When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.
 

For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.

To Prepare

• Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.
• By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option 2). Note: Please see the “Course Announcements” section of the classroom for your assignments from your Instructor.
• Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?
• Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.
• If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.
  • Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
  • Consider how you could encourage parents or caregivers to be proactive toward the child’s health.

The Assignment

Assignment (3–4 pages, not including title and reference pages):

Assignment Option 2: Child Health Case:

Overweight  5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother

Include the following:

• An explanation of the health issues and risks that are relevant to the child you were assigned.
   
• Describe additional information you would need in order to further assess his or her weight-related health.
• Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
• Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
• Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

References:

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

• Chapter 3, “Examination Techniques and Equipment”

This chapter explains the physical examination techniques of inspection, palpation, percussion, and auscultation. This chapter also explores special issues and equipment relevant to the physical exam process.

• Chapter 8, “Growth and Nutrition”

In this chapter, the authors explain examinations for growth, gestational age, and pubertal development. The authors also differentiate growth among the organ systems.

• Chapter 5, “Recording Information”  (Previously read in Week 1)

This chapter provides rationale and methods for maintaining clear and accurate records. The text also explores the legal aspects of patient records.

http://www.cdc.gov/obesity/childhood

Chaudhry, M. A. I., & Nisar, A. (2017). Escalating health care cost due to unnecessary diagnostic testing. Mehran University Research Journal of Engineering and Technology, (3), 569. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=edsdoj&AN=edsdoj.032e1af6f8c54862844d6d418ea62855&site=eds-live&scope=site

Rubric:

In 3–4 pages, address the following:

An explanation of the health issues and risks that are relevant to the child you were assigned. The response clearly, accurately, and in detail explains the relevant health issues and risks for the assigned child.

Describe additional information you would need in order to further assess his or her weight-related health. The response clearly and accurately describes detailed additional information needed to further assess the child’s weight-related health.

Identify and describe any risks, and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion. The response clearly and accurately identifies and describes in detail any risks to the child’s health.  The response clearly and accurately identifies and describes in detail further information needed to gain a full understanding of the child’s health, with a detailed explanation of how to gather that information in a way that is sensitive to the child.

Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.The response clearly and accurately lists three or more specific questions that would gather more information about the child.                                                                                                                                                            Specific questions are carefully worded to clearly demonstrate sensitivity to the parent(s) or caregiver(s) of the child.

Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight. The response clearly describes two or more detailed strategies to encourage the parent(s) or caregiver(s) to be proactive about the child’s health and weight.

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. Paragraphs and sentences follow writing standards for flow, continuity, and clarity.  A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation. Uses correct grammar, spelling, and punctuation with no errors.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. Uses correct APA format with no errors.

 There are many reasons that we need to sleep.  It is a restorative process that helps us function.  Suppose that a new “miracle pill” allows a person to function with only one hour of sleep per night.  However, because a night’s sleep is so short, a person who takes the pill will never dream again.  Knowing what you do about the functions of sleep and dreaming, what would be some advantages and drawbacks of such a pill from a personal standpoint?  Would you take such a pill?  You should offer at least one citation to support your work. 

Please add in-text citation and references at the end of post. Post should be 250 words minimum.   

 

Write a 4–7-page analysis of your care setting that supports development of a strategic plan and includes both the discovery and dream phases of an appreciative inquiry (AI) project and a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the care setting.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

SHOW LESS

Identifying analysis techniques for assessing competitive advantage is important for building health care strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team, community project, or other care setting is making a positive difference.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Evaluate qualities and skills that promote effective leadership within health care organizations.
  • Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an appreciative inquiry (AI) and a strengths, weaknesses, opportunities, and threats (SWOT) approach.
• Competency 2: Apply strategies to lead high-performing health care teams to meet organizational quality and safety goals.
  • Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.
  • Conduct a SWOT analysis of a care setting, with respect to quality and safety goals.
  • Describe an area of concern identified in a SWOT analysis—relevant to a care setting’s mission, vision, and values—that should be improved.
  • Compare the AI and SWOT approaches to analysis with regard to data gathering and interactions with others.
• Competency 3: Apply cultural, ethical, and regulatory considerations to leadership decision making.
  • Propose positive, attainable quality and safety improvement goals for a care setting.
• Competency 5: Communicate with stakeholders and constituencies to build collaborative partnerships and create inclusive work environments.
  • Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.
  • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Patient Introduction

Kenneth Bronson is a 27-year-old male who was just admitted to the Medical Unit from the Emergency Department. He presented to the Emergency Department two hours ago with chest tightness, difficulty breathing, a productive cough for a week, and fever. Chest x-ray revealed right lower lobe pneumonia. IV was started of normal saline at 75 mL per hour. He is receiving oxygen at 2 L/min per nasal cannula. SpO2 on room air was 90%, which increased to 95% with supplemental oxygen. He had a temp of 102.6°F and was given acetaminophen 1,000 mg in the Emergency Department. Pharmacy just delivered the antibiotics to be given.

 

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.

In this assignment, you will develop an outline for an “in‐service”‐style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. 

Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.

Create a 500‐word comprehensive outline that communicates the following about your chosen topic:

1. Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.
2. Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.
3. Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.
4. Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.
5. Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.
6. Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.
7. Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.

