Category: Health & Medical

Resource: Ch. 18 to 19 of The Spirit Catches You and You Fall Down.
Respond to the following in a minimum of 175 words:
Was Lia’s life ruined by cross-cultural misunderstandings? Explain your thoughts.
Include sources or references to support your perspective.

A number of organizations that may impact the legislative process. Two of these are Blue Cross and Blue Shield and AARP. What are your thoughts on the appropriateness of organizations such as these having an impact on the process? What value do they bring to the process? Or should this type of intervention not be allowed?
2 = Many professional associations work to advance their own policy agendas. One such example is the American Public Health Association http://www.apha.org/advocacy/. As discussed in this chapter, problems lead to the search for solutions. These solutions are many times manifested in the formulation of policy agendas. Locate a policy agenda for two professional healthcare organizations, such as the AMA, AHA, AHIMA, etc. Discuss the types of items that are on their policy agenda. What types of actions do they suggest or support? Who is the intended audience? What are your observations of the way the agenda is presented? Submit a one to two page (double-spaced) summary of your findings.
3 = There has been a great deal of discussion on the type of consent needed by the patient in order to exchange personal health information. The issue is a complicated one, as patients may want to share data with some healthcare providers but may not want to share all information with all providers. The terms opt-in and opt-out are commonly used to describe the environment in which consent may be given for the information exchange. Information on these models, as well as others, may be found in the whitepaper regarding consent models in the Module 5 Resources. Generally, an opt-in model would assume that patients did not authorize the exchange unless they expressly signed a consent to participate. Adversely, opt-out would assume they are participating unless they consent to not have their information shared. While this is a simplistic view and there are alternatives of each type, it brings up a good debate. Which model would you feel is the model of choice to exchange health information?
4 = Review the information on DURSA in the resources section of this module. Provide a critique (double-spaced, Arial 12 font, cover and reference pages using APA 7th Edition formatting rules) of these documents. Do you feel it adequately addresses the areas of privacy and security with respect to the exchange of personally identifiable health information? Are there areas you feel should be in more depth? Items that are unnecessary? Who would execute a DURSA document? At what level would this be beneficial – facility, enterprise, state exchange, national exchange?

I need this in 600 words. I also need multiple resources to answer the questions, with in-text citations of all resources used. Resources must also be within the last 5 years.
Instructions:
Choose 2 of the following topical areas to address:
1. How do you integrate theory and science into EBP?
2. What are effective leadership characteristics?
3. What is Systems Thinking and how does it relate to Leadership in Advanced Practice?
4. In Zaccagnini, the reader is presented with brief summaries of 18 theories of nursing. Choose one that may underpin your nursing practice and describe why that theory supports your practice or choose another theory/model that you currently use or would like to implement in your setting.
5. Does theory relate or contribute anything to daily practice? In what ways might you use theory in practice?
6. In what ways might you use theory in practice?
7. Discuss the benefits, concerns, and challenges of the systems approach as it relates to the multiple dimensions of a health care system. Please share an example of systems thinking or transformational leadership that you have seen in practice.
8. What leadership styles do you think you will most likely adopt as a DNP graduate, when engaged in a leadership role? Why?
9. Do you face conflict or avoid it? How do you gain experience in feeling comfortable addressing conflict in the workplace?

Around the world, there are really strong and emotionally charged transportation safety messaging in public service announcement see for example several by searching on youtube: https://www.youtube.com/results?search_query=traff… to an external site.+
Do the PSAs contain all of the elements of successful risk communication? What do you think is the most effective approach?
attached below are module 6 notes incase you may need reference

Vaccinations as a Prophylactic Measure
Go to the CDC’s Recommended Vaccines by AgeLinks to an external site. web page and review the vaccination protocols recommended by the U.S. government.
Analyze three different types of children’s vaccinations in terms of the economic cost to the United States. Based on your analysis, recommend at least three measures to better disseminate vaccinations to the public, and provide a rationale for your recommendations.
Be sure to respond to at least one of your classmates’ posts.

