Affordable Care Act

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Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.

see below

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see below

Anemia

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Create a discussion about anemia related to right sided colon cancer, What patient education would you provide for a patient recently diagnosed? what recommendations would you give him?  400 words and at least 2 scholarly references not older than 5 years. 

Nursing NUR 445 – Week 6 Assignment: Case Study Part I

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This week, you will complete Case Study Part 1:

SECTION 1 BACKGROUND: IDENTIFYING A PROBLEM Eleanor is a 52-year-old patient who has had a hip replacement 1 day ago who is on your assigned patient care team. You complete patient care rounds and assess Eleanor’s vital signs, comfort level, intravenous (IV) site and wound dressing. Eleanor has an IV for fluid replacement and medication administration. She also has an indwelling urinary catheter. She tells you that her pain level is a 4 out of 10 and she is reluctant to move around because of the pain. You know that the patient’s pain control is a high priority and that the physician ordered the indwelling urinary catheter until the patient is able to get out of bed easily and tolerate fluids. The urinary catheter is convenient in that the patient will not experience pain getting up to the bathroom and it provides an accurate measurement of output. On the other hand, you know that the longer the indwelling urinary catheter is in place, the higher the risk of an infection. You ask a trusted senior nurse when is the right time to remove the catheter since Eleanor is now tolerating ice chips. The senior nurse tells you that the catheter is usually kept until the patient is able to get up and ambulate independently. You wonder if there are any contraindications or problems with removing Eleanor’s indwelling catheter now. You decide to follow the senior nurse’s advice, leaving the indwelling urinary catheter in place and reevaluate for removal in the morning. 

SECTION II BACKGROUND: INTERPROFESSIONAL TEAMS AND STAKEHOLDER ENGAGEMENT This section is focused on the identification of a clinical problem and the steps of forming an interprofessional team to work on fixing the problem. The intent is to understand who are the stakeholders for this problem and the importance of engaging stakeholders in the quality improvement (QI) project. Examine the problem of CAUTIs holistically to identify stakeholders. You return to work the next day to learn that Eleanor has a low-grade fever of 99.8° F that was reported to the physician. The physician ordered an immediate urine culture and removal of the catheter the previous afternoon. The urine culture was positive for Escherichia coli, representing the presence of catheter-associated urinary tract infection (CAUTI). During the bedside report, you find that although Eleanor states she is tired, she is able to get up to the bathroom with a walker independently. She is also tolerating oral fluids and foods. The presence of the CAUTI bothered you enough that you spoke to your Unit Director about looking into evidence-based interventions to reduce CAUTIs. The Unit Director tells you that the rate of CAUTIs for the medical–surgical unit has steadily risen over the past year and the monthly total is twice the number from 2 years ago. You volunteer to convene a committee to work on the problem. Your first step is to identify others who should be on your team. You know that the stakeholders are individuals who influence or are influenced by the clinical problem under investigation. Review the discussion on stakeholders in Chapter 15 for guidance on selecting appropriate stakeholders. 

SECTION III BACKGROUND: LEADING A QI TEAM This section is focused on power gradients and leadership styles within an interprofessional team. Consider how to lead a team consisting of various healthcare professionals. You identified a variety of interprofessionals to include on your committee including two direct care nurses from the medical–surgical unit, one nurse from the operating room, two certified nurse assistants, a nurse supervisor, a physician, the medical–surgical clinical nurse specialist, a pharmacist, a laboratory representative, and a dietician. You feel that these individuals clearly represent all aspects of patient care. Review the information on communicating within a team and with different power gradients in Chapter 8. By working closely with the clinical nurse specialist (CNS), you are able to convene a meeting of the team.

Download and complete Case Study Part I Worksheet Download Case Study Part I Worksheet. 

Submit your completed Case Study Part I worksheet and its attachments into the drop box as one attachment. 

nur681 week1 case study

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Case 1: A 42-year-old female complains of progressive weight gain of 20 pounds over the last year, fatigue, postural dizziness, loss of memory, slow speech, deepening of her voice, dry skin, constipation, and cold intolerance. She claims her menses have been irregular x 1 year. She has an 18-year-old daughter, and has been attempting to have another child with her new partner. She has been unsuccessful. 

Customer service DP3

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Service providers can deal with rude or inconsiderate customers by making sure that they remain professional. Just because the customer is rude does not mean that the service provider should also be rude. Service providers should avoid retaliation when dealing with rude customers.

  • How can you effectively deal with rude or inconsiderate customers?

ANALYSIS OF A PERTINENT HEALTHCARE ISSUE

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Due Sunday by 10:59pm Points 100 Submitting a text entry box or a file upload
Attempts 0 Allowed Attempts 2

Start Assignment

Back to Module at a Glance
(https://waldenu.instructure.com/courses/80551/modules/items/2436534)

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare.
Within each goal are many issues that, if addressed successfully, may have a positive impact on
outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease
management often provided in an acute care setting to health promotion and disease prevention
delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing
the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field
has always faced significant challenges, and that goals to improve healthcare will always involve
multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing
population needs care, there are factors involved such as the demands of providing that care and the
rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an
industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further
review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected.
You will also review research that addresses the issue/stressor and write a white paper to your
organization’s leadership that addresses the issue/stressor you selected.

