Nursing

Aging Process Discussion
Aging Process Discussion
Permalink:
Respond to at least two colleague’s post in one of the following ways:
o From a strength’s perspective, critique your colleague’s approach to addressing Francine’s case. Provide support for your critique.
o Critique your colleague’s strategy for applying knowledge of the aging process to work with older clients. Discuss how cultural, ethnic, and societal influences might affect the application of this strategy. Aging Process Discussion
Be sure to support your responses with specific references to the resources. If you are using additional articles, be sure to provide full APA-formatted citations for your references. Aging Process Discussion
Colleague 1:BM
As individuals enter the stage of late adulthood, their previous experiences, lifestyle and relationships help determine what, indeed, this stage will entail (Zastrow and Kirst-Ashman, 2016). In this week’s case study, 70- year-old Francine sought counseling for symptoms of depression, directly related to the loss of her partner of thirty years, Joan (Plummer, Makris and Brocksen, 2014). Since Francine’s family and loved ones were unaware of the extent of the the relationship between Francine and Joan, Francine did not have the necessary support as she navigated her way through her grieving process. She started drinking alcohol more often, after several years of sobriety (Plummer, et. al., 2014). Aging Process Discussion
It can be assumed that Francine’s relationship with Joan, spanning thirty years, has certainly influenced her aging process. In long-term relationships, such as this one, individuals identify as being half of a partnership, as opposed to their individual beings (Zastrow and Kirst-Ashman, 2016). These defining relationships allow for individuals to feel supported and share experiences throughout their daily lives. This relationship is at the crux of Francine’s being, and although her partner has passed, its value can be utilized to help Francine cope with the loss and navigate through the remainder of her life. Additionally, Francine’s extensive experience within the workforce will also positively contribute to her aging process. Throughout these years, Francine’s interaction with people, both professionally and socially, have helped to promote a healthy inner being. While she may not be feeling sociable after Joan’s passing, referencing her forty year career will be a helpful tool for her clinician. Aging Process Discussion
The case study mapped out the positive aspects in Francine’s life beautifully. Despite the depression she is currently experiencing, employing a Strength Based Perspective, focusing on her resiliency, would be an appropriate and effective method to help Francine achieve her most positive outcomes (Zastrow and Kirst-Ashman, 2016). Francine has shown a tremendous capacity throughout her life in identifying and removing the triggers causing harmful behaviors; this awareness resulted in many years of sobriety (Plummer, et. al., 2014). Furthermore, Francine, despite her current depressive state, has identified the need to combat these harmful behaviors yet again in her later adult life. Additional strengths possessed by Francine include her willingness to seek treatment, her desire to engage socially within her environment and her involvement in the entire process. Francine is a prime candidate to achieve the outcomes she is working toward. It remains the role of the clinician to highlight even the smallest achievements throughout the process, thus emphasizing Francine’s resiliency. Aging Process Discussion
Plummer, S. -B., Makris, S., & Brocksen, S. M. (Eds.). (2014). Social work case studies: Foundation year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment (10th ed.). Boston, MA: Cengage Learning.
Colleague 2: SK
Zastrow & Kirst-Ashman (2016) put forward later adulthood is the last segment of the life span; where, aging is an individual process that occurs at different rates in different people. The case of Francine looks at the life changing event of Francine a 70 years old who lost her partner, Joan, who she didn’t quite clarify their relationship to her family and friends because it would label her as being a lesbian. She was experiencing a number of challenges included depression due to her grief, lack of support because her family was not aware of impact that losing her friend caused and alcohol abuse which she had issues with in her early years and have now resurfaced (Plummer, Makris & Brocksen 2014).
