Case Study 2  Innate and Adaptive Immunity  Melissa is a 15-year-old high school student. Over the last week, she had been feeling tired and found it difficult to stay awake in class. By the time the weekend had arrived, she developed a sore throat that made it difficult to eat and even drink. Melissa was too tired to get out of bed, and she said her head ached. On Monday morning, her mother took her to her doctor. Upon completing the physical exam, he told Melissa the lymph nodes were enlarged in her neck and she had a fever. He ordered blood tests and told Melissa he thought she had mononucleosis, a viral infection requiring much bed rest.  1.Innate and adaptive immune defenses work collectively in destroying invasive microorganisms. What is the interaction between macrophages and T lymphocytes during the presentation of antigen? 2.Melissa’s illness is caused by a virus. Where are type I interferons produced, and why are they important in combating viral infections? 3.Humoral immunity involves the activation of B lymphocytes and production of antibodies. What are the general mechanisms of action that make antibodies a key component of an immune response?

Assignment Requirements:  Before finalizing your work, you should: •Ensure you have written at least four double-spaced pages. •be sure to read the Assignment description carefully (as displayed above); •consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and •utilize spelling and grammar check to minimize errors. •follow the conventions of Standard American English (correct grammar, punctuation, etc.); •be well ordered, logical, and unified, as well as original and insightful; •display superior content, organization, style, and mechanics; and •use APA 6th Edition format.

Paradise Hospital, Inc. is a for-profit hospital. As the facility’s new hospital administrator, you have been tasked with improving the service value of the hospital. The administration has not done this process since the hospital began operating in the year 1995. The investors are not familiar with the value proposition strategies of hospitals in the current day America.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment. PLEASE REVIEW ATTACHED  RUBRIC TO ENSURE ALL ISSUES ARE COVERED!!

Write a four to six (4-6) page paper in which you:

1. Articulate the meaning of value-added service as it pertains to patient care services, and argue the major reasons why it matters to add value to patient services. Justify your response.
2. Outline a system for identifying the functional areas in which changes might be necessary in order to improve the hospital’s service value. Recommend the key methods that you would use to acquire the information necessary to identify the specified functional areas.
3. Specify four (4) specific areas where you believe the administration can add value in Paradise Hospital, and argue the most significant reasons why such value proposition would improve the value of services to the patients.
4. Use four (4) recent (within the last five [5] years) quality academic resources in this assignment.
   Note: Wikipedia and other websites do not qualify as quality academic resources.

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Propose methodologies that have been proven to increase value in health care delivery systems.
• Use technology and information resources to research issues in health care management.
• Write clearly and concisely about health care management using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills

Max Points: 150
 

Details:

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

1. Personal and professional accountability
2. Career planning
3. Personal journey disciplines
4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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.

Week Four Paper will address and answer the following three sets of questions:

•                                             FOR QUESTION ONE:

Read the  article, “Protecting Yourself from Malpractice Claims” found at

https://americannursetoday.com/protecting-yourself-from-malpractice-claims/ (Links to an external site.)Links to an external site.

Read the article, “Nurses, Negligence, and Malpractice” found at:

http://www.nursingcenter.com/journalarticle?article_id=423284 (Links to an external site.)Links to an external site.

Read the article, “7 Legal Tips for Safe Nursing Practice”    (you will need to copy and paste the link below into your browser)

7 legal tips.pdf  (INCLUDED AS ATTACHMENT)

1. In connection with the readings relating to negligence/malpractice answer the following:

a. What was the most important information you gained from these articles?
b. What are the elements that must be present for there to be a valid claim of negligence?

Comment on this scenario: A comatose patient is admitted with a UTI. The RN documents turning the patient every 2 hours, but actually did not. The UTI resolves and the patient is discharged without any other changes in prehospital condition.

c. Was the RN negligent? Why or why not? 
d. Was the RN’s behavior ethical, why or why not? 
e. Would any of your answers change, and if so how,  if the patient had developed a bedsore during the hospitalization?

                                                        FOR QUESTION TWO:

Read the summary of Supreme Court case that reviewed Oregon Death with Dignity Act found at:

http://en.wikipedia.org/wiki/Gonzales_v._Oregon (Links to an external site.)Links to an external site.

Read the story of Brittany Maynard found at:

http://www.washingtonpost.com/news/morning-mix/wp/2014/11/02/brittany-maynard-as-promised-ends-her-life-at-29/ (Links to an external site.)Links to an external site.

 Read the case of Gonzalez v. Oregon, found at:

http://scholar.google.com/scholar_case?case=17055043890936848595&hl=en&as_sdt=2&as_vis=1&oi=scholarr (Links to an external site.)Links to an external site.

Read “ Legalizing euthanasia or assisted suicide: the illusion of safeguards and controls” found at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070710/ (Links to an external site.)Links to an external site.

Review State-by-State Guide to Physician-Assisted Suicide found at:

http://euthanasia.procon.org/view.resource.php?resourceID=000132 (Links to an external site.)Links to an external site.

1. In connection with the topics of Euthanasia and Assisted Suicide, address the following:

a.       What is the difference between Euthanasia and Assisted Suicide?
b.      Explore your thoughts and feelings on the legality of assisted suicide and euthanasia. Should Florida follow Oregon?
c.       What guidance on this topic is found in the ANA Code of Ethics (Hint: Interpretive Statement to Provision One)?
d.      What is ANA’s position on Euthanasia and Assisted Suicide as expressed in its Position Statement on the topic?

                                                          FOR QUESTION THREE:

Read the article, “How We Die” found at: and answer question three. 

http://tuftsjournal.tufts.edu/2010/03_2/features/03/ (Links to an external site.)Links to an external site.

1. What actions could have been taken to prevent this situation from occurring? Describe how refusing treatment differs from euthanasia or assisted suicide.

Choose one of the cultures described in your “Guide to Culturally Competent Health Care.”

Based upon what you have read about people of that particular heritage describe how you would provide patient-centered care for a 75 year old of that culture who has just been admitted to your long term care facility. Include domains of: communication, family roles, high risk health behaviors, death rituals, spirituality, health-care practices and health care practitioners.