Category: Health Care

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: Several studies have shown that allergies are hereditary, children are 75% more likely to have allergies if both parents have them, and 50% likely to have them if one parent has them(Brooten-Brooks, 2021). Atopy is a predisposition to various allergens and antigens leading to an overproduction of immunoglobulin E, which produces heightened, hypersensitivity reactions(Vaillant, 2023). This patient appears to be presenting with a severe allergic reaction that could rapidly lead to anaphylaxis, if not rapidly treated. The symptoms that the patient is exhibiting is indicative of vasodilation, which is why the systolic blood pressure is low and the heart rate is high. Vasodilation occurs in response to anaphylactic shock due to a rapid release of inflammatory mediators and cytokines(Ramanlal, 2023). The drop in blood pressure, nausea, and difficulty swallowing are occurring due to the release of histamine and vasodilation. The activation of basophils and mast cells causes an immediate release of mediators from secretory granules that include histamine, which in turn stimulates vasodilation, increased heart rate, vascular permeability, cardiac contraction, and glandular secretion(Nguyen et al., 2021). The allergic reaction, while genetics may play a factor, it could also be exacerbated other factors like specific diseases, medical disorders, environmental factors, or medications. Also, interestingly, Anaphylaxis in general, is more common in adult females than in males, a predominance that appears after puberty(De Martinis et al., 2020). Allergic reactions are complex and very prevalent in today’s society. according to the Allergy and Asthma Network, one in twenty Americans have experienced anaphylaxis(Anaphylaxis statistics 2024).

Respond to your colleagues who chose a different national healthcare issue/stres

Respond to your colleagues who chose a different national healthcare issue/stressor than you selected. Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor. Include at least 2 scholarly sources of evidence, cited within the body of your discussion responses & at the end of your posting: The chosen healthcare topic for investigation is the rising occurrence of chronic illnesses, such as diabetes and heart disease, and how they affect the healthcare system. Chronic illnesses are persistent health disorders that need continuous medical care and may result in disability and early death if not well controlled. National healthcare issue impact on my work setting This healthcare problem may have substantial effects on my workplace. The rising incidence of chronic illnesses is placing a burden on resources and staff at our healthcare facility. We must dedicate more time and focus to overseeing patients with chronic diseases, leading to extended appointment waiting times and a heightened burden for healthcare providers. This might also lead to possible burnout among staff members (Hooker et al., 2022). Social Determinants Social determinants of health impact the frequency of chronic illnesses. The factors include socioeconomic position, education, healthcare access, and community support networks (Petteway et al., 2019). Individuals of lower socioeconomic class may have restricted access to nutritious food and have obstacles in accessing healthcare, which raises their susceptibility to acquiring chronic illnesses such as diabetes and heart disease. Furthermore, a lack of knowledge about healthy lifestyle options and a scarcity of community resources for physical exercise might be contributing to the increasing occurrence of these illnesses. Response of the Health System Work Setting Healthcare work environments have undertaken many improvements to meet the rising frequency of chronic disorders. These reforms seek to increase prevention, early identification, management, and education linked to chronic illnesses. Here are a few examples: Work environments have built extensive programs that concentrate on the treatment and prevention of chronic illnesses. These programs may comprise frequent screenings, health assessments, and targeted treatments for those at risk or already diagnosed with chronic diseases (Centers for Disease Control and Prevention, 2022). Healthcare work environments have focused on patient education to increase self-management abilities and encourage better lifestyle choices. This involves offering tools, instructional materials, and support groups to help patients in managing their chronic diseases successfully (Jackson et al., 2022). Work settings have created collaborations with community organizations, such as local fitness facilities, dietitians, and support groups, to provide a helpful workplace for persons with chronic conditions. These alliances seek to expand access to resources and support community-wide health activities (Centers for Disease Control and Prevention, 2022). Health system work contexts have incorporated technological solutions, such as electronic health records, remote monitoring devices, and telehealth services, to enhance chronic illness management. These technology improvements promote improved communication, increase care coordination, and give more easy access to healthcare services for patients (Hooker et al., 2022). Conclusion The rising incidence of chronic illnesses, such as diabetes and heart disease, offers substantial problems to healthcare work contexts. Social determinants of health, such as socioeconomic position and access to healthcare, play a vital role in driving chronic disorders. However, health system work contexts have reacted proactively by creating chronic illness management programs, stressing patient education, cooperating with community groups, and incorporating technological solutions. These efforts attempt to promote prevention, management, and overall results for patients with chronic illnesses.

