Healthcare

1. In patients with acute respiratory distress syndrome (P), will the implementation of a pulmonary hygiene protocol (I) compared with standard positioning care (C) improve weaning parameter metrics (O) during the next three months (T)?

Please review the DQ forum for this week. Select 2-3 postings from your peers to analyze in your personal assignment response. For your personal assignment this week:Write a 1-2 page summary on your analysis of the discussion comments and how you believe this content has increased your ethical self-awareness. Please include alternatives, analysis, application, and action.The assignment should be submitted as a Word document and APA format is required. The title page and reference page are not counted in the 1-2 page req

The Final Project will be written using a persuasive tone, such that you would be able to present it in order to gain community and organizational support for your program.  The Final Project must demonstrate an understanding of the reading assignments, class discussions, as well as your research and application of new knowledge.  Your project must contain the following elements: A description of the vulnerable population and why they need assistance in your community. A description of the health service needs of the vulnerable population you have chosen to serve with your program. In order to support the need for the service you propose, cite statistical data obtained from your county health department, state health department, and organizations or agencies who serve the vulnerable population. A description of your proposed community service or program; include the specific service(s) provided and one continuum of care level (prevention, treatment, or long-term care). Explain how the selected service(s) and the continuum of care will impact the chosen population. Discuss the social and cultural norms of your vulnerable population and how these play a role in the need for the services offered by your program. Describe how the vulnerable population experiences the health care system.  Analyze methods your program can use to overcome social and cultural differences. Identify two or more community organizations or agencies with which you can partner in order to implement your program. Explain how these organizations can help you implement the services you offer and the continuum of care offered by the potential partnering agencies. Explain which services these organizations will provide to your clientele that are not covered by your program.   Analyze at least four potential funding sources for your program, one of which must be from a state funded agency, one of which must be from a federally funded agency and the remaining two can be not-for-profit or for-profit business sources. Explain what factors must be met in order to receive funding from your sources. Your final project will demonstrate quantitative literacy, which shows your ability to identify and solve problems.  Additionally, you must demonstrate integrative learning, which means you combine your earlier learning from this and other courses, analyze data from multiple perspectives, explore issues to their full extent as is required in the assignment, as well as incorporate your own personal and professional experiences. Must be eight to ten double-spaced pages in length (not including title and references pages) and formatted according to APA style. Must include a separate title page with the following: Title of paper Student’s name Course name and number Instructor’s name Date submitted Must begin with an introductory paragraph that has a succinct thesis statement. Must address the topic of the paper with critical thought. Must end with a conclusion that reaffirms your thesis. Must use at least six scholarly sources, not including the textbook. Must document all sources in APA style. Must include a separate reference page, formatted according to APA style.

In this unit, you will complete the research paper that you started in Unit VI (WeCare Community Hospitals). Based on the healthcare facility you created in that unit, complete the following components for the research paper:a) In your introduction, give a brief description of your facility’s current financial situation. This introduction and description should cover topics from your research in this unit.b) Create a balance sheet, income statement, and statement of cash flows for your healthcare facility. If you wish, you may present these in chart form in the paper. When creating these charts, you may use either Word or Excel, but Excel is recommended because it will handle the calculations. Based on these, discuss the performance of your facility.c) Make capital budgeting and investment decisions based on the need for your facility to update aging equipment. The equipment is expected to cost $1.3 million, and the expected life of the equipment is 15 years. Discuss at least two financing options for the new equipment.d) Present a long-term financial analysis for the facility. In this analysis, evaluate the financial implications of current and future healthcare trends, making sure to evaluate any legal issues in health care, and discuss the future of healthcare financial management in the United States.Combine all of your components into one research paper. Your completed research paper must be at least three pages in length, double-spaced. You are required to use at least five outside sources.

Describe the healthy meal that you have created from the fast food restaurant using the nutritional value of menu items.Name the restaurant and then write a nutritional analysis of the meal you have created. (Explain all of the nutrients found in the meal, like carbs, protein, fat, and some essential vitamins and minerals.)Discuss your reaction to the analysis. Make sure to explain why you feel the way you do about this meal. For example, if your meal is composed primarily of fat, discuss that point; if your meal supplies a lot of sugar per serving, discuss that as well. Please also remember to link excess or limited amounts of nutrients with diseases or the potential for disease. (Too much fat may put you at risk for heart disease, not enough calcium may not support bone health, etc.) Please make sure this section is as detailed as possible.How will this information affect your future food choices? Make sure to explain why you will or will not eat this meal again, and support your answer with the information found in the above sections.In a Word document, please answer and discuss the following questions.Describe the unhealthy meal that you have created from the fast food restaurant using the nutritional value of menu items.Name the restaurant, and then write a nutritional analysis of the meal you have created. (Explain all of the nutrients found in the meal, like carbs, protein, fat, and some essential vitamins and minerals.)Discuss your reaction to the analysis. Make sure to explain why you feel the way you do about this meal. For example, if your meal is composed primarily of fat, discuss that point; if your meal supplies a lot of sugar per serving, discuss that as well. Please also remember to link excess or limited amounts of nutrients with diseases or the potential for disease. (Too much fat may put you at risk for heart disease, not enough calcium may not support bone health, etc.) Please make sure this section is as detailed as possible.How will this information affect your future food choices? Make sure to explain why you will or will not eat this meal again, and support your answer with the information found in the above sections.

