Affordable Care Act

Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.

Simulation

Please complete all 6 simulation opportunities and upon completion upload the certificate with answered questions for grading purposes.

STUDY GUIDE FOR MEDICATION

Assigned psychotropic medication name:
Paliperidone

Psychosis and schizophrenia greatly impact the brain’s normal processes, which interfere with the ability to think clearly. When symptoms of these disorders are uncontrolled, patients may struggle to function in daily life. However, patients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, you will develop a study guide for an assigned psychotropic agent for treating patients with Schizophrenia Spectrum and Other Psychotic Disorders. You will share your study guide with your colleagues

· Research your assigned psychotropic medication agent using the Walden Library. Then, develop an organizational scheme for the important information about the medication.

Create a study guide for your assigned psychotropic medication agents. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the 
FDA-approved and Evidenced-Based, Clinical Practice Guidelines Research but also supported by at least three other scholarly resources.

Areas of importance you should address are:

· Title page

· Description of the Psychopharmacological medication agent including brand and generic names and appropriate FDA indication uses

· Any supporting, valid and reliable research for non-FDA uses

· Drug classification

· The medication mechanism of action

· The medication pharmacokinetics

· The medication pharmacodynamics

· Mechanism of Action

· Appropriate dosing, administration route, and any considerations for dosing alterations

· Considerations of use and dosing in specific specialty populations to consider children, adolescents, elderly, pregnancy, suicidal behaviors, etc.

· Definition of Half-life, why half-life is important, and the half-life for your assigned medication 

· Side effects/adverse reaction potentials

· Contraindications for use including significant drug to drug interactions

· Overdose Considerations

· Diagnostics and labs monitoring

· Comorbidities considerations

· Legal and ethical considerations

· Pertinent patient education considerations

Reference Page to include

U.S. Food & Drug Administration. (n.d.). 

Drugs@FDA: FDA-approved drugsLinks to an external site.
.
https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm

Utah State University. (n.d.). 


Creating study guides

Links to an external site.
. https://www.usu.edu/academic-support/test/creating_study_guides

HUMANITIES

Competency

Develop a vocabulary for criticizing, evaluating, and describing works of art.

Instructions

For this competency, you will assume the role of a critic. View each piece of work listed below and analyze it as a piece of art, identifying key elements of the work and using terminology common to the discipline. Using a few concise paragraphs for each piece, your analysis should discuss each work as a critic would and include, using the proper vocabulary, what you think the work is about.


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Response TO WEEK 8 DISC

PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

My thoughts on trends in nursing have shifted a bit since week 1. A topic I addressed was nurse-to-patient ratios and how they are incompatible with providing the best care to patients. Although that issue still proves to be a problem, I feel more informed on the causes and effects of this trend. I’ve learned about legislative and environmental factors that come into play. Funding for institutions is limited and in order to address this issue properly, we must be informed and have background knowledge of the people we are appointing who make the decisions to allocate health care funds. Also, being more inclusive when giving positions in higher departments would be helpful. Nurses should have access to take on more leadership roles to be able to be involved in decision making. Nurses have first hand knowledge on what is needed on the floor. They understand the resources needed and they also can advocate for nurses who come from different backgrounds or have different levels of expertise. All in all, I have a better understanding of why this problem exists and also the ways in which we could actively rectify the situation.

critical care wk 3

MY NUMBER ASSIGNED WAS 1 WHICH IS: Level of Consciousness – Stuporous, Obtunded, Coma, Lethargy, etc. 

Initial post:Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based. Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style. Each week include a paragraph with the results from one of your weekly interviews.Discussion post assignments are worth 20 points each as follows: 

  • 5 points for the quality of your bullet points.
  • 5 points for the quality of your question.
  • 5 points for answering the question of a peer as your response.
  • 5 points for the quality of your rationale.
    • Quality is defined as thorough and thoughtful while demonstrating professional level knowledge of the topic.

interview

You will conduct a professional interview with a staff nurse and a staff nurse leader ( charge nurse, shift lead, house supervisor, etc) to discover their intra/inter-professional communications styles. It will be important to incorporate learning objectives regarding therapeutic communication styles including their method of caring, assertive, and responsible communication in your discussion/analysis of the interview.

The paper should utilize APA 7th format using Times New Roman 12pt font and include a title page. There should be less than 10% of direct quotations used in your paper, sources should be paraphrased and cited appropriately. The use of headings should be incorporated in the paper design. Additionally, provide citation for the personal communication with the interviewees (use initials only). Support from at least 3 peer reviewed journal articles in addition to your textbooks must be used. Use initials and avoid the use of patient names, staff names, and facility names for HIPPA compliance. Complete the Contact Information Form for Experiential Learning for all individuals interviewed and submit with your completed assignment to the drop box Sunday by 11:59pm.

You should use headings and subheadings from the Instructions to set up your paper

The following information should be included in your interview:

Description the facility i.e.: a large metropolitan hospital, rural nursing home or urban clinic

Staff Nurse Interview

Interview a staff nurse regarding:

· What (s)he perceives are the main communication issues/barriers

· how they communicate with patients,

· how they communicate with colleagues

· how they communicate with leadership/administration.

Describe your findings in no more than 2 pages using terms and vocabulary from course learning. Relates each interview question to content learned in the class by providing analysis and synthesis of question and response and includes minimum of one citation per question- you may cite the texts & or other peer reviewed journal articles.

Nurse Manager Interview

Interview a nurse in a leadership/administrative position regarding:

· What the manager perceives as the main communication issues/barriers

· how they communicate with patients,

· how they communicate with colleagues, and

· how they communicate with leadership/administration.

Describe your findings in no more than 2 pages using terms and vocabulary from course learning. Relates each interview question to content learned in the class by providing analysis and synthesis of question and response and includes minimum of one citation per question- you may cite the texts & or other peer reviewed journal articles.

Analysis of Interviews

· Cohesive analysis of part I & II. Clearly describe your main findings/ communication styles

· List at least 3 actions that would improve communication/ remove barriers. supported with 3 citations- you may cite the texts & or other peer reviewed journal articles.

Conclusion- Write a one-two paragraph conclusion summarizing importance of Intra/interpersonal communication

References- Create an APA reference page including all paraphrased and quoted sources.

Element

Element

Fully

Addressed

Element Partially Addressed

Element In-sufficiently Addressed

Points possible

Points

Earned

Part I: Staff Nurse Interview (this should be approximately 1 page of the paper length) and follows APA 7th ed. Format.

· Introduction : includes importance of Interprofessional communication and description of facility

2

· Asks the 4 assigned questions during interview that relate to course content/learning objectives: 2 points

· Appropriately and adequately summarizes interview responses (not verbatim) 4 points

6

·
Relates each interview question to content learned in the class by providing analysis and synthesis of question and response and includes:

Minimum : one citation per question- you may cite the text &/or other source(s) 8 pts

8

Part II: Staff Nurse Manager Interview: (this should be approximately 1 page of the paper length) and follows APA 7th ed. Format.

· Asks the 4 assigned questions during interview that relate to course content/learning objectives: 2pts

· Appropriately and adequately summarizes interview responses (not verbatim) 4 pts

6

· Relates each interview question to content learned in the class by providing analysis and synthesis of question and response and includes:

Minimum : one citation per question- you may cite the text &/or other source(s) 8 pts

8

Analysis of Interviews

· Cohesive analysis of part I & II. Clearly describe your main findings of the interviews. 4pts

· List at least 3 actions that would improve communication/ remove barriers supported by 3 citations 6 pts

10

· Conclusion: summarizes importance of Intra/Interpersonal communication 4 pts

4

Spelling, Grammar, 7th ed. APA Format

· Free of spelling, typographical, & grammatical errors, cites interviewee . Uses headings and subheadings from the Instructions 4 pts

· Reference Page Complete and follows APA format 2 pts

· Includes contact information forms (2)

6

Total

50

health care statistics. dp4

 

There are many purposes for and types of health care data. In this discussion, you will summarize the purpose for and types of health care data, and discuss the emerging field of data analytics and Big Data as they are used in health care management. Include the following in your discussion post:

  • Explain the purpose of healthcare data and its relevance to patient outcomes and reimbursement.
  • Discuss the difference between:
    • Internal and external sources of data in healthcare
    • Qualitative and quantitative data in healthcare
  • Discuss data analytics and how it is being used in healthcare management and healthcare delivery.

