In clinical settings, advanced practice nurses often encounter patients with blood disorders such as anemia. Consider the case of a 17-year-old girl who is rushed to the emergency room after suddenly fainting. The girl’s mother reports that her daughter has had difficulty concentrating for the past week, frequently becomes dizzy, and has not been eating normally due to digestion problems. The mother also informs the nurse that their family has a history of anemia. With the family history of anemia, it appears that this is the likely diagnosis. However, in order to properly diagnose and treat the patient, not only must her symptoms and family history be considered, but also factors such as gender, ethnicity, age, and behavior. This poses the question: How do patient factors impact the incidence and prevalence of different types of anemia?

To Prepare

• Review Chapter 21 in the Huether and McCance text. Reflect on the pathophysiological mechanisms of iron deficiency anemia.
• Select one of the following types of anemia: pernicious anemia, folate deficiency anemia, sideroblastic anemia, chronic inflammation anemia, or post-hemorrhagic anemia. Identify the pathophysiological mechanisms of the anemia you selected.
• Consider the similarities and differences between iron deficiency anemia and the type of anemia you selected.
• Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact these anemic disorders.

By Day 3

Post an explanation of the pathophysiological mechanisms of iron deficiency anemia and the anemia you selected. Compare these two types of anemia, as well as their potential causes. Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders you selected.

four references not more than 5years

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Common ancillary services, provided by the U.S. Department of Veterans Affairs (n.d.), are listed below:  

• Audiology (hearing)
• Blind and Vision Rehabilitation
• Chiropractic Services
• Dental
• Diagnostic Laboratory
• Nutrition and Food Service
• Nuclear Medicine (imaging)
• Occupational Therapy
• Pharmacy
• Physical Therapy
• Prosthetics (artificial limbs, equipment, devices)
• Radiology (x-rays and imaging)
• Radiation Oncology (cancer care)
• Recreation and Creative Arts Therapies (music, art, dance and drama)
• Respiratory Therapy
• Social Work (housing, discharge planning, family support)
• Speech/Language Pathology (speech, language, voice, fluency, cognition, and swallowing)
• Traumatic Brain Injury

Leaders of health care organizations are face with enormous challenges. As with other sectors of health care, there are numerous challenges facing ancillary services. As a leader in an ever changing and demanding environment, you must be able to propose solutions and predict probable outcomes. Your proposal(s) must be effectively communicate to staff and organizational leadership. 

U.S. Department of Veterans Affairs. (2015). Ancillary Services. Retrieved from https://www.va.gov/healthbenefits/access/ancillary_services.asp 

Case Assignment 

You are a director of a hospital ancillary service unit hospital. You have noticed that your unit is faced with the following three challenges: 

1. Slow adoption to technology
2. Staff shortage
3. Poor job satisfaction rates resulting in turnover

You are to write a proposal addressing each of the above challenges. Your proposal should have the following sections: 

1. Background: Select an ancillary service from the above list and provide background on the services provided.
2. Challenges: State the three challenges and identify how they potential could affect your selected ancillary service unit (be sure to support your position with valid sources). 
3. Solution/Outcome: For each challenge identify one solution and describe the probable outcome.
4. Scope/Plan: Develop a plan to address these three issues and describe phases/timeframe of your plan.
5. Limit your response to a maximum of 3 pages.
6. Support your proposal with peer-reviewed articles, with at least 3-4 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.

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In each module in this course, your assignments will build upon each other. For your SLP assignments you will be creating an extensive PowerPoint presentation (PPT). 

Remember, you have been named the Administrative Director at Trident International Hospital (TIH) and will be presenting your PPT to the Board of Directors at TIH for approval. TIH is restructuring to meet the current needs of their consumers. 

**** PLEASE NOTE!! ****

For your Module 2 assignment, the board has requested you to identify and recommend 3 ancillary services for TIH to better serve the population and boost revenue. You are to research current trends in ancillary services and add to your presentation 5 slides covering these services. In your new slides, you need to address/state the following: 

1. Three chosen ancillary services
2. Identify the chosen ancillary service trends and/or rational for current popularity
3. Rationalize how your chosen ancillary services could boost revenue. 

Your PPT should be professional and provide substantial information about your chosen ancillary services. 

At this point (with the continuation of slides from Module 1 assignment), your total presentation should be at least 10-12 slides (not including the title and reference slide). Speaker notes are required. 

Assignment Expectations

1. Conduct additional research to gather sufficient information to support your design of your department organization chart.  
2. Limit your total PPT to a maximum of 12 slides.
3. Support your assignment with peer-reviewed articles, with at least 3-4 references. Use the following source for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
4. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/. 
5. For additional information on reliability of sources review the following source: https://www.edb.utexas.edu/petrosino/Legacy_Cycle/mf_jm/Challenge%201/website%20reliable.pdf.

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In this assignment, you must list three sources that you have encountered in your research process.

You will list them as they would appear on a Works Cited page in MLA format. What makes this different than a Works Cited is that beneath each entry in your list, you must include a paragraph that does each of the following: 1) summarizes the source; 2) evaluates the source; and 3) describes how you might use this source in your paper. Each of these points should be achieved in two or three sentences, resulting in a paragraph of somewhere between six to twelve sentences. For instance, consider the following annotated bibliography entry:

Smith, Joe. “How evaluation-hungry administrators are ruining education.” The Chronicle of Education in America. 85 (2004): 319-334. Webline. Web. 23 Dec. 2012

Smith argues that school administrators, having created a social class for themselves based on no real merit, need to maintain some semblance of personal integrity. To do this, they foist tests and measurements on an overburdened population of teachers and trick them into “proving” themselves by rules they did not choose. Smith’s argument, though enjoyable to read by someone who already agrees with him, lacks logical merit. His ad hominem attacks on administrators overlook key evidence that could actually make his case more logical. In addition, he sometimes misconstrues the arguments of his opponents because of his emotional bias. In spite of its weaknesses, this article helps me establish the breadth and scope of the wider argument in academia concerning evaluation and measurement. In addition, by pointing out some of Smith’s weaknesses, I can establish the strength of my argument by opposition.

The above is a sample. Your annotated bibliography would have three of these entries. You may upload your annotated bibliography or cut and paste.

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