Description
Describe one internal and one external method for the dissemination of your EBP project results. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How will your communication strategies change for each group? Answer with apa references.
HAS TO BE RELATED TO MY EBP TOPIC. MY EBP TOPIC IS ATTACHED
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EBP Project Abstract
Appraised by: Sevil Aliyeva, KellyDeraas, and Morgan Johnson
Clinical Question:
Do pregnant women who have elective labor inductions at term (39-41 weeks) have an increased
risk of unplanned cesarean sections compared to those who go into spontaneous labor?
Articles:
Ehrenthal,D.B., Jiang,X.,&Strobino, D.M.(2010). Labor induction and the risk of a cesarean
delivery among nulliparous women at term. Obstetrics and gynecology, 116, (1), 35-42.
Jonsson, M., Cnattingius, S., & Wikstrom, A. (2013). Elective induction of labor and the risk of
cesarean section in low-risk parous women: a cohort study. Acta Obstetricia Et
Gynecologica Scandinavica, 92(2), 198-203.
Tam, T., Conte, M., Schuler, H., Malang, S., & Roque, M. (2013). Delivery outcomes in women
undergoing elective labor induction at term. Archives of Gynecology and Obstetrics, 287,
(3), 407-11.
Synthesis of Evidence:
All three studies were a level IV retrospective cohort studies. Ehrenthal, Jiang, and Strobino,
(2010) used a total of 7804 women and labor induction was used in 43.6% of women. Elective
labor induction was the method/intervention used in 39.9% of the women. The study was
conducted over two years and seven months. Labor induction had increased the chances of
unplanned cesarean sections by 20%. Jonsson, Cnattingius, and Wikstrom, (2013) conducted a
study for parous women with no comorbidities or pregnancy complications. A total of 7973
women were used, and 343 women had elective labor induction. Out of the women who were
electively induced, 52% failed to progress and had unplanned cesarean sections. Another
complication was non-reassuring fetal heart rate which happened to 26% of electively induced
women and lead to emergent cesarean sections. Elective inductions more than doubled the risk of
unplanned cesarean sections. Tam, Conte, Schuler, Malang, and Rogue, (2013) conducted a
study for low-risk women. A total of 848 pregnant women were included, with 694 of these
women having a successful vaginal delivery and 154 having a caesarean delivery. Women who
had a favorable cervical exam and multiparity had a greater chance of having a successful
vaginal delivery. Studies showed a correlation between elective labor inductions and unplanned
cesarean sections.
Bottom Line: (findings)
The evidence suggests that elective labor inductions increased the risk of unplanned cesarean
sections.
Implications for Nursing Practice:
Nurses should be aware of the risks of elective labor inductions. The nurse educators and
practitioners need to teach the staff about these risks and implement the teaching into the
prenatal visits. Nurses and practitioners need to take the responsibility to inform the patient about
the increased risks of cesarean sections due to elective inductions. Nurses need to be the
advocate for the patient when the patient is not informed about the risks that go along with labor
inductions. The nurses and practitioners have a duty to perform thorough assessments of the
cervical condition and inform the patient if the cervix is not in favorable condition before
discussing the option of labor induction. Nurses and practitioners should be aware of risk factors
and co morbidities that can increase the risk of unsuccessful elective induction before they
consider this option.
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Define the three energy pathways, health and medicine homework help
Write an essay of atleast 250 words for all 6 questions and2 case studies as well.1. Define the three energy pathways. For ...
