Category: Nursing homework help

For a health care manager, it is important to develop good communication skills with employees, peers, and supervisors. Discuss the following in regard to this:
Discuss the types of communication and the barriers to communication.
Does good communication build trust in an organization?
Does electronic communication help or hinder organizational communication?

Find an example from either the news, your research, or your day-to-day life where someone has confused the conditional probability for either the probability of an event or the probability of an intersection. Respond to another student’s example and describe how the reported probability may change if the conditional probability was correctly considered.

You are preparing to work as a nurse in the neurology unit. The preceptor informs you to be prepared to discuss the following topics as they are commonly seen on the unit. In order to prepare, choose one of the following topics of interest as your initial discussion posting. Use this course’s resources and one evidenced-based article to explore the topic of your choice.
How do you assess a client when the nurse suspects onset of CVA?
Provide discharge information for a client with mild TBI.
Discuss surgical management of brain tumors.
Describe postoperative complications of a craniotomy.
When responding to the initial posting, provide an evidence-based article to support your response. Respond to two other topics different than your initial topic.

Scenario
You are the CFO of a rural hospital. During a recent review of the organization’s financial status, the hospital was deemed “at risk” for closure. Several factors contribute to the at-risk designation, including the state’s decision to opt-out of the Medicaid expansion program, the aging population which requires more expensive care, and the changes in reimbursement from Medicare. These challenges have resulted in rural facility closures across the country. As part of the strategic management team, you are charged with reviewing various facility units and making recommendations that may avoid closure. You determine that based on the profitability reports, the OB/GYN unit of the facility is underperforming in several key financial areas.
Instructions
In a written proposal to the hospital CEO, Administrator, and CMO, discuss the following:
Identify potential challenges related to the OB/GYN unit’s performance.
Explain potential trends in the community impacting health consumer utilization patterns.
Explain the potential benefits of reorganization within the unit and how reorganization could improve its financial status.
Recommend a course of action and the implications that those actions will have for patients, providers, and investors (i.e., how might closure affect the community or how might new service offerings, such as midwife services, improve profitability).
ANSWER
**Proposal to the Hospital CEO, Administrator, and CMO**
**Subject: OB/GYN Unit Performance and Recommendations**
**Introduction**
The OB/GYN unit of our rural hospital is underperforming in several key financial areas. This is a concerning development, as the unit is important to our community and its closure could have a significant negative impact on patients, providers, and investors.
**Potential Challenges**
There are a number of potential challenges that may be contributing to the OB/GYN unit’s poor financial performance. These include:
* **Changes in reimbursement:** Medicare and Medicaid reimbursement rates have been declining in recent years, making it more difficult for hospitals to make a profit on OB/GYN services.
* **Declining birth rates:** The overall birth rate in the United States has been declining for several years, which is reducing the demand for OB/GYN services.
* **Competition from other providers:** Rural hospitals are often competing with larger, urban hospitals that offer a wider range of OB/GYN services.
* **Lack of providers:** Rural hospitals may have difficulty recruiting and retaining OB/GYN providers.
**Potential Trends in the Community**
There are a number of potential trends in the community that could impact health consumer utilization patterns and the OB/GYN unit’s performance. These include:
* **An aging population:** The aging population is more likely to need OB/GYN services, but they may also be more price-sensitive.
* **Increased demand for midwifery services:** Midwives provide high-quality, affordable OB/GYN care, and their popularity is growing.
* **Changes in lifestyle:** Rural communities are increasingly adopting healthier lifestyles, which could lead to a decline in the need for some OB/GYN services.
**Potential Benefits of Reorganization**
Reorganizing the OB/GYN unit could potentially improve its financial status by:
* **Focusing on high-value services:** The unit could focus on providing high-value services that are in high demand, such as midwifery services and prenatal care.
* **Improving efficiency:** The unit could improve efficiency by streamlining its processes and eliminating unnecessary costs.
* **Collaborating with other providers:** The unit could collaborate with other providers in the community, such as family physicians and midwives, to provide a more comprehensive range of services.
**Recommendations**
I recommend that we take the following actions to improve the financial performance of the OB/GYN unit:
* **Form a task force to develop a reorganization plan:** The task force should include representatives from the OB/GYN unit, the hospital administration, and the patient community.
* **Focus on high-value services:** The task force should identify high-value services that are in high demand and develop a plan to focus the unit’s resources on these services.
* **Improve efficiency:** The task force should identify opportunities to improve the efficiency of the unit’s processes and eliminate unnecessary costs.
* **Collaborate with other providers:** The task force should develop a plan to collaborate with other providers in the community to provide a more comprehensive range of services.
**Implications for Patients, Providers, and Investors**
Closure of the OB/GYN unit would have a significant negative impact on patients, providers, and investors. Patients would have to travel longer distances to receive OB/GYN care, which could be inconvenient and expensive. Providers would lose patients and revenue. Investors would lose their investment in the hospital.
New service offerings, such as midwife services, could improve profitability by providing high-value services that are in high demand. This would benefit patients by providing them with access to affordable, high-quality care. It would also benefit providers by giving them a new source of revenue.
**Conclusion**
The OB/GYN unit is an important part of our hospital and our community. We must take steps to improve its financial performance in order to avoid closure. I recommend that we form a task force to develop a reorganization plan that focuses on high-value services, improves efficiency, and collaborates with other providers in the community. By taking these steps, we can protect the OB/GYN unit and ensure that it continues to provide high-quality care to our patients.