Read the following:
Chapters 1, 2, and 12 from the course text, McLaughlin and

Read the following:
Chapters 1, 2, and 12 from the course text, McLaughlin and Kaluzny’s Continuous Quality Improvement in Health Care
A Brief History of Quality Improvement in Health Care and Spinal Surgery
Review one of the following websites for Part 2 of this discussion. Your organization is assigned based on the first letter of your last name:
The Joint Commission Links to an external site.(TJC).
https://www.jointcommission.org
Watch the following video:

Part 1: Continued Quality Improvement
The United Stated has had the highest health care costs in the world, but the quality of care has been ranked at the bottom of the industrial countries. The Patient Protection and Affordable Care Act has prompted high quality of care with lower costs. Over the past decade, health care organizations have striven to meet various quality measures. However, there is still a long way to go.
In your initial post,
Discuss the evolution of the quality improvement movement from the global perspective.
Describe the relationship between health care quality and continuous quality improvement.
Support your response with at least two scholarly sources published within the last 5 years.
Part 2: Accreditation
Accreditation is an external review process that allows health care organizations to demonstrate their ability to meet regulatory requirements and predetermined performance standards established by a recognized accreditation entity. Even though accreditation is voluntary and has fees associated with it, there are financial and legal incentives for health care organizations to seek accreditation. For this part of your discussion, you have been assigned an organization to research (see the list above).
Review the information on your assigned accrediting organization based on your last name, and address the following:
Describe the organization, including the mission, programs, and services.
Identify benefits to obtain accreditation from your assigned accrediting organization.
Select one accreditation program from your assigned accrediting organization, and explain why it is important.

Use the Capstone Data Analysis Proposal Template Download Capstone Data Analysis

Use the Capstone Data Analysis Proposal Template Download Capstone Data Analysis Proposal Template to complete this assessment. – I have attacked
• The problem of focus is the effect of the cost increase on Medicare Advantage companies (United Health Care) and how those increase cost effect the company and the patient
• Rationale: Healthcare cost increase could put a major burden on Medicare Advantage companies and patients by affecting their financial capabilities and reducing the accessibility of medical care (Aggarwal et al., 2022). Care quality could be adversely affected, which would deteriorate health of the public (Meyers et al., 2022).
For the assessment:-
1. State the topic in the form of a problem by using the following format:
o Condition X may result in adverse consequence(s) Y (Source, year).
2. Conduct a review of authoritative literature related to the topic you chose and select a minimum of 12 current, authoritative sources which directly relate to your selected topic.
3. Using APA format, list a minimum of twelve authoritative sources directly related to your stated problem and add a sentence or two about how each source relates to the problem.
4. Make a bullet point list of the factors that cause the problem.
5. Assign a precise unit of numeric measurement to each factor (percentage, dollars, days, et cetera).
6. Identify the method of data analysis you plan to conduct (e.g., compliance audit, benchmark variance analysis, cost benefit analysis, et cetera).
7. Provide a precise descriiption of the data sets you are analyzing.
o For Path 1, list the precise data sets from your workplace organization that you will be using.
o Important: For any use of private organizational data, you must obtain written permission to use that data and you must submit that written permission with your assessment.
o For Path 2, list any public data sets you will be using.
8. Include a reference list of the sources you identified in APA format at the end of the document.
9. Submit your completed Capstone Data Analysis Proposal document and any signed permission documents in the Assessment area.
10. Document Format: Use the provided Capstone Data Analysis Proposal Template ( Attached in Documents) to create your data analysis proposal.
11. Document Length: Respond to all prompts in the template.
12. Supporting Evidence: Include at least 12 academic or scholarly sources that match in-text citations.
o Supporting evidence may include current accrediting body standards, industry standards, and government agency reports, including such sources as the AHA, National Academy of Medicine, Harvard Business Review (HBR), et cetera.
13. APA Formatting: Format in-text citations and references according to current APA style and formatting. Evidence and APA can help with this.
14. Submission Requirements: Submit your Capstone Data Analysis Proposal document and any signed permission documents in the Assessment area.

