Explain what treatments the patient is receiving because of their disease

In order to write a case study paper, you must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections.

Section

Information to Include

Introduction (patient and problem)

  • Explain who the patient is (Age, gender, etc.)
  • Explain what the problem is (What were they diagnosed with, or what happened?)
  • Introduce your main argument (What should you as a nurse focus on or do?)

Pathophysiology

  • Explain the disease (What are the symptoms? What causes it?)

History

  • Explain what health problems the patient has (Have they been diagnosed with other diseases?)
  • Detail any and all previous treatments (Have they had any prior surgeries or are they on medication?)

Nursing Physical Assessment

  • List all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)

Related Treatments

  • Explain what treatments the patient is receiving because of their disease

Nursing Diagnosis & Patient Goal

  • Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
  • Explain what your goal is for helping the patient recover (What do you want to change for the patient?)

Nursing Interventions

  • Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature)

Evaluation

  • Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?)

Recommendations

  • Explain what the patient or nurse should do in the future to continue recovery/improvement

Your paper should be 3-4 pages in length and will be graded on how well you complete each of the above sections. You will also be graded on your use of APA Style and on your application of nursing journals into the treatments and interventions. For integrating nursing journals, remember the following:

  • Make sure to integrate citations into all of your paper
  • Support all claims of what the disease is, why it occurs and how to treat it with references to the literature on this disease
  • Always use citations for information that you learned from a book or article; if you do not cite it, you are telling your reader that YOU discovered that information (how to treat the disease, etc.)

explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Stroke, Parkinson’s disease, Meningitis, Alzheimer,

Stroke, Parkinson’s disease, Meningitis, Alzheimer, ETC. ( could be other things)

The instructions are below. I attached an example of someone else’s case study just to help you write the paper easier.

In order to write a case study paper, you must carefully address a number of sections in a specific order with specific information contained in each. The guideline below outlines each of those sections.SectionInformation to IncludeIntroduction (patient and problem)

  • Explain who the patient is (Age, gender, etc.)
  • Explain what the problem is (What were they diagnosed with, or what happened?)
  • Introduce your main argument (What should you as a nurse focus on or do?)

Pathophysiology

  • Explain the disease (What are the symptoms? What causes it?)

History

  • Explain what health problems the patient has (Have they been diagnosed with other diseases?)
  • Detail any and all previous treatments (Have they had any prior surgeries or are they on medication?)

Nursing Physical Assessment

  • List all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)

Related Treatments

  • Explain what treatments the patient is receiving because of their disease

Nursing Diagnosis & Patient Goal

  • Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
  • Explain what your goal is for helping the patient recover (What do you want to change for the patient?)

Nursing Interventions

  • Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature)

Evaluation

  • Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?)

Recommendations

  • Explain what the patient or nurse should do in the future to continue recovery/improvement

Your paper should be 3-4 pages in length and will be graded on how well you complete each of the above sections. You will also be graded on your use of APA Style and on your application of nursing journals into the treatments and interventions. For integrating nursing journals, remember the following:

  • Make sure to integrate citations into all of your paper
  • Support all claims of what the disease is, why it occurs and how to treat it with references to the literature on this disease
  • Always use citations for information that you learned from a book or article; if you do not cite it, you are telling your reader that YOU discovered that information (how to treat the disease, etc.

Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction

Assignment: Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction

Impulsivity, compulsivity, and addiction are challenging disorders for patients across the life span. Impulsivity is the inclination to act upon sudden urges or desires without considering potential consequences; patients often describe impulsivity as living in the present moment without regard to the future (MentalHelp.net, n.d.). Thus, these disorders often manifest as negative behaviors, resulting in adverse outcomes for patients. For example, compulsivity represents a behavior that an individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.). The presence of these behaviors often results in addiction, which represents the process of the transition from impulsive to compulsive behavior.

In your role as the psychiatric nurse practitioner (PNP), you have the opportunity to help patients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.

Reference: MentalHelp.net. (n.d.). Impaired decision-making, impulsivity, and compulsivity: Addictions’ effect on the cerebral cortex. https://www.mentalhelp.net/addiction/impulsivity-and-compulsivity-addictions-effect-on-the-cerebral-cortex/

To prepare for this Assignment:
  • Review this week’s Learning Resources, including the Medication Resources indicated for this week.
  • Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring therapy for impulsivity, compulsivity, and addiction.
The Assignment: 5 pages.  (Case Study Link: https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6630/DT/week_08/index.html)

Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources.

formulate a differential diagnosis with several possible conditions. 

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

To Prepare

  • Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.
  • Based on the Episodic note case study:
    • Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
    • Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
    • Consider what history would be necessary to collect from the patient in the case study.
    • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
    • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or why not?
  • Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

GENITALIA ASSESSMENT

Subjective:

  • CC: “I have bumps on my bottom that I want to have checked out.”
  • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

  • VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia.
  • Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney
  • Diagnostics: HSV specimen obtained

Assessment:

  • Chancre

 What is competitive advantage?

 

QUESTION 1:

What is competitive advantage?
List 3 firms or businesses, particularly in the healthcare sector, that you have read about or have personal experience with. Describe their sources of competitive advantage and how you believe that quality supports (or does not support) their strategy.

