In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin.
Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”
Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.
Question
Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale
Case Study 2
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.
Question
Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:
· Describe your approach to care.
· Recommend a treatment plan.
· Describe a method for providing both the patient and family with education and explain your rationale.
· Provide a teaching plan (avoid using terminology that the patient and family may not understand).
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Case Study 18957547
/in Uncategorized /by developerIn a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin.
Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”
Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.
Question
Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale
Case Study 2
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.
Question
Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:
· Describe your approach to care.
· Recommend a treatment plan.
· Describe a method for providing both the patient and family with education and explain your rationale.
· Provide a teaching plan (avoid using terminology that the patient and family may not understand).
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Case Study 18969639
/in Uncategorized /by developerCase Study
Read the following case study:
A small community hospital in the Midwest has used a homegrown information system for years. The system began in the early 1970s with a financial module. Over time, additional modules were added. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Except for physicians, most in-house clinical or care-related documentation is online. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff; thus there is no data dictionary or specific standard language. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. The clinics and doctors’ offices are now being converted to the hospital administrative systems. A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed.
A major change is being planned. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). No other significant staff changes were made. With her team in place, one of the CIO’s first activities was to complete an inventory of all applications. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system.
As a member of the clinical staff with informatics education, the CIO has requested that you develop a training and information presentation for the clinical staff that will:
1· Identify two or more issues with the existing system
2· Provide staff with appropriate “work-around” for using the existing system
3· Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps
– One standard language should pertain only to nursing
– One standard language should be multidisciplinary.
4· Obtain clinical staff input, using a five-question survey, of specific methods to support transition to the new system; questions should be open-ended.
PowerPoint Presentation
Directions:
1. Review the case study.
2. Download the provided PowerPoint template to create a presentation that includes:
· Your name on the title slide of the presentation
· Identification of two or more issues with existing system
· Identification of “work-a-round” solutions when using existing system
· Overview of standard language used only in nursing
· Overview of multidisciplinary standard language
· Set of five (5) open-ended survey questions for staff input on transitioning to the new system
Presentation is free of spelling and grammar errors.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Case Study 18983861
/in Uncategorized /by developerCase Study.
APA 6th ed format.
Work supported by at least 3 peer reviewed references.
One document is the case study, the other is an example.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Case Study 19024103
/in Uncategorized /by developerAB is a 72-year-old female who the nurse is admitting to a telemetry hospital bed. She stated: “I was feeling terrible—I had trouble breathing for a few days, but thought it would go away in awhile. But, I couldn’t sleep at night. I haven’t eaten much of anything for days, but I gained 10 pounds! We were going to church this morning, but I just couldn’t catch my breath, so my husband brought me to the hospital to get help.”
Physical assessment revealed an elderly woman with average body habitus, but an enlarged waist. She is alert, oriented x 4 and denies chest pain. Her facial expression is slightly anxious and she is breathing with some difficulty, although she can finish a complete sentence in one breath. The telemetry monitor reveals sinus tachycardia with no ectopic beats. The client is tachypneic. The nurse inspects the client’s chest, which reveals symmetric chest movement and intact skin. Lung sounds on the anterior chest reveal no adventitious sounds on the apices or the 2nd through 4th ICS on either sternal border. Abdomen is soft and slightly distended. Radial, brachial, post tibial pulses are 2+. Patient denies chest pain, but endorses feeling short of breath with a persistent nonproductive cough.
Assignment:
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Case Study 19040477
/in Uncategorized /by developerAssignment Instructions
Ethical Standards of Practice
This assignment will assess knowing of the following CAHIIM Competencies:
Domain VI. Leadership
VI.H. Ethics
Assignment Instructions
Part 1:
Review the case study at the end of chapter 5. Which ethical standards in this chapter apply to this case and how? What impact would the implementation of the system have on the facility if it is implemented without proper privacy and security controls? Can policies and procedures be established to help ensure compliance?
Part 2:
Locate the website of two medical billing and coding companies that use staff based in other countries. Describe their training practices on topics such as ICD-10-CM coding, and English language and culture, comparing similarities and differences. What impact could using these companies have on ethical standards of practice? The following are suggested sites to begin with; you may find others as well:
Supporting Materials
You are a health information manager in a hospital setting. Your facility has purchased an electronic health record (EHR) system. During the testing period, you and your staff discover that the EHR system does not comply with applicable federal privacy and security standards. Pressure is mounting to deploy the system in the near future. What ethical issues should you consider? How should you proceed?
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Case Study 19061065
/in Uncategorized /by developerInstructions
You are caring for five patients on a busy, 28-bed neurological medical-surgical unit, which recently transitioned to all electronic documentation and healthcare computerized provider order entry (CPOE). There is no longer any bedside paperwork.
All of your staff members have completed the required training and you have been assigned as expert lead for any questions that may arise during your shift. The expectation is that all nurses and clinical staff will document all care delivery in the bedside computers located in each patient’s room or via the workstation on wheels (WOW).
However, you have noticed a trend with experienced nurses spending extra time at the end of their shifts (30 or more minutes) documenting the nursing care provided during the shift. The expectation is that they should be documenting care delivery as soon as it is complete rather than at the end of their shifts.