You are required to incorporate all instructor feedback from this assignment into Educational Program on Risk Management Part Two ‐ Slide Presentation assignment in Topic 5. To save time later in the course, consider addressing any feedback soon after this assignment has been graded and returned to you. It may be helpful to preview the requirements for the Topic 5 assignment to ensure that your outline addresses all required elements for submission of the final presentation.

You are required to support your statements with a minimum of six citations from appropriate credible sources.

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

This assignment uses a rubric. 

Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRIC

 1. An introduction is comprehensive. The submission incorporates analysis of supporting evidence as to why increased attention to the proposed risk 

management strategy is needed and provides specific examples of why it is important within the specified health care sector. Level of detail is appropriate. 

2.  A rationale is comprehensive. The submission provides specific examples of where the proposed risk management strategy is lacking in the selected plan and

 provides insightful supporting evidence as to how its implementation will better meet compliance standards. Level of detail is appropriate. 

3.  Support data are comprehensive. The submission incorporates an analysis of how the data indicate a need for the proposed risk management initiative. Level of 

detail is appropriate. 

4.  Implementation strategies are comprehensive. The submission provides 

specific actionable steps by which the selected health care organization can implement the proposed risk management initiative. Level of detail is appropriate. 

5.  Possible challenges to the risk management implementation are comprehensive. The submission provides specific relevant examples of solutions 

for navigating or preempting predicted obstacles. Level of detail is appropriate. 

6.  Evaluation strategies are comprehensive. The submission provides specific examples of how the evaluation plan will assess alignment with the short-term, long-term, and end goals of the risk management program. Level of detail is appropriate. 

7.  Additional risk management opportunities are described comprehensively, with detailed support for the recommended changes. Level of detail is appropriate. 

8.  Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 

9.  Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 

10.  The writer is clearly in command of standard, written, academic English. 

11.  All format elements are correct. 

12.  Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Research and citations are supportive of the rationale presented. Sources are distinctive. Addresses all of the issues stated in the assignment criteria. 

Part two: POWERPOINT

Topic:  

Educational Program on Risk Management Part Two – Slide Presentation 

 

The purpose of this assignment is to create an educational risk management presentation.

Building upon the outline for an educational session you created in the Educational Program on Risk Management Part One: Outline of Topic 2 assignment, develop a 12-15 slide PowerPoint presentation that expands in greater detail on how and why your organization should implement your proposed risk management strategy. Incorporate any instructor feedback from the Topic 2 assignment into this presentation and include talking points in the speaker notes section of each slide.

Keep in mind that the PowerPoint is meant to serve as a visual aide to bolster your presentation and is intended to highlight main ideas and key points. 

Do not use dense blocks of text or more than 7 bullet points of text per slide.  However, you may include supplementary images, graphs, and data where relevant.

To successfully complete this assignment, include the following sections as per your outline from Topic 2 from 500 words paper, though you may include any additional sections as needed:

1. Introduction
2. Rationale
3. Support
4. Implementation
5. Challenges
6. Evaluation
7. Opportunities

You are required to support your statements with a minimum of six citations from appropriate credible sources.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRIC

1.  Introduction slides are informative and thorough in explaining why increased attention to the proposed risk management strategy is needed. Specific examples are provided where appropriate. 

2.  Rationale slides are informative and thorough in explaining why the proposed risk management strategy is lacking in the selected plan. Specific examples are provided as to how its implementation will better meet compliance standards. 

3.  Support data slides are informative and thorough in showing how the data indicate a need for the proposed risk management initiative. Specific examples are provided where appropriate. 

4.  Implementation slides are informative and thorough in explaining the specific actionable steps by which the selected health care organization can implement the proposed risk management initiative. 

5.  Challenges slides are informative and thorough in explaining potential obstacles to the risk management implementation. Slides also provide specific examples of solutions for navigating or preempting predicted obstacles. 

6.  Evaluation strategy slides are informative and thorough in providing specific examples of how the evaluation plan will assess alignment with the short-term, long-term, and end goals of the risk management program. 

7.  Opportunities slides are informative and thorough in providing additional risk management improvements along with detailed support for the recommended changes. 

8.  Incorporation of instructor feedback from previous assignment is comprehensive. 

9.  The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea. 

10.  The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text. 

11.  The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope. 

12.  Writer is clearly in control of standard, written, academic English. 

13.  Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Research and citations are supportive of the rationale presented. Sources are distinctive and addresses all of the issues stated in the assignment criteria. 

300 WORDS PAPER

TOPIC : 

Reflective Analysis: Risk Management and the Role of Managed Care

 

The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 300word response that addresses the following:

1. What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?
2. What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.
3. What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

RUBRIC

1.   An assessment of the administrative role of a health care organization in ensuring compliance with MCO risk management standards is comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. 

2.  An explanation of the value MCO regulatory statutes provide to a health care organization is present and comprehensive. The submission further incorporates analysis of supporting evidence insightfully and provides specific examples with relevance. Level of detail is appropriate. 

3.  A description of the MCO responsibilities relative to the ACA and CMS focus on fraud, waste, and abuse laws are comprehensive. The submission further incorporates the analysis of supporting evidence insightfully and provides specific examples with relevance. The level of detail is appropriate. 

4.  The thesis is comprehensive and contains the essence of the paper. The thesis statement makes the purpose of the paper clear. 

5.  A clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 

6.  The writer is clearly in command of standard, written, academic English. 

7.  All format elements are correct. 

8.  Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.