Centers for Medicare & Medicaid Services

Provide a minimum of a two to three paragraph response that directly addresses your thoughts on their post. Describe how the results of the measures can be used for quality improvement in one of the following medical settings, physician office (ambulatory care),community health center and hospital

Post listed below:

JC (Joint Commission)

The mission statement that I have gathered about this organization is that of continuously improving healthcare for the public (The Joint Commission (n.d.). They take into consideration of that of the stakeholders, they evaluate the healthcare organization and inspire them to provide a safe and effectively high quality of care and value to all patients. The joint commission organization can be considered as an accreditation since it is an organization that is not for profit. I would say that the information that is collected and placed on the organizations websites is placed there for the external stakeholders so they can view all the changes that might happen to the organization on a regular basis. When it came to finding the quality improvement measures for this organization they were easy to find on the website just by using the search bar. The list of five improvement measures are data knows best, proper planning prevents poor performance, communicate, invest upfront, and don’t be a dinosaur (The Joint Commission (n.d.). To describe some of the improvement tools a little better than their titles like don’t be a dinosaur means be open to changes as that’s one of the main ways to make changes, data knows best means that data helps organizations make decisions when it comes to changes. Those were just a couple ways in which the joint commission sees fit for quality improvement tools.

CMS (Centers for Medicare & Medicaid Services)

The mission statement for the CMS is to ensure that the voices and needs of the populations are present as the agency continues to develop, implement, and evaluate programs and policies (Mission-vision-our-work. (2019, June 19). The vision of the CMS organization is for all beneficiaries to receive the highest level of healthcare. The Centers for Medicare and Medicaid services organization can be considered or listed as being a governmental agency as it helps people all over the Unites States whether they have disabilities as a young person or they are getting ready to retire and start drawing social security. The information listed on the CMS website is like that of the joint commission it is on there so the external stakeholders can see all the information right when it changes. The quality measures for CMS are a little different than that of the joint commission organization. The list of quality improvements measures can be listed as clinical processes, patient safety, care coordination, health outcomes, patient engagement and clinical guidelines just to name some of them off.

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Consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.

· A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the prescription anyway.

· Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for GEORGIA.

· Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

Write a 3-page paper that addresses the following:

· Explain the ethical and legal implications of the scenario ( A friend calls and asks you to prescribe a medication for her. You have this autonomy, but you don’t have your friend’s medical history. You write the prescription anyway. ) on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.

· Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.

· Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.

· Explain the process of writing prescriptions, including strategies to minimize medication errors.

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Capstone Project Topic Selection And Approval

In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

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

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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Virginia Henderson Theory and the Leininger’s theory

Virginia Henderson Theory

Provide three evidence-based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.

As a future nurse practitioner

To fully implement Leininger’s theory, you would need to fully understand the culture of the patients you provide care for. How would you be able to do that successfully?
About 200-250 words

if references are used, please use within the last 5 years, APA format

DISCUSSION 2

Describe why you believe that Hollywood, the movie industry, has a fascination with mental health issues.

Pick one movie and tell us the mental health problem.

Below is the link for the discussion board question

https://www.dazeddigital.com/artsandculture/article/26818/1/why-is-hollywood-so-bad-at-depicting-mental-illness

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Legal Aspects of Safety and Health

BOS 3525, Legal Aspects of Safety and Health Unit I to Unit VIII Assignment

Unit I Assignment

Hi Jerry! This is your Occupational Safety and Health Administration (OSHA) Area Director.

We received a non-formal complaint recently from one of your current employees. The complaint alleges that employees there are performing welding operations on stainless steel in an area with inadequate ventilation.

This employee also states that they frequently “cough up” black sputum, and that they are worried about the health consequences caused by this lack of ventilation.

The complaint further states that no air sampling has been performed to evaluate the employees’ exposures to welding fumes. And, that when asked for respirators, they were given “dust masks” with one strap, which were purchased at the local hardware store. The effectiveness of these dust masks for the exposure that is present is also in question.

I will also be sending you an email summarizing this non-formal complaint, so that you can respond accordingly.

Thanks Jerry! Goodbye.

