Anemia Case Study

A 21-year-old Greek female presents to her PCP for establishment of care. She reports 3 months of progressive fatigue but has no other complaints. Family history is notable for anemia in her mother and older sister. Past medical history is positive for mild persistent asthma.

Her CBC collected in the office reveals the following:

WBC 6.8 k/cu mm
Hgb 8.9 g/dl
Hct 28 %
MCV 76 fL
RDW 20.5 %
Platelets 483 k/cu mm

Question answers should be based on evidence found in readings and from peer-reviewed literature. At least two sources must be used and cited in APA format for each question. Only one source can be a textbook. Resources should generally be within 5 years unless you are explaining the pathophysiology of a disease or providing pertinent background information

Discussion Questions:

1. What would be the next set of labs you would expect to see ordered to determine the etiology of the anemia and why? Support with evidence from the literature.
2. Compare microcytic, normocytic, and macrocytic anemia and explain which of these is consistent with the labs above. Support with evidence.
3. Explain the physiology of how anemias impact oxygen transport and ways in which anemia patients compensate for decreased oxygen carrying capacity. Support with evidence.

I participated in the 2nd day of the Leadership development organized by Global Innovative Consulting Networking. 1st speaker Marjorie Lozama spoke about Leadership vs Management, the question was: who is your lader holder?

The 2nd speaker Pastor Fayola Delica (Miss Florida 2019), she had a more spiritual approach to the subject. She pray with the group and we took pictures with Miss Florida.

200 words for each respond

1) 

Prioritizing data from a community health assessment analysis can be challenging. There are sources that can assist individuals prioritize collected data from a community health assessment. When a community assessment is completed, there is often a lot of data to evaluate and it is important to have guidelines to help organize the information better.

The Tool Kit that was provided to us in this module was essential for prioritizing my collected data. I looked at the webpage and noticed that there was a lot of helpful information available. I reviewed the material and really thought about the information I gathered from my community assessment project. It is important to think about the magnitude and severity of the problem because this can help someone realize how specific diseases can negatively impact the community. The community’s willingness to fix the stated problem can affect which problems are priorities. If people in a community are willing to make changes to decrease obesity, this may be more of a priority than another issue they are not willing to make changes too, such as smoking. I also thought about the resources that are available to people in the community because this will help me prioritize my data more. Addressing barriers to attempting to fix an issue in the community is necessary because it may be helpful to create additional resources or guidance so people can overcome these barriers. I feel that this is especially important because many issues such as obesity, smoking, and heart disease have barriers that need to be overcome. I also think that selecting a committee can help with prioritization because this will likely help create more success with attempting to implement change in the community. The nominal group technique seems like it would be very helpful for helping me prioritize my data. This involves rating issues on a one to ten scale in a group discussion setting (Association for Community Health Improvement, n.d.).  This technique is my favorite out of the others listed because I can select my top issue in my community with the assistance of others that live in the same community. There are also different templates available to help with prioritizing data and teamwork seems to be important for helping determine the priority (West Virginia Center for Local Health, n.d.).

Prioritizing data can be challenging. I plan on using multiple techniques to decide what my priority is. I think that I plan on thinking about the data I collected and using the nominal group technique to help me finalize my decision. It will be important for me to think about the needs of the individuals in my community as well as what resources are available to help my community.

References

Association for Community Health Improvement. (n.d.). Community health assessment toolkit.  Retrieved from https://www.healthycommunities.org/resources/toolkit/files/step5-select-priority

West Virginia Center for Local Health. (n.d.). Methods for prioritizing health Issues. Retrieved from https://dhhr.wv.gov/localhealth/data_qi/CHA/Pages/Prioritizing-Health-Issues.aspx

2)

 

It has been accepted knowledge that obesity is not only increasing at an epidemic rate in North America but also globally (Center for Disease Control and Prevention (CDC), 2018). This is an issue of real concern because many health problems are associated with excess body fat. Thru usage of the Community Health Assessment Toolkit selected identifiers can give evidence to a platform applicable to the current community issue concern and support can be shown in community prevention outreach programs and facilities available (American Hospital Association (AHA), 2020).  The magnitude of obesity is gaining recognition due to the identified causing agent to be a leading factor to preventable illnesses and death in the United States. The severity of unhealthy weight gain shows people who are impacted are at a much higher risk for serious medical conditions than people who have a healthy weight (“Healthy People 2020”, 2019).

            This subject is a high priority within the Orange County community of which I am currently concentrating and previously researched with data gathering for selection in community health issues. It has been identified that vulnerable populations are shown among school children with poor eating habit choices and limited selection within the school system as their primary meals for daily living (About Us, 2018). Working households with late jobs are having children defend for themselves at home for proper meal selections relying on high carbohydrates, sugar, and processed foods for resources.

            Obesity has been associated as a root cause to other medical problems including heart attacks, strokes, diabetes, osteoarthritis, and even some cancers (CDC, 2018). Yet, the community is aware and prepared to meet the challenge by showing a capacity and willingness to act through provisions of wellness programs available by the Florida Clay Health Department and other public venues such as YMCA organizations dispersed throughout the community. Provisions of recreational services such as summer and fall festivals encourage outdoor participation. Existing intervention focuses are seen by the upkeep and public safety provided in numerous walking trails, parks with recreational play equipment for children, sponsored walking, running, and bicycling events for charities annually promoted by local news and Facebook access (About Us, 2018). The ability to have a measurable impact can be identified from a small to a large scale by individual track progress that promotes healthy habits and decreases hospital stay as well as costs. Another example is the work shown by YMCA organizations that involve education, support, and encourage opportunities to belong and participate with sport events for adults and youth, day camp for youth, and volunteer work to challenge community concerns in engagement of all ages. With proper teamwork, communication, resource promotion, and access to community support obesity can be rectified in Orange County making one step closer to decreasing the national problem.

References

About Us (2018). Florida Department of Health Clay County. Retrieved from

Project 1: Promoting Health Care Quality  

In this course, you develop a comprehensive Course Project: Promoting Health Care Quality. 

To initiate this project, this week you examine the systems and structures of an organization with which you are familiar. 

Organizational Systems and Structures Evaluation 

When a problem related to health care quality and patient safety arises, there can be an inclination to focus on a specific event rather than to examine the larger context surrounding it. Analyzing the systems and structures within an organization provides a foundation for generating a fuller understanding of how and why the event occurred and for developing strategies to address the underlying issues. Perhaps more importantly, such an analysis can be used to proactively identify potential challenges and improve organizational systems and structures in order to promote positive outcomes. In the first section of your Course Project, you analyze the systems and structures of a health care organization with which you are familiar. 

To prepare:  Identify a health care organization with which you are familiar; one that you will be able to sufficiently analyze to complete the full scope of the Course Project.

 Select two or more of the following frameworks: o Learning organizations o Complex adaptive systems (CAS) o Clinical microsystems o Good to great o 

The 5 Ps You may use the same frameworks that you addressed in this week’s Discussion. 

 With these frameworks in mind, analyze the systems and structures of the organization. Be sure to research and consider: o Mission, vision, and values o Strategic plan, goals, and objectives, if possible o Key operational processes and patterns o Information technology use o Organizational priorities and investments, as indicated by financial data.

Section 1: Organizational Systems and Structures Evaluation  As you continue your evaluation of a health care organization, it is essential to pay attention to culture. Organizational culture provides the context in which all interactions and processes occur, and is therefore central to any effort to enact change.  To prepare: •Continue to analyze your selected organization, as indicated in Week 3 (Section 1 of the Course Project). •In addition, consider the ideas and information exchanged in this week’s Discussion. Continue to analyze essential elements of organizational culture and evaluate the influence of culture on the ability to achieve goals within your selected organization.   

 To complete:  Write a 4- to 5-page paper in which you: 

•Provide a description of the organization you selected 

•Present your analysis of the organization with attention to: 

•Its mission, vision, values 

•Strategic plan, goals, and objectives 

•Key operational processes and patterns 

•Information technology use 

•Organizational priorities and investments, as indicated by financial data 

•The essential elements of the organization’s culture 

•The influence of culture on meeting organizational goals.

Required Readings  

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.  •Chapter 10, “Evaluation of Patient Care Standards, Guidelines, and Protocols” (pp. 207-226) 

•Chapter 12, “Evaluating Populations and Population Health” (pp. 265-280) Chapter 10 reviews methods for using national, local, and organizational standards to evaluate the quality of health care practices. Chapter 12 examines strategies for identifying quality issues through the evaluation of populations.   Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.  

•Chapter 3, “General Concepts in Quality” (pp. 45–82) See the six aims for quality 

proposed by the Institute of Medicine (IOM).   Bellot, J. (2011). Defining and assessing organizational culture. Nursing Forum, 46(1), 29–37.