Define the three energy pathways, health and medicine homework help
Write an essay of atleast 250 words for all 6 questions and2 case studies as well.1. Define the three energy pathways. For each pathway, identify two exercises that utilize the pathway. If you were training to run a marathon, which pathway would be the focal point of your training? What types of activities would you incorporate into your marathon training and why? How will an understanding of energy pathways help you in your future training endeavors?2. Perform a chin-up (palms supinated) and determine which muscles are the prime movers, stabilizers, and synergists. Is there a difference with a pull-up (palms pronated)? If so, what are the differences? Do as many chin-ups as possible. Which muscles inhibit your ability to perform more repetitions? What does this say about the chin-up as an effective exercise for the latissimus dorsi? List as many variations of pull-ups and chin-ups as possible. Describe how what you have learned during this experience will help you in your future training.3. Perform at least one exercise for each major muscle group on a stability ball. On another day, perform the same exercises in a stationary position (i.e., not on a stability ball.) Report the following. List the exercises you performed. Were you able to use the same weight on the stability ball? If not, why do you think you could not use as much resistance? What populations would benefit from stability ball training? Are there certain individuals who should not use a stability ball? How will this learning experience and the knowledge you have gained from it help you in your future training endeavors?4. Take your blood pressure and the blood pressure of someone else. List both the systole and diastole. Define systole, diastole, and list the ranges of excellent, good, fair, and poor. Do you see any correlations between blood pressure and lifestyle, stress level, or activity level? How will you incorporate knowledge of blood pressure into your future training endeavors?5. Identify an individual currently on an intermittent fasting diet, another who is on a gluten-free diet, and someone else on the Paleo diet. Critically analyze their dieting experience(s) and compare/contrast them with your own. Evaluate each in light of the most recently known science and practical experience. Would you recommend any of these diets or any other structured diet to a future client? If so, list the diet and describe how would you determine its appropriateness for a client. If you would not recommend any of these or other structured diets, detail why.6. Search online for "free medline." You will probably find several websites that offer this feature. Search for research abstracts on "cancer and exercise." Review at least six abstracts (articles no more than five years old). Based on the conclusions of these studies, how beneficial is regular exercise for cancer patients? How would you market your services to clients that have cancer? Be sure to cite your work.Case Studies:Instructions:This section of your final exam provides you with an opportunity to apply all of the information you have learned throughout the course to the work that you will be doing as a certified professional.You will be presented with two client profiles, and will be asked to design a 12-week periodized program for each client. In addition to describing the logistics of the program, you will also be asked to explain why you have designed the program the way that you have.Approach these clients as you would approach a real-life situation. Your client should be able to take your program and put it into practice without having to contact you for explanation of what to do or why to do it.Before you finalize your submission, make sure your program passes the following tests:1. Is the training program that you are designing appropriate, safe, and effective for the client, given the client's physical abilities and primary goals?2. Could you defend your program from a legal standpoint? Who would be held liable if your client was injured during training because of either lifting too much weight or exceeding a certain heart rate?3. Is your program justifiable from a business standpoint? Are you professional with your current clients? Would they refer their friends, family, or colleagues to you based on the guidance that you provide in your program design?4. Imagine that YOU are the paying client. Would you feel that your money was well spent if you were handed the training program/dietary recommendations?Case Study 1Calculations: Calculate the client's target heart rate using the Karvonen formula.Training Program: Design a 12-week periodized training program for the client described in the Client Profile. Be very specific as you design the training program. This is an opportunity for you to demonstrate your full comprehension of the information and concepts discussed throughout the course. List the types of exercise, duration, sets, reps, rest intervals, and so on.Include the following in your case study submission:A description of your professional responsibilities as discussed in the stages of the drawing-in process (Unit 12)Discussion of any fitness tests, methods of evaluation, and data collection used to assess and evaluate the clientÕs needsSpecific conditions that you have identified in the client profileA detailed 12-week comprehensive and periodized training program including specific exercises, sets, repetitions, suggested rest times, etc. Use an integrated approach in your program recommendations.Specific and detailed nutritional strategies and an explanation as to how the strategies will assist the client in meeting energy needsExplanation for your chosen assessment, programming, and nutritional recommendations. (Be sure to reference course concepts when discussing rationale for your recommendations.Keep in mind that a client should be able to take your program and put it into practice without having to contact you to clarify what you intended by your recommendations or to explain parts of your program.Don't forget your explanation for WHY you listed and recommended what you did. Reference the concepts and theories covered in the course. Be sure to address why the program and exercises recommended are appropriate for the specific client given the clientÕs history, current abilities, and intended goal(s). For example: if you are developing a program for a beginner client without any resistance training experience, explain how your program addresses the lack of experience, initial need for foundational development, process by which you would safely progress the client, etc. Tying your program to course concepts is a critical component of your case study.Review the Client Profile below.Client Profile: Jamie SummersAge: 53Gender: FemaleResting Heart Rate: 90 bpmHeight: 5'5"Weight: 165 lbBody Fat Percentage: 35%Background and Goals: Jamie is a working mother of three teenagers. She has not been consistently active for many years. She was recently diagnosed with high blood pressure, which is likely caused by her high-stress corporate job and physical inactivity. She also has an affinity for processed and sugary foods. Jamie was recently told by her doctor that she needs to start exercising, eating better, and just simply taking better care of herself or else she is on her way to additional health problems. Jamie will