Download or access the required two articles

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Assignment Directions:

  1. Read over each of the following directions, the required Reading Research Literature worksheet, and grading rubric. You can find the worksheet here: Reading Research Literature Worksheet (Links to an external site.)Links to an external site.
  2. Download and complete the required Reading Research Literature worksheet. Be sure to add your name and date.
  3. Download or access the required two articles.  The required two articles must be used.

First article:

Jenson, H., Maddux, S., & Waldo, M. (2018). Improving oral care in hospitalized non-ventilated patients:

Standardizing products and protocol. MEDSURG Nursing, 27(1), 38–45. Retrieved from

         https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? (Links to an external site.)Links to an external site.

         direct=true&db=a2h&AN=128049905&site=eds-live&scope=site (Links to an external site.)Links to an external site.

Second article:

Woolston, W., & Connelly, L. (2017).  Felty’s syndrome: A qualitative case study. MEDSURG Nursing, 26(2),

105-118. Retrieved from https://chamberlainuniversity.idm.oclc.org/login? (Links to an external site.)Links to an external site.

        url=https://search.ebscohost.com/login.aspx?direct=true&db=c9h&AN=122315812&site=eds- (Links to an external site.)Links to an external site.

        live&scope=site (Links to an external site.)Links to an external site.

Explain medical necessity and how it impacts payment.

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Topic – Reimbursement Methodologies:

Coding systems are different and so are payment methodologies. Coding is important in reimbursement.

1. Refer to Chapter 4, focus on Payment Methodologies and discuss the various payment systems. Demonstrate understanding of fee for service, cost based, and prospective payment systems.

2. Explain medical necessity and how it impacts payment.

3. What has been the effect of payment methods on coding?

4. Although not required, feel free to watch and comment on the video.

Summary of Relevant Performance Measures

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Performance management is, ideally, an ongoing quality-assurance-based process to provide an organization, its employees, regulatory agencies, accreditors, and other stakeholders with a structured means to support and accomplish mutually identified strategic goals and objectives.

Assume the role of a newly-hired risk management officer for a hypothetical new allied health organization in your chosen career field. You and your team will need to develop the organization’s policies.

The first item you will create will be a performance management plan. Using the Health Resources and Services Administration (HRSA)

(https://hrsa.gov/quality/toolbox/methodology/performancemanagement/index.html)or other qualified framework, craft a proposal (1,250-1,500 words) for a performance management plan for your new organization that includes the following:

  1. Organizational Goals. Provide a statement of your organization’s goals in terms of workplace safety, risk management, or quality improvement. Pick one area, and develop five goals for that one area.
  2. Outline of Organizational Objectives. Outline and provide a brief evaluation of specific objectives that support the organizational goals you previously identified.
  3. Summary of Relevant Performance Measures. Summarize the steps and measures your new organization will adopt to measure performance. Consider: (a) How well measures will align with your stated goals? (b) How do these measures demonstrate a relationship to positive health outcomes? (c) Are the measures you select able to be controlled by your organization (i.e., can your organization effect change in this area?)? (d) Which measures meet criteria related to reliability and validity, and which are standardized?
  4. Performance Baseline. Determine a performance baseline for the measures you have selected. This will enable your organization to conduct comparisons of desired goals versus actual results as time moves on.
  5. Performance Evaluation. Select one of three commonly accepted methods to measure provider quality and summarize the features and why it applies best to your organization. Refer to the assigned reading, “The Measurement of Health Care Performance: A Primer From the Council of Medical Specialty Societies,” by the Council of Medical Specialty Societies (CPSS) (http://www.cmss.org/uploadedFiles/CMSS_Quality_Primer.pdf).
  6. Definition of Success. Define what success means to the organization. Now that you have chosen measures to assess organizational performance, you need to identify what success means to your organization; otherwise, you are chasing a moving target. Be explicit in the level of performance you see as acceptable. This will change as an organization grows, but you need to start somewhere in order to get anywhere.

You are required to use and cite a minimum of three qualified resources from the readings, qualified website

Nursing And Workplace Violence

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Its very important I cover all the competencies…!

