Final Case Study: Consulting for the Caring Angel Hospital

Due Week 10 and worth 300 points

Imagine that you are a senior consultant at Practical Health Care Consulting firm. Your supervisor has instructed you to spend three (3) months at the Caring Angel Hospital to help improve the quality of care, add value to the organization, improve employee morale, design an efficient organizational chart, create a strong team environment, and create the hospital’s competitive advantage. The hospital has traditionally made losses year after year. Furthermore, it is not performing well financially, and the banks are not willing to lend it large sums of money for more effective marketing.

After spending two (2) months within the hospital, you are very happy with your progress, and you think you are capable of acquiring more patient base and expanding the hospital market. However, with a closer look, you notice that your patients are still hopping from one specialized hospital to another in search of various specialized treatments. You also notice that the seats are not comfortable in the waiting area, and the patients continuously show up for appointments on the wrong dates. The nurses and the employees are not smiling during patient conversations, and everyone looks for ways to blame others for failures in the patient treatment process. Everyone seems to work alone and hide what they do from their colleagues.

At the end of the three (3) month period, you must provide a report with your recommended strategies designed to help Caring Angel Hospital achieve its goals.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a four to six (4-6) page paper in which you:

1. From a consulting perspective, propose the major steps that Caring Angel Hospital could take to achieve each of the following goals:

a. Improve the quality of care

b. Add value to the organization

c. Improve employee morale

d. Design an efficient organizational chart

e. Create a strong team environment

f. Create the hospital’s competitive edge.

2. Recommend one (1) approach that the hospital could use for acquiring a larger market share given the prevailing financial circumstances. Justify your recommendation. 

3. Investigate at least two (2) value-added services that Caring Angel Hospital could offer to strengthen its value proposition. Provide at least two (2) examples of the advantages of these value-added services to the hospital.

4. Use four (4) recent (within the last five [5] years) quality academic resources in this assignment. Note: Wikipedia and other websites do not qualify as quality academic resources.

Your assignment must follow these formatting requirements:

• Be typed, double      spaced, using Times New Roman font (size 12), with one-inch margins on all      sides; citations and references must follow APA or school-specific format.      Check with your professor for any additional instructions.
• Include a cover      page containing the title of the assignment, the student’s name, the      professor’s name, the course title, and the date. The cover page and the      reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Propose      methodologies that have been proven to increase value in health care      delivery systems.
• Examine leadership      and management frameworks that are most applicable to a certain      organization type within the health care industry.

· Assess how politics in a health care organization motivates and demotivates employees, and recommend strategies to mitigate the challenges presented with each aspect.

• Create a      communication strategy to address an ethical dilemma within a health care      organization regarding the quality of service and cost.
• Craft a strategic      plan that leads to a competitive advantage within a certain market.

· Determine best practices for establishing and maintaining strategic alliances within the health care industry or enterprise.

· Use technology and information resources to research issues in health care management.

• Write clearly and      concisely about health care management using proper writing mechanics.

  Case Study 3

Kevin worked for 10 years at a uranium mine, excavating uranium for a nearby nuclear power plant. Now, 25 years later, he has small cell lung cancer. Kevin is anorexic and has lost a considerable amount of weight. His muscles are wasting, and he is weak. He tries to move around the house throughout the day but tires easily. It has been difficult for him to access care, and the treatment for his cancer is just starting.

1. With the ongoing exposure to the ionizing radiation, DNA damage occurred. Outline the three stages of carcinogenesis that occurred after his exposure to radiation.

2. Kevin is normally a fit and active man, and his wife often commented on how much food he used to eat after a day at mine. Why would there be muscle wasting and weight loss now? Explain your answer using your 

3. knowledge of the metabolic changes seen with cancer.

In some cancer patients, muscle weakness may result from the production of onconeural antigens. Describe the effects of these antigens. What form would this process likely take in Kevin’s situation?

Case Study Posting Requirements

1. Make sure all of the topics in the case study have been addressed.

2. Cite at least three sources; journal articles, textbooks, or evidenced-based websites to support the content.

3. All sources must be within five years.

4. Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

4 pages not including title page and reference page.

Details:
 

The field of nursing has changed over time. In a 750-1,000 word   paper, discuss nursing practice today by addressing the following:

1. Explain how nursing practice has changed over time and how     this evolution has changed the scope of practice and the approach to     treating the individual.
2. Compare and contrast the     differentiated practice competencies between an associate and     baccalaureate education in nursing. Explain how scope of practice     changes between an associate and baccalaureate nurse.
3. Identify a patient care situation and describe how nursing care,     or approaches to decision-making, differ between the BSN-prepared     nurse and the ADN nurse.
4. Discuss the significance of     applying evidence-based practice to nursing care and explain how the     academic preparation of the RN-BSN nurse supports its   application.
5. Discuss how nurses today communicate and collaborate with     interdisciplinary teams and how this supports safer and more     effective patient outcomes.