be attending her oldest daughterÕs high school graduation in three months and wants to use the event as a goal date in which to make significant progress in her health.Case Study 2Calculations: Calculate the client's target heart rate using the Karvonen formula.Training Program: Design a 12-week periodized training program for the client described in the Client Profile. Be very specific as you design the training program. This is an opportunity for you to demonstrate your full comprehension of the information and concepts discussed throughout the course. List the types of exercise, duration, sets, reps, rest intervals, and so on.Include the following in your case study submission:A description of your professional responsibilities as discussed in the stages of the drawing-in process (Unit 12)Discussion of any fitness tests, methods of evaluation, and data collection used to assess and evaluate the clientÕs needsSpecific conditions that you have identified in the client profileA detailed 12-week comprehensive and periodized training program including specific exercises, sets, repetitions, suggested rest times, etc. Use an integrated approach in your program recommendations.Specific and detailed nutritional strategies and an explanation as to how the strategies will assist the client in meeting energy needsExplanation for your chosen assessment, programming, and nutritional recommendations. (Be sure to reference course concepts when discussing rationale for your recommendations.Keep in mind that a client should be able to take your program and put it into practice without having to contact you to clarify what you intended by your recommendations or to explain parts of your program.Don't forget your explanation for WHY you listed and recommended what you did. Reference the concepts and theories covered in the course. Be sure to address why the program and exercises recommended are appropriate for the specific client given the clientÕs history, current abilities, and intended goal(s). For example: if you are developing a program for a beginner client without any resistance training experience, explain how your program addresses the lack of experience, initial need for foundational development, process by which you would safely progress the client, etc. Tying your program to course concepts is a critical component of your case study.Review the Client Profile below.Client Profile: Diana PrinceAge: 37Gender: FemaleResting Heart Rate: 75 bpmHeight: 5'5"Weight: 165 lbBody Fat Percentage: 31%Background and Goals: Diana is a 37-year-old mother of two children. She used to exercise fairly consistently (mostly jogging and light aerobic activities) before having kids. Ever since she had her first child 9 years ago, she has not been very active. Diana has her 20-year high school reunion coming up in 3 months (12 weeks). She would like to look and feel her best and is eager and willing to spend the next 12 weeks doing what she can to change her body.
Planning A Care Coordination Project For Nurses Presentation Help
PreparationFor this assessment, you will assume the role of NURSE Care Coordinator Project Manager in your present organiz ...
Planning A Care Coordination Project For Nurses Presentation Help
PreparationFor this assessment, you will assume the role of NURSE Care Coordinator Project Manager in your present organization or in an organization or setting you aspire to work in, are familiar with, or interested in. Within this context, you will develop a care coordination project plan for a population of your choice that is in need of care from multiple organizations.In this role, you must consider a comprehensive strategy to organize and coordinate care for the selected population on a local, state, national, or international level, depending upon the population. Your project plan will serve as a model for addressing the care coordination needs of another population, or of an entire community, in Assessments 2 and 3.After completing your project plan, you will then develop a presentation of your plan to gain the support of administrative decision makers in the organization.Note: Remember that you can submit all or a portion of your draft documents to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.Presentation ToolsYou may use Microsoft PowerPoint or another suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.Use the speaker's notes section of each slide to develop your talking points and cite your sources, as appropriate. If you need help designing your presentation, you are encouraged to review the presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation software.You have the option of either recording a voiceover track for your presentation or creating a video. In either case, you may use Kaltura Media, Adobe Connect, or other technology of your choice for your audio or video recording.
If using Kaltura Media, refer to the Using Kaltura tutorial for directions on recording and uploading your video in the courseroom, per directions listed in Resources.
If using Adobe Connect, refer to the instructions and tutorials available from the Using Adobe Connect support page.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.RequirementsFor this assessment:1. Develop a care coordination project plan for a population of your choice. For example:
Children or the elderly.
Chronic care patients.
Patients with disabilities.
End-of-life care patients.
Special needs patients.
Inner city or rural area residents.
2. Develop a presentation of your plan for administrative decision makers in the organization to obtain their support.Note: Choose any population you are familiar with and interested in addressing. However, you will have an option to address the care coordination needs of an undocumented immigrant or refugee population in the next assessment, so do not choose this population for this assessment.In addition to the requirements outlined below for developing and presenting your project plan, you are encouraged to include whatever additional information is appropriate for the specific population for whom you have chosen to provide a care plan.Project Plan and Presentation Format and LengthYou may use either Microsoft Word or Excel to format your project plan.
For Word documents, use the APA Style Paper Template, linked in Required Resources. An APA Style Paper Tutorial is also provided (linked in Suggested Writing Resources) to help you write and format your project plan. Be sure to include:
A title page and references page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
For Excel spreadsheets, be sure to include properly formatted citations and references.
At a minimum, your presentation must include the following slides:
Title.
Purpose (the reasons for your presentation).
References (at the end of your presentation).
Your slide deck should consist of 10–12 slides, not including the title, purpose, and references slides.Supporting EvidenceCite 5–7 sources of scholarly or professional evidence to support your project plan.Developing and Presenting Your Project PlanNote: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Planning a Care Coordination Project Scoring Guide to better understand how each criterion will be assessed.
Articulate your vision of interagency coordinated care for this population.
Consider how you would organize and consolidate care for this population.
What assumptions underlie your vision?
