Include your nurse facilitator’s credentials, position, scope of responsibilities, length of time as a manager, etc. Describe his or her participation in professional organizations, which professional journals he or she typically reads, and other pertinent information related to ongoing professional development.
Communication
Provide specific examples of communications interactions upward, downward, as well as peer communication. How effective or ineffective is the manager in various roles, and what recommendations do you have that would help him or her to be a more effective communicator?
Nurse Leader
Describe the leadership style of the nurse manager with supportive references cited. Provide specific examples of how he or she handles responsibilities and indicate whether you believe the responsibilities were handled effectively or ineffectively. Provide at least two specific examples of leadership skills in practice, and critique the effectiveness/ineffectiveness for the identified situation. (Examples may include situations related to use of power, conflict management, managing personnel, crisis management, effective delegation, team building, etc.)
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Please respond to the posts below in 6-7 sentences each
Prostate Cancer
The prostate is a small walnut shaped gland in the pelvis of men. It is located next to the bladder and can be examined by getting a digital rectal exam. Prostate cancer is the second-leading cause of cancer deaths for men in the U.S. I would utilize the CDC’s recommendations and guidelines for testing men. The CDC (2019) states that men who are 55 to 69 years old should make individual decisions about being screened for prostate cancer with a prostate specific antigen (PSA) test. This decision should be made after discussing benefits and harms of screening for prostate cancer. Men who are 70 years and older should not be screened for prostate cancer routinely. These recommendations apply to men who are at average risk for prostate cancer, are at an increased risk for prostate cancer, do not have symptoms of prostate cancer, and those who have never been diagnosed with prostate cancer (CDC, 2019).I would tell my patient who is a healthy 55 year old that it is not necessary to be screened routinely for prostate cancer as he is in otherwise healthy condition and considered low risk, but if he would like to be screened routinely, he is now in the age that the CDC recommends to be tested if at risk, and discuss the risks and harms of the test. I would allow my patient to make his own decision following education on the testing if he would like to be screened for this test.If the patient had a family history of prostate cancer, I would consider this individual at high risk for prostate cancer and I would recommend routine screenings for this that patient at annual physicals.If the patient were an African American male, I would consider them at average risk for prostate cancer and recommend routine screenings. Depending on his other demographics such as age and family history, he may be considered high risk, which would be determined through further assessment. “African American men are at an increased risk for developing cancer over white men and other men or color. One in six African American men will develop prostate cancer in his lifetime” (Zero Cancer, 2020).If the patient were a 76-year-old, I would still recommend them to not be screened routinely, following the CDC guidelines. “However, many health authorities advocate the cessation of routine prostate cancer testing in men older than 75 because of the belief that most patients will have a clinically insignificant cancer and will not benefit from therapy. The true prevalence of clinically significant prostate cancer in elderly men is not known” (Mistry & et al., 2009). 6-7 sentences
2 Scholarly Refrences APA format
Testicular Cancer
Cancer which originates in the testicles is called testicular cancer. According the American Cancer Society (2017) risk factors for testicular cancer include undescended testicle, family history of testicular cancer such as having a brother or father with testicular cancer though it should be noted that in most cases there is no family history , HIV infection, carcinoma in situ of the testicle, prior history of testicular cancer, certain race/ethnicity with about 50% occurring between age 20 to 34, and rates higher in Caucasian males, and body size with some studies suggesting that tall men may be at a higher risk.
There are no standard or routine tests that are recommended for early detection of testicular cancer. As most often testicular cancer is found by chance or by self exam or during routine physical examination (National Cancer Institute, 2019), and given the fact the incidents are fairly low and outcomes are favorable even in more advanced stages, the US Preventive Service Task Force (2011) does not recommend routine screening for testicular cancer in asymptomatic males. As screening is not recommended for testicular cancer in asymptomatic individuals I would share this information with him and answer further questions if he still needs more information.
2 Scholarly references APA Format
6-7 sentences
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Hello i need a good and positive comment related with this argument .A paragraph with no more 100 words.