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.c

Chief Complaint“My left foot feels weak and numb. I have a hard time pointing my toes up.”History of Present IllnessD.T. is 42-year-old Caucasian woman who has had an elevated blood sugar and cholesterol 2 years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed her fasting blood sugar was 160 and her cholesterol was 250. However, she felt “perfectly fine at the time” and did not want to take any more medications. Except for a number of “female infections,” she has felt fine recently.Today, she presents to the clinic complaining that her left foot has been weak and numb for nearly 3 weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. She does report that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 50 pounds since her last pregnancy 10 years ago, 20 pounds in the last 6 months alone.Past Medical HistorySeasonal allergic rhinitis (since her early 20s)Breast biopsy positive for fibroadenoma at age 30Gestational diabetes with second child 10 years agoMultiple yeast infections during the past 3 years that she has self-treated with OTC antifungal creams and salt bathHypertension for 10 yearsPast Surgical HistoryC-section 14 years agoOB-GYN HistoryMenarche at age 11Last pap smear 3 years agoFamily HistoryType 2 DM present in older brother and maternal grandfather. Both were diagnosed in their late 40s. Brother takes both pills and shots.Mother alive and wellFather has COPDTwo other siblings alive and wellAll three children are alive and wellSocial HistoryMarried 29 years with 3 children; husband is a school teacherFamily lives in a four bedroom single family homePatient works as a seamstressSmokes 1 pack per day (since age 16) and drinks two alcoholic drinks 4 days per weekDenies illegal drug usesNever exercises and has tried multiple fad diets for weight loss with little success. She now eats a diet rich in fats and refined sugars.AllergiesNKDAMedicationsLisinopril 10 mg dailyLoratadine 10 mg dailyReview of SystemsGeneralAdmits to recent onset of fatigueHEENTHas awakened on several occasions with blurred vision and dizziness or lightheadedness upon standing: Denies vertigo, head trauma, ear pain, difficulty swallowing or speakingCardiacDenies chest pain, palpitations, and difficulty breathing while lying downLungsDenies cough, shortness of breath, and wheezingGIDenies nausea, vomiting, abdominal bloating or pain, diarrhea, or food intolerance, but admits occasional episodes of constipationGUHas experienced increased frequency and volumes of urination, but denies pain during urination, blood in the urine, or urinary incontinenceEXTDenies leg cramps or swelling in the ankles and feet; has never experienced weakness, tingling or numbness in arms or legs prior to this episodeNeuroHas never had a seizure and denies recent headachesDermHas a rash under her bilateral breast and in groin areaEndocrineDenies a history of goiter and has not experienced heat or cold intoleranceVital SignsBP 165/100, T 98 F, P 88 regular, HT 5 feet 4 inches, RR 20 non labored, WT 210 lbsWhat you need to do:Develop an evidence-based management plan.Include any pertinent diagnostics.Describe the patient education plan.Include cultural and lifespan considerations.Provide information on health promotion or health care maintenance needs.Describe the follow-up and referral for this patient.Prepare a 3–5-page paper (not including the title page or reference page).FormatThe paper should be no more than 3–5 pages (not including the title page and reference pages.Assignment Requirements:Before finalizing your work, you should:be sure to read the Assignment description carefully (as displayed above);consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; andutilize spelling and grammar check to minimize errors.Your writing Assignment should:follow the conventions of Standard American English (correct grammar, punctuation, etc.);be well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; anduse APA 6th Edition format as outlined in the APA Progression Ladder.

Examine the importance of professional associations in nursing.   Choose a professional nursing organization that relates to your   specialty area, or a specialty area in which you are interested. In a   750-1,000 word paper, provide a detailed overview the organization and   its advantages for members. Include the following:

1. Describe the organization and its significance to nurses in     the specialty area. Include its purpose, mission, and vision.     Describe the overall benefits, or “perks,” of being a   member.
2. Explain why it is important for a nurse in this     specialty field to network. Discuss how this organization creates     networking opportunities for nurses.
3. Discuss how the     organization keeps its members informed of health care changes and     changes to practice that affect the specialty area.
4. Discuss opportunities for continuing education and     professional development.

Prepare this assignment according to the guidelines found in the APA   Style Guide; purpose why you have choosing the organization and conclusion is required.

This assignment uses a rubric.