I’m working on a nursing writing question and need guidance to help me study.
Week 2: Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case StudyTOTAL POINTS POSSIBLE: 100REQUIREMENTS:You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.CASE STUDY QUESTIONS:What are the potential ethical and legal implications for each of the following practice members?Medical assistantNurse PractitionerMedical DirectorPracticeWhat strategies would you implement to prevent further episodes of potentially illegal behavior?What leadership qualities would you apply to effect a positive change in the practice? Be thinking about the culture of the practice.A scholarly resource must be used for EACH discussion question each week.
Dallas College El Centro Campus W2 Kate Chopin Feminine Characters Case Study
Research a current major social/cultural issue or problem relevant to your career or intended
career. Discuss how your formal degree studies (including key theories, models, methods, and
related empirical research) have prepared you to identify, analyze, and resolve that issue the
issue or problem. Recommend and construct an innovative problem-solving strategy, using a
thesis and supporting reasons, that addresses the issue or problem.
For example, if your field of study were business, and you worked for a utility company that sold
hunting licenses on some of its land to create revenue, what should the company do when
approached by a community group that requests the practice stop? Or what about the corporate
use of off-shore accounts to avoid paying taxes? If your career path leads you to firefighting, for
example, would you protest the increase of residential development into wilderness areas due
to the costs of suppressing those fires?
This essay should be academic in tone, use at least five outside sources (please use peer
reviewed or trade publications, or interviews with experts in the field), and be 1500-2000 words
in length. Essays should follow APA formatting conventions. The Title and References pages
will not be included in the required word count. Attached are the instructions and grading rubric for the assignment. All criteria must be met to a tee. The literature review complete with references and headers is attached as well. GO from the literature review and expand on the paragraphs. It is not much else that needs to be done.
Week 6 Social Research Issue Essay
Becoming an Agile Organization Presentation
Becoming an Agile Organization Presentation.
As a leader in your organization, you have the opportunity to make a presentation to the Board of Directors to explain what it would take to create an ‘agile’ organization; an organization that can readily adopt changes.Develop a 15- to 20-slide visual presentation (not counting the title or reference page in that count) that identifies specifically what the organization would look like.Incorporate internal and external factors, as well as specific examples of the structure required.Use speaker notes to expound on your discussion just as you would in a real presentation. Use a minimum of two peer-reviewed sources.
Becoming an Agile Organization Presentation
python assignment help Assignment solution. Can you help me understand this Business question?
All students are encouraged to use their own words.
• Student must apply “Times New Roman Font” with double space within their reports.
• The attached cover-page has to be used, duly filled.Submissions without the cover page will NOT be accepted
• A mark of zero will be given for any submission that includes copying
Total Quality Management for Urban Transformation Proposal
Table of Contents Introduction Applying Total Quality Management Conclusion Reference List Introduction The wave of globalization is attracting individuals and expatriates from different regions to work in foreign countries. Cities receiving such people should implement powerful strategies to meet their changing needs and promote economic development. This paper describes how leaders can implement Total Quality Management TQM) to affect cultures and sectors. Applying Total Quality Management TQM is a framework that organizations use to promote high work standards to maximize outcomes. With many cities attracting people with varied backgrounds, leaders should embrace this model to streamline service delivery and create wealth. This concept revolves around the introduction of appropriate systems, proper management, and implementation of evidence-based practices (Anttila
RIC Life Threatening Complications & Intensive Care to Patients Discussion
RIC Life Threatening Complications & Intensive Care to Patients Discussion.
I’m working on a nursing discussion question and need support to help me study.
