Policy Proposal (Ass 2) (1*)

Write a 4–6-page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1.
In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.

As a master’s-level health care practitioner, you have a valuable viewpoint and voice to bring to discussions about policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes.
Competency Map
Use this online tool to track your performance and progress through your course.

  • Assessment Instructions:  Propose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions.
    Note: Remember that you can submit all, or a portion of, your draft policy proposal to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
    Requirements
    The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.

    • Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
      • What is the current benchmark for the organization and the numeric score for the underperformance?
      • How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization?
      • What are the potential repercussions of not making any changes?
        • What evidence supports your conclusions?
    • Recommend ethical, evidence-based practice guidelines to improve targeted benchmark performance prescribed by applicable local, state, or federal health care policy or law.
      • What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
      • How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law?
      • How would you propose to apply these strategies in the context of Eagle Creek Hospital or your own practice setting?
      • How can you ensure these strategies are ethical and culturally inclusive in their application?
    • Analyze the potential effects of environmental factors on your recommended practice guidelines.
      • What regulatory considerations could affect your recommended guidelines?
      • What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?
    • Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.
      • Why is it important to engage these stakeholders and groups?
      • How can their participation produce a stronger policy and facilitate its implementation?
    • Organize content so ideas flow logically with smooth transitions.
      • Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
    • Use paraphrasing and summarization to represent ideas from external sources.
      • Be sure to apply correct APA formatting to source citations and references.
    • Example Assessment: You may use the Assessment 2 Example [PDF] to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
      Policy Proposal Format and Length
      It may be helpful to use a template or format for your proposal that is used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Web.
      Your policy should be succinct (about one paragraph). Overall, your proposal should be 4–6 pages in length.
      Supporting Evidence
      Cite 3–5 references to relevant research, case studies, or best practices to support your analysis and recommendations.
      Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.
      Portfolio Prompt: You may choose to save your policy proposal to your ePortfolio.
      Competencies Measured
      By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
    • Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
      • Analyze the potential effects of environmental factors on recommended practice guidelines.
    • Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
      • Recommend ethical, evidence-based practice guidelines to improve targeted benchmark performance prescribed by applicable local, state, or federal health care policies or laws.
    • Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations.
      • Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.
    • Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
      • Explain why particular stakeholders and groups must be involved in further development and implementation of a proposed policy and practice guidelines.
    • Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.
      • Organize content so ideas flow logically with smooth transitions.
      • Use paraphrasing and summarization to represent ideas from external sources.

post-Yvonne

 

 Respond to  your  colleagues by suggesting an alternate therapeutic approach. Support your  feedback with evidence-based literature and/or your own experiences  with clients.  

NOTE( Positive Comment)

                                                         Main Post

Anxiety  disorders are psychiatric conditions that share characteristics of  excessive fear of real or perceived imminent threat. According to  Thibaut (2017), anxiety disorders are the most prevalent psychiatric  disorders- accounting for 7.3% of all psychiatric disorders worldwide.  Anxiety disorders are distinguished from one another by the triggers  that induce the anxiety, fear, or other associated behavior and may  include generalized anxiety disorder, panic disorder,  obsessive-compulsive disorder, selective mutism, separation anxiety  disorder, medication/substance-induced anxiety disorder, and social  phobia (American Psychiatric Disorder, 2013; Thibaut, 2017). 

             A client I observed is N.B, a 15-year old male Caucasian presented to  the clinic by his mother, who was concerned about his anxious behavior.  The client’s mother described him as a shy person with little friends.  For this reason, N.B spends most of his time playing video-games in his  room. The client’s mother also revealed that N.B has always had problems  meeting new people. During the interview, N.B looked uncomfortable. He  could not keep eye contact and was fidgeting. N.B’s mother also revealed  that he has always struggled in the presence of his peers. N.B has  severally turned down his peer’s invitations to hang out and often  engages in avoidance behaviors. After assessing the client, a diagnosis  was made for social anxiety disorder (Social phobia) 300.23 (F40.10)  (American Psychiatric Disorder, 2013).

             The DSM-5 diagnostic criteria for social anxiety disorder (Social  phobia) involves marked fear or anxiety of one or more social situations  where an individual is exposed to scrutiny by others- (in peer settings  for children). The social situations always provoke fear or anxiety and  must have been lasting for six months or more. In the given case, the  client met the diagnostic criteria for social anxiety disorder.

