Category: Health & Medical

Plagiarism Check
APA 7th edition Citation & References
Information taken from PPTs and Readings should also be cited along with slide number.
“INFO 6057 Health Systems Management_Written Assignment 2 W SM1” pdf
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Instructions:
Using sub-headings identified in red below, please review and answer comprehensively the following key 3 components of questions in a 1000-word document and upload to dropbox by the deadline.
Legislation and communication:
What laws and legislation can you find that supports protecting privacy and confidentiality with the rise of smart cities? Which department/ministry in government (both federally and by province or territory) is responsible for smart cities? Name and describe these laws/legislation and explain what they mean as it relates to protecting individuals privacy, ensuring dignity, cyber security and opportunity for improved health decision-making.
Health Record Information and Considerations:
What steps have the Canadian government either federally or provincially to be inclusive, to support Smart Cities? Therefore, please outline and explain the factors and considerations must be taken to understand accurate data in a health record?
Data integrity:
How is data governance promoted and supported in Canada? What similarities or differences exist in how various communities perceive smart cities (e.g. urban, rural, tribal, elderly, youth, etc.)?
Note: Remember to formulate a clear introduction and a succinct and meaningful conclusion.

Find an open position in the healthcare field that you may have an interest in applying for after you graduate
publish a cover letter for the position (follow the directions below)
Salutation
1st paragraph-introduce yourself (background statement) 4-5 sentences
2nd paragraph- why would be a good “fit” for the organization (read the organizations mission/value statement, select key words) incorporate your skills
3rd thank the organization for reviewing your resume and that you look forward to hearing from them in the near future include your phone number (4 sentences)
Valediction and your full name

This assignment will assist the learner in exploring the role of the nurse and other healthcare team members as it relates to nursing administration and leadership.
Instructions:
I work in University of Miami Sylvester cancer Institute as a chemotherapy nursing manager
Spend time in reflection of your prior experiences with nursing leaders.
Identify one ethical issue based on your practice or specialization to which sound leadership principles were or should have been applied.
Select three strategies to address the issue in the interest of the patient while supporting the nursing team providing care.
Provide succinct examples of how your chosen ethical issue impacts nursing, utilizing a minimum of three scholarly journal sources in addition to your textbooks.
The paper should be 3 pages in length (not including title page and reference list) and must have headings. Use to APA 7th edition style (student paper version)and grammar guidelines, and to credit sources and format references.
A minimum of three references is required for this assignment. (peer reviewed within 5 years)
Upload paper and articles you used

Learning the strengths and weaknesses of your staff can be the secret to unlocking the potential of your department. Each employee will have different skills, experiences, and education. As a manager, you will be tasked with identifying the strengths and weaknesses of your staff. You will also have to unlock your staff’s potential.
Following the requirements for discussion posts found in the FEM, describe some ways you can go about identifying the strengths and weaknesses of the members of your team. Provide at least two strategies you could use and describe what these strategies would reveal about your team members.
Include one academic reference in your post. Use current APA style and formatting appropriate to the type of reference you provide.
LEADERSHIP TRAITS
The leadership style you adopt with your team will set the pace for how your department functions in the organization.
For your initial post to this discussion, identify traits of a strong leader and compare these to the traits of less effective leaders. Which of these traits do you recognize in your own leadership style? Which of your traits would you like to develop further and why?
In addition to following the guidelines in the Faculty Expectations message (FEM), include one academic reference in your post. Use current APA style and formatting appropriate to the type of reference you provide.
SYSTEMS LEVELS IN HEALTH CARE AND PUBLIC HEALTH
In your initial post, discuss how different systems levels in health care and public health in your own locality influence each other and how they impact health determinants. Suggest ways the various system levels could work together more effectively. Use evidence to explain why you think your suggested changes would improve effectiveness.
Include two academic references in your post. Use the current APA style and formatting appropriate to the type of reference you provide.
RESPONSE GUIDELINESRead the posts of all the learners. As noted in the Faculty Expectations Message discussion response guidelines, comment on the posts of what other learners identified. Compare systems levels in health care and public health in your locality to conditions in the locality of the other learners. Are there similar themes? What makes them stand apart from one another?
Use the current APA style and formatting appropriate to the type of any references you provide.

Discussion 4: Using the criteria and guidelines provided in this chapter, identify two credible websites for people with a chronic illness who manage their own care at home. Consider sources that address self-management practices such as diet, activity, and medication management. What are the strengths and weaknesses of the sites that you found?
There are many good sites!
To list just a few:
https://www.parkinson.org/understanding-parkinsons… Disease), www.nia.nih.gov(National Institute on Aging), www.arthritis.org(Arthritis Foundation), and www.aafa.org(Asthma and Allergy Foundation of America).
Think of the people who will be accessing the sites: Are educational materials available in any languages other than English? How easy is it to find information? What is the reading level? What else?

