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Discussion: Financing of Health Care

With coinciding concerns about health care costs and the imperative to improve quality of care, health care providers and others face difficult decisions in the effort to achieve an appropriate balance. Such decisions often are addressed in the policy arena. How do policymakers evaluate which health care services should be financed through government programs? How do ethics-related questions and other considerations play into this evaluation process? Is it possible to contain costs and provide accessible, high-quality care to all, or is the tension between cost and care inherent in the U.S. health care delivery system? These questions are central to health care financing decisions in the United States.

For this Discussion, you will focus on the policy decision-making process that determines what types of care are covered by public and private insurers and the ethical aspects of such financial decisions.

To prepare:

Read the case study “Economic Impact of States Declining Medicaid Expansion”  page 190 of the Milstead text( BOOK :HEALTH POLICY AND POLITIC ATTACHED BELLOW) .

Review the information in the Washington Post article “Review of Prostate Cancer Drugs Provenge Renews Medical Cost-Benefit Debate” in the Learning Resources. ( DOCUMENT ATTACHED BELLOW)

Consider how policy decisions currently are made about what will and will not be paid for and what changes, if any, could improve the process.

Reflect on how the Washington Post example illustrates the tension between cost and care.

Post your analysis and assessment of the ethical and economic challenges related to policy decisions such as those presented in the Washington Post article. 

How does this type of situation contribute to the tension between cost and care? Substantiate your response with at least two outside resources. 

CHECK THE MEDIA PRESENTATION ATTACHED BELLOW

  • attachment

    WashingtonPostarticleReviewofProstateCancerDrugsProvengeRenewsMedicalCost-BenefitDebate.docx
  • attachment

    MEDIAPRESENTATION.zip
  • attachment

    HealthPolicyandPolitics.pdf
  • attachment

    APA_Course_Pa

50 QS

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The interest that is earned or charged on both the principal amount and on the accrued interest that has been previously earned or charged is

 

 

accrued interest.

 

 

compound interest.

 

 

simple interest.

 

 

stated interest.

 

 

Question 2

 

 

 

 

A company has a fixed principal commercial loan where the amount borrowed is $120,000 for 5 years at 8 percent. The first monthly payment will be:

 

 

$2,000

 

 

$2,800

 

 

$9.600

 

 

$11.600

 

 

 

 

 

2 points

 

 

 

Question 3

 

 

 

 

Using the rule of 72, how long will it take $1,000 to double if you earn 6% interest per year?

 

6 years.

 

 

7.2 years.

 

 

10 years.

 

 

12 years.

 

 

Cannot tell from the information provided.

 

 

 

 

 

2 points

 

 

 

Question 4

 

 

 

 

You have to make a balloon payment on your house five years from now of $15,000. If money can earn an average of 6 percent a year for the five year period, how much will you have to place in the account today to have the $15,000 in five years?

 

 

 

 

 

 

 

 

 

 

$11,193.00.

 

 

$11,209.50.

 

 

$20,073.00.

 

 

$20,101.50.

 

 

 

 

 

2 points

 

 

 

Question 5

 

 

 

 

You have to make a balloon payment on your house five years from now of $15,000. If money can earn an average of 6 percent a year for the five year period, how much interest will you earn on your deposit in five years?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$3,790.50

 

 

$3,807.00

 

 

$5,073.00

 

 

$5,101.50

 

 

 

 

 

2 points

 

 

 

Question 6

 

 

 

 

JT purchases 1,000 shares of stock at $23.50 per share in January 2006. He sells the 1,000 shares in January, 2011 for $35.50 per share. What is his internal rate of return?

 

 

 

 

 

 

 

 

 

10.86%

 

 

16.08%

 

 

8.60%

 

 

6.08%

 

 

 

 

 

2 points

 

 

 

Question 7

 

 

 

 

N. Trest bought a $10,000 Treasury bill at a 1.32% discount for 13 weeks (91 days). How much does N pay for the bond?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$10,000

 

 

$9,967.09

 

 

$9,870.54

 

 

$9,685.90

 

 

 

 

 

2 points

 

 

 

Question 8

 

 

 

 

A noted free agent running back just signed a 4 year $30 million dollar contract with a new team. He will get a 7 million dollar signing bonus and a 4.5 million dollar roster bonus. Additionally, his salary will be 3.25 million for year 1, 5.25 million for year 2, 5 million for year 3 and 5 million for year 4. Salary is paid at the end of the year. Find the present value of hiw contract if money can earn 6%.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$15,897,083.78

 

 

$27,397,083.78

 

 

$23,911,000.35

 

 

$30,000,000.00

 

 

 

 

 

2 points

 

 

 

Question 9

 

 

 

 

A college education costs approximately $75,000 at an Ivy league school. If inflation averages 5% per year, what will be the cost of the college education in 15 years?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$1,745,697.74

 

 

$155,917.50

 

 

$125,754.75

 

 

$36,076.28

 

 

 

 

 

2 points

 

 

 

Question 10

 

 

 

 

Your employer gives you a stock bonus of $1,000 in your company at the beginning of each year. You plan to retire in 20 years. The stock has a growth rate of 15 percent per annum. How much would your employer give you in stock bonuses during the twenty years?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$1,000.

 

 

$15,000.

 

 

$20,000.

 

 

None of the above.

 

 

 

 

 

2 points

 

 

 

Question 11

 

 

 

 

Your employer gives you a stock bonus of $1,000 in your company at the beginning of each year. You plan to retire in 20 years. The stock has a growth rate of 15 percent per annum. What will the value of your stock be in 20 years?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$117,810.10.

