Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.
Include the following:
Outline a current or emerging health care law or federal regulation introduced within the last 5 years to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years in response to upcoming trends or predicted issues in health care.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide.
Author: admin
-
Restructuring the U.S. Health Care Delivery System: The Role of Nurses in Response to Emerging Trends Introduction The U.S. health care system has undergone significant changes in recent years, with the goal of improving access, quality, and
-
Title: The Threats to European Identity: Exploring the Impact of Migrants, Populism, and Russian Expansionism
At
least 10 references
Structure:
introductory part, central part, concluding part
Possible
methods of analysis: analysis of documents, survey, interviews
2 hypothesis
Literarure: Caiani,
M. ain
S. Guerra (ur.)
(2017): Euroscepticism, Democracy and the Media
Eatwell, R. and M. Goodwin (2018):
National Populism – The Revolt Against Liberal Democracy
Friedman,
R. and M. Thiel
(2012): European Identity and Culture
Gillingham,
J.
(2003): European Integration, 1950 – 2003, Superstate or New Market Economy
Michalski,
K. et al., eds. (2004): The Spiritual
and Cultural Dimension of Europe. Dunaj, Bruselj:
Evropska
komisija,
Institute for Human Sciences
Use Chicago citation.
Please use at least two of the abovementioned sources.
Mention Hofsted’s cultural index.
I am completely out of ideas, I have no interest in the subject or the topic, so you have complete freedom to be creative or even chage the title, as long as it has something to do with migrants, european values and identity or threats of european identity. Feel free to include other threats such as rise of populism or russian expansionism. -
Discussion 4: Gastrointestinal and Endocrine Function Gastrointestinal Function: Constipation is defined as having difficulty passing stools or having infrequent bowel movements (less than three times a week). It can also be characterized by hard, dry
Discussion 4
Gastrointestinal Function:
R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise.
Case Study Questions
In your own words define constipation and name the risk factors that might lead to develop constipation. List recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you might have.
Based on the clinical manifestations on R.H. case study, name and explain signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present on the case study.
Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study?
Endocrine Function:
C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.
Case Study Questions
In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer.
What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B?
Submission Instructions:
You must complete both case studies.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. -
“Uncovering the Lessons Learned from the Yahoo Data Breaches: A Review of Hacker-for-Hire Tactics”
Here is the link to the article. I have also downloaded the instructions for an article review.
https://natlawreview.com/article/hacked-hacker-hire-lessons-yahoo-data-breaches-so-far -
Title: Clinical Patient Workflow Analysis and Optimization for a Primary Care Clinic
Clinical Patient Workflow and Analysis
It is essential that you understand clinical patient workflow and realize its importance in the optimization of a health information system.
For this assignment, you are an informatics specialist working with a primary care clinic that is striving to enhance patient care, operational efficiency, and data accessibility. The clinic aims to streamline clinical workflows and integrate health information systems (HISs) to provide a more patient-centric and efficient health care experience. Your task is to assess the clinic’s existing patient journey through at least three clinical service areas (e.g., registration, clinical assessment, laboratory and imaging services, pharmacy, billing) and identify areas for optimization to meet these goals.
Primary Care Clinic Description:
The primary care clinic is a medium-sized, multidisciplinary facility serving a diverse patient population. It offers various services, including general medical care, immunizations, preventive care, chronic disease management, and minor procedures. Currently, they are using a limited HIS that provides basic functionality but falls short in supporting comprehensive electronic health care records.
Workflow Diagram: Use Microsoft Visio to create your patient care workflow. Use the standard flowchart symbols to represent each step, and ensure the diagram is clear, concise, and logically organized.
Your flowchart should do the following:
Demonstrate the clinical flowchart from patient registration to checkout.
Depict the existing patient journey thought at least three clinical service areas.
Indicate where at least three electronic health care applications are currently used.
Include any data entered/documented within the three clinical service areas or health care systems/applications.
Include the staff role at each data entry point.
Workflow Analysis: After creating the workflow diagram, conduct a comprehensive analysis of the patient journey from registration to checkout. Identify areas where the workflow may have inefficiencies, redundancies, or bottlenecks. Select at least three specific areas within the workflow that could benefit from optimization. Describe these areas, explaining why optimization is necessary and how it could lead to improved patient care and operational efficiency. These potential improvements could include additional applications, the integration of specific applications, or workflow redesign.