Barriers Form.docxActions Develop your plan
Assignment Directions
Develop a plan to overcome barriers. Your plan should be clear and specific. Another person should be able to read your plan and replicate it.
Discuss with colleagues.
Describe the anticipated barriers to the change process in your institution (or wherever the change will be implemented). Include the organization’s culture, its’ reaction to change, and your leadership role for a change.
Identify the stakeholders for the change in practice you have chosen for your EB project.
Please use the Barriers Form to complete this assignment.
For your use, there is a form above and below.
Barriers Form-1.docx
Actions Use this to Develop Your Plan
View RubricBarriers RubricBarriers RubricCriteriaRatingsPtsState your proposed EB practice Changeview longer description15 to >0 ptsSatisfactoryEB proposed practice changed identified.0 ptsUnsatisfactoryEB proposed practice change not identified/ 15 ptsDescribe the anticipated barriers to the change process in your institution (or where the change will be implemented). Include the organization’s culture, anticipated reaction to change, and your leadership role for changeview longer description20 to >0 ptsSatisfactoryAnticipated barriers identified including culture, anticipated reaction to change, and your role0 ptsUnsatisfactoryAnticipated barriers not identified/ 20 ptsPlans to overcome barriersview longer description20 to >0 ptsSatisfactoryPlans clear and easy to follow0 ptsUnsatisfactoryNo plan/ 20 ptsWho are the colleagues you will include to facilitate change?view longer description15 to >0 ptsSatisfactoryColleagues identified0 ptsUnsatisfactoryNo colleagues identified/ 15 ptsIdentify the stakeholders for the change in practice you have chosen for your EB projectview longer description20 to >0 ptsSatisfactoryStakeholders identified0 ptsUnsatisfactoryStakeholders not identified/ 20 ptsAPAview longer description5 to >0 ptsFull Marks0 ptsNo Marks/ 5 ptsUses form providedview longer description5 ptsFull Marks0 ptsNo Marks/ 5 ptsTotal Points: 0
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Instructions: Read the following case study and answer the reflective questions.
Requirements:
– Formatted and cited in current APA 7
– The discussion must address the topic
– Rationale must be provided
– Use at least 600 words (no included 1st page or references in the 600 words)
– Use 3 academic sources. Not older than 5 years
– Not Websites are allowed.
– Plagiarism is NOT allowed
CASE STUDY: Albert Albert Mitchell is a 36-year-old man who will be traveling to Dubai to give a business presentation in 3 months. Although he has traveled widely in the United States as a consultant, this is his first trip to the Middle East. He requests information regarding immunizations needed before his trip. Albert states that as he will be in Dubai for only a few days, he is unlikely to contract a disease in such a short time and therefore believes that it is illogical to obtain immunizations. Albert states that he has heard that the side effects of the immunizations might be worse than the diseases they prevent. He is also concerned about leaving his wife at home alone because she is 6 months pregnant.
Reflective Questions
1-How would you address Albert’s beliefs?
2-What learning would be needed in each domain?
3-What learning theories would you consider? How might his family concerns be addressed?

Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.
Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.
limited 500 word
Please make sure to provide citations and references (in APA, 7th ed. format) for your work.

For this discussion, you will answer the question which corresponds to the FIRST letter of your LAST name:
Then you will respond to the main postings of at least two of the other learners who have answered questions different from yours.
If your LAST name begins with the letter A through I, please address this question:
Compare and contrast major depressive disorder and bipolar II disorder with particular emphasis on how comprehensive assessment could help us to arrive at the correct diagnosis.
If your LAST name begins with the letter J through P, please address this question:
Compare and contrast bipolar I and bipolar II disorder with particular emphasis on how comprehensive assessment could help us to arrive at the correct diagnosis.
If your LAST name begins with the letters Q through Z, please address this question:
Compare and contrast bipolar II from cyclothymic disorder with particular emphasis on how comprehensive assessment could help us to arrive at the correct diagnosis.

NURS 6512 Final Exam 100 Questions & Answers!Rated A+ Answers
Question 1 1 out of 1 points
The reliability of health-related findings and observations is the responsibility of the:
Question 2 1 out of 1 points
Which of the following statements is true regarding the examination of peripheral arteries?
Question 3 1 out of 1 points
As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.’s pattern as:
Question 4 1 out of 1 points
You are conducting a clinical breast examination for your 30-year-old patient. Her breasts are symmetrical with bilateral, multiple tender masses that are freely moveable with well-defined borders. You recognize that these symptoms and assessment findings are consistent with:
Question 5 1 out of 1 points
Which one of the following is a proper technique for use of a speculum during a vaginal examination?
Question 6 1 out of 1 points
When is the mental status portion of the neurologic system examination performed?
Question 7 1 out of 1 points
Normal changes of the aging brain include:
Question 8 1 out of 1 points
The finger-to-nose test allows assessment of:
Question 9 1 out of 1 points
The difference in blood pressure readings between the right and the left arms is considered normal up to mm Hg.
Question 10 1 out of 1 points
Tarry black stool should make you suspect:

You will perform a research and appraisal of existing evidence related to challenges to the safe and effective care of the aging population in the context of global health. Select an aging population from another country, provide life expectancy, new disease patterns, longer lives, disabilities, cost of aging, health care, work, and the changing role of the family.
Examples: China, England, India, Cuba, Russia, Alaska, Germany, Italy, Iran, Saudi Arabia, Mexico, Pacific Coast Islanders, Japan, France, Haiti, Canada.
Minimum 1000 words or 4 pages
APA style required
More than 3 references no older than 5 years