Tammy Wagner
Re:Topic 4 DQ 2
“I’m not as young as I used to be”, a common complaint in a middle-aged person with an inactive lifestyle. While this is true, physical activity is something that must become a priority in achieving optimal health. Regular exercise has been shown to decrease risks associated with coronary heart disease and stroke . Heart disease remains the number one cause of death for men and women. Some risk factors for Heart disease is obesity, physical inactivity, smoking, hypertension, and genetics. We all know the benefits of reduction of type 2 diabetes with regular exercise. When you exercise, your cells become more sensitive to insulin so it can work more efficiently. Your cells remove glucose from the blood when you exercise using a mechanism totally separate from insulin. Exercising consistently can lower the A1C (“Blood glucose,” 2013) . It has also shown that exercise can reduce the risk of certain types of cancers . Research has shown that cycling or walking half hour a day can reduce cancer risks. Increased physical activity is correlated with reduced colon cancers in both sexes. It has been shown that increased physical activity after cancer diagnosis can aid recovery and improve outcomes . Healthy adults should aim for 30 minutes a day for 5 days a week of moderate intensity physical activity. Physical inactivity leads to widespread pathophysiological changes to the body (Wiley & Blackwell, 2010).
Utilizing Gordon’s Functional Health Patterns, the nurse can examine habits that have been in place for years. The nurse can help this person to see the damaging effects of a lifestyle and educate on the positive change that can come through health promotion. Some aspects of health promotion are the acceptance of aging, the need to exercise, and the importance of weight control. The goal of increasing heart rate and blood pressure through exercise is taught. Suggested activities are brisk walking, jogging, swimming, bicycling, and skipping rope. A focus on skill and coordination are best for the middle-aged person. The goal is to help the person improve their quality of life by eliminating risks factors. Providing self-help information and describing available resources will be beneficial (Edelman, Kudzma, & Mandle, 2014, p. 571-572) .
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Mucor is a rare mold from the fungi species which is found growing in moist areas of the environment such rotting fruits, vegetables or plants. Pulmonary Mucormycosis commonly affects those individuals who are immunocompromised due to cancer or had organ or stem-cell transplant (CDC,2015). The infection-mucormycosis is commonly acquired when one inhales the spores affecting the lungs and sinus tracks or enters the skin through a cut, scrape or trauma (CDC, 2015). Other ways mucormycosis can be acquired is during natural disasters such as floods or hurricanes where matter containing spores is transported into areas of contact with individuals who get affected or construction sites where the spores are in dust or contaminated filters or equipment in healthcare facilities can lead to nosocomial mucormycosis.
Pathophysiologic Progression: Mucormycosis progresses when the spores enter the systemic circulation and causes ischemia, infarction or tissue necrosis in the affected areas (Mohinda, et.al., 2014). When the fungus travels from the trachea to the lungs it causes pneumonia-like symptoms such as cough, fever, chills and dyspnea.
Nursing interventions: Because the infection can rapidly progress and spread into the vital organs of the body such as the heart and brain, it is vital that the nurse include critical interventions which would include: a) close monitoring of hemodynamics and communicating any subtle changes to the physician. B) maintain an accurate respiratory status assessment, continuous pulse oximetry and use of supplemental oxygen as well as incentive spirometry to prevent atelectasis. c) Administering the antifungal medications as ordered such as amphotericin B or Posaconazole.
Lab test results: An elevated WBC of 15.2 indicates infectious process in this because of the associated symptoms of productive cough otherwise in some cases could be due to inflammatory process in the body. The ABG is abnormal and interpreted as Respiratory Alkalosis; PaO2 is 59 which indicates hypoxia as the necrotic tissue cannot perfuse adequately.An elevated HCO3 of 29 and PH of 7.50 which indicates alkalosis and the low Pco2 of 25 indicates hyperventillation in attempt to increase oxygen.The blood glucose level is elevated in this case 138 which indicates diabetes.