Answer the following questions based on the information provided:
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Case Study 19070311
/in Uncategorized /by developerCareers in the Health and Wellness field often expose you to situations and human experiences that require you to think critically about them. This project is intended to help you do just that.For this project, you will choose 1 of the 3 case studies presented below. Once you have selected, you will:Explain the individual’s behaviors that have influenced their physical and psychological well-being.Evaluate the individual’s behavioral health according to the theories proposed in this Behavioral Health course.Explain the symptoms associated with the specific mental health diagnosis that has been identified within the case study (you do not have to diagnose, you simply explain what the individual with that diagnosis may experience).Devise 3 goals and objectives to help the individual in terms of physical and mental well-being. Identify behavioral health programs that may help the individual and provide them as resources.Finally, consider any ethical or cultural issues that may be involved in the case. Due DateYour final project is due in Module 06. There will be individual assignments along the way. The module they are due is noted in the time line below.Time LineModuleAssignment01Introduction02Part A Due04Part B Due06Part C and Final Submission Due
RequirementsReview the 3 case study options provided below and decide which you will examine for your project.Case Study Option 1: JannaCase Study Option 2: ThomasCase Study Option 3: BarbaraWhen considering which case study to choose, think about how you might help guide the individual to improve their psychological wellness as well as their physical health and wellness.Topic Areas to be AddressedYour Course Project will be completed in 3 parts (A-C) and should address the topic areas outlined below. Your submissions should be written in APA format and not simply be presented as answers to the guiding-questions.Part AProvide a brief overview of the case study you have chosen. What are the individual behaviors that have influenced this person’s physical and psychological well-being? Examine these and provide an explanation of each of those behaviors.
Evaluate the individual’s behavioral health according to one of the following theories: Behavioral TheoryBiopsychosocial ModelSelf-efficacy TheoryTheory of Planned BehaviorHealth Belief ModelTranstheoretical Model
Part BExplain the symptoms of the diagnosis provided in the case study. Then explain how this diagnosis will affect the individual in the case study. This is simply an application of what you learned about mental health disorders in Module 02. What are the symptoms of the disorder? Good advocacy requires that education of the client is indicated. Educate your client about the diagnosis. What does the client need to know about this disorder?
Design 3 goals and 3 objectives that would support health and wellness as well as overall good behavioral health functioning.
Part CIdentify at least 3 behavioral health programs and/or services that would support the overall wellness of this individual (these can be national programs/services or they can be local program/services). Indicate the service and then provide an explanation relative to how this program or service would indicate advocacy.
Finally, consider and discuss any ethical issues with regard to the promotion of behavioral health and wellness; and/or current laws that may apply to the case study. Consider cultural issues that may affect the behavioral health plan.
Final Submission
Your final project should 5-8 pages long, written in APA format, and use proper spelling/grammar. In-text citations should be used and they should be supported by an APA formatted References page. Your final deliverable should include revisions based on faculty-feedback provided for earlier project assignments.EvaluationEach assignment leading up to the final assignment is evaluated and graded independently. Your instructor will provide specific grading criteria for each step of the project prior to its due date.For Further Questions
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Case Study 19070721
/in Uncategorized /by developerCase Study:
Mr. Smith, a 60 year-old man with coronary heart disease, experienced frequent bouts of angina pectoris. One day while moving a piece of heavy furniture, he experienced excruciating pain over his left chest. He began sweating heavily, became short of breath, and then collapsed. He was transferred to the emergency room at a nearby hospital. Mr. Smith’s EKG was diagnostic of myocardial infarction. A coronary angiography was performed and an occlusion was found in a in the descending branch of the left coronary artery. Intravenous drugs were administered to dissolve the clot that was causing the obstruction. His cardiologist informed him that some of his heart muscle had died as a result of the myocardial infarction.
Discussion Questions:
1. Discuss the risk factors for a myocardial infarction.
2. As per your analysis, what type of cell injury did Mr. Smith sustain and why?
3. Differentiate between reversible and non-reversible cell injury.
4. Discuss the pathophysiological changes that occur during a myocardial infarction.
5. Correlate the subjective and objective findings of a myocardial infarction with the disease
Requirement is one page.
Provide references and use APA format.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Case Study 19073047
/in Uncategorized /by developerCase Study
A 17-year-old female presents to your ER with her boyfriend. She has a disheveled appearance and poor hygiene. She reports “Please help, I can’t pee”. The health history reveals that this young patient last urinated about 8 hours ago and is now feeling very uncomfortable. You ordered an indwelling catheter and the nurse reports an output of 1500 ml of cloudy urine. Urinalysis is positive for nitrites, large ketones, trace blood, and large number of bacteria. Glucose is negative.
Vital signs: BP 160/90, HR 120, R 22, Weight 107 lbs., Height 5’6”, BMI 17.
What additional history would you obtain from this patient?
What are your treatment goals for this patient?
If you plan to start drug treatment today, what is your choice, dose, and duration of treatment.
Provide patient education regarding your choice of treatment, as well as non-pharmacologic aspect of treatment.
(references peer reviewed, less than 5 years old, APA 6th edition)
Limit to 4 pages double space:
Cover: 1st page
Content: 2nd and 3rd page
References: 4th page (references peer reviewed, less than 5 years old, APA 6th edition)
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Case Study 19078627
/in Uncategorized /by developerMr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.
Objective Data
Critical Thinking Questions
What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?
Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"