Francine’s environment have definitely influenced her aging process as she has spent most of her time with Joan who has been taken from the equation so she is left by herself to adjust to the new norm of being alone, which, may not be healthy for her emotionally and by extension physically. Not having Joan to talk to on a day to day basis will have a psychological impact on her which may contribute to her state of depression and stress; the fact that her relationship was not recognized on a legal or social level for most of her life puts a burden on her as well (how to act). Her environment has changed drastically from having her partner where they were like one to being alone also puts pressure on her as she needs to find different ways to cope and identify as being an individual again. Environmental factors influence the aging process; having no one to talk to and being in a strange environment tend to accelerate this process (Zastrow & Kirst-Ashman 2016).
In working with older clients in general I would need to employ strategies that will allow them to use their strengths to aid them in overcoming their problems. Due to the fact that these clients are older one would have to take in account that they have years of knowledge under their belt and that should be merited so as the social worker assess their clients situation they should employ the strength base perspective which would yield more. Active listening should also be applied as it is important that clients see your interest in their case and also restating and confirming important information provided by them. It is often said that with age comes wisdom so it is imperative that social workers use this to their advantage and not build a barrier between them and their client even if their clients seem to act as if they have all the answers but they are sitting in the seat that requires help. Zastrow & Kirst-Ashman (2016) states as people age, their reserve capacities decrease, as a result, older people cannot respond to stressful demands as rapidly as young people.. Aging Process Discussion
References
Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment(10th ed.). Boston, MA: Cengage Learning. Aging Process Discussion
Plummer, S. -B., Makris, S., & Brocksen, S. M. (Eds.). (2014). Social work case studies: Foundation year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

Assignment: Business Side of HealthCare
Assignment: Business Side of HealthCare
Permalink:
1. Understanding the Business Side of Health Care worksheet.
The Business Side of Health Care infographic was created to show individuals how different entities contribute to the health care industry. For a long time most people assumed you were talking about doctors and nurses, i.e., the clinical aspect of health care, when discussing health care. As you complete this course and many others in your degree, it will be important to remember that there is a business side to health care that interacts with different entities to make the health care industry successful. As such, it is helpful if you remember that health care is an industry.
Complete the Understanding the Business Side of Health Care worksheet.
—————————————————————-
2. Medical Terminology Is a Big World
While the title of this course is “Medical Terminology for Health Care Professionals,” it is important to understand that medical terminology encompasses different terms outside of what is typically thought of as body systems. As you complete Part Two of the assignment, remember to consider the Business Side of Health Care infographic that represents different entities and areas within the health care industry and the vast nature of health care terminology.
Part One:
Write a 90- to 175-word summary that describes the importance of understanding and using appropriate health care medical terminology in your current or future career.
Note: Students are encouraged to use WritePoint® Powered by Garmmarly® offered by the Center for Writing Excellence as a resource this week. WritePoint® is a free, 24/7 service in which you can upload your written work to be reviewed for grammar, usage, and spelling.
Part Two:
It is important to ensure that you are not plagiarizing your assignments during your educational career, especially since honesty and integrity are essential in the health care industry. The University of Phoenix Center for Writing Excellence provides the plagiarism checker Turnitin® for students to verify that their papers are not plagiarized. The purpose of this section of the assignment is to practice using a plagiarism checker.
Save your summary from Part One to your computer and use the following file name as a guide:
HCS120_wk1_medical_terminology_summary_lastname
Include your last name at the end of the file name as shown above.
Access the Plagiarism Checker link in this assignment and submit your summary to Turnitin® for review.
Save the originality report generated by Turnitin® to submit to your instructor.
Note: A Turnitin® student manual is available for you to review the different components of the originality report.
Cite any peer-reviewed, scholarly, or similar references used according to APA guidelines.

Assignment: Servant Leadership
Assignment: Servant Leadership
Unit 7
A.
In the Topic Materials you read several examples of ways that servant leadership can be displayed through true volunteerism and acts of service to others. Research an historic or current servant leader who is a true volunteer in service to others. In what ways does the person inspire leadership while building his or her own character and integrity? How does this leader exemplify the moral obligation to lead through kindness, compassion, and justice?
B.
Share the servant leadership volunteer opportunity you are completing. Discuss how you think this experience will help you develop your own character and give you experience in leading through exhibiting kindness, compassion, and justice.