Identify the organizations and groups who must participate in caring for this population.
Consider coordinated care on a local, state, national, or international level, as applicable.
Identify the team members who will comprise your interprofessional care coordination team.
Determine the resource needs of this population.
Operational and capital budgeting needs, including:
General supplies.
Staffing.
Capital purchases.
Costs: Estimated funds.
Assumptions.
Identify project milestones and outcome measures.
Determine the key steps in attaining your goals for this project.
Determine timeframes for each milestone.
Identify outcome measures for your project.
Present your project plan to administrative decision makers.
Be clear and focused about the why this care coordination project plan is important to successfully support this population.
Address the anticipated needs and concerns of your audience.
What questions or alternative points of view might you expect? How will you respond?
Express your main points, arguments, and conclusions coherently.
Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.
Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
Is your supporting evidence clear and explicit?
How or why does particular evidence support a claim?
Will your audience see the connection?
Additional RequirementsBe sure that you have used the APA Style Paper Template to format your project plan and that your document includes:
A title page and references page.
A running head on all pages.
Appropriate section headings.
In addition, be sure that:
Your slide deck consists of approximately 10–12 slides, not including the title, purpose, and references slide.
You have cited 5–7 sources of relevant and credible scholarly or professional evidence to support your project plan.
NUR 3306 Rasmussen College Nursing Discussion
Initial Post The first client you see in your clinical rotation has cystic fibrosis. As you engage this client and his fa ...
NUR 3306 Rasmussen College Nursing Discussion
Initial Post The first client you see in your clinical rotation has cystic fibrosis. As you engage this client and his family, you ask how they were diagnosed with this problem. The client doesn’t want to talk about it, and the family said that the physician took care of this a long time ago. Now you are curious and look up the testing process for genetic health problems. Describe methods of testing to diagnose cystic fibrosis. Discuss who may perform these tests and when. Describe what you believe will be the psychological needs of the client and family. Justify your thoughts based on facts about cystic fibrosis. Response Posts Response Post 1: After reviewing the posts from your colleagues, comment on the timing of testing to support the family’s desire to plan for care and services. Response Post 2: Describe possible resources that the family may access to provide additional information and support the psychological needs of the client and family. Response 1 There’s many different methods of testing for Cystic Fibrosis (CF) some of which are done as a child others can be done at any age. Sweat and genetic testing are the two most commonly used, each providing their own specific results. A sweat test can be done with someone of any age but it is mainly done to babies. Babies are usually between 2 to 6 weeks ago. A health care provider will put pilocarpine, a medicine that causes sweating, on a small area of the forearm. Then an electrode on this area. This current makes the medicine seep into the skin; the patient may feel little tingling or warmth. After removing the electrode, the sweat is collected. Sweat will be collected for 30 minutes and then sent to a lab. (Medline plus, 2021) Genetic test is a bit different from sweat testing because the test is done chest x-ray, and skin cells. In the skin as well as some organs there is protein called CFTR( Cystic Fibrosis transmembrane conductance regulator) that is responsible for regulating salt movement in and out the cell but with CF the protein is defective and chloride movement cannot take place. The abnormal levels of the CFTR and action, which is what labs are at times looking for. The needs of the patient from an outside point of view would be facts and data showing what’s going to happen, how are people handling the illness, and what support groups are out there for them. At the start they might feel that it’s but during the information session they most likely change their mind. Most of the time people only hear the scary and big bad of what’s going to happen, not the other side of things their loved one will still be able to do. Response 2 Cystic Fibrosis is a genetic disorder that affects the lungs and the pancreas. Cystic fibrosis is diagnosed by utilizing a newborn screening, clinical evaluation, genetic testing, lung function tests such as ABGs, PFTs, or chest X-rays. ( Story, 2020). A newborn screening became mandatory in 2009 in all 50 states. If immunoreactive trypsinogen (IRT) is elevated then a sweat test is recommended (Janeczko, 2016). The sweat test measures the amount of chloride and is done between 2-4 weeks of age(Janeczko,2016). Prenatal and Genetic testing is recommended if there is a positive family history of cystic fibrosis. Diagnostic kits have to be approved by the FDA and are done at 64 laboratories in the US (Janeczko,2016). The psychological needs of the client and family begin with education on the disease. Understanding the what, how, and why will help the family and client know what is happening in the body. Joining support groups is another helpful way to assist the client and family. This diagnosis can feel like a death sentence to families and many do not know how to cope properly. Having others around to talk to about appointments, hospitalizations, medical devices, and just having that emotional support could assist the family with being supportive to the client. Learning about nutrition is another valuable tool. Making sure the client eats and feels supported during this time can extend the life expectancy. To help increase the psychological needs education, therapy, support groups, and classes will be the best direction to go. References Janeczko, D. (2016). Cystic Fibrosis: Basics, Testing, Treatment. Journal of Continuing Education Topics & Issues, 18(2), 50–57. Story, L. (2020). Pathophysiology: A Practical Approach (4th Edition). Jones & Bartlett Learning. https://ambassadored.vitalsource.com/books/9781284...