Hello, the assignment is to respond to these two discussion post. The topic is about nursing assessment of the abdomen. Please see attached rubric for discussion response requirement. Please type discussion 1 and put your response under it as if you were replying to the writer. Be sure to include references of peer reviewed article used in theresponse. Each discussion should include 3 references. 400 words to each response.Post 1: Emmanuela While a patient tells you something in confidence it is necessary and very important to keep the patient safe. Especially since the patient just had surgery few days ago and could have some sort of life-threatening complications. Therefore, the next steps I would begin to take would be to reassess Mrs. P and begin asking her specific questions. According to Bickley (2021) I would pursue important details like asking her: “Where does the pain start?” “What is the pain like?” “How severe is it on a scale of 1 to 10?” “What makes it better or worse?” “Does it radiate or travel?” (p.300) Asking these specific questions regarding the location and radiation could give us a clue as to what the cause of her discomfort is. Following the reassessment and thorough questions, I would inform the patient that I am worried that this could be a complication from the surgery and in order to make sure she is safe and able to go home I need to inform the doctor so he can order labs and possible ultrasound. The reason why I would like to inform the patient about calling the doctor is because the patient told me this in confidence, therefore I wouldn’t want to ruin our relationship and cause her not to trust me in the future. At the same time making her understand that this could be something serious and that contacting the doctor is necessary. In an article by Ghalimah and Hamdi (2016), “postoperative cholecystitis should be promptly recognized because it is a life-threatening complication, with mortality ranging from 10% to 50%. The development of right upper quadrant abdominal pain associated with fever, tachycardia, and signs of peritoneal irritation after any major orthopedic procedures like: arthroplasty, spinal fusions, and others should alert the surgeon to the possibility of postoperative cholecystitis.” (Ghalimah & Hamdi, 2016) From another approach I would ask the patient if she has had any bowel movements since her surgery, or if she is passing any gas. The reason why this could be important is because the patient might simply just be constipated. Leonard (2018) wrote that, “many people experience constipation after surgery due to pain medications, anesthesia, or a lack of movement following the procedure.” (Leonard, 2018) Since Mrs. P just had the surgery few days ago, I’m sure she is still on certain pain medications, she is also probably not fully mobile, and her diet preoperatively and postoperatively has changed. Therefore, her body is going through a lot of changes and has undergone stress which has slowed down her bowel movements. It is important that the patient receives proper treatment in order to not develop other complications like hemorrhoids, anal fissure, fecal impaction, and rectal prolapse. All of this goes back to making sure we collect all the information preoperatively from the patient, as well as closely monitoring and constantly asking questions of our patients. Only then, in cases of emergency, will we be able to act quickly and providing proper treatment. Post 2: Karen English My patient, Mrs. P., is three days post op following a knee replacement when she confides in me that she feels bloated, nauseated and her belly hurts. As her nurse I would be concerned as that is not a normal finding after a knee replacement. I would start by asking the patient a few questions, “Did the pain start suddenly or gradually? Where does the pain start? Does is travel anywhere? What is her pain level on a scale from 1 to 10?” (Bickley, 2017). It would be necessary to determine whether this is a new complaint or something chronic that she has had prior to surgery. Since “patients cannot always clearly describe the location of pain in words…the quadrant where the pain is located helps identify the underlying organs that may be involved” (Bickley, 2017). Another important question to ask my patient would be when was her last bowel movement. After discussing these things with my patient, I would palpate her abdomen. First with one hand gently then more firmly with both hands focusing on how her abdomen presents, firm or soft, is she guarded and where the pain is located or if it’s more generalized over her entire abdomen. Next I would auscultate her abdomen in all four quadrants. I would be listen to her bowel sounds and take note if they are hypoactive. At this point I would also ask my patient if she has passed gas since having surgery. One study found that “when complications occur, post total knee arthroplasty, they tend to be cardiovascular and neurological events, rarely involving the gastrointestinal system” (Seah, et al., 2013). With this knowledge, it is important to find out how mobile she has been post surgery and how she has been dealing with the post surgical pain. According to PeerWell.co, the patient’s symptoms of pain and feeling bloated are symptoms of constipation, Constipation after surgery: Why it’s common & how to treat it. (2021, May 09). They go on to say, “after surgery (like a hip or knee replacement, ACL reconstruction, back surgery, etc.) you’ve essentially created the “perfect storm” for constipation. Pain medication, lack of exercise/ activity, diet changes, and anesthesia are all proven contributors to constipation. In fact, opioid pain medication alone (not even in combination with any other factors) cause constipation in as many as 40% of patients. In other words, post-op constipation in some capacity is very common” Constipation after surgery: Why it’s common & how to treat it. (2021, May 09). Although pain management is essential in the healing process, it also can be a detriment. Educating the patient is of upmost importance to make sure the patient understands the role pain medication plays in post-op constipation. In my experience as an Emergency Room nurse, patients often come in with abdominal pain and the feeling of being bloated after returning home post-op. They often complain that they hadn’t been educated on the importance of stool softeners, increased mobility (not to exceed their limitations) and their diet and roles those play in their overall post surgery condition. Therefore, throughout the patient’s hospital stay, a focus on educating the patient on the proper diet, necessary mobility within their limits and pain medication instructions is very essential for more than adequate healing. This will also help the patient after discharge in their healing process.
RIC Life Threatening Complications & Intensive Care to Patients Discussion