Course Scenario

Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:

• Emergency room services
• Intensive care
• Surgical care
• Obstetrics
• Diagnostic services
• Some rehabilitation therapies
• Inpatient pharmacy services
• Geriatric services
• Consumer physician referral services 

Recently, the CEO has been hearing complaints from both patients and staff, varying from long wait times to rude physicians. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and to satisfactorily resolve them.

Scenario Continued

The CEO has met with you to let you know that some members of the Board of Directors are questioning the value of developing a quality improvement plan. She has asked you to create an executive summary and an information sheet to be included in the next Board packet.

Instructions

Topics for the executive summary should include:

1. What is a Quality Improvement plan?
2. Why do healthcare facilities create improvement plans?
3. Why would you recommend the facility create and implement a QI plan? 

NOTE – APA formatting for the reference list, and proper grammar, punctuation, and form required.

After completing the Executive Summary, you will create a one-page information sheet for the Board that they can use to answer questions about QI plans.

1. The information sheet should give your CEO and the Board of Directors enough information to have an educated conversation with patients and other stakeholders on the value of QI plans.
2. Make sure to use audience-specific language and tone on your information sheet. Remember, you are writing this information sheet for your CEO and the Board of Directors.
3. Be creative, and make your information sheet fun and organized.

 

Topic 2/T

Identify an experience where you had to assess the needs, interests, and goals of a patient with an ethnic background, different from yours, that resulted in a positive learning experience. How did you turn the situation into a positive learning experience? Did you personally have to deal with any stereotypical beliefs?

When I was working in SICU (Surgical Intensive Care Unit), I was assigned to a patient who was admitted to ICU after an episode of bradycardia and loss of consciousness on the medical surgical floor. A rapid response was initiated and she was intubated and brought to our unit. She was Haitian and came from a very different ethnic background. At the time I was not familiar with their culture or beliefs nor did I know her health history and what originally brought her to the hospital or the reason for her admission.

After a couple days of being assigned to her and taking care of her and her family, I began to understand a little more. She had been diagnosed with breast cancer the previous year and had undergone chemotherapy which unfortunately was unsuccessful. The cancer had spread throughout her body including her esophagus which was later found out to be the reason for the intubation. A tumor had attached itself to her airway and she was unable to breath on her own. 

I instantly became attached to the patient and family and enjoyed learning about their culture and belief system. Many people including doctors, nurses and other medical professionals couldn’t understand why a patient who was terminal would want everything done and continue aggressive treatment. Many gave up on her and the family which is why I believe they requested that I take care of her every shift I worked. Special arrangements were made between the family and my director to accommodate their wishes. 

Each shift I worked, I took care of her. Her daughter and her husband never left her side other than for bathing or other emergent matters that couldn’t be handled without them. Eventually the primary physicians would stop rounding on her daily and healthcare professional started discussing her prognosis, treatment and plan of care. No one understood why we were continuing to treat this individual as they called the treatment “futile”. 

As time went on, the hospital decided to call in Risk Management as they had a different belief and understanding regarding by patient’s wishes and medical management. This is when I realized I did, I understood her and her family and knew I needed to be her patient advocate and her voice. I fought for her treatment and plan of care which was aggressive not palliative. She expressed to me she wanted to live, even if it meant her last days were spent in the hospital. She would lay there and listen to her children laugh and tell stories about their day and her husband’s voice telling her how much he loved her. She was a mother of 10 and had the most beautiful family I had ever met. 

Before I met her, I may have had the same thoughts and comments as the other healthcare professionals. However, once I got to know her and her family as well as their cultural beliefs and background, I understood her. This was more than a positive learning experience it changed my life, my outlook and opened my eyes to cultural diversity and understanding. 

What are the greatest challenges that Christianity faces today?

In what ways, and to what extent, should 21st century Christianity:

1. Retain its traditional teachings and practices?

2. Adapt to 21st century culture?

In what ways, and to what extent, should Christians:

1. Be tolerant of other religions and secularism?

2. Oppose other religions and secularism?

  

Paper need to be 3-4 pages with – 3 relevant sources – APA format

The topic is the Corona Virus Disease coming to America.

The purpose is to review a  current and controversial federal issue at the moment, comparing and  contrasting what and how five different popular media sources report on the same issue.  Citation support other than these five sources is not mandatory. This assignment  is to be written from your perspective and opinion after comparing the  sources. Incivility is not acceptable.

We need to get the position of each popular news platform and gather your opinion on the issue. 

http://www.cnn.com/ (Links to an external site.)Links to an external site.

http://www.foxnews.com/ (Links to an external site.)Links to an external site.

https://www.oann.com/ (Links to an external site.)Links to an external site.

https://www.aljazeera.com/ (Links to an external site.)Links to an external site.

http://www.bbc.com/news (Links to an external site.)Links to an external site.

  INTRODUCTION AND CONCLUSION

write the introduction and the conclusion of the research paper.

Research Topic 

Is telehealthcare a good option for nursing homes?

Thesis

The benefits of telehealthcare outweigh its shortcoming, and it is thus wise to adopt it in the delivery of care with advancement in technologies

Keep these tips in mind:

• Your      introduction should begin with a hook that draws the reader in.
• You      need to provide background information on the issue at large and explain      the two major arguments you will be exploring related to your issue.
• Your      thesis statement must be present in your introduction paragraph and is      typically the last sentence in the paragraph.
• Your      conclusion should effectively summarize your paper, reminding your      audience of the two major sides of the argument that you explored      (positive and negative).
• It      should bring closure to the essay.
• Both      paragraphs should be written in third person.
• Be      careful not to overuse tactics such as rhetorical questions or anecdotes.
• Outside      sources are typically reserved for body paragraphs. If used in the      introduction or conclusion, they must be used sparingly and include      appropriate in-text citations according to APA style: https://owl.english.purdue.edu/owl/resource/560/02/.