Medications 1) The drug of choice because of it efficacy and safety is Amphotericin B: dose- 5mg/kg/day. 2 Amphotericin B deoxycholate (1.5mg/kg/day) of is also used and is cost effective but higher risk of causing nephrotoxicity. 3. Posaconazole is also a drug commonly used: dose- 800mg/day (dose divided in two) and recommended to be administered with high fat food or acidic beverage to improve absorption in the body (Crum-Cianflone, N., 2015).
Treatments:1) Surgical intervention such as pneumonectomy (removal of necrotic part of the lung) and debridement of infected tissue would be a way of eliminating the fungus and stop any spread. 2)Hyperbaric oxygen therapy can be used to treat mucormycosis by exposing the infected areas with high concentrations of oxygen to stop the growth of the mucor fungus and promote healing. 3)Transfusions of WBC and interferon- gamma treatments have been used although there is not enough research to support the effectiveness (Crum-Cianflone, N., 2015).
I NEED YOU TO COMMENT FROM THIS POST, 150 WORDS NEEDED AND A REFERENCE PLEASE
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Discussion: Identifying and Engaging Stakeholders for Strategic Planning
Stakeholders can facilitate the success, or failure, of a strategic plan.
Identifying internal and external stakeholders and building productive relationships should be an intentional and well-conceived part of the strategic planning process. As a nurse leader-manager involved in strategic planning, it is important that you consider who could be impacted by a proposed change and how the change may affect individuals’ roles, responsibilities, and relationships. It is also essential to think about which stakeholders may be able to offer expertise, capital, and/or sway to help exercise the strategic plan and generate buy-in.
In this Discussion, you identify stakeholders who can assist with carrying forward a strategic plan.
Your Instructor has assigned you to a small group for this Discussion. Craft your stakeholder description independently; through the collegial exchange that follows, you will offer each other suggestions for refinement. As in Weeks 2 and 3, use this small group Discussion to delve deeply into the concepts being presented as they are foundational to this course.
To prepare:
Reflect on a planned change effort you have experienced.
Consider the following questions:
How do you think stakeholder involvement may have impacted the outcome of this planned change?
Were the right stakeholders involved? Did the stakeholders help to carry out the plan as needed?
Should other stakeholders have been engaged? If so, how could relationships with additional stakeholders have been cultivated to better support the plan?
How does reflecting on this instance of planned change inform your perspective on what is needed to engage stakeholders to successfully promote other strategic changes?
Review the Mountain View Health Center case study, and reflect on the focus of your postings in the Week 2 Discussion 2 and the Week 3 Discussion.
Conduct additional research as necessary to strengthen your understanding of the process of involving stakeholders in strategic planning and to deepen your thinking about the organization. For instance, you may research organizations with similarities to Mountain View, and examine information related to stakeholder involvement.
Consider the following questions:
Which internal and external stakeholders should be involved in strategic planning related to this case study?
What assets and/or perspectives would each of these stakeholders offer to the process?
What role would each potential stakeholder play in helping to move forward a strategic plan?
When and how should the stakeholders become involved?
How would you cultivate relationships with these stakeholders to produce the best possible results?
How would the appropriate selection of stakeholders and their involvement promote the likelihood of successful adoption and implementation of a strategic plan?
Post a description of internal and external stakeholders who should be involved in strategic planning at Mountain View Health Center. Propose strategies for cultivating relationships with these stakeholders. Explain how their involvement would promote the likelihood of success for the strategic plan.
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on two different days by analyzing the selection of stakeholders and the strategies outlined for engagement.
Required Readings
Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.
Chapter 6, “Strategic Planning: Why It’s Not Just for the Boardroom Anymore” (pp. 105–115)
Chapter 11, “Eight Cautionary Tales of Strategic Planning” (pp. 215–226)
Note: You are only required to read the “Hail, Hail, the Gang Is Not All Here” section of the chapter this week.
These chapters address stakeholder involvement in strategic planning.
