Category: Nursing homework help

After you view the case study video, respond to the following:
1. What is the role of the nurse? 
2. List two actions (interventions) you would have done differently in this scenario with rationales.
3. What is the role of the family?
4. Clearly relate the Nursing Code of Ethics to the case study scenario.

 
Your patient is a 42-year-old female that arrives in the ED with complaints of fever and not feeling well. She is currently undergoing chemotherapy for bladder cancer. She has an indwelling urinary catheter with scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa.
What type of shock is she experiencing?
What interventions do you anticipate the doctor will order?
What can you teach this patient about prevention of infection?
The doctor orders Bactrim. What should you be concern about? Why?

Start by completing a summary that defines major points you want to include in the elevator speech. This summary should be supported with scholarly references and properly formatted to meet the rubric standards. Use the summary to identify significant talking points that you will use for your elevator speech. Post a 2- to 3-paragraph draft of an “elevator speech” designed to both educate and “sell” decision makers on the healthcare product or service you have proposed. Your elevator speech summary should address what you believe are the significant talking points necessary to educate decision makers and other stakeholders on the benefits of your idea as well as clarify the business case. Remember, an elevator speech should be approximately 30-60 seconds. 

 As a member of the finance team, you have been asked to forecast the upcoming year’s operational budget for Krona Community Hospital. Click here for last year’s budget. After reviewing specific data, internal input, and external input from various sources, you find that the executive management team would like the budget to reflect the following:
10% increase in inpatient revenue
15% increase in outpatient revenue
5% increase in pharmacy revenue
15% increase in home health and hospital revenue
10% increase in payroll and benefits
Additionally, provide discussion on the following:
How do you think that revenue would increase in each of the areas? Think outside of the box, and perform research to determine current trends in those areas.
Why would there be a forecasted need to increase payroll and benefits?
Explain the role of key leadership in the budgeting process, from the chief executive officer down through to the staff level of a financial analyst.

 Peruse the following Web sites:
County Health Rankings
Community Commons
HealthyPeople.gov
San Diego County Health and Human Services Agency
Data.gov Data Catalog
The concept behind the 3-4-50 model is that there are three unhealthy behaviors that influence four chronic diseases, which leads to 50% of all deaths. The percentage of deaths can vary by community or place. For example, in some communities, this can be 3-4-63 or 3-4-45.
As you peruse the Web sites above, respond to the following questions:
How do the 3 behaviors in the 3-4-50 model impact the 4 diseases in your community?
Can you find the mortality of these 4 diseases in your community?
If you can, what is the percentage of deaths caused by these 4 diseases for your community?
What are the underlying social determinants of health that impact the 3 behaviors in the 3-4-50 model?
What are the health disparities observed from the data in your community (city or county)?
Physical activity, or lack thereof, is 1 of the 3 behaviors that impacts the 4 diseases. What is the walkability index for your neighborhood (area)?
Does this support the data as they relate to health conditions that are impacted by physical activity?
From the data and the information you gathered, what recommendations might you have for your community?

 Choose a subject (it can be a former patient, a family member, or yourself) and identify modifiable and non modifiable risk factors. Identify methods to prevent Coronary Artery Disease (CAD) in the subject. What can you recommend to your classmates subjects? 

 
Established in 1977, Krona Community Hospital is a 60-bed, acute care hospital located in the heart of Banconota County. With a staff of nearly 100 physicians and specialists, 400 employees and 75 volunteers, they offer a full range of health care services. They are accredited by The Joint Commission.
Nouveau Health, a private, not-for-profit health care chain, took over management Krona Hospital. Last year, state officials began to discuss Nouveau’s proposal to build a new, replacement hospital in Banconota County. The new facility would have 74 acute care beds, four observation rooms, four surgical operating rooms, one C-section room, a 24-hour emergency department, a maternity center, an intensive care unit, and an extensive outpatient center that will provide service such as diabetes treatment, physical therapy, speech pathology, and so forth.
You are a staff member in the finance department at Nouveau Health, whose sole responsibility is to advance the success of the organization through assisting in planning, forecasting, and finance management.
Primary Task Response: A wellness program includes services with exercise programs and chronic disease management to catch problems early so that a customer can be seen in urgent care or a doctor’s office instead of ending up in the hospital.  It increases outpatient revenue and decreases inpatient admissions and readmissions thereby, hopefully, decreasing risk for financial loss. Familiarize yourself with an example of a wellness center at the following Web site:

 Description
You are a staff member in the finance department at Nouveau Health, whose sole responsibility is to advance the success of the organization through assisting in planning, forecasting, and finance management.
Complete the following:
Prepare next year’s financial plan and operational budget.
Note: Use the budget attached; it did not take into account the growth of the new facility. The CEO has asked that you expand that budget and provide a finalized budget that will take into account the new services offered. The CEO has stated that there is $3 million that you can incorporate in to the budget for additional staffing, services, maintenance, and so forth.

 
Part 1
From the readings and your own research, discuss the evolution of epidemiology in public health. Choose 1 of the following key pioneers in the field, and discuss his influence and contribution to epidemiology in public health:
Hippocrates
John Graunt
Edward Jenner
Lemuel Shattuck
Edwin Chadwick
John Snow
Louis Pasteur
Robert Koch
Respond to other students who chose a pioneer different from the one you chose, and discuss how the contributions of both relate to each other. Show either how one paved the way or how one built on the work of those before him.
Part 2
Choose a disease or health condition. Determine a local jurisdiction on which you would like to concentrate (city, township, county, or state). Examine the epidemiology of the chosen disease, reviewing its history and trend, comparing the national trend to the chosen local jurisdiction. Describe the local jurisdiction (population and demographics). This will be the introduction to your final assignment.

 
Using the information from assignments 1–3, complete and submit Part 1 of the first draft of the Key Assignment.
You are the Program Manager, and you are trying to decide on the best course of action to decrease incidence and prevalence of the disease chosen in Week 1. You must decide from the data which population is most at-risk and decide on the most appropriate intervention to which you should allocate funds. To do this, you need to see the big picture. In this assignment, you will write a proposal to your Chief Executive Officer outlining the following:
History of the disease (show trends and data)
Needs assessment for your population:
Demographics
Social factors that may increase risk (poverty, health insurance, race/ethnicity, etc.)
Morbidity and mortality data
Incidence and prevalence data
Suggested intervention program with cost analysis
Justification and explanation for why this is the most appropriate intervention for the target population