Category: Health Care

This will be a 2-4 page paper (excluding the title page and references). Literat

This will be a 2-4 page paper (excluding the title page and references). Literature support is encouraged and points are assigned. Peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years old, unless it is a hallmark reference; e.g., Institute of Medicine (IOM) (2010). The Future of Nursing: Leading Change, Advancing Health. Format your paper, citations, and references using correct APA Style. Submit your document to the Submissions Area by the due date assigned.

Main Post A current national healthcare issue/stressor that I have chosen to foc

Main Post A current national healthcare issue/stressor that I have chosen to focus my discussion on is the inappropriate usage of the Emergency Department for non-emergencies. As an Emergency Department RN, we see many patients daily who use the ED as their primary care doctor. In turn, this creates long waits for those who are truly experiencing a medical emergency, as well as wastes resources. Unfortunately, this stems from patients either not willing to or unable to pay upfront for medical care, or are simply uneducated on the appropriate use of the emergency department. Thus, they come to the ED where we are required to see them, despite whether or not they can pay, and whether or not they meet emergency criteria. According to Baumann (2021), “Due to the extreme complexity of the healthcare system, non-emergent primary care sought in the ER for “non-life threatening” conditions is largely due to individuals who either cannot navigate the system of in-network and out-of-network doctors or simply opt for the convenience of an always-open ER that never requires an appointment” (paragraph 1). What people do not realize is that this overcrowds the ED, leading to delayed care for true emergent patients. Recent studies show that an increased demand for emergency care, overcrowding of emergency services, and inappropriate use of these services are commonly seen in most developed Western countries (Montoro-Pérez et al., 2023). With a rapid increase in the demand for emergency ambulance services (EAS), there must be enough resources available at all times to maintain quality care; however, reducing unnecessary demand is just as critical, as the abuse of EAS is higher than ever (Ho Ting Wong et al., 2019). References Baumann, F. (2021). Inappropriate ER use has gone from serious to critical. SmartLight Analytics. https://smartlightanalytics.com/inappropriate-er-use-has-gone-from-serious-to-critical/Links to an external site. Ho Ting Wong, Teng-Kang Lin, & Jen-Jia Lin. (2019). Identifying rural–urban differences in the predictors of emergency ambulance service demand and misuse. Journal of the Formosan Medical Association, 118(1), 324–331. https://doi.org/10.1016/j.jfma.2018.05.013 Montoro-Pérez, N., Richart-Martínez, M., & Montejano-Lozoya, R. (2023). Corrigendum to “Factors associated with the inappropriate use of the pediatric emergency department. A systematic review” [Journal of Pediatric Nursing 69C (2023) 38–46]. Journal of Pediatric Nursing, 72, 209–212. https://doi.org/10.1016/j.pedn.2023.05.002Links to an external site.

Apply and integrate the concepts and knowledge from prior general management and

Apply and integrate the concepts and knowledge from prior general management and health care administration courses to industry-relevant challenges.
Assess the relevant strategic decision-making and implementation issues within a healthcare organization.
COVID-19 Pandemic
The COVID-19 pandemic, also known as the coronavirus pandemic, is a pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It was first identified in December 2019 in Wuhan, China. The World Health Organization declared the outbreak a Public Health Emergency of International Concern in January 2020 and a pandemic in March 2020. According to WHO, as of December 17, 2023, more than 770,000,000 cases had been confirmed worldwide, with nearly 7 million deaths attributed to COVID-19. As of December 17, 2023, the United States had more than 6 million people hospitalized because of COVID-19 cases, with more than 1 million deaths; these numbers are continuously updated; CDC COVID Tracker.
The pandemic caused global social and economic disruption, including the largest global recession since the Great Depression. COVID-19 has led to the postponement or cancellation of events, widespread supply shortages exacerbated by panic buying, agricultural disruption, and food shortages, and decreased emissions of pollutants and greenhouse gases.
Educational institutions have been partially or fully closed. Misinformation has circulated through social media and mass media. There have been incidents of xenophobia and discrimination against Chinese people and against those perceived as being Chinese or as being from areas with high infection rates.
The pandemic has affected the political systems of multiple countries, causing suspensions of legislative activities, isolations or deaths of multiple politicians, and rescheduling of elections due to fears of spreading the virus. Although they have broad support among epidemiologists, social distancing measures have been politically controversial in many countries. The pandemic has had many impacts on global health beyond those caused by COVID-19 disease.
It has led to a reduction in hospital visits for other reasons. In several countries, there has been a marked reduction in the spread of sexually transmitted infections, including HIV/AIDS, attributable to COVID-19 quarantines, social distancing measures, and recommendations to not engage in casual sex. Similarly, in some places, rates of transmission of influenza and other respiratory viruses significantly decreased during the pandemic. The pandemic has also negatively impacted mental health globally, including increased loneliness resulting from social distancing and depression and domestic violence from lockdowns.
The pandemic has resulted in misinformation and conspiracy theories about the scale of the pandemic and the origin, prevention, diagnosis, and treatment of the disease. Journalists have been arrested for allegedly spreading false information about the pandemic. It has also been propagated by celebrities, politicians, and other prominent public figures.
As of December 17, 2023, in the United States, (a) California, (b) Texas, (c) Florida, and (d) New York led the nation in positive COVID-19 cases and deaths.
Your assignment:
You are the CEO / COO of a Hospital in one (choose one) of the above-mentioned states and in 1000-1200 words, in MEMO format, please discuss the following about the COVID-19 response as it pertains to the selected state your hospital is located:
Please keep the following responses in order.
What were three areas that went well with the response?
What were three significant challenges with the response?
What were three ways in which the response could have been improved?
-During Week One, we discussed Fayol’s Five Functions of Management: (a) Planning, (b) organizing, (c) coordinating, (d) commanding, and (e) controlling. As the Chief Operating Officer (COO) at the Regional Hospital, how would you augment your healthcare facility’s pandemic preparedness and response plan? Discuss which ways you would utilize Fayol’s Fifth Function of Management, controlling into enhancing your facilities’ pandemic preparedness and response plan. You must reference Fayol in your response to receive credit for this area.
Make certain that your assignment is in the APA 7th edition format with a cover page, separating your sections by the appropriate APA Level Headings. Also, make sure you include a reference page and at least five references.

