Identify the organization ultimately responsible for the system changes that need to occur so that the situations do not happen again.

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  • Identify the organization ultimately responsible for the system changes that need to occur so that the situations do not happen again.
  • Describe what part of an organization’s vision or mission might apply or relate to this change.
  • Discuss how these changes might trickle down to managers and other lay leaders and workers.
  • Identify the role of one or two stakeholders in making the changes.
  • Discuss how stakeholders’ involvement in the changes or change process benefits them.
  • Discuss what community-based strategies and planning were used to communicate mutual expectations.

Describe methods a leader may use to align the mission, vision, and goals of individual stakeholders to the mission, vision, goals, and objectives of the organization.

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  • Explain the importance of strategic leadership and methods to a health care organization.
  • Describe methods a leader may use to align the mission, vision, and goals of individual stakeholders to the mission, vision, goals, and objectives of the organization.
  • Describe effective communication strategies a leader may choose to employ when communicating the strategic vision of the organization to key stakeholders.
  • Explain why leaders must align the organizational culture with the internal and external environments. How can leaders accomplish that?
  • Describe ways an organization can use financial forecasts to guide organizational leadership.
  • APA format
  • 5-6 pages
  • 3-5 resources

What professional and nursing organizations do you plan to actively participate? Have you considered continuing your education to pursue a graduate degree?

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Now that you are very close to completing this major accomplishment in your nursing career, what are your plans for your future? Please share your plans to keep up to date in your chosen specialty and nursing in general. What professional and nursing organizations do you plan to actively participate? Have you considered continuing your education to pursue a graduate degree?

Why do you think itis important to understand different culyural food pyramids when recommendations to patients about wellness

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Why do you think itis important to understand different culyural food pyramids when recommendations to patients about wellness

How can you assist a campaign with a similar health agenda as your own? Provide examples as part of your discussion.

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We explored different ways of influencing policymakers through a number of forms of letter writing in this course. For this discussion, you will explore other ways of working with campaigns. As a health advocate, it is important to assist candidates who support your issues to help bring about the desired change. There are a number of different ways you can help contribute during the process. Address the following in your discussions:

  1. How can you assist a campaign with a similar health agenda as your own? Provide examples as part of your discussion.
  2. What responsibility(s) AND what competency(s) of a Health Education Specialist does assisting a campaign fall under? Explain your choices.

250 words, does not have to be APA format

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition

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What nursing interventions are appropriate for Mrs. J. at the time of her admission?

Getting orders to stabilize MRS. J is priority.

  1. According to ABCs. Putting oxygen on (Mrs. J’s O2 sats are 82%).
  2. Keeping head up to prevent aspiration. Mrs. J is coughing frothy blood-tinged sputum. Additionaly, she has pulmonary cracles and decreased lung sounds.
  3. Decrease anxiety and respiratory rate.
  4. Monitor vital signs and heart function closely.
  5. Administer medications as ordered.
  6. Weight, strict I&O’s and fluid restriction. Mrs J. is retaining fluid. As nurses we need to know she is producing urine and measure her kidney function as well.
  7. Monitor labs (electrolytes, kidney function, liver function).
  8. Follow up on hepatomegaly.

 

What is the rationale for the administration of each of the following medications?

Lasix –  According to American Heart Association when “the heart does not circulate blood normally, the kidneys receive less blood and filter less fluid out of the circulation into the urine. The extra fluid in the circulation builds up in the lungs, the liver, around the eyes, and sometimes in the legs (American Heart Association, 2017).

Since edema and crackles in the lungs were noted patient should be started on diuretics to get rid of the extra fluid in the body.

Vasotec – is angiotensin converting enzyme (ACE) inhibitor class of medication. By blocking this enzyme it lets vessels to relax and pump more blood, more efficiently into the body (Mayo Clinic, 2017).

Metoprolol – is a beta blocker. Beta blockers prevent norepinephrine (adrenalin) from acting on beta receptors in blood vessels and in the heart. This causes blood vessels to relax. By relaxing the vessels, beta blockers help to lower blood pressure and reduce chest pain (Mayo Clinic, 2017). Metoprolol tends to lower heart rate and is used for arrhythmias. Additionally, blood pressure medications will help control the blood pressure, reduce the cardiac workload and increase the supply of blood and oxygen to the heart (American Heart Association, 2017).

IV morphine sulphate– is an opiod. Usually indicator for its use is a pain. However it works for brain respiratory center, lowering breathing rate and anxiety.

 

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition

According to Mayo Clinic the best way to prevent heart failure is to control risk factors such as obesity, coronary artery disease, high blood pressure, high cholesterol and diabetes (2017) .

Coronary artery disease – with certain risk factors overtime blood flow in vessels becomes restricted because of plaque buildup. Compromised blood flow depletes heart of oxygen and nutrients leading to weakening of the heart muscle and congestive heart failure. Heart is not able to pump efficiently enough to meet body’s needs. Body starts to retain fluid and that is called “congestion” (Mayo Clinic, 2017).

Interventions: getting heart educator to talk to the patient, nutrition consult. Making sure patient understands medications purpose, schedule and taking them as prescribed. Assessing patient’s home situation to make sure Mrs J. has appropriate living conditions to be able to follow diet, medication plan and dr’s appointments.

High blood pressure – according to American Heart Association (AHA) HTN is when force of the blood flowing through blood vessels is constantly too high (AHA, 2017).

