Describe what health disparities means to you? In your clinical practice have you observed health disparities first hand? 3/3 2. Why is it important for health care providers to be concerned about health disparities and the needs of vulnerable populations?

Describe what health disparities means to you? In your clinical practice have you observed health disparities first hand? 3/3 2. Why is it important for health care providers to be concerned about health disparities and the needs of vulnerable populations?

Health disparities and health promotion in vulnerable populations-Paper Guidelines and Grading Rubric
Readings: See readings for unit 4
Assignment Description
The goal of this paper is to identify the unique needs and challenges of vulnerable populations. Health disparities disproportionately affect individuals who are members of racial ethnic disadvantaged minority underserved population groups.
A copy of the grading rubric is provided for you below. It is highly recommended that you organize your paper based on the grading rubric criteria detailed below; the use of headings based on the grading rubric criteria is also strongly recommended.
When you write your paper follow the grading guidelines. Each student is to submit a paper (no group work). The paper should be carefully written in a formal style adhere to the most recent APA guidelines use primary sources provide an integration of ideas and be 4-6 pages in length not including the USA approved title page appendix and reference list.
Grading Rubric
Criteria Points
1. Introduction paragraph
There must be a thesis statement that tells reader purpose of paper and what will be discussed. 1/1
2. What is a health disparity?
Describe what health disparities means to you?
In your clinical practice have you observed health disparities first hand? 3/3
2. Why is it important for health care providers to be concerned about health disparities and the needs of vulnerable populations?
What can DNP prepared nurse do to make a difference in the area of health disparities? 4/4
2. Is your population of interest affected by health disparities?
Identify and report which health disparities are present in your population of interest.
If your population of interest is not affected by health disparities describe this as well.
7/7
3. Describe culturally appropriate strategies and interventions that you could incorporate in your health promotion-prevention proposed project.
Include recommended standards for culturally appropriate health promotion programs.
9/9
4. Conclusions: summarize the essential points of paper (no more than one paragraph). 1/1
Deductions:
APA: title page organizational headings for each section citations & reference list
(Primary sources are to be used for references.)
Grammar/sentence structure/flow of thought and organization of paper
Over page limit 10% deduction
Papers without these reports will be returned to the student for resubmission. Re- submitted papers will have a 10% deduction. Papers must be re-submitted within 24 hours.
Total 25/25
Instructions:
All papers must be submitted to Turnitin. A PDF copy of the merged paper is to be uploaded in the assignment section of the course with the Turnitin report. You will need to plan to allow time for feedback and your originality report. A second report submitted to Turnitin can take up to 24 hours for a new originality report. Please note: Up to 20% of points will be deducted from grade for lack of scholarship.
Scholarship Expectations
You are clinical nurse scholars in the making. You are the APNs/DNPs and members of the highly literate profession of advanced practice nursing who will chart the future of health care. Good writing ability is as much a required skill for nurses in advanced practice as performing clinical functions. Therefore precision and scholarship is expected in all assignments.
Content must be organized with logical progression of ideas; effort and attention to detail
is evident; all aspects of the discussion is communicated effectively; correct grammar spelling and word choice; liberal number of references. References must be current appropriately
paraphrased and acknowledged; correct use of APA; correct title page used for assignment copy


 

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Describe how you plan to improve the performance of the surgical residents and how your plan could improve patient care by reducing the number of operating room deaths

Describe how you plan to improve the performance of the surgical residents and how your plan could improve patient care by reducing the number of operating room deaths

Operating room deaths involving surgeries: You are a healthcare administrator at a large metropolitan teaching hospital. Your hospital is in the middle of a crisis involving surgical residents. In recent years, the level of operating room deaths involving surgeries that your residents have been involved in has increased. As a result, the number of malpractice suits that have been leveled against your hospital has also increased. This is not only reducing the hospital’s revenue, but it is also damaging the reputation of the hospital. An internal investigation has shown that many of the surgical residents have been performing two to three surgeries back to back after working a 24-hour shift. Your human resources department had indicated that this could be a contributing factor in the number of operating room deaths. Compose an essay in which you detail the following points regarding this crisis: Identify and define the crisis type that the hospital is experiencing. Describe the crisis management triad and how it could be utilized in this situation. Describe how you plan to improve the performance of the surgical residents and how your plan could improve patient care by reducing the number of operating room deaths

Operating room deaths involving surgeries


 

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Discuss the need for working capital to include 2 months of startup drug inventory, vendor financing arrangements, personnel costs including salaries and benefits, renovations, disposable supplies, and cost of equipment.