RESOURCES
2. When Servant Becomes Leader: The Corazon C. Aquino Success Story as a Beacon for Business Leaders
Read “When Servant Becomes Leader: The Corazon C. Aquino Success Story as a Beacon for Business Leaders,” by Udani and Lorenzo-Molo, from Journal of Business Ethics (2013).
Unit 8
A.
Now that you have participated in your servant leadership opportunity, discuss how the experience affected your understanding of how through serving others one actually leads. Support your ideas with specific examples from your volunteer experience.
B.
Watch the video “Servant Leadership – Joe Schmitt.” Discuss why this is a good example of leadership through acts of service in terms of the way the actions of the leader demonstrate integrity and personal character building while also establishing followership and pushing others to grow professionally through emulating his actions. Discuss how this example embraces both Greenleaf’s principles of servant leadership and the call to service evident in Christianity.
RESOURCES
Electronic Resource
1. Drew Dudley “Everyday Leadership” – TED Talks
View “Drew Dudley ‘Everyday Leadership’ – TED Talks,” located on the YouTube website (2013).
2. Servant Leadership – Joe Schmitt
View “Servant Leadership – Joe Schmitt” located on the YouTube website (2014).

Application: Comprehensive Patient Assessment
Application: Comprehensive Patient Assessment
To prepare Assignment 1: Application – Comprehensive Patient Assessment ON Abnormal Uterine Bleeding
Reflect on your Practicum Experience and select a female patient whom you have examined with the support and guidance of your Preceptor.
Think about the details of the patient’s background, medical history, physical exam, labs and diagnostics, diagnosis, treatment and management plan, as well as education strategies and follow-up care.
To complete
Write an 8- to 10-page comprehensive soap Note paper on Abnormal Uterine Bleeding , that addresses the following:
Age, race and ethnicity, and partner status of the patient
Current health status, including chief concern or complaint of the patient
Contraception method (if any)
Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)
Review of systems
Physical exam
Labs, tests, and other diagnostics
Differential diagnoses
Management plan, including diagnosis, treatment, patient education, and follow-up care.
PLEASE FOLLOW ASSIGNMENT CRITERIA AND SAMPLE PAPER ATTACHED WITH THIS ASSIGNMENT. 100% ORINALITY AND APA FORMATE IS REQUIRED. DO NOT COPY SAMPLE PAPER , JUST FOLLOW THE PATTERN.
References
Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.
Chapter 5, “Gynecologic Anatomy and Physiology” (pp. 81–101)
Chapter 6, “Gynecologic History and Physical Examination” (pp. 103–131)
Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
Chapter 6, “Care of the Well Woman Across the Life Span
“Preventive Health Care for Well Women” (pp. 263–265)
. Retrieved from http://www.womenshealth.gov/screening-tests-and-vaccines/screening-tests-for-women/Screening tests and vaccinesU.S. Department of Health and Human Services. (2012b). Care of the Well Woman: Health Assessment and Screening” (pp. 265–270)
Society for Reporoductive Endocrinology and Infertility. (2012). Abnormal uterine bleeding. Retrieved from
Taran, F. A., Stewart, E. A., & Brucker, S. (2013). Adenomyosis: Epidemiology, risk factors, clinical phenotype and surgical and interventional alternative to hysterectomy. Geburtshilfe Frauenheilkunde, 73(9), 924-931.

Case study: Ankle Pain
Case study: Ankle Pain
Permalink:
Note: Your Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to the Comprehensive SOAP Template in the attachments below for guidance.
CASE: Ankle Pain
A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottowa ankle rules to determine if you need additional testing? Case study: Ankle Pain
To prepare:
With regard to the case study you were assigned:
· Review this week’s Learning Resources, and consider the insights they provide about the case study.
· Consider what history would be necessary to collect from the patient in the case study you were assigned.
· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
· Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
Address all these in the SOAP Note not an Narrative Essay (Follow the SOAP Note Template on the attachment):
1. A description of the health history you would need to collect from the patient in the case study to which you were assigned.
