Nursing LAB ASSIGNMENT: DIFFERENTIAL DIAGNOSIS FOR SKIN CONDITIONS

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Week 4

Skin Comprehensive SOAP Note Template

Patient Initials: _______ Age: _______ Gender: _______

SUBJECTIVE DATA:

Chief Complaint (CC):

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History (PMH):

Past Surgical History (PSH):

Sexual/Reproductive History:

Personal/Social History:

Health Maintenance:

Immunization History:

Significant Family History:

Review of Systems:

General:

HEENT:

Respiratory:

Cardiovascular/Peripheral Vascular:

Gastrointestinal:

Genitourinary:

Musculoskeletal:

Neurological:

Psychiatric:

Skin/hair/nails:

OBJECTIVE DATA:

Physical Exam:

Vital signs:

General:

HEENT:

Neck:

Chest/Lungs:.

Heart/Peripheral Vascular:

Abdomen:

Genital/Rectal:

Musculoskeletal:

Neurological:

Skin:

Diagnostic results:

ASSESSMENT:

PLAN:
This section is not required for the assignments in this course (NURS 6512), but will be required for future courses.

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health care statistics. IP4

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Statistics play an important role in the management of health care organizations and in decision making and strategic planning. Collecting, analyzing, and utilizing data appropriately impacts financial management of the organization and the quality of patient care delivered. Decisions in clinical medicine are driven by evidence-based practice, as are those in health care management. A health care manager must understand and use evidence in making informed decisions that improve the operations and financial status of the organization as well as deliver quality of care accessible to those who need it and with consideration of the costs involved.

In this assignment, you will choose a utilization review statistic from the following list and review a research  or government publication, as outlined below.

Choose a health care statistic that health care managers would use, such as one of the following:

  • Hospital-acquired condition (HAC)
  • Emergency department visits
  • Labor and delivery suite usage
  • Ambulatory surgery procedures
  • Hospital death rates
  • Cesarean-section rate
  • Wait time
  • Adverse drug events

Research your chosen statistic, and provide information from an outside source—such as a journal article, accreditation agency report, government site, and so forth—that discusses the health care statistic in a real-life setting or situation.

 in APA format that discusses the following:

  • What was the reason for the research that was performed or for the data being collected?
  • What was the source of the data presented?
  • What types of descriptive statistics and graphical representations of data were used?
  • What were the research question(s) and the significant findings of the article?
  • How could the information presented be used to inform decisions or improvements?

Cite references using APA format, and remember to include a citation for the article that you are describing.

Response

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Respond to this DB using APA and include at least 2 scholarly references.

. Competing Needs in Healthcare Policy Development: Addressing the National Healthcare Issue of Rising Costs

         The United States faces a critical challenge in the form of escalating healthcare costs, which have profound implications for care delivery and patient outcomes. Crafting effective healthcare policies to address these rising costs is a complex process influenced by various competing needs, including those of the workforce, available resources, and patients. 

                                                    Competing Needs in Healthcare Policy Development

         The development of healthcare policy is a multifaceted process that requires the careful consideration of various competing needs, primarily concerning three key stakeholders: the healthcare workforce, available resources, and patients.

The Workforce

         A primary concern in healthcare policy development is the well-being and satisfaction of the healthcare workforce. Nurses, physicians, and other healthcare professionals are essential for delivering quality care. Policies that fail to address the workforce’s needs can lead to burnout, decreased job satisfaction, and, ultimately, a shortage of healthcare providers (Milliken, 2018).

Resources

         Another critical factor in healthcare policy development is the allocation of resources. These resources encompass financial budgets, medical equipment, hospital facilities, and research funding. Competing needs emerge when policymakers must strike a balance in resource allocation between different healthcare sectors, such as primary care, specialty care, and mental health services.

Patients

        The ultimate goal of healthcare policy is to improve patient outcomes and ensure equitable access to care. Policies that do not prioritize patient needs can result in disparities in healthcare access and quality. Patients require affordable care, timely access to services, and assurance of their safety and well-being (American Nurses Association, 2015).

                                              Impacts of Competing Needs on Rising Healthcare Costs

         Rising healthcare costs pose a significant national healthcare issue that is profoundly influenced by the following competing needs discussed below.

Workforce Needs

         Healthcare professionals are indispensable for care delivery. However, addressing the workforce’s needs, such as fair compensation, manageable workloads, and a supportive work environment, often necessitates increased spending. This can directly contribute to rising healthcare costs as salaries and benefits for healthcare workers constitute a substantial portion of healthcare expenditures (Kelly & Porr, 2018). For example specialized settings like psychiatric hospitals, attracting and retaining mental health professionals is challenging due to the demanding nature of the work. To meet the workforce’s needs, policymakers may need to allocate additional funds for competitive salaries and mental health support programs.

