Explain how healthcare exchanges change the concept of outpatient  treatment.  Many clinical information systems now embed practice  guidelines and clinical pathways into their electronic medical record  systems.  Discuss some of the advantages and disadvantages of this.   Describe demand management and how it can increase consumer involvement  in care.  Compare and contrast disease management and case management.  

This week you will submit the Literature Review section of your proposal. Each week you have been adding to your growing body of evidence to support your problem and proposed innovation to address the problem. The review of literature is a critical, analytical summary and synthesis of the current knowledge of your research topic. Thus it should compare and relate different theories, findings, etc., rather than just summarize them individually.

The following resources will help guide you 

THE WRITER’S HANDBOOK

Guidelines for writing a literature review

The Writing Center at UNC-Chapel Hill

Writing the Literature Review: Step-by-Step Tutorial for Graduate Students

Writing the Literature Review (Part Two): Step-by-Step Tutorial for Graduate Students

Scenario 3: A 34-year-old Hispanic-American male with end-stage renal disease received kidney transplant from a cadaver donor, as no one in his family was a good match. His post-operative course was uneventful, and he was discharged with the antirejection drugs Tacrolimus (Prograf), Cyclosporine (Neoral), and Imuran (Azathioprine). He did well for 3 months and had returned to his job as a policeman. Six months after his transplant, he began to gain weight, had decreased urine output, was very fatigued, and began to run temperatures up to 101˚F. He was evaluated by his nephrologist, who diagnosed acute kidney transplant rejection.

Develop a 1- to 2-page case study analysis in which you:

· Explain why you think the patient presented the symptoms described.

· Identify the genes that may be associated with the development of the disease.

· Explain the process of immunosuppression and the effect it has on body systems.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references

Maintaining integrity as a professional nurse is an essential part of your career. despite knowing the consequences for an academic integrity infraction, why do some students still falsify their work ?
what are the most challenging apa formatting issues for you ? Why do you find theses areas do challenging? what resources will you use to overcome these challenges .

integrate scholarly resources 

express opinions clearly and logically in a professional manner  

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

* I work for a home healthcare agency in Houston, TX