What impact have they made on the community? Patient? Provider?

QUESTION 2:

How do hospitals get reimbursement for care provided to the beneficiaries?

Discuss the CMS-HCC risk adjustment system. How and what does CMS use to determine payment rates? How do hospitals get reimbursement for the care they provide to the beneficiaries?

Defining Professional Needs in the Workplace

Defining Professional Needs in the Workplace

Scenario

Your fire company was selected to participate in the revisions to the job analysis for the rank of firefighter. As the company officer, it is your responsibility to ensure that your company is prepared to complete the analysis process. Several firefighters have expressed disinterest in participation in the process that the city’s personnel department will conduct. They intend to inflate all aspects of the job so they will be in a better position to receive a pay increase. They think this will be a good strategy to benefit them and that the personnel department analyst will not know the difference.

In a 3–5 page paper, respond to the following.

  • How do you ensure that a fair and reliable job analysis is conducted?
  • How, or what, will you say to convince the firefighters to follow the proper course of action? How will you determine if the process was done correctly?
  • How will you provide motivation to them to change their thought process?
  • How do differing values held by the firefighters affect the ethical decision-making process, cause potential conflicts, and produce multiple approaches toward resolution?

Also in your paper, identify four possible personnel management concerns that may affect the operations of fire and EMS agencies. Discuss the potential impact of each concern on fire and EMS agencies, and how the concerns should be addressed.

NOTE: This assignment will require outside research. Use at least two credible sources outside of the text material. You may consult the Library, the internet, the textbook, other course material, and any other outside resources in supporting your task, using proper citations in APA style. Discuss how you evaluated the credibility of the resources used.

Strategic Planning for Collaborative Service Delivery

  1. Leadership Development: Strategic Planning for Collaborative Service Delivery
    This assignment involves the development of a brief strategic plan for building a collaborative service delivery model for the organization you have selected for your project assignments. Your organization’s senior leadership has designated you to be the task organizer to address the service delivery model, with a directive to build a team that will be able to address the issues and concerns. You will have to decide what kinds of organizations would need to become involved in the coalition. You might need to bring in legislators or policymakers, health care facilities, schools, private organizations, or philanthropic organizations that have an interest or funding investment in the identified population.
    In your strategic plan, include:

    • A description of the human services delivery focus for the strategic plan.
    • A description of a method for conducting a market assessment of community needs. How will you develop a plan or use an existing tool to assess the community needs?
    • A plan for building capacity for service delivery that involves engaging multiple organizations in the planning process. You will need to identify the organizations that will be included in the planning process, how the forms of governance for the organizations may impact their ability to engage in the planning process, and how they will be invited to participate.
    • A timeline for implementing the plan. Draw a graphic timeline and include key points and dates for development and implementation.
    • Tools and practices you will use to evaluate the plan for success.
    • Your plan must also include:
    • Cultural competency practices necessary to interact effectively with diverse groups and populations.
    • An assessment of the sustainability of the plan, based on governance structures and policy changes that may impact continued implementation.
    • Possible Situations
      The following list includes examples of situations that might become an area of focus to consider for this assignment:
    • The community has seen an increase in suicide among young people.
    • The community has seen an increase in the need for affordable housing programs to assist the needs of an aging population. There has been a noticeable increase in older people who are in need of in-home or facility programs to assist with memory care services.
    • The community has seen a lack of affordable local inpatient treatment facilities for mental health and addiction treatment.
    • The community has seen a lack of adequate after-school programs for grade school and junior-high aged children.
    • The community has seen an increase in drug use among young people.
    • Use the template provided in the assignment resources to complete the assignment.
      Assignment Requirements
    • Written communication: Written communication should be free of errors that detract from the overall message.
    • APA formatting: Headings, resources, and citations should be formatted according to current APA style and formatting guidelines.
    • References: Include at least 8 academic references. References must be from academic journals or textbooks.
    • Length of paper: 8–10 pages.
    • Font and font size: Times New Roman, 12 point.
    • Submit your assignment in the Assignment area as a Word attachment.
      Resources
    • Leadership Development: Strategic Planning for Collaborative Service Delivery Scoring Guide.
    • APA Style and Format.
    • Human Services Masters Research Guide.
    • How Do I Find Peer-Reviewed Articles?.
    • Unit 9 Assignment Template.
  2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.
  3. Institution Release Statement

The Coming Epidemic

Case 1: The Coming Epidemic

A Health Department report at a large US city has the mayor and her staff worried. One homeless person has contracted plague!

Background

Staff employees who work at the mayor’s office building have noticed that the mayor and her senior associates are worried. There have been late meetings and the level of activity has increased. She has cancelled several scheduled events. No direct indication of a problem has been shared with the press. There are rumors that members of the press are calling “friends” in city government to find out what is happening.

You have just come from a meeting of your department, The City Department of Strategic Planning. Your job is to develop a comprehensive plan to handle a plague epidemic. So far only one person has contracted the deadly ailment. So, technically, no crisis has actually occurred yet. Here is a summary of what was discussed at the meeting:

· The homeless person who has plague has been in the city for about two weeks. He was living in the desert in New Mexico before he jumped on a freight train and wound up in your city.