Submission Requirements:
The workflow analysis may be submitted as a paper following APA style for formatting, citations, and references. Both the diagram (in Visio) and the analysis should be uploaded to the Unit 3 Assignment Dropbox.
Unit 3 Assignment Grading Rubric
https://support.microsoft.com/en-us/office/beginner-tutorial-for-visio-bc1605de-d9f3-4c3a-970c-19876386047c
https://kapextmediassl-a.akamaihd.net/healthSci/HI510/HI510_2401C/QIToolkit_Flowchart.pdf
Need to use Microsoft Visio to create flowchart. -
“Running Towards the Finish Line: My Experience at the Riyadh Marathon” Lead paragraph: On a crisp morning in Riyadh, Saudi Arabia, thousands of runners gathered at the starting line for the annual Riyadh Marathon. The event, held every year in October,
topic for your story ( Riyadh Marathon )
Your story will have the following:
It must have a lead paragraph (around 30 words) answering at least 3 of the 5 Ws +H
It must have 2 more paragraphs (or +) with further details (about 50-words each)
Showing your progress is part of the grade. If you do not attend this event, you have to find another on-campus event to report on. Due Date 20th May on Turnitin. -
Exploring the Impact of Artificial Intelligence on the Modern World
Hello! Please find the assignment attached. Please NO AI. Please attach Turnitin reprot. Thank you for your help!!!
-
Jane’s Skateboards Milestone 1: T-Accounts and General Ledger Instructions
Instructions
Complete requirements 1 through 3 of Jane’s Skateboards for the first milestone of the course project. You have the option of using either the T-Accounts tab for posting Journal Entries or the General Ledger tab.
You will use the Excel Project Template for Jane’s Skateboards attached below.
DO NOT change the Excel template drop-down menus or formulas that are already in the template.
You should watch the videos in the Content tab above, under Week 2, to assist you in preparing this assignment.
Save your file as “LastnameFirstinitial-ACCT105-M1.”
Submit your work by midnight ET on Day 7 (Sunday).
**NOTE: Please make sure you review the instructions in the Excel template, so you do not miss any requirements. Again, DO NOT change the Excel template format, drop-down menus, or formulas that are already in the template.
Your homework exercises/problems will be evaluated according to the following Homework Problems Grading:
GradeHomework Problems Grading Criteria
90-100%
Assigned exercises/problems are completed in full.
Work demonstrates effective application of the concepts/principles covered in the chapter.
Work thoroughly explains answers and calculations.
Solutions are calculated with no errors or insignificant errors.
80-89%
Assigned exercises/problems are completed in full or are significantly complete.
Work demonstrates effective application of most concepts/principles covered in the chapter.
Work thoroughly explains most answers and calculations.
Solutions are calculated with insignificant errors.
70-79%
Assigned exercises/problems are mostly complete.
Work demonstrates effective application of some concepts/principles covered in the chapter.
Work explains some answers and calculations.
Solutions are calculated with significant errors.
60-69%
Assigned exercises/problems are fairly complete.
Work demonstrates effective application of a few concepts/principles covered in the chapter.
Work explains a few answers and calculations.
Solutions are calculated with significant errors.
0-59%
Assigned exercises/problems are less than 50% complete.
Work does not demonstrate effective application of the concepts covered in the chapter.
Work submitted does not thoroughly explain answers and calculations.
Solutions are not calculated or are calculated with significant errors. -
“Unveiling the Horrors of War: Exploring Dix’s Paintings as Historical Sources in the Context of World War I Germany” “Ernst Ludwig Dix’s World War I Paintings: A Visual Analysis and Historical Contextualization”
The maximum word count for this essay is 4500 words. Here is the essay brief of the project – This should be an extended essay on a single or small number of directly related primary sources. The source/s should be focused, ie. a single book, painting, collection of letters, museum object, or alike. You should not try and select a broad range of different sources covering some theme.
The focus of the essay should be on situating the source/s in the appropriate historical context, advancing an argument with regards to interpretation, and reflecting on methodological and historiographical problems the source/s pose. You will also need to identify and make use of appropriate secondary literature yourself. The best essays will offer a novel interpretation of how to think about a particular period, place, episode, theme, or genre of source.
