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Established in 1987, ABC Community Hospital not-for-profit is an acute care hospital located in an east coast Metropolitan area. With a staff of nearly 200 physicians and specialists, 800 employees and 100 volunteers, they offer a full range of healthcare services. They are accredited by the Joint Commission on Accreditation of Healthcare Organizations. The hospital has been profitable for the last 5 years with a profit margin of 3-4%. The mission of ABC Community Hospital is to provide accessible and comprehensive healthcare services in a convenient and cost-effective manner to the people who live in our community.

At the last Board meeting, hospital administration and the Board of Directors began to discuss a proposal to build a new wing devoted to a Cancer Center and ancillary services devoted to the treatment of cancer.  The new wing would have 30 acute care beds, four surgical operating rooms, intensive care unit and extensive support services, including physical therapy and hospice care. All patient rooms would be private. There is no Cancer Centers within a 200 mile radius of the hospital service area.

Now, the Board of Directors has come back with more questions that they want you to add to the original plan with new content:

• Compare and contrast the kinds of decisions that are made in the Cancer Center capital investment decision analysis for ABC Community Hospital.
• What information is needed by the CFO to evaluate the Cancer Center capital investment project? Use the classification of capital expenditures and justification of capital expenditures for this project, and include working capital management. 
• Who, internally from the healthcare system and externally, should be involved in the capital investment decision process to determine the feasibility of the Cancer Center?

The case study based on CAD involves a 65-year-old male with a history of smoking and high cholesterol.

Patient Demographics

• Gender: Male
• Age: 65 years old
• Family History: Father had a heart attack at a young age
• Occupation: Retired in nursing home

Symptoms

• Chest pain
• Shortness of breath
• Nausea

Medical History

• Smoker (pack-a-day)
• High cholesterol levels
• Sedentary lifestyle

Physical examination

• Slightly elevated blood pressure

Diagnostic test

• Stress test: positive for ischemia
• Electrocardiogram (ECG): shows ST-segment depression with exercise

Treatment plan

• Lifestyle changes: smoking cessation, regular exercise, healthy diet
• Medications: statins to reduce cholesterol levels, beta-blockers to slow heartbeat and reduce blood pressure

References

Bauersachs, R., Zeymer, U., Brière, J., Marre, C., Bowrin, K., & Huelsebeck, M. (2019). Burden of coronary artery disease and peripheral artery disease: A literature review. Cardiovascular Therapeutics, 2019, 1-9. https://doi.org/10.1155/2019/8295054Links to an external site.

Cassar, A., Holmes, D. R., Rihal, C. S., & Gersh, B. J. (2009). Chronic coronary artery disease: Diagnosis and management. Mayo Clinic Proceedings, 84(12), 1130-1146. https://doi.org/10.4065/mcp.2009.0391Links to an external site.

Wilson, P. W., & O’Donnell, C. J. (2018). Epidemiology of chronic coronary artery disease. Chronic Coronary Artery Disease, 1-15. https://doi.org/10.1016/b978-0-323-42880-4.00001-7

My Topic is on HIV

General question: Which diagnostic tools—labs, imaging, or physical assessments—are most critical in confirming the diagnosis? Why? 

Attached 

Important information attach please read.

to evaluate your leadership qualities a portrait of the healthcare professional and leader you aspire to be.

Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following:

1. Review the feedback you have received in the discussion forum related to your PICOT question so far. Make any necessary edits to your PICOT question.
2. Conduct a literature search to locate four research articles focused on your selected nursing practice problem of interest. Note: This literature search should include two quantitative and two qualitative, peer-reviewed, primary research articles to support your nursing practice problem. A mixed methods article can qualify towards meeting a qualitative or quantitative methodology. The two articles identified in Topic 1 DQ 2 can be used should you still find them relevant to your PICOT question.

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this discussion question, you will create a clinical guiding question known as a PICOT question. The PICOT question must be relevant to a nursing practice problem (coordination of health care, assessment, education, patient support, trauma prevention, recovery, health screenings, etc.).

After reviewing the relevant topic materials:

1. Select a nursing practice problem of interest.
2. Develop a PICOT question using the template and example provided below.
3. Identify two articles, one qualitative and one quantitative, related to the problem of interest. Provide an APA-formatted reference for each article, and explain how each relates to your PICOT question. Be sure to identify which article is qualitative and which article is quantitative. These articles may be used in this week’s assignment.

PICOT question intervention format:

In_______________(Population), how does _______________ (Intervention) compared to _______________ (Comparison) affect _______________ (Outcome) within______________(Time, optional)?

Example: In critically ill patients in an Intensive Care Unit (ICU) (P), how do daily 2% chlorhexidine cloth baths (I) compared to daily disposable non-antimicrobial cloth baths (C) affect the incidence of health care-associated infections (HAIs) (O)?

In responses to peers, provide feedback related to peers’ PICOT questions and their associated articles.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.