6 different note, chlamydia, hypertension, hypothyroidism, asthma, gastritis, pl

6 different note, chlamydia, hypertension, hypothyroidism, asthma, gastritis, plantar fasciitis, Please adult patients.

Please read carefully. Course resources and two other outside resources are allo

Please read carefully. Course resources and two other outside resources are allowed for this project.

Respond to your colleagues on and respectfully agree or disagree with your colle

Respond to your colleagues on and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not. Include 2 scholars sources, cited within the reply: The 22-year-old male developed an allergic reaction to the allergy shots. Genetics plays a role in allergic reactions. Evidence shows that allergy and its related diseases have a high heritability rate. Genome-wide association studies (GWAS) have linked allergic reactions to chromosomes such as 17q21 and GSDMA genes. Genes such as ORMDL3 are highly heritable and stimulate eosinophil release and sphingolipid synthesis in allergic reactions (Kabesch & Tost, 2020). Other genes that play a role in allergic reactions include IL1RL1, which regulates the release of interleukins, PLCL1 for phospholipase, LLP for transcription factor, PTGER4 for prostaglandin, and SLC25A46 for cytokines. The patient developed symptoms, including difficulty swallowing, nausea, and feeling weak. The exposure to the allergy shots stimulated IgE. The activation led to an increase ininflammatory mediators such as interleukins, histamines, prostaglandins, and eosinophils (Alashkar Alhamwe et al., 2020). The inflammatory mediators cause bronchoconstriction and constriction of the smooth muscles, hence, the symptoms. The patient developed an allergic reaction because he had been sensitized before. The exposure to the allergen led to the activation of IgE. A subsequent exposure led to an anaphylactic reaction, as evidenced by symptoms such as difficulty swallowing and breathing. Several cells are involved in the allergic reaction. They include histamines, eosinophils, interleukins, prostaglandins, and cytokines (Kabesch & Tost, 2020). These cells stimulate inflammatory processes, which contribute to the development of the symptoms seen in the case study. ​Age is one of the factors that would change my response. Aging is associated with considerable physiological and functional changes. Elderly patients have reduced renal excretion, hepatic metabolism, and drug absorption. The risk of polypharmacy among elderly patients is also high due to multiple comorbidities (Li et al., 2021). Therefore, the client could have developed the symptoms due to drug interactions if he was elderly.

I will send 10 articles along with 10 documents that go with each article. Each

I will send 10 articles along with 10 documents that go with each article. Each document has a table that needs information to be accurate and precise from its corresponding article. Please pull information from the articles and fill out the tables/ensure the information in them is correct. For the “baseline” part of the table, i need specifics (i.e no significant difference in levels of suicidality among the treatment and control groups before the intervention). and for the “general outcomes” I also need specifics (i.e. the treatment group showed a statistically significant decrease in levels of suicidality compared to the control group 6 months post-intervention).