quality management
8-10 written pages, excluding cover page, abstract page, and reference pageFor this project, you are tasked with d ...
quality management
8-10 written pages, excluding cover page, abstract page, and reference pageFor this project, you are tasked with developing a change management
plan that will be designed to improve quality in an acute care hospital
in your community. This hospital has a poor Healthcare Effectiveness Data and Information Set (HEDIS) and ORYX quality metrics, and low patient satisfaction.
Further, government regulations and Joint Commission accreditation
standards are not being met. Financial ruin seems imminent. When
constructing your plan, conduct research using peer-reviewed sources to
determine the following:
Identify goals and objectives that are expected to be met.
Provide an overview of HEDIS and ORYX measures, and describe
the importance of those measures to the hospital and how the hospital
can improve metrics in both measures.
Discuss the role that patient satisfaction plays in
reimbursement and how you propose to improve patient satisfaction in the
hospital.
Determine communication approaches for change management among clinicians and nonclinicians throughout the organization.
Identify and explain the quality improvement and evaluation
method(s) that will be utilized to determine the progress of the change
management plan.
Use the U.S. Department of Health and Human Services module to develop a quality improvement plan as a guide for your assignment. Note: Use APA style to cite at least 8 scholarly sources from the last 5 years
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Define the three energy pathways, health and medicine homework help
Write an essay of atleast 250 words for all 6 questions and2 case studies as well.1. Define the three energy pathways. For ...
Define the three energy pathways, health and medicine homework help
Write an essay of atleast 250 words for all 6 questions and2 case studies as well.1. Define the three energy pathways. For each pathway, identify two exercises that utilize the pathway. If you were training to run a marathon, which pathway would be the focal point of your training? What types of activities would you incorporate into your marathon training and why? How will an understanding of energy pathways help you in your future training endeavors?2. Perform a chin-up (palms supinated) and determine which muscles are the prime movers, stabilizers, and synergists. Is there a difference with a pull-up (palms pronated)? If so, what are the differences? Do as many chin-ups as possible. Which muscles inhibit your ability to perform more repetitions? What does this say about the chin-up as an effective exercise for the latissimus dorsi? List as many variations of pull-ups and chin-ups as possible. Describe how what you have learned during this experience will help you in your future training.3. Perform at least one exercise for each major muscle group on a stability ball. On another day, perform the same exercises in a stationary position (i.e., not on a stability ball.) Report the following. List the exercises you performed. Were you able to use the same weight on the stability ball? If not, why do you think you could not use as much resistance? What populations would benefit from stability ball training? Are there certain individuals who should not use a stability ball? How will this learning experience and the knowledge you have gained from it help you in your future training endeavors?4. Take your blood pressure and the blood pressure of someone else. List both the systole and diastole. Define systole, diastole, and list the ranges of excellent, good, fair, and poor. Do you see any correlations between blood pressure and lifestyle, stress level, or activity level? How will you incorporate knowledge of blood pressure into your future training endeavors?5. Identify an individual currently on an intermittent fasting diet, another who is on a gluten-free diet, and someone else on the Paleo diet. Critically analyze their dieting experience(s) and compare/contrast them with your own. Evaluate each in light of the most recently known science and practical experience. Would you recommend any of these diets or any other structured diet to a future client? If so, list the diet and describe how would you determine its appropriateness for a client. If you would not recommend any of these or other structured diets, detail why.6. Search online for "free medline." You will probably find several websites that offer this feature. Search for research abstracts on "cancer and exercise." Review at least six abstracts (articles no more than five years old). Based on the conclusions of these studies, how beneficial is regular exercise for cancer patients? How would you market your services to clients that have cancer? Be sure to cite your work.Case Studies:Instructions:This section of your final exam provides you with an opportunity to apply all of the information you have learned throughout the course to the work that you will be doing as a certified professional.You will be presented with two client profiles, and will be asked to design a 12-week periodized program for each client. In addition to describing the logistics of the program, you will also be asked to explain why you have designed the program the way that you have.Approach these clients as you would approach a real-life situation. Your client should be able to take your program and put it into practice without having to contact you for explanation of what to do or why to do it.Before you finalize your submission, make sure your program passes the following tests:1. Is the training program that you are designing appropriate, safe, and effective for the client, given the client's physical abilities and primary goals?2. Could you defend your program from a legal standpoint? Who would be held liable if your client was injured during training because of either lifting too much weight or exceeding a certain heart rate?3. Is your program justifiable from a business standpoint? Are you professional with your current