Original Case Study Patient is a 48-year-old male with complaints of stiffness i

Original Case Study 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. Main Post Based on the symptoms reported and physical examination findings, the disease suggested in this patient is rheumatoid arthritis (RA). Joint inflammation is characteristic of rheumatoid arthritis, an autoimmune disease. An inflammatory response causes pain, swelling, and stiffness in the affected joints—an immune response attacking healthy joint tissue results in RA. Synoviocytes become activated and undergo changes, producing numerous pro-inflammatory substances, such as cytokines and matrix metalloproteinases, which further exacerbate the inflammatory response.T cells and B cells in the immune system also play a role in disease progression. T cells can directly attack synovial cells, leading to inflammation. B cells can produce antibodies that target joint tissues, leading to further damage. Genetic Influence on the Disease Genetics and environment work together to determine most traits. (McCance & Felver, p 176, 2019). There is a vital genetic component to rheumatoid arthritis. Research suggests that specific genes, such as HLA-B27, coding for proteins involved in immune regulation, can increase the risk of developing the disease. However, it is essential to note that genetic susceptibility alone does not determine an individual’s risk of developing rheumatoid arthritis. Environmental factors, such as infections and lifestyle choices, also contribute to the development of the disease. Presentation of Specific Symptoms The patient’s specific symptoms of stiffness in his fingers that migrates to his upper arm joints and increased fatigue suggest a possible diagnosis of rheumatoid arthritis. The stiffness and migratory nature of symptoms observed in this patient are characteristic features of rheumatoid arthritis. Rheumatoid arthritis symptoms often include stiff joints in the morning for longer than 30 minutes, fatigue, fever, weight loss, and tender, warm joints. (Bullock et al., 2018). Physiologic Response to Stimulus It is possible to attribute the body’s response to the presence of rheumatoid arthritis in this scenario to its immune response. An overactive immune system mischaracterizes rheumatoid arthritis attacks and destroys healthy joint tissues. The inflammation induced by the disease leads to swelling, pain, and stiffness in the affected areas. The migrating nature of the symptoms in this patient, from the fingers to the upper arm joints, suggests the involvement of shared nerves or connective tissues, further supporting the diagnosis. Characteristics Change Regarding another characteristic changing our response, it is essential to note that this patient’s gender is not mentioned in the provided information. However, if this was a female patient, it might have implications for diagnosing and managing the presenting symptoms. For example, rheumatoid arthritis, which the patient has a family history of, occurs in women more frequently than men. Women in their 30s to 50s are most likely to be affected by RA, with an incidence rate of 1 in 150. (Tanaka, 2020). Additionally, studies have reported a higher prevalence of carpal tunnel syndrome in women compared to men. Therefore, if the patient were female, it would be essential to consider these gender-specific factors when evaluating her symptoms. However, in terms of genetics, the patient’s family history of rheumatoid arthritis may play a crucial role in evaluating his condition. Rheumatoid arthritis is a genetic disease, and it is thought that specific genetic markers contribute to the risk of developing this condition. Therefore, a family history of rheumatoid arthritis raises the possibility that the patient may have inherited certain genetic traits that make them more susceptible to developing rheumatoid arthritis. Considering this information, the physical examination findings, and the patient’s reported symptoms, a diagnosis of rheumatoid arthritis should be considered in this patient. The presence of edema and tenderness in the PIP joints decreased grip strength, and a family history of rheumatoid arthritis supports this diagnosis. Additionally, the patient’s pain, which only partially responds to Motrin, suggests a possible inflammatory component, which is common in rheumatoid arthritis. Reference Bullock, J., Rizvi, Syed A. A., Saleh, Ayman M., Ahmed, Sultan S., Do, Duc P., Ansari, Rais A., & Ahmed, J. (2018). Rheumatoid Arthritis: A Brief Overview of the Treatment. Medical Principles and Practice, 27(6), 501–507. https://doi.org/10.1159/000493390Links to an external site. Mccance, K. L., & Felver, L. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier. Tanaka, Y. (2020). Rheumatoid arthritis. Inflammation and Regeneration, 40(1). https://doi.org/10.1186/s41232-020-00133-8Links to an external site.