After reviewing the background materials and doing additional research, draft a paper that addresses the challenges that administrators may encounter when trying to integrate state or federal policy into their health care organization’s internal policies. Be sure to provide solutions to managing these challenges.SLP Assignment ExpectationsConduct additional research to gather sufficient information to justify/support your analysis.Limit your response to a maximum of 3 pages (title and reference page is not included in page number count).Support your paper with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals:Angelo State University Library. (n.d.). Library guides: How to recognize peer-reviewed (refereed) journals. Retrieved from https://www.angelo.edu/services/library/handouts/peerrev.phpYou may use the following source to assist in formatting your assignment:Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from https://owl.english.purdue.edu/owl/resource/560/01/For additional information on reliability of sources, review the following source:Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-contentThis assignment will be graded based on the content in the rubric.Privacy Policy | Contact

Sleep disorders are conditions that result in changes in an individual’s pattern of sleep (Mayo Clinic, 2020). Not surprisingly, a sleep disorder can affect an individual’s overall health, safety, and quality of life. Psychiatric nurse practitioners can treat sleep disorders with psychopharmacologic treatments; however, many of these drugs can have negative effects on other aspects of a patient’s health and well-being. Additionally, while psychopharmacologic treatments may be able to address issues with sleep, they can also exert potential challenges with waking patterns. Thus, it is important for the psychiatric nurse practitioner to carefully evaluate the best psychopharmacologic treatments for patients that present with sleep/wake disorders.Reference: Mayo Clinic. (2020). Sleep disorders. https://www.mayoclinic.org/diseases-conditions/sleep-disorders/symptoms-causes/syc-20354018To prepare for this Assignment:· Review this week’s Learning Resources, including the Medication Resources indicated for this week.· Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with sleep/wake disorders.The Assignment: 5 pagesExamine Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. (https://mym.cdn.laureate media.com/2dett4d/Walden/NURS/6630/DT/week_11/index.html)You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.Introduction to the case (1 page)· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.Decision #1 (1 page)· Which decision did you select?· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Decision #2 (1 page)· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Decision #3 (1 page)· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Flu Epidemic of 1918 Digital History ID 1112Date:1918Document: Camp Devens, Mass. Surgical Ward No. 16 29 September 1918My dear Burt,It is more than likely that you would be interested in the news of this place, for there is a possibility that you will be assigned here for duty, so having a minute between rounds I will try to tell you a little about the situation here as I have seen it in the last week.As you know, I have not seen much pneumonia in the last few years in Detroit, so when I came here I was somewhat behind in the niceties of the Army way of intricate diagnosis. Also to make it good, I have had for the last week an exacerbation of my old “Ear Rot” as Artie Ogle calls it, and could not use a stethoscope at all, but had to get by on my ability to “spot” `em thru my general knowledge of pneumonias…Camp Devens is near Boston, and has about 50,000 men, or did have before this epidemic broke loose. It also has the base hospital for the Division of the Northeast. This epidemic started about four weeks ago, and has developed so rapidly that the camp is demoralized and all ordinary work is held up till is has passed. All assemblages of soldiers taboo. These men start with what appears to be an attack of la grippe or influenza, and when brought to the hospital they very rapidly develop the most viscous type of pneumonia that has ever been seen. Two hours after admission they have the mahogany spots over the cheek bones, and a few hours later you can begin to see the cyanosis extending from their ears and spreading all over the face, until it is hard to distinguish the coloured men from the white. It is only a matter of a few hours then until death comes, and it is simply a struggle for air until they suffocate. It is horrible. One can stand it to see one, two or twenty men die, but to see these poor devils dropping like flies sort of gets on your nerves. We have been averaging about 100 deaths per day, and still keeping it up. There is no doubt in my mind that there is a new mixed infection here, but what I don’t know. My total time is taken up hunting rales, rales dry or moist, sibilant or crepitant or any other of the hundred things that one may find in the chest, they all mean but one thing here–pneumonia–and that means in about all cases death.The normal number of doctors here is about 25 and that has been increased to over 250, all of whom (of course excepting me) have temporary orders– “Return to your proper station on completion of work”–Mine says, “Permanent Duty,” but I have been in the Army just long enough to learn that it doesn’t always mean what it says. So I don’t know what will happen to me at the end of this. We have lost an outrageous number of nurses and doctors, and the little town of Ayer is a sight. It takes special trains to carry away the dead. For several days there were no coffins and the bodies piled up something fierce, we used to go down to the morgue (which is just back of my ward) and look at the boys laid out in long rows. It beats any sight they ever had in France after a battle. An extra long barracks has been vacated for the use of the morgue, and it would make any man sit up and take notice to walk down the long lines of dead soldiers all dressed up and laid out in double rows. We have no relief here; you get up in the morning at 5:30 and work steady till about 9:30 p.m., sleep, then go at it again. Some of the men of course have been here all the time, and they are tired.If this letter seems somewhat disconnected overlook it, for I have been called away from it a dozen times, the last time just now by the Officer of the Day, who came in to tell me that they have not as yet found at any of the autopsies any case beyond the red hepatitis stage. It kills them before it gets that far.I don’t wish you any hard luck Old Man, but do wish you were here for a while at least. Its more comfortable when one has a friend about. The men here are all good fellows, but I get so damned sick o’ pneumonia that when I eat I want to find some fellow who will not “talk shop” but there ain’t none, no how. We eat it, sleep it, and dream it, to say nothing of breathing it 16 hours a day. I would be very grateful indeed it you would drop me a line or two once in a while, and I will promise you that if you ever get into a fix like this, I will do the same for you.Each man here gets a ward with about 150 beds (mine has 168), and has an Asst. Chief to boss him, and you can imagine what the paper work alone is– fierce–and the Government demands all paper work be kept up in good shape. I have only four day nurses and five night nurses (female) a ward-master, and four orderlies. So you can see that we are busy. I write this in piecemeal fashion. It may be a long time before I can get another letter to you, but will try.Good-by old Pal,”God be with you till we meet again”Keep the Bouells open,RoySource: PBS film, Influenza 1918*****After reading this and understanding the present situation,what are your initial feelings about what was being discussed in this article ? What was the author writing about in this article? (1 full page, single spaced)Document 4