Therapeutic Approach and perceived Effectiveness

             The most appropriate treatment for N.B is cognitive behavioral therapy  (CBT). CBT is regarded as the approach with the highest level of  evidence in the treatment of social anxiety disorder (Bandelow et al.,  2017). CBT’s goal in treating social anxiety disorder is to enable the  client to gain self-consciousness by changing maladaptive behaviors and  negative thoughts that make oneself uncomfortable in social situations.  In their study, Pinjarkar et al. (2015) examined the effectiveness of  CBT in treating social anxiety and found a clinically significant  improvement in the subject’s self-consciousness and avoidance behavior  (63.79%). In another study, David et al. (2014) concluded that cognitive  therapy resulted in better outcomes than wait-list in the treatment of  social anxiety disorder patients (78% of the subjects did not meet  avoidant personality criteria at the end of treatment). The study also  showed that cognitive-behavioral therapy was more superior to expressive  and art therapy in the treatment of social anxiety disorder (71%)  (David et al., 2014). 

Thank you for listening to me. 

I look forward to hearing from you on alternate therapeutic approaches. 

 

References

Bandelow, B., Michaelis, S., & Wedekind, D. (2017). Treatment of anxiety             disorders. Dialogues in Clinical Neuroscience, 19(2), 93–107.

David M., C., Anke, E., Ann, H., Freda, M., Melanie, F., Nick, G., Louise, W., & Jennifer,          W. (2014). Cognitive therapy versus exposure and applied relaxation in social   phobia: A Randomized controlled trial. Journal of Consulting and Clinical             Psychology, 74(3), 568–578.

Kaczkurkin,  A. N., & Foa, E. B. (2015). Cognitive-behavioral therapy for  anxiety disorders:        an update on the empirical evidence. Dialogues in Clinical Neuroscience, 17(3), 337–      346.

Pinjarkar,  R. G., Sudhir, P. M., & Math, S. B. (2015). Brief cognitive  behavior therapy in         patients with social anxiety disorder: A preliminary investigation. Indian Journal of       Psychological Medicine, 37(1), 20–25. https://doi.org/10.4103/0253-7176.150808 

Thibaut F. (2017). Anxiety disorders: A review of current literature. Dialogues in Clinical           Neuroscience, 19(2), 87–88.

post- Sherry

 Respond to your  colleagues .  Provide at least two additional treatment strategies that could be used  with this client and at least one additional cultural influence that you  think should be considered. Explain your responses. 

NOTE; (positive comment)

                                                          Main Post

 

Fostering

Every  year, a quarter of a million children come into foster care in this  country. Many of them will be placed in group homes or other group  residential settings because there are simply not enough foster families  to care for all of the children. Unlike birth parents, foster parents  receive training before they welcome children into their home and  support from social workers and other professionals throughout the  process. Foster parents often also have access to respite care programs  and find support through local organizations, such as churches, and  online support groups (“Adopt US kids,” 2020).

Psychological

Some  children entering into the foster system tend to have behavioral  issues, temper outbursts, anxiety, depression, and maltreatment. Providing  psychiatric services to children and adolescents in foster care require  collaboration not only with the clinical team, but also the child  welfare team. Team members include parents, foster parents, and the  social worker, at minimum. The team may also include representatives  from courts and others engaged by the child welfare system to conduct  assessments (eg, psychological, neuropsychological) (Scheid, 2020).  These children can get shuffled from place to place and could suffer  from adjustment disorders. Trauma related diagnosis could also be given.

Assessment

Child developmental  screenings coupled with clinical and functional assessment practices are  critical first steps in the intervention process.4 In addition,  gathering information related to family and community assets can help to  reinforce multidimensional and age-appropriate child assessments. The  Treatment Outcome Package (TOP) that is designed to help child welfare  systems gauge a child’s social and emotional well-being. TOP uses  statistically validated questions to identify children’s strengths and  challenges and track their progress over time using simple, web-based  tools. It features a short checklist completed by the child and those  closest to him or her — birth and foster parents, clinicians, teachers,  caseworkers — paired with immediate results and easy-to-follow reports.  TOP tracks and measures two things. It tracks how children are doing  using more than 40 child well-being indicators, such as how well a child  is sleeping or behaving in school, to help gauge whether a child’s  behavioral and mental health needs are improving through a particular  course of treatment. It also looks at specific providers’ track record  of delivering particular services. The more we know about both, the  better we can match kids’ needs with providers’ strengths (Feild, 2014).

Treatment Options

According to Psychiatric Times, Psychotherapy  is generally considered first line when addressing trauma- and  stressor-related emotional and behavioral conditions in children.  Strategies with empirical support include trauma-focused cognitive  behavioral therapy (TF-CBT); parent-child interaction therapy (PCIT),  which is suggested for children aged 2 to 7 years to improve parenting  skills and reduce children’s disruptive behavior; and attachment and  bio-behavioral catchup (ABC), which has been tested in toddlers in  foster care The National Child Traumatic Stress Network (www.nctsn.org)  provides information on a variety of evidence-based and promising  psychotherapeutic approaches for children exposed to maltreatment. This  can be coupled with SSRI’s for treatment of depression and anxiety.  Second generation antipsychotics and benzodiazepines for sleep  disorders.

