FOCUS ON IMPACT, NOT PROCESS

please read the peers discussions and respond to them APA format with reference

Discussion 1

It really depends what kind of relationship you have with your upper management. If they are very receptive to you and they have this “open door policy “then just go ahead and asked if they can spare a moment for you and present your case. If you don’t know your upper management or this is the first time that you are going to approach them, then it would be good to send them an e-mail asking for an audience or invite them over a lunch date then slowly suggest that you would like to discuss a project with them. If they agree then you have that ticket to discuss your plans.

When you are presenting your plan it would be good to remember these 6 simple guides when talking to upper management.

1. FOCUS ON IMPACT, NOT PROCESS

One of the keys to successful upward communication is to emphasize outcomes rather than processes and background details. Focus on what they will get from your plan first then the details of your plan

2. LOOK TO THE FUTURE, NOT THE PAST

Show off your vision of what’s ahead, not your ability to rationalize the past. Especially if your idea is new, you don’t have to discuss how you get your idea.

3. KNOW YOUR NUMBERS

When you’re speaking seriously with high-level decision-makers, anecdotes and explanations aren’t enough. You need to have a strong grasp of the facts and data behind your claims; don’t just present useless numbers just get to the point of how much savings this idea of yours will affect the budget of any expected money that you will get from your plan

4. AVOID BUSINESS IDIOMS

“Think outside the box.”, “Hit the nail on the head.”, “Run it up the flagpole.” What do these phrases have in common? Besides being cliché, they’re too informal, euphemistic, and empty of actual meaning. Every word counts; don’t waste your time on tired phraseology.

5. GET TO THE POINT

Another key to successful upward communication is to get to the point immediately. Speak with precision and clarity. “Time is money” has become a cliché, but it’s true. The higher-level your listeners, the less patience they’ll have.

6. FOCUS ON MANAGEMENT’S TOP CONCERNS

Don’t just use data for the sake of using data.

Communicating with upper management demands showing how your goals are aligned with the vision and priorities of your listeners–and subsequently the company’s. It’s great to have innovative ideas, but if they don’t square with the objectives of the people you’re speaking with, they won’t go very far. (Grant A, 2015)

Reference:

Grant, A. (2015, August 20). Your Guide To Communicating With Upper Management. Retrieved from https://www.fastcompany.com/3049998/your-guide-to-…

Discussion 2

The first thing I would do when I have found a way to make an improvement is gather data from an published trials with current literature that is supportive of the innovation. I would put together a visual presentation such as a power point presentation that would include any research information that is associated with my idea. Next, I would present the idea in a staff meeting to get my team members on board with the idea. If I get others on board with my idea it may go further because the idea will seem more realistic and be an example to those that may be resistant to new changes (Kowal, 2013). I would verbally present this information to them to make them aware of the importance of the projected change. I would then utilize the “CSR model” which is consistency, standardization, and reproducibility (Kowal, 2013). Finally, after the trial run, I would arrange a power point presentation with the stated problem, statistical research and trial run data. All tithe information would be presented with visual graphs and employee accounts of the experience to make my idea sound beneficial to the patients, staff and budget. Providing visuals and actual accounts from co-workers is helpful in influencing change.

Reference

Kowal, C. (2013, April 25). Implementing Changes for Better Patient Care. Retrieved from

https://www.wiley.com/en-us/Improving+Patient+Care…

Discussion 3

According to paramount scholars such as Riley (n.p.), communication entails transmitting information from one person or a group to another. It plays an integral role in the daily endeavors of any organization. As such, it can be used to motivate, direct, convince, organize, and inform. Therefore, practitioners should have excellent communication skills for them to improve quality of healthcare facilities. This paper seeks to expound on the communication tool that I would deploy to present my idea of improving patient care to the top management for them to fund and support it.

Initially, before presenting my idea to the top executives, I would do comprehensive research on the proposal. The study will aid me with more knowledge about the idea. Additionally, I would discuss my plan with my colleagues and some patients. The coworkers might have some opinions that could help me modify and improve my proposal (Huber n.p.). Consequently, since the idea is intended to improve patient care, it would be crucial to discuss the project with patients and consider their opinions on the same. After conducting the research, I would summarize my idea to make it simple and clear. Moreover, comprehensive study on the proposal will give me the confidence to present it to the management. In the rear, I would make sure that my idea is in alignment with the vision of the top executives.

Remarkably, there are various communications tools that practitioners can use to present their ideas to the top management. As such, they can be in the form of verbal or written communication. Initially, I would use written communication. In this case, emails would be most useful. Emails are very fast in passing information from one person to another. Information sent via emails can reach a large number of people, regardless of where they are (Koivunen et al. 629). Additionally, emails will enable me to send detailed information to the executives.

Notably, after sending the emails to the executives, it is beyond reasonable doubts that they will be having questions on the proposal and at the same time, they might need clarification on some issues. In this case, I would request the top executives arrange a meeting so that I can clarify the issues. During the gathering, I would deploy oral communication accompanied by some visual tools such as a power point presentation. I would design the power point in a way that it is more appealing to the executives. Besides, using power point presentation would be crucial because the voluminous information is compressed to reduced and precise points.

