For this project, you will identify a case study and then develop a nutritional care plan for the client associated with that case.  Please read this entire document to gain understanding of the project scope and those tasks you will complete.  

 

 

Task 1:

 

a.  Choose from one of the following stages: pregnancy, infancy and childhood, adolescence, adulthood, and old age.

b.  List the specific nutrition issues affecting individuals in your selected stage.

 

Task 2:

 

a.  Choose a disease or medical condition that could possibly, or commonly, affect your individual.  This could be anything ranging from diabetes to cirrhosis.

b.  Using the ABCDs of nutritional assessment, create a case study based on an actual client or patient.  You can also make one up.  Include the following in your case study:

(i).  Anthropometrics, relevant biochemical tests, clinical assessment, and dietary intake analysis.

c.  Be sure to include a list of common medications that may be used to treat your patient’s condition and identify potential herb/nutrient/drug interactions that may be relevant.

d.  Identify your client’s cultural background and give clues as to their socioeconomic status and psychosocial variables.  For example, your

patient may be a senior living alone on a fixed income or might be living in

a nursing facility with reputed staff.

 

Task 3:

 

a. Create a nutritional care plan for your client. This will include an

evaluation of nutritional risk, a list of interventions, and a list of expected

outcomes.

b. List the goals of medical nutrition therapy for your patient and suggest an

appropriate diet. Does your patient/client require a dietary modification of

their regular diet? Are enteral feedings by tube necessary? If so, what

formula will you use and why? Describe your recommended method of

administration.

Task 4:

a. Describe your nutrition education teaching session with your patient

and/or their family. What teaching methods will you use (explanation,

discussion, demonstration, handouts, etc.)? In your own words, write a

paragraph detailing three specific points that you will need to teach your

patient about his/her new diet. In addition, give at least one tip to avoid

potential herb/nutrient/drug interactions. 

 

 

 

 

 

Requirements 

Depicts a clear and easy to understand path of how ideas become healthcare policy on a local, state and national level. • Writer visually depicts how individuals or groups can impact this process and their role in the process. • Writer visually depicts how the process impacts the nursing home industry.

 Writer visually depicts a clear and easy to understand path of how ideas become healthcare policy on a local, state and national level. • Writer visually depicts how individuals or groups can impact this process and their role in the process. • Writer visually depicts how the process impacts the nursing home industr

 

•  2 pages of graphs, charts, figures or pictures 

Requirements • Writer visually depicts a clear and easy to understand path of how ideas become healthcare policy on a local, state and national level. • Writer visually depicts how individuals or groups can impact this process and their role in the process. • Writer visually depicts how the process impacts the nursing home industry

Process Flow Analysis

 

Have you ever encountered a process that had too many steps or was overly complicated? Perhaps you examined the process and looked for areas where you could remove steps or simplify its flow. If you did, you were conducting a process flow analysis. Process analysis is an important step in determining the financial well-being of an organization and pinpointing areas where changes could help improve the bottom line. In this Assignment, you will create a process flow analysis (also known as workflow diagramming) for an activity in your own organization (or one with which you are familiar).

 

To prepare:

 

Review the information in the Learning Resources (including the Media) for this week dealing with how to perform a process flow analysis.

Identify a process that is completed on a consistent basis in your organization (or one with which you are familiar). Examples of a process include such things as how a patient is moved through the system, or what must occur to prepare an examination room or hospital room for the next patient.

Create a simple flow analysis map detailing the process using Microsoft Word using one of the methods below:

Select SmartArt from the Insert menu and select a diagram that matches the flowchart structure you would like to use.

Select Shapes from theInsert menu and select the shape that matches the flowchart piece you would like to use. Continue inserting shapes and connect them using the arrow shapes.

Reflect on the ease or difficulty of obtaining the necessary information to create your flow analysis map.

Identify “white space” as defined in the article, “Hospital Operating System: Unleashing Throughput Potential” found in the Learning Resources for this week.

Determine strategies for improving the process flow.

Reflect on the role of the process flow analysis in financial decision making and how it can have positive impacts on the process. Attach your Flow Analysis Map to your Discussion post. (Very Important)

 

Describe the process you analyzed and how you went about gathering the necessary information to create your flow analysis map. Identify specific areas of white space that need to be addressed and propose strategies for improving the process. Analyze how process flow analysis can be a useful tool in financial decision making and the ramifications of not using it. Be sure and include your flow analysis map when you turn in your paper.

Reminder: This Discussion assignment serves as your Portfolio Assignment for this course. Be sure to save this Discussion Assignment on both your hard drive and on an external drive.

 

 

Describe the process you analyzed and how you went about gathering the necessary information to create your flow analysis map. Identify specific areas of white space and propose strategies for improving the process. Analyze how process flow analysis can be a useful tool in financial decision making and the ramifications of not using it. Be sure and include your flow analysis map as part of your post.

 

 

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. (Will Send Responses Soon)

 

Required Readings

 

Baker, J., & Baker, R. W. (2014). Health care finance: Basic tools for nonfinancial managers. Burlington, MA: Jones and Bartlett Learning.

 

Chapter 14, “Using Comparative Data” (pp. 157–169)

 

Review: In this chapter, you are introduced to the criteria for identifying other health care organizations that are comparable to your own. Data from these organizations can then be used to evaluate your own organizational performance.

Thorpe, L., Kovach, S., Vins, W., & Stefanak, M. (2010). Business process analysis and redesign methods: improving response to telephone-based reports in a local health department. Public Health Reports, 125(6), 903–908.

Retrieved from the Walden Library databases.

 

In this article, the authors describe a case in which one local health department used the business process analysis and redesign methods to test their effect on response time to pressing public health problems. It demonstrates the importance of analyzing current organizational processes in order to improve system design.