clients? Would they refer their friends, family, or colleagues to you based on the guidance that you provide in your program design?4. Imagine that YOU are the paying client. Would you feel that your money was well spent if you were handed the training program/dietary recommendations?Case Study 1Calculations: Calculate the client's target heart rate using the Karvonen formula.Training Program: Design a 12-week periodized training program for the client described in the Client Profile. Be very specific as you design the training program. This is an opportunity for you to demonstrate your full comprehension of the information and concepts discussed throughout the course. List the types of exercise, duration, sets, reps, rest intervals, and so on.Include the following in your case study submission:A description of your professional responsibilities as discussed in the stages of the drawing-in process (Unit 12)Discussion of any fitness tests, methods of evaluation, and data collection used to assess and evaluate the clientÕs needsSpecific conditions that you have identified in the client profileA detailed 12-week comprehensive and periodized training program including specific exercises, sets, repetitions, suggested rest times, etc. Use an integrated approach in your program recommendations.Specific and detailed nutritional strategies and an explanation as to how the strategies will assist the client in meeting energy needsExplanation for your chosen assessment, programming, and nutritional recommendations. (Be sure to reference course concepts when discussing rationale for your recommendations.Keep in mind that a client should be able to take your program and put it into practice without having to contact you to clarify what you intended by your recommendations or to explain parts of your program.Don't forget your explanation for WHY you listed and recommended what you did. Reference the concepts and theories covered in the course. Be sure to address why the program and exercises recommended are appropriate for the specific client given the clientÕs history, current abilities, and intended goal(s). For example: if you are developing a program for a beginner client without any resistance training experience, explain how your program addresses the lack of experience, initial need for foundational development, process by which you would safely progress the client, etc. Tying your program to course concepts is a critical component of your case study.Review the Client Profile below.Client Profile: Jamie SummersAge: 53Gender: FemaleResting Heart Rate: 90 bpmHeight: 5'5"Weight: 165 lbBody Fat Percentage: 35%Background and Goals: Jamie is a working mother of three teenagers. She has not been consistently active for many years. She was recently diagnosed with high blood pressure, which is likely caused by her high-stress corporate job and physical inactivity. She also has an affinity for processed and sugary foods. Jamie was recently told by her doctor that she needs to start exercising, eating better, and just simply taking better care of herself or else she is on her way to additional health problems. Jamie will be attending her oldest daughterÕs high school graduation in three months and wants to use the event as a goal date in which to make significant progress in her health.Case Study 2Calculations: Calculate the client's target heart rate using the Karvonen formula.Training Program: Design a 12-week periodized training program for the client described in the Client Profile. Be very specific as you design the training program. This is an opportunity for you to demonstrate your full comprehension of the information and concepts discussed throughout the course. List the types of exercise, duration, sets, reps, rest intervals, and so on.Include the following in your case study submission:A description of your professional responsibilities as discussed in the stages of the drawing-in process (Unit 12)Discussion of any fitness tests, methods of evaluation, and data collection used to assess and evaluate the clientÕs needsSpecific conditions that you have identified in the client profileA detailed 12-week comprehensive and periodized training program including specific exercises, sets, repetitions, suggested rest times, etc. Use an integrated approach in your program recommendations.Specific and detailed nutritional strategies and an explanation as to how the strategies will assist the client in meeting energy needsExplanation for your chosen assessment, programming, and nutritional recommendations. (Be sure to reference course concepts when discussing rationale for your recommendations.Keep in mind that a client should be able to take your program and put it into practice without having to contact you to clarify what you intended by your recommendations or to explain parts of your program.Don't forget your explanation for WHY you listed and recommended what you did. Reference the concepts and theories covered in the course. Be sure to address why the program and exercises recommended are appropriate for the specific client given the clientÕs history, current abilities, and intended goal(s). For example: if you are developing a program for a beginner client without any resistance training experience, explain how your program addresses the lack of experience, initial need for foundational development, process by which you would safely progress the client, etc. Tying your program to course concepts is a critical component of your case study.Review the Client Profile below.Client Profile: Diana PrinceAge: 37Gender: FemaleResting Heart Rate: 75 bpmHeight: 5'5"Weight: 165 lbBody Fat Percentage: 31%Background and Goals: Diana is a 37-year-old mother of two children. She used to exercise fairly consistently (mostly jogging and light aerobic activities) before having kids. Ever since she had her first child 9 years ago, she has not been very active. Diana has her 20-year high school reunion coming up in 3 months (12 weeks). She would like to look and feel her best and is eager and willing to spend the next 12 weeks doing what she can to change her body.