Respond at least two times each to both of your colleagues who presented this week. The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to one of the three discussion prompts that your colleague provided in his or her video/SOAP note presentation. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.
Focused SOAP Note Template
Patient Information:
MV, 62, M, Caucasian S.
CC (chief complaint): Nausea and vomiting HPI: Mr. MB, it’s a 65-year-old Caucasian male who presented to an outside facility after being found down in his home by his sister. Per the sister, the patient was found in the restroom covered in emesis and stool. The patient was too weak to get himself up from the floor and therefore was brought into the hospital by his sister. At the outside facility, he was found to be borderline hypotensive with an elevated lactic acid. He was transferred to our facility for further treatment. Mr. MB had been discharged from our facility on 12/23 pending the start of his treatment for his newly diagnosed pancreatic cancer.
Current Medications:
Carvedilol 12.5 mg tablet by mouth BID
Fentanyl 12 mcg/hr One patch every 72 hours
Hydromorphone 2 mg tablet Q4H PRN for moderate or severe pain Lantus 10 units daily
metformin 100 mg tablet by mouth BID
Omega three fatty acid fish oil by mouth daily
Zofran 4 mg tablet by mouthQ8H PRN for nausea and vomiting
Miralax 17g by mouth daily
Pravastatin 20 mg tablet by mouth daily
Zoloft 50 mg tablet by mouth at bedtime
Spironolactone 25 mg tablet by mouth twice a week Monday and Friday
Flomax 0.4 mg tablet by mouth daily vitamin B-1 100 mg tablet by mouth daily
Allergies: Allergic to morphine causing itching.
PMHx: Pancreatic cancer
Liver metastasis Diabetes type 2
Hypertension
Benign prostatic hyperplasia
Soc and Substance Hx: Patient lives out of town is currently in town for treatment. He lived on his own until recently he moved in with his sister. Patient denies any history of smoking or tobacco use. He reported history of heavy drinking. He is Catholic and emphasizes faith as an important part of his life.
Fam Hx:
Patient reports having one living sister. No other history with regard to family was given. Surgical Hx: No past surgical history.
Mental Hx:
Mental health is unable to be assessed at this time.
Violence Hx: There is a concern for safety as the patient was found down and too weak to be able to get up on his own prior to this admission.
Reproductive Hx: Patient is single with no children. ROS:
GENERAL: The patient has had recent weight loss chills weakness and fatigue.
HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.
SKIN: No rash or itching.
CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.
RESPIRATORY: No shortness of breath, cough, or sputum.
GASTROINTESTINAL: The patient has had nausea vomiting and diarrhea. Also positive for abdominal pain secondary to ascites.
GENITOURINARY: Recent change in the flow of urine. NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.
The patient has been positive for dizziness and recent inability to control bowel movements.
MUSCULOSKELETAL: No muscle, back pain, joint pain, or stiffness.
HEMATOLOGIC: Hematemesis reported.
LYMPHATICS: Positive for enlarged lymph nodes.
PSYCHIATRIC: No history of depression or anxiety.
ENDOCRINOLOGIC: No reports of sweating, cold, or heat intolerance. ALLERGIES: Only allergic to morphine no report of seasonal allergies.
O.
Physical exam: VS: T: 36.3, HR: 91, RR: 19, SPO2: 96% (NC 2L), BP: 80/56, GENERAL: the patient is lethargic pale and weak very hard to arouse.
HEENT: Normocephalic, not JVD, symmetrical with no facial drooping. The sclera is white pupils are equal and reactive. CARDIOVASCULAR: S1 and S2 noted with no abnormal heart sounds. RESPIRATORY: Pulmonary efforts are normal with patient on 2 liters nasal cannula. Breath sounds are diminished.
GASTROINTESTINAL: Abdomen is distended within IP drain to the right upper quadrant. Dressing is dry and intact. Bowel sounds are present in all four quadrants. GENITOURINARY: Patient has a Foley catheter in place.
NEUROLOGICAL: Patient is lethargic hard to arouse and unable to hold a conversation.
Diagnostic results:
CBC Urinalysis BMP Liver panel Chest x-ray KUB
Lactic acid C-Diff
ABG
Blood cultures EGD A.
Differential Diagnoses:
Pancreatic cancer
Sepsis
GI bleed
Anemia
P.
Treatment naïve further education is needed. The patient needs to be stabilized and recover from acute problems before being considered for chemotherapy. Fluid resuscitation as needed to minimize vasopressor use.
Monitor pan cultures. Broad spectrum antibiotics.
Trend lactate level. GI bleed prophylaxis. EGD Monitor ABGs and glucose level. Also included in this section is the reflection.
