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On routine exam of an otherwise healthy 78-year-old man, you note a systolic murmur. What are the possible etiologies of this murmur?

On routine exam of an otherwise healthy 78-year-old man, you note a systolic murmur. What are the possible etiologies of this murmur?

PLEASE COMPLETE BY EVENING THANK YOU!

CASE STUDY 1: Cardiovascular

Answer each question in detail.  Please be very clear as to which case study and which question you are answering.  You should number your answers according to the case study questions.

Mr. J.L is a 62-year-old male who is scheduled to have coronary artery bypass surgery. His father died of a myocardial infarction (MI) at 65 years of age. Mr. J.L. has recently quit smoking. His cholesterol is 220 mg/dL with an HDL of 40 mg/dL. You are the nurse caring for Mr. J. L.

Critical Thinking Questions:

  • 1.  What will you do to prepare Mr. J.L. for surgery?
  • 2.  What assessments will you perform for Mr. J.L. when he is awaiting surgery?
  • 3.  What will be two priority nursing diagnoses in the postoperative period?
  • 4.  What are three key nursing interventions? Provide a rationale for each.
  • 5.  When he is transferred out of critical care, what complications will you monitor for Mr. J. L.?

CASE STUDY 2: Cardiovascular

On routine exam of an otherwise healthy 78-year-old man, you note a systolic murmur. 

Critical Thinking Questions:

1) What are the possible etiologies of this murmur?

2) What happens normally during systole and what could cause a murmur during systole?

3) What are the associated symptoms?

4) Describe how would you distinguish the differences between the patient having an aortic stenosis or mitral regurgitation?

5) How is a murmur diagnosed and how is it treated?

Discussion Board Grading Rubric

The original post should be approximately 200-300 total words.

Please make sure that each answer has a complete APA reference from your textbook or other MPI materials and includes a page number.

 

Category

Point Values

Fully met  8-10pts

Partially met 5-7pts

Not met 0-4pts

 

Content

200-300 words

Post is original and answers the question using course textbook and shows nursing knowledge base. Student has responded to 2 classmates.

Entry provides answers the question but does apply knowledge base as outlined in textbook

Entry does not answer the question and lacking information from text. Little or no nursing knowledge base.

 

Fluency

Good grammar, sentence structure, and spelling.

Entry has more than 2-3 grammatical and spelling errors.

Entry contains one or more serious grammatical and spelling problems.

 

APA

APA reference of student text

Improper use of APA format

Student cited text

No use of APA format and word count guidelines.

Use of online resource

 

Application to career

100-200 words

Application to career by specifying relevant Nursing interventions and patient education.

Student attempted to apply to career but did not correctly state relevant interventions or patient education

Answers are irrelevant to the issue in discussion. No interventions or patient education provided.

 

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On routine exam of an otherwise healthy 78-year-old man, you note a systolic murmur. What are the possible etiologies of this murmur? was first posted on July 8, 2019 at 10:12 am.
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Infrographic

  1. Find two infographics that present information on similar topics, such as tuition costs for public and private colleges and universities, average tuition costs in each of the fifty states, or the relationship between tuition costs and future earnings potential. Write a 1,000-word [or more] memo to your instructor in which you identify the audience and purpose of the infographics and compare and contrast them using such criteria as audience, purpose, clarity, visual appeal, use of different types of graphics, and citation of the data sources. Which infographic do you think is better? Why?”2. MUST BE MEMO FORMAT. include the top information, purpose statement, summary, discussion, and recommendation sections. Your recommendation will be your reflection on how best to reach a target audience with college tuition information in an infographic. 3. If your infographics do not have titles, label them Infographic 1 and Infographic 2 in your memo. Underneath your memo, include the url link to each infographic with the label or title next to it.