 

 

$102,443.60.

 

 

$86,442.10.

 

 

$72,035.10.

 

 

Cannot determine with the information provided.

 

 

 

 

 

2 points

 

 

 

Question 12

 

 

 

 

Your employer gives you a stock bonus of $1,000 in your company at the beginning of each year. You plan to retire in 20 years. The stock has a growth rate of 15 percent per annum. What will the value of your gain on the stock be for the 20 years?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$52,035.00.

 

 

$82,443.60.

 

 

$97,810.10.

 

 

None of the above.

 

 

 

 

 

2 points

 

 

 

Question 13

 

 

 

 

How much will you have in a Roth IRA if you invest $5,000 a year for 35 years if money earns 6% and you make the investment at the end of the year?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$590,604.33

 

 

$557,173.89

 

 

$451,601.54

 

 

$474,181.61

 

 

 

 

 

2 points

 

 

 

Question 14

 

 

 

 

The city of Metropolis borrows $88,000,000 so that it can build a football stadium. It plans to set up a sinking fund that will repay the laon 10 years later. Assume a 6% interest rate per year. What will Metropolis have to place in the fund in the beginning of each year in order to pay back the $88,000,000?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$534,309

 

 

$536,980

 

 

$6,298,472

 

 

$6,676,380

 

 

 

 

 

2 points

 

 

 

Question 15

 

 

 

 

To determine the mortgage payment on a home loan with payments made at the beginning of each month, you would

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

determine the present value factor of an annuity due and divide the factor into the loan to determine the payment.

 

 

determine the present value factor of an annuity due and multiply the factor by the loan amount to determine the payment.

 

 

determine the present value factor of an ordinary annuity and divide the factor into the loan to determine the payment.

 

 

determine the present value factor of an ordinary annuity and multiply the factor by the loan amount to determine the payment.

 

 

 

 

 

2 points

 

 

 

Question 16

 

 

 

 

John Adams plans to retire at the age of 62. He wants an annual income of $60,000 per year. John is currently 45 years of age. How much does he have to place at the beginning of each year into a retirement account earning 15% per year in order to have an adequate retirement nest egg at age 62? He believes that he will live to be 87 and plans to earn 12% during retirement. He will draw the money at the end of each year. The solution to this problem requires us to use the _________ and the __________ factors.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

present value of a future annuity; future value of an ordinary annuity

 

 

future value of an ordinary annuity; future value of an annuity due

 

 

present value of an annuity due; future value of an annuity due

 

 

present value of an ordinary annuity; future value of an annuity due

 

 

 

 

 

2 points

 

 

 

Question 17

 

 

 

 

John Adams plans to retire at the age of 62. He wants an annual income of $60,000 per year. He believes that he will live to be 87. He will draw the money at the end of each year. How much money will he need when he retires in order to support his $60,000 annual life style if he will average 12 percent per year on his retirement account?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$439,800.

 

 

$470,586.

 

 

$505,302.

 

 

$527,058.

 

 

 

 

 

2 points

 

 

 

Question 18

 

 

 

 

John Adams plans to retire at the age of 62. He wants an annual income of $60,000 per year. He believes that he will live to be 87. He will draw the money at the end of each year. How much interest will he earn during his retirement years if he will average 12 percent per year on his retirement account?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$972,941

 

 

$994,699

 

 

$1,029,414

 

 

$1,060,200

 

 

 

 

 

2 points

 

 

 

Question 19

 

 

 

 

The acquisition of all the following assets are considered in capital budgeting except

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

bringing a new product to market.

 

 

purchase of inventory.

 

 

purchase of trucks.

 

 

purchase of office equipment.

 

 

 

 

 

2 points

 

 

 

Question 20

 

 

 

 

Which of the following is not a step in the capital budgeting decision?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

corrective action.

 

 

evaluating the data.

 

 

formulating a proposal.

 

 

making a decision to minimize the greatest future benefit.

 

 

post audit.

 

 

 

 

 

2 points

 

 

 

Question 21

 

 

 

 

Which of the following costs must be considered in evaluating a capital budgeting decision?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

start-up costs.

 

 

tax factor costs.

 

 

working capital commitment costs.

 

 

all of the above.

 

 

 

 

 

2 points

 

 

 

Question 22

 

 

 

 

You own a restaurant and just negotiated a decrease in the cost of steaks by 25 cents a steak. You normally sell 300,000 steak dinners a year. Your business pays an average of 30 percent in income taxes. What is the annual benefit of this increased efficiency?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$22,500.

 

 

$52,500.

 

 

$75,000.

 

 

$210,000.

 

 

 

 

 

2 points

 

 

 

Question 23

 

 

 

 

Anna Taylor buys a machine for her business. The machine costs $150,000. Anna estimates that the machine can produce $40,000 cash inflow per year for the next five years. Her cost of capital is 12 percent. What is the approximate present value of the future cash flow for Anna?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$184,192.

 

 

$164,456.

 

 

$161,492.

 

 

$144,192.

 

 

 

 

 

2 points

 

 

 

Question 24

 

 

 

 

Anna Taylor buys a machine for her business. The machine costs $150,000. Anna estimates that the machine can produce $40,000 cash inflow per year for the next five years. Her cost of capital is 12 percent. What is the approximate net present value?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$34,192.

 

 

$14,456.

 

 

$11,492.