Discuss the need for working capital to include 2 months of startup drug inventory, vendor financing arrangements, personnel costs including salaries and benefits, renovations, disposable supplies, and cost of equipment.

You are the chief financial officer (CFO) at a community hospital. One of the comments that has come back from patient surveys is the need for a commercial 24-hour pharmacy within the hospital. In this way, patients or their families will be able to fill prescriptions and begin taking ordered medication right away instead of waiting until the following day. The chief executive officer (CEO) wants you to create a proposal for the first 3 months of operation utilizing time value of money tools for the development of this new revenue-generating department. The following points must be covered in your proposal:

Include and discuss the need for working capital to include 2 months of startup drug inventory, vendor financing arrangements, personnel costs including salaries and benefits, renovations, disposable supplies, and cost of equipment
Provide 2 viable options to measure the rate of return to optimize financial performance of the department based on time value principles with rationale and justification.
Include a profitability analysis for 3 years.
Include a schedule of assumptions for your proposal. What questions might the board ask regarding feasibility of this proposal?
How might current changes in federal, state, and local policies influence decisions to be made?


 

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A 6 YEAR OLD BOY PRESENTS WITH HEADACHE AND RECENT RIGHT LOWER LIMB WEAKNESS. AN MRI DEMONSTRATES A 4CM LESION IN HIS LEFT CEREBRAL HEMISPHERE

A 6 YEAR OLD BOY PRESENTS WITH HEADACHE AND RECENT RIGHT LOWER LIMB WEAKNESS. AN MRI DEMONSTRATES A 4CM LESION IN HIS LEFT CEREBRAL HEMISPHERE

A 6 year old boy presents with headache and recent right lower limb weakness. An MRI demonstrates a 4cm lesion in
his left cerebral hemisphere. A biopsy shows a WHO grade 2 glioma. His case is discussed in a paediatric meeting and
the decision is made to recommend definitive radiation therapy.
a) What are the main points you would discuss with this child’s parents about the rationale for radiation therapy,
side effects and potential late complications.
(4 marks)
b) Discuss how you would follow this boy after treatment, assuming you are managing this aspect of his care.
(3 marks)
c) In general, for primary CNS tumours in children, what factors would you consider when making a decision
about treatment with radiation therapy? Justify your answer.
(3 marks)
Question 2
PET scanning is now commonly used in cancer management.
a) Describe how PET scans can be employed in oncological practice. Illustrate your answer with three examples
from different tumour sites.
(4 marks)
b) What are the advantages and disadvantages of using PET scans in radiation therapy planning?
(4 marks)
c) Name a commonly employed radiotracer and describe its biological characteristics.
(2 marks)
Question 3
A 60 year old man with a 3 month history of back pain now presents with leg weakness and urinary retention. Plain
films demonstrate a lytic lesion at T10.
a) Describe how you would evaluate this patient.
(3 marks)
b) What factors would you consider in deciding on the management of this man?
Justify your answer.
(4 marks)
The patient is confirmed to have malignant spinal cord compression at T10 and is treated with palliative radiation
therapy alone.
c) Describe the general supportive measures you would organise for this man during and after his treatment.
(3 marks)
CLINICAL ONCOLOGY
Phase 2 Exam Written Papers 2011 Page 6 of 15
Question 4
In relation to waiting times prior to commencing a course of radiation treatment:
a) Describe the potential problems of delayed commencement of radiation therapy:
i) with respect to clinical outcomes, giving at least 4 specific examples.
(3 marks)
ii) with respect to other adverse effects for the treatment centre
(2 marks)
b) If your centre had unacceptable waiting times for radiation treatment, what measures could be used to
manage this?
(5 marks)
Question 5
You have been asked to chair a committee charged with the development of an Early Breast Cancer Treatment
Guidelines document.
a) Describe the process you would employ to develop such guidelines.
(5 marks)
b) What is meant by ‘levels of evidence’?
(1 mark)
c) Define the system of ‘levels of evidence’ that you would use within your guidelines document.
(4 marks)
Question 6
Part 1 – With regard to tumour lysis syndrome:
a) What are the patho-physiological and clinical features of tumour lysis syndrome?
(3 marks)
b) What measures can be used to reduce the risk of tumour lysis syndrome?
(2 marks)
Part 2 – With regard to statistical methods:
c) What is a meta-analysis and why are meta-analyses performed?
(2 marks)
d) What are the advantages and disadvantages of a meta-analysis over a single randomised controlled trial?
(3 marks)


 

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Demonstrate an argument based on reading and analysis of academic references.For this assignment, consider that you hold the position of Associate Nurse Unit Manager, one level below the Nurse Unit Manager.