The patient presented to the hospital after being found down by his sister. The patient had been having nausea and diarrhea for a couple of days with possible hematemesis. When evaluated and the emergency center he was found to have an elevated lactic acid and was borderline hypotensive. The patient presented with symptoms that were consistent with those for a sepsis diagnosis which include hypotension, nausea, vomiting, weakness, fatigue, fever, and chills (Evans, 2020). With the patient also having an elevated lactic acid the patient would be treated as a septic patient. Another one of the differential diagnoses that could fit the patient’s presentation is that of a GI bleed. The patient has been throwing up for a couple of days. However, it is important to note that on the emesis there was a mention of possible blood. With the patient having a newly diagnosed pancreatic cancer the likelihood of an upper GI bleed is likely. Although rare erosion of arteries that supply the pancreas can result in GI bleeds (Nemet, 2022). In the case of Mr. MB, the likelihood of erosion of his arteries is high as he has recently been diagnosed with pancreatic cancer. He was due to follow up as an outpatient for evaluation and treatment options. He was currently being seen by supportive care due to cancer-associated pain. Pancreatic cancer is the 11th most common cancer and is most associated with abdominal pain, lower back pain, jaundice and weight loss which were reported in the patient assessment (Coveler, 2021).
References
Coveler, A. L., Mizrahi, J., Eastman, B., Apisarnthanarax, S. J., Dalal, S., McNearney, T., & Pant, S. (2021). Pancreas Cancer-Associated Pain Management. The Oncologist, 26(6), e971–e982. https://doi.org/10.1002/onco.13796
Evans, M. M. A. (2020). Sepsis. Salem Press Encyclopedia of Health.
Nemet, I., Reyes, H., Basra, D., Coloka-Kump, R., & Cohen, S. (2022). Pancreatic Pseudoaneurysm: A Rare Cause of GI Bleeds. Family Doctor: A Journal of the New York State Academy of Family Physicians, 10(4), 42–
43.PRAC_6540_Week9_Grand_Rounds_Participant_Discussion_Rubric
PRAC_6540_Week9_Grand_Rounds_Participant_Discussion_Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeResponses
85 to >76.0 ptsExcellent
Responses exhibit synthesis, critical thinking, and application to practice settings. Responses provide clear, concise opinions and ideas that are supported by at least two scholarly sources. Responses demonstrate synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Presenters’ prompts/questions posed in the case presentations are thoroughly addressed. Responses are effectively written in standard, edited English.
76 to >67.0 ptsGood
Responses exhibit critical thinking and application to practice settings. Responses provide clear, concise opinions and ideas that are supported by two or more credible sources. Communication is professional and respectful to colleagues. Presenters’ prompts/questions posed in the case presentations are addressed. Responses are effectively written in standard, edited English.
67 to >59.0 ptsFair
Responses are on topic and may have some depth. Responses may lack clear, concise opinions and ideas, and only one or no credible sources are cited. Responses posted in the Discussion may lack effective professional communication. Presenters’ prompts/questions posed in the case presentations are inadequately addressed.
59 to >0 ptsPoor
Responses may not be on topic and lack depth. No credible sources are cited. Responses posted in the Discussion lack effective professional communication. Responses to colleagues’ prompts/questions are missing.
85 pts
This criterion is linked to a Learning OutcomeParticipation
15 to >13.0 ptsExcellent
Meets requirements for participation by responding at least twice to each colleague who presented this week. Responses are carried out over multiple days between Days 4 and 7.
13 to >11.0 ptsGood
Meets requirements for participation by responding at least twice to each colleague who presented this week, over at least two days.
11 to >10.0 ptsFair
Participants respond at least twice to each colleague who presented this week, but responses may occur all in one day.
10 to >0 ptsPoor
Does not meet requirements for participation by responding at least twice to each colleague who presented this week.
15 pts
Total Points: 100
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1. Summarize key insights you gained and how this information can be applied or synthesized into your practice
2. Safety Issue Identification
Identify one patient safety issue that is the most relevant to your practice ( NURSE BURNOUT/SHORTAGE EFFECTING PATIENT SAFETY)
• Give the rationale for its importance and potential impact on patient safety.
3. Assessment-Answer the questions found on pages 182-183 in the Spath text: 1.Define the improvement goal.
2. Analyze current practices.3.Design and implement improvements.
4.Measure success.
What can go wrong?
What will be the result if something goes wrong?
What needs to be done to prevent a biased result when something does go wrong?
I have attached the book for the reading assignment Please read Chapter 8. I will also attached two articles that must be discussed in the discussion post. The safety Issue I selected to be discussed is Burnout/ nurse shortage effecting patient safety. Please be sure to proof read. Bates, D. W. & Singh, H. (2018). Two decades since To Err is Human: An assessment of progress and emerging priorities in patient safety. Health Affairs, 31(1), 1736-1743. https://doi,org/10.1377/hlthaff.2018.0738opens in new window
Fitzsimons, J. (2021). Quality and safety in the time of coronavirus: Design better, learn faster. International Journal for Quality in Health Care, 3(1), 1-5. https://doi.org/10.1093/intqhc/mzaa051
Also make sure that one reference must be a nursing peer review reference.

