continually seek to optimize healthcare performance.

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, sewith efforts focud on improved population health, enhanced patient experience, and lower healthcare costs.

improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

More recently, this approach has evolved to a Quadruple Aim by including a focus on To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

ethnic variables that may impact physiological functioning.

By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Announcements” section of the classroom for your assignment from your Instructor.

The Assignment

In your Case Study Analysis related to the scenario provided, explain the following

• The pulmonary pathophysiologic processes that result in the patient presenting these symptoms.

• Any racial/ethnic variables that may impact physiological functioning.

• How these processes interact to affect the patient.

The Case Study Assignment

 

 

Week 4 Case study

 

Scenario: 76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hour to go to the bathroom.” She now must sleep on two pillows to get enough air.

 

In your Case Study Analysis related to the scenario provided, explain the following:

1 The cardiovascular and cardiopulmonary pathophysiologic processes result in the patient presenting these symptoms.

2 Any racial/ethnic variables that may impact physiological functioning.

3 How these processes interact to affect the patient.

A paragraph or two per question asked in the scenario and at least three current primary references are needed to support your points (peer-reviewed current articles, classroom textbook)

 

In your Case Study Analysis related to the scenario provided, develop the following for full credit.

1 The pulmonary pathophysiologic processes that result in the patient presenting these symptoms.

2 Any racial/ethnic variables that may impact physiological functioning.

3 How these processes interact to affect the patient

How we perform in leadership roles is influenced by our personal history

For this assignment, you will review the latest evidence-based guidelines as they pertain to the case below. Please make sure you are using scholarly references, and they should not be older than 5 years. Cite the sources in your work and provide references for the citations in APA format. Use at least 3 references.

Ethical Leadership

How we perform in leadership roles is influenced by our personal history or experiences with others. This assignment will assist you to explore your sense of ethical leadership and reflect on an experience that might have affected your beliefs.

Leadership must be more than just effective; it should also be ethical. Provide a real-life example of a leadership moment that you witnessed and feel embodies the essence of ethical leadership. What for you is the most salient factor of this experience that manifests ethical leadership? Reflecting on this moment, discuss how you did or can apply this lesson to your own future performance in leadership.

Click here to download a worksheet that may provide you with some ideas of verbs to describe the salient factors related to ethical leadership and help you to list your own principles as a guideline. (Worksheet attached)

an implementation process that facilitates utilizing community resources

Please provide positive comments to each paragraph below, independently. Thanks

1- The fifth standard encloses an implementation process that facilitates utilizing community resources to assist the mentally affected patient using different methods such as telehealth. A multidisciplinary team is significant in these patients’ care, providing continuous improvement, developing therapeutic relationships through video or other modalities, and counseling under a program established on the precise health circumstances influencing the patient (Ã APNA, 2022).The leadership role-specific competence applied during this week’s content was practical communication. Using telemedicine, we assessed patient safety practices in mental health patients, combining bioethical and legal dimensions into clinical and management decision-making. Another role-specific competence is Knowledge of mental health conditions that apply to our community using a comprehensive assessment of everyone’s environment to establish adequate evidence-based metrics, goals, and objectives to guarantee best practice.

2- Telehealth and telemental health offer numerous advantages in expanding access to diverse and resourced healthcare providers. They also present challenges related to quality of care, technological infrastructure, and data security. Identifying these challenges requires a comprehensive approach incorporating technological innovation with regulatory oversight and policies to promote equitable access and protect patient privacy. By leveraging the strengths of telehealth while mitigating its limitations, healthcare systems can enhance healthcare delivery and improve patient outcomes in an increasingly digital era.

nature’srole in human development

There are several main issues in human development that are subject to controversy. Some researchers maintain for example, that nature plays a stronger role in human development than does nurture and vice versa. In responding to the following prompt, cite the page numbers from the text that you found your answers on.

  1. Describe the nature vs nurture issue regarding human development and be sure to provide at least two brief examples from the text supporting genetics playing a larger role and two examples supporting the environment playing a larger role in human development. An example of nature over nurture could be found in a study that indicated environmental factors had more weight in contributing to alcoholism than genetic factors.
  2. In your own words, describe at least two major points from two of the theories of human development discussed in the text (i.e., Kohlberg, Gilligan, Piaget, Vygotsky, Freud, Erikson, Skinner, Pavlov, Bandura). Indicate whether each of these theories pays more attention to nature or nurture and why. Cite the page numbers from the textbook where you drew your information from.