Demonstrate an argument based on reading and analysis of academic references.For this assignment, consider that you hold the position of Associate Nurse Unit Manager, one level below the Nurse Unit Manager.

CHANGE MANAGEMENT

Word limit: 5,000 – 6,000 words
Value: 50%
Details of task:
For this assignment, consider that you hold the position of Associate Nurse Unit Manager, one level below the Nurse Unit Manager.
In your position as Associate Nurse Unit Manager, you have been appointed to the multidisciplinary clinical practice guideline development committee in your hospital. The committee is currently considering how to develop and implement a hospital wide guideline on hip fracture care that is in line with the ‘Hip Fracture Care Clinical Care Standard’ from the Australian Commission on Safety and Quality in Healthcare. The committee membership includes representatives from nursing administration, physiotherapy, pharmacy, medical administration, and medical and surgical specialists including orthopedics.
As you have just completed a master’s level unit in leadership and management, the chairman of the committee has asked you to develop a change management strategy that would help guide the committee in implementing this new guideline.
In your essay you are required to develop a change management strategy and support your strategy with reference to change management theory. Your change management strategy should also reflect a consideration of the impact of health policy, theories of power and organization theory as they apply to health care settings. Your essay should
• Demonstrate evidence of research and an ability to critically analyse
• Provide evidence of an ability to demonstrate linkages between theoretical argument and practical application
• Illustrate a well-developed argument and a logical structure
• Demonstrate an argument based on reading and analysis of academic references
• Answer the question succinctly and cogently Assignment


 

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So to enhance their effectiveness, should the healthcare facilities focus on what they do best (i.e. clinical and medical care) and partner with hospitality firms to offer the services which are their core competence?

So to enhance their effectiveness, should the healthcare facilities focus on what they do best (i.e. clinical and medical care) and partner with hospitality firms to offer the services which are their core competence?
W7 Discussion “Hotels”

When a guest stays at a hotel, they are, at-the-minimum, promised a clean, safe and comfortable accommodation. In addition, depending on the type of hotel, they may also have the opportunity to relax by the pool, workout in the fitness center, or get some work done at the business center. They may also choose to place a room service order for breakfast or visit the restaurant located within the facility. When a patient is admitted to a hospital for a surgical procedure, then they too need a clean, safe and comfortable accommodation – in addition to appropriate clinical and medical care, of-course. In fact, depending on the nature of the hospital visit, the patient needs include many of the same aspects of a hotel stay such as food & beverage, service, and so on.

So to enhance their effectiveness, should the healthcare facilities focus on what they do best (i.e. clinical and medical care) and partner with hospitality firms to offer the services which are their core competence? Does the above idea seem far-fetched?

Please respond to the initial question by day 5 and be sure to post two additional times to peers and/or instructor by day 7. The initial post by day 5 should be 75 to 150 words, but may go longer depending on the topic. If you use any source outside of your own thoughts, you should reference that source. Include solid grammar, punctuation, sentence structure, and spelling.

W7 Discussion “Stocks”

Question B
Suppose you owned a portfolio consisting of $250,000 of U.S. government bonds with a maturity date of 30 years. Would your portfolio be riskless? What if your portfolio consisted of $250,000 of 30-day Treasury bills? Every 30 days your bills mature, and you reinvest the principle ($250,000) in a new batch of bills. Assume that you live on the investment income from your portfolio and that you want to maintain a constant standard of living. Is your portfolio truly riskless? Can you think of any asset that would be completely riskless? What security comes closest to being riskless? Explain.

Please respond to the initial question by day 5 and be sure to post two additional times to peers and/or instructor by day 7. The initial post by day 5 should be 75 to 150 words, but may go longer depending on the topic. If you use any source outside of your own thoughts, you should reference that source. Include solid grammar, punctuation, sentence structure, and spelling.


