CT 5 Health and government

Submit a paper that explains the role of government in the growth, as well as the decline, of hospitals in the United States.

Your paper should be 3 pages in length and conform to APA Requirements. Include at least two scholarly references from peer-reviewed articles. 

Discussion Question # 1 W3

Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

I NEED YOU TO ANSWER THIS DISCUSSION QUESTION, 300-500 WORDS NEEDED, TWO REFERENCES NEEDED PLEASE

For this week (6/4-11) I would like you all to participate by looking up a drug from the benzo class.(Benzodiazepines) Post on this board the dosage, uses, side effects, any lab monitoring required, e

For this week (6/4-11) I would like you all to participate by looking up a drug from the benzo class.(Benzodiazepines) Post on this board the dosage, uses, side effects, any lab monitoring required, etc. Write your info down in a format that would be appropriate for patient education. In other words, imagine you have a patient who has just been prescribed a medication and you are the first Health Professional to educate them on the drug.

nstructionsImagine that this is the Grand Opening of your hospital’s Nutrition Center. As a member of the clinical nutrition team, you have played a part in the development of this nutrition, wellne

nstructions

  • Imagine that this is the Grand Opening of your hospital’s Nutrition Center. As a member of the clinical nutrition team, you have played a part in the development of this nutrition, wellness, and weight loss center’s development. Therefore, when the first patients begin to sign up for nutrition assessments, you are eager to use some of the new nutrition programs and nutrition assessment tools. In this Assignment, you will be analyzing a client’s dietary intake record and providing a summary of his or her nutrient intake. Upon analyzing the client’s dietary intake you will also discuss other tools, methods and equipment that can be used to accurately assess the client’s nutrition status.

Description of client:

  • MM is a 40-year-old Hispanic mother of three teenage children who works as a counselor in a job placement bureau.
  • Occasionally smokes a cigarette when she is stressed — maybe five per week
  • Uses stairs at work; is tired at night when she gets home
  • The children’s birth weight ranged from 9-1/2 to 11 lbs.
  • Family history of heart disease, diabetes, cancer
  • Blood pressure was 140/92
  • Height 165 cm (5’ 5”)
  • Weight 93 kg (205 lbs.)
  • Glucose test values were 300 mg/dl at 1 hour, 248 mg/dl at 2 hours and 195 mg/dl at 3 hours
  • Serum cholesterol was 250 mg, HDL 36, LDL 200
  • Triglycerides 200 mg/dl.
  • Medications: Glucophage, Lexapro, multivitamin
  • Eats 2–3 meals per day, and eats goodies at the office
  • Irregular bowel movements
  • 24-hour recall:
    • Breakfast — Granola bar and a 12-oz. Diet Coke
    • Lunch: Large bowl of cream of broccoli and cheese soup and a sandwich with: luncheon meat turkey (about 3–4 ounces), lettuce, tomato, and 2 Tbsp. of mayonnaise from the cafeteria at work
    • Large sweet tea
    • Snack: 2 glazed doughnuts in break room
    • Snickers candy bar on the way home
    • Dinner: Stouffers Lasagna: about 2 portions
    • Small salad with 3 Tbsp. ranch dressing (made from a salad kit)
    • 1 piece of Texas Toast
    • 2 cans Diet Coke
    • Snack: Bowl of chocolate chip ice cream before bed

Choose a dietary analysis program (choosemyplate.gov) or others available on the internet and enter all of the client’s food into the program. Design a chart that includes a summary of the nutritional intake. This should include:

  • exact food description/food list and serving size that was entered into the program
  • total calories
  • total fat
  • total carbohydrates
  • total fiber
  • total protein
  • total sodium
  • at least four or more vitamins or minerals

Upon reviewing the client’s intake and other information about the client, choose other nutritional assessment methods or tools that can be used to accurately assess the client’s overall nutrition status. When choosing which nutrition assessment tools and methods to use, please provide evidence and reasoning as to why each method or tool is necessary to provide an accurate and complete nutrition assessment of this patient. (Ex: additional dietary intake history, physical measurements, and biochemical information)

Requirements

This Assignment should be 2–3 pages (one page can include the dietary/food intake analysis table). It should be in APA format and include at least two references.

