Benchmark Assignment: Case 2-33

Using data from Case Study 2-33, create a 1,050- to 1,400-word report answering questions one through five on p. 121.

·         1 The top 20 MS-DRGs by number of discharges

·         2. The top 10 MS-DRGs by patient days

·         3. The highest 5 MS-DRGs by ALOS

·         4. What state is the most efficient, based on ALOS?

·         5. What state is the most efficient, based on cost-of-stay average charge?

Include the following:

o    Analyze how MEDPAR could be used to affect decision-making to improve financial performance,health outcomes, and operational efficiency in a hospital.

o    Analyze the additional data needed to conduct a thorough analysis of financial performance, health outcomes, and operational efficiency in a hospital.

o    What you need and why

o    Choose one of the additional data types described in the previous bullet, and evaluate how that data type will affect your overall analysis.

o    Evaluate a data source for the additional data type you have identified above. Address its currency,value, and relevance.

Include a minimum of 3 peer-reviewed, scholarly, or similar references.

Format your references according to APA guidelines.

 

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart

This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

APA style is not required, but solid academic writing is expected.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

 

A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief.

Develop a Plan of Care for this patient that includes:

• 2 Nursing Diagnosis
• 2 goals for each Nursing Diagnosis
• Interventions with rationales   
• Include  in-text citations with 3-4 references

Interventions with rationales 

 

Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin.

• Can Sandra be placed on Coumadin and Heparin at the same time? Explain your answer.
• Develop 3 teaching points important for Sandra to know about her medications regimen.
• What questions would you ask Sandra to verify that she understand the 3 teaching points? Please answer all questions include intext citation and 3-4 references

 Create a 7-8 slide presentation with speaker notes about a selected disease process and drug class. The presentation should provide content specific information on the selected disease process and drug class for staff or students in a clinical environment. 

 

Follow these steps:

1. Select a disease process and a drug class used to treat the disease process.
2. Describe pharmacokinetics and pharmacodynamics of the drug related to the pathophysiology of the disease process.
3. Describe the product, its intended use, side effects, adverse reactions, and safety issues.
4. Identify ethnic, cultural, and genetic differences in patients that may affect the safety or efficacy of medications.
5. How would you monitor the desired affect is achieved?

Be sure to include three to five references.

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,