Part 1

Draft a letter in response to the complaint. Your letter should summarize why you believe the complaint is invalid and no on-site inspection is required. Keep in mind, simply stating that the complaint is invalid is not adequate. You must support your opinions in the letter.

Part 2

(Answer the following question on the page 2 of your word document) Answer the questions below in a few sentences.

1. Where does this type of complaint fit on OSHA’s Priority criteria?

2. What factors could have made this complaint non-formal rather than formal?

3. What steps could you take as the employer to identify the employee who filed the complaint? 4. What factors could result in this complaint being reclassified as a formal complaint?

Save both parts of this assignment in one word document to submit for grading.

Unit II Assignment

Discussion Question

Question 1

Under what conditions can an employee be denied access to the opening conference, walk-around, and closing conference? Your response should be at least 75 words in length.

Question 2

If the OSHA compliance officer requests documents that are not related to a formal complaint, what options do you believe the employer has? Your response should be at least 75 words in length.

Question 3

If OSHA determines that an employer’s response to a non-formal complaint is adequate, what options does the employee filing the non-formal complaint have? Your response should be at least 75 words in length.

Question 4

Can an employee request that an attorney or union representative attend a private conference with the compliance officer? If the union demands to have a representative present, does the employee have to comply? Your response should be at least 75 words in length.

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CORONARY HEART DISEASE

LONG TERM CONDITIONS Nursing paper

CORONARY HEART DISEASE WITH CASE STUDY AND FOLLOW THE OUTLINES BELOW

3000 WORDS

Introduction

In this section guide the reader through your assignment journey by:

Identifying the topic: State what you are going to discuss (this should link to the learning outcomes) CORONARY HEART DISEASE

Background

One short paragraph re-prevalence of LTC (CORONARY HEART DISEASE) and impact on NHS/quality of life – this justifies your choice of LTC (setting the scene)

The context you have nursed the patient in – hospital/community/primary care/secondary care etc.

What has brought them into your care? i.e. an acute exacerbation/bi-annual review with case manager/increase in symptoms etc Present the background here and present your patients signs and symptoms that made them seek help at this point.

Articulate a succinct history, ‘like a bedside handover’, presenting clinical manifestations…….(CASE STUDY ABOUT PATIENT)

THIS IS AN EXAMPLE

Peter has Heart failure,62yrs, lives alone/recently bereaved/married etc smokes, unable to work/retired etc…. he presented in hospital, he could have presented with an array of problems for example, short of breath, fatigue, weakness, oedema/swelling, low mood/anxiety, persistent cough, admits to not understanding his medication and/or taking his medication etc, etc etc

LO1: Pathophysiology and related clinical manifestations

Give a very brief overview of normal A&P (your chosen Long Term condition) then link this to: –

· Changes that have occurred to the structures/function – this is the pathophysiology part, Then…….

· Link the pathophysiology to your patient symptoms/how they presented (clinical manifestations/signs/symptoms) this then creates some analysis and demonstrates a deeper level of understanding allowing you to fully meet with the LO and to demonstrate that you understand why they have these signs and symptoms.

· Sticking with the example above; Peter presented with oedema, cough and low mood/not coping. Explain/link the pathophysiology to the cough/oedema etc, why is this happening?

LO4: The nursing process

What is the nursing process – a holistic and systematic way to assess patients etc.

Where does care planning fit in with this? Why is it important, who is involved? (nurse, patient, MDT approach to care delivery is needed).

For this section, a clear and concise overview of the importance of a systematic approach (APIE) to nursing care delivery is required. Discussion relating to how this can impact on the management of your case studies disease with focus on self-care strategies. The importance of MDT and family in promoting self-care strategies needs to be included. What are self-care strategies?

Planning and delivering care for patients involves a collaborative approach, this includes the patient, carers, family, nurse, MDT etc, the focus is on individualised care, holistic care, person cantered care, patient focussed care/Link with the evidence that supports why we do this. Link in with care planning for patients with LTC’s and SMART goal setting…

LO2/3: Identify two potential problems for your patient and state your goals (SMART GOALS)

Ensure you say why this is an issue and note the impact

What two problems are you focussing on?