Please be sure to download the file “Writing Center Resources” from Course Documents to assist you with meeting APA expectations for written assignments

P2

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

Deactivated

Cynthia Dunn 

1 posts

Re:Topic 1 DQ 1

The ways of “managing” employees have been taking a transformation for some time now, many theories on how to use strategies for managing employees and companies have been developed and been emerging since the early 1900’s. One of the early theories known is the Scientific management theory. This theory is described as a theory which has built a foundation on having a disconnect between management and employees, as well as stating that humans are motivated by money. The harder the employees work the more money the company makes, this brought a dissatisfaction to the employees and a feeling of unappreciation of their skills (GCU, n.d.).

If most hospitals applied the scientific management theory to departments, some areas of inefficiency would be, we would be treated more like machines and numbers, rather than the personal relationships we have now with our management teams. Currently in health care we are continuously asked to do more and more task and documentation with no financial compensation. Employee work hours change to benefit the company, especially to compensate for the nursing/staff shortages. Hospitals may cut back on specialty teams to avoid extra cost for the organizations, for example, PICC teams and wound care teams, they are doing away with staff that have a specialized skill due to cost.

The one participative decision making that exist in my workplace would have to be the yearly employee satisfaction survey that we take. This has been a method to voice our opinions on many topics and issues around the hospital, from different disciplinary departments. This has brought some positive changes in areas we are most dissatisfied with. Health care organizations are increasingly responding to quality, cost and safety pressures by implementing bundles of high-performance work practices (HPWP) designed to improve both worker commitment and health care outcomes. HPWP that integrate front line workers in health care, with opportunities for participative decision making can positively influence job satisfaction and perceived quality of care (Chuang, Morgan, & Konrad, n.d.).

References:

GCU. (n.d.). Theories and Concepts in Leadership and Management. Retrieved from https://lc-ugrad3.gcu.edu/learningPlatform/user/u

  Assignment 4: Practicum – Week 10 Journal Entry Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal. : Explain whether your therapeutic

  Assignment 4: Practicum – Week 10 Journal Entry

Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal.

: Explain whether your therapeutic theory has changed as a result of your 

      practicum experiences. Recall the theories you selected in Week 1 which is 

      (Cognitive Behavioral Theory & Rational Emotive Behavioral Theory) 

: Explain how you integrated the therapeutic approaches from this course in your 

        clinical practice. Include how this helped you achieve the goals and objectives 

        you developed in Week 1 ( For this assignment, just make up any goals)

: Explain how you might impact social change through your work with clients who 

        have mental health issues.

: Support your approach with evidence-based literature.

NOTE: PLEASE SEE AND PAY ATTENTION TO THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION IN MENTAL HEALTH NURSING AND INCLUDE REFERENCES

                                                     Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter      17, “Psychotherapy With Children” (pp. 597–624)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9(2), 4–8. doi:10.1037/h0100991

Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959

McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464. doi:10.1037/ccp0000081

Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103. doi:10.1037/a0030930

(250 Words and references)BREAKING NEWS: Cybercriminals ransacked your hospital database breaching the data of roughly 100,000 patients. The attack has prevented organizational access to patient files

(250 Words and references)

BREAKING NEWS: Cybercriminals ransacked your hospital database breaching the data of roughly 100,000 patients. The attack has prevented organizational access to patient files, medical images, and details of patient visits. Accessed files contain personal information including names, addresses, Social Security information, dates of birth, contact information, diagnoses, treatments, medications, and other medical information. 

Discuss the moral, ethical, and legal implications of paying a ransom to the cybercriminal responsible for this attack.

2 pages only due in 7 hrs

Ethics in Healthcare

In this assignment, you will study the role of ethics in healthcare.Based on your research, respond to one of the following discussion questions.

Discussion Question 1

Read the following article:

Shelton, A., Freeman, B., Fish, A., Bachman, J., & Richardson, L. (2015). American Journal of Critical Care, 24(2), 148-155. doi: 10.4037/ajcc2015983

Ethics guidelines now require that individuals give informed consent to participate in research. Existing ethical guidelines do not help us decide how to seek consent and have allowed managerial experimentation to remain unchecked.

Based on your understanding of the topic and the article, answer the following question:

Do you think that alternative forms of community consent should be actively pursued? Why or why not? How would you feel if your medical records were examined and included in research without your consent based on an illness in the past?