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Develop a Framework for Strategic Planning

Assignment 1: Develop a Framework for Strategic Planning

Instructions

Strategic planning provides guidance to organizations in fulfilling their mission and goals with maximum efficiency and impact. To begin such a planning process leadership must know the organization’s current situation. Generally, the planning process begins by assessing the organization’s internal and external situations using a specific tool. The most used organizational assessment tool is the S.W.O.T. (Strengths, Weaknesses, Opportunities, Threats) Analysis.

Imagine that you’re a consultant to the global company you selected in your earlier assignment. The company has requested that you create a strategic plan for them. A strategic plan is a document that organizations develop to communicate goals and the actions needed to achieve those goals with a timeline and all of the critical elements in the planning exercise. Complete a SWOT analysis on your company using the template included in this week’s resources. Then, prepare at least three recommendations for improvement based on the results of the SWOT. Your recommendations will also be used as you develop your organization’s strategic plan in the next part of this assignment. Using the SWOT analysis template available in the Week resources, complete the analysis on your company.

Week 3 – Assignment 2: Implement Strategic Planning

Instructions

An organization’s strategic plan is a comprehensive document representing the “big picture” and helping to give clarity determining where the organization is going over the next year or beyond. Every organization maps a strategy, incorporating goals and action steps that are tailored to meet their needs.

For the second part of this assignment, imagine that you are a consultant hired to create a strategic plan for your selected global organization and present it using a PowerPoint presentation. You must include information from the outcome of the SWOT. The slides should include the following:

Organizational summary

Vision & Mission statement(s)

SWOT Analysis Results (1 page) – You may include the actual template

At least three goals with objectives, a timeline and resources required.

Possible barriers

Your recommendations

Length: 10 slides (with a separate reference slide)

Notes Length: 100 words for each slide

References: Include a minimum of five scholarly resources.

Your presentation should demonstrate thoughtful consideration of the ideas and concepts presented in the course by providing new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. Be sure to adhere to Northcentral University’s Academic Integrity Policy. Review NCU’s Academic Integrity Tutorial to refresh your knowledge of how to achieve academic integrity.

Be sure to include citations for quotations and paraphrases with references in APA format and style where appropriate. Save the file as PPT with the correct course code information.

 

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Identify a clinical question related to your area of clinical practice and write the clinical foreground question in PICOT format utilizing the worksheet tool provided as a guide.

  1. Identify a clinical question related to your area of clinical practice and write the clinical foreground question in PICOT format utilizing the worksheet tool provided as a guide.

Identifying A Clinical Question

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least five (5) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Identify a clinical question related to your work environment, write the question in PICOT format and perform a literature search on the identified topic.

Purpose

To enable the student to identify a clinical question related to a specified area of practice and use medical and nursing databases to find research articles that will provide evidence to validate nursing interventions regarding a specific area of nursing practice.

Review the Application Case Study for Chapter 3: Finding Relevant Evidence to Answer Clinical Questions as a guide for your literature search.

Guidelines

  1. Identify a clinical question related to your area of clinical practice and write the clinical foreground question in PICOT format utilizing the worksheet tool provided as a guide.
  2. Describe why this is a clinical problem or an opportunity for improving health outcomes in your area of clinical practice. Perform a literature search and select five research articles on your topic utilizing the databases highlighted in Chapter 3 of the textbook (Melnyk and Finout-Overholt, 2015).
  3. Identify the article that best supports nursing interventions for your topic. Explain why this article best supports your topic as you compare the article to the other four found in the literature search.

 

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Quality, Ethical, and IT Controls

  1. Based on your proposed organization and structure for the GAH and the Community Clinic, we will now focus on additional aspects pertaining to:
  2. Quality control and Accreditation:

a. Define at least five core organizational competencies and functions for the new organization, and define a goal/objective for them.

b. Propose a control method/score board to be implemented in the new organization to ensure that said core competencies and functions are meeting their goals and objectives.

c. Assume that the new Hospital will seek JCAHO accreditation. What major competencies will this require from management and staff?

