The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

• Complains of pain and heaviness in her leg.
• States she cannot bear weight on her leg and has been in bed for 3 days.
• Lives alone and has not had anyone to help her with meals.

Objective Data

• Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
• Left leg red from knee to ankle
• Calf measurement on left 3 in > than right
• Temperature: 38.9 degrees C
• Height: 160 cm; Weight: 83.7 kg

Laboratory Results

• WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
• Wound culture: Staphylococcus aureus

Critical Thinking Questions

1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
2. Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
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.
4. What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

 

Employment and Business entrepreneurship 

Starting and managing a practice

Independent contactor.

 

Presentation

Business Ideas for Nurse Practitioner

Entrepreneur

     

Nurse practitioners can practice in many locations and can be a clinical practice as well as a consulting business, educational business. Read through the list and use it to develop your own business plan presentation. The presentation must have no more than 15 slides including the title and reference page and must have the following headings:

1. Concept Statement: What are the benefits of your product or service? Presenting the practice idea, reason for selecting this area and summarizes the general plan.
2. Marketing Plan: What is the target market and how will you penetrate it? Presents the need for the practice, who it will be marketed to and why that group. Present a sample of a marketing strategy (i.e. magazine, tv or radio ad)
3. Development: How will you develop and produce the product or service? What are the risks of the venture and what can you do to reduce these risks?
4. Finance & Accounting: What are the financial implications of the plan? What resources, including funding, are required to successfully create the business plan? Show how you will support the business (billing). Expenses, contracts, building space et.  
5. Legal Considerations: Identify any legal considerations the business team might foresee. Collaboration, protocols, state regulations, local regulation, licenses, certifications needed the business.

   

Clinical   Practice

Consulting  

Educational  

Retail  

Other

A practice providing drug screening   (pre-employment, legal documentation, etc

Corporate Wellness Consultant

Continuing Education Provider – yourself as   the teacher, bring in other providers to do the teaching

Health and Beauty Spa providing aesthetic   skin care treatments and other services

Author

Aesthetics

Infection Control Consultant

Prep Courses for certificate and or   licensing exams

Nutritional and Herbal Supplements

Speaker

Corporate Practice o Wellness, Primary Care,   Occupational

Occupational Health Consultant

Training of nurses, NP’s (AED, PALS, ACLS,   EKGs, Specialty Procedures,, etc)

Health Food Retail Store

Radio Show Personality

Diabetes Specialty Practice

Case Manager – such as for Geriatrics, life   planning, estate planning

Public Health Education to the public

Fitness Facility/Spa

TV Show Personality

HIV/AIDS Specialty Care

Health Coach – shouldn’t this emerging   field belong to Nurses and Nurse Practitioners? o Wellness, Lifestyle   changes, Menopause, etc

 

Own a retail health clinic

Product Developer

Holistic/Alternative Health Care Practice

Staffing Agencies

 

 

Legal consultants

Holistic/Alternative Health Care Practice

Patient Care Navigator

 

 

Adult Day Care business

0

 

Pharmacological and Non-Pharmacological Interventions

In 3-4 pages discuss what  pharmacological interventions are used for the Bipolar disorder. Include side  and adverse effects and how these can be managed. Also include a  discussion on what non-pharmacological interventions have been  effective. Provide sources to demonstrate efficacy.

In this assignment you must use accurate spelling and grammar and APA Editorial Format. Provide accurate data references if any

HOMEWORK ASSIGNMENT:

Read the case story about how a Nurse Manager helps her staff become more culturally competent. 

http://support.mchtraining.net/national_ccce/case0/case.html

After reading the case story, click on the Learning Activities link on the left side. Complete Activities 1, 2, and 4. 

You may complete Activity 3 if you like, but it is not required.

In a paper:

1. Reflect upon what you learned after completing the Learning Activities.
   1. Your comments should show thoughtful reflection about how you have  assessed your own personal development as you strive for cultural  competence.
   2. Consider the following questions:
      1. After reading about Christy’s situation, how have your thoughts about and/or expectations of other cultures changed, if at all?
      2. What changed, if anything?
2. Describe how Christy can handle the situation better the next time she encounters a Romani patient.
3. Identify at least one thing an organization can do to improve cultural competence.

Assignment Expectations

Length: 3 pages (excluding the cover page and the reference list).

  

This week’s Learning Resources classify management and leadership (which are often confused in everyday discussion) and explain their significance for health care organizations. As you advance professionally, it is critical to understand the distinctions between management and leadership and how you can apply this knowledge for increasing effectiveness in your workplace.

To prepare:

· Review the information in the Learning Resources.

· Conduct additional research on your own and select at least two current, credible sources that contribute to your understanding of management and leadership.

· Reflect on how the roles of management and leadership differ in supporting the organization to set and achieve goals.

· Drawing upon specific examples from a current or previous practice setting, bring to mind someone who seemed to be a leader but not a manager and someone who seemed to be a manager but not a leader (generally speaking, or within a specific circumstance). Be prepared to support your assessment with specific behavioral descriptions found in the literature.

Post an analysis of how management and leadership roles differ in terms of supporting an organization to set and achieve goals. In addition, post  descriptions of an individual who demonstrates leadership behaviors but not management behaviors and an individual who demonstrates management behaviors but not leadership behaviors. Provide your rationale, identifying specific characteristics of effective managers and leaders. (Note: Do not identify these individuals by name, position, or location.)