 

 

$(5,808).

 

 

 

 

 

2 points

 

 

 

Question 25

 

 

 

 

Anna Taylor buys a machine for her business. The machine costs $150,000. Anna estimates that the machine can produce $40,000 cash inflow per year for the next five years. Her cost of capital is 12 percent. What is the approximate profitability index of this investment?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0.96.

 

 

1.08.

 

 

1.10.

 

 

1.22.

 

 

 

 

 

2 points

 

 

 

Question 26

 

 

 

 

George William buys a machine for his business. The machine costs $150,000. George estimates that the machine can produce $40,000 cash inflow per year for the next five years. George s cost of capital is 12 percent. What is the approximate internal rate of return?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.95%.

 

 

9.43%.

 

 

10.43%.

 

 

11.59%.

 

 

 

 

 

2 points

 

 

 

Question 27

 

 

 

 

Cheryl Peck purchased a computer network for her classroom. The computer network cost $100,000. She estimates that she can charge $500 for one session in the classroom. Cheryl knows that enrollment will increase over time. She estimates 50 students the first year, 75 students the second year, 100 students the third year, and 150 students the fourth year. If her cost of capital is 12 percent, what is her accounting rate of return?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33.87%.

 

 

46.88%.

 

 

64.87%.

 

 

78.33%.

 

 

 

 

 

2 points

 

 

 

Question 28

 

 

 

 

George William buys a machine for his business. The machine costs $200,000. George estimates that the machine can produce $40,000 cash inflow per year for the next five years. George\’s cost of capital is 10%. What is the payback for this investment?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.25 years

 

 

3.75 years.

 

 

5 years

 

 

9.43 years

 

 

 

 

 

2 points

 

 

 

Question 29

 

 

 

 

Sam Jones has an engineering firm. He wants to build a new headquarters building. The building will cost $1,500,000. He will put down $450,000 and have a bank finance the remainder at prime plus 2 percent. The prime lending rate is currently 8.5 percent. Sam will withdraw the money for the down payment from his mutual fund account where he has earned 13% for the last ten years. What percentage of the building is being equity financed?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.5%.

 

 

13%.

 

 

30%.

 

 

70%.

 

 

 

 

 

2 points

 

 

 

Question 30

 

 

 

 

Sam Jones has an engineering firm. He wants to build a new headquarters building. The building will cost $1,500,000. He will put down $450,000 and have a bank finance the remainder at prime plus 2 percent. The prime lending rate is currently 8.5 percent. Sam will withdraw the money for the down payment from his mutual fund account where he has earned 13% for the last ten years. What percentage of the building is being financed with other people s money?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10.5%.

 

 

13%.

 

 

30%.

 

 

70%.

 

 

 

 

 

2 points

 

 

 

Question 31

 

 

 

 

Sam Jones has an engineering firm. He wants to build a new headquarters building. The building will cost $1,500,000. He will put down $1,050,000 and have a bank finance the remainder at prime plus 2 percent. The prime lending rate is currently 8.5 percent. Sam will withdraw the money for the down payment from his mutual fund account where he has earned 13% for the last ten years. What is Sam s weighted average cost of capital?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.5%.

 

 

10.5%.

 

 

11.25%.

 

 

12.25%.

 

 

 

 

 

2 points

 

 

 

Question 32

 

 

 

 

Glen Write owns an engineering firm. He asked his employees for suggestions regarding equipment they thought the firm would need during the next year. They suggested the purchase of eight pieces of equipment. Glen calculated the net present value of each recommendation. Glenn has a policy of purchasing only one item per year. Which alternative to capital budgeting is Glen using?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

capital rationing.

 

 

mutually exclusive.

 

 

non-mutually exclusive.

 

 

positive NPV.

 

 

 

 

 

2 points

 

 

 

Question 33

 

 

 

 

A restaurant is trying to determine the lowest total cost for purchasing a replacement freezer. The cost of capital is 6% and the freezer should last for 11 years. The freezer initially cost $25,000. The annual electric bill is $3,600 and the salvage value is $6,000. What is the total cost for this freezer?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$34,600

 

 

$50,232.09

 

 

$50,700.40

 

 

$53,861.13

 

 

 

 

 

2 points

 

 

 

Question 34

 

 

 

 

The IRR can be used for investments

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

that produce equal cash flows.

 

 

that produce unequal cash flows.

 

 

that produce a lump sum future value.

 

 

all of the above.

 

 

 

 

 

2 points

 

 

 

Question 35

 

 

 

 

Risk is a term indicating all of the following except

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the certainty of future outcomes.

 

 

the probability that an expected outcome will occur.

 

 

the uncertainty of future outcomes.

 

 

the variability of the expected outcome.

 

 

 

 

 

2 points

 

 

 

Question 36

 

 

 

 

To have an insurable loss, all of the following criteria apply except

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the potential loss must be reasonably predictable.

 

 

the loss must be accidental.

 

 

the loss should be beyond the control of the insured.

 

 

the loss should be catastrophic for the insurance company.

 

 

 

 

 

2 points

 

 

 

Question 37

 

 

 

 

John owns a small department store that issues its own credit cards. He has been considering phasing out his own credit card and accepting Visa or MasterCard. If John chooses to do this he will be going from a position of risk _______________ to one of risk ___________.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

assumption, avoidance

 

 

avoidance, reduction

 

 

reduction, transfer

 

 

assumption, transfer

 

 

 

 

 

2 points

 

 

 

Question 38

 

 

 

 

Which of the following holds true for term insurance?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

premiums are paid for insurance and savings.

