APA format MSN 2 pages 3 peer review references 2 from walden university library  

The Discussion is Cirrhosis of the Liver

Cirrhosis of the liver is a common disorder that can severely impact patients’ lives. It is important to consider the many potential causes of cirrhosis and monitor patients that are likely candidates for the disorder. This allows the opportunity for prevention or, in some cases, early intervention. Patient education on prevention is critical because cirrhosis can lead to other serious disorders, including liver cancer. In this Discussion, you further explore causes of cirrhosis and the impact of the disorder on patients.

To prepare:

• Review this week’s media presentations on the gastrointestinal system, as well as the Starr article in the Learning Resources.
• Consider the pathophysiology of cirrhosis of the liver.
• Reflect on potential causes of cirrhosis and select one to be the focus of your Discussion. Consider additional health issues resulting from your selected cause.
• Think about drugs that might be used to slow down the progression of cirrhosis, including treatments for these health issues.
• Consider patient education methods for the prevention of cirrhosis.

By Day 3

Post an explanation of the pathophysiology of cirrhosis of the liver. Include an explanation of two additional health issues resulting from one cause of cirrhosis. Then, describe drugs that might be used to slow down the progression of cirrhosis, including treatments for these health issues. Finally, explain methods to educate patients on the prevention of cirrhosis.

By Day 6

Respond to at least two of your colleagues on two different days who selected different causes of cirrhosis than you. Suggest additional health issues that may result from the causes that your colleagues identified or alternative drug treatments.

D

Discussion: Cirrhosis of the 

Cirrhosis of the liver is a common disorder that can severely impact patients’ lives. It is important to consider the many potential causes of cirrhosis and monitor patients that are likely candidates for pportunity for prevention or, in some cases, early intervention. Patient education on prevention is critical because cirrhosis can lead to other serious disorders, including liver cancer. In this Discussion, you further explore causes of cirrhosis and the impact of the disorder on patien

Competency

Analyze  leadership and management roles in change management.

Instructions

An effective leader must possess the  skills, emotional intelligence, and knowledge base to influence and convince the members of the organization to not only adopt, but to become advocates for the change that the leader seeks to implement.

In order for one to develop the leadership skills that are required to affect change within the organization, one must become familiar with a variety of approaches previously utilized by successful leaders and managers in organizational transformation.

For this assignment, utilize the Rasmussen Business Library resource to research a business case study of an organization going through strategic change. Then research two leadership strategies that have been used to successfully drive organizational change during the past 10 years. Once you have located these strategies, write a paper analyzing the effectiveness of each strategy, and relate how effective management strategy alone may well be challenged to achieve desired change without effective leadership. In your analysis, address the following:

• Identify and research two leadership strategies.
• Develop a description of the leadership strategies.
• Formulate an overview of how the strategy is used and rate its effectiveness.
• Argue whether the strategy is still relevant and effective in present day organizations. Why or Why not?
• Describe how management alone will fall short of achieving desired organizational change without all levels of leadership effectively operating in their rolls.

Please identify these strategies  from references found in the Rasmussen College Library.

Assignment Requirements are as follows:

1. The body of the paper should be 2-3 pages.
2. The paper should include an APA formatted cover page and reference page.
3. The paper should include at least two peer-reviewed sources, such as journal articles from the Rasmussen Library.
4. The paper should be proofread for correct spelling, grammar, and punctuation.

This assignment will be at least 1500 words or more

This week you will reflect upon the effects of the nursing shortage to answer the following questions:

• What steps can we take to address the nursing shortage?
• Briefly define the series of events that led to the nursing shortage.
• Reflect on your future role as a nurse or healthcare employee in the midst of a nursing shortage crisis.
• How do you see the role of legislature contributing to safe staffing during a shortage?

Assignment Expectations: 

• Length:
  • 1500-2000 words (6-8 pages); answers must thoroughly address the questions in a clear, concise manner 
• Structure:
  • Include a title page and reference page in APA style
• References:
  • Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions

1- I enjoyed reading your post. I would also like to add that assessing the teens situation will help in providing the right resources options. Finding resources are a great way for a nurse to suggest help for a teen. It should be geared towards adolescents and providing them with more options to be occupied and mentors.  Teenagers feel more comfortable in peer counseling, than talking to an adult for example having a faith-based outreach could give a foundation that they are missing. Other options, could be youth groups, volunteering, and working with shelters, animals or homeless. This can give the teen a purpose, making them feel needed, busy and important. 