Discussion Question 2

Scenario

Two nurse researchers are interested in studying whether a pain assessment tool for critical care patients is valid and reliable when applied to a group of patients who cannot communicate verbally due to mechanical ventilation. They design a validation study in which randomly selected patients will be assessed using the tool after a painful procedure (tracheal suctioning) and after a non-painful procedure (oral care). If patient responses result in higher scores after the painful procedure than after the non-painful one, then the researchers will conclude that the tool is effective for these patients in differentiating pain responses from responses to nursing procedures in general.

Using the checklist in the text, discuss and draw a conclusion as to whether this study will likely be exempt, expedited, or full review. Explain your rationale.

In this module, you will complete a full assessment of your own community. You may build upon this assessment in Community Health II by planning, implementing and evaluating a project within your comm

In this module, you will complete a full assessment of your own community. You may build upon this assessment in Community Health II by planning, implementing and evaluating a project within your community designed to address primary prevention of an identified health concern.

Defining the Community

Your community can be any geographically defined county, city, or town. Clearly delineate the following dimensions before starting the process of community assessment:

  • Describe the population that is being assessed?
  • What is/are the race(s) of this population within the community?
  • Are there boundaries of this group? If so, what are they?
  • Does this community exist within a certain city or county?
  • Are there general characteristics that separate this group from others?
  • Education levels, birth/death rates, age of deaths, insured/uninsured?
  • Where is this group located geographically…? Urban/rural?
  • Why is a community assessment being performed? What purpose will it serve?
  • How will information for the community assessment be collected?

Assessment

After the community has been defined, the next phase is assessment. The following items describe several resources and methods that can be used to gather and generate data. These items serve as a starting point for data collection. This is not an all-inclusive list of resources and methods that may be used when a community assessment is conducted.

The time frame for completion of the assessment may influence which methods are used. Nonetheless, these items should be reviewed to determine what information will be useful to collect about the community that is being assessed. It is not necessary to use all of these resources and methods; however, use of a variety of methods is helpful when one is exploring the needs of a community.

Data Gathering (collecting information that already exists)

Demographics of the Community

  • When demographic data are collected, it is useful to collect data from a variety of levels so comparisons can be made.
  • If the population that is being assessed is located within a specific setting, it may be best to contact that agency to retrieve specific information about that population.
  • The following resources provide a broad overview of the demographics of a city, county, or state:
  • American Fact Finder—Find population, housing, and economic and geographic data for your city based on U.S. Census data
  • State and County Quick Facts—Easy access to facts about people, business, and geography, based on U.S. Census data
  • Obtain information about a specific city or county on these useful websites www.epodunk.com and www.city-data.com

Information from Government Agencies

  • Healthy People 2020—this resource is published by the U.S. Department of Health and Human Services. It identifies health improvement goals and objectives for the country to be reached by the year 2020
  • National Center for Health Statistics—this agency is part of the Centers for Disease Control and Prevention; this website provides statistical information about the health of Americans
  • Centers for Disease Control and Prevention (CDC)—The CDC website contains a large amount of information related to the health of the American population. The search engine within this website can be used to find relevant information
  • Federal agencies with statistical programs
  • Every state in the United States has its own specific health improvement plan and goals that are based on the Healthy People 2020 document. This information may be available on the state health department website.
  • State and local health departments provide information related to vital statistics for the community.

Other Data Sources

  • America’s Health Rankings—this website provides information about various health indicators for each state: https://www.americashealthrankings.org/
  • Other relevant data sources may be found by conducting an Internet search related to the topic that is being examined through the community assessment.

After data are collected from various sources, it is important to review the information and to identify assets and areas for improvement in the community by comparing local data (if available) versus state and national data. This will facilitate organization of the information that has already been obtained and will provide direction for the next step of the process.

Data Generation (data are developed that do not already exist):

Windshield Surveys

With the use of public transportation or by driving a vehicle around the community, one can observe common characteristics of the community.

Examples of key observations to make when one is assessing the community through a windshield survey include the following:

  • Age of the homes in the community
  • Location of parks and other recreational areas
  • Amount of space between homes and businesses
  • Neighborhood hangouts
  • Transportation in the community
  • Quality and safety of streets and sidewalks
  • Stores and other businesses
  • People out in the community
  • Cleanliness of the community
  • Billboards or other media displays
  • Places of worship
  • Healthcare facilities

Participant Observation

Spend time observing the population that is being assessed. Through observation of interactions among group members, much can be learned about the community, including the following:

  • Developmental level of the population
  • Effectiveness of peer-to-peer interactions
  • Respect for peers and others
  • Safety in the environment
  • Economic status

Informant Interviews

Informants could be people who are familiar with and interact with the population on a regular basis.

Examples of questions that may be asked of key informants include the following:

  • Strengths/assets of the community
  • Areas of improvement for the community
  • Concerns of community members
  • Access to health care
  • Emergency plans for natural or man-made disasters

Focus Groups

Focus groups (usually small groups of 6-12 people) can be helpful when one is gathering information about specific areas of concern within the population. Use of a focus group involves open dialogue about the population, whereas an interview or survey yields only individual responses.

  • Focus groups may be effective for assessing the following:
  • Satisfaction with services provided
  • Community resources used
  • Transportation issues within the community
  • Safety within the community
  • General concerns of members of the population

Surveys

Surveys may be used to collect data from the community. Selecting a sample of the target population may prove helpful in the collection of data that are easier to analyze. It is important to ensure that the sample is representative of the target population.

A survey should be developed that takes into consideration the developmental level of the group that is being assessed. Questions should be written at the appropriate developmental level, so they are answered in a way that makes the data useful. Surveys might include closed-ended (yes/no), multiple choice (several responses to choose from), Likert scale (Strongly Agree/Agree/Neutral/Disagree/Strongly Disagree), or open-ended (“why”/“how”) questions.

Topics that may be addressed in a survey include the following:

  • Demographic information
  • Status of employment
  • Safety within community
  • Safety in environment
  • Personal safety (seatbelts, helmets, etc.)
  • Stressors/stress management patterns
  • Risky behaviors
  • Support systems
  • Volunteer/community activities
  • Rest patterns
  • Nutrition
  • Dental hygiene
  • Health promotion activities

 Learning Materials

FOR SURAYA ONLY

APA format 3-5 pages 5 references 3 from Walden University Library Please use PICOT from other project from 1 week ago In patients with urinary retention, what is the effect that straight catheterizing or self-catharizing, in comparison to indwelling catheter on increasing urinary infections?

Course Project: Part 2—Literature Review

This is a continuation of the Course Project presented in Week 2. Before you begin, review the Course Project Overview document located in the Week 2 Resources area.

The literature review is a critical piece in the research process because it helps a researcher determine what is currently known about a topic and identify gaps or further questions. Conducting a thorough literature review can be a time-consuming process, but the effort helps establish the foundation for everything that will follow. For this part of your Course Project, you will conduct a brief literature review to find information on the question you developed in Week 2. This will provide you with experience in searching databases and identifying applicable resources.

To prepare:

  • Review the information in Chapter 5 of the course text, focusing on the steps for conducting a literature review and for compiling your findings.
  • Using the question you selected in your Week 2 Project (Part 1 of the Course Project), locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible. Use the search tools and techniques mentioned in your readings this week to enhance the comprehensiveness and objectivity of your review. You may gather these articles from any appropriate source, but make sure at least 3 of these articles are available as full-text versions through Walden Library’s databases.
  • Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed. Although you may include more, you are expected to include a minimum of five articles. Complete a literature review summary table using the Literature Review Summary Table Template located in this week’s Learning Resources.
  • Prepare to summarize and synthesize the literature using the information on writing a literature review found in Chapter 5 of the course text.

To complete:

Write a 3- to 4-page literature review that includes the following:

  • A synthesis of what the studies reveal about the current state of knowledge on the question that you developed
    • Point out inconsistencies and contradictions in the literature and offer possible explanations for inconsistencies.
  • Preliminary conclusions on whether the evidence provides strong support for a change in practice or whether further research is needed to adequately address your inquiry
  • Your literature review summary table with all references formatted in correct APA style

Note: Certain aspects of conducting a standard review of literature have not yet been covered in this course. Therefore, while you are invited to critically examine any aspect of the studies (e.g., a study’s design, appropriateness of the theoretic framework, data sampling methods), your conclusion should be considered preliminary. Bear in mind that five studies are typically not enough to reflect the full range of knowledge on a particular question and you are not expected to be familiar enough with research methodology to conduct a comprehensive evaluation of all aspects of the studies.

By Day 7 of Week 5

This part of the Course Project is due. It will also be a component in your Portfolio Assignment in this course, which is due by Day 7 of Week 10.