Scenario Week 1 – Discussion Board: Patient is a 48-year-old male with complaint

Scenario Week 1 – Discussion Board: Patient is a 48-year-old male with complaints of stiffness in his fingers that migrates to his upper arm joints and increased fatigue over the last few months. The patient works in a bank and types frequently. He commented that he thought he could have carpal tunnel syndrome, but the fatigue was beginning to worry him. The patient reports a family history of rheumatoid arthritis. He is currently taking Motrin for pain which partially relieves the symptoms. He rates his pain a 5/10 at present, aching in both hands. The patient’s vital signs are 120/80, Pulse 78, Res 16, Temp 100.1 F. He denies any recent weight changes. Physical exam reveals: Edema to 4th and 5th PIP joints bilaterally with tenderness in the same joints. His grip strength is decreased bilaterally. No edema of knees or ankles noted. Colleagues Post Rheumatoid Arthritis An autoimmune condition known as rheumatoid arthritis (RA) causes the body’s immune system to target the lining of joints all over the body. In severe cases, rheumatoid arthritis can cause permanent joint damage and disability due to inflammation of the joints. In addition, the skin, eyes, blood vessels, lungs, and heart can all be impacted by RA. Rheumatoid arthritis affects one in every 200 adults globally, with women experiencing the condition 2 to 3 times more frequently than men. Although anyone can be affected, the peak onset occurs between the ages of 50 and 59 (Smith, 2023). The Role Genetics Plays in Rheumatoid Arthritis Individuals with specific genes at birth are predisposed to Rheumatoid Arthritis. Furthermore, the HLA (human leukocyte antigen) class II genotypes that result from these genes may exacerbate your arthritis. Those who have these genes and smoke or are obese may be at higher risk of developing RA (Rheumatoid arthritis, 2022). In addition to genetics, environmental factors also play a huge role in RA. Why the patient is presenting with the specific symptoms described The patient is exhibiting the signs and symptoms of rheumatoid arthritis. The joints are the primary target of RA, often several joints at once. Hand, wrist, and knee joints are frequently impacted by RA. Joint tissue is harmed by the inflammation of the joint’s lining in RA-affected joints. This tissue damage can result in deformity, unsteadiness, and chronic or persistent pain. In addition, RA can also cause issues with the heart, lungs, and eyes (Rheumatoid arthritis, 2022). Patients who have Rheumatoid Arthritis frequently experience fever and fatigue. The patient also has stiffness, which may stem from edema in the bilateral 4th and 5th PIP joints, along with tenderness in the same joints. The Physiologic Response to the Stimulus Presented The patient’s physiologic response was prompted by the fact that he frequently types while working at a bank. Typing difficulties can result from Rheumatoid Arthritis-related joint damage. The patient presents with bilateral edema to the 4th and 5th PIP joints along with tenderness in the same joints. In addition, both of his grip strengths are diminished, which are all signs/symptons of RA. The Cells that are Involved in this Process The fundamental characteristic of RA is an autoimmune disease characterized by abnormally elevated levels of auto-reactive CD4+ T cells, pathogenic B cells, macrophages, inflammatory cytokines, chemokines, and autoantibodies. Growing evidence points to a variety of pathogenetic mechanisms for RA, including intricate roles for different immune cells (Jang, 2022). How Another Characteristic (e.g., gender, genetics) Would Change Your Response With the patient having a temperature of 100.1 I would want to make sure that it is not due to an infection. I know that a fever is a symptom of Rheumatoid Arthritis, but I would want to rule out any other factors that could be causing his symptoms and not overlook anything. References Centers for Disease Control and Prevention. (2022, April 7). Rheumatoid arthritis. Centers for Disease Control and Prevention. https://www.cdc.gov/arthritis/types/rheumatoid-arthritis.html Jang, S., Kwon, E. J., & Lee, J. J. (2022). Rheumatoid Arthritis: Pathogenic Roles of Diverse Immune Cells. International journal of molecular sciences, 23(2), 905. https://doi.org/10.3390/ijms23020905 Smith MH, Berman JR. What Is Rheumatoid Arthritis? JAMA. 2022;327(12):1194. doi:10.1001/jama.2022.0786

Termination Letter: – Apply the information provided in the Case Vignette as wel

Termination Letter: – Apply the information provided in the Case Vignette as well as your Case Plan Assignment to complete your termination letter. – Your termination letter should be addressed directly to Sue and will summarize the following points: ▪ Reason for termination (did the client complete treatment goals? Have you been unable to get in contact with the client? Are you leaving the agency? Is your client no longer interested in services?) ▪ Summary of your work with the client ▪ Summary of goals achieved ▪ Follow-up required by the client (i.e. medication management, other services, etc.) Discharge Summary: – The discharge summary is a professional note that will be placed in Sue’s file and may be maintained in agency records or sent to other providers. – Your discharge summary should include the following: ▪ Client name, DOB, date of admission, and date of discharge ▪ Diagnosis (if there is one) ▪ Any medications that were prescribed ▪ The reason for discharge ▪ The major presenting problem that brought the client to you ▪ The client’s goals and objectives ▪ Progress that was made or goals that were accomplished ▪ Problems identified but not addressed ▪ How the individual appeared to be (presented) at intake and again at termination ▪ Attempts to locate the person if relevant

Guidelines: DO NOT INCLUDE GRAPHS OR TABLES ON YOUR PAPER Must be 20% or below s

Guidelines: DO NOT INCLUDE GRAPHS OR TABLES ON YOUR PAPER Must be 20% or below score on similarity Must be in APA format Must be 10 pages long NOT including cover page Must cite resources Must include a minimum 5 collegiate level resources DUE ON 28TH BEFORE 5:30 P.M