Concurrently, during the meeting, I would explain to the management the need and purpose of the idea, how the plan will improve patient care and at the same time clarify its benefits to the hospital. Additionally, it would be imperative to outline the resources that are needed in the implementation of the idea. I would also request the top executives to support my ideas concerning funds. After my presentation, I would give the members a chance to ask questions. I would respond to the queries confidently so that the management would support my idea. In the rear, using the above communication tools would convince the top management to support and fund my idea of improving patient care. In conclusion, it is imperative for nurses to be familiar with communication tools and the appropriate time to use them. Proper communication enables the practitioners to be more competent in their career and at the same time advance healthcare.

Reference

Huber, Diane. Leadership and Nursing Care Management-E-Book. Elsevier Health Sciences, 2017.

Koivunen, Marita, Anne Niemi, and Maija Hupli. “The use of electronic devices for communication with colleagues and other healthcare professionals–nursing professionals’ perspectives.” Journal of advanced nursing 71.3 (2015): 620-631.

Riley, Julia Balzer. Communication in nursing. Elsevier Health Sciences, 2015.

Discussion 4

A leaders ability to effectively communicate ideas through clear, direct, straightforward communications tool is essential. There are three important elements that must be included in creating and fostering effective communication; which are trust, respect, and empathy (Huber, 2014). In healthcare, there are various issues on the topics of patient care, and it seems there is never enough time to solve each issue without dealing with opposing forces. Problem-solving skills are essential to leadership, and the goal is always to minimize the occurrence of ongoing problems that may affect patient care. This means that a leader must develop a plan to tackle the issue head-on and present this to the upper management for review and support. The major obstacle that leaders find when attempting to make a difference is the lack of budget and resources and many circumstances that make it harder for productivity. But a good leader must be optimistic and have a clear vision of the solution. The issue must never be viewed as a distraction but rather as an opportunity for continuous improvement.

The first step to solving any problem is to conduct a research on the ongoing issue and share the problem with other team members to get feedback. Evidence-based research is essential in presenting a solution to an existing problem (Huber, 2014). The vision must be clear, and transparent communication is necessary; where everyone concerns and point of view are freely expressed and understood. Once the plan or vision is identified, the leader can analyze the situation by using the SWOT analysis and establish goals. In the vision the leader must set the objectives and display the cost and timeline in achieving the objective goals. All of these factors must be clear before presenting this to the upper management in order to give a clear view of the issue and strategic solutions (Huber, 2014). A written communication tool is necessary to present the idea clearly. This includes a detailed written proposal that communicates the problem/purpose, benefit, cost or budget justification and methods of evaluations. Next, the leader can incorporate visual communication which includes graphs, brochures, powerpoint presentations, and videos during the presentation of the vision. Once the the project is approved and test trials have begun, the project has to be evaluated and improved during the within the timeline goal.

Reference

Huber, D. (2014). Leadership and Management Principles. Leadership and Nursing Care Management, 5th Edition. [Pageburstl]. Retrieved from https://pageburstls.elsevier.com/#/books/978145574…

Discussion 5

Communication is a key tool to use when the goal is to see a change. There are several ways that information can be delivered; however, there are specific communication strategies that work best, with certain scenarios. Messages to share with upper management can include sharing-evidence based practice, missions and values, and plans (Cullen, Dawson, Hanrahan, & Dole, 2014). The best way to communicate with upper management is through meeting. At meetings, several individuals can meet in one room, and have an open discussion about specific topics. If for example, the topic was decreasing pressure ulcers in developmentally delayed children, the person running the meeting could present facts, use evidence-based practice, and a plan. Such topics could be discussed over a power point presentation. With the power point, pictures and videos may be shown. If there are facts to be shown, then the numbers can be emphasized by using bold font with a different color. For this reason, I would go with a power point presentation as I could incorporate sound, images, words, and numbers, all in one presentation. Also, to guide the presentation, handouts can also be used to identify which points will be discussed. When ideas are presented in a simple manner, it could be easier for everyone to understand and add their input.

Reference

Cullen, L., Dawson, C. J., Hanrahan, K., & Dole, N. (2014). Evidence-Based Practice: Strategies for Nursing Leaders. Leadership and Nursing Care Management, 5th Edition. [Pageburstl]. Retrieved from https://pageburstls.elsevier.com/#/books/978145574…

Discussion 6

To try to get upper management to support and fund an initiative which the I believe would improve patient care, the communication tools this I prefer to use is persuasion. Persuasion is a deliberate attempt to change the thoughts or behaviors of another person, (Huber, 2010). People in general are very reluctant to allocate resources to an initiative if: 1) The information presented does not address an issue which fits in with the organization’s mission and vision, and 2) The information is not clear and concise. As one who would be presenting this information to upper management, I would first have to show what the underlying issue is and how my initiative would benefit the organization, if implemented. Showing data regarding how patient care in a specific area is lacking, providing data on success stories with other institutions implementing the proposed initiative, providing data on a pilot study being performed in the unit, are all ways one can persuade upper management to support and fund the program.

Huber, D., (2010). Leadership and Nursing Care Management, 4th Edition. Iowa: Elsevier

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Business Principles

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

References:

  • Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

  • Response posts: Minimum 200 words

Peer discussion 1

Business Principles

The purpose of the discussion is to discuss three business principles from this week’s power point that I feel are needed to maintain safe, quality, patient-centered care that is fiscally sound. The patient population I care for is actually 340 employees at a large chemical manufacturing company. I am one of numerous onsite occupational health clinics across the globe that strives to provide quality care to the employees in order to maintain and improve workplace health and safety. I have selected three important business principles that I feel best reflect my clinic and patient needs. I will discuss how these three principles are utilized in my organization and how they impact healthcare.

Of the ten basic business principles Greg Fisher (2008) highlighted, three of them caught my attention the most as the principles most apparent at my clinic site. The first principle is to incentivize your employees for success. This holds true in two different aspects in my occupation. First, I am responsible for the health and wellbeing of the employees in this company. In order for individuals to take personal health accountability and to see value in the wellness programs, incentives are given as rewards for their efforts. The second aspect is the benefits the company and I reap for having healthy employees. This can range from lower injury rates, decreased healthcare costs, decreased absenteeism, improved employee morale, and job security for myself. Incentives help to drive people to provide best service which helps improve productivity.

The second principle I would like to discuss is to always maintain your integrity. I feel this is a great strength in the organization I work for. I work alongside other health and safety professionals with a common goal to promote health and safety so everyone returns home the way they came in. When an injury occurs onsite, the incident is entered into the Occupational Safety and Health Administration log. This enables the Department of Labor the ability to monitor workplace safety statistics. Although increased injury rates provide a negative view on the company, having the integrity to follow the policy and log the incidents without looking for a loop-holes in interpretation is something I can proudly boast my site does. Additionally, I as the site nurse am responsible for performing medical surveillance physicals to approve an employee fit for duty. The physician and I work very hard to be sure we are following best practice standards and are providing the utmost care to the employees rather than just stamping them fit for duty. By addressing health issues in employees and promoting wellness and disease prevention, helps to improve overall employee health and lower healthcare cost. Just these two examples are ways to express not just personal, but corporate integrity in order to promote health and safety.

Finally, the last principle that is essential in any successful business, is to manage your cashflow. When I assumed my current nursing role a little over a year ago, medical and office supplies where everywhere! It took months but I have finally been able to reorganize the department in order to maintain sufficient supplies without over ordering. There were so many expired items that had to be discarded that if the previous ordering system had continued would have waste a lot of company money. With a decrease in supply costs, I was able to upgrade medical equipment to better manage the employees’ health. The medical department does not bring income to the company however, with improved employee health, absenteeism decreases therefore productivity increases.

In conclusion, providing safe, quality, patient-centered care that is fiscally sound requires more than just the three business principles I highlighted today. It requires nurses to advocate for their patients right to receive safe and quality care. These principles mean a lot to me personally as I hold a lot of responsibility as the only nurse on site. I have a very supportive team and organization that I want to continue to serve with continued integrity. Wellness and occupational health and safety programs share a common goal in protecting and improving employee health and therefore should be managed together for greater efficacy (Biswas et al., 2018). I want to increase employee incentives as it pertains to their health and wellness now not only to improve their health and safety, but also to decrease healthcare cost providing a return on investment in the future.

References

Biswas, A., Severin, C., Smith, P., Steenstra, I., Robson, L., & Amick III, B. (2018, December 4). Larger workplaces, people-oriented culture, and specific industry sectors are associated with co-occurring health protection and wellness activities. International Journal of Environmental Research and Public Health15(2739). http://dx.doi.org/doi:10.3390/ijerph15122739Fisher, G. (2008). Top 10 basic business principles [PowerPoint slides]. Retrieved from https://www.slideshare.net/GregFish/top10-basic-bu…

Peer discussion 2

While nursing seems straight forward when talking about the actual art of nursing, just like any business, healthcare would be great business practices. Nurses play an integral role in ensuring that the needs of the patient are met through advocating while understanding higher roles such as a nurse manager, director of nursing, or Chief Nursing Officer (CNO). In this discussion post, I will discuss three business principles presented by Greg Fisher, discuss why I chose these business principles, tell if my current workplace practices these business principles, why these specific business principles are important in healthcare, and lastly, why these principles are important to me.

The first business principle that I will discuss is, based on the Greg Fisher power point, is “Deciding who you serve.” This business principle focuses targeting your market and who will benefit from your services by understanding who can benefit from your services (Fisher, 2008). Personally, I believe that my current employer, along with other healthcare facilities in my area, do a great job at focusing on who they serve, which are those who are sick by improving their health and well-being which is clearly stating in their mission statement (Mercy Health, 2019). In healthcare, this business principle is probably the most valuable because patients know when they feel they are being served by how well they are taken care of. If the patient feels that their healthcare needs and concerns are not being addressed, they will no longer seek your services, but will instead go elsewhere. As a nurse, I live to serve other’s, as I try to build trust and rapport with each of my patients.

The second business principle that I will discuss is employee management. This principle focuses on the employee and their efforts and dedication to the business (Fisher, 2008). For any business to run smoothly, employees must be committed to your purpose. Currently, our OR has an interim manager who does a fantastic job and letting the employees know there valued and appreciated. However, about six months ago, we had a different interim employer who never came out of her office, or behind OR doors, and employees were very disgruntled as we felt that she only had negative things to say but truly didn’t understand what we were witnessing or going through on a daily basis. You could tell that she was only there for the paycheck and truly didn’t care for us. I believe that caring for you employees by letting them know they are heard, offering incentives and awards, and by helping them is a great way for employees to work harder and smarter at their job which will in turn help your business flourish.

The third business principle that I will discuss is preservation. This business principle focuses on overcoming obstacles and bad times (Fisher, 2008). As I was explaining before, our OR has been without permanent management for a little over a year now. We have had several interim managers who do not seem to truly care about our mission and our staff. Because of this, our department and team has suffered. People are angry and felt unheard, overworked, and expandable which has affected our morale. While the department needed management, what it really desired was democratic leadership where decision making could be shared while the views of employees were valued and contributions to the vison, goals and decision were understood (Huber, 2014). Within the last few months, a longtime employee took over the management position, also temporarily, but has assisted in rebuilding our team and our willpower to succeed by not only becoming a manager but by becoming a nurse leader.

While the business principles discussed throughout this discussion are listed separately and in a matter of fact way, each principle coincides with the other. Businesses, especially healthcare facilities, take purpose, the right employees, and determination to succeed. If one link is weak, the business will fail. However, with a strong chain, business can become great and long-lasting.

References

Fisher, G. (2008). Top 10 BBP [Lecture notes]. Retrieved from https://www.slideshare.net/GregFish/top10-basic-bu…

Huber, D. L. (2014). Leadership and Management Styles (5th ed.). St. Louis, MO: Elsevier.

Mercy Health. (2019). Our Mission. Retrieved from https://www.mercy.com/about-us/mission

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Barriers to Implementation

Help me finish my capstone paper. These are the two areas that still need to be addressed in the paper. Below is a copy of how to complete the entire paper in sections. Please help.

Evidence Summary

This involves a narrative discussion summarizing the five scholarly sources that were reviewed. The Evidence Summary should not be an Annotated Bibliography (separate critique) of the five sources. Instead, it should identify the areas where consensus among the various authors of the sources exists. The findings, positions, and recommendations included in your Evidence Summary should be consistent with the recommendations you are proposing for your Capstone project. This section will require the use of in-text citations using each of the five sources. A reference list for the evidence summary in APA format that includes five scholarly, peer-reviewed sources that were published within the last five years will be included in the References section of the paper. Remember, this evidence summary is your preliminary support for your project. Be sure your support is adequate.

and adding more to this section Barriers to Implementation

This section involves a discussion about potential barriers you may encounter with the implementation of your project. This discussion may include ways you plan to address or mitigate the potential barriers.

Learning Objectives and Outcomes

NOTEThis section only applies to Education Specialty track students. This section requires a description of the learning objectives and anticipated outcomes associated with your Capstone project. For example, you will need to identify objectives and outcomes if you are planning an education offering, training module, simulation, training exercise, return demonstration activity, new or revised course or curriculum. Learning objectives and outcomes should be articulated in clear and concise terms. In-text citations may be required to support your chosen objectives and outcomes.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Civil Rights and Health Care

Question Description

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

References:

  • Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

  • Response posts: Minimum 300 words excluding references.

Peer DQ1

Civil Rights and Health Care

Public health is the promotion of health to a group, large or small, and for disease prevention (Mason, Gardner, Outlaw & O’Grady, 2015) utilizing multiple organizations and agencies that are integral in the process of the health care system. It is no secret that access to health care in the United States is not equal and varies by race, gender, nativity, income and other factors such as social power, resource and status (Mason, Gardner, Outlaw & O’Grady, 2015). Unfortunately, these increased barriers in health care lead to unhealthier populations. This paper will review health care policies and related factors to health care, the Affordable Care Act (ACA) and health care reform. Since health care is limited to certain populations, we as nurses are responsible and competent to ensure patients’ civil rights and access to health care

Multiple factors affect quality of health care and any difference in health care is considered a disparity. (Almgren, 2018). Even though the ACA, Medicaid and Medicare insure many, there are still risks and benefits that are dependent on the sociology of the professional medical encounter. Biases, such as the stigma of being on Medicare, or “assistance”, can adversely affect the care sought and access, resulting is lesser health of a population or community.

Affordable Care Act provided health care access to many who would not have received health care. The health care crisis has been described by conservative politicians as federal health care spending at an unsustainable level leading to disastrous results in our national economy. While liberal politicians blame documented health care system failures resulting in unavailability of health care to Americans. The growth of health care has resulted in increased use of federal funds due to Medicare and Medicaid programs.

Health care reform is the federal government’s action to change financing, structure and health care delivery services. Consumers who may feel well-served are supportive of current health system and may include industrial employees, citizens who are middle income, and federal government employees. Those who are not well served may find the system unfavorable, such as employees in the service industries, workers who are undocumented or geographically isolated, and the working and nonworking poor. (Almgren, 2018). Basically, if we benefit from the current system we will view it favorably and oppose change, but those who aren’t benefitting, favor public assistance or universal coverage for health care.

According to HealthyPeople2020 (2104), the biggest barrier to health care access is limited insurance coverage, which causes poor health outcomes leading to disparities in health. Underinsured on those with higher out of pocket costs are less likely to access preventative health care, even for chronic health conditions, immunizations and well visits. Also, poorer populations may have less access to transportation to get to medical visits. ACA’s goal was to provide nearly universal health care coverage through insurance mandates, expansion of program for public entitlement and regulatory insurance market forums.

Initially, to increase civil right awareness in health care, nurses must recognize the population that is at risk and what risk factors exist. Medical professionals are regarded as stakeholder in relation to health care reform issues. Evidence shows there are issues that need to be addressed to understand the nurse’s potential contribution to patient care and civil rights. Accordingly, nursing involvement is required to be at the leadership level by practice, policy, scientific and professional through social and economic avenues (Shamian & Ellen, 2016). Within health reform, nurses play a major role in patient-centered health care, not only by health care reform but realizing social impacts in their community or society. Evidence based findings support the economic impact that healthier populations and adequate nursing staffing to care for them lead to lower hospital costs, less admissions or readmissions saving costs within the health system, and the sooner patient return to work force, resulting in improved outcome economically.

In closing, nurses need to be aware of own knowledge and skills and put time and effort into evidence-based communication, advocacy, decision and policymaking and continually strive to meet the needs of populations and healthcare. Increased socialization, training and education in the social and economic areas lead to engagement in policy and politics (Shamian & Ellen, 2016). According to Doshi, Hendrick, Graff & Stuart (2016) evaluation of data and policies are necessary to remove barriers so resources can be utilized, and revisions made to current policies. Notably, instead of focus on own affiliations and interests, the investigator and stakeholder should focus on quality of research and the intent, decreasing bias to achieve optimal evidence-based policies and standards.

References

Almgren, G. (2018). A social justice analysis. Health Care Politics, Policy, and Services (3rd

ed.). New York, NY: Springer.

Doshi, J. A., Hendrick, F. B., Graff, J. S., & Stuart, B. C. (2016). Data, data everywhere, but

access remains a big issue for researchers: A review of access policies for publicly

funded patient-level health care data in the United States. The Journal for

Electronic Health Data and Methods, 4(2), 1–20. Retrieved from

https://doi-org.proxy.library.oho.edu/10.13063/232…

HealthyPeople.gov. 2014. Access to health services. Office of Disease Prevention and Health

Promotion. Retrieved from https://www.healthypeople.gov/2020/topics-

objectives/topic/social-determinants-health/interventions-resources/access-to-health

Mason, D.J., Gardner, D.B., Outlaw, F.H., & O’Grady, E.T. (2015). Policy & Politics

in Nursing and Health Care. (7th ed.). St Louis, MO: Elsevier

Shamian, J. & Ellen, M.E. (2016). The role of nurses and nurse leaders in realizing the clinical,

social, and economic return on investment of nursing care. Healthcare Management

Forum, 29(3), 99-103. Retrieved from

https://journals.ohiolink.edu/pg_99?415497052634248::NO::P99_ENTITY_ID,P99_EN

TITY_TYPE:268456686,MAIN_FILE&cs=3GEUXpDnhup0ooK7P_WPaeviWlp0SgAl

BSdfZK7T8lh0MiU73ICAHn_lA6fKRYT5llfironVx4qzClmtjEoWzKw

Peer DQ 2

The U.S. has long been of country of stigmas placed on those of lower socioeconomic and minority statuses. This is no different when assessing access to health care and disparities in health care related to those of lower socioeconomic and minority statuses. While many strides have been made to alleviate those stigmas, thus increasing access to care, the fact remains that disparities still exist. This posting will discussion the implications of health care policy of issues related to access, equity, quality, and cost, while also examining impact of limited access to care by the uninsured, underinsured, and vulnerable populations.

Repressed citizens within the U.S. struggle to provided daily necessities, including food, clothing, and housing, for themselves and their families. Health care access has often been viewed in this country as a priviledge for those that can afford it as opposed to a right in which every citizen should be granted. This can also be referred to as health inequality, whereas health equality would present with all citizens an equal opportunity to utilize proper health care access (Mason, Gardner, Hopkins Outlaw & O’Grady, 2015).

Health inequalities often lead to higher health care costs due to those with disparities often not seeking care until costly and invasive interventions are required (de Boer, Buskens, Koning, & Mierau, 2019). Furthermore Mason et al., (2015) correlates health inequalities to poor access to care which can be attributes poor access to care to lack of preventative care including cancer screenings, infant mortality, routine wellness exams. 

Lower socioeconomic status is often attributed to increased health disparities due uninsured, underinsured, or of vulnerable population. Lack of ability to pay for costly care can be a deterrent for those people to seek care early on instead of requiring care when one’s health status is declining due to lack of care. Changes in policy has long been a focus of government for decades. The enactment of the Affordable Care Act (ACA) in 2010 became the first in many years to address disparities and alleviate the need for costly, invasive health care by promoting routine, preventative care (Mason et al., 2015). Mason et al. (2015) further explains that state funded health care coverage expansion achieves the disparities for uninsured. Though this has been one of the first policies to address disparities in many years, the ACA has been contested for years with the future of the policy has a whole uncertain (Mason et al., 2015).

In conclusion, health disparities for those of lower socioeconomic status and of minority backgrounds exist which can drive health care expenses up, the need for change is apparent. Though there has been much contention against newer policies to aid in decreasing health disparities across the country, they need for improvements in the U.S. health is apparent.

References

de Boer, W., Buskens, E., Koning, R., and MIerau, J. (2019). Neighborhood socioeconomic stats and health care costs: A population-wid study in the Netherlands. American Journal of Public Health, 109(6), 927-933. doi: 10.2105/AHPJ/2019.305035

Mason, D., Gardner, D., Hopkins Outlaw, F., & O’Grady, E. (2015). Policy and politics in nursing and health care. (7th ed.). St. Louis, MO: Elsevier.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Cardiovascular Disorders

Cardiovascular Disorders

Veins and arteries are vital elements of the cardiovascular system. They carry the blood supply through the body and are essential for proper function. Sometimes veins and arteries malfunction, resulting in cardiovascular disorders. Malfunctions of arteries and veins are similar to malfunctions of a water hose. Consider the structure and function of a hose. A tap releases water, which then travels through the hose and comes out the other end. If the hose has been dormant for several months, dirt and rusty particles might build up inside, resulting in a restricted flow of water. Similarly, buildup of plaque inside the coronary arteries restricts blood flow and leads to disorders such as coronary heart disease. This disease is one of the most common cardiovascular disorders, and according to the National Heart, Lung and Blood Institute (2011), is the leading cause of death for men and women in the United States. In this Discussion, you examine the pathophysiology of cardiovascular disorders such as coronary heart disease.

To prepare:

·  Review this week’s media presentation on alterations of cardiovascular functions, as well as Chapter 23 in the Huether and McCance text. Identify the pathophysiology of cardiovascular disorders.

·  Select one patient factor: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of cardiovascular disorders.

·  Select one of the following alterations of cardiovascular disorders: peripheral arterial disease, myocardial infarction, coronary artery disease, congestive heart failure, or dysrhythmia. Think about how hypertension or dyslipidemia can lead to the alteration you selected. 

QUESTIONS TO BE ADDRESSED IN MY ASSIGNMENT:

1.  A description of the pathophysiology of cardiovascular disorders.

2.  How the factor you selected might impact the pathophysiology.

3.  Explain how hypertension or dyslipidemia can lead to the alteration you selected for patients with the factor you identified.

4.  Summary with conclusion

REMINDERS:

1. 8 pages

2. Kindly follow APA format for the citation and references! References should be between the period of 2011 and 2016. Please utilize the references at least three below as much as possible and the rest from yours.

3. Make headings for each question.

REFERENCES

READINGS

·  Huether, S. E., & McCance, K. L. (2012).Understanding pathophysiology(Laureate custom ed.). St. Louis, MO: Mosby.

o  Chapter 22, “Structure and Function of the Cardiovascular and Lymphatic Systems”



This chapter examines the circulatory system, heart, systemic circulation, and lymphatic system to establish a foundation for normal cardiovascular function. It focuses on the structure and function of various parts of the circulatory system to illustrate normal blood flow. 

o  Chapter 23, “Alterations of Cardiovascular Function”



This chapter presents the pathophysiology, clinical manifestations, evaluation, and treatment of various cardiovascular disorders. It focuses on diseases of the veins and arteries, disorders of the heart wall, heart disease, and shock.

o  Chapter 24, “Alterations of Cardiovascular Function in Children”



This chapter examines cardiovascular disorders that affect children. It distinguishes congenital heart disease from acquired cardiovascular disorders.

·  McPhee, S. J., & Hammer, G. D. (2010).Pathophysiology of disease: An introduction to clinical medicine(Laureate Education, Inc., custom ed.). New York, NY: McGraw-Hill Medical.

o  Chapter 11, “Cardiovascular Disorders: Vascular Disease”



This chapter begins with an overview of the vascular component of the cardiovascular system and how the cardiovascular system is normally regulated. It then describes three common vascular disorders: atherosclerosis, hypertension, and shock.

