Case – 2025 Homework Case Study Questions HCA 346 Ambulatory Care Deciding whether to centralize or decentralize The new Graystone Memorial Clinic

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Case – 2025

  

Homework Case Study Questions-
HCA 346- Ambulatory Care

Deciding whether to centralize or decentralize

The new Graystone Memorial Clinic facility houses 50 specialists. The old clinic building was located in a gradually decaying portion of the city, and the group decided to build a new facility to allow for expansion of the staff and to better serve the population, which has shifted away from the original location.

During the course of planning for the project, a number of decisions regarding functions were made. One important decision was to centralize the nursing station on each floor, with approximately twelve physicians housed in each unit and 3-4 in each subspecialty section. This was done in order to increase efficiency. Although the physician’s offices and the exam rooms all had telephones, telephone calls to the floor were to be handled centrally within the nursing section. Other duties of the nursing and office staff were also to be shared. As a patient was brought back from the central reception area with the chart, the chart was to be placed in a pocket outside the patient’s exam-room door, and the flag indicator moved to alert the physician that this was his or her next patient. 

The move was completed over a weekend, and the doors of the new facility opened to patients for the first time on the following Monday. Within an hour, utter chaos reigned. The chief of medicine became so upset that he threatened to resign. The problem was that the physicians did not accept the centralization of the nursing staff because they felt they could not operate without having their own personal assistant.

Somehow the clinic floundered through the first week, with growing tension among employees, professional staff, and administrators. The following Monday, a special meeting of the partnership was called to consider the design problems of the new building.

1. Assume that you are the administrator of the Graystone Memorial Clinic. What went wrong, and how would you correct the problem?

Spiritual Needs Assessment And Reflection – 2025 This assignment requires you to interview one person and requires an analysis of

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Spiritual Needs Assessment And Reflection – 2025

This assignment requires you to interview one person and requires an analysis of your interview experience.

Part I: Interview

Select a patient, a family member, or a friend to interview. Be sure to focus on the interviewee’s experience as a patient, regardless of whom you choose to interview.

Please review the following joint commission resource questions

*Who or what provides the patient with strength and hope?

*Does the patient use prayer in their life?

*How does the patient express their spirituality?

*How would the patient describe their philosophy of life?

*What type of spiritual/religious support does the patient desire?

*What is the name of the patient’s clergy, ministers, chaplains, pastor, rabbi?

*What does suffering mean to the patient?

*What does dying mean to the patient?

*What are the patient’s spiritual goals?

*Is there a role of church/synagogue in the patient’s life?

*How does your faith help the patient cope with illness?

*How does the patient keep going day after day?

*What helps the patient get through this health care experience?

*How has illness affected the patient and his/her family?

All these will provide some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Using this resource and any other guidelines/examples that you can find, create your own tool for assessing the spiritual needs of patients.

Your spiritual needs assessment survey must include about 7 questions that can be answered during the interview. During the interview, document the interviewee’s responses.

The transcript should include the questions asked and the answers provided. Be sure to record the responses during the interview by taking detailed notes. Omit specific names and other personal information through which the interviewee can be determined.

Part II: Analysis

Write a 500-750 word analysis of your interview experience. Be sure to exclude specific names and other personal information from the interview. Instead, provide demographics such as sex, age, ethnicity, and religion. Include the following in your response:

1. What went well?

2. Were there any barriers or challenges that inhibited your ability to complete the assessment tool? How would you address these in the future or change your assessment to better address these challenges?

3. How can this tool assist you in providing appropriate interventions to meet the needs of your patient?

4. Did you discover that illness and stress amplified the spiritual concern and needs of your interviewee? Explain your answer with examples.

Submit both the transcript of the interview and the analysis of your results. This should be submitted as one document. The interview transcript is not part of  the word count for analysis.

PLEASE USE APA FORMAT

NO PLAGIARISM PLEASE

PLEASE READ INSTRUICTIONS

THANK YOU.

Psychotherapy – 2025 Reflect on your overall practicum experience in this course Then address the following in

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Psychotherapy – 2025

  

Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal: 

Explain whether your therapeutic theory  has changed as a result of your practicum experiences. Recall the theories you selected in Week 1

Please see attachment Therapeutic theories from week 1

Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week 1.

See attachment for Goals and Objective from week 1

Explain how you might impact social change through your work with clients who have mental health issues.

  • Support your approach with      evidence-based literature.

Capstone Topic 9 DQ 1 – 2025 Discuss one personal strength and one weakness you have regarding professional presentations Name one method

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Capstone Topic 9 DQ 1 – 2025

Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.

