**************DUE IN 5 HRS ********************

For Each Question, Please Write AT LEAST 100 Words Per Question. Please Cite All Sources Used. 

1. Chapter 3 in your text lists the many different types of healthcare organizations and facilities in which a coder/biller, or IT health systems technician could be employed. From your text, select, and rank order the top three organizations/facilities you would like to work for and explain why, including if you have any personal or work experience with the three you selected.  Be sure to include references for any sources that you have utilized for your response. Please explore a website affiliated with your top three healthcare organization and be sure to provide references at the end of your forum post.

2. An individual’s medical record is an accumulation of all healthcare related events in their life thus far. Discuss the components of the medical record.  What is the purpose of the medical record?  What future changes or modifications would you like to see to the medical record and why?  

3. Chapter 6 in your text outlines the Patient Self Determination Act (PDSA) of 1990, types of advance directive forms, and that AD laws and forms required, vary by state. Using the Internet, research the advance directive laws and forms required to be used in the state in which you live, identify your state and provide a summary of those laws, and copy and paste in the URL address(s) that support(s) the information in your post. Share if you do or don’t currently have a legal advance directive, and why or why not? If you so wish, you may also share if your family has had any experiences with family members being critically ill with or without advance directives and what your family would or would not do differently if a similar situation arose.

4. Discuss serial numbering system, unit numbering system, social security numbering system, family numbering system and serial unit numbering. Which system do you prefer and why? You may create a simple chart for each and identify advantages and disadvantages of each.  

Comment 1

I agree with you that over use of NSAIDS is probable for his development of peptic ulcer disease (PUD).  All though Mr. C is essentially taking three medications, the dosing schedule really requires a high level of compliance. It is very important to stress the importance of maintaining a steady regime.  Some of the complications of PUD include “bleeding, perforation, and gastric outlet obstruction with hemorrhage being the most common complication” (Fashner & Gitu, 2015). 

Comment 2

Before Mr. C would undergo surgery, he would need an extensive psychosocial evaluation to determine if he is an appropriate candidate. During the examination, several aspects of Mr. C’s life would be assessed, such as, eating pattern, history of weight loss attempts, family history, substance use history, cognition, social support, coping skills, adherence and motivation/expectation about the surgery (Marek et al., 2016, p. 1143). As someone in the medical field, I would want to know how serious Mr. C was about wanting to lose weight and have him on a trial diet regimen for a few months to see if he can be compliant. I wouldn’t suggest that he undergoes bariatric surgery if he was unwilling to change his lifestyle prior to the procedure.  

Comment 3

 like that you brought up a mental health issue with Mr. C as one of his actual/potential problems. There have been many studies regarding obesity and mental illness and it made me look deeper into research. I read in a recent study that lack of exercise can decrease serotonin synthesis and worsen depression and anxiety (Lu et al., 2018, p. 4). Also, because of the stigmatism of obesity, some people become socially isolated and are less likely to eat healthy (Lu et al., 2018, p. 4). On the other hand, depression and/or anxiety could’ve begun 2 to 3 years ago for Mr. C and therefore has resulted in the increased weight gain.  

 

1) **********minimum 20 slides with Speaker notes (Mandatory)**************************** (cover or reference page not included) 

2)¨**********APA norms  ( All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences)

3)********** It will be verified by Turnitin and SafeAssign 

4) **********References from the last 5 years  

5) The points should be the title of each slide to identify your response (Mandatory)

______________________________________________________________

Case:  COPD 

Points:

1.  Abstract (Introduction) provided is less than 150 words (A brief overview of the background of the topic are provided) 

2.  An exemplar or case study ( COPD ) using the system is presented and discussed 

3.  Pathophysiology of the System  

4. Clinical Manifestations  

5. Diagnostic Studies/ Laboratories 

6. Clinical Management/ Treatment Modalities 

7. Evaluation of Treatments  

8. Patient Education and Safety (QSEN) 

9.  Class discussion is facilitated  (You are responsible to facilitate your colleagues’ discussion of your topic)

-APA Format.