MEDIA

·  Laureate Education, Inc. (Executive Producer). (2012a).Alterations of cardiovascular functions PPT lecture. Baltimore, MD: Author.



This media presentation outlines common alterations of cardiovascular function, including disorders of the veins and arteries.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

What information in the case study suggests that her asthma is not well controlled?

APA format, 3 references, 2 pages, please answer all the questions. This is a pharmacology class in an Masters degree in nursing course.

SE is a twenty-two-year-old Caucasian woman who was diagnosed with asthma at age seven. According to her medical record, she has “mild persistent” asthma. Today, she reports that she has been using her albuterol metered-dose inhaler (MDI) approximately three to four days per week over the last two months. Over the past week, she admits to using albuterol once daily. She has been awakened by a cough three nights during the last month. She states she especially becomes short of breath when she exercises. However, she also admits that the shortness of breath is not always brought on by exercise. She also has a fluticasone MDI, which she uses “most days of the week.” She has been hospitalized twice in the last year for poorly controlled asthma and has been to the emergency department (ED) three times in the last six months for the same problem. Her lab work is all within normal limits, with the exception of a positive human chorionic gonadotropin (HCG). Answer the following questions:

What information in the case study suggests that her asthma is not well controlled?
What factors could possibly lead to this?
How would you classify the symptoms based upon the National Institutes of Health (NIH) guidelines?
With the recognition that she is pregnant, how would you alter her treatment for asthma?
Support your responses with guidelines, including the NIH guidelines, for management of asthma during pregnancy. Use other peer-reviewed articles as needed to support specific aspects of your plan.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Current Information and Communication Technologies

I need to respond to my classmates posting below. APA format, 2 simple paragraphs, 5-7 sentences each paragraph. at least 2 references no more than 5 years old. You can use the same two references if you want. I just need to respond to my classmates posting below for participation points. Its due today at midnight.

My classmates response below:

Current Information and Communication Technologies

My state operated psychiatric facility recently began providing telehealth/telepsychiatry service to connect our facility, other state operated facilities and community providers in support of improved coordination and patient care. Telehealth refers to a wide range of health services that are delivered by telecommunications ready tools, such as the telephone, videophone and computer (McGonigle, & Mastrian, 2015, p. 315). At this time, telehealth/telepsychiatry service are only offered to our forensic patients whose psychiatric symptoms have been stabilized, are no longer considered to be a danger, and are working towards conditional release.

Impact of Telepsychiatry

The greatest promise of telepsychiatry is providing a feasible alternative for the existing and grossly scarce mental health services (Malhotra, Chakrabarti, & Shah, 2013, p. 4). The health systems around the world are grappling with huge numbers of persons with mental disorders who require professional care and extremely small numbers of mental health care providers (Malhotra, Chakrabarti, & Shah, 2013, p.4). Using telemedicine in the field of psychiatry has the potential to be both cost effective and structurally efficient due to the diminished fixed costs necessary for everyday operation (Deslich, Stec, Tomblin, & Coustasse, 2013). It allows psychologists and other team members to support clients at variant times and between visits. Remote monitoring of patients has allowed practitioners to check in with their patients more often because of the increased ease of observation and reduce community provider (case manager and social workers) travel time while increasing overall efficiency. Furthermore, telehealth provides an opportunity for engagement with the patient, offers better coordination to support treatment and discharge plans, and promotes individual recovery.

Barriers of Telepsychiatry

While telepsychiatry has been shown to be beneficial, this technology does have some limitations. The major challenges in the use of telehealth/telepsychiatry applications have been legal and ethical matters such as duty of care, role in emergency situations, privacy and confidentiality, and security of data (Malhotra, Chakrabarti, & Shah, 2013, p.8). Online privacy is a concern of anyone using the internet. Fear of noncompliance with Health Insurance Portability and Accountability Act (HIPAA) and other regulations has dissuaded many organizations from adopting the practice of telehealth services. As a result, my facility only conducts telehealth events through the Ohio University College of Medicine (OUCOM) system. This system is a secure, encrypted video conferencing platform that has met specific security criteria. In addition, all employees continue to be required to adhere to all other confidentiality and security policies during all treatment sessions, including those that occur through telehealth. Community providers are considered Covered Entities (CEs) under the HIPAA requirements and are responsible for maintaining all patient/client information in a secure and confidential manner.

Wider implementations of telehealth/ telepsychiatry services will come as advances in device encryption and video create new possibilities for HIPAA compliant distance counseling. More video companies are now designed to meet federal government standards for privacy and security.

References

Deslich, S., Stec, B., Tomblin, S., & Coustasse, A. (2013). Telepsychiatry in the 21st Century:

Transforming Healthcare with Technology. Perspectives in Health Information

Management / AHIMA, American Health Information Management Association,

10(Summer), 1f.