Resource Allocation

         Effective resource allocation is crucial for managing rising healthcare costs. When resources are thinly spread across various healthcare sectors, inefficiencies, care delays, and increased costs can result. For instance, underinvestment in preventive care and community-based services can lead to higher costs associated with treating preventable chronic conditions for example, to address the escalating costs of psychiatric hospitals, policymakers may need to allocate resources for community mental health programs and early intervention services. This can help prevent hospitalizations and reduce the overall financial burden on the healthcare system.

Patient-Centered Care

         Policies that do not adequately prioritize patients’ needs can exacerbate healthcare costs. Patients who lack access to affordable care may delay seeking treatment, leading to more severe health issues and increased long-term costs. Furthermore, a lack of emphasis on preventive care can result in higher expenses associated with treating advanced illnesses for example, to address rising costs and ensure patient-centered care, policymakers may need to implement policies that expand access to affordable healthcare, including mental health services. This could involve subsidizing insurance premiums or increasing the availability of Medicaid programs.

                                                                   Addressing Competing Needs through Policy

         Effectively addressing the national healthcare issue of rising costs while considering the competing needs of the workforce, resources, and patients necessitates the implementation of several targeted strategies.

Workforce Support

         Policymakers should prioritize workforce needs by ensuring fair compensation, manageable workloads, and access to mental health support programs. This can help reduce turnover, enhance job satisfaction, and ultimately contribute to cost containment.

Resource Optimization

         Resource allocation should be evidence-based, maximizing efficiency and cost-effectiveness. This may involve investing in preventive care, telemedicine, and outpatient services to reduce the need for costly hospitalizations.

Patient-Centered Reforms

         Healthcare policies should prioritize patient needs, including affordability, accessibility, and safety. Expanding coverage options, implementing price transparency, and promoting preventive care can help reduce overall healthcare costs and enhance patient outcomes.

Interdisciplinary Collaboration

         Collaboration between healthcare professionals, policymakers, and healthcare administrators is essential. Interdisciplinary teams can develop and implement policies that effectively balance competing needs, drawing on diverse perspectives to find innovative solutions.

         Regular Review and Adjustment: Healthcare policies should remain dynamic and subject to regular review and adjustment. This allows policymakers to adapt to changing healthcare landscapes and emerging challenges while continuously optimizing resource allocation.

                                                                                                  Conclusion

         The development of healthcare policy is a multifaceted process influenced by competing needs, including those of the workforce, resources, and patients. Rising healthcare costs present a significant national healthcare issue, and addressing these competing needs is crucial to finding sustainable solutions. Ethical considerations, as outlined in the American Nurses Association’s Code of Ethics, play a pivotal role in ensuring that policies prioritize patient well-being, equitable access to care, and the support of healthcare professionals. By strategically balancing these competing needs and implementing targeted policy reforms, the healthcare system can work toward containing rising costs while delivering high-quality, patient-centered care.

                                                                                                   References

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. https://www.nursingworld.org/coe-Links to an external site. 

               view-only

Berwick, D. M., & Hackbarth, A. D. (2012). Eliminating waste in US health care. JAMA, 307(14), 1513-1516.     

              doi:10.1001/jama.2012.362

Cutler, D. M., & Sahni, N. R. (2013). If slow rate of health care spending growth persists, projections may be off by $770 billion.

               Health Affairs, 32(5), 841-850. doi:10.1377/hlthaff.2012.1258

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. Online   

               Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06.

Milliken, A. (2018). Ethical awareness: What it is and why it matters. Online Journal of Issues in Nursing, 23(1), Manuscript 1.

               doi:10.3912/OJIN.Vol23No01Man01.

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CASE STUDY PRESENTATION

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 State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.

Medical Ethics

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1) You will select a current medical ethics issue to research.

Select a topic related to one of the following current medical ethics issues:

* End of Life

* Eugenics and Human Genetics

* Medical Research

* Reproductive Issues

* Organ Donation and Transplantation

* Public Health Issues

* Access to Health Care

* Biotechnology

2) Complete the template that is posted below.

Nursing homework help

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Module 05 Written Assignment – Concepts for Clinical Judgment

Module 05 Content

  1. Read the article “Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” by Christine Tanner, which is linked below:

    Link to article

    In at least three pages, answer the following questions:

    1. What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
    2. In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?
    3. Additional sources are not required but if they are used, please cite them in APA format.

      Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

      Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Nursing Assignment

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Post a brief explanation of the role of the nurse with a practice doctorate. Be specific. Explain the expectations associated with obtaining this degree, including how these expectations might be different for a nurse who holds a different degree. Then, explain how these considerations relate to your motivation to pursue a DNP, including a brief description of how your role as a DNP-prepared nurse will meet a potential organization’s need to address a gap in practice or implement a practice change. Discuss any experiences you have had in addressing a gap in practice or a practice change within an organization. Be specific.

Case Study Analysis 1

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NSG 3300 – Conc of Pathophys for Nsg

Case Study Analysis 1

Please be sure your assignment submissions meet both criteria: 

1. The TurnitIn score is no higher than 25%; and 

2. No amount of plagiarism can be present. 

If the TurnitIn score for your submitted assignment is greater than 25%, your assignment will automatically undergo an Academic Integrity review.

Please be sure your assignments meet both criteria: TurnitIn score of no higher than 25% 
and no instances of plagiarism.

As part of APA formatting, this assignment requires Level 1 headings for each of the main sections of the paper. The Introduction section is the only section for which there should be no Level 1 heading. Please use the topic headings as stated in the assignment rubric as the Level 1 headings for the assignment. For more information about section headings, please view the following APA Style resource: 

https://apastyle.apa.org/style-grammar-guidelines/paper-format/headings

Assignment Instructions: 

· Review the case study scenario below and the client's family history and medical profile information from unit 1.  

· Next, write a 6-8-page paper analysis of the client (including title and reference page) according to the assignment specifications, outline, and grading rubric. 

Case Study 1 Scenario:

Client, Sarah Collins, has chronic kidney disease. She receives dialysis twice a week. Today when Mrs. Collins arrives at the dialysis clinic, the nurse assesses Mrs. Collins and notes her blood pressure is 145/90 mm Hg and she has gained three pounds since her last visit. Mrs. Collins tells the nurse she was trying earlier to walk to her mailbox at the end of the driveway and couldn’t because she was out of breath. Mrs. Collins' husband and 16-year-old grandson are at the clinic with her. 

Case Study Analysis Assignment Outline: 

 The case study analysis paper should include the following sections with responses and rationales for all the prompts.

Introduction (3-5 paragraphs) 

Provide an overview of the pathophysiology of the disease exhibited by the client. Include: 

· What additional assessment findings would you look for? 

· What lab abnormalities would you expect to see? 

· What diagnostics would you anticipate the healthcare team ordering? 

· Provide a rationale for your answers. 

Implications for Self-Care (2 paragraphs) 

· Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing.  

· How does this disease process impact the client’s and/or their care provider’s ability to care for themselves? 

Patient Education Strategy (2-3 paragraphs) 

· Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings. 

· Describe the educational strategies that should be incorporated when building a plan of care for your client.

· Support with rationale. 

Interdisciplinary Collaboration (2-3 paragraphs) 

· Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale. 

· Consider the care the client will need while inpatient and upon discharge.  

· Consider nutrition, community services, and financial implications. 

Conclusion 

· Summarize the key concepts of this disease process and client case study scenario.  

References 

· A minimum of three references should be used in this paper.  

· References should be no more than five years old. 
Exceptions include seminal works, such as original publications by nurse theorists.  

· One reference must be your textbook, (Banasik, J. L. (2022). Pathophysiology (7th ed.). Elsevier. ISBN-13: 9780323761550)

· One reference must be from a peer-reviewed journal,  

· One reference must be from an authoritative website such as the CDC, NIH or Healthy People 2030.

Assignment Specifications: 

· Name the paper with a File Naming Protocol: When you save the paper, name it: Valdes_NSG 3300_CaseStudyAnalysis_1.docx 

· Paper reflects clinical and professional client/cases, and no references to personal or family issues.

APA Formatting 

· All papers should be written in APA formatting. This paper should include: 

· Formal components, such as a title page, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts 

· APA-formatted 
level headings 

· APA margin, font, and paragraph spacing 

· Include page numbers 

· Appropriate in-text reference citations 

· A reference page, in correct APA format 

Nursing ASSIGNMENT

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To Prepare:

· Review the Resources and reflect on the web article 
Big Data Means Big Potential, Challenges for Nurse Execs.

· Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

BY DAY 3 OF WEEK 5

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

BY DAY 6 OF WEEK

Patient Identification Errors in Healthcare

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You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue. 

Patient Identification Errors in Healthcare: Ensuring the correct identification of patients is a foundational aspect of safe healthcare delivery. When errors occur in this basic step, the ripple effects can be catastrophic. Here’s why understanding and preventing patient identification errors is essential: