Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and Children

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Case Study:Severely underweight 12-year-old Hispanic girl with underweight parents who has been bullied in school just recentlyAssignment (3–4 pages, not including title and reference pages):Assignment Option 2: Child Health Case:Include the following:An explanation of the health issues and risks that are relevant to the child you were assigned.Describe additional information you would need in order to further assess his or her weight-related health.Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.PLEASE PAY ATTENTION TO CASE STUDYZERO PLAGIARISMFIVE REFERENCE NOT MORE THAN FIVE YEARS

 
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Collaborative healthcare

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How can resilience increase retention in nursing ?

 
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Week 4 Discussion 2 Principles of Teaching and Learning

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Using the hierarchical order of Bloom’s taxonomy for the cognitive domain, develop a learning objective related to a selected nursing course for each of the six categories of cognitive skills: knowledge, comprehension, application, analysis, synthesis, and evaluation. Comment on at least two other student’s postings to enhance or improve learning outcomes.

 
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Discussion gr

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I NEED A RESPONSE TO THIS ASSIGNMENT2 REFERENCESThe group of older adults that I had the pleasure of watching was a group of five men: all Vietnam veterans with a mean age of 74 years old.  These gentlemen are in an established closed group.  The group originally started in 2015 with ten members.  Since that time, four group members have died, and one is ill and unable to attend the weekly meeting.Because this group was established over six years ago, these clients are in Tuckman’s Stage Four of group development: performing.  In the performing stage, the group is matured, and they are able to recognize their strengths and weaknesses, and they are able to work very well together (Keene, 2020).  Each of the men “knows his place” and has taken on different roles of the group.  A group rule that they developed shortly after the meeting was that no new members are allowed in the group.  This avoids recircling the third step of Tuckman’s group development, the norming phase.  By completing this phase, most conflicts that have presented in the group have been resolved, there are clear roles and responsibilities.The group uses mainly reminiscence therapy and life review therapy during their weekly sessions.  In reminiscence therapy, clients have an unstructured conversation about significant times during their lives (Rubin, Parrish, and Miyawaki, 2019).  Using life review therapy, the group uses a more structured approach to life review that focuses on listening (Rubin, Parrish, and Miyawaki, 2019).  By reviewing life themes and stages, the group leader used cognitive reframing to refocus to prevent depressive emotions when dealing with difficult memories (Rubin, Parrish, and Miyawaki, 2019).   In this week’s session, the group is talking about the changes that occurred “back home” in the US upon their return home from Vietnam.  One man tells a story of how he saw “The Graduate” on screen and he was shocked at the level of sexuality in the movie.  He described it as a “culture shock”.The challenges I see with working with this group is that they are very established and unwelcoming to any newcomers or changes.  Allowing me the opportunity to experience their private group was a privilege that is not permitted to many other students.  The group often had long pauses of silence.  I could almost see them revisiting times of their past while sitting in the group drinking coffee.ReferencesKeene, B. M. (2020). Tuckman’s stages of group development. Salem Press Encyclopedia.Rubin, A., Parrish, D. E., & Miyawaki, C. E. (2019). Benchmarks for Evaluating Life Review and Reminiscence Therapy in Alleviating Depression among Older Adults. Social Work, 64(1), 61–72. https://doi-org.ezp.waldenulibrary.org/10.1093/sw/swy054

 
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2 coments each one 150 words (CITATION AND REFERENCE)

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In quest to find solution to growing nurse shortage and heightened attention to patient quality, many healthcare organizations leaders have turned to developing and testing new care delivery models. Innovative care models strive to improve patient quality and satisfaction by engaging nurses as well as other health care professionals in different roles across the continuum of care (Tenforde, Hefner, Kodish-Wachs, Iaccarino & Paganoni, 2017). Mobile integrated healthcare (MIH) is an emerging model in health care delivery models focused on closing care gaps through technological sophistication, physician-led interprofessional team to manage care transition and chronic care services on site in patient’s homes or work places. Furthermore, Patient Protection and affordable Care Act has made care more affordable and accessible for all Americans.MIH is an innovative approach aimed at closing health gaps by utilizing core competencies of all professional staff in clinical settings available within the community providing health, post-acute care and EMS. In addition, MIH provides all- inclusive, physician-led, patient-centered population management solutions across care continuum, which involved integrating comprehensive care coordination, telehealth and telemedicine both in home as well as mobile care (Hirschman, Shaid, Bixby, Badolato, Barg, Byrnes & Naylor, 2017). Nevertheless, it helps in delivering appropriate care that is of high quality and cost effective is an imperative thus improving patient outcomes.ReferenceTenforde, A. S., Hefner, J. E., Kodish-Wachs, J. E., Iaccarino, M. A., & Paganoni, S. (2017). Telehealth in physical medicine and rehabilitation: a narrative review. PM&R, 9(5), S51-S58.Hirschman, K. B., Shaid, E., Bixby, M. B., Badolato, D. J., Barg, R., Byrnes, M. B. … & Naylor, M. D. (2017). Transitional care in the patient-centered medical home: Lessons in adaptation. The Journal for Healthcare Quality (JHQ), 39(2), 67-77.reply2Affordable Care Act made us think hard on our care delivery models. Greater emphasis was given to holistic approach that incorporated different discipline to achieve better patient outcome. Aim was to reduce healthcare cost and improve people’s life. Various models are floated to achieve the goal. Some of the models are Accountable Care Organizations (ACO), Medical/Health Homes, and Nurse- managed Health Clinics (NMHC), Chronic Care Delivery Model, Mobile Integrated Healthcare, Longitudinal High Risk Care, etc. (American Nurses Association, 2010).ACO is gaining popularity. It is a basic team or collaboration between doctors, hospitals, specialist, other health care professional who take the responsibility of caring for their patients in a cost effective manner and providing quality care. Financial gains/bonuses are given if the ACO meets it target of quality (standards are set by HHS) and savings. “The ACO is a group of providers of services and suppliers that promotes accountability for a patient population and coordinates items and services under [Medicare] parts A and B, and encourages investment in infrastructure and redesigned care processes for high quality and efficient service delivery” (American Nurses Association, 2010, para 7). Now it is expanding beyond Medicare. This type of model is a unique ability to adjust to any type of payment method. They are able to take care of their patients across life span in various settings across continuum of care, figure out the budget beforehand and plan accordingly, help with resources, use evidence based treatment plans and cares, and have a detailed and reliable ways to measure performances. This model reduces hospital admission by stressing and implementing better preventive and wellness measures/primary care, reduces readmission via well-coordinated care approach, reduces costly hospital and ED admissions, and emphasis on total care (Haas, 2011, p.11). This model promises a better managed life for the patients and opens up a lot scope of practices for the nurses. Advanced practice nurses and the ambulatory nurses play a major role in providing for primary care of the patient and working towards the wellness and preventive care as emphasized in the ACA. A better coordinated care and triage is possible due to the electronic medical records and nurses reach out to the patient via telehealth.ReferenceAmerican Nurses Association. (2010). New Care Delivery Models in Health System Reform: Opportunities for Nurses & their Patients. Nursing world. Retrieved from https://www.nursingworld.org/~4af0e8/globalassets/docs/ana/ethics/new-delivery-models—final—haney—6-9-10-1532.pdfHaas, S. A. (2011). Health Reform Act: New Models of Care and Delivery Systems. ViewPoint: American Academy of Ambulatory Care Nursing (AAACN). Retrieved from https://eds-a-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=1&sid=d3b0da99-0ad5-4d7f-be7d-c2336008de51%40sdc-v-sessmgr01

 
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PLEASE READ!!!No Plagarism due to instructor uses SAFEASSIGN and willing to pay $15 AND NO MORE!

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Assignment 2: Middleville Regional HealthcareDue Week 9 and worth 160 pointsMiddleville Regional Health Care is one (1) of three (3) hospitals serving a community of 350,000 people. Summary statistics on Middleville and its competitors, from the AHA Guide, are shown below in Table 1. All three organizations are not-for-profit.Table 1: Middleville, Brierfield, and Greystone Health Care SystemsNameBedsAdmissionsCensusOP VisitsBirthsExpenses (000)PersonnelMiddleville57513,000350221,0002,300$125,0002,000Brierfield38017,000260175,0001,200$130,0001,875Greystone35010,00018040,000900$80,0001,200The governing board of Middleville hired a consulting company to evaluate its strategic performance, specifically in the areas of Human Resources, Information Technology, Financing, and Marketing. As part of the consultant’s evaluation, several leaders of Middleville’s units were asked their perspective of the organization’s performance.You are working for the consultant. Your job is to identify the issues from the response that should be considered further by the consultant team and possibly discussed with the governing board and the CEO. The firm has a rule, “Never offer a criticism or negative finding without suggesting how the client organization can correct it,” so you must indicate what sort of correction you would recommend as part of your list. Because you know there were about two (2) dozen other interviews, you decide you should rank your issues in importance, to make sure the most critical are discussed.Write a six to eight (6-8) page paper in which you:Explain the governing board’s role in these strategic initiatives, determining its responsibility and involvement.Evidence-based management means that operational and strategic decisions are made based upon the evidence that goals and objectives are actually being met. Quantitative measurements must be identified and measured. This data is then used to evaluate the HCO’s performance. Name three (3) performances Middleville can use to measure its success in providing quality healthcare to the community, and identify quantifiable, measureable indicators that can be used to do so. Explain the importance of each performance measurement.Given the statistics of Middleville and its two (2) competitors provided in Table 1, recommend to the HCO what areas it should focus on to maintain its competitive market share as well as continue to provide healthcare to the community in the 21st century.Some of Middleville’s Board members are very interested in pursuing advanced technology systems over the next five (5) years, while others are concerned about the enormous expense and need assurance that the investment in technology will be worthwhile. In both monetary and process terms, describe the costs and benefits associated with implementing EMR and associated health data systems. Lay out a plan for how various systems can be implemented.Middleville has faced many challenges in recruiting and retaining nurses and other clinical employees. The economy has hit the area very hard and budgetary limitations have reduced the amount of money available for salary increases. The Board knows it needs to provide other benefits to their valued employees. Provide at least two (2) suggestions to Human Resources to promote employee satisfaction and, therefore, retain experienced personnel.Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.Format your assignment according to the following formatting requirements:a.     Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.b.    Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length.c.     Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.The specific course learning outcomes associated with this assignment are:Examine how healthcare management concepts and theories are applied to critical issues in healthcare organizations.Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations.Explain how public policy has shaped the development of the U.S. healthcare system.Use technology and information resources to research issues in health services organization management.Write clearly and concisely about health services organization management using proper writing mechanics.Click here to view the grading rubric for this assignment.By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

