Disease Control and Prevention

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The Centers for Disease Control and Prevention (CDC) have issued an advisory that the coming “flu season” is expected to be unusually severe. In response to this, the president of the medical staff has recommended that hospital staff, employees, and volunteers receive mandatory influenza immunizations. With exceptions for those who are allergic and anyone with a valid religious prohibition against vaccination, those who refuse the immunization would not be allowed to work.

What issues should be considered in establishing this policy? To what groups is responsibility owed? What will you recommend to the hospital Board and C-Suite?

Review of public health interventions and programs

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1. Multi-level Theoretical Application Discussion about BREAST CANCER (please cited properly)

-This section should provide an in-depth review of public health interventions and programs that have incorporated health behavior theories to address your group’s specific selected health behavior/issue. Programs/interventions that are reviewed can focus on prevention, screening, or management of your group’s assigned health behavior/issue.-

2. In particular, please review the scientific and evidence-based literature and summarize programs/interventions that have utilized each of the following to address your selected health behavior/issue:

a) Individual behavior theory

b) Interpersonal behavior theory

Review THREE programs/interventions for each of the above ecological levels.

For each program/intervention reviewed, please report on the following,  presenting items A-F as separate sub-headings:

A)  What was the population of focus? (i.e. Who was the program developed for? Who participated?)

B)  What was the setting/context? (i.e. Where did the intervention/program take place?)

C)  What theory or theories did the program/intervention utilize? (i.e. How did it inform the program activities?)

D)  How was the theory integrated/applied to the program/intervention? (i.e. How was the theory operationalized?)

E)  What methods were used to evaluate the effectiveness of the theory-based program/intervention? (Discuss specific theoretical constructs that were evaluated, and what methods were used to evaluate them)

F) What were the outcomes?    (Discuss the extent to which the program/intervention was effective for producing outcomes among participants)

Traits of leadership

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Select a healthcare leader of your choice and using the six key traits of leadership discussed widely in leadership research and/or the seven characteristics of innovative leaders discussed in Weberg & Davidson as a framework, appraise how your selected leader exemplifies these traits. This leader may be a local or national leader (see suggestions). To support your appraisal, consider the following questions (5-7 pages following APA Style Requirements):

APPRAISAL

POINTSIntroduction: who is your leader? Set the context and describe the position this leader holds in the health care system.

50Impact: What contribution has this leader made?

50Barriers: What barriers or challenges did they face?

40Attributes/Traits: What leadership attributes or traits were most important in making their contribution?

40Steps: How /what steps did this leader take accomplish the contribution?

40Questions: If you were to meet this leader, what questions would you ask?

40Leader Suggestions: (you are not limited to this list, leaders exist throughout and at all levels of organizations – choose a leader who inspires you):

  • American Presidents: Lyndon B. Johnson ( Medicare), Barack Obama ( Affordable Care Act).
  • Surgeon Generals: US Surgeon General, Dr. Luther Terry (first Surgeon General’s Report on Smoking and Health); David Satcher, MD, PhD (US Surgeon General work on Health Care disparities).
  • Health Policy Leaders: Any of the member of the task force responsible for the IOM Report “The Future of Nursing: Leading Change, Advancing Health” IOM Consensus Report October 2010.
  • Nursing Leaders: President of ANA or AANP.
  • Your Health System Leaders: CEO, CNO, Chief Quality Leaders, Unit Leader.
  • Public Health Leaders: Dr. Anthony Fauci, your State Commissioner for Public Health, your Governor.
  • Legislative leaders:
  • National: Lauren Underwood, Eddie Bernice Johnson, Lois Capps.
  • Local: what health care leaders are in your legislature? Are there nurses making change?
  • Community Leaders: Look to your own community – what health care organizations are active and who are the stand out lea

The risks associated with cardiovascular diseases

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Goat milk contains a high nutrient profile compared to cow milk. The whey protein of goat milk is extensively studied which, therefore, is being considered incorporated into fruit beverages. Whey-fruit flavored beverages are subjective to reduce the risks associated with cardiovascular diseases. A research group recently developed a whey-orange flavored juice using microfiltration technology. Imagine that you are one of the researchers of this study group and are asked to develop a sensory analysis test for this beverage.

(a)Explain the term ‘sensory evaluation’ as it applies to food (5 marks).

And make a list of the sensory attributes that you are planning to evaluate. (5 marks).