· He was living in Skid Row with about fifty other people in a “flop house.”

· The flop house has been in legal trouble. This includes no exit lights, fire alarms not maintained, no sprinklers installed, complaints about mice, loud music, fights and garbage laying around the sidewalk. A recent police raid resulted in three arrests of residents for various crimes including outstanding warrants.

· No local hospitals have a record of treating a case of the plague.

· A small quantity of serum is stocked in a city storage facility, but it may have expired. Nobody in city government has ever seen the plague.

· The city hospitals owe a large sum to several pharmaceutical companies that manufacture plague medication.

· No one in city government has ever dealt with a major epidemic of any kind.

· This deals with the plague, not the corona virus.

The Task

Your boss – the head of this department – says he wants a complete plan that spells out:

· Specific steps to handle a possible epidemic

· Timeline to include deadlines

· Costs

· Manpower Needs: This should spell out number of people and types of skills

· A high quality plan that the city can be proud of

The plan must also identify where help may be available from. The meeting discussed,

· Local hospitals, city and private

· Pharmaceutical companies

· International doctors who have dealt with this disease

· Facilities for treating those who contract the plague

· Gloves and other protective equipment

· A plan for controlling information. “Avoiding panic” was mentioned.

· Your boss stressed that the solution must be internal, not simply from Washington.

You were selected for this job because you have an MBA. MBAs are supposed to know how to devise a plan. Even though you have an MBA, you have never held a position of management responsibility in which success or failure depend on you. Your boss added these instructions:

· Focus on solving the problem not describing it.

· We must look competent, able to handle a difficult, unexpected crisis.

· Do not cede control to federal authorities. Even if that happens, they will be using local hospitals, doctors and other resources.

· Don’t forget obvious issues, for example,

preventing current medical personnel from getting the plague;

avoiding strong police action, which might cause people who had contact with the plague sufferer to leave town.

causing panic by posting notices and discussing plague openly in the news or elsewhere.

Addition instructions:

· Focus on creating a good plan. Do not define the history of plague!

· A specific plan does not describe the city’s strengths and weaknesses. It does not dump SWOT analysis on a medical crisis. It uses their strengths and weaknesses to build a plan for the future.

· Once you get a clear sense of what has to be done, give specific actions they should take to prevent or lessen the crisis.

· Note that preventing a crisis calls for one type of action. Lessening the severity of the crisis calls for a different type of actions.

· Make sure the plan is actionable. That means it is laid out over a period of time with clear direction. For example, month 1, do such and such. Month two, follow with these specific actions.

· Apply concepts from the course and feedback from assignments.

· Do not give superficial advice they could find on an Internet blog such as “acquire serum.” This is too general to be helpful. Avoid soppy advice such as “work with the government.”

· Do not bore city management with plague history or Wikipedia drivel. You will lose credibility.

· Read the case five times to understand your job.

Balance Sheet Compensation Summary

Deliverable 3 – Balance Sheet Compensation Summary

Competency

Analyze the practice of special pay sys

a

tems.

Scenario

You are the Total Rewards Director for a private company in the Midwest that has 1,000 employees. Your company manufactures specifically engineered material used in first-responder uniforms. This material is flame-resistant, durable, breathable, and demand is rapidly increasing. The current manufacturing plant cannot keep up with the increasing number of orders. At the same time, labor and materials costs are also increasing. Therefore, the CEO has decided to open a new manufacturing plant in Indonesia. This new plant will provide three-times more capacity to manufacture the material, at a 45% cost reduction in terms of labor and materials. The CEO has selected a top manager to work in Indonesia for the next two years to set up the new plant, train the local management team, and ensure production is hitting targets.This manager will be the first internationally assigned employee of the company. Based on your prior experience in a multinational firm, you decide that the best approach for adjusting his compensation is to use the balance sheet approach to create a balance sheet compensation summary.

Instructions

Part One – Excel TemplatePrepare a balance sheet compensation summary for the manager’s international assignment to Indonesia in the provided excel template Click for more options , using US dollars for notations and calculations, except where specifically noted in the spreadsheet, that includes the following:

  • Base salary amount, total family size at home and in Indonesia, Foreign Exchange Rate within assignment dates of 2019 and 2020 (must cover the two-year period).
  • For two individual years, plus the total of the same (i.e., there will be three sets of calculations):
    • Base Compensation
      • Salary
      • Bonus
      • US Taxes (Employer-paid and employee-paid for federal taxes and Social Security).
    • Differential Calculations for Net Base Income on Assignment in Indonesia.
    • Assignment Allowances (minimum of four).
    • Relocation Costs (minimum of three).
    • Recommendations for portions paid in US dollars and Indonesian rupiah.

Part Two – Narrative Summary DocumentCreate the narrative summary in a separate document that:

  • Provides rationale and explanation for calculations and recommendations.
  • Provide attribution for credible sources used in the balance sheet compensation summary (Part One – Excel Template and Part Two – Narrative Summary Document).