Scenario: A 67-year-old man presents to the HCP with chief complaint of tremors in his arms. He also has noticed some tremors in his leg as well. The patient is accompanied by his son, who says that his father has become “stiff” and it takes him much longer to perform simple tasks. The son also relates that his father needs help rising from his chair. Physical exam demonstrates tremors in the hands at rest and fingers exhibit “pill rolling” movement. The patient’s face is not mobile and exhibits a mask-like appearance. His gait is uneven, and he shuffles when he walks and his head/neck, hips, and knees are flexed forward. He exhibits jerky or cogwheeling movement. The patient states that he has episodes of extreme sweating and flushing not associated with activity. Laboratory data unremarkable and the HCP has diagnosed the patient with Parkinson’s Disease. The Assignment (1- to 2-page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following:
Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
Any racial/ethnic variables that may impact physiological functioning.
How these processes interact to affect the patient.
Papers submitted should include a title page, introduction, summary, and references (APA)

view this https://www.ted.com/talks/dr_lisa_diamond_why_the_born_this_way_argument_does_not_advance_lgbt_equality/transcript?language=en
In our world, we commonly think of gender as just male and female, especially when we’re categorized by things like color and clothing. It seems like we can’t even look at anything without seeing it divided into boys and girls — this is heteronormativity. But the thing is, not everyone identifies as one or the other, or expresses themselves that way. Even if someone “looks” like a guy (also evidence of heteronormativity), they may prefer to use the pronouns “she/her” — and we need to respect that by not misgendering people. Some people identify as genderfluid, which means that your identify (like male or female), can move from one side of the spectrum to the other, and some people are genderless, or identify with neither of the genders that are imposed on people. The most important thing to remember is that everyone’s gender can be unique and everyone’s gender identity, gender orientation, and gender expression is important to respect.
Further, “female” and “male” even as solely biological designations still exclude some people, who are often classified as “intersex.” Intersex means that one’s anatomy or genetics does not line up with typical expectations for either male or female people. Heteronormativity would have society believe that to be intersex is to not be normal — which is simply untrue. For intersex people, doctors and parents have often decided their gender at birth and genital reconstructive surgery is performed to turn what is seen as atypical genitalia into something that is recognizably either male or female. Intersex identity also has its own spectrum, which means that anatomy for an intersex person can be entirely different for another intersex person.
Answer the prompts below (be sure to answer all parts of question.)
What is the difference between heterosexism and homophobia? Can people change their sexual orientation if they want to? Or are people born with their orientation? Why do researchers generally recommend using the term “sexual orientation” rather than “sexual preference”?
Should discrimination based on sexual orientation be outlawed to the same extent as discrimination based on race and sex?

Write a Journal entry based on the assigned diagnosis. Assigned Symptoms – Incontinence, focal seizures
Cancer – Meningioma
Stage – Anaplastic, Grade III
Students are given a diagnosis. Use all resources available to answer the following questions (remember- in a journal/diary format, an example of the journal is attached as well). These resources may include primary journal articles, cancer treatment databases on the web, medical dictionaries and references, current event articles, etc.
1.After you found out your diagnosis, what is the first thing that you did?
2.Given your diagnosis, what is your prognosis [in other words, what is the likelihood of 5 year survival]?
3.What are some possible causes of the cancer [genetic, environmental, and behavioral]? List at least 3.
4.Were you at increased risk of any of the above?
5.What epidemiological data is available for your cancer? Go to globocan.iarc.fr/ to determine this information. Examine the data for different countries and discuss how this cancer is distribute in the US versus other countries throughout the world. Are you a direct descendant of a country where this cancer is more prevalent?