2. Explain what physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis.
3. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.
4. Include how the patient X-ray (in the attachment below) helped you to refine the differential diagnosis
5. Please address also all the questions on the case above in the SOAP note.
REMINDER:Please make a SOAP NOTE for this case. Make your own patient’s data, applicable health history, review of systems, P.E., labs, differential diagnosis, final diagnosis etc. Incorporate the data from the case in the SOAP note that you will do… This is not a narrative essay ok…. I need SOAP note (Nurse Practitioner/RN/MD makes SOAP note)… Be guided with the SOAP Note in the templates/exemplar… Don’t copy paste. Formulate your own… Don’t forget to cite the Five different possible conditions (Differential diagnosis) and have Reference lists too.
Resources:
· Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.
o Review of Chapter 4, “Vital Signs and Pain Assessment” (pp. 50-63)
o Chapter 21, “Musculoskeletal System” (pp. 501-543)
This chapter describes the process of assessing the musculoskeletal system. In addition, the authors explore the anatomy and physiology of the musculoskeletal system.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.
o Chapter 22, “Limb Pain” (pp. 356-374)
This chapter outlines how to take a focused history and perform a physical exam to determine the cause of limb pain. It includes a discussion of the most common tests used to assess musculoskeletal disorders.
o Chapter 24, “Low Back Pain (Acute)” (pp. 288-300)
The focus of this chapter is the identification of the causes of lower back pain. It includes suggested physical exams and potential diagnoses.
Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.
o Chapter 2, “The Comprehensive History and Physical Exam” (“Muscle Strength Grading”; p. 26)
o Chapter 4, “Pediatric Preventative Care Visits” (“Documentation of Important Components of Age Specific Physical Exams and Sports Pediatric Sports Participation Physical Exam”; pp. 78–79)
Note: Download this Adult Examination Checklist and Physical Exam Summary: Abdomen to use during your practice musculoskeletal examination.
Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011).. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
This Adult Examination Checklist: Guide for Musculoskeletal Assessment was published as a companion to Seidel’s guide to physical examination (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011).. In Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.
This Musculoskeletal System Physical Exam Summary was published as a companion to Seidel’s guide to physical examination(8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/
Katz, J. N., Lyons, N., Wolff, L. S., Silverman, J., Emrani, P., Holt, H. L., & …Losina, E. (2011). Medical decision-making among Hispanics and non-Hispanic Whites with chronic back and knee pain: A qualitative study. BMC Musculoskeletal Disorders, 12(1), 78–85.
Retrieved from the Walden Library databases.
This study examines the medical decision making among Hispanics and non-Hispanic whites. The authors also analyze the preferred information sources used for making decisions in these populations.
Vismara, L., Menegoni, F., Zaina, F., Galli, M., Negrini, S., & Capodaglio, P. (2010). Effect of obesity and low back pain on spinal mobility: A cross sectional study in women. Journal of Neuroengineering & Rehabilitation, 7(1), 71–83.
Retrieved from the Walden Library databases.
In this study, the authors explore the effect of obesity and chronic low back pain on spinal mobility. The authors use range of motion as a metric of spinal mobility.
University of Virginia. (n.d.). Introduction to radiology: An online interactive tutorial. Retrieved from
This website provides an introduction to radiology and imaging. For this week, focus on skeletal trauma in musculoskeletal radiology.
Media
Online media for Seidel’s Guide to Physical Examination
In addition to this week’s resources, it is highly recommended that you access and view the resources included with the course text, Seidel’s Guide to Physical Examination. Focus on the videos and animations in Chapter 21 that relate to the assessment of the musculoskeletal system. Refer to the Week 4 Learning Resources area for access instructions on .
Optional Resources
· LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2009). DeGowin’s diagnostic examination (9th ed.). New York, NY: McGraw Hill Medical.
o Chapter 13, “The Spine, Pelvis, and Extremities” (pp. 585–682)
In this chapter, the authors explain the physiology of the spine, pelvis, and extremities. The chapter also describes how to examine the spine, pelvis, and extremities.