  1. Ethical Issues – HIPAA

a. The Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) required the Department of Health and Human Services (HHS) to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. It also addressed the security and privacy of health data. As the industry adopts these standards for the efficiency and effectiveness of the nation’s healthcare system, the use of electronic data interchange will improve.

b. Review CMS (2016). HIPAA basics for providers: Security, and breach notification rules. Retrieved from: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/HIPAAPrivacyandSecurity.pdf

  1. IT Systems

a. Based on your proposed project’s organizational structure and the geographical locations of Mission Hospital, Golden Age Hospital and the Community Clinic, recommend the major components of an IT system that can best provide for the communication needs within and between the organization units.

b. Identify and define your requirements from the system subject to the ethical requirements of HIPAA (see above).

  1. Recommendations – .
  2. Conclusion

Reference

Mission Hospital Regional Medical Center: Mission Hospital Regional Medical Center , and

Children’s Hospital at Mission (CHM): Children’s Hospital at Mission (CHM) https://www.choc.org/choc-childrens-mission-hospital/

The city of Laguna Woods ( https://www.cityoflagunawoods.org/ ), is home to “Leisure World” ( http://www.lagunawoodsvillage.com/ ), a retirement community of over 23,000 senior (55 years and above) residents.

Cuellara, A. E. & Gertlerb, P.J. (2006). Strategic integration of hospitals and physicians. Journal of Health Economics. Volume 25, Issue 1, January 2006, Pages 1-28. http://faculty.haas.berkeley.edu/gertler/working_papers/hospital_vi_5_10_02.pdf

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Quality, Ethical, and IT Controls was first posted on July 8, 2019 at 10:14 am.
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Create your own public health code of ethics.

4

1. Basics of Public Health

View Full Description

Select and respond to the following topics below with the support of at least one scholarly source (besides your textbook), use proper grammar, spelling and APA format:

1). Via the Internet, locate active legislation related to health at the state or federal level. Summarize this legislation and provide your reaction to it. What are the future implications of this legislation on the field of public health.

2). Create your own public health code of ethics. For each of your selections, provide a definition of the term and rationale for your selections. Compare and contrast your code with the existing code of ethics for public health professionals.

initial responses should be no less than 450 words for each topic in length not including your reference(s) and supported by at least two references (aside from the textbook).

2. Children’s Health Insurance Program (Maryland)

Identify your State Children’s Health Insurance Program and discuss in details the following questions:

1. What services does your state provide with this program? List and briefly explain

2. What services do you believe are lacking? What recommendations can you provide?

3. How are community members made aware of these services?

Make sure you read and understand the directions and requirements for each Assignment. Please ensure you cite your references in APA format with a minimum of 3 references (You may use your textbook as a reference and you should have a minimum of 2 academic outside references). Assignment will be graded based on the following areas: Foundation and synthesis of knowledge, application of knowledge critical thinking, writing skills, and organization of ideas and format.

 

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Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning

Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning

Part One of the Assignment.

Purpose

To create a Patient Teaching Plan aimed at educating a specific patient population about a specific health topic. This plan will be used to develop a Visual Teaching Tool in a future assignment.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

  • CO 2: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO #1)
  • CO 4: Identify teaching/learning needs from the health history of an individual. (PO #2)

 

This assignment is worth 125 points.

Background Information

NR305 focuses on nursing assessment, and the identification of opportunities to prevent disease and improve health of patients. An important professional role for nurses is to provide teaching to patients based on knowledge deficits identified during assessment.

Prior to beginning this assignment, follow the link to read the article below. The information related to adult learning and barriers to understanding will be helpful when planning how to best educate your selected population.

Beagley, L. (2011). Educating patients: Understanding barriers, learning styles, and teaching techniques. Journal of Paranesthesia Nursing, 26(5), 331-337. permalink (Links to an external site.)Links to an external site.