-Abstract or Introduction page

-Summary or Conclusion page

-Four Pages Minimum, not included abstract or introduction, Summary or Conclusion, and Bibliographic pages.

-Completely unacceptable Copy and Paste from Internet, or other resources.

-Bibliographic have to be in APA Format.

Isaac has worked as a staff nurse on the telemetry floor for over 15 years. He holds seniority in the unit. His patient care is satisfactory; however, his interpersonal behaviors are becoming an increasing issue for his coworkers. He throws papers around the unit, gives short answers to questions, and seems generally miserable. He tells the staff that they are lazy and stupid. He is constantly questioning their decisions. You have come from another local hospital in the role of the assistant nurse manager. Based on your observations, you have met with Isaac informally and discussed his behaviors, but they have not changed. Now three new nurses have already come to you saying that this unit is a great match for them, except for one problem. Although they have not identified Isaac by name, they have told you that one of the nurses is extremely abusive verbally, and they have been calling in sick on the days they are scheduled to work with this person.

1. What are your responsibilities as an assistant nurse manager in regard to Isaac’s behavior problem?

2. What is the next step in dealing with Isaac’s behaviors?

3. How will you, as the manager, have Isaac develop more effective people skills?

 

 

This is your first position as a nurse manager. The holidays are rapidly approaching, and the hospital policy states that each unit will negotiate holiday coverage individually. You are already getting requests via e-mail and on Post-it notes for holiday time. Several staff members have come to you stating that they “never” seem to get their requests for holidays. Discussion among the staff members is creating dissension and conflict.

1. Discuss the potential impact of this problem on you and the unit staff.

2. Describe a minimum of one positive consequence and one negative consequence of this conflict.

3. Select a model of conflict resolution and explain how you, as a nurse manager, might resolve this conflict.

    

All written assignments submitted via TurnitIn should have limited similarity indexes. Similarity index of greater than 20% is not acceptable and is viewed as an indication of high plagiarism content

1) Labor and Birth Processes, Maximizing Comfort for the Laboring Woman, Fetal Assessment During Labor

I NEED MINIMUM OF 17 SLIDES W/PICTURES, BULLET POINTS AND REFERENCES NO OLDER THAN 5 YEARS.

  

You can use this pages for resources

1. Agency for Health Care Research and Quality (October, 2017). Put prevention into practice. A step-by-step guide to delivering clinical preventive services: A systems approach. Available at http://www.ahrq.gov/clinic/ppipix.htm

2. Clinical Evidence, BMJ Publishing Group web site. Available at http://www.clinicalevidence.org

3. Cochrane Library evidence-based web site. Available at http://www.cochrane.org/

4. Fronske Web Portal Page. Available at http://www.myhq.com/public/f/l/flagstaff/ There is a wealth of access to various sites that can be found here, including evidence-based links and patient education links.

5. University of California, San Diego: A Practical Guide to Clinical Medicine At https://meded.ucsd.edu/clinicalmed/

6. Journal of Family Practice POEMs web site. Available at http://www.essentialevidenceplus.com/

7. U.S. Preventive Services Task Force (USPSTF). Available at http://www.preventiveservices.ahrq.gov

8. University of Iowa Hospital and Clinics. Virtual Hospital. Available at https://uihc.org/health-library

9. National Center for Complementary and Alternative Medicine. Available at http://www.nccam.nih.gov/

10. American Academy of Pediatrics. http://www.aap.org/

11. American College of Obstetrics and Gynecology. http://www.acog.org/

12. Morbidity and Mortality Weekly Report. http://www.cdc.gov/mmwr/

13. NIMH, http://www.nimh.nih.gov/

14. Safe Kids. http://www.usa.safekids.org/

15. US Centers for Disease Control. http://www.cdc.gov