 

 

premiums decrease with age.

 

 

premiums increase with age.

 

 

term policies are renewed at a lower rate.

 

 

 

 

 

2 points

 

 

 

Question 39

 

 

 

 

Which of the following holds true for term insurance?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

all cash value is returned upon death.

 

 

policies cannot be used as collateral.

 

 

premiums paid have cash value.

 

 

premiums are paid for insurance only.

 

 

 

 

 

2 points

 

 

 

Question 40

 

 

 

 

Which of the following is the least liquid of all investments?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

cash.

 

 

bonds.

 

 

certificates of deposit.

 

 

real estate.

 

 

 

 

 

2 points

 

 

 

Question 41

 

 

 

 

According to Moody\’s Corporate Bond Ratings, bonds which are rated ________ are judged to be of the best quality?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

 

Aaa

 

 

Baa

 

 

Ba

 

 

 

 

 

2 points

 

 

 

Question 42

 

 

 

 

The coupon rate on a bond is the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

rate of interest the issuer agrees to pay to the lender on an annual basis.

 

 

rate of interest everyone else receives on bonds of a similar nature.

 

 

rate of interest the issuer agrees to pay the lender on a semi-annual basis.

 

 

rate of interest the lender agrees to pay the issuer on an annual basis.

 

 

 

 

 

2 points

 

 

 

Question 43

 

 

 

 

As the number of shares of common stock increases, the book value of each share will _____________ if equity does not change.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

decrease

 

 

increase

 

 

remain the same

 

 

none of the above

 

 

 

 

 

2 points

 

 

 

Question 44

 

 

 

 

Which of the following is a feature of cumulative preferred stock?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

dividends accumulate and are paid each year.

 

 

dividends in arrears are paid to both preferred and common stockholders.

 

 

dividends in arrears are paid to common stockholders.

 

 

dividends in arrears are paid to preferred stockholders.

 

 

 

 

 

2 points

 

 

 

Question 45

 

 

 

 

Balanced mutual funds

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

appeal to the investor who has a moderate tolerance for risk.

 

 

invest only in stocks.

 

 

invest only in bonds.

 

 

provide capital growth through bond coupon payments.

 

 

 

 

 

2 points

 

 

 

Question 46

 

 

 

 

Joe Dough buys $300 worth of ABC mutual fund every month. In June Joe pays $30 per share, in July he pays $25 per share and in August he pays $50 per share. What is Joe s average price per share?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$27.50.

 

 

$32.14.

 

 

$35.00.

 

 

$37.50.

 

 

 

 

 

2 points

 

 

 

Question 47

 

 

 

 

Which of the following is true about a Roth IRA?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The amount invested and the gain are both taxed.

 

 

The amount invested is taxed and the gain is not taxed.

 

 

Neither the investment or the gain are taxed.

 

 

The amount invested is not taxed and the gain is taxed.

 

 

 

 

 

2 points

 

 

 

Question 48

 

 

 

 

Wills

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

are not vital for single business owners.

 

 

are written documents that provide direction to others as to how you want your wishes carried out after death.

 

 

describe the disposition of business assets.

 

 

require the court to appoint an administrator.

 

 

 

 

 

2 points

 

 

 

Question 49

 

 

 

 

Section 529 plans

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

have tax free withdrawals if the money is used for qualified expenses.

 

 

have withdrawals which are taxed.

 

 

have tax free withdrawals if the money is used to buy a first home.

 

 

include prepaid tuition plans only.

 

 

 

 

 

2 points

 

 

 

Question 50

 

 

 

 

Keogh plans

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

are for the self employed.

 

 

usually have additional costs due to payroll taxes that have to be factored in.

 

 

usually are combinations of profit sharing and 401k\’s.

 

 

all of the above.

 

 

 

Discussion: Interaction Between Nurse Informaticists And Other Specialists

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ASSIGNMENT: Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.

Resources for assignment 

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.

https://www.youtube.com/watch?v=q1gNQ9dm0zg

https://www.youtube.com/watch?v=sofmUeQkMLU

Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

DUE 09/11/2019 BY 8AM 

part 2

 

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies. 

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

  • Review      the concepts of technology application as presented in the Resources.
  • Reflect      on how emerging technologies such as artificial intelligence may help      fortify nursing informatics as a specialty by leading to increased impact      on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe      the project you propose.
  • Identify      the stakeholders impacted by this project.
  • Explain      the patient outcome(s) or patient-care efficiencies this project is aimed      at improving and explain how this improvement would occur. Be specific and      provide examples.
  • Identify      the technologies required to implement this project and explain why.
  • Identify      the project team (by roles) and explain how you would incorporate the      nurse informaticist in the project team.

DUE 9/13/2019 8AM

Disc – WK1 (C)

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Comprehensive Integrated Psychiatric Assessment

The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.

In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent.

                                               To Prepare for the Assignment:

· Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.

· Watch the Mental Status Examination video.

· Watch the two YMH Bostonvideos.

                                                           Assignment 

Based on the YMH Boston Vignette 4 video, post answers to the following questions:

· What did the practitioner do well?

· In what areas can the practitioner improve?

· At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

· What would be your next question, and why?

