A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg.  

 Studies Results Routine laboratory work Within normal limits (WNL) Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure) Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery 

 Diagnostic Analysis With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.  

 Critical Thinking Questions 1. What was the cause of this patient’s pain and cramping? 2. Why was there decreased hair on the patient’s right leg? 3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation? 4. What would be the treatment of intermittent Claudication for non-occlusion? 

Assignment:

Based on what you have learned so far this week, create a PowerPoint presentation (12 slides, minimum)  with detailed notes for each slide that addresses each of the following points/questions. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations (an example is located in the Resources tab) related to text size, color, images, effects, wordiness, multimedia and graphic enhancements.

1. Why did the Hawthorne studies and McGregor’s Theory X and Theory Y have an impact on the study of organizational behavior?
2. Explain why and how changes in the U.S. demographics affect the healthcare industry.
3. How does attribution theory allow managers to “justify” workers’ behaviors?
4. What tools and/or techniques could a manager used to ensure that the message communicated is understood by the receiver as intended.

1. Why did the Hawthorne studies and McGregor’s Theory X and Theory Y have an impact on the study of organizational behavior?
2. Explain why and how changes in the U.S. demographics affect the healthcare industry.
3. How does attribution theory allow managers to “justify” workers’ behaviors?
4. What tools and/or techniques could a manager used to ensure that the message communicated is understood by the receiver as intended.
5. Organizational Behavior is the study of individual and group dynamics within an organizational setting. This first module explored issues of diversity, perceptions and attitudes, and communication, all within a theoretical perspective. Some of the major challenges facing today’s and tomorrow’s healthcare organizations and healthcare managers were discusses. The impact of the Hawthorne Studies and McGregor’s Theory X and Theory Y helped to give relevance to the study of organizational behavior. Lessons from this module reminded us that healthcare organizations need to be flexible to change to meet diversity challenges. The greatest barrier to the industry’s success may be its inability to understand and appreciate the increasing diversity within our population, whether relating to patients r employees. Social psychology concepts were also introduced, with an effort to enhance understanding about attitudes, and how these factors can influence and bias our perceptions. Lastly, the importance of communication was emphasized. Communication in the workplace is critical to establishing and maintaining quality working relationships in organizations. Intraorganizational communication, cross-cultural communication, and communication with external stakeholders rounded out the module.

can you please write an observation paper on pre operation room. and please follow the rubric also i attach sample of my friend work please try to do as her 

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My clinical rotation for this week is preoperation room. I saw many patients the floor was so busy in the morning. One of the case that I saw 64 years female, she came for Esophagogastroduoddenoscopy. She has history of HTN, hypothyroidism. Consent in, she took her medication for hypothoidism today and she is NPO midnight, and she stop asprin 14/09/2019. Her vital signs is TEM 97.2, pulse 79, BP 162/89, respiratory 20. O2 98%. The nurse ask pt about her name date of birth. And she ask about allergy, procedure and who is the doctor, also, when NPO, what medication she took and when the last time. Then she ask the pt to change dress. Then inserte the IV with the fluid. Bed in lower position and call light with pt.  Also take three consent from pt one for procedure one of anthesea and one for blood. Also ask pt to remove the jowlary and glass and dentior. And check the lab result if any abnormality and inform thr surgon and anethesea. Then give hand off report to OR nurse . note in the perioperation no time out only for some surgery. 

My nursing diagnosis is 

Fear and anxiety related to procedure as evidence by pt verbalize she is restless and not sleep two night and her Bp 162/89. 

My goal is 

Patien will able to report decrease anxiety and fear and blood decrease to normal level by 1122on 09/18/2019. 

Intervention:

Explain the procedure to the pt, answer her questions, put her in comfortable position. 

Goal met patent relax and she said feel better and anxiety decrease and I check her BP 128/80) this what i see and you can add more intervention and please follow each suction in rubric 

Field of study:  Nursing

(Minimum of 250 words with peer review reference)

Two nurses make a medication error: One causes an adverse event with a patient and the other does not. Should the nurses be disciplined, and, if so, should they be disciplined the same way? Why or why not? How would this be addressed in a just culture?

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

• Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
• Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
• Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

• Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
• Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
• Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
• Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
• Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

Please zero plagiarism