Planning A Care Coordination Project For Nurses Presentation Help
PreparationFor this assessment, you will assume the role of NURSE Care Coordinator Project Manager in your present organiz ...
Planning A Care Coordination Project For Nurses Presentation Help
PreparationFor this assessment, you will assume the role of NURSE Care Coordinator Project Manager in your present organization or in an organization or setting you aspire to work in, are familiar with, or interested in. Within this context, you will develop a care coordination project plan for a population of your choice that is in need of care from multiple organizations.In this role, you must consider a comprehensive strategy to organize and coordinate care for the selected population on a local, state, national, or international level, depending upon the population. Your project plan will serve as a model for addressing the care coordination needs of another population, or of an entire community, in Assessments 2 and 3.After completing your project plan, you will then develop a presentation of your plan to gain the support of administrative decision makers in the organization.Note: Remember that you can submit all or a portion of your draft documents to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.Presentation ToolsYou may use Microsoft PowerPoint or another suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.Use the speaker's notes section of each slide to develop your talking points and cite your sources, as appropriate. If you need help designing your presentation, you are encouraged to review the presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation software.You have the option of either recording a voiceover track for your presentation or creating a video. In either case, you may use Kaltura Media, Adobe Connect, or other technology of your choice for your audio or video recording.
If using Kaltura Media, refer to the Using Kaltura tutorial for directions on recording and uploading your video in the courseroom, per directions listed in Resources.
If using Adobe Connect, refer to the instructions and tutorials available from the Using Adobe Connect support page.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.RequirementsFor this assessment:1. Develop a care coordination project plan for a population of your choice. For example:
Children or the elderly.
Chronic care patients.
Patients with disabilities.
End-of-life care patients.
Special needs patients.
Inner city or rural area residents.
2. Develop a presentation of your plan for administrative decision makers in the organization to obtain their support.Note: Choose any population you are familiar with and interested in addressing. However, you will have an option to address the care coordination needs of an undocumented immigrant or refugee population in the next assessment, so do not choose this population for this assessment.In addition to the requirements outlined below for developing and presenting your project plan, you are encouraged to include whatever additional information is appropriate for the specific population for whom you have chosen to provide a care plan.Project Plan and Presentation Format and LengthYou may use either Microsoft Word or Excel to format your project plan.
For Word documents, use the APA Style Paper Template, linked in Required Resources. An APA Style Paper Tutorial is also provided (linked in Suggested Writing Resources) to help you write and format your project plan. Be sure to include:
A title page and references page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
For Excel spreadsheets, be sure to include properly formatted citations and references.
At a minimum, your presentation must include the following slides:
Title.
Purpose (the reasons for your presentation).
References (at the end of your presentation).
Your slide deck should consist of 10–12 slides, not including the title, purpose, and references slides.Supporting EvidenceCite 5–7 sources of scholarly or professional evidence to support your project plan.Developing and Presenting Your Project PlanNote: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that, at a minimum, you address each criterion. You may also want to read the Planning a Care Coordination Project Scoring Guide to better understand how each criterion will be assessed.
Articulate your vision of interagency coordinated care for this population.
Consider how you would organize and consolidate care for this population.
What assumptions underlie your vision?
Identify the organizations and groups who must participate in caring for this population.
Consider coordinated care on a local, state, national, or international level, as applicable.
Identify the team members who will comprise your interprofessional care coordination team.
Determine the resource needs of this population.
Operational and capital budgeting needs, including:
General supplies.
Staffing.
Capital purchases.
Costs: Estimated funds.
Assumptions.
Identify project milestones and outcome measures.
Determine the key steps in attaining your goals for this project.
Determine timeframes for each milestone.
Identify outcome measures for your project.
Present your project plan to administrative decision makers.
Be clear and focused about the why this care coordination project plan is important to successfully support this population.
Address the anticipated needs and concerns of your audience.
What questions or alternative points of view might you expect? How will you respond?
Express your main points, arguments, and conclusions coherently.
Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.
Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
Is your supporting evidence clear and explicit?
How or why does particular evidence support a claim?
Will your audience see the connection?
Additional RequirementsBe sure that you have used the APA Style Paper Template to format your project plan and that your document includes:
A title page and references page.
A running head on all pages.
Appropriate section headings.
In addition, be sure that:
Your slide deck consists of approximately 10–12 slides, not including the title, purpose, and references slide.
You have cited 5–7 sources of relevant and credible scholarly or professional evidence to support your project plan.
NUR 3306 Rasmussen College Nursing Discussion
Initial Post The first client you see in your clinical rotation has cystic fibrosis. As you engage this client and his fa ...