Overview

A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence where you work. Write a 750–1,000-word article on workplace violence and prevention measures for the hospital employee newsletter.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria :

  • Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
    • Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.
  • Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.
    • Identify the main components of OSHA’s workplace violence prevention guidelines.
    • Explain the American Nursing Association’s position on violence in the workplace.
    • Explain safety policies and protocols for preventing and responding to violence against health care workers.
  • Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
    • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
    • Correctly format citations and references using APA style.
  •  Assessment Instructions :
  • Your workplace has experienced some serious problems with workplace violence that occurred between patients and caregivers. A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence. You have been asked to write an article on workplace violence and prevention measures for the hospital employee newsletter.
  • Preparation
    Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on workplace violence. You will need at least five articles to use as support for your work on this assessment.
  • Directions
    Write a 750–1,000-word article (3–4 pages) on workplace violence and prevention measures for the hospital employee newsletter. Address the following in your article:

    • Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings. Consider the types of patients that may be treated within a clinical or hospital setting.
    • Compare OSHA regulations and the ANA position statement on workplace violence to organizational policies.
    • Explain safety policies and protocols for preventing and responding to violence against health care workers.
    • Additional Requirements
      Your presentation should meet the following requirements:
    • Written communication: Written communication should be free of errors that detract from the overall message.
    • References: Cite a minimum of five resources, with the majority being peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
    • APA format: Resources and citations should be formatted according to current APA style and formatting.
    • Length: 750– 1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
    • Font and font size: Times New Roman, 12-point.
  • I submitted a first paper and was non compliance; this is the professor’s feedback:

1-Non-Performance

Does not identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.

Faculty Comments:“

I did not see where you identified any political, legal, or legislative factors that may contribute to violence in health care settings.  What are the actual laws that may lead to workplace violence. Additionally, you could include real-world examples. This is required for a higher performance. Please incorporate the scoring guide criteria in the 2nd attempt revision. In addition, please remember to highlight any added information. Thanks!

2-Non-Performance

Does not identify the main components of OSHA’s workplace violence prevention guidelines.

Faculty Comments:“

I did not see this area of the scoring guide addressed in the paper. Can you identify the main components of OSHA’s workplace violence prevention guidelines? Also, you could suggest benchmarks to determine if the guidelines are being followed. In addition, please remember to highlight any added information. Thanks!

3-Non-Performance

Does not explain the American Nursing Association’s position on violence in the workplace.

Faculty Comments:“

I did not see this section of the scoring guide address in the paper.  Can you explain the American Nursing Association’s position on workplace violence? In addition, could you compare it to your organization’s policies.  This is needed for a higher performance score. In addition, please remember to highlight any added information. Thanks!

4-Non-Performance

Does not explain safety policies and protocols for preventing and responding to violence against health care workers.

Faculty Comments:“

I did not see this section of the scoring guide address in the paper.  Can you explain the safety policies and protocols for preventing and responding to violence against health care workers? Additionally, can you examine the effectiveness of such policies on preventing violent cases.  This is needed for a higher performance score. In addition, please remember to highlight any added information. Thanks!

5-Non-Performance

Does not format citations and references using APA style.

Faculty Comments:“

The paper was not in correct APA format. Next step, as you make your revisions, is to reach out to your tutor for assistance. Consider using the Smarthinking program link on the course room homepage. I hope that you will also use the supplemental resource link on the course room homepage to link you to many helpful APA resources. There is also a sample paper located in the instructions to this assessment that will be a good example to review for format. In addition, here’s a link to APA formatting that may be helpful: http://www.apastyle.org/learn/tutorials/basics-tutorial.aspx

EXPERTTUTOR PERSONAL PHILOSOPHY OF NURSING

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The purpose of this paper is to define, describe and explain your personal beliefs about the four concepts of the nursing metaparadigm and their

inter-relationship to one another as they guide your current nursing practice. There are no right or wrong thoughts, feelings or beliefs; these represent your own philosophical beliefs. Then you must correlate or link your current philosophy to one particular nursing theory(ies), identify these. The final paper is to be typed according to APA format and no more than 4 pages in length. The paper should include a title page and reference list, however, these pages are not to be included in the final count. Evaluation criteria are as follows:

Criteria for Personal Philosophy of Nursing Paper:

1. Introduction & Brief description identifies purpose of the paper and the factors influencing the development of the personal nursing philosophy. 1.5%

2. Define, describe and explain your personal thoughts, feelings and beliefs about the concepts of the 4 nursing metaparadigms: 3.5%

a. Person/client

b. Environment

c. Health

d. Nursing

3. Identification and brief description of the nursing theory(ies) found to be the most compatible with the student’s personal nursing philosophy. 3.5%

4. Provided in-depth explanation with specific documentation, that demonstratescompatibility of personal philosophy with the nursing theory(ies) identified in #4 according to:

3.5%

5. Summary and conclusion 1.5%

6. Organization, documentation, references followed APA format. 1.5%

 

PLEASE REFER TO THE ATTACHED FILE

AnaAnatomy and Physiology of the Digestive System

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AnaAnatomy and Physiology of the Digestive System

Objectives

  • Identify the anatomical structures of the digestive system and their functions
  • Explain the physiology of digestion through the system

Assignment Overview

This exercise helps students understand the anatomical structures of the digestive system

Deliverables

Annotated diagram of the digestive system

Step 1  Draw a diagram.  (It is OK to take a diagram from the internet and label it.)

