Review both resources provided below in addition to the assigned readings for this week and reflect on 2 key differences between the UK and US Health systems. What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system? 

See attachment similarity no more than 15% 

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Case #21: Hindsight is always 20/20, or attention deficit hyperactivity disorder

Patient evaluation on intake•

31-year-old man with a chief complaint of anxiety of “different types” •Patient states that he “has been successful in graduate school, has financial worries, but states that he worries and is tense most of the time”

Psychiatric history

•Has been anxious for many years, mostly since college and now graduate school •Working part-time and going to school part-time and feels “torn in many directions” •Generally is tense, restless, irritable, and worries about things even outside school and work–When legitimate stressors diminish, the anxiety lowers, but is still present and discouraging •This causes him to be argumentative and temperamental most of the time •He says he is active and likes to stay busy all of the time, but he wonders if “he is doing too much, as he has no time for all of the things” he wants to do 

Social and personal history

•Graduated high school, college, and is enrolled in a graduate-level training program for family counseling •Gainfully employed now in a clinical setting •Married and without children •Does not use drugs or alcohol.

Write a response to the following:

• Provide the case number in the subject line of the Discussion.
• List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
• Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.
• Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
• List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
• List two pharmacologic agents and their dosing that would be appropriate for the patient’s ADHD therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
• If your assigned case includes “check points” (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
• Explain “lessons learned” from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.

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Week 5: Strategic Planning

“For tomorrow belongs to the people who prepare for it today.” –African proverb

As this course has emphasized, healthcare leaders and managers typically have oversight of a vast array of responsibilities and outcomes. Like a general of an army or a physician helping a patient through a long-term disease, they must demonstrate that they can make critical day-to-day decisions, but they must also have a vision for a better future for those they serve. In healthcare management, that vision can best be achieved through planning involving a strategic process and group of stakeholders.

Healthcare leaders need to know how to ensure that their organizations succeed for the long term, and to anticipate market forces and policy and funding changes, among other challenges. In strategic planning, the process is as important as the plan itself.

This week, you will explore various aspects of strategic planning. You will examine challenges related to strategic planning in healthcare settings, the roles of stakeholders and healthcare leaders in the process, and components and goals of successful strategic plans.

Learning Objectives

Students will:

• Analyze stakeholder roles in meeting strategic planning challenges
• Analyze the role of healthcare leaders and managers in meeting the needs of stakeholders and the goals of the organization through strategic planning
• Identify the components and goals of a successful strategic plan
• Compare goals and strategies of strategic plans
• Analyze barriers to successful strategic planning implementation

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Course Text: Buchbinder, S. B., & Shanks, N. H. (2017). Introduction to health care management (3rd ed.). Sudbury, MA: Jones & Bartlett.
Chapter 5, “Strategic Planning” (pp. 107–123)
In this chapter, you will be introduced to the strategic planning process within healthcare settings. The author provides insight into the process of identifying a desired future state for a healthcare organization and planning as a means to achieve it.
Last Chance Hospital—Case or Chapters 5 and 6 (pp. 536–537)

Article: Javanparast, S., Freeman, T., Baum, F., Ziersch, A., Mackean, T., Labonte, R., & Sanders, D. (n.d). How institutional forces, ideas and actors shaped population health planning in Australian regional primary health care organisations. BMC Public Health, 18. doi:10.1186/s12889-018-5273-4

Note: You will access this article from the Walden Library databases.

This article features a look at collaborative healthcare planning for population health programs in Australia.

Required Media

Laureate Education (Producer) (2014c). Strategic planning [Video file]. Baltimore, MD: Author.
The approximate length of this media piece is 4 minutes.
This media features public health leaders discussing various roles, informal and formal, in strategic planning.
Note: You may view this Course Video in the streaming Media Player below or attached and/or linked above with each resource listed. As a reminder, additional Learning Resources for the week are listed below the Media Player. Be sure to scroll to the bottom of the page to view the complete list of Required and/or Optional Resources.
If you experience technical difficulties viewing the Course Media through the Media Player, please contact your Student Support Team at 1-800-WALDENU or [email protected]

Discussion: Prior Proper Planning Prevents Poor Performance

The six Ps in the title of this Discussion, “Prior Proper Planning Prevents Poor Performance,” indicate the value of planning. When healthcare leaders and managers carefully plan their goals and strategies for the long-term as well as the short-term and involve the right stakeholders and fully understand their perspectives, this helps the organization be more strategic in attaining its current and future goals.

To prepare for this Discussion:

• Consider the role of the healthcare manager or leader in strategic planning in healthcare settings.
• Review the case study provided in your course text: Last Chance Hospital.

By Day 4

Post a comprehensive response to the following:

• Using specific examples and support from the case study provided in your Learning Resources, describe the main challenges related to strategic planning in Last Chance Hospital and explain why they are challenges.
• Identify the key stakeholders in the case study. Then, explain the role, if any, each might take in strategic planning and why.
• Explain the role of a healthcare leader or manager in meeting the needs of the various stakeholders, as well as meeting the goals of the strategic plan and organization.

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This has to 350 words not counting the title page and references. Only use scholar authors. Please see the attachment for some reference that you can use.

Discussion: Professional Nursing and State-Level Regulations

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
• Consider how key regulations may impact nursing practice.
• Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

By Day 3 of Week 5

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

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When treating pediatric patients in clinical settings, you also treat patients’ families. With younger patients, this tends to be a seamless process. However, as patients age and grow into the adolescent years, the provider-patient-family relationship becomes more complex. The change in this dynamic often creates questions in provider-patient confidentiality. As the advanced practice nurse providing care for school-age children, adolescents, and their families, how do you handle these confidentiality issues? If a child is a minor, do you have to maintain provider-patient confidentiality? When is it appropriate to allow patients privacy? When is it your legal and ethical duty to involve family members? How do you facilitate the care of a minor when you have to work with parents and still maintain patient trust?

Consider the following three case studies.

Case Study 1

You receive a phone call from a mother who is concerned that her son is using drugs. The 16-year-old boy is seeing you in the afternoon for a follow-up for acne. The mother requests that you obtain a drug test during the visit, but she does not want her son to know he is being screened or that she requested screening because “I don’t want him to stop trusting me.”

Case Study 2

A 17-year-old girl comes to your office with a complaint of abdominal pain and missed periods. She thinks she may be pregnant. She requests pregnancy testing and does not want you to tell her parents if she is pregnant.

Case Study 3

The father of a 10-year-old boy calls your office to request assistance with an Individualized Educational Plan (IEP) for his son who was recently diagnosed with attention deficit hyperactivity disorder (ADHD). He wants you to contact the school and to facilitate getting an IEP developed.

To prepare:

• Review this week’s media presentation, as well as “Developmental Management of School-Age Children” and “Developmental Management of Adolescents” in the Burns et al. text and the Schapiro article in the Learning Resources.
• Think about confidentiality laws regarding providers, school-age children, adolescents, and their families.
• Select one of the three provided scenarios. Reflect on the provider’s role and responsibility regarding confidentiality between the patient and the patient’s family in the scenario.
• Consider the appropriate way for the provider to respond and facilitate the care of the patient in the scenario you selected. Think about interventions and strategies that the provider should use to address the issues presented.

By Day 3

Post an explanation of the provider’s role and responsibility regarding confidentiality between the patient and the patient’s family in the scenario you selected. Explain how the provider should appropriately respond and facilitate the care of the patient in the scenario. Include interventions and management strategies that the provider should use to address the issues presented.

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