PLEASE, INCLUDE INTRODUCTION, CONCLUSION, 3 OR MORE REFERENCES LESS THAN 5 YEARS OLD, AND ANSWER ALL THE QUESTIONS AS INSTRUCTED

Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 5, “Examination and      Diagnosis of the Psychiatric Patient” (pp. 192–289)
  • Chapter 31, “Child Psychiatry” (pp. 1082–1107)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

  • “Introduction”
  • “Use of the Manual”
  • “Cultural Formulation”

Kaplan, C. (2017). Ethical dilemmas. Advanced Healthcare Network. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Ethical-Dilemmas-2.aspx

Pumariega, A. J., Rothe, E., Mian, A., Carlisle, L., Toppelberg, C., Harris, T., . . .  Smith, J. (2013). Practice parameter for cultural competence in child and adolescent psychiatric practice. Journal of the American Academy of Child & Adolescent Psychiatry, 52(10), 1101–1115. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00479-6/pdf

American Academy of Child & Adolescent Psychiatry (AACAP). (2012a). Practice parameter for psychodynamic psychotherapy with children. Journal of the American Academy of Child & Adolescent Psychiatry, 51(5), 541–557. Retrieved from http://www.jaacap.com/article/S0890-8567(12)00141-4/pdf

American Psychological Association. (2017). Code of Ethics. Retrieved from http://www.apa.org/ethics/code/

 

Required Media

Gajbhare, P. (2014, March 8). Mental status examination [Video file]. Retrieved from https://www.youtube.com/watch?v=VjWVYgf2UcU

Note: The approximate length of this media piece is 36 minutes.

YMH Boston. (2013a, May 22). Vignette 1 – Introduction to a preventive services visit [Video file]. Retrieved from https://www.youtube.com/watch?v=pQy-jwiu7gM

Note: The approximate length of this media piece is 3 minutes.

YMH Boston. (2013c, May 22). Vignette 4 – Introduction to a mental health assessment [Video file]. Retrieved from https://www.youtube.com/watch?v=JCJOXQa9wcE

Note: The approximate length of this media piece is 4 minutes.

Organizational Learning And Learning Organizations

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Assignment 1—Organizational Learning and Learning Organizations

Organizational learning (OL) refers to situations where, to increase effectiveness, managers work on improving their ability to understand and lead the organization and the task environments. In his book, The Fifth Discipline: The Art and Practice of the Learning Organization, Peter Senge (2006) states that managers can promote organizational learning and create a Learning Organization by:

  • Developing personal mastery.
  • Building complex and challenging mental models.
  • Promoting team learning.
  • Building shared vision.
  • Encouraging systems thinking.

Using the University online library resources, locate a minimum of three different scholarly sources on OL.

Respond to the following:

  • From a manager’s standpoint, discuss the applicability of OL to your current workplace (or to a company you know well) in order to improve its performance.
  • Explain what kinds of actions and changes to the organization need to be implemented to achieve this goal.

Write your initial response in a minimum of 400 words. Apply APA standards to citation of sources.

By Friday, January 3, 2014, post your responses to the appropriate Discussion Area

Create Attribute Control Charts Chapter 7

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Week 7 Assignment: Textbook Problems:
Create Attribute Control Charts

Due 10/6/2018

As a current or future health care administration leader, you will likely engage in creating and presenting attribute control charts for your health services organization. As you have examined in this course, the use of attribute control charts will depend on the specific processes in your health services organization that require monitoring and oversight. Apart from interpreting and understanding the results of control charts for ensuring that processes are in control, developing skills in creating attribute variable control charts is necessary for health care administration practice.

For this Assignment, review the resources for this week that are specific to attribute control charts. You should focus on mimicking the development of p and np charts as demonstrated in the readings for this week.

The Assignment: (3– pages)

· Using SPSS and Microsoft Word, complete problems 1 through 5 on pages 297–299 in the Ross textbook. Show all work. Submit both your SPSS and Word files for grading.

ROBLEMS

1. A hospital is analyzing nosocomial infections and wants to reduce their infection rate below the national average of 2.0%. They have sampled 40 cases every week for the last 20 weeks. The data are shown below. Create p and np control charts. Interpret the graphs. How is the hospital performing in relation to its stated goal?

1 2 11 3

2 1 12 4

3 1 13 2

4 2 14 3

5 1 15 4

6 1 16 5

7 3 17 3

8 2 18 4

9 1 19 5

10 2 20 6

2. Walter Shewhart ([1931] 1980) presented the following data in his classic Economic Control of Quality of Manufactured Product. Create a p chart for each machine. Does either of the two machines show evidence of special cause variation?

MACHINE A

MACHINE B

MACHINE B

Month

Defective

Inspected

Defective

Inspected

Jan 4 527

Feb 5 610

Mar 5 428

Apr 2 400

May 15 498

Jun 3 500

Jul 3 395

Aug 2 393

Sep 3 625

Oct 13 465

Nov 5 446

Dec 3 510

Average 5.25 483.08

1 169

3 99

1 208

1 196

1 132

1 89

1 167

2 200

1 171

1 122

3 107

1 132

1.42 149.33

3. From January 1846 through December 1848 Semmelweis ([1860] 1983) recorded births and the number that resulted in the death of the mother at his hospital. The data is available in the Chapter07.xls file, in the Problem07–03 tab. Create a p chart to analyze performance. Interpret the chart. Was the system stable?

4. Postsurgical infections have been reported to affect 2% to 5% of the 16 million patients who undergo surgery in U.S. hospitals. Infections increase the chance of complications and death. Antibiotics given one hour prior to surgery have been shown to reduce the probabil- ity of infection. The director of quality improvement has sampled 20 patients per week over the preceding 25 weeks. The data is available in the Chapter07.xls file in the Problem07–04 tab. The data collected records whether a patient contracted an infection after surgery. Create a p chart to analyze performance. Interpret the hospital’s performance based on your control chart and identify any issues that should be investigated. Assuming the aver- age rate of infection is 3.5%, is the hospital doing a good job?

5. Readmission rates within one year for congestive heart failure have been documented at 35%. A local heart program wants to assess its performance against this standard. The pro- gram has randomly selected ten patients per month over a 24-month period for review. The data is available in the Chapter07.xls file, in the Problem07–05 tab. Some of the patients were deleted from the sample due to death, relocation, or other reasons that preclude follow-up. Create a p chart. Is the process stable? How is the program performing relative to the documented standard? Since not all months have 10 observations, either use 10 as the sample size or use the average sample size to calculate the control limits.

  • attachment

    CreateAttributeControlCharts.docx
  • attachment

    Ch07.xls
  • attachment

    07chapProblems.

The essay is intended to depict the bible story of God calling Moses in Exodus 3, 4, and 6. We are to identify what authors wrote which verses and the reason why we think that. Also, we are to redact the passages. Redaction is what occurs when you put both authors and their interpretation of the passages together and how does the general meaning or significance of the bible change. I have attached the file for the instructions for the essay, as well as my class notes. In the notes, I include the general characteristic of the authors J, P, and E and R which means redaction. On the following attachments of the notes, I include several examples the professor gave in class on examples on how to interpret passages from the authors and what happens after redaction. Finally, I attached the book we are to cite as well with the bible passages, which is the book Who Wrote the Bible by Richard Elliot Friedman. The book talks about the authors J, E, and P and the characteristics they have detailing why and how they wrote in the bible. Along with citing the bible passages/verses, we are to cite meaning from the book as well, with evidence from the book how we got to certain conclusions. On the last note attachment is a general guideline on how the essay should be structured with the Intro, Body, and Conclusion. I have purchased the digital copy of the book but do not know how to share it. If you don’t have asses to the book please let me know and I can see how I share it with you. Thank you for your help!!

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The essay is intended to depict the bible story of God calling Moses in Exodus 3, 4, and 6. We are to identify what authors wrote which verses and the reason why we think that. Also, we are to redact the passages. Redaction is what occurs when you put both authors and their interpretation of the passages together and how does the general meaning or significance of the bible change. I have attached the file for the instructions for the essay, as well as my class notes. In the notes, I include the general characteristic of the authors J, P, and E and R which means redaction. On the following attachments of the notes, I include several examples the professor gave in class on examples on how to interpret passages from the authors and what happens after redaction. Finally, I attached the book we are to cite as well with the bible passages, which is the book Who Wrote the Bible by Richard Elliot Friedman. The book talks about the authors J, E, and P and the characteristics they have detailing why and how they wrote in the bible. Along with citing the bible passages/verses, we are to cite meaning from the book as well, with evidence from the book how we got to certain conclusions. On the last note attachment is a general guideline on how the essay should be structured with the Intro, Body, and Conclusion. I have purchased the digital copy of the book but do not know how to share it. If you don’t have asses to the book please let me know and I can see how I share it with you. Thank you for your help!!