Effectiveness of a cholesterol treatment
Effectiveness of a cholesterol treatment
A researcher conducts a test on the effectiveness of a cholesterol treatment on 114 total subjects. Assuming the tails of distributions are normal distribution, is there evidence that the treatment is effective?
Permalink:
Cholesterol Decreased No Cholesterol Decrease Total
Treatment 38 18 56
No treatment 30 28 58
Total 68 46 114
Case Assignment
1. Briefly describe the procedure for testing hypotheses.
2. Formulate the null and alternative hypotheses.
3. Determine the test statistic that you will use.
4. Calculate the p-value. Show your work.
5. Discuss whether there is enough evidence to reject the null hypothesis.
You will write an extensive research paper on an entrepreneurship failure. As you may be aware, 80% of all small businesses fail within the first five years (50% in the first year). Your research paper must answer the following question:Why does this failure happen, and how can it be avoided? You will need to research a small business or use your entrepreneur that you interviewed to learn about failure. The paper will have three sections.
Failure Introduction: Your first 2 pages should be a background of the failed business. What was the business? Who were their competitors? What was their mission or business vision? When did the business start and then fail?
Reason for Failure: This section (2 pages) requires your insights and will be a large part of your grade. You must describe why the business failed. There are many reasons small companies fail, and you should do some basic research (hint – some scholarly research is required here) to determine the common causes and then compare this research to your company.
Your Analysis: The last section (2 pages) should be what could have been done, in your opinion and based on the knowledge you received in class (another hint – more scholarly research could be used here), to avert the failure. Could the entrepreneur have planned better? Was the idea sound but the implementation poor? Simply put, as the observer after the fact, how could this business have survived?
It is important: Do not write 5 pages on the company and save the last page for the reason and analysis. Please use the guidelines above to ensure that you maximize your effort on this project.
Remember, the point of this research project is for you to evaluate a failure, determine the causes of the failure, and introduce a way the failure could have been averted. This project will give you some insight for your own potential business idea and help you avoid some of the mistakes others have made. As stated above, failure is common in small business; conduct some solid research on this project to identify the risks, so you can create mitigation techniques to increase your chances of success when you venture out with your plan!
Guidelines
Papers must be 6 – 8 pages in length. (There would be roughly one page per area included in the report.)
You must follow APA formatting guidelines. Appropriate citations are required.
Include a table of contents.
Even though this is not a scientific-type writing assignment and is mostly creative in nature, references are still very important. You must have at least 4 scholarly references. (For more information, please view research information below.)
All DeVry University policies are in effect including the plagiarism policy.
Papers are due Week 7.
Any questions about this paper may be discussed in the weekly Q & A discussion topic.
This paper is worth 200 total points and will be graded on quality of research topic, quality of paper information, use of citations, grammar, and sentence structure.
Research Information
Note that you will conduct online research using scholarly resources, which can be found in the DeVry Online Library (available under Course Home) and online research sources such as Google. Locate at least 4 scholarly articles that discuss the failures in small business for inclusion as sources in your paper. What are current trends in this business (or in the overall industry of which this business is a member) that might impact customer service, customer satisfaction, or customer loyalty positively or negatively?
Milestones
In Weeks 1 through 3 you determined the failure you will research and decided what business failure you planned to research.
In Weeks 3 through 5, you researched and analyzed failure.
During Weeks 6 and 7, write and submit your entrepreneur reflection paper. Finish writing your paper. For APA format guidance, please refer to the APA Tutorial in the syllabus. Ensure that the body of your paper, excluding cover page and sources, exceeds the minimum page requirement, and that all of the assignment requirements have been met. Then, submit your paper.
Best Practices
Cover Page: Include who you prepared the paper for, who prepared it, and the date.
Table of Contents: List the main ideas and section of your paper and the pages where they are located. The illustrations should be included separately.
