DQ4003

WORK03

SOAP NOTE: Ear infection (PEDIATRIC)

( Healthcare Workforce Shortages}

Important information attach please read.

Pathophysiology Adventure part 2 Response JG

My Topic is on HIV

General question: Which diagnostic tools—labs, imaging, or physical assessments—are most critical in confirming the diagnosis? Why? 

Pathophyysiology Adventure Response SP

  

The case study based on CAD involves a 65-year-old male with a history of smoking and high cholesterol.

Patient Demographics

  • Gender: Male
  • Age: 65 years old
  • Family History: Father had a heart attack at a young age
  • Occupation: Retired in nursing home

Symptoms

  • Chest pain
  • Shortness of breath
  • Nausea

Medical History

  • Smoker (pack-a-day)
  • High cholesterol levels
  • Sedentary lifestyle

Physical examination

  • Slightly elevated blood pressure

Diagnostic test

  • Stress test: positive for ischemia
  • Electrocardiogram (ECG): shows ST-segment depression with exercise

Treatment plan

  • Lifestyle changes: smoking cessation, regular exercise, healthy diet
  • Medications: statins to reduce cholesterol levels, beta-blockers to slow heartbeat and reduce blood pressure

References

Bauersachs, R., Zeymer, U., Brière, J., Marre, C., Bowrin, K., & Huelsebeck, M. (2019). Burden of coronary artery disease and peripheral artery disease: A literature review. Cardiovascular Therapeutics2019, 1-9. https://doi.org/10.1155/2019/8295054Links to an external site.

Cassar, A., Holmes, D. R., Rihal, C. S., & Gersh, B. J. (2009). Chronic coronary artery disease: Diagnosis and management. Mayo Clinic Proceedings84(12), 1130-1146. https://doi.org/10.4065/mcp.2009.0391Links to an external site.

Wilson, P. W., & O’Donnell, C. J. (2018). Epidemiology of chronic coronary artery disease. Chronic Coronary Artery Disease, 1-15. https://doi.org/10.1016/b978-0-323-42880-4.00001-7

ip 4 and ip 5

Established in 1987, ABC Community Hospital not-for-profit is an acute care hospital located in an east coast Metropolitan area. With a staff of nearly 200 physicians and specialists, 800 employees and 100 volunteers, they offer a full range of healthcare services. They are accredited by the Joint Commission on Accreditation of Healthcare Organizations. The hospital has been profitable for the last 5 years with a profit margin of 3-4%. The mission of ABC Community Hospital is to provide accessible and comprehensive healthcare services in a convenient and cost-effective manner to the people who live in our community.

At the last Board meeting, hospital administration and the Board of Directors began to discuss a proposal to build a new wing devoted to a Cancer Center and ancillary services devoted to the treatment of cancer.  The new wing would have 30 acute care beds, four surgical operating rooms, intensive care unit and extensive support services, including physical therapy and hospice care. All patient rooms would be private. There is no Cancer Centers within a 200 mile radius of the hospital service area.

Now, the Board of Directors has come back with more questions that they want you to add to the original plan with new content:

  • Compare and contrast the kinds of decisions that are made in the Cancer Center capital investment decision analysis for ABC Community Hospital.
  • What information is needed by the CFO to evaluate the Cancer Center capital investment project? Use the classification of capital expenditures and justification of capital expenditures for this project, and include working capital management. 
  • Who, internally from the healthcare system and externally, should be involved in the capital investment decision process to determine the feasibility of the Cancer Center?

Applied Statistics T2 DQ1

Review the terms Stratified Sampling from “The Visual Learner: Statistics,” (https://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html).

Use the Stratified Sampling method to answer the following question:

Imagine that you are conducting a patient satisfaction survey at your health care facility. How would the assigned sampling method be applied in this case? What are the strengths and weakness of the assigned sampling method in this scenario?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

Applied Statistics T2 DQ2

Watch three videos:

– Measure of Center ‘Mean’: https://lc.gcumedia.com/hlt362v/the-visual-learner/measure-of-center-mean.html

– Measure of Center ‘Median’: https://lc.gcumedia.com/hlt362v/the-visual-learner/measure-of-center-median.html

– Measure of Center ‘Mode’: https://lc.gcumedia.com/hlt362v/the-visual-learner/measure-of-center-mode.html

Go to the (https://www.random.org/integer-sets/) website, to generate a set of random numbers. Click on the “Get Sets’ link at the bottom left of the page to generate some data. (Note: If you are not able to access the link, you can randomly generate 10 numbers yourself for this calculation.)

Imagine these numbers are the care satisfaction scores from a recent sample of discharged patients. Randomly select one row of numbers to use for the following calculations:

  • What was the mean?
  • What was the median?
  • What was/were the mode/s?
  • Given that the range of data was between 1 and 20, what do these numbers tell you about the overall satisfaction of the patients?
  • If you were reporting these scores back to your supervisor, how would you explain or interpret these satisfaction scores?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

refection

 

  • Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources, and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
  • Refer to your Clinical Skills Self-Assessment Form you submitted in Week 1, and consider your strengths and opportunities for improvement.
  • Refer to your Patient Log in Meditrek, and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

 

  • Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
  • Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each?
  • What did you learn from this experience?
  • What resources were available?
  • What evidence-based practice did you use for the patients?
  • What would you do differently?
  • How are you managing patient flow and volume?
  • How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

  • Reflect on how you might improve your skills and knowledge, and communicate those efforts to your Preceptor.
  • Answer the questions: How am I doing? What is missing?
  • Reflect on the formal and informal feedback you received from your Preceptor.