Using the drawing tools provided by your word-processing program, draw a diagram that traces the pathway and physiological processes of a bite of food through the digestive system. Annotate each step in the digestive process with a brief paragraph describing what happens in the step.

Be sure to include ALL the following topics:

  • The organs of the digestive system  (This includes the alimentary canal AND the accessory organs of digestion)
  • The actions of the digestive system
  • Propulsion
  • Absorption
  • Chemical digestion
  • Mechanical dtomy and Physiology of the Digestive System

Objectives

  • Identify the anatomical structures of the digestive system and their functions
  • Explain the physiology of digestion through the system

Assignment Overview

This exercise helps students understand the anatomical structures of the digestive system

Deliverables

Annotated diagram of the digestive system

Step 1  Draw a diagram.  (It is OK to take a diagram from the internet and label it.)

Using the drawing tools provided by your word-processing program, draw a diagram that traces the pathway and physiological processes of a bite of food through the digestive system. Annotate each step in the digestive process with a brief paragraph describing what happens in the step.

Be sure to include ALL the following topics:

  • The organs of the digestive system  (This includes the alimentary canal AND the accessory organs of digestion)
  • The actions of the digestive system
  • Propulsion
  • Absorption
  • Chemical digestion
  • Mechanical d

artificial insemination and in vitro fertilization,

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This week, students will be completing a paper to address the following two case studies.

Greg Case Study:

Peggy and Gary had been married for five years, and had been trying to have a child. They had undergone artificial insemination and in vitro fertilization, but each pregnancy had resulted in a miscarriage. Peggy and Gary decide that surrogacy was their best option and placed an advertisement in the local college newspaper.

Josephine, a 21-year-old college student, answered the advertisement. At the time, she was dating a man named Jerry who she loved very much and hoped to marry. But Jerry had recently broken up with Josephine. Hoping to trick Jerry into marrying her, Josephine agreed to be the surrogate for Peggy and Gary. Using Peggy and Gary’s zygote, Josephine underwent in vitro fertilization and became pregnant. During the pregnancy Josephine underwent routine medical examinations, as required by the surrogacy contract. During one of the examinations, a genetic screening test was performed and it was discovered that the child had Down Syndrome. Peggy and Gary did not desire to have a child with Down Syndrome and in accordance with the surrogacy contract paid Josephine to undergo an abortion. In addition, Josephine contacted Jerry, telling him that she was carrying his child. Not wanting to be a husband or father at a young age, Jerry paid Josephine for an abortion as well. He then transferred to another school in a different state.

As a college student who could use the cash, Josephine gladly took the money for the abortion. But because of religious reasons she did not have an abortion and carried the child to term. She never told Peggy, Gary, or Jerry that she delivered a child. Unfortunately, being a single mother and college student was too much for Josephine. At three months, she took the child, whom she called Greg, to the local hospital and surrendered him under the state’s Safe Haven law.

Address the following questions:

  1. Shortly after the child was surrendered, Jerry found out that Josephine had delivered a child, which he thought was his. Jerry’s parents completed the paperwork necessary to adopt Greg, because they could not fathom the idea of someone else raising their grandchild. Should Jerry’s parents be allowed to adopt Greg? Explain and support your answer.
  2. Shortly after the child’s second birthday, Greg needed to have minor surgery to correct an intestinal problem. Part of the pre-surgery laboratory work involved determining the child’s blood type. The blood typing indicated that it was biologically impossible for Jerry to have fathered Greg. Jerry and Jerry’s parents are now suing Josephine. Should Josephine have to pay the amount of money it cost to raise and support Greg? Explain and support your answer.
  3. As part of her testimony in the lawsuit, Josephine discloses the truth about Greg and the surrogacy pregnancy. Although enraged, Jerry’s parents felt it necessary to contact Peggy and Gary. When Peggy and Gary learn that their biological child had actually been born, they petitioned the court to have their child returned to them and to award them custody. How should the court decide? Should the child remain with Jerry’s parents or be given to Peggy and Gary? Explain and support your answer.