(b)Make a seven-point scale sensory table for each sensory attribute you selected

 

(c) Briefly describe two main methods that can be used for conducting a sensory evaluation of this beverage product

Development to resolve a healthcare administration issue

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In order to develop an organized process that supports program development to resolve a healthcare administration issue or barrier, it is important to identify the resources, stakeholders, and outcomes.

use the “Logic Model Template” and create detailed inputs, outputs, and outcomes for the identified healthcare administration issue or barrier. You may also refer to the document “Logic Model Overview” for additional guidance.

Make sure to do the following:

  • Identify your practice of ethical behavior and moral decision-making when resolving ethical dilemmas in the issue or barrier for the stakeholders.
  • Consider any legislation or regulation that governs your field or your programmatic development.
  • Identify credible and reliable sources for your research.
  • You will use your logic model to develop your research pape

The SOPHE code of ethics

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How would the SOPHE code of ethics apply to this scenario? You are the health education specialist for a large city hospital. Your supervisor has asked you to develop a program on “safer sex” practices for the gay and lesbian population. The program is to be made available to lesbian and gay groups in the community. Because of your strong religious convictions, your personal values and beliefs are opposed to the gay/lesbian lifestyle and the “safer sex” approach. In addition, you feel uncomfortable dealing with homosexuals in general and especially with anyone who is HIV-positive. How will you handle this situation?

Exacerbation of confusion postoperatively

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Millicent, an 82-year-old female is 4 days status-post successful hip replacement surgery following a hip fracture that occurred when she fell off her sofa. She will require prolonged rehabilitation in a hospital setting. The patient has a history of mild dementia and is presently unable to feed herself due to an exacerbation of confusion postoperatively. According to family members, the patient lives alone, does her own shopping, and prepares her own meals. She generally stays in

the house with limited physical activity. She is on NHIF support as her sole source of income. The patient cannot give a medical history.

Current body weight is 80% of ideal body weight. PE reveals normal vital signs and an operative skin incision that appears to be healing well.

There is moderate skeletal muscle and fat wasting. Her tongue is reddish and the papillae are flattened. A skin exam reveals numerous petechiae and her hair is very easily pluckable. The patient has been receiving intravenous hydration fluids with electrolytes since the operation. Lab tests are within normal limits except for low concentrations of blood urea nitrogen (4 mg/dL, normal range 10 – 20), creatinine (0.2 mg/dl, normal < 1.5), and albumin (2.2 g/dL, normal range 3.5 – 5.5). Serum calcium and phosphorus are in the low-normal range.

1. What are the potential causes of malnutrition in this patient?

2. Her physical examination findings suggest depletion of what specific micronutrients (check symptoms against literature)?

3. Why may her serum urea nitrogen, creatinine, and albumin levels

be decreased? What non-nutritional factors cause a decrease in serum albumin concentrations?

4. Discuss in detail the best option for specialized feeding in this

Consequences of implementing information technology

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HIT-induced errors or unintended consequences of implementing information technology started to catch the attention of the public and decision-makers. As an advocate for having more technology adopted in healthcare. Be familiar with the sources of errors and how do you think they should be addressed.

Medical Identity Theft

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Adopting more technology in healthcare has facilitated Medical Identity Theft [MIT] fraud which is defined as the fraudulent theft of health information and personally identifiable information to obtain medical goods and services. In the US, 20 96 annual increase in MIT after having more EHR adopted. A positive correlation between having more information technology and MIT has been concluded.

As a Saudi community, we tend to help others, especially family members. You, as a health Informatician, started to notice this fraud as some family members and friend share their data to obtain treatment in your facility. A group of perpetrators was investigated and they think that they commit no mistake. You were asked to come and talk to them and show how dangerous this could be and the consequences of MIT. Be precise, and direct, and provide here bulletin points for your talk.

 

Conducting an RCA of a patient safety issue

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Read the case study, The Wrong Patient, along with the supplemental RCA web links provided below, and discuss some of the specific changes that Mary would recommend being made to prevent such occurrences in the future.

Based on the reading of the case study and applying an understanding of RCA, assist Mary with identifying and explaining at least two issues in the case. Be sure to identify which type of factor each issue falls under, as outlined on the AHRQ website.

Next, offer at least two specific recommendations to improve the work processes described in the case. Mary should include in her discussion some of the barriers that she might expect in conducting an RCA of a patient safety issue such as the one presented in the case.