing a diverse workforce.

 

Healthcare Macro Trends within Washington DC

Prompted in part by the ideas presented for the technology innovation project, the Human Resources Committee of the Board of Directors has become increasingly concerned about the ability to identify, recruit, and retain the appropriate skill mix for the organization.

The CEO has designated an interdisciplinary team and asked it to prepare an analysis of current trends and their impact on the organization’s human resources in 2025. More specifically, the CEO relays that the Board Chair has expressed concern about workforce shortages in such key areas as nursing, medical technology, and long-term care.

1) Identifies and discusses the macro-trends affecting the health workforce in Washington, DC, the future of the US healthcare system, including such aspects as the overall economy, demographics, personal lifestyles and behaviors, technology (including biotechnology and smartphones), and federal and state government policies. Note that these factors are neither exhaustive nor are they offered as a mandatory framework; your research will identify macro-trends relevant to your findings.

2) Using the above analysis, identify current and projected occupational shortages for your selected region, efforts to address these shortages, and your recommendations for a solution. Be sure to explicitly link each aspect with the specific trends identified in your analysis.