Galunic, C., & Hermreck, I. (2012). How to help employees ‘get’ strategy. Harvard Business Review, 90(12), 24.
Retrieved from the Walden Library databases.
This article addresses the influence of senior management/leadership on employees’ understanding of and commitment to organizational strategy.
Harmon, R. B., Fontaine, D., Plews-Ogan, M., & Williams, A. (2012). Achieving transformational change: Using appreciative inquiry for strategic planning in a school of nursing. Journal of Professional Nursing, 28(2), 119–124.
Retrieved from the Walden Library databases.
The authors discuss stakeholder involvement and other aspects of the strategic planning process engaged in by the University of Virginia School of Nursing.
Murphy-Hoefer, R., Andrade, M. S., Maines, D. E., & Martin, M. (2011). Stakeholder input in establishing an evaluation plan for tobacco counter-marketing campaigns. American Journal of Health Education, 42(2), 66–73.
Retrieved from the Walden Library databases.
As you read this article, consider how stakeholder involvement may contribute to successful strategic planning.
Required Media
Laureate Education (Producer). (2013b). Case study: Mountain View Health Center [Interactive media]. Retrieved from CDN database. (NURS 6241)
This interactive multimedia piece presents a case study of an organization, with information about the types of activities performed there, organizational structure, strategic priorities, and financial allocations. You will use this as a resource for this week’s Discussion
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Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.
In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:
Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
What are the health disparities that exist for this group? What are the nutritional challenges for this group?
Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
What health promotion activities are often practiced by this group?
Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
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Fluid overload is a sign that is integral to congestive heart failure. It should not be coded separately.
True
False
5 points
Question 2
A sore throat is considered a symptomless disease.
True
False
5 points
Question 3
A common coding guideline includes both the alphabetic index and the tabular list when locating and assigning a code.
True
False
5 points
Question 4
A departure from the previous 100 years of disease classification that uses 3-7 digit alphanumeric codes is called
ICD-11
ICD alphanumeric 6
ICD-10
ICD-9.20
Mortality classification
5 points
Question 5
According to the CMS there are 3 main types of physical examinations that can be performed by your doctor.
True
False
5 points
Question 6
Rules for diagnosis coding consist of:
conventions and general coding guidelines
selection of principal diagnosis for inpatients
reporting additional diagnoses for inpatients
reporting guidelines for outpatient services
all of the above
5 points
Question 7
Supplementary V codes provide a way to identify how and where an injury or accident happened.
True
False
5 points
Question 8
A doctor can make a diagnosis based on symptoms.
True
False
5 points
Question 9
Sanitation and hygiene were the two greatest contributors to the spread of the Black Death.
True
False
5 points
Question 10
Some of the information obtained during the physical exam is noted solely by observation.
True
False
5 points
Question 11
The Bertillon classification was the first standard system implemented internationally.
True
False
5 points
Question 12
In 1986 new codes were assigned for AIDS and HIV.
True
False
5 points
Question 13
It is fine to use multiple codes even if a combination code describing all elements exists.
True
False
5 points
Question 14
Z codes are used
to verify services
in situations where health services are utilized by a person who does not have an illness or injury
only when someone receives a vaccination
in situations where a person has a terminal illness
none of the above
5 points
Question 15
The principal diagnosis:
is the chief reason for the admission of the hospital for care
refers to inpatients only
refers to outpatients only
1 and 2
none of the above
5 points
Question 16
The first-listed diagnosis refers to the condition, problem, or reason for an outpatient visit/encounter that is shown to be chiefly responsible for provided services.
True
False
5 points
Question 17
The rules for diagnosis coding in the US are developed and approved by the ________________ ____________ for ICD-9-CM.
5 points
Question 18
Medical coding can best be described as a two-step process.
True
False
5 points
Question 19
William Farr is best known for inventing the Cullen disease classification.
True
False
5 points
Question 20
When coding, it is not necessary to use both the alphabetic index and the tabular list when locating and assigning a code.
True
False
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