ANALYSIS OF A PERTINENT HEALTHCARE
ISSUE

RESOURCES

To Prepare:

Review the national healthcare issues/stressors presented in the Resources and reflect on the
national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national
healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module)
that focus on change strategies implemented by healthcare organizations to address your selected
national healthcare issue/stressor.

The Assignment (2-3 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 2 to 3 page paper, written to your organization’s leadership team, addressing your selected
national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the
following:

Describe the national healthcare issue/stressor you selected and its impact on your organization.
Use organizational data to quantify the impact (if necessary, seek assistance from leadership or
appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national
healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other
organizations.
Summarize the strategies used to address the organizational impact of national healthcare
issues/stressors presented in the scholarly resources you selected. Explain how they may impact
your organization both positively and negatively. Be specific and provide examples.

Looking Ahead

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment
instructions for Module 2 to prepare for your revised paper.

Submit your paper.

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES (https://waldenu.instructure.com/courses/80551/modules/items/2436547)

BY DAY 7 OF WEEK 2

Criteria Ratings Pts

25 pts

30 pts

Develop a 2-3 page paper,
written to your
organization's leadership
team, addressing the
selected national
healthcare issue/stressor
and how it is impacting
your work setting. Be sure
to address the following: ·
Describe the national
healthcare issue/stressor
you selected and its
impact on your
organization. · Use
organizational data to
quantify the impact (if
necessary, seek
assistance from leadership
or appropriate
stakeholders in your
organization).

25 to >22.0 pts
Excellent

The response
accurately and
thoroughly
describes the
national
healthcare
issue/stressor
selected and its
impact on an
organization.
…The response
includes
accurate, clear,
and detailed
evidence/data to
quantify the
impact of the
national
healthcare
issue/stressor
selected.

22 to >19.0 pts
Good

The response
describes the
national
healthcare
issue/stressor
selected and its
impact on an
organization.
…The response
includes
accurate data to
quantify the
impact of the
national
healthcare
issue/stressor
selected.

19 to >17.0 pts
Fair

The response
inaccurately or
vaguely
describes the
national
healthcare
issue/stressor
selected and its
impact on an
organization.
…The response
includes vague
or inaccurate
data to quantify
the impact of the
national
healthcare
issue/stressor
selected.

17 to >0 pts
Poor

The response
inaccurately
and vaguely
describes the
national
healthcare
issue/stressor
selected and
its impact on
an organization
or is missing.
…The
response
includes vague
and inaccurate
data to quantify
the impact of
the national
healthcare
issue/stressor
selected or is
missing.· Provide a summary of the

two articles you reviewed
from outside resources, on
the national healthcare
issue/stressor. · Explain
how the healthcare
issue/stressor is being
addressed in other
organizations.

30 to >26.0 pts
Excellent

Response
includes a
complete,
detailed, and
specific
summary of two
outside
resources
(articles)
reviewed on the
national
healthcare
issue/stressor
selected. …The
response
accurately and
thoroughly
explains in detail
how the
healthcare

26 to >23.0 pts
Good

Response
includes an
accurate
summary of two
outside
resources
(articles)
reviewed on the
national
healthcare
issue/stressor
selected. …The
response
explains how the
healthcare
issue/stressor is
being addressed
in other
organizations.

23 to >20.0 pts
Fair

Response
includes a vague
or inaccurate or
incomplete
summary of
outside
resources
(articles)
reviewed on the
national
healthcare
issue/stressor
selected. …The
response
vaguely or
inaccurately
explains how the
healthcare
issue/stressor is
being addressed

20 to >0 pts
Poor

Response
provides a
vague and
inaccurate
summary of
outside
resources
(articles)
reviewed on
the national
healthcare
issue/stressor
selected or
summary is
missing. …The
response
vaguely and
inaccurately
explains how
the healthcare

Criteria Ratings Pts

25 pts

5 pts

issue/stressor is
being addressed
in other
organizations.

in other
organizations.

issue/stressor
is being
addressed in
other
organizations
or explanation
is missing.

· Summarize the strategies
used to address the
organizational impact of
national healthcare
issues/stressors presented
in the scholarly resources
you selected. · Explain
how the strategies may
impact your organization
both positively and
negatively. Be specific and
provide examples.

25 to >22.0 pts
Excellent
Response
includes a
complete,
detailed, and
accurate
summary of the
strategies used
to address the
organizational
impact of the
national
healthcare
issue/stressor.
…Response
accurately and
thoroughly
explains how the
strategies may
impact an
organization
both positively
and negatively,
with specific and
accurate
examples for
each.

