What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care?

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario: Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.

Subjective Data

Complains of pain and heaviness in her leg.

States she cannot bear weight on her leg and has been in bed for 3 days.

Lives alone and has not had anyone to help her with meals.

Objective Data

Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage

Left leg red from knee to ankle

Calf measurement on left 3 in > than right

Temperature: 38.9 degrees C

Height: 160 cm; Weight: 83.7 kg

Laboratory Results

WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands

Wound culture: Staphylococcus aureus

Critical Thinking Questions

What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.

Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”

What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.

What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

Identify what, if any, actions may be taken to mitigate or to overcome the negative aspects of your recommendations.

Report Issue

Final Project: Final Paper

This week, you will describe the range of options that are available to address the problem. (Defining a core list of reasonable options is a critically important part of the process of developing a solution to a problem.) You will also formulate a concise argument for your recommendations for the problem

For this assignment:

Review a reputable source of information on developing options and resolving conflicts when solving problems.

Study the range of options that have previously been proposed or tested for solving your chosen environmental health problem. Create additional potential options based on your own judgment and knowledge. Identify potential advantages and disadvantages of each option.

Write a 15- to 20-page, double-spaced paper in Word format addressing the following:

State the 2- to 3-sentence problem statement you submitted in Week 2.

Briefly introduce the topic of generating options when solving a problem. Describe a formal method by which the advantages and disadvantages of potential options can be evaluated by stakeholder groups to rank the potential options and to resolve conflicts when ranking options.

Describe and analyze several options to address the problem (options). Include solutions for populations with disparities, if applicable.

Limit your consideration to three to four major options. Briefly describe each option and the main advantages and disadvantages of each major option for solving the problem, including:

The likely effectiveness of the proposed solution

Costs in terms of dollars as well as effort and other resources (the exact costs are not needed but options should be described in semiquantitative terms ranging from “very expensive” to “relatively inexpensive” or ranging from “most expensive” to “least expensive”)

Time required for the option to bring about the desired result

Stakeholder issues (limit this section to the key stakeholder groups you identified in your Week 4 landscape paper. Discuss your three to four proposed options with regard to acceptability to certain stakeholders, lack of acceptability to other stakeholders, and common ground for all stakeholders)

Potential unforeseen consequences of the proposed solution or difficulties in implementing the solution

Summarize your three to four chosen options

Clearly identify which option is favored.

Describe why this option is preferred over the other options. Explain why, despite the drawbacks, this is the best action to take.

Identify what, if any, actions may be taken to mitigate or to overcome the negative aspects of your recommendations.

Develop a list of key performance indicators in the following categories that would be useful for your situation. Include:

Report Issue

Performance Reports/Dashboards

Performance reports are a valuable tool for gauging the financial well-being and progress of a health care organization. When properly designed, these reports can provide data on key measures, quality indicators, performance of operations, patient satisfaction, personnel, and facility capacity.

Have you ever seen the cockpit of an airplane? The dashboard is covered with a variety of knobs and gauges. Having a pilot who understands the meaning of the data contained on the dashboard is essential for passenger safety and for reaching the correct destination in a timely fashion. Similarly, a dashboard for your organization can supply a wide variety of performance information to assist in the financial decision making process.

In this Discussion, you will describe a dashboard that would be useful for you in your current position and organization (or one with which you are familiar).

To prepare:

Review this week’s Media program, Dashboards.

Develop a list of key performance indicators in the following categories that would be useful for your situation. Include:

2–3 financial indicators

2–3 operational indicators

2–3 satisfaction indicators

2–3 quality indicators

Required Readings

Baker, J. J., Baker, R. W., & Dworkin, N. R. (2018). Health care finance: Basic tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and Bartlett Learning.

Chapter 12, “Financial and Operating Ratios as Performance Measures” (pp. 127-134)

This chapter introduces a number of different tools that can be used to measure the performance of an organization. These include liquidity ratios, solvency ratios, and profitability ratios.

Kleinpell, R. M. (2009). Analyzing economic outcomes in advanced practice learning. In Outcome assessment in advanced practice nursing (2nd ed.). New York, NY: Springer Publishing Company.

Outcome Assessment in Advanced Practice Nursing, 1st Edition by Kleinpell, R. M. Copyright 2009 by Springer Publishing Company. Reprinted by permission of Springer Publishing Company via the Copyright Clearance Center.

This chapter outlines five different types of economic outcomes that can be used by advanced practice nurses for assessing costs and determining performance benefits within a health care organization.

Serb, C. (2011). Effective dashboards: What to measure and how to show it. Hospitals & Health Networks, 85(6), 40.

Retrieved from the Walden Library databases.

In this article, the authors discuss automated systems known as executive dashboards, which are designed to highlight key data. Additionally, the article describes the components most experts agree should be included on an executive dashboard.

Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty.

Identify at least three regulatory bodies or industry regulations that specify certification, licensure requirements, or scope of practice for your specialty. Discuss the way these bodies or regulations influence the educational requirements and experiences for your specialty. Advanced practice registered nurses must incorporate the APRN consensus model in their response.

At least 300 words with references no older than 5

Compare two different advanced registered nurse roles with regard to ethical guidelines

Compare two different advanced registered nurse roles with regard to ethical guidelines. Are there any differences in the ethical guidelines that govern these roles? What situations might require one role to respond differently, depending on the ethical guidelines?

At least 300 words with refrences no older than 5 years and intext citation. Apa format

1. Explain how the Nurse Practice Act in your state provides for consumer protection and for professional nursing progress.

er.

2. Which is more important, working for an effective leader or an effective manager? Explain your answer.

3. Observe the nurse manager in a unit to which students have been assigned. What management style is displayed? How does the staff respond to this style

4. What qualities do you think are most important to be a good nurse manager?

1. Interview the nurse manager on your assignment unit. What interpersonal, decisional, and informational activities does he or she complete on a daily basis?

2. You are the nurse manager on your unit. One of the most experienced staffers has been out on sick leave, and another just had a baby. The rest of the staff are working very hard to pick up the slack to avoid using agency personnel. What tangible and intangible rewards might you use to thank the staff?

3. PART 1: Begin by writing a 50-word description of the ideal nurse manger, someone you would like to work for. Describe a real-life nurse manager whom you have encountered in one of your clinical rotations. What qualities of this person meet your ideal? In what ways does this individual not meet your ideal? (Reminder: nobody’s perfect.)

PART 2: Think about becoming an ideal manager yourself. What qualities of an ideal manager do you already possess? What qualities do you still need to develop? How will you accomplish this?

1. Find your own state’s requirements for informed consent. Do elective procedures and emergency situations use the same standard?

2. Obtain a copy of your state’s Nurse Practice Act. Does the act give adequate guidance for nurses to know if an action is within the scope of nursing practice?

1. Explain how the Nurse Practice Act in your state provides for consumer protection and for professional nursing progress.

2. What are your thoughts on multistate licensure? How does it strengthen and weaken professional nursing?

3. As a new nurse, how can you ensure confidentiality in clinical settings?

4. How can nurses safeguard the confidentiality of medical information when sending it by fax or e-mail?

5. Explain the role of the nurse in obtaining informed consent. Do you believe that this is within the scope of nursing practice? Explain your answer.

6. Should nurses carry malpractice insurance? Explain your answer.

7. Should all patients have advance directives? Explain your answer.

8. Should employers be permitted to require nurses to work overtime if there is a shortage of registered nursing staff on a unit? Support your answer with evidence from the literature.

What are some challenges and/or barriers in being culturally competent in nursing practice?

There are many videos on the Web that demonstrate culturally competent nursing care. Explore your favorite video archive, such as YouTube, and watch some of these videos (you can use the keywords “cultural care nursing”).

Identify the videos you watched. Provide a list of the titles and the URL. In a 1-2 page Word document, answer the following questions about the video(s) you viewed.

What was the most surprising thing you learned about culturally competent nursing care from watching the videos?

What was the most interesting thing you learned about culturally competent nursing from watching the videos?

What are some challenges and/or barriers in being culturally competent in nursing practice?

In what ways did the videos provide you with an understanding about the relationship between cultural competence and client quality and safety?

After watching the videos, describe two areas of awareness you gained about being more open to cultural diversity in clients and populations?

· How has the experiment helped us today in dealing with an emergency response?

coalition called “The Partnership for Community Safety: Strengthening America’s Readiness.” The focus of the partnership was to strengthen the healthcare community’s response to disasters. It brought together several healthcare organizations in an effort to work together toward this goal.

Choose an organization that is a part of this movement, and prepare a paper on the organization. In your paper, include the answers for the following points:

· A brief historical background of the organization

· The main purpose and the role of the organization

· Any regulatory requirements or guidelines, which the organization formulated for disaster preparedness

· Any experience the organization has had with the disaster response

· Any legal or ethical issues that the organization has encountered with regard to emergency preparedness

· Any training the organization conducts for emergency preparedness

· Any other issues found during online research

Using the Internet, research on the topic “The Dark Winter Experiment.” On the basis of your research and your understanding of the topic, answer the following questions:

· What was the Dark Winter experiment? Why was this experiment important?

· How has the experiment helped us today in dealing with an emergency response?

Submission Details

Combine your responses in 4 page Microsoft Word document, not counting the cover page or the reference page.

Support your responses with reasoning and examples.

Cite any sources in APA format.

Who was affected and how did it influence quality service delivery at this facility?

Use the internet to identify a real-world example of a healthcare error that impacted patient safety. Use the readings and your knowledge of risk management and quality/performance improvement to write a report to the chief executive and board of governors of this organization stating your assessment and recommendations for improvement. Your report should describe this situation and the impact on patient safety:

Who was affected and how did it influence quality service delivery at this facility?

How was this event handled by the healthcare leaders and internal stakeholders? By external stakeholders?

What recommendations do you have for performance improvement to prevent this situation or event from reoccurring?

Your report should meet the following requirements:

Be 3-4 pages in length, not including the cover or reference pages.

Be formatted according to the APA Writing Requirements.

Provide support for your statements with in-text citations from a minimum of four (4) scholarly articles.

Utilize headings to organize the content in your work.