Article

Billions spent to fix VA didn’t solve problems, made some issues worse.http://www.cnn.com/2016/07/05/politics/veterans-administration-va/index.html1. Critique the quality as this article states, Money isn’t an issue. What do you think is the problem?300-word minimum• Must address the topic• Discussion question with a minimum of 300 words minimum and 500 words maximum.Three references. The references must be published within the last five days. a textbook must be one of the references.Use APA style

 
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DB 8 discussion

Think About: OUR NATIONAL BULLYING EPIDEMICNo matter what your age or where you are from, you almost certainly experienced elementary school, middle school or high school bullying at some point in your childhood (either as a victim, a witness, or maybe even the perpetrator). Keep in mind that many of us actually fit into all three of these categories. Bullies have typically been bullied and bullying victims often go on to bully others.First Response Post: Whatever your perspective or place in the bullying aggression, try to remember how the school addressed the behavior. Answer the following questions:What was the response of the school administration (teachers, principal, counselors, etc)?  Was the response sufficient (did it stop the behavior)? If the response was not sufficient, what more could/should  the school administration have done?

 
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Abdominal Assessment Case Study

Abdominal Assessment Case Study SOAP NoteSubjective:•CC: “My stomach hurts, I have diarrhea and nothing seems to help.”•HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.•PMH: HTN, Diabetes, hx of GI bleed 4 years ago•Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs•Allergies: NKDA•FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD•Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)Objective:•VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs•Heart: RRR, no murmurs•Lungs: CTA, chest wall symmetrical•Skin: Intact without lesions, no urticaria•Abd: soft, hyperactive bowel sounds, pos pain in the LLQ•Diagnostics: NoneAssessment:•Left lower quadrant pain•GastroenteritisPLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.The Assignment InstructionsDo this assignment in narrative form and not SOAP note form. Please follow the rubric.Analyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or why not?What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?Would you reject/accept the current diagnosis? Why or why not?Identify three possible conditions that may be considered as a differential diagnosis for this patient.Explain your reasoning using at least three different references from current evidence-based literature.This is the link to download the bookhttps://www.sendspace.com/file/wd7quh

 
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I need help

For this assignment, you will research risk management programs for health care facilities or organizations. Review the criteria below in order to select an exemplar that applies to your current or anticipated professional arena. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)In a 1,000-1,250 word paper, provide an analysis that includes the following:Brief summary description of the type of risk management plan you selected (new employee, specific audience, community-focused, etc.) and your rationale for selecting that example.Description of the recommended administrative steps and processes in a typical health care organization risk management program contrasted with the administrative steps and processes you can identify in your selected example plan. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)Analyze the key agencies and organizations that regulate the administration of safe health care and the roles each play in the risk management oversight process.Evaluation of the selected exemplar risk management plan regarding compliance with the American Society of Healthcare Risk Management (ASHRM) standards relevant to privacy, health care worker safety, and patient safety.Proposed recommendations or changes you would make to your selected risk management program example to enhance, improve, or to secure compliance standards.In addition to your textbook, you are required to support your analysis with a minimum of three peer-reviewed references.

 
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Advocacy

What examples of advocacy do you see in your own nursing practice? List and discuss 2 examples.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

 
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Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing unit’s decision to celebrate? To what extent can the leadership be confident that the trend will continue?By Day 3Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the performance improvement tools, and explain how they contributed to the outcome.Support your response with references from the Resources and professional nursing literature. Your posts need to be written at the capstone level (see checklist).Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations.

 
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Health Screening and History of an Adolescent or Young Adult Client

Due Date: Dec 01, 2017 23:59:59       Max Points: 150Details:In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.Complete the assignment as outlined on the worksheet, including:Biographical dataPast health historyFamily history: Obstetrics history (if applicable) and well young adult behavioral health history screeningReview of systemsAll components of the health historyThree nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)Rationale for the choice of each nursing diagnosis.A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.APA format is required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 
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Activity

Explain how the unitary-transformative theoretical approaches impact grand theories and the metaparadigm in nursingStudents must include the following criteria for each individual activity:1. One initial posting by Thursday at 11:59 PM/EST.Include one scholarly peer-reviewed reference for the initial posting.2 pointsThe initial posting is substantive demonstrating critical thinking and thoughts delving deeper into the discussion topic and course content and includes a minimum of one professional peer-reviewed scholarly journal.1 pointPosting and responses are clear, concise, and in proper APA format for citations and references. No grammatical errors are noted. The entry adds worth to the dialogue and the comments build on the previous statements of others.

 
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help with an assignment

 
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topic 4

·  Community AssessmentDiscuss community and public health challenges to improving health outcomes.· Illustrate an interdisciplinary approach to improve health outcomes of the community.·  Examine information technology systems used to identify, communicate, and address health concerns of the community.· Examine evidence-based practices associated with improving outcomes in community and public health.· Illustrate the impact that barriers to healthcare access and challenges to improve health outcomes have on community and public health.· Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.3 page minimun

 
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