Interventions: part of a heart education would be ways to control blood pressure (measuring it every day, diet, follow up appointments with cardiologist). Smoking cessation program (support program will be needed since patient is not willing to quit)

Obesity – obesity puts stress on entire body including cardiac system. Heart has to work harder to pump blood. According to American College of Cardiology (AAC) left ventricular hypertrophy is very common in people who are obese (2015).

Interventions: Nutrition consult, patient needs encouragement and support to be able to implement changes of her habits. Working with patient, finding support programs for mental and physical support. In Mrs J.’s case weight loss could help with her sleep apnea as well.

High cholesterol – too much cholesterol in the blood causes build up on the walls of the arteries. Overtime blood flow gets compromised and might lead to negative consequences like heart disease, blood clots, high blood pressure etc (AHA, 2017).

Interventions: Nutrition consult (education about right food choices is crucial), follow up labs measuring LDL and LHL. Take medications as prescribed.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

  1. Make sure medication reconciliation is complete and accurate. Having complete list of medications that patient is taking at home is the base for physicians to see if anything needs to be adjusted.
  2. Assessing patient’s compliance. Mrs J. on admission admitted that she did not take her medications for the last four days. In her condition compliance will be extremely important. Knowing patient compliance nurse can create appropriate education plan.
  3. Medication education. Education about patient’s medications including purpose, doses, frequency etc. Additionally, it will be important to discuss which medication to take at what time of the day and indicating if it is taken with, before or after meal.
  4. Assessing patient’s home situation. Understanding if patient is able to fill out her prescriptions and monitor her own, correct medication intake. Possibly, home health for cardiac assessment will be needed.

 

 

References:

American College of Cardiology. (2015). The Obesity Paradox in Heart Failure: Why Does It Clinically Matter? Retrieved from: http://www.acc.org/latest-in-cardiology/articles/2015/05/06/10/22/the-obesity-paradox-in-heart-failure

American Heart Association. (2017 The Facts About High Blood Pressure. Retrieved from https://www.heart.org/HEARTORG/Conditions/HighBloodPressure/GettheFactsAboutHighBloodPressure/The-Facts-About-High-Blood-Pressure_UCM_002050_Article.jsp

Mayo Clinic. (2017). Heart failure. Retrieved from

http://www.mayoclinic.com/health/heart-failure/DS00061

Identify three functions shared by both outpatient services and hospitals. How do outpatient services and hospitals differ in their approach to these functions? How are they similar?

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In this this assignment you will be comparing outpatient services to those offered by hospitals. As medical professionals we need to understand the roles of each and how they differ.

 

Create a PowerPoint presentation that addresses the following:

 

  1. Compare the roles of outpatient services and hospitals related to their place within the health care delivery system. How are they similar? How are they different?
  2. How have the roles of outpatient services and hospitals evolved from historical times to the present?
  3. Identify three functions shared by both outpatient services and hospitals. How do outpatient services and hospitals differ in their approach to these functions? How are they similar?
  4. Which type of health provider (outpatient services or hospitals) has been most effective in caring for underserved populations? Explain your reasoning.
  5. Are the financial challenges faced by hospitals different from those of outpatient services? How are they similar?

Your presentation must have 10-12 slides and cite a minimum of two references other than your textbook.

 

While GCU style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using GCU documentation guidelines, which can be found in the GCU Style Guide, located in the Student Success Center.

 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

 

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

Identify the factors contributing to the rising cost of health care. When did rising health care costs become an issue? Why are health care costs continuing to rise? What can be done to address this issue?

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An understanding of health care cost, access to care, and quality of care is vital for health care professionals, as is the ability to articulate these issues. For this assignment, students will examine the effects of cost and the issues associated with accessing quality care, both in a historical context as well as the future impact on health care. For this assignment, address the following in 750-1,000 word paper:

 

  1. Identify the factors contributing to the rising cost of health care. When did rising health care costs become an issue? Why are health care costs continuing to rise? What can be done to address this issue?
  2. Identify the impact that cost is having on access to care. How does access to health care today compare to 10 years ago? Can providers refuse care to those with certain payment methods such as Medicaid? Do you believe that we will have universal access to health care in the future?
  3. Discuss the issue of providing quality care. How much of a factor is cost in determining quality of care? What does the future of health care look like with regard to quality?

Two references (minimum) in addition to your textbook are required for this assignment.

Remember that this word count does not include your title page or reference page.

 

Prepare this assignment according to the guidelines found in the GCU Style Guide, located in the Student Success Center.

 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

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

How historical beliefs and religious practices have been influenced by the dominant American culture

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For this benchmark, students will research a Native American community’s culture, oral tradition, religious texts, historical background, and current beliefs and practices. It is advisable to visit the Native American community or a museum that would contribute significantly to the research. If possible, interview a Native American leader from the community or a museum expert about that community.

In a 20-25 slide presentation, include the following:

Name of the Native American community and the historical religious beliefs and practices of that community
Significance of historical beliefs and the related social, cultural, and theological practices
How historical beliefs and religious practices have been influenced by the dominant American culture
Current religious beliefs and practices and how they are seen in the daily life of a typical member of the community
Elements of the traditional religion that a Christian would need to consider when sharing the Christian faith/gospel with a person from this community
Use 3-5 academic resources.

Be creative. In addition, create a title slide, reference slides, and slide notes that provide detailed explanation of examples.

If you would like to take pictures during your visit to a Native American community or museum, be sure to obtain permission.

GCU format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using GCU formatting guidelines. These can be found in the GCU Style Guide located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin.