Assignment: 

Prompt: Students pursue online degrees for a variety of reasons. What do you find beneficial about pursuing your doctoral degree online? How does working toward a doctoral degree online help you achieve your personal and/or professional goals?

Write a 1-page (approximately 350 words), double-spaced personal essay in response to the prompt above. To present your strongest writing skills, submit an essay that:

1. Provides a focused and clear central idea that responds to the assignment prompt with developed ideas; Organizes ideas with paragraphing and transitions;Uses grammar and mechanics to effectively communicate meaning to readers; Maintains academic integrity by demonstrating your original work. 
2. Using outside sources is not required for this essay; if you use them, however, then you must cite any information you paraphrase or quote.

comment1

Nutritional management should be key component of therapy and imperative to wound healing. As a diabetic patient, control of glycemic index is very important with proper nutrition and adequate calorie intake to promote wound healing. Also, since she lives alone,has  been in bed for 3 days and complained of not having any help with meal preparation. Nutritional intake could be critically imbalanced in her case and strategies for weigth reduction.

With thick yellowish drainage and elevated WBC, wound is probably infected, would need antibiotic regimen to combat infection, NSAIDS to reduce fever and decrease swelling and pain.

Physician to assess extent of tissue damage and make recommendations for wound care. Wound care team/ PT to be involved in wound treatment and care. Would possibly need wound debridement and wound vacuum assisted closure.    

2.Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”

Likely muscle groups affected include: the gastrocnemius(back calf muscle), extensor and flexor digitorum longus, anterior tibialis muscle, extensor hallucis longus of the ankle and fibularis longus. (ARC Media). 

3.What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.

Objective data gathered indicate a non-healing wound that is infected going by the lab results. also, yellowish wound drainage, elevated temperature and swelling to leg. As a diabetic patient this is an indication of lack of good glycemic control. Rationale is, elevated blood sugar levels prevent nutrients and oxygen from energizing the cells that fights infection and promote wound healing, prevents the immune system from functioning efficiently and increases inflammation in the body which slows down wound healing. (Dening, 2017). So going forward, blood glucose level monitoring and control is very crucial and weight reduction.

subjective data which is what the patient tell us indicate inability for Ms.G. to care for self and deficient calorie intake, as evidenced by complaint of lying in bed for 3 days, living alone and no one to help with meal preparation. Adequate nutrition is very essential to wound healing. Going forward, provision of balanced nutrition will be needed especially, high protein intake for collagen formation to promote wound closure. (Russell, 2001). It is noted that exudate loss results in protein deficit and need to be replaced. (Russell, 2001). She will need the services of OT and social workers to help with nutritional management and provision. Also, home health assistance with meal preparation and ADLS or meals on wheels services. Need to be properly educated on diet, exercise and blood glucose monitoring / therapeutic treatment of elevated blood sugar and care of lower extremities to prevent injuries.

comment2

the patient has an acute systemic infection and a draining wound with a Staphylococcus aureus. According to the CDC, Staphylococcus aureus is among the bacteria that cause necrotizing fasciitis which is inflammation of the fascia [tissue under the skin that surrounds muscle, nerves, and fat] (CDC, 2018).  As I mentioned in my post, patient education about managing blood glucose level and weight is vital to healing and preventing recurrent infections.  Many patients I take care of are admitted with cellulitis and many also have diabetes. I noticed that the lack of access to primary care and sufficient funds is one of the reasons patients are not able to manage their diabetes. 

 

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.

To Prepare:

• Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
• Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

 

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.

Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

1. Describe the health care organization or network.
2. Describe the organization’s overall readiness based on your findings.
3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Prepare this assignment according to the guidelines found in the APA Style Guide,

Clinical Guidelines  Discuss the differences between these three tools; clinical guidelines, practice standards, and algorithms and how you see yourself using them in your clinical practice. What is one thing in your practice that you have always done, but you do not really know why you are doing it or why it works? Please reference your work.