The essay should explain the writer’s philosophical and/or
theological rationale

The essay should explain the writer’s philosophical and/or
theological rationale for the tenets set
forth in their mainfesto. Like the Case
Study Paper, this paper must include an
introduction with a thesis sentence,
strong analysis utilizing ethical principles
to support your thesis, a conclusion, and
a references page. The written portion of the assignment is 6-10 pages. This essay is being applied to future career in healthcare ethics.
Paper should include Respect, Empathy and compassion, integrity and honesty, confidentiality and privacy, diversity & equality, patient advocacy, professional growth, and teamwork & collaboration.

Week 8
Reflection on Learning
Assignment Guidelines
Purpose
The purpose of this

Week 8
Reflection on Learning
Assignment Guidelines
Purpose
The purpose of this activity is to deepen learning through reflective inquiry. It will allow for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals related to course outcomes, program outcomes, AACN Essentials, and NONPF competencies.
Course Outcomes
This assignment enables the student to meet the following course outcomes:
CO1: Develop comprehensive differential diagnoses through analysis of histories, physical findings, and diagnostic studies (PO 5) 
CO2: Make appropriate use of diagnostic tools with consideration of costs, risks, and benefits to individuals (PO 5) 
CO3: Analyze clinical practice guidelines for application in practice (PO 5) 
CO4: Formulate an evidence-based management plan for acute and common health problems based on needs of the patient and family (PO 5) 
CO5: Perform and accurately document an appropriate system-focused and comprehensive history and physical exam (PO 5) 
CO6: Demonstrate novice level proficiency in prioritizing patient needs (PO 5) 
Due Date
This assignment is due by Saturday at 11:59 p.m. MT of Week 8.
The course ends on Saturday of Week 8. There is no late submission allowed for this assignment.
Total Points Possible
This assignment is worth 30 points.
Preparing the Assignment
Follow these guidelines when completing this assignment. Contact your course faculty if you have questions.
Include the following sections (detailed criteria listed below and in the Grading Rubric).
Reflection on Learning
Apply all required criteria in the assignment with information that is clear and sufficient in detail.
Describe how learning in this course will help you achieve Program Outcome 2: Create a caring environment for achieving quality health outcomes (Care-Focused).
Describe how course assignments or activities will help you achieve ONE of the advanced-level nursing education competencies from AACN Essentials Domain 2Links to an external site. listed below. Provide at least two specific examples.
2.1 Engage with the individual in establishing a caring relationship.
2.1d Promote caring relationships to effect positive outcomes.
2.1e Foster caring relationships.
2.2 Communicate effectively with individuals
2.2g Demonstrate advanced communication skills and techniques using a variety of modalities with diverse audiences.
2.2h Design evidence-based, person-centered engagement materials.
2.2i Apply individualized information, such as genetic/genomic, pharmacogenetic, and environmental exposure information in the delivery of personalized health care.
2.2j Facilitate difficult conversations and disclosure of sensitive information.
2.3 Integrate assessment skills in practice
2.3h Demonstrate that one’s practice is informed by a comprehensive assessment appropriate to the functional area of advanced nursing practice.
2.4 Diagnose actual or potential health problems and needs
2.4f Employ context driven, advanced reasoning to the diagnostic and decision-making process.
2.4g Integrate advanced scientific knowledge to guide decision making.
2.5 Develop a plan of care
2.5h Lead and collaborate with an interprofessional team to develop a comprehensive plan of care.
2.5i Prioritize risk mitigation strategies to prevent or reduce adverse outcomes.
2.5j Develop evidence-based interventions to improve outcomes and safety.
2.5k Incorporate innovations into practice when evidence is not available.
2.6 Demonstrate accountability for care delivery
2.6e Model best care practices to the team.
2.6f Monitor aggregate metrics to assure accountability for care outcomes.
2.6g Promote delivery of care that supports practice at the full scope of education.
2.6h Contribute to the development of policies and processes that promote transparency and accountability.
2.6i Apply current and emerging evidence to the development of care guidelines/tools.
2.6j Ensure accountability throughout transitions of care across the health continuum.