 

To answer questions, click on reply at the bottom of the page. It is best practice to write your response in a word processing program like Word and copy and paste it into the reply text box. All responses should be substantial. Class discussion of the chapters assigned for each week in the Discussion Board is a significant component of this course. The class, as a learning community, relies on this asynchronous communication to engage in collective and individual knowledge construction. For each Canvas Discussion Board Assignment, all students should respond at least twice weekly to the discussion board in addition to your response to the main thread questions.

issues in human development that are subject to controversy

There are several main issues in human development that are subject to controversy. Some researchers maintain for example, that development is a continuous process throughout life while others view development as happening in stages. In responding to the following questions, cite the page numbers from the textbook where you found your answers.

  1. Describe the continuity (qualitative) vs discontinuity (quantitative) perspectives on how people change over time developmentally. Provide at least one example from the text supporting each perspective. Cite the page numbers from the text where you drew your information from. A study indicating older people who were cranky when younger are still cranky when older would support the notion of continuity rather than discontinuity.
  2. Describe the universal versus context-specific perspectives on development. In other words, does culture impact development or does development occur regardless of sociocultural context? Give at least one example that supports each perspective. An example of a context-specific factor impacting development can be seen when children in some African cultures who are carried piggyback style learn to walk months earlier than North American infants. These infants have the opportunity to strengthen specific muscle groups that are involved in walking.

The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.

You must paraphrase, no direct quotes.

The paper should be at least 2-3 pages.

Be sure to use the current APA style when citing sources and the textbook, including in-text citations and a reference page.

economic factors that contribute to health disparities in patients and populations

Social Determinants of Health (SDOH) consider social, political, and economic factors that contribute to health disparities in patients and populations. The most common health-related SDOH exposures are food and housing insecurity, financial instability, transportation needs, low levels of education, and psychosocial stress.

The Future of the Public’s Health in the 21st Century.

 

The health of populations depends on many different factors. Epidemiology is a discipline that has a crucial role in describing health status, identifying risk factors, and analyzing relationships between health and different hazardous agents. The classical epidemiological triangle of host-agent-environment describes how individuals become ill.

Epidemiology, Population Health, and Health Impact Assessment

 

Based on our readings this week answer the following questions:

1. Identify a population of interest. What determinants of health are associated with this population? Consider the impact of associated risk factors and the determinants of health as related to this population and the health condition(s).

2. Determine strategies required to address health inequities focusing on determinants of health for population health improvement among disparate populations.

3. Explain the following statement:

1. Utilizing an epidemiologic approach to disease occurrence targeting risk factors and addressing determinants of health can improve population health.

economic factors that contribute to health disparities in patients and populations

Social Determinants of Health (SDOH) consider social, political, and economic factors that contribute to health disparities in patients and populations. The most common health-related SDOH exposures are food and housing insecurity, financial instability, transportation needs, low levels of education, and psychosocial stress.

The Future of the Public’s Health in the 21st Century.

 

The health of populations depends on many different factors. Epidemiology is a discipline that has a crucial role in describing health status, identifying risk factors, and analyzing relationships between health and different hazardous agents. The classical epidemiological triangle of host-agent-environment describes how individuals become ill.

Epidemiology, Population Health, and Health Impact Assessment

 

Based on our readings this week answer the following questions:

1. Identify a population of interest. What determinants of health are associated with this population? Consider the impact of associated risk factors and the determinants of health as related to this population and the health condition(s).

2. Determine strategies required to address health inequities focusing on determinants of health for population health improvement among disparate populations.

3. Explain the following statement:

1. Utilizing an epidemiologic approach to disease occurrence targeting risk factors and addressing determinants of health can improve population health.

What is the importance of de-prescribing

Deprescribing

 

What is the importance of de-prescribing? How might you assist a patient to taper from a medication safely or transition to a new medication?

In this Assignment, you will use the following patient examples to write a 5- to 6-page paper on considerations you have for how you might de-prescribe. Support your answers with five (5) evidence-based, peer-reviewed scholarly literature resources outside of Required Learning Resources in this course.

Note: APA style format guidelines will apply.

Patient Examples:

Patient 1: A 36-year-old male presents to your office being prescribed by his primary care physician (PCP) for the past 3 years an opioid analgesic medication for a work accident. He has chronic pain and is attending a pain clinic. It is determined the best course of treatment for pain is to remain on opioid medication. The patient is also being prescribed clonazepam 1mg BID for “relaxation” and panic attacks.

Patient 2: A 42-year-old female on alprazolam 1mg BID for panic attacks. Panic attacks have been in remission and the patient wants to taper off the medication. But, every time she has attempted to do so in the past, she experienced withdrawal effects. She is wondering how to safely taper off the benzodiazepine medication without having withdrawal effects.

What was your plan for diagnostics and primary diagnosis

Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :

 

Subjective: What details did the patient provide regarding her personal and medical history?

 

Objective: What observations did you make during the physical assessment?

 

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

 

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.

 

Very Important:  Reflection notes: What would you do differently in a similar patient evaluation?