Introduction: Use a header on your paper. It will indicate that you are introducing your paper.
The purpose of an introduction or opening is to
introduce the subject and why the subject is important;
preview the main ideas and the order in which they will be covered; and
establish the tone of the document.
Include in the introduction a reason for the audience to read the paper. Also, include an overview of what you are going to cover in your paper and the importance of the material. (This should include or introduce the questions you are asked to answer on each assignment.)
Body of Your Report: Use a header titled with the name of your project (e.g., “The Development of Hotel X – A World Class Resort”). Then proceed to break out the main ideas: state the main ideas, state major points in each idea, and provide evidence. Break out each main idea you will use in the body of your paper. Show some type of division such as separate sections that are labeled, separate group of paragraphs, or headers. You would include the information you found during your research and investigation.
Summary and Conclusion: Summarizing is similar to paraphrasing, but summarizing presents the gist of the material in fewer words than the original. An effective summary identifies the main ideas and major support points from the body of your report; minor details are left out. Summarize the benefits of the ideas and how they affect the tourism industry.
Work Cited: Use the citation format as specified in the Syllabus.
Effectiveness of a cholesterol treatment

Variance Analysis in Decision Making
Variance Analysis in Decision Making
Having a budget is critical for the financial stability of an organization. Keeping track of how well the organization is actually adhering to the budget, and subsequent identification of why the budget numbers are being missed is equally important. Without this critical “why” piece, it is difficult to make the necessary adjustments to the budget or to organizational behavior that might be promoting overspending.
A good budget is built with thoughtful consideration of future costs and revenue. Though your budget is formulated with expected figures in mind, the actual resulting values may vary considerably. This variance–from projected to actual–can be a pleasant surprise or a fiscal nightmare and can make financial decision making difficult. Fortunately, variance analysis can enable management to determine why variance occurred and what can be done to mitigate its effects.
For those not comfortable with the use of Microsoft Excel, this week’s Optional Resources suggest several tutorials.
To prepare:
Review the information in this week’s Learning Resources dealing with variance analysis, how it is calculated, and how it can be used in decision making.
View the video Week 8 Application Assignment Tutorial: Variance Analysis, provided in this week’s Learning Resources.
Use the , provided in this week’s Learning Resources, to complete this assignment. Carefully examine the information in each of the scenarios and provide the necessary calculations. Using this information will help you answer the questions.
By Day 7
Note: For those Assignments in this course that require you to perform calculations you must:
Use the Excel spreadsheet template for the Week 8 assignment
Show all your calculations and formulas in the spreadsheet.
Answer any questions included with the problems (as text in the Excel spreadsheet).
A title and reference page are NOT needed in this assignment. Put your name and assignment at the top of the Excel spreadsheet.
Use the for the Week 8 assignment
Salary Variance Scenario
For this Assignment run a variance analysis. Based on the information you obtain: assess the results of the analysis, suggest potential causes of the budget variances and an explanation for addressing the situation.
Using the following performance data calculate the volume adjusted labor rate variance and volume adjusted efficiency variance. Your Variable Expense Factor is 40% and your Volume Change Factor is 50%.

Assignment: Preoperative Nursing Management
Assignment: Preoperative Nursing Management
QUESTION 19: Chapter 19, Postoperative Nursing Management
1. Rita Schmidt, 74 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. The patient does not have a colostomy. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson-Pratt drain intact with minimal serous sanguineous drainage present. The patient has a Salem sump tube connected to low continuous wall suction that is draining a small amount of brown liquid. The patient has no bowel sounds. The Foley catheter has a small amount of dark amber-colored urine without sediments. The patient has sequential compression device (SCD) in place. The nurse performs an assessment and notes that the patient’s breath sounds are decreased bilaterally in the bases and the patient has inspiratory crackles. The patient’s cardiac assessment is within normal limits. The patient is receiving O2 at 2 L per nasal cannula with a pulse oximetry reading of 95%. The vital signs include: blood pressure, 100/50 mm Hg; heart rate 110 bpm; respiratory rate 16 breaths/min; and the patient is afebrile. The patient is confused as to place and time. (Learning Objectives 4 and 7)
a. Explain the assessment parameters used to provide clues to detect postoperative problems early and the interventions needed.
b. What gerontological postoperative considerations should the nurse make?