Jenkins, A., & Eckel, S. (2012). Analyzing methods for improved management of workflow in an outpatient pharmacy setting. American Journal of Health-System Pharmacy, 69(11), 966–971.

Retrieved from the Walden Library databases.

 

This article details an analysis of a central outpatient pharmacy. The authors explain the need to transfer pharmacists’ dispensing-oriented activities from technical dispensing functions toward more pharmacist-patient related interactions.

 CareLogistics (n.d.). Hospital Operating System: Unleashing throughput potential (Executive Summary). Retrieved from https://www.iienet2.org/uploadedfiles/SHSNew/Tools_and_Resources/Case_Studies_and_Tools/Exec%20Summary-White%20Paper%20-%20Hospital%20Operating%20System.pdf

 

This white paper discusses whether or not a hospital would be able to manage throughput if it becomes a system of interconnected activities.

Required Media

Laureate Education (Producer). (2012). Process analyses. Baltimore, MD: Author. 

 

Note:  The approximate length of this media piece is 6 minutes.

 

In this video, Dr. William Ward describes brown paper analysis, process flow analysis, and value stream mapping. Dr. Ward demonstrates the application of the three types of analyses to the same scenario to highlight their different uses.

 

Document: The following document gives credit for Laureate-produced media in this course: Credits (PDF)

Due 12/2/16 @8:00 a.m. 100 percent original This is a Power Pointe that needs to be at least 10 slides including the title and reference page with at least 100 words of speaker notes per slide with at least 2 references APA format

The hospital has decided to build an oncology unit, and you are asked to view the planning strategy for the site. As with any business, one must assess the overall strengths, weaknesses, opportunities, and threats (SWOT) of the location and the business processes. Therefore, you will lead the discussion on some of the problems that they might incur. Complete the following:

 

• Define which data sources they might consider using.
• Evaluate the data.
• Select the data mining techniques that could be used.
• Interpret and translate the mining results into an actionable business strategy.

Discussion: Performance Standards and Appraisals

 

Performance appraisals should be timely, thoughtful, consistent, thorough, and free from bias. How can performance appraisal systems be structured to facilitate this type of environment? Effective performance standards and appraisals can promote an open and continuous relationship among the nurse manager, HR professionals, and employees. How might you, as a nurse manager, use performance appraisals and other performance management strategies, such as positive discipline, in your leadership approach?

In this Discussion, you reflect on questions that commonly arise when assessing performance appraisal processes.

 

Performance Standards:

Who creates performance standards, and how are they communicated to employees?

Are performance standards consistent with quality standards commonly used in the nursing profession?

Do performance standards align with legal and ethical nursing practice?

Performance Appraisals:

How is employee performance (i.e., behaviors, attitudes, abilities, and skills) documented?

What measures, if any, protect employees from subjectivity?

Are employees asked to engage in any form of self-evaluation?

Do colleagues participate in peer evaluations such as 360-degree appraisals?

Does the performance appraisal process encourage employee development?

Aside from the written performance measures, what aspects contribute to success or failure in achieving performance improvement?

 

To prepare

Review this week’s media, “Performance Management,” and consider the best practices highlighted by this week’s presenters.

Reflect on the performance standards and appraisal systems used in your current organization or one with which you are familiar. With the above questions in mind, identify this organization’s strengths and areas for improvement.

Drawing from ideas presented in this week’s Learning Resources, think of specific ways you might improve your organization’s use of performance standards and/or the performance appraisal process.

Review the article, “Positive Discipline Reaps Retention.” As a nurse manager, how might you incorporate positive discipline into your performance management approach? What effect–good, bad, or indifferent–do you think it would have on your nursing staff?

 

Post a description of the performance appraisal system used in your workplace, including how performance standards are created and communicated to employees. Describe the effectiveness of the performance appraisal system by sharing at least two strengths and two areas for improvement. Conclude your posting by explaining how you might incorporate positive discipline into your performance management approach and what impact you think it will have.

 

Read a selection of your colleagues’ responses.

 

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, evidence, or research.

Share an insight from having read a colleague’s posting, synthesizing the information to provide new perspectives.

Expand on a colleague’s posting by providing additional insights or contrasting perspectives based on readings and evidence.

 

Required Readings

Lussier, R. N., & Hendon, J. R. (2016). Human resource management: Functions, applications, & skill development (2nd ed.). Thousand Oaks, CA: Sage Publications.

 

Chapter 8, “Performance Management and Appraisal” (pp. 274–314)

This chapter introduces the performance appraisal process. The authors explain how to effectively carry out performance appraisals, the methods of assessment one can use, and who should be responsible for assessing employees.

 

Chapter 9, “Rights and Employee Development&rdquo (pp. 316–355)

Chapter 9 provides an overview of employee rights and privileges. It also explains the processes of developing or terminating an employee, providing counseling for problem employees, and effectively using discipline and termination.

Dupee, J. M., Ernst, N. P., & Caslin, K. E. (2011). Does multisource feedback influence performance appraisal satisfaction? Nursing Management, 42(3), 12–16. 

Retrieved from the Walden Library databases.

 

The article focuses on the effects of multisource feedback (MSF) in a nursing environment.

Murray, B. (2003). Positive discipline reaps retention. Nursing Management, 34(6), 19–22. 

Retrieved from the Walden Library databases. 

 

Positive discipline can transform communication and relationships between nurse managers and nursing staff. This article examines how nurse managers at a medical center in Boise, Idaho shifted their feedback process to an Alternative Correction Action model based on positive discipline philosophies.

Required Media

Laureate Education, Inc. (Executive Producer). (2012). Performance management. Baltimore, MD: Author. 

 

Note: The approximate length of this media piece is 32 minutes.

 

This week, the presenters discuss challenges of and best practices for performance management and appraisals.