1. Do employees behave differently in a flat versus a hierarchical organizational structure? Explain your answer.2. Do employee personality types differ between hierarchical and flat organizations?3. What is difficult about policy implementation in a flat organization? What is difficult about policy implementation in a hierarchical organization?4. How do you overcome employee apathy toward policy compliance?5. Create a policy framework implementation plan for the fictional Specialty Medical Clinic (the plan should not be longer than two pages). The Specialty Medical Clinic is being acquired by a larger parent organization under HIPAA compliance law. The parent organization is a hierarchical structure with multiple departments and clinics. The medical clinic is a flat organization. Following is an outline of those areas of the plan you need to include:Parent Medical ClinicAcquires Specialty Medical ClinicPublish Your Policies for the New Clinic{Explain your strategy.}Communicate Your Policies to the New Clinic Employees{How are you going to do this?}Involve Human Resources and Executive Management{How do you do this smoothly?}Incorporate Security Awareness and Training for the New Clinic{How can you make this fun and engaging?}Release a Monthly Organization-Wide Newsletter for All{How can you make this newsletter succinct?}Implement Security Reminders on System Logon Screens for All{This is for access to sensitive systems only.}Incorporate Ongoing Security Policy Maintenance for All{Review and obtain feedback from employees and policy-compliance monitoring.}Obtain Employee Questions or Feedback for Policy Board{Review and incorporate into policy edits and changes as needed.}

Discussion QuestionBefore beginning work on this discussion forum, please review the link Doing Discussion Questions Right, the expanded grading rubric for the forum, and any specific instructions for this topic.By the due date assigned, respond to the assigned discussion questions and submit your responses to the appropriate topic in this Discussion Area. Respond to the assigned questions using the lessons and vocabulary found in the reading.The Health Insurance Experiment (HIE) is perhaps the greatest experiment in the history of healthcare finance as it explores the interface of people and insurance and the methods for reducing waste in the consumption of healthcare through moral hazard.Tasks:Describe the results of the experiment and analyze how it affects healthcare today.Your initial posting should be addressed at 300–500 words as noted in the attached PDF. Submit your document to this Discussion Area, by the due date assigned. Be sure to cite your sources using APA format.Respond to your peers throughout the unit. Justify your answers with examples, research, and reasoning. Follow-up posts need to be submitted by the end of the unit.