2. Mr. John Smith is admitted to the hospital for surgical incision and drainage (I&D) of an abscess on his right calf, which resulted from a farm machinery accident. The right calf has an area 3 cm × 2.5 cm, which is red, warm and hard to touch, and edematous. (Learning Objective 5)
a. Explain the wound healing process according to the phase of Mr. Smith’s wound?
b. The surgeon orders for wet-to-dry sterile saline dressing twice a day with iodoform gauze to the wound, covered with the wet-to-dry dressing. Explain how to perform this dressing change

Assignment: Leading as a Servant
Assignment: Leading as a Servant
Unit 3
A.
Think about how your personal values correlate with the principles of servant leadership. How can you draw on values and servant leadership principles to better establish your followership to better serve those you lead professionally and personally?
B.
Suppose you go to work for an organization that you discover does not align with your personal values. You are in a leadership role and you are not in a position to leave the job. How do you ethically represent the company without compromising your own beliefs? What is the deal breaker for you? How does ethically representing the company demonstrate your ability to be a servant leader?
RESOURCES
Electronic Resource
1. As a Servant Leader, You Can Change the World Commencement Address
Read “‘As a Servant Leader, You Can Change the World’ Commencement Address,” by George, located on the Bill George website (2013).
2. Chick-fil-A Founder Was Embodiment of Servant Leader Philosophy
Read “Chick-fil-A Founder Was Embodiment of Servant Leader Philosophy,” by Oswald, located on the HR Hero website (2014).
3. Leading as a Servant
Read “Leading as a Servant,” by Krakowski, from Entrepreneur (2014).
4. Serving More Than the Bottom Line
Read “Serving More Than the Bottom Line,” by Brodsky, located on the Human Resource Executive Online website (2015).
5. The Business of Consciousness
Read “The Business of Consciousness,” by McEllin, located on the Examiner website (2013).
Unit 4
A.
Think about the principles of servant leadership and provide two examples of specific ways you can apply them in your current work environment, as member of a community group or organization with which you are involved, or in your personal life. Discuss the specific servant leadership principles you would apply, the methods you would use to apply the principles, and the results you would anticipate seeing as a result of implementing these servant leadership principles.
B.
Conduct research about a biblical figure such as Moses, David, Paul, Joseph, Esther, or Nehemiah to learn about how the biblical leader exemplified servant leadership and see how the principles of servant leadership transcend time and place. Think about the contemporary leader you are researching for the Topic 4 assignment, and discuss the similarities you see between the biblical servant leader and the contemporary servant leader. Provide specific examples to illustrate the similarities you have identified and include discussion about what you think makes the principles of servant leadership applicable regardless of time or place.
RESOURCES
6. ‘Servant’ Leadership Style Is Best for Bosses
Read “‘Servant’ Leadership Style Is Best for Bosses,” by Brooks, located on the Business News Daily website (2015).
7. 10 Tips on How IT Leaders Can Develop a Service-Oriented Perspective
Read “10 Tips on How IT Leaders Can Develop a Service-Oriented Perspective,” by Tennant, located on the IT Business Edge website (2014).
8. 9 Ways to Motivate People Using Servant Leadership
Read “9 Ways to Motivate People Using Servant Leadership,” by McCuistion, located on the About Leaders website (2013).
9. Being a Servant Leader in the Age of Technology
Read “Being a Servant Leader in the Age of Technology,” by Hollis, located on the Huffington Post website (2015).
10. Recognizing Servant-Leaders – Not Drum Majors
Read “Recognizing Servant-Leaders – Not Drum Majors,” located on the Dreams InDeed International website.