My Strength – Not reading verbatim, having personality, and making eye contact

What I need to improve on – I tend to say um alot and i tend to get nervous

Week 11 – 2025 Read chapter 22 24 and 36 o review the attached Power Point Presentations Read content chapter 36

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Week 11 – 2025

Read chapter 22, 24 and 36 o review the attached Power Point Presentations.  Read content chapter 36 in Davis Plus Online Website.  Once done answer the following questions;

1. Describe the health care beliefs of the Russian, Polish and Thai heritage and how they are related to the delivery of health care.

2. Is there any similarity between these 3 cultures. If yes or no, please explain.

3. Give your opinion on how the beliefs of these 3 cultures influence the delivery of health care. 

present assignment in an APA format word document on an Arial 12 font,  A minimum of 3 evidence based references no older than years 5 years are required. A minimum of 500 words are required without counting the first and last page.

Please follow instructions.

Healthcare Models – 2025 The Future of the ACOs Explain the concepts behind the Accountable Care Organization ACO model Conduct systematic analysis of

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Healthcare Models – 2025

The Future of the ACOs Explain the concepts behind the Accountable Care Organization (ACO) model. Conduct systematic analysis of this model, breaking it down to components. What are the ACO reimbursement models, incentives, economic, quality of care, legislative, staffing, and technology considerations? What approaches are working better? Two: The Future of the Patient Centered Medical Homes Explain the concepts behind the Patient-Centered Medical Home (PCMH) model, also known as the medical home model. Conduct systematic analysis of this model, breaking it down to components. What are the PCMH reimbursement models, incentives, economic, quality of care, legislative, staffing, and technology considerations? What approaches are working better? Three: The Future of Consumer Operated and Oriented Plans Explain the concept behind the Consumer Operated and Oriented Plan (CO-OP) model. What are the CO-OP reimbursement models, incentives, economic, quality of care, legislative, staffing, and technology considerations? What approaches are working better? Four: The Future of Physician-Hospital Integration With increasing focus on patient expectations, improving quality, and lowering costs, hospitals have begun to seek community physician partners through clinical integration. Explain the concepts behind the Physician-Hospital Integration model. . What are the CO-OP reimbursement models, incentives, economic, quality of care, legislative, staffing, and technology considerations? What approaches are working better? Five: The Future of Community-Oriented Primary Care Explain the concepts behind the Community-Oriented Primary Care (COPC) model. . What are the CO-OP reimbursement models, incentives, economic, quality of care, legislative, staffing, and technology considerations? What approaches are working better?

  Patient-Centered Medical Home (PCMH) model

  Consumer Operated and Oriented Plan (CO-OP) model

  Community-Oriented Primary Care (COPC) model

PHI 413 Week 5 Assignment (2 Examples) – 2025 Week 5 Assignment The practice of health care providers at all levels brings you into contact with people

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PHI 413 Week 5 Assignment (2 Examples) – 2025

  

Week 5 Assignment 

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and acceptance of a diversity of faith expressions.

The purpose of this paper is to complete a comparative ethical analysis of George’s situation and decision from the perspective of two worldviews or religions: Christianity and a second religion of your choosing. For the second faith, choose a faith that is unfamiliar to you. Examples of faiths to choose from include Sikh, Baha’i, Buddhism, Shintoism, etc.

In your comparative analysis, address all of the worldview questions in detail for Christianity and your selected faith. Refer to Chapter 2 of Called to Care for the list of questions. Once you have outlined the worldview of each religion, begin your ethical analysis from each perspective.

In a minimum of 1,500-2,000 words, provide an ethical analysis based upon the different belief systems, reinforcing major themes with insights gained from your research, and answering the following questions based on the research:

  1. How would each religion interpret the nature of George’s malady and      suffering? Is there a “why” to his disease and suffering? (i.e., is there      a reason for why George is ill, beyond the reality of physical malady?)
  2. In George’s analysis of his own life, how would each religion think      about the value of his life as a person, and value of his life with ALS?
  3. What sorts of values and considerations would each religion focus on      in deliberating about whether or not George should opt for euthanasia?
  4. Given the above, what options would be morally justified under each      religion for George and why?
  5. Finally, present and defend your own view.

Support your position by referencing at least three academic resources (preferably from the GCU Library) in addition to the course readings, lectures, the Bible, and the textbooks for each religion. Each religion must have a primary source included. A total of six references are required according to the specifications listed above. Incorporate the research into your writing in an appropriate, scholarly manner.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Fiction Analysis – Rough Draft – 2025 Compose an analytical essay of at least 1 200 words in which you offer an interpretation of

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Fiction Analysis – Rough Draft – 2025

 

Compose an analytical essay of at least 1,200 words in which you offer an interpretation of a literary element in one of the assigned short stories. Write your analysis focusing on one of the following elements in one of the assigned stories:

  • Character
  • Theme
  • Symbolism
  • Imagery
  • Setting

Start by selecting one of the short stories assigned by your instructor. Brainstorm to identify the literary element that you would like to explore in the story. Choose from character, theme, symbolism, imagery, or setting. Then, develop a thesis that offers a specific interpretation of this element. If you have trouble coming up with a thesis, contact your instructor, who will help you. Do not do any outside research at this point. When finished, the draft should be at least 1,200 words (approximately four double-spaced pages).