NUR 3306 Rasmussen College Nursing Discussion
Initial Post The first client you see in your clinical rotation has cystic fibrosis. As you engage this client and his family, you ask how they were diagnosed with this problem. The client doesn’t want to talk about it, and the family said that the physician took care of this a long time ago. Now you are curious and look up the testing process for genetic health problems. Describe methods of testing to diagnose cystic fibrosis. Discuss who may perform these tests and when. Describe what you believe will be the psychological needs of the client and family. Justify your thoughts based on facts about cystic fibrosis. Response Posts Response Post 1: After reviewing the posts from your colleagues, comment on the timing of testing to support the family’s desire to plan for care and services. Response Post 2: Describe possible resources that the family may access to provide additional information and support the psychological needs of the client and family. Response 1 There’s many different methods of testing for Cystic Fibrosis (CF) some of which are done as a child others can be done at any age. Sweat and genetic testing are the two most commonly used, each providing their own specific results. A sweat test can be done with someone of any age but it is mainly done to babies. Babies are usually between 2 to 6 weeks ago. A health care provider will put pilocarpine, a medicine that causes sweating, on a small area of the forearm. Then an electrode on this area. This current makes the medicine seep into the skin; the patient may feel little tingling or warmth. After removing the electrode, the sweat is collected. Sweat will be collected for 30 minutes and then sent to a lab. (Medline plus, 2021) Genetic test is a bit different from sweat testing because the test is done chest x-ray, and skin cells. In the skin as well as some organs there is protein called CFTR( Cystic Fibrosis transmembrane conductance regulator) that is responsible for regulating salt movement in and out the cell but with CF the protein is defective and chloride movement cannot take place. The abnormal levels of the CFTR and action, which is what labs are at times looking for. The needs of the patient from an outside point of view would be facts and data showing what’s going to happen, how are people handling the illness, and what support groups are out there for them. At the start they might feel that it’s but during the information session they most likely change their mind. Most of the time people only hear the scary and big bad of what’s going to happen, not the other side of things their loved one will still be able to do. Response 2 Cystic Fibrosis is a genetic disorder that affects the lungs and the pancreas. Cystic fibrosis is diagnosed by utilizing a newborn screening, clinical evaluation, genetic testing, lung function tests such as ABGs, PFTs, or chest X-rays. ( Story, 2020). A newborn screening became mandatory in 2009 in all 50 states. If immunoreactive trypsinogen (IRT) is elevated then a sweat test is recommended (Janeczko, 2016). The sweat test measures the amount of chloride and is done between 2-4 weeks of age(Janeczko,2016). Prenatal and Genetic testing is recommended if there is a positive family history of cystic fibrosis. Diagnostic kits have to be approved by the FDA and are done at 64 laboratories in the US (Janeczko,2016). The psychological needs of the client and family begin with education on the disease. Understanding the what, how, and why will help the family and client know what is happening in the body. Joining support groups is another helpful way to assist the client and family. This diagnosis can feel like a death sentence to families and many do not know how to cope properly. Having others around to talk to about appointments, hospitalizations, medical devices, and just having that emotional support could assist the family with being supportive to the client. Learning about nutrition is another valuable tool. Making sure the client eats and feels supported during this time can extend the life expectancy. To help increase the psychological needs education, therapy, support groups, and classes will be the best direction to go. References Janeczko, D. (2016). Cystic Fibrosis: Basics, Testing, Treatment. Journal of Continuing Education Topics & Issues, 18(2), 50–57. Story, L. (2020). Pathophysiology: A Practical Approach (4th Edition). Jones & Bartlett Learning. https://ambassadored.vitalsource.com/books/9781284...
quality management
8-10 written pages, excluding cover page, abstract page, and reference pageFor this project, you are tasked with d ...
quality management
8-10 written pages, excluding cover page, abstract page, and reference pageFor this project, you are tasked with developing a change management
plan that will be designed to improve quality in an acute care hospital
in your community. This hospital has a poor Healthcare Effectiveness Data and Information Set (HEDIS) and ORYX quality metrics, and low patient satisfaction.
Further, government regulations and Joint Commission accreditation
standards are not being met. Financial ruin seems imminent. When
constructing your plan, conduct research using peer-reviewed sources to
determine the following:
Identify goals and objectives that are expected to be met.
Provide an overview of HEDIS and ORYX measures, and describe
the importance of those measures to the hospital and how the hospital
can improve metrics in both measures.
Discuss the role that patient satisfaction plays in
reimbursement and how you propose to improve patient satisfaction in the
hospital.
Determine communication approaches for change management among clinicians and nonclinicians throughout the organization.
Identify and explain the quality improvement and evaluation
method(s) that will be utilized to determine the progress of the change
management plan.
Use the U.S. Department of Health and Human Services module to develop a quality improvement plan as a guide for your assignment. Note: Use APA style to cite at least 8 scholarly sources from the last 5 years
Earn money selling
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