Advanced Medical Coding: Diagnostic Testing
Advanced Medical Coding: Diagnostic Testing
Permalink:
Answer the following questions, please make sure all answers are CORRECT and send back to me
2. A 23-year-old patient comes in complaining of shortness of breath, fatigue, and an abnormally fast heartbeat. She also has GERD, acute exacerbation of asthma, and cachecticorum acne. The physician obtains a complete blood cell count, and renders a diagnosis of Rietti-Greppi-Micheli anemia. What diagnosis codes are assigned?
A. D58.3, K23.9, J45.906, L70.8
B. D56.3, K24.9, J45.941, L70.8
C. D59.3, K21.9, J45.921, L70.8
D. D56.9, K21.9, J45.901, L70.8
4. A 33-year-old patient is seen for a bilateral screening mammography with computer-aided detection, interpreted by the physician, with digitization of the radiographic images. What CPT codes should be assigned?
A. 78053, 77054
B. 77097, 77056
C. 77059, 77051
D. 77057, 77052
5. A patient undergoes testing for ten synthetic cannabinoids, cocaine, methadone, and three opiate analogs. What codes would be assigned?
A. 80331, 80353, 80358, 83992
B. 80352, 80353, 80358, 80363
C. 80352, 80353, 80364, 80368
D. 80347, 80360, 80363, 80365
7. A patient undergoes a limited clinical pathology consultation, without review of history or medical records. What code should be assigned?
A. 80502
B. 80500
C. 80434
D. 80436
8. A lumbosacral myelography performed with radiological supervision and interpretation is assigned to code
A. 72285.
B. 72270.
C. 72275.
D. 72265.
9. A 26-year-old patient undergoes a carotene test to check her vitamin A level. What CPT code should be assigned?
A. 82381
B. 82384
C. 82380
D. 82382
10. What code is assigned for intravenous pyelography without KUB and without tomography?
A. 74455
B. 74400
C. 74742
D. 74326
11. A patient has an activated coagulation time test. The coder assigns code 85345. Is this code correct or incorrect?
A. The code is correct, but should include a modifier for the activated portion of the test.
B. The code is incorrect. The correct code is 85347.
C. The code is incorrect. The correct code is 85348.
D. The code is correct.
12. Code 82947 indicates a test that is included in a/an _______ panel.
A. renal function
B. lipid
C. electrolyte
D. hepatic function
13. A new patient comes in to the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned?
A. G0147
B. G0417
C. G0856
D. G0256
14. Code 89230 indicates
A. sweat by iontophoresis.
B. bilirubin, total, transcutaneous.
C. nasal smear for eosinophils.
15. What code is assigned for a hepatitis C antibody test?
A. 86784
B. 86756
C. 86803
D. 86830
16. Blood lipoprotein with electrophoretic separation and quantitation with high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses would be assigned to code
A. 83701.
B. 83698.
C. 83704.
D. 83705.
17. The description for code 82441 is
A. cholinesterase; serum.
B. chlorinated hydrocarbons, screen.
C. cortisol; free.
D. chromium.
18. What code would be assigned for anterior segment imaging with fluorescein angiography, with interpretation and report?
A. 92230
B. 92235
C. 92499
D. 92287
19. A patient has a temporomandibular joint arthrography. If the procedure is performed under radiological supervision and interpretation, what code should be reported?
A. 70553
B. 70350
C. 70332
D. 70551
20. Mr. Carson comes to the emergency room complaining of leg pain after falling out of bed in his home. A technician at the hospital obtains an x-ray of the tibia and the fibula using the hospital’s radiology equipment. The physician reviews his x-ray, and determines that he has sprained his leg. Mr. Carson also has a history of prostate cancer, cigarette smoking, Crohn’s disease, and hyperbilirubinemia. The emergency department visit included an expanded problem focused history and examination. The medical decision making was of moderate complexity. Code this scenario.
A. 99284-25, 73592
B. 99285-25, 73592
C. 99281-25, 73591
D. 99283-25, 73590