Tips for the Essay

  1. Open your introduction with an engaging opener, such as a question, quote from the story, or interesting idea. Then, connect to the short story and mention the title and the author. End your introduction with a thesis statement that interprets one literary element of the story (such as theme, symbolism, or characterization).
  2. The body paragraphs should support your thesis. Present specific aspects of the short story that help to illustrate your points. Make sure to quote from the story and analyze specific lines that support your argument.
  3. Include a strong concluding paragraph that summarizes your main points and explains the significance of the thesis.

APA Reminder

Use APA style for formatting the essay and for source citations. Begin with a title page. Include a running header, and use proper font and spacing. End with a separate references page. Refer to the Week 1 lecture on avoiding plagiarism for an APA essay template and additional resources.

People Of Japanese Heritage People Of Jewish Heritage – 2025 1 Describe the health care beliefs of the Japanase and the Jewish culture and if there is any similarity

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People Of Japanese Heritage People Of Jewish Heritage – 2025

1.  Describe the health care beliefs of the Japanase and the Jewish culture and if there is any similarity in both cultures.

2.  How religion influence the delivery of community nursing care specially in an 

Cover page

Do not forget header

APA  format word document on an Aral 12 font  word document attached 

A minimum of 2 evidence based references excluding the class textbook are required.   

 A maximum  of 500 words are required.

Smith Evidence Based Reply 1 Week 1 – 2025 Angel Sheppard 9 01am Oct 23 at 9 01am Manage Discussion Entry Hello Professor and

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Smith Evidence Based Reply 1 Week 1 – 2025

Angel Sheppard

9:01am Oct 23 at 9:01am

Manage Discussion Entry

Hello Professor and class,

I chose case study #3 of an 80 year old retired army officer living along with type 2 diabetes, who had episodes of hypoglycemia using insulin and OHA’s.  The patient was dependent on an attendant to administer injections and due to irregularity of insulin dose administration this would lead to episodes of hypoglycemia.  The patient was then put on Degludec insulin and over a period of time, the patient’s HgBA1C and fasting blood sugars showed improvement. The patient also had no further episodes of hypoglycemia (Kumar, 2015.  p. 877).

Formulating a clinical question in the PICO (T) format I questioned: Do elderly patients with Type 2 diabetes show improvement with episodes of hypoglycemia, FBS and HgBA1C with Degludec?

According to (Stillwell et al, 2010. p. 59), PICOT is an acronym used for elements of the clinical question.  They are helpful for summarizing research question that explore the effects of therapy (Riva et al, 2012. p. 168).

P- Patient population

I-Intervention or issue of interest

C- Comparison of intervention or interest

O- Outcome of intervention or interest

T- Time it takes for intervention to be effective

(Stillwell et al, 2010. p. 59), Also points out there are 2 types of clinical questions, background and foreground.  Foreground question appear to use questions asked using the PICOT format to determine which interventions are most successful for patient outcomes.

Nursing research strives to understand phenomena that impact health, seeks solutions to problems, tests approaches to improving nursing care, and generates new knowledge to further our profession (CCN, 2017)

My clinical question using the PICOT format:

P- Elderly patients with type 2 diabetes

I- On Degludec and OHA’s

C- On regular insulin and OHA’s

O-Improvement of FBS, HgBA1C and no further episodes of hypoglycemia

T- No time frame measured

In asking the question: Is Degludec effective in improving hypoglycemic episodes the focus of my question would be on the prognosis of treatment.  Are patients having less episodes of hypoglycemia, is disease control with treatment?  According to the case study once the patient had started on Degludec it was noted that there was improvement in FBS and HgBA1C and no further evidence of hypoglycemia.

 

References:

Chamberlain College of Nursing. (2017). Introduction to Evidence Based. Practice.  Week 1 [Online lesson].  Downers Grove, IL  DeVry. Retrieved from: https://chamberlain.instructure.com/courses/12226/pages/week-1-lesson?module_item_id=1191535

 

Riva, J. J., Malik, K. M., Burnie, S. J., Endicott, A. R., & Busse, J. W. (2012). What is your research question? An introduction to the PICOT format for clinicians. Journal of the Canadian Chiropractic Association, 56(3), 167-171. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=awh&AN=88935392&site=eds-live&scope=site (Links to an external site.)Links to an external site.

 

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201003000-00028&LSLINK=80&D=ovft (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.

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