ScenarioYou are a health care leader who has just finished your first Project Charter. Imagine that you have been invited to present your project in the form of a poster to your organization or at a professional conference. Prepare your poster to succinctly describe the different parts of your project in text, pictures, and graphs or statistics.
How might the results of the project be communicated to sponsors, stakeholders, team members? Think about how the project will benefit the target population, the organization, and those served. How does this project demonstrate leadership in terms of a process change for those served, the organization and/or the profession?
InstructionsUsing the NHS8040 Week 9 Poster Template [PPTX] , complete the following to create a poster that acts as a visual presentation of your Project Charter:
Apply your creativity while using charts, graphs, and visual images to tell your story for the change improvement you have created and the value to those served. The Poster Presentation Template will help organize your information, but feel free to change the colors, rearrange sections, and otherwise use it to meet the requirements for the assignment.
Include a title at the top of the poster.
Include a Gap Analysis that identifies the gap (difference between the current state and desired state), how the gap was identified, and why improvement is needed (importance/relevance).
Include the problem statement (1–2 sentences) that focuses on one specific area that can be realistically solved and identify the effect on the population.
Include the AIM Statement including the SMART Objectives, who will benefit, what will be done, where the change will occur, the timeline, and the impact on the population/process. Planned Intervention: Include the proposed intervention, who will be involved in implementation, the process for the implementation, e.g., when, where, and how, and the potential effects on the population/process
Project Team: List the team members, stakeholders, executive sponsor, and team leader, and their roles and contribution to the project (why they were selected).
Data Management Plan: Describe the data management plan including what data will be collected, who will collect the data, when it will be collected, the storage and protection of the data and its interpretation and utilization (think about diversity, inclusion and use of data).
Next Steps/Lessons Learned: What do you anticipate as the next 2–3 steps if you were actually going to implement this change? What is your anticipated outcome of the planned intervention? How will you know if it is successful? What lessons did you learn via this process?
Additional RequirementsWritten communication: Use short but complete sentences that are clear, comprehensible, and free of jargon for each paragraph or bullet point.
Length of presentation: Complete all fields of the Poster Presentation Template succinctly but thoroughly.
Tone: Ensure your presentation is relevant to and easily understood by everyone in the audience. Remember, you could be speaking to people in all levels of the organization.
Competencies MeasuredBy successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Evaluate the application of leadership styles to a practice or process change within a health care or public health delivery systemIdentify team members, stakeholders, sponsor, and a team leader appropriate to the needs of the project.
Competency 2: Analyze a health care issue from a leadership perspective, applying quality improvement principles and evidence based standards.Present a problem statement that focuses on a specific area.
Present an AIM statement that includes the goals the project is intended to accomplish and who will benefit, with a time frame.
Present the planned intervention, including initial steps to get started, the proposed intervention, and the process for implementation.
Competency 3: Develop a project charter that addresses a potential gap, problem, or opportunity within a health care system.Provide a Gap Analysis that presents an existing change opportunity and the desired state after improvement.
Describe 2–3 next steps that could be taken once the charter project is completed to initiate the project and anticipated outcomes.
Competency 4: Develop a data-management plan, including a plan for ethical stewardship for data use and communication.Describe the purpose and use of the data collection plan.
Competency 5: Communicate in a manner that is scholarly, interprofessional, and respectful of the diversity, dignity, and integrity of others.Create a poster that is professional and engaging in design and addresses the required components.
Font and font size: Use fonts and sizes appropriate for a presentation.

FOCUSED SOAP NOTE FOR SCHIZOPHRENIA SPECTRUM, OTHER PSYCHOTIC, AND MEDICATION-INDUCED MOVEMENT DISORDERS
Psychotic disorders change one’s sense of reality and cause abnormal thinking and perception. Patients presenting with psychotic disorders may suffer from delusions or hallucinations or may display negative symptoms such as lack of emotion or withdraw from social situations or relationships. Symptoms of medication-induced movement disorders can be mild or lethal and can include, for example, tremors, dystonic reactions, or serotonin syndrome.
For this Assignment, you will complete a focused SOAP note for a patient in a case study who has either a schizophrenia spectrum, other psychotic, or medication-induced movement disorder. RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. WEEKLY RESOURCES
TO PREPARE
Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.
THE ASSIGNMENT
Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:
Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment?  Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).
BY DAY 7 OF WEEK 5
Submit your Focused SOAP Note.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your publish for authenticity. To check your publish, access the Turnitin publishs from the Start Here area. To submit your completed assignment, save your Assignment as WK5Assgn_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
NRNP_6675_Week5_Assignment_Rubric
NRNP_6675_Week5_Assignment_Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeCreate documentation in the Focused SOAP Note Template about your assigned patient.In the Subjective section, provide: • Chief complaint• History of present illness (HPI)• Past psychiatric history• Medication trials and current medications• Psychotherapy or previous psychiatric diagnosis• Pertinent substance use, family psychiatric/substance use, social, and medical history• Allergies• ROS
15 to >13.0 ptsExcellent 90%–100%
The response throughly and accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.
13 to >11.0 ptsGood 80%–89%
The response accurately describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis.
11 to >10.0 ptsFair 70%–79%
The response describes the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis but is somewhat vague or contains minor innacuracies.
10 to >0 ptsPoor 0%–69%
The response provides an incomplete or inaccurate description of the patient’s subjective complaint, history of present illness, past psychiatric history, medication trials and current medications, psychotherapy or previous psychiatric diagnosis, pertinent histories, allergies, and review of all systems that would inform a differential diagnosis. Or the subjective documentation is missing.
15 pts
This criterion is linked to a Learning OutcomeIn the Objective section, provide:• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses
15 to >13.0 ptsExcellent 90%–100%
The response thoroughly and accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented.
13 to >11.0 ptsGood 80%–89%
The response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are accurately documented.
11 to >10.0 ptsFair 70%–79%
Documentation of the patient’s physical exam is somewhat vague or contains minor innacuracies. Diagnostic tests and their results are documented but contain minor innacuracies.
10 to >0 ptsPoor 0%–69%
The response provides incomplete or inaccurate documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed. Or the objective documentation is missing.
15 pts
This criterion is linked to a Learning OutcomeIn the Assessment section, provide:• Results of the mental status examination, presented in paragraph form• At least three differentials with supporting evidence. List them from top priority to least priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
20 to >17.0 ptsExcellent 90%–100%
The response thoroughly and accurately documents the results of the mental status exam…. Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides a thorough, accurate, and detailed justification for each of the disorders selected.
17 to >15.0 ptsGood 80%–89%
The response accurately documents the results of the mental status exam…. Response lists at least three distinctly different and detailed possible disorders in order of priority for a differential diagnosis of the patient in the assigned case study, and it provides an accurate justification for each of the disorders selected.
15 to >13.0 ptsFair 70%–79%
The response documents the results of the mental status exam with some vagueness or innacuracy…. Response lists at least three different possible disorders for a differential diagnosis of the patient and provides a justification for each, but may contain some vagueness or innacuracy.

Disscusion question needs feedback . Please include intext citations and references.
What is your current philosophy for driving change in the health care industry? Speak from your experience in the health care industry and insight from the MHA program.
My current philosophy for driving change in the health care industry is patient-centered care. I work for the care coordination department within my organization. We are completely focused on patient and family-centered care. We closely monitor patient discharges, length of stay, readmissions, utilization reviews, and more daily. We are a value-based model whose main priority is the valued care of our patients.
Discharge planning is a focus for my department. “The transition from the inpatient setting back to home often results in poor care coordination ,my department also follows patients’ inpatient care once they are in-home care. We are calling the patient within the first 24 hours. We are asking questions such as how they feel. Do they need additional care? Are they able to make it to their appointments? Can they obtain medication? Do they need assistance with transportation? We then connect them with our community health workers if they need any type of assistance. We also have patient education as a top priority. We have created caregiver training for patients’ family members. We also provide education to patients diagnosed with the top chronic conditions are sepsis, diabetes, CHF, and COPD. We want to keep our Lengths of stay as low as possible, have zero readmission rates, and ensure that our patients are safe and well at home after discharge.
Readmission rates could indicate the inadequate quality of care and/or a lack of appropriate post-discharge planning and care coordination (Plan All-Cause Readmissions – NCQA, 2018). “Unplanned readmissions are associated with increased mortality and higher health care costs” (Plan All-Cause Readmissions – NCQA, 2018).
Include an example of industry change that you believe is a priority. Support your perspective with scholarly sources.
Transitioning from volume-based to value-based care is an example of industry change that is a priority. Health care aims to care for patients with the highest value and quality. Through value-based care can be achieved. Value-based healthcare is a model in which providers, including hospitals and physicians, are paid based on patient health outcomes. “Health care delivery will not reach its full potential until all the actors begin working together to increase value and get rewarded accordingly” (Porter, 2008). Through a value-based care model reaching full potential can be achieved.
References
Plan All-Cause Readmissions – NCQA. (2018). NCQA. https:/plan-all cause readmissions /
Porter, M. E. (2008). Value-Based Health Care Delivery. Transactions of the … Meeting of the American Surgical Association, 126(4), 144–150. https://doi.org/10.1097/sla.0b013e31818a43af
Transitions of Care – NCQA. (2018). NCQA. https://www.ncqa.org/hedis/measures/transitions-of…

Watch the Health Disparities Video and write a 1-page summary about the video and why you think the video is something that needs to be shared with other people in society. Use excerpts from the video to make your case.????

Question 1
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Question textVitamins are
Select one:
a. Proteins in nature
b. Accessory food factors
c. Produced in endocrine glands
d. Generally synthesized in the body
Question 2
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Question textThe vitamin required for the formation of
hydroxyproline (in collagen) is
Select one:
a. Vitamin D
b. Vitamin C
c. Vitamin A
d. Vitamin E
Question 3
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Question textScurvy is caused due to the deficiency of
Select one:
a. Vitamin D
b. Vitamin C
c. Vitamin A
d. Vitamin K
Question 4
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Question textBoth Wernicke’s disease and beriberi can
be reversed by administrating
Select one:
a. Vitamin B12
b. Thiamin
c. Pyridoxine
d. Retinol
Question 5
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Question textThe Vitamin B1 deficiency causes
Select one:
a. Ricket
b. Nyctalopia
c. Beriberi
d. Pellagra
Question 6
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Question textConcentration of pyruvic acid and lactic acid in blood is increased due to deficiency
of the vitamin
Select one:
a. Pantothenic acid
b. Niacin
c. Thiamin
d. Riboflavin
Question 7
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Question textVitamin B1 coenzyme (TPP) is involved in
Select one:
a. Carboxylation
b. Oxidative decarboxylation
c. Transamination
d. Hydroxylation
Question 8
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Question textGlossitis is found in the deficiency of the vitamin
Select one:
a. Nicotinic acid
b. Pyridoxine
c. Riboflavin
d. Thiamin
Question 9
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Question textCorneal vascularisation is found in deficiency of the vitamin:
Select one:
a. B2
b. B6
c. B1
d. B3
Question 10
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Question textThe pellagra preventive factor is
Select one:
a. Riboflavin
b. Niacin
c. Pyridoxine
d. Pantothenic acid