Discussion

1) Review your state’s Nurse Practice Act and rules and regulations.

2) As a coworker, what are you required to do if you believe a nurse has a problem with chemical dependency? As the nurse manager, what are your obligations? Please cite the Nurse Practice Act. 

Data Utilization and Presentation

Your CEO wants to review the benchmarking data used to compare Choice Hospital with other hospitals in the same geographic region. The Board of Directors is looking at expanding the Emergency Department or adding more in-patient beds. The CEO needs to know how Choice Hospital compares with other hospitals in the region to be part of the discussion and inform decisions on expansion in these areas.

As you assume the role the HCA at Choice Hospital, provide the data and analysis requested by your CEO as described below. In this exercise, assume that Choice Hospital is located in Colorado, and use these data provided by the Colorado Hospital Association for Colorado hospitals. If you wish to find data for your own state of residence, you may do that and start your search at your state’s Department of Health Web site.

For comparison of Choice Hospital to others in the state of Colorado of comparable size, you will use the specific data points requested, perform the calculations, and prepare the presentation of the data as follows:

  1. You will first review the data available and summarize the data points as specified for this presentation by placing them in an Excel spreadsheet.
  2. Calculate descriptive statistics for the data, as specified below.
  3. Prepare an Excel spreadsheet of the data.
  4. Review the data in the spreadsheet, and prepare a discussion of the data for Colorado hospitals compared to the data for Choice Hospital.
  5. The table below includes the data for Choice Hospital:
    HospitalLicensed BedsTotal DischargesTotal Patient DaysInpatient SurgeriesBirthsInpatient Admissions for Emergency DepartmentsEmergency Department VisitsTotal Outpatient VisitsChoice Hospital30015,27970,2834,0122564,78113,34298,993
  6. From these data, calculate the average length of stay (ALOS) for Choice Hospital.

Now look at the data for Colorado Hospitals at the link provided. Because Choice Hospital is a 300-bed facility, identify the hospitals that have between 200 and 400 licensed beds. Those are the hospitals that you will use for your comparison to Choice Hospital. In your Excel spreadsheet, do the following:

  1. List the hospitals that have 200–400 licensed beds in the first column, with 1 hospital listed per row.
  2. Next, for each of those hospitals, enter the data in separate columns for Total Patient Days and Total Discharges.
  3. In the next column, enter your calculation for ALOS using the data for Total Patient Days and Total Discharges.
    • At the bottom of the column for ALOS, calculate the mean and standard deviation for the average length of stay for all of the hospitals.
    • Enter the mean and standard deviation in the cells below in that column, and be sure to identify which value is the mean and which is the standard deviation.
  4. You will submit your Excel spreadsheet along with your 600-800 word summary.

Now that you have the data on ALOS for your comparison hospitals, write 600-800 word summary, not including the title page or reference page, and discuss the following:

  • Consider the average length of stay for Choice Hospital that you calculated using the data for Choice Hospital. How does that compare to the ALOS on average for the hospitals in Colorado with similar numbers of licensed beds from your calculation?
  • Identify the range of ALOS for the hospitals, and consider the standard deviation value.
    • Did you calculate the standard deviation of a sample or of the entire population?
    • What is the difference?
    • Explain why you chose the one that you did.
  • Research the ALOS for the United States, and find a statistic that is within the last 5 years. The ALOS may be an overall average or based on the number of beds.
    • State the ALOS for the United States that you found in your research, and be sure to cite the reference source.
    • How does the ALOS for Choice Hospital compare to the national average?