Directions

Please read all directions carefully before you begin.

  1. Click to download the Patient Teaching Plan Form (Links to an external site.)Links to an external site..
    Type your answers directly into this Word document and submit. The use of correct terminology, grammar, and spelling is important! Any references and citations used should be written in APA format. Please utilize in-text citations when appropriate, and list all references in the space provided at the end of the worksheet.
  2. You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
  3. Health Topic: Decide WHAT you would like to teach. Describe in detail why this is an important topic for patient education. Use evidence from the textbook, lesson or an outside scholarly source to support your rationale.Select from the following health topics to complete your Patient Teaching Project:
    • Stress and Time Management
    • Self-Care (can choose a specific self-care activity)
    • Prevention of Hazards at Work
    • Bicycle Safety
    • Ergonomics (related to work, posture)
    • Skin Cancer Prevention
    • Healthy Eating
    • Exercise/Physical Activity
    • Suicide
    • Human Trafficking
    • Eating Disorders
    • Substance Abuse (Opioid, Alcohol, Nicotine)
    • Depression
    • Palliative Care/Hospice Care
  4. Population and Setting: Once you have selected a topic, you must decide WHOyou will be teaching and WHERE the education will take place. (i.e., teaching a classroom of middle school students; teaching community members at a local health fair)
  5. Learning Barriers: Refer to the assigned article: Educating patients: Understanding barriers, learning styles, and teaching techniques for information related to learning barriers and other teaching considerations. Barriers might be cultural, physical, educational, or environmental. You may also want to consider the developmental stages of your selected population.Example:
    • The population in this community is known to have a low-literacy level, therefore clear pictures and graphics will be utilized to assist with understanding.
  6. Learning Objectives: Write three specific learning objectives your Visual Teaching Tool will address. Begin each objective with “At the end of this education, the learner will …” Use an action verb to finish the sentence (i.e., list, demonstrate, describe, define, identify).Example:
    • At the end of this education, the learner will be able to demonstrate the proper way to wear a bike helmet.
    • At the end of this education, the learner will be able to describe how to perform a breast self-exam.
    • At the end of this education, the learner will be able to list three benefits of regular physical activity.
  7. Evaluation: Write a paragraph describing how you could evaluate whether your visual teaching tool was successful and met the learning objectives. Consider the population’s abilities and the setting.

PART 2 OF THE ASSIGNMENT

 

Purpose

To utilize the Patient Teaching Plan (developed in a prior assignment) to create a Visual Teaching Tool to educate the selected patient population about the selected health topic.

Course Outcomes

This assignment enables the student to meet the following course outcomes.

  • CO 2: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO #1)
  • CO 4: Identify teaching/learning needs from the health history of an individual. (PO #2)

 

This assignment is worth 75 points.

Select an Option to Complete this Assignment

There are 3 options for creating your Visual Teaching Tool. Be sure to choose a format that makes sense for your selected topic, population, and setting. For example, if will be teaching adults at a health fair, then an educational brochure would be an appropriate choice. You must use the Patient Teaching Plan you have developed in this course to create your Visual Teaching Tool.

Option #1 – Power Point

Directions:

  1. Create a 6-8 slide Power Point presentation for your selected population setting.
  2. The goal of this Power Point Presentation is to address the three learning outcomes you developed in the Patient Teaching Plan. Once the learner has viewed your Power Point, all three of the learning objectives should have been met.For Example:
    If a learning objective in the teaching plan is: “At the end of this education, the learner will be able to demonstrate the proper way to wear a bike helmet,” then there should be content in your Power Point related to how to properly wear a bike helmet.
  3. Tips for a great Power Point presentation:
    • Be creative! Choose a design (from the design tab of the PowerPoint presentation) to enhance visual appeal.
    • Incorporate graphics, clip art, or photographs to increase interest.
    • Use words and phrases suitable for your selected population.
    • Avoid writing paragraphs. Use simple sentences and bullet points.
    • Cite all sources used to create the educational content with (author, year).
    • Proofread for spelling and grammar errors prior to final submission.
  • NOTE: The Patient Teaching Plan Form and the Article are the attachment below. You can use additional Article.