The 3 sources you’ll be looking at are 1)The Trench 2)The war 3)War cripples. in this essay you’ll have to analyse each source drawing onto what it highlights. Mention histography, historical context and discuss provenance when analysing each source. Discuss ideas of total war, social impacts, militarisation, expressionism in Germany at the time all leading back to the question and what insights the paintings offer on the horrors of war. When looking at the source and weighting it its important to critically evaluate the strengths and limitations of using visual sources like paintings as historical evidence, addressing issues of subjectivity, interpretation, and cultural context.
Interpreting Dix’s paintings within a historical context requires careful consideration of methodological approaches and historiographical debates. Formal analysis, iconographic interpretation, and contextual understanding are essential tools for unraveling the layers of meaning in these artworks. Moreover, engaging with secondary literature on German Expressionism, World War I history, and art historiography enriches our understanding of Dix’s contributions and the broader cultural milieu of his time.
Here are all possible ideas to tie in cial and Political Turmoil: Explore the broader socio-political context of Germany during World War I, including the effects of the war on civilian populations, the rise of revolutionary movements, and the collapse of traditional societal structures. Discuss how Dix’s paintings reflect these upheavals and contribute to our understanding of the era’s social dynamics.
Psychological Impact of War: Delve into the psychological consequences of total war, examining how soldiers and civilians alike grappled with trauma, anxiety, and disillusionment. Analyze how Dix’s artistic choices, such as distorted figures and haunting imagery, convey the psychological toll of wartime experiences.
Technological Advancements in Warfare: Consider the technological innovations introduced during World War I, such as mechanized weaponry, chemical warfare, and aerial bombardment. Discuss how these advancements influenced the nature of combat and contributed to the devastation depicted in Dix’s paintings.
Cultural and Artistic Movements: Connect Dix’s work to broader cultural and artistic movements of the time, such as Dadaism and Futurism. Explore how these avant-garde movements responded to the chaos of war and challenged traditional artistic conventions, influencing Dix’s own artistic style and thematic choices.
Memory and Remembrance: Reflect on the role of art in shaping collective memory and remembrance of war. Consider how Dix’s paintings, with their raw depiction of suffering and sacrifice, contribute to ongoing discussions about war memory, memorialization, and the ethical responsibilities of representing historical trauma through art.
Be sure to support the anaylsis with fact. You are analysing how well these paintings portray actual events. So be sure to be detailed and historically accurate. The essay should follow these points Argument: does the work give a persuasive answer to the question, with good use of evidence?
Knowledge: is the work based on a thorough factual knowledge of relevant historical events?
Understanding: does the work give a critical analysis of sources, theories, methods, and/or debates that are relevant to the topic at hand?
Presentation: is the work clearly written, logically organised, and correctly referenced?
In each class below, the bullet points cover argument, knowledge, understanding, and presentation, in that order.
First (88, 94, 100)
Compelling answer to the question, expertly supported by evidence
Comprehensive and precise knowledge of relevant topics and sources
Original and sophisticated understanding of relevant sources, theories, methods, and/or debates
Superb presentation, including elegant writing style, strong organisation, and flawless referencing
May achieve, or be close to, a publishable standard
ive added a sample essay. As well as these sources use secondary literate, histiogrphy and academic work to support your points. Also as its a painting have a photo of each painting above each section. Keep in mind the following points when anylsing a painting Visual Analysis: Begin by conducting a thorough visual analysis of each painting. Pay attention to details such as color palette, composition, brushwork, use of symbolism, and depiction of figures. Consider how these visual elements contribute to the overall message and emotional impact of the painting.
Contextual Understanding: Place each painting within its historical context, specifically the context of World War I. Consider the time period, societal norms, political climate, and the experiences of people during the war. Think about how these contextual factors influenced Dix’s artistic choices and the themes he explored in his paintings.
Interpretation and Meaning: Move beyond the surface level and delve into the deeper meaning of each painting. Interpret the symbolism used by Dix and analyze what each element represents in the context of the war. Consider how Dix’s personal experiences as a soldier in World War I may have influenced his interpretation of the subject matter.
Comparison to Written Sources: Compare and contrast the insights gained from the paintings with information from written historical sources. Consider how the paintings offer a unique perspective or complement the narratives found in traditional historical texts. Reflect on the strengths and limitations of using visual art as a historical source compared to written documents.
Impact and Legacy: Finally, discuss the impact and legacy of these paintings both during and after World War I. Analyze how they were received by contemporary audiences and how they have been interpreted by historians and art critics over time. Consider the role of art in shaping public memory and understanding of historical events.