Mathematics

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PROJECT 10 ASSESSMENT
RETIREMENT PLANNING RUBRIC
This project has a total value of 20 points.
The student did not follow directions. (minus 2)
The student completed the social security piece. (plus 6)
The student did not attempt. (0 points)
The student completed the What’s Your Number worksheet. (plus 6)
The student did not attempt. (plus 0)
The student completed the retirement income calculator. (plus 6)
The student did not attempt. (plus 0)
The student completed the Three-Legged Stool worksheet. (plus 2)
The student did not attempt. (plus 0)
Total
STUDENT HANDOUT 10A
PROJECT 10 OVERVIEW: RETIREMENT PLANNING
HOW MUCH MONEY WILL I NEED TO RETIRE?
Retirement is the time in life when the major sources of income change from earned income to employer-based retirement benefits, private savings and investments, social security, etc. In this lesson, you will:
• Examine the need to start saving early
• Calculate how much money you will need for retirement
• Identify the sources of retirement income
• Create a strategy for saving for retirement
As you begin your working phase of life, it is a good idea to start planning what you will need to be comfortable during retirement. You will need to start thinking about the following questions:
1. What age do I want to retire?
2. How long do I anticipate living past retirement?
3. What type of lifestyle do I want in retirement?
4. How much money will I need to maintain that lifestyle?
STUDENT HANDOUT 10B
PROJECT 10 ACTIVITY
RETIREMENT PLANNING EXERCISE
STEP 1: ESTIMATE YOUR SOCIAL SECURITY BENEFITS
Using the Social Security Administration’s website, www.ssa.gov/retire2, familiarize yourself with the rules surrounding collecting social security benefits. Determine what age you would like to retire and what your life expectancy might be. If you are currently working or have worked in the past, you can access your personal information by creating an account.
Use this link to open an account and print your benefits statement: https://secure.ssa.gov/RIL/SiView.do.
If you have not had a job or do not have a social security number, use this link to access a sample social security benefits statement: www.ssa.gov/myaccount/SSA-7005-OL.pdf.
Understanding how much you will receive in social security benefits is the first step in planning for your financial future during retirement.
____________ Estimated Monthly Income
____________ Estimated Yearly Income
STEP 2: FIND YOUR NUMBER
Access the retirement calculator here:
http://www.bankrate.com/calculators/retirement/retirement-calculator.aspx.
• Enter how much you think you will need annually in retirement in the first box. To calculate the annual income you will need for retirement, find 80% of your current household income.
• To find the average income for the career path you have chosen (For example, if you want to go into accounting you could use the following link to see what the national average is: www.payscale.com/rcsearch.aspx?category=Job&str=accounting&CountryName=United+States&SourceId=Country.) If you have a different career path, type the job title in the box to the left.
• Recall the chart from the Social Security Administration in Step 1. To find the number of years until retirement, subtract your current age from your anticipated retirement age and enter it in the second box.
STUDENT HANDOUT 10B
PROJECT 10 RETIREMENT PLANNING EXERCISE (CONTINUED)
• To determine how many years you will need income after you retire, , you can look at the average age of relatives. Most experts say that you should plan to live until the age of 90. This may need to be adjusted as you grow older and as life expectancy models change.
• In the annual inflation field, use 3 as your value.
• For the annual yield on balance field, use 5 as your value.
• Click calculate.
• Print the page that shows your number. Put this with your social security benefits estimate.
STEP 3: RETIREMENT INCOME CALCULATOR
Now that you know what you need for retirement, it is important to understand how you will reach such a large number. Use the following link and complete the questions. https://www3.troweprice.com/ric/ricweb/public/ric.do?src=startover
• Do not hit register or log in. Go directly to start.
• This assignment is to be completed as an individual. Do not include a partner or spouse (click no).
• Enter the month and year you were born, click saving for retirement, and then click next.
• In the first box, enter how much you have saved for retirement. If you don’t have a retirement account, indicate zero. If you are not working, assume that you contribute $100 per month to retirement savings.
• Enter your current salary. If you aren’t working, enter the average salary for your chosen career (determined in Step 2, above).
• If you are currently working, enter your correct information into the workplace contributions space. If you are not working, assume that you contribute 5% and your employer matches your 5% contribution for a total of 10%.
• List other contributions if they apply. Click next.
• For asset allocation, use the default settings of 90% Stocks and 10% Bonds. Click next.
• Enter the age you expect to retire.
• Enter how much you think you’ll spend per month in retirement. Recall earlier we indicated that would be 80% of your current household income.
• Click the yes button to include the estimated social security benefit.
• If your place of business provides a pension, include that information in the next box. If you aren’t working, leave it blank. Click next.
• Review the results and print the page.
You will need to turn in the social security benefits sheet, the ING number printout, and the Retirement Income Calculator printout with your Three Legged Stool worksheet.
Be prepared to discuss how you felt about this process.
STUDENT HANDOUT 10C
PROJECT 10 ACTIVITY
THREE-LEGGED STOOL WORKSHEET
Planning for retirement is a three-legged stool.
Insert the dollar amount from the retirement calculator:
How much will you need per month?
What are your monthly social security contributions?
How much are you employer benefits contributions per month?
What do you plan to contribute from personal savings each month?
Will you have enough money to retire at the age you chose?
STUDENT HANDOUT 10D
PROJECT 10 ADDITIONAL RESOURCES
SOCIAL SECURITY STATEMENT
Go to: http://ssa.gov/myaccount/SSA-7005-OL.pdf
STUDENT HANDOUT 10D
PROJECT 10 ADDITIONAL RESOURCES
SOCIAL SECURITY STATEMENT
Go to: http://ssa.gov/myaccount/SSA-7005-OL.pdf
STUDENT HANDOUT 10D
PROJECT 10 ADDITIONAL RESOURCES
SOCIAL SECURITY STATEMENT
Go to: http://ssa.gov/myaccount/SSA-7005-OL.pdf
STUDENT HANDOUT 10D
PROJECT 10 ADDITIONAL RESOURCES
SOCIAL SECURITY STATEMENT
Go to: http://ssa.gov/myaccount/SSA-7005-OL.pdf

17) After Consulting With Butch Radner, George Monohan Was Able To Determine The Activity Times For Constructing The Week-Harvesting Machine To Be Used On Narrow Rivers.

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17)          After consulting with Butch Radner, George Monohan was able to determine the activity times for constructing the week-harvesting machine to be used on narrow rivers. George would like to determine ES, EF, LS, LF, and slack for each activity. The total project completion time and the critical path should also be determined.  (See Problem 16 for details). The activity times are shown in the following table:

ACTIVITY                              TIME (WEEKS)

A                                             6

B                                             5

C                                             3

D                                             2

E                                              4

F                                              6

G                                             10

H                                             7

 

REFERENCE ONLY                                                                                                                                            

 

16) Monohan Machinery specializes in developing weed-harvestnig equipment that is used to clear small lakes of weeds. George Monohan, president of Monohan Machinery, is convinced that harvesting weeds is far better than using chemicals to kill weeds. Chemicals cause pollution, and the weeds seem to grow faster after the chemicals have been used. George is contemplation the construction of a machine that would harvest weeds on narrow rivers and waterways. The activities that are necessary to build one of these experimental weed-harvesting machines are listed in the following table. Construct a network for these activities.