22 to >19.0 pts
Good
Response
includes an
accurate
summary of the
strategies used
to address the
organizational
impact of the
national
healthcare
issue/stressor.
…Response
explains how the
strategies may
impact an
organization
both positively
and negatively
with at least one
specific example
for each.

19 to >17.0 pts
Fair
Response
includes a vague
or inaccurate
summary of the
strategies used
to address the
organizational
impact of the
national
healthcare
issue/stressor.
…Response
vaguely or
inaccurately
explains how the
strategies may
impact an
organization
both positively
and negatively.
…Response may
include some
vague or
inaccurate
examples.

17 to >0 pts
Poor
Response
provides a
vague and
inaccurate
summary of the
strategies used
to address the
organizational
impact of the
national
healthcare
issue/stressor
or summary is
missing.
…Response
vaguely and
inaccurately
explains how
the strategies
may impact an
organization
both positively
and negatively
or explanation
is missing.
…Response
does not
include any
examples.

Resource Synthesis 5 to >4.0 pts
Excellent
Using proper in-
text citations, the
response fully
integrates at
least 2 outside
resources and 2
or 3 course-
specific
resources.

4 to >3.0 pts
Good
Using proper in-
text citations, the
response fully
integrates at
least 2 outside
resources and 1
course-specific
resource.

3 to >2.0 pts
Fair
Using proper in-
text citations,
the response
minimally
integrates
outside and
course-specific
resources.

2 to >0 pts
Poor
The response
does not
integrate
outside and
course-
specific
resources or
no in-text
citations are
used.

Total Points: 100

Criteria Ratings Pts

5 pts

5 pts

5 pts

Written Expression and
Formatting—Paragraph
Development and
Organization:Paragraphs
make clear points that
support well-developed
ideas, flow logically, and
demonstrate continuity of
ideas. Sentences are
carefully focused—neither
long and rambling nor
short and lacking
substance. A clear and
comprehensive purpose
statement and introduction
is provided, which
delineates all required
criteria.

5 to >4.0 pts
Excellent

Paragraphs and
sentences follow
writing standards
for flow, continuity,
and clarity. …A
clear and
comprehensive
purpose
statement,
introduction, and
conclusion are
provided, which
delineates all
required criteria.

4 to >3.0 pts
Good

Paragraphs and
sentences
follow writing
standards for
flow, continuity,
and clarity 80%
of the time.
…Purpose,
introduction,
and conclusion
of the
assignment are
stated but are
brief and not
descriptive.

3 to >2.0 pts
Fair

Paragraphs and
sentences
follow writing
standards for
flow, continuity,
and clarity 60–
79% of the
time.
…Purpose,
introduction,
and conclusion
of the
assignment is
vague or off
topic.

2 to >0 pts
Poor

Paragraphs
and sentences
follow writing
standards for
flow, continuity,
and clarity less
than 60% of
the time. …No
purpose
statement,
introduction, or
conclusion is
provided.

Written Expression and
Formatting—English
Writing Standards: Correct
grammar, mechanics, and
proper punctuation.

5 to >4.0 pts
Excellent

Uses correct
grammar,
spelling, and
punctuation
with no errors.

4 to >3.0 pts
Good

Contains a few
(one or two)
grammar,
spelling, and
punctuation
errors.

3 to >2.0 pts
Fair

Contains
several (three
or four)
grammar,
spelling, and
punctuation
errors.

2 to >0 pts
Poor

Contains many
(five or more)
grammar, spelling,
and punctuation
errors that interfere
with the reader’s
understanding.

Written Expression and
Formatting: The paper
follows correct APA format
for title page, headings,
font, spacing, margins,
indentations, page
numbers, running head,
parenthetical/in-text
citations, and reference
list.

5 to >4.0 pts
Excellent

Uses correct
APA format with
no errors.

4 to >3.0 pts
Good

Contains a few
(one or two) APA
format errors.

3 to >2.0 pts
Fair

Contains several
(three or four)
APA format
errors.

2 to >0 pts
Poor

Contains many
(five or more)
APA format
errors.

Nursing

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Hello, this work is on Advanced Pathophysiology, it must have a minimum of 300 words and a bibliographic reference. The bibliography used on the topic is McCance, K. L. & Huether, S. E. (2019). Pathophysiology: the biological basis of diseases in adults and children. But you can use another one in addition to this one. 

A 23-year-old healthy man has been unable to father a child. He and his wife have a workup for infertility. His wife’s reproductive function is normal. On physical examination both his testes are palpable in the scrotum and the testes and scrotum are normal in size, with no masses palpable. However, the spermatic cord on the left has the feel of a ‘bag of worms’. Laboratory studies show oligospermia. Which of the following conditions is this man most likely to have? Explain your answer.

A Hydrocele

B Testicular torsion

C Spermatocele

D Varicocele

E Seminoma 

Discussion

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As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. 

  • Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
    • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
  • Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified

Required Readings