2-Communicating with our children is very important, especially during the adolescence stage. Some adolescents struggle to balancing school work, sports, and trying to fit in society. I also believe that educating adolescents about depression/suicide is important. As parents we should make the teenage kids to be very comfortable sharing their concerns with us. We should avoid being over strict. Listen to them when they talk. Give them a chance to make choices and voice their view and even if we disagree, we need to look at things from their perspective. Help them build self-esteem.  Spent time with them but at the same time show respect when they need space.

3-Many depressed teens feel like their family, especially parents don’t understand what it is like to be a teen or can relate to current issues teens are faced with today. It could also be that the teen thinks the parents will scold them for engaging in a particular manner or participation in inappropriate behaviors. It depends on what cause the stressors and the relationship this teen has established with the parents. Some teens may be depressed because of bullying, not fitting in, or shamed for participating in the inappropriate activity. It was one participating incident occurred in my community where a young girl hung herself after being caught with a young boy in an improper act at school. It was less than 24 hours, and the young girl was deceased. I don’t know the circumstances, but I can imagine having to face others at school after it was discussed on face book. Think about how you could have encountered your parents after an incident like this. They believe the teens won’t speak with doctors because of confidentiality. They know the doctors are usually in good standings with the parents and already have developed a relationship with them. So they are not very forthcoming with information or seeking help.

Review Figure 10.1 on p. 239 and the Billing Workflow section on pp. 238-239 of Health Information and Technology Management.

Write a 150- to 350-word response to the following:

Discuss at least two components described in the Billing Workflow section in Ch. 10 of Health Information and Technology Management.

• How do these components affect health care reimbursement?

Billing Workflow

• 1. Providers of all types verify patient insurance eligibility with the health plan, either prior to or during the admission or visit. Medical offices collect and post copays at the visit.
• 2. The patient is treated and discharged or checked out.
• 3. As you learned in Chapter 9, the provider usually needs to bill a third party, the insurance plan, in order to receive payment. The insurance bill is called a claim. The first step in preparing the claim is to assign procedure codes for the services rendered and the supplies used and diagnosis codes representing the disease or medical condition.
• 4. Using these codes and the patient registration information, a computer program generates a paper or electronic claim to be sent to the insurance plan.Before the claim is sent to the insurance plan, an insurance or claim specialist reviews the claim to make sure there are no errors. Because of the volume of claims, a computer program is used to examine the claim data and identify problems. Once the claim is correct, it is sent to the insurance plan (usually electronically).
• 5. When the claim is received by the insurance plan, it is adjudicated. If the claim is correct, a payment is sent to the provider; this is called the remittance. A paper or electronic document is generated that explains the amounts that were paid. This is called the remittance advice or explanation of benefits(EOB).
• 6. When the remittance is received by the provider, the payment amount is recorded in the patient accounts system. Frequently, the amount billed does not equal the amount paid. This may be the result of a contractual agreement that stipulates that the provider will accept a discounted payment and/or that a portion of the charges is the patient’s obligation. An accounting entry called a write-down adjustment is posted to adjust the charge.
• 7. If the patient has a secondary insurance plan, a claim is next sent to the second plan. In certain cases the first plan will automatically forward the claim to the second plan. This is called a “piggyback” claim or coordination of benefit (COB) claim. For example, when a Medicare patient has a supplemental insurance policy with the fiscal intermediary who processes the Medicare claims, the company will sometimes process the secondary claim automatically. This eliminates the need for the provider to file a second claim. These are also known as crossover claims.
• 8. Most health plans require the patient to pay a portion of the medical bill. These payments are referred to as the copay, coinsurance, and deductible amounts. The copay amount is usually stated on the patient’s insurance card and collected during the patient visit. The coinsurance amount is usually a percentage of the allowed amount and is not known until the claim has been adjudicated. The EOB tells the provider what amount is the patient’s responsibility.When all the patient’s insurance plans have responded with remittance advice, a bill or statement is sent to the patient for any amounts due that are the patient’s responsibility. The patient statement should clearly show the amounts paid or denied by the insurance plans, any adjustments to the charges required by the plan contract, and the amount due from the patient.
• 9. When patient payments are received by the medical office or hospital, they are posted to the patient’s account. When the account balance is zero, no further statements will be sent.