• Janet, a 20 year-old college student, is experiencing a five-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. Janet gets frequent “colds” every spring and fall.

Physical Examination

Vital Signs: Temp, 98.8; BP 110/68; Pulse 72; Respirations 18

Skin: Flaking erythematous rash on the flexor surfaces of both arms

Head, Eyes, Ears, Nose, and Throat: Tender over maxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red, irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous, with clear postnasal drainage

Lungs: Clear to auscultation and percussion

Discussion Questions:
1. Provide three differential diagnoses based on Janet’s subjective and objective data and discuss your reasoning for each.

2. What additional history questions would be useful in your evaluation of Janet?

3. Discuss the pathophysiological process of your primary diagnosis.

4. Differentiate the types of hypersensitivity mechanisms.

5. As per your analysis, what type of hypersensitivity reaction is Janet experiencing?

 

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Write a one-page summary and response to the article that you selected from the Walden Library. A template is provided in the Learning Resources to guide you in formatting your paper.

As you reflect on the findings in your chosen article, consider how the findings compare to your own professional nursing experience with Magnet, or, if you have no personal experience with Magnet, your thoughts concerning Magnet:

• Paraphrase and integrate information from the article into paper.
• Include an introduction, body, and a summary (conclusion).
• Consider factors or principles from the article that hold true for or resonate with you.

 

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Write a one-page summary and response to the article that you selected from the Walden Library. A template is provided in the Learning Resources to guide you in formatting your paper.

As you reflect on the findings in your chosen article, consider how the findings compare to your own professional nursing experience with Magnet, or, if you have no personal experience with Magnet, your thoughts concerning Magnet:

Paraphrase and integrate information from the article into paper.

 

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Assignment: The Impact of Intrinsic Motivation

Reflect for a moment on your nursing career. About what are you most passionate? When do you feel you are at your best? What brings you the greatest satisfaction in your work? Positive feelings in the workplace are usually fueled by intrinsic motivators: healthy relationships, meaningful purpose, competence, choice, and progress. As a nurse manager, it is helpful to recognize what motivates you to perform well in your own job. You should also take time to understand the motivations of employees. By speaking to staff about their interests and professional goals, nurse managers can build relationships and thus provide appropriate motivators.

For this Assignment, you examine your personal work experiences to determine which of the five intrinsic motivators are more influential in shaping your positive feelings about the workplace.

To prepare

• Reflect on your work history, from your first job to your current employment.
• Select one time period or situation in which you felt professionally happy, motivated, and fulfilled in your job. What do you remember most about this time period? What are, or were, the various personal and professional factors that helped to shape these feelings?
• Select one time period or situation in which you felt professionally unhappy, disengaged, and unfulfilled in your job. What do you remember most about this time period? What are, or were, the various personal and professional factors that caused these feelings?
• Review the selected pages from Chapter 7, “Coaching and Developing Others” in the course text, From Management to Leadership: Strategies for Transforming Health Care. Consider the potential influence of the five intrinsic motivators during your chosen time period or situation.
  • Which intrinsic motivators seem to resonate more with your own perceptions of job fulfillment?
  • Which motivators do you believe have greater influence on your professional well-being?
• Review the media, “Fostering a Positive Workplace.” How can nurse leaders use their awareness of the five motivators to engage and retain nursing staff?

To complete

By Day 7 of Week 8

Submit a 3- to 5-page paper in which you do the following:

• Appraise a time when you have felt professionally fulfilled. Describe the setting, your job title, and the roles and responsibilities in which you were engaged. Identify your own key intrinsic motivators and explain how these were evident in this situation. Cite specific examples.
• Appraise a time when you have felt professionally unfulfilled. Describe the setting, your job title, and the roles and responsibilities in which you were engaged. Explain the motivator(s) that were absent and how this impacted your professional performance. Cite specific examples.
• Discuss how you, as a nurse manager, might implement organization- or department-wide changes that would create an environment that engages staff through one or more intrinsic motivators.

 

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Impact of Finance on Program Success

 Money is an important resource, but it is not the only resource that matters when it comes to program design and evaluation. In fact, having sufficient money, in itself, does not equate to having a quality program or even a financially successful one. Financial strategy dictates how money is spent and allocated. With this in mind, what are the most important considerations to bear in mind as you design your program?
 

To prepare:

• Review      the financial analysis information presented in the Learning Resources.
• Conduct      additional research of your own to further your understanding of use of      cost-effectiveness, cost-utility, and cost-benefit. Feel free to share      resources that you find beneficial with your colleagues.
• How      do these concepts apply to your program planning and help to facilitate      quality program outcomes?

By tomorrow Tuesday 1/15/19 by 6 pm post a minimum of 550 words essay in APA format with a minimum of 3 scholarly reference (see required reading list below). Include the level one headers as numbered below:

Post a cohesive scholarly response that addresses the following:

1) Which method of financial analysis is most appropriate for your program (breast cancer among African American women in the United stated)? Provide your rationale.

2) What are the financial implications of not addressing the problem you have identified for your target population?

3) What are the differences between the long-term and the short-term implications of not addressing the problem?

4) How does your selected financial analysis strategy relate to the quality of program outcomes?

Required Readings

Kettner, P. M., Moroney, R. M., & Martin, L. L. (2017). Designing and managing programs: An effectiveness-based approach (5th ed.). Thousand Oaks, CA: Sage.

· Chapter 10, “Performance Measurement, Monitoring, and Program Evaluation”

As you read this chapter, pay attention to the financial functions associated with these forms of evaluation and the data to be collected.

Robbins, L.B., Pfeiffer, K.A., Weolek, S.M., & Lo, Y. (2014). Process evaluation for a school-based physical intervention for 6th and 7th grade boys: Reach, dose, and fidelity. Evaluation and Program Planning, 42, 21–31 doi.org/10.1016/j.evalprogplan.2013.09.002

Schalock, R.L., Lee, t., Verdugo, M., Swart, K., Claes, C., van Loon, J., & Lee, C. (2014). An evidence-based approach to organization evaluation and change in human service organizations evaluation and program planning. Evaluation and Program Planning, 45, 110–118. 

Optional Resources

U.S. National Library of Medicine. (2008). HTA 101: IV. Cost analysis methods. Retrieved from http://www.nlm.nih.gov/nichsr/hta101/ta10106.html

· Published by the National Institutes of Health, this site offers an explanation of the types of cost analysis including comparison of cost-utility, cost-effectiveness, and cost-benefits.

 

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