 

ACTIVITY              IMMEDIATE PREDECESSORS

A                                             –

B                                             –

C                                             A

D                                             A

E                                              B

F                                              B

G                                             C, E

H                                             D, F

 

 

 

 

 

  • perform certain calculations discussed in the assigned reading in order to derive an answer for each problem.
  • use Microsoft Excel to complete each problem and submit a single Excel spreadsheet that contains a separate worksheet (i.e., separate tab) for each problem.
  • have each worksheet be clearly labeled to identify the associated problem.
  • to show all calculations or other work performed to derive your answer(s) for each problem.
  • have your spreadsheet be fully functional (i.e., configured to allow the reader to not only see all numerical values, but also be able to see the underlying formula associated with each calculated value).
  • to label your work in each worksheet to clearly identify the nature of each piece of data or calculated value.

No credit will be granted for problems that are not completed using Excel, for which your Excel worksheet is not fully functional, or for which you have not shown all of the calculations or other work performed to derive your answer(s). You may refer to the course textbooks, supplemental reading materials, online information, and your own notes in conjunction with completing the homework assignments. Once you have completed the necessary calculations to solve each problem and answer the associated questions, select the hyperlink provided to submit your Excel spreadsheet for grading.

 

 

 

 

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

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Week 1: Building a Comprehensive Health History

According to a 2011 Gallup poll, nurses are ranked as the most trusted professionals in the United States. One of the most admired nursing skills is the ability to put patients at ease. When patients enter into a healthcare setting, they are often apprehensive about sharing personal health information. Caring nurses can alleviate the hesitance of patients and encourage them to be forthcoming with this information.

The initial health history interview can be an excellent opportunity to develop supportive relationships between patients and nurses. Nurses may employ a variety of communication skills and interview techniques to foster strong bonds with patients and to effectively facilitate the diagnostic process. In conducting interviews, advanced practice nurses must also take into account a range of patient-specific factors that may impact the questions they ask, how they ask those questions, and their complete assessment of the patient’s health.

This week, you will consider how social determinants of health such as age, gender, ethnicity, and environmental situation impact the health and risk assessment of the patients you serve. You will also consider how social determinants of health influence your interview and communication techniques as you work in partnership with a patient to gather data to build an accurate health history.

Learning Objectives

Students will:

  • Analyze communication techniques used to obtain patients’ health histories based upon social determinants of health
  • Analyze health-related risk
  • Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient information

Learning Resources

Required Readings (click to expand/reduce)
Required Media (click to expand/reduce)

Discussion: Building a Health History

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

  • By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
  • How would your communication and interview techniques for building a health history differ with each patient?
  • How might you target your questions for building a health history based on the patient’s social determinants of health?
  • What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
  • Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
  • Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
  • Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Read a selection of your colleagues’ responses.

By Day 6 of Week 1

Respond to at least two of your colleagues on 2 different days who selected a different patient than you, using one or more of the following approaches:

  • Share additional interview and communication techniques that could be effective with your colleague’s selected patient.
  • Suggest additional health-related risks that might be considered.
  • Validate an idea with your own experience and additional research.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 of Week 1 and Respond by Day 6 of Week 1

To Participate in this Discussion:

Week 1 Discussion

What’s Coming Up in Module 2?

 

In Module 2, you explore the impact of functional assessments, diversity, and sensitivity in conducting health assessments. You also examine various assessment tools and diagnostic tests used to gather information about patients’ conditions and examine their validity, reliability, and impact in conducting health assessments.

Next week, you will specifically examine functional assessments as they relate to diversity and sensitivity

Registration for Shadow Health

Throughout this course, you will participate in digital clinical experiences using the online simulation tool Shadow Health. The Shadow Health digital clinical experience provides a dynamic, immersive experience designed to improve nursing skills and clinical reasoning through the examination of digital standardized patients. Using Shadow Health you will participate in health histories, focused exams, and a comprehensive assessment.

There will be four Shadow Health assessment components that you will need to complete in Module’s 2 and 3:

  • Health History Assessment (Week 3 & 4)
  • Focused Exam: Cough (Week 5) for a pediatric patient presenting with cough
  • Focused Exam: Chest Pain (Week 7) for an adult patient presenting with chest pain
  • Comprehensive (Head-to-Toe) Physical Assessment (Week 9)

Before you can participate in these simulations, you will need to register for a Shadow Health account. To do this:

  • Go to the Walden Bookstore and purchase access to Shadow Health and the required texts.
  • Once Shadow Health has been purchased, an access code will be emailed to you from the bookstore.
  • Review this video explaining how to register in Shadow Health: https://vimeo.com/275921826/c12d50ee6e
  • Use the Shadow Health link located in the navigation menu on the left in the Blackboard course.
  • Follow the prompts to register in Shadow Health. You will need the access code provided from the bookstore to register. Once registered, Shadow Health should always be accessed via the link in Blackboard.
  • Use only Google Chrome when accessing Shadow Health and make sure all other programs are turned off on your computer. Other browsers do not work well and will not allow the Shadow Health speech to text function to work.
  •  Once registered, complete the Shadow Health Orientation in the Shadow Health website/program and review the videos designed to assist with navigating and completing assignments.
  • Read the Shadow Health Nursing Documentation Tutorial located in the Week 1 Learning Resources.

Note: As nurses you typically use the word assessment to mean completing the physical exam. However, in the SOAP Note format, assessment means diagnosis so start getting in the habit of calling the physical exam exactly that.

Week 2 Case Studies

In Week 2, your Instructor will assign you a case study related to your Discussion by Day 1 of the week. Please make sure to review the “Course Announcements” area of the course to verify your assigned case study. Please plan ahead to ensure you have time to review your case study and your Learning Resources so that you can complete your Discussions and Assignments on time.