2.7 Evaluate outcomes of care
2.7d Analyze data to identify gaps and inequities in care and monitor trends in outcomes.
2.7e Monitor epidemiological and system-level aggregate data to determine healthcare outcomes and trends
2.7f Synthesize outcome data to inform evidence based practice, guidelines, and policies.
2.8 Promote self-care management
2.8f Develop strategies that promote self-care management.
2.8g Incorporate the use of current and emerging technologies to support self-care management.
2.8h Employ counseling techniques, including motivational interviewing, to advance wellness and self-care management.
2.8i Evaluate adequacy of resources available to support self-care management.
2.8j Foster partnerships with community organizations to support self-care management.
2.9 Provide care coordination
2.9f Evaluate communication pathways among providers and others across settings, systems, and communities.
2.9g Develop strategies to optimize care coordination and transitions of care.
2.9h Guide the coordination of care across health systems.
2.9i Analyze system-level and public policy influence on care coordination.
2.9j Participate in system-level change to improve care coordination across settings.
Describe how course assignments or activities will help you achieve ONE of the NONPF Competencies Domain 4Links to an external site. listed below.
NP 4.1 Advance the scholarship of NP nursing practice.
NP 4.1n: Translate advanced practice knowledge to inform practice and patient outcomes.
NP 4.1o: Lead scholarly activities resulting in the focus of the translation and dissemination of contemporary evidence into practice.
NP 4.1p: Apply clinical investigative skills to improve health outcomes.
NP 4.2 Integrate best evidence into NP practice.
NP 4.2l: Evaluate quality improvement processes and evidence-based outcomes.
NP 4.2m: Disseminate findings from quality improvement, implementation science, and research to improve healthcare delivery and patient outcome.
NP 4.3 Promote the ethical conduct of scholarly activities.
NP 4.3j: Translate knowledge from clinical practice to improve population health outcomes through diversity, equity, and inclusion.
NP 4.3k: Utilize ethical principles to ensure participant safety through scholarship activities.
Professionalism in Communication
Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
Rubric
NR511 W8 Reflection Rubric
NR511 W8 Reflection Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeReflection on Learning
3 Required Criteria 
Reflections should be clear and sufficient in detail.  
1. Describe how course assignments or activities will help you achieve Program Outcome 2.
2. Describe how course assignments or activities will help you achieve ONE of the advanced-level nursing education competencies from AACN Essentials Domain 2. 
3.  Describe how course assignments or activities will help you achieve ONE of the NONPF Competencies from Domain 4.
25 pts
Excellent
All requirements met.
21 pts
Satisfactory
2 requirements met.
13 pts
Needs Improvement
1 requirement met.
0 pts
Unsatisfactory
No requirements met.
25 pts
This criterion is linked to a Learning OutcomeProfessionalism in Communications
Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
5 pts
Excellent
0-1 errors.
4 pts
Very Good
2-3 errors.
3 pts
Average
4-5 errors.
2.5 pts
Needs Imporovement
6-7 errors.
0 pts
Unsatisfactory
More than 7 errors.
5 pts
Total Points: 30

1-2 page discussion on: Consider a topic (mental health, HIV, opioid epidemic, p

1-2 page discussion on: Consider a topic (mental health, HIV, opioid epidemic, pandemics, obesity, prescription drug prices, or many others) that rises to the presidential level. How did the current and previous presidents handle the problem? What would you do differently? APA format cite 2-3 reference

1. Offer your thoughts on the solutions they proposed. Be respectful and constru

1. Offer your thoughts on the solutions they proposed. Be respectful and constructive. You might say, “Your solution to [specific challenge] is interesting. Have you considered…”
2. Suggest additional solutions or modifications that could enhance their solutions or offer alternative approaches, share them. For example, “In addition to your approach, another potential solution might be…”

Post an explanation of the disease highlighted in the scenario you were provided

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described. The physiologic response to the stimulus presented in the scenario and why you think this response occurred. The cells that are involved in this process. How another characteristic (e.g., gender, genetics) would change your response. APA format, Include 3 scholary references, no more than 5-6 years old