Baby Fae Case Study

On October 14, 1984, Baby Fae was born two weeks premature, with hypoplastic left heart syndrome (a condition that at the time was 100 percent fatal). Baby Fae’s mother, Teresa Beauclair, was presented with two options; keep the child in the hospital or take the child home. Teresa opted to take the child home, and was preparing to go through the dying process until Dr. Leonard Bailey presented her with a third option. The highly experimental surgery involved replacing Baby Fae’s heart with that of a baboon. Dr. Bailey had been investigating the possibility of cross-species transplantation and discussed his research with Teresa, gaining her consent to the operation. As you can image, the medical procedure was publicized across the United States and animal rights activists were outraged and protested.

While initially, the operation appeared to be successful, Baby Fae’s organs started to fail, leading to her death 21 days after the transplant surgery was performed. In announcing her death at a press conference, Dr. Bailey stated, “Infants with heart disease yet to be born will someday soon have the opportunity to live, thanks to the courage of this infant and her parents.” One year later, the first human to human heart transplant was performed in a child. Dr. Bailey credits the success, in part, to the information and experience that was gained by performing the xenotransplant (Cross-species) procedure.

Address the following questions:

  1. What is your initial reaction to this case? What ethical concerns does this case bring up in relation to: autonomy, nonmaleficence, beneficence, fidelity, and justice? Explain and give specific examples.
  2. The study of animal research has led to many advances in diabetes, cancer, neurological conditions, and cardiac. Currently, pig and bovine valves are still used in heart surgeries. Do you feel research on animals is necessary in the medical field? Explain your answer.
  3. If you were caring for baby Fae, how could the following information effect your interaction with the parents, and possible care of the child? Do you feel information about the family: their past, current status, and criminal record, should be publicized or shared? Explain your answers.

After the transplant, NBC news released this information:

“NBC News has learned the identity of the child’s parents. We will respect their wishes and not name them. However, certain aspects of their past might be relevant to some of the medical controversies in this case. According to relative and court records, the couple was never married. They had separated by the time the infant was born. Both have had trouble with the law in the state they came from, the father for disorderly conduct, and the mother for passing bad checks. They had little money when the baby was born.”

  • For each of these cases an APA formatted paper must be used, and should include a title page, level headings, references and citations.
  • This assignment should include at least 3 references and
  • Should be at least three pages in length for each case (six pages, not including title page and references).
  • Students should address the proposed questions providing ample detail, examples, and additional support.

Describe the selected environmental factor

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The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

Include the following in your presentation:

  1. Describe the      selected environmental factor. Explain how the environmental factor you      selected can potentially affect the health or safety of infants.
  2. Create a health      promotion plan that can be presented to caregivers to address the      environmental factor and improve the overall health and well-being of      infants.
  3. Offer      recommendations on accident prevention and safety promotion as they relate      to the selected environmental factor and the health or safety of infants.
  4. Offer examples,      interventions, and suggestions from evidence-based research. At least      three scholarly resources are required. Two of the three resources must be      peer-reviewed and no more than 6 years old.
  5. Provide readers      with two community resources, a national resource, and a Web-based      resource. Include a brief description and contact information for each      resource.
  6. In developing      your PowerPoint, take into consideration the health care literacy level of      your target audience, as well as the demographic of the caregiver/patient      (socioeconomic level, language, culture, and any other relevant      characteristic of the caregiver) for which the presentation is tailored

Compare the physical assessments among school-aged children.

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The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

  1. Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.
  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

What is the purpose and interpretations of the pulmonary function test?

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Charlene is a 55-year-old female who has had emphysema problems for many years. She has a 20-year history of tobacco use. Today, Charlene was seen in the clinic due today increased shortness of breath and non-productive cough over the past three days. She has an SaO2 of 90% with most recent pulmonary function test findings indicating the following: FVC- 70% FEV1-69% FEV1/FVC ratio-69%.

Discussion Questions:

1. What physical findings might be indicative of a patient with emphysema?

2. What is the purpose and interpretations of the pulmonary function test?

3. What are the pathophysiological findings specifying emphysema?

4. What are the three functions of the respiratory center located in the brain stem?

5. Please provide a description of the oxyhemoglobin dissociation curve?

6. What are the pathophysiological findings specifying bronchitis?