Cultural Effects

Strong  cultural identity contributes to mental health resilience, higher  levels of social well-being, and improved coping skills, among other  benefits. Foster youth face and deal with trauma, changing home  environments, and lower levels of social well-being than the general  population. Often, due to this disruption, former foster youth have  lower cultural identity strength than those who did not experience  foster care. Child welfare practitioners must examine how they can best  support strong cultural identity in foster youth (Stafanson, 2019).

References

About foster parenting Foster parents change  lives—both the children’s and their own. (2020). Retrieved from  https://www.adoptuskids.org/adoption-and-foster-care/overview/foster-parenting

Feild, T. (2014, august 15, 2014). New Tool Measures Well-Being of Kids Served by Child Welfare Systems. The Annie E. Casey Foundation. Retrieved from https://www.aecf.org/blog/new-tool-measures-well-being-of-children-served-by-child-welfare-systems/

Scheid, J. M. (2020, May 15,2020). Challenges and Strategies in Foster Care. Psychiatric Times, 37. Retrieved from https://www.psychiatrictimes.com/view/challenges-and-strategies-foster-care

Stafanson, A. H. (2019). Supporting Cultural  Identity for Children in Foster Care. Retrieved from  https://www.americanbar.org/groups/public_interest/child_law/resources/child_law_practiceonline/january—december-2019/supporting-cultural-identity-for-children-in-foster-care/

Essay

I need help writing a paper for my Health Administration and Records Management class

6-10 page cystic fibrosis essay needed

 

Situation: Patient “CP” is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. I placed an 8-Fr, 42-inch feeding tube in his right nares about an hour ago, and x-ray just called and confirmed placement in the stomach. The pump is in his room. He is up to the bathroom prn; otherwise bed rest.

Background: CP was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dormitory. CP’s mom was here earlier, but she is a single parent and has two younger boys, so she had to go home.

Assessment: CP is awake and alert. His heart rate and rhythm are regular at 80–85/min. Breath sounds are fine with a respiratory rate at 18/min. His color is a bit pale. Blood pressure is 118/78 mm Hg. He reports no pain and states he’s not had much appetite the past few weeks. His belly is flat and nontender. Bowel sounds are normoactive.

Recommendation: CP is due for vital signs and assessment. The tube feeding just arrived, and you will need to start it on the pump. He needs 720 kilocalories over 8 hours overnight. His regular diet is high calorie, high fat, but he wasn’t too hungry this evening; just had a bit of his chocolate shake. You will need to give his pancreatic enzymes orally before you start the tube feeding. You should also assess his diet and reinforce patient education on nutrition.

REQUIREMENTS 

Write a 6-10 page paper recommending treatment and care for patient regarding cystic fibrosis. Rubric will be attached. APA citations needed. At least 4 citations, only 1 being from an online source. Also include pathophysiology, nursing process, patient teaching, diagnostic tests, etc.  

Suicide Assessment

 

Assignment: Using the two scenarios in the file 

1. Review the material concerning suicide presented in the text. Examine carefully each variable described by the SAD PERSONS scale. 

2. Evaluate the person’s suicide potential according to the SAD PERSONS scale. 

3. Using APA format provide details of your assessment and the basis for your findings. 

4. Utilize a minimum of 2 references; however, be sure your submission is thoughtful and displays your application of knowledge gained.  

HLTH 121 FINAL ASSIGNMENT

  

HLT 121 Final Assignment- Worth 40pts

Choose one of the topics below. The breakdown of your pager should be as follows:

1. Address the topic with an opening page (1 page)

2. Content -answer the questions (8 pages) 

3. Summary (1 page). 

Your paper should be 10 pages total not including the reference page. (double spaced)

Ø Include a reference page of no less than 8 references one of which must be your text. Make sure your references are documented MLA style. Consult the TCC library. There is a specific way to cite a web reference. Make sure you do it correctly. Citing just the website is not correct.

Ø Submit by the due date or before. No late papers accepted.

Ø Call or email me if you have any questions or concerns.

For whichever topic you choose include a two of the items below that relate to your topic. 

o Evidence-based treatment practices.

o Addiction treatment outcomes.

o Addiction, psychiatry and the brain.

o Addictive substances such as prescription opioids and heroin.

o Substance abuse in youth/teens, older adults and other demographic groups such as health care or legal professionals.