Malhotra, S., Chakrabarti, S., & Shah, R. (2013). Telepsychiatry: Promise, potential, and

challenges. Indian Journal Of Psychiatry55(1), 3. doi:10.4103/0019-5545.105499

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge

(3rd ed.). Burlington, MA: Jones and Bartlett Learning.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

RHETORICAL SITUATION

RHETORICAL SITUATION: In your life and career beyond RWS 305W, often you will need to communicate the significance of various life experiences through descriptive details and important insights. Whether in a job interview, a profile, a mentorship, a personal statement or networking in the field, your ability to share life lessons in an engaging way is at the heart of the memoir assignment. Your audience is an educated readership interested in who you are.

GENRE: Writing a memoir involves memory work; memoirists draw on their pasts, looking back at events, people, and places that are important to them in order to recreate through written language moments or episodes of lived experience. Your job is to not just recreate experiences, but to imbue them with significance readers will understand.

The memoir writer is both participant and observer; the impulse to remember helps remind us of how we were…Memoir writers take incidents from childhood, focus on moments of revelation, show how crisis and insights have challenged their perspectives, experiences and values. Memoir writers write from a desire to bear witness to things that might otherwise have been overlooked or forgotten. The memoir is an act of self-discovery and also written for the public to read; memoirs impact the audience in an emotional way.

PROMPT: For this assignment you will recall a person, place or event from your past and write a memoir. You will need to use details and sensory impression to re-create the moment for your audience. Your job is to reveal the meaning of the past so that readers understand the significance the memories hold for the present. Through your writing your audience should be able to visualize the moment. You should chose to revisit a memory that you have some distance from (not a recent break-up say, or a current family crisis).

  • Consider tensions or conflict from high school or adolescence (Caldwell)
  • Focus on a past job, special place you used to live, or beloved item you lost (Bragg)
  • Pick a photo that holds emotional associations and explore a detail that recalls a moment
  • Select a family ritual or tradition that might be especially important to you
  • Consider an aspect of your own cultural ancestry (language, food, heirloom) and explain how it has entered your life and what it reveals about your relationship to your culture.
  • Focus on some special aspect of your educational experience, a teacher or event (Landry)
  • Focus on a childhood incident or injury (Walls)
  • Explain a memorable life lesson or revelation (Yim)
  • Look through an old journal to find moments when you had your values challenged, had a difficult decision to make or were disappointed; use the memory as a starting point in which you reflect and put it in a larger context.

Weight: 20% of your grade

Length: 4-5 pages double-spaced MLA

ANALYSIS: Marking a line/break labeled “Analysis,” include two developed, focused paragraphs at the end of your memoir that analyze the writing choices and craft elements you specifically employed; where did you observe them previously, how and why did you implement them, and what function or effect does it bring to this genre or others?

The rough draft is very important. I need two folders.

I attached two folders of essay examples.

I need a rough draft file and an essay file. Thanks.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

What are the parallels, and when does an analogy like that begin to break down, if at all?

Week Twelve Frankenstein Essay
Due: Apr 13, 2018 at 11:59 PM

Write your own 4 page essay on the novel Frankenstein.

There are so many “monstrous reflections” of this text in the critical commentary that one could spend a lifetime in their study. I don’t want to overly influence your choice, but I will throw out a few possibilities just to get your blood flowing, jolt your brain into activity, and open your eyes to the life of the novel. After all, I wouldn’t want to abandon you. One of the prompts below may serve to get your essay going.

Is the creature symbolic of any other marginalized groups you can think of? What are the parallels, and when does an analogy like that begin to break down, if at all?

Is Frankenstein a creature with feminine qualities asked to survive in a male dominated world?

Do the characters in the story attempt to hide their motivations, even from themselves?

Why is the diction and syntax of the novel challenging to modern readers?

How much of the novel can be argued as directly influenced by the author’s biography?

Taking into account Marxist theory, is the creature a product that alienates the worker who made it? Is the monster a laborer striking against unfair conditions?

Is the monster symbolic of many marginalized groups in our contemporary society?

Is Frankenstein the ID unbounded, a raging penile phallus thrusting instinctively where it will, and what are the repercussions of this?

Is this another Oedipal story?

Is the creation of the monster nothing more than vagina-envy? I’m not sure there is grist for an entire essay here, but I like turning the tables on Freudian penis-envy. Frankenstein did birth a living being in his own way. Is there misogyny at work here?

The cultural studies chapter touches on many of the influences this novel has had–all the way up to Terminator. Is the former governor, Arnold Schwarzenegger of California, a monstrous creation of celebrity culture? Are we rooting for the monster to live and be successful? (Note: I wrote this question long before his divorce due to his having a secret child by a maid from Bakersfield, but I am sure some of you can relate this to the creature in the story, Frankenstein keeping secrets, and psychological abandonment and irresponsibility). Or, fully develop an analysis of the many cultural touchstones, but be sure it is an essay of analysis and not a list.

Well, I am not sure all of my suggestions were good, but when you start creating something, you don’t always know what will happen. A question could easily backfire monstrously.

Sent from my iPhone

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"