 

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Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning was first posted on July 8, 2019 at 10:13 am.
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City Of Kelsey Public Policy

Please locate and use the Week 3 City of Kelsey template to follow format make sure there is a introduction, body, conclusion and include all URL’s for the citations

Refer to the Memo Below: Energy Policy Presentation found under City Government in the City of Kelsey.

Write a 700- to 1,050-word paper in which you complete the following

Analyze the steps of agenda setting, policy formulation, and policy implementation for the energy policy presented in the City of Kelsey.

Evaluate factors that may influence agenda setting, policy formulation, and policy implementation for the energy policy.

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Describe what your approach would be in interviewing this person, and list three specific questions you would ask.

Assignment 1

Public Health Workforce Hiring Strategies

As you have learned this unit, one of the major factors in the successful operation of any public health organization is whether appropriate people have been hired for the roles. In this assignment, you will develop strategies that will help you in the very important process of identifying the right skill set needed for a job and the process of hiring the person best suited to that job.

Prepare for this assignment by reviewing your Learning Resources on job analysis and description, rules and regulations governing hiring, and good practices for interviewing.

Then imagine that you are hiring a health or program planner for your local or state health department. Analyze the job so that you understand what kinds of skills and background would be needed in order to perform that job well. In a two to three page paper, describe your strategies on how to fill that position, including the following specific elements:

  1. Write a brief job description for this job (feel free to study other job descriptions to give you ideas, but you must engage in original thinking in this job analysis).
  2. Describe where you would advertise or any other strategy you would engage in to recruit someone for this position, briefly explaining your rationale for these choices.
  3. Describe what your approach would be in interviewing this person, and list three specific questions you would ask.
  4. Identify at least one law, rule, or regulation that you would be guided by in your hiring process, and how you would make sure to stay in compliance with this regulation.

Your assignment should be a minimum of two pages in length, not including the title and reference pages. Include four quality references where two of them are from peer-reviewed articles. Use your own words, and include citations and references as needed to avoid plagiarism. All sources used must be referenced; paraphrased and quoted material must have accompanying citations and be cited per APA style.

Assignment 2

Public Health Surveillance and Disaster Preparedness

Potentially one of the most serious of all public health crises is pandemic flu. In this unit’s assignment, you will describe plans for responding to such a pandemic.

Begin by browsing through the Pandemicflu.gov/Avianflu.gov, found at www.pandemicflu.gov, and familiarize yourself with the resources on the site. Then complete the following steps.

  • Locate the document Interim Pre-pandemic Planning Guidance: Community Strategy for Pandemic Influenza Mitigation in the United States.
  • Read the “Executive Summary” and Appendix 3: “WHO Global Pandemic Phases and the Stages for Federal Government Response” from the document.
  • Access the influenza plan for your own state, and scan it for information to respond to the exercise below.

For this assignment, assume that cluster(s) of avian influenza appear in your state. These are still localized but show some evidence of human transmission (phase 5).

Drawing on the resources from this website and your other Learning Resources this week, address the following questions.

  • What surveillance steps do you follow and recommend?
  • Describe the role of local and federal agencies in disease surveillance.
  • What factors will determine or deter the success of your plan?
  • Are you likely to control the outbreak so that it does not proceed to the pandemic phase 6?

Assignment 3

Would you add anything to the government’s plan, or do you think this is adequate?

Your assignment should be a minimum of two pages in length.

Question 1

identify the major events in the history of evolution of public health in the United States, then discuss how these events helped shape public health today.

Your response should be at least 200 words in length

Question 2

Assess the public health elements of the Affordable Care Act.

Your response should be at least 200 words in length.

 

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