Problem/SMART GOAL/Nursing interventions/Patient self-care strategies…….

THIS IS AN EXAMPLE

Peter has Heart failure,62yrs, smokes, unable to work…. he presented in hospital, he could have presented with an array of problems for example, short of breath, fatigue, weakness, oedema/swelling, low mood/anxiety, persistent cough, admits to not understanding his medication and/or taking his medication etc, pick two problems that you can focus on.

LO2/3: Rationale for care delivery in relation to identified issues

This is the section where you justify why you are doing what you are doing for the patient in relation to the nursing actions, use the evidence from the latest guidance and evidence-based articles to support your actions. For example, why do we restrict fluids in patients with CHD, who says we do and what is the guidance regarding the amount? How does this affect your patient and what needs to be put in place to ensure this is happening, i.e. fluid charts/measuring cups

A paragraph to explain the importance of empowering and including the patient in their care planning and management will cover the self-care actions section. Mention shared-decision making. The impact self-empowerment has on patient’s recovery time is well researched in the field of LTC.

THIS IS AN EXAMPLE

Sticking with the example: Plan the care for your problem, what will you do as a nurse, what does Peter agree too? For example, you will educate and advise, you will refer to smoking cessation etc, Peter may well agree to keeping a smoking diary where he can identify times and triggers that make him smoke more, Peter may well agree to smoking cessation as well as nicotine replacement etc. You need evidence to support your nursing actions and Peters self-care actions too.

Conclusion

Summarise key points of your discussion/ Do not introduce new evidence/facts

Reference List

Apply APA 6th Edition

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Advance Health Care Informatics

Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

The patient presents to your office with a Personal Health Records (PHR). Remembering, medical records and PHRs are not the same thing, complete both of the following:

1. Develop and create an educational tool (brochure, flyer pamphlet) that you can provide to your patients that address the following areas:

How do you access it?
What obstacles might you identify?
Frequently Asked Questions

2. Develop and create an educational tool (brochure, flyer pamphlet) for providers to understand the PHR that address the following areas:

How can we make sure PHR information is accurate, reliable, and complete?
What obstacles might patients have with control over how their health information is accessed, used, and disclosed?
Frequently Asked Questions
What advantages and disadvantages are there?
What does the clinician need to understand?

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Health Care Finance And Economics

Health Care Finanace And Economics

Assignment:

Why is it important for the nurse leader to provide a reasonable and fair operation budget?
Although budget figures are estimates of future projections, why and how should nurse leaders be prepared to explain short-term variations?
Nurse leaders have many responsibilities when it comes to the development of the budget. What issues would be considered most important for the nurse leader in this process?
How should a nurse leader prepare to handle minimum staffing requirement costs in the budget process in case this is challenged?
Besides a department budget approach, what other alternatives are available in the budgeting process?

This APA essay will have 1200-1500 words with 4 supporting references. Make certain to include an introduction and conclusion paragraph, along a title and reference page.

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Ethical And Legal Implications Of Prescribing Drugs

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare

Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.
Review the scenario assigned by your Instructor for this Assignment.
Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

By Day 7 of Week 1

Write a 2- to 3-page paper that addresses the following:

Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation.
Explain the process of writing prescriptions, including strategies to minimize medication errors.

four references not more than 5years

zero plagiarism

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

Chapter 1, “Prescriptive Authority” (pp. 1–3)
Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 5–9)
Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 11–16)
Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 17–40)
Chapter 5, “Adverse Drug Reactions and Medical Errors” (pp. 41–49)
Chapter 6, “Individual Variation in Drug Response” (pp. 51–56)

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Assessing And Treating Adult And Geriatric Clients With Mood Disorders

To prepare for this Assignment:

Review this week’s Learning Resources. Consider how to assess and treat adult and geriatric clients requiring antidepressant therapy.

The Assignment

Examine Case Study: An Elderly Hispanic Man With Major Depressive Disorder. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:
- Decision #1
  - Which decision did you select?
  - Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  - What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  - Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
- Decision #2
  - Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  - What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  - Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
- Decision #3
  - Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  - What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  - Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.