Topics –

Addiction to things (video games, shopping, gambling, eating etc)

· Identify the addiction.

· What are the signs of an addiction to anything?

· What are the statistics for this type of addiction? What age group or demographic is it prevalent in? Any culture?

· Are there support systems or resources for this type of addiction?

· Any personal experiences with this addiction either with yourself or someone you know? 

Alcohol

· Are there any health benefits to alcohol consumption? If so what? Has this changed in the past year or so?

· Does the alcohol industry behave responsibly in marketing their products?

· What can we, as a society, do to reduce the problems associated with alcohol use?

· Does AA work? Why or why not? With the ACA laws now in place, what are alternatives? 

War on Drugs 

· Is the “war on drugs” succeeding? If so, in what ways? 

· Are any of the current drug policies working? If so, in what ways?

· Should some or all illegal drugs be legalized? If so, which ones and why?

· Should marijuana be legalized for medicinal purposes, if not for recreational use?

· What would you do to improve the drug epidemic just in your community?

Tobacco and e-cigarettes

· Should consumers have to pay a higher insurance premium because they smoke or use tobacco products? What about e-cigarettes? 

· What are health studies saying about the health impact of e-cigarettes vs tobacco cigarettes? Do we know enough about e-cigarettes to really understand the long term health effects? (CDC may be a place to start)

· Is there a connection between e-cigarettes and smoking? Meaning if a persons starts vaping are they more likely or less likely to take up cigarettes?

· What is the impact to children from e-cigarettes?

Submit your assignment here on the assignment tab. Do not email to me or you will lose 15pts right off the top. No late assignments accepted.

Start early because as you know by now life happens when you are doing other things!

Plagiarized papers will receive an automatic 0. 

5 pts off for no reference page.

Your papers will be graded according to the following criteria:

· Requirements followed __ 

· Minimum 10 pages__

· Format followed __

· Submitted on time and in proper manner __

· Content __ (well organized, researched and thought out)

· Proper grammar and spelling __ 

· Proper MLA citation format utilized __

· No plagiarism __

· Text included as one of your references__

Answer to peer, APA, References 2, similarities less 5%

Elements of Malpractice

There is a need to understand that malpractice is one of the legal issues that face nurse practitioners. Therefore, it is essential to understand the elements of malpractice to avoid legal problems in the future. There are four malpractice elements: the duty, breach of duty, damages, and causation. There is a need to ensure that nurses adopt several measures that prevent them from malpractice claims. These are such as documenting, educating patients, and ensuring that there is consent from patients.

One of the elements of malpractice in nursing is the duty of care. The element of duty of care means that as a nurse, one is obligated to act to eliminates breach of duty to protect the patient (Cypher, 2020). Therefore, if a patient presents themselves to a nurse, they should be treated in a manner that uplifts their health. A good example of a breach of duty of care in nursing is whereby the nurse does not provide a safe environment for the patients, thus getting injured. The patient may claim that the nurse failed to provide a duty of care to them.

The second element of malpractice in nursing is the breach of duty. It is essential to understand that nurses have several duties assigned to them. As a result, they need to ensure that they regularly address their duties to promote their patients’ safety and health. However, in cases where the nurse fails to undertake their specific responsibility, they may breach their duty. An example of a breach of duty in nursing is ensuring that the bed rails are up. This is to prevent patients from falling. However, if the nurse fails to have the bed rails up, and the patient falls and gets injured, the nurse may breach duty.

The third element of malpractice in nursing is that of damages. There is a need to understand that damages refer to the injuries or any financial repercussions that the patient may have incurred (Cypher, 2020). There is a need to understand that in cases of malpractice, patients may experience damages. Therefore, there is a need to ensure that patients claim damages as a remedy. A good example of nursing malpractice damage is when the patient falls from their bed because the rails were not up as required, and they suffer injuries. The patient may need to be compensated for injures acquired, and this is referred to as damages in nursing malpractice.

References

Brous, E. (2020). The Elements of a Nursing Malpractice Case, Part 3B: Causation. AJN The American Journal of Nursing, 120(1), 63-66.

Catalano, L. A., & Werdman, E. (2017). Avoiding legal risks in critical care nursing. Nursing2020 Critical Care, 12(4), 30-35.

Cypher, R. L. (2020). Demystifying the 4 Elements of Negligence. The Journal of Perinatal & Neonatal Nursing, 34(2), 108-109.

Case study

A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

Develop a 1- to 2-page case study analysis in which you:

·  Explain why you think the patient presented the symptoms described.

·  Identify the genes that may be associated with the development of the disease.

·  Explain the process of immunosuppression and the effect it has on body systems.