ALl  CASE DECISION INSTRUCTIONS

Grading Criteria for Clinical Case Decisions:

The highest potential points for each Clinical Case Decision Question are 15-points. Students are required to upload their response as a word document attachment to the assignment drop box.

Each uploaded response is worth a possible 15 points.

1.       Your comments should be substantiated and substantive. Postings require two citations from 1 scholarly journal and/or 1 outside text book Text books assigned to this course may be used for an additional citation only.   
2.       Each of the two references must be from a different reference source.
3.       To gain full credit for the assignment, the response must be a full page discussion, but no more than three (3) pages in length, which  includes the reference list.
4.       Students are required to use APA format, proper citations, and references.  Students using direct quotes from referenced sources in the body       of the paper must include quotations.
5.       Students will be assigned to a question.

Clinical Cases

There are five cases listed below; Begin with an assessment, students will decide if it should be treated as episodic with rationale.

You have been assigned two (2) cases to provide analysis. Students’ first initials of their last names will determine which questions they will provide an answer to for the clinical case assignments. (Students are encouraged to review each question and research the correct answers to increase their knowledge of the varied topics in the course).All cases should include the following:

a. Pathophysiology and pharmacology of the disease

b. Expected signs and symptoms of the disease.

c. Nursing Diagnosis with a plan of care.

d. All questions pertaining to the case are listed under each case. 

Clinical Decision Cases

Alpha-Numeric Student Clinical Case Assignments Legend (Assignment Selection By The Student Is By First Initial of the Student’s Last Name):

Question #C3 & C4:  please answer these  2 questions  for these cases in APA format. copy and paste C3 then the question do the same for C4  the book that we use is  UNDERSTANDING PATHOPHYSIOLOGY BY SUE  E HUETHER   KATHERYN L McCANCE 6TH EDITION   987654321

C3.   Carl is a 15-year-old admitted to the hospital following a closed head injury during a motor vehicle crash. He is diagnosed with syndrome of                    inappropriate anti-diuretic hormone (SIADH).

a. You would monitor him for what signs and symptoms?

C4.   Identify the intracellular and plasma buffer systems and discuss how they function.  

Respond to this post with a positive response :

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

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.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

EXAMPLE OF A REFERENCE:

If you cannot locate a doi number, this is how the reference should look: 

Quelly, S. B. (2017). Characteristics Associated with School Nurse Childhood Obesity Prevention Practices. Pediatric Nursing, 43(4). Retrieved from https://www.pediatricnursing.net/issues/17julaug/abstr5.html

                                                   MAIN POST

Ethical and Economic Policy Challenges in Healthcare

            There is much tension today about policy decisions regarding healthcare due to economic and ethical challenges.  Economically, our nation struggles due to the rising demands of healthcare.  Demands have increased due to the changes in our nation’s demographics as the baby boomers have aged and required more healthcare services (Laureate Education, 2012).  In the article “For Baby Boomers, Health Care Where and When They Want It,” Barr (2014) describes how the baby boomers have much higher expectations than generations before them.  The number of senior citizens, along with the demands of this generation, increases the cost of healthcare.  Also, our requirements as a nation have increased due to significant new technologies (Laureate Education, 2012).  These technologies are welcomed by baby boomers who demand to have vast amounts of information regarding their healthcare (Barr, 2014).

Ethically, the struggle is determining how to supply the care, including new technologies and new treatments, even though it is expensive.  Of course, everyone would agree that we want those who are sick to get the care needed to live a longer, healthier life.  However, with the cost of healthcare, is this feasible?  For example, the Washington Post discusses a new drug, Provenge that costs $93,000 per patient (Stein, 2010, November 8).  Studies show it could extend a prostate cancer patient’s life by about four months (Stein, 2010, November 8).  Some may say this is a lot of money for only four more months of life.  Others may feel a day of life cannot have a price tag.  In the Washington Post, Stein (2010, November 8) mentions that government agencies such as Medicare spending a significant amount of money on a medication that will extend life by four months may prevent our nation from affording other treatments.  In the article, “As Healthcare Costs Continue to Rise, Providers Weigh Care’s Expense and Effect,” Walker (2015) discusses how considering the cost against the benefit of technology would help reduce cost.  Does someone really need to continue getting these expensive serial tests if they remain asymptomatic?  Limiting diagnostic testing to only when it is essential leads to more debate.  The baby boomers and other Americans feel the need to have all information possible (Barr, 2014).  Policymaking to ensure all citizens receive what they believe to be essential healthcare required to live a longer and healthier life remains an ethical and economic challenge.

References

Barr, P. (2014). For Baby Boomers, health care where and when they want it. H&HN: Hospitals & Health Networks, 88(12), 36–40. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=107841386&site=ehost-live&scope=site

Laureate Education (Producer). (2012). Healthcare economics and financing. Baltimore, MD: Author.

Stein, R. (2010, November 8). Review of prostate cancer drug Provenge renews medical cost-benefit debate. The Washington Post. Retrieved from http://www.washintonpost.com/wp-dyyn/content/article/2010/11/07/AR2010110705205.html

Walker, S. (2015). As healthcare costs continue to rise, providers weigh care’s expense and effect. ONS Connect, 30(4), 57. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=111511288&site=ehost-live&scope=site

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

Health Systems: Daniel, a DNP prepared ED NP identified that patients seen in the ED for various reasons had undiagnosed HTN. He observed that the patient’s chief compliant was well addressed but the HTN was not. He has approached the hospital system about the problem and suggested an outpatient clinic adjacent to the ED to address the HTN and other coincidentally found problems. What AP roles, core competencies and support are needed to make this happen?

I am a nurse manager and discuss what roles are needed to make this outpatient clinic happen.