 
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Your Leadership Profile

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A brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific.

 
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Help Need Back Tomorrow 3-22-19

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Explain the Healthcare Common Procedure Coding System (HCPCS). Why is HCPCS important to the coding world? What can be found when using HCPCS?Next, code for the following scenario using Encoder Pro:A woman has come into the physician’s office for a routine pap smear. From her past appointments, there has always been a screening completed for cervical or vaginal cancer as well as a pelvic and clinical breast examination.Please code for the HCPCS procedure. Also, list your steps for finding the code.Your complete assignment should be a minimum of two pages in length. Outside sources are not a requirement for this assignment.

 
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Question #1

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Please consider the following scenario. Lisa is an eighteen year old student who is an undergraduate student at Ferris State University. She comes from a low-income family and is the first one in her family to attend college. Lisa is 5’4” and weighs 180 pounds. She also comes from a family in which her parents and older brother all smoke. As a result, she started smoking when she was 15 years old and has really thought about quitting once she started college. She was able to quit for a month, but soon the stress of balancing college life (e.g. exams, harder classes, bigger workload) with a part-time job really got to her, and she started smoking a pack a day. This was fairly easy to do because she was 18 now and didn’t need a fake ID anymore, and she and her co-workers at the local restaurant enjoyed taking smoke breaks together to commiserate over their stressful lives.Also, due to the new time pressures associated with balancing college and a part-time job, Lisa found herself eating at McDonalds (which is right on campus and was relatively very cheap and quick) every day for lunch and at the fast food restaurant she worked for dinner. She also exercised much less than usual and found herself comfort-eating cookies and other sweet snacks during her study sessions. She found that her friends did the same, so she did not think it was a big deal that she gained 10 pounds within her first semester in college. Also, she thought, she is only 18, and issues like heart disease and diabetes only happened to much older people. On top of everything, she often felt depressed because she was so far away from home and missed her family and high school friends so much. Sometimes, smoking and overeating seemed the only ways to cope.In this scenario, please select a health behavior you think Lisa needs to change (you are welcome to choose more than one), and please answer the following questions: (10 pts)Please apply the socio-ecological framework to describe the likely determinants of the health behavior at the three main levels of the framework (intrapersonal, interpersonal and environment levels).If you wanted to develop an intervention to change your selected health behavior(s) that incorporates all THREE main levels of the ecological framework, which health behavior models/theories/concepts would you incorporate into the intervention? Please note that this intervention will be taking place in a rural location such as Big Rapids.Please summarize your responses in a 1-3 page double spaced typed paper using 12-pt. Arial or Times Roman font. Please be sure to cite your sources (both textbook and outside sources) in APA format.Midterm essay grading rubric:Midterm Essay Grading Rubric.pdf

 
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Discussion

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Read/review the following resources for this activity:Textbook: Chapter 3, 4; review Chapter 2 (Section: Ideologies and Politics in the United States)LessonAdditional scholarly sources you identify through your own researchInitial Post InstructionsExplain one of the perfect political systems of Plato, Aristotle, Bacon, Marx, or Skinner. Use evidence (cite sources) to support your response from assigned readings or online lessons, and at least one outside scholarly source.Follow-Up Post InstructionsRespond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification. Minimum of 1 scholarly source, which can include your textbook or assigned readings or may be from your additional scholarly research.Writing RequirementsMinimum of 3 posts (1 initial & 2 follow-up)APA format for in-text citations and list of referencesGradingThis activity will be graded using the Discussion Grading Rubric. Please review the following link:Required book  Magstadt, T. M. (2017). Understanding politics: Ideas, institutions, and issues. Australia: Cengage Learning

 
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