 

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what the different perspectives/opinions/findings are regarding this intervention why this intervention is most suitable/appropriate for John

To locate this case study go to:
1. http://edcan.org.au/edcan-learning-resources/case-based-learningresources/colorectal-cancer
2. View the videos of John embedded in this continuing professional development module for nurses. The following are the direct links to the videos:
http://edcan.org.au/edcan-learning-resources/case-based-learning-resources/colorectal-cancer/reducerisk/prevention
http://edcan.org.au/edcan-learning-resources/case-based-learning-resources/colorectal-cancer/findcondition-early/early-detection
http://edcan.org.au/edcan-learning-resources/case-based-learning-resources/colorectal-cancer/findcondition-early/responding
http://edcan.org.au/edcan-learning-resources/case-based-learning-resources/colorectal-cancer/activetreatment/adjuvant-therapy
The following additional information should be considered when addressing the Academic Essay:
ESSAY CASE STUDY:
The above case study provides important background information about John however your essay should consider the following:
In the case study John undergoes surgery. Following surgery John agrees to receive adjuvant chemotherapy that includes Fluorouracil. John calls the outpatient clinic (where he had his first cycle of chemotherapy. He had his first cycle of chemotherapy eight days ago and reports feeling unwell. You anticipate his white cell count will have decreased. On the telephone John mentions the following points:
He has had two to three episodes of watery diarrhoea each day for the past five days. He eliminates small amounts of liquid stool but the urge to go to the bathroom comes on quickly and strong.
He is distressed that on one occasion he was not able to make it to the bathroom in time and defecated on the floor in front of his wife. This is impacting on his willingness to leave the house and he feels upset by this as he now worries he will not be able to enjoy his life while undergoing chemotherapy.
He has regularly checked his temperature (twice a day) and reports no fever.
He denies having pain but does experience cramping sometimes before defecation.
He is having some nausea but no vomiting. He reports taking the anti-emetic medication he has been prescribed every four hours for the nausea however this has not helped with the nausea.
Johns other medications that he takes at home include:
Dexamethasone 8 mg orally (PO) for 2 to 3 days post chemotherapy
Metoclopramide 10 mg PO one to two tablets every 4 to 6 hours when required
PREPARING TO WRITE:
To prepare for writing the essay complete the Clinical Decision Making Framework template for all of Johns problems (the template is attached below). This exercise should cover relevant assessment data that supports the identification of Johns problems goals possible interventions and evaluation criteria and will help you focus on one problem for the essay below. Include this template as Appendix 1 to the essay. This does not need references and is not included in the word count.
ACADEMIC ESSAY:
The Essay requires you to address the following points based on the completed Clinical Decision Making Framework:
IDENTIFY PATIENT PROBLEM AND ITS POTENTIAL COMPLICATION(S)
Identify and explain the possible cause(s) of Johns problem (Choose only one (1) problem). Identify the potential complication(s) for John if the problem is not managed. Use evidence-based literature to support the explanation.
PROBLEM ASSESSMENT
Choose one (1) assessment tool that would be appropriate to use when assessing Johns problem. Include one page of this tool as Appendix 2. Refer to this tool when providing a justification with evidence-based literature as to why this tool is appropriate for John. Identify the criteria from the assessment tool to evaluate the predicted outcome of any interventions recommended for Johns problem.
MANAGEMENT INTERVENTION
Choose one (1) priority* intervention (nursing and/or collaborative) that will best manage Johns problem. Use evidence-based literature to justify why this intervention is likely to manage Johns problem successfully.
INTERVENTION TO PREVENT COMPLICATION(S)
Choose one (1) priority* intervention (nursing and/or collaborative) that may prevent John from experiencing complications that could occur from Johns problem. Use evidence-based literature to justify this intervention.
* There are multiple possible interventions for John that may be appropriate. The term priority requires you to focus on the intervention you feel is the most appropriate based on the research you conduct for this essay. Do not discuss more than one intervention to manage Johns problem and one intervention to prevent complication(s) that could occur from Johns problem in your essay.
ESSAY POINTS FOR CONSIDERATION:
The above assessment task is best addressed using the following format:
Use the following headings:
Introduction [200 words] Your introduction should include a brief overview of Johns problems as outlined in the Clinical Decision Making Framework and the one (1) problem that is the focus of your essay. The introduction should also outline the areas covered in the essay.
Patient Problem:________________ [300 words] This paragraph should discuss:
possible cause(s) of Johns problem
potential complication(s) for John if the problem is not managed
Problem assessment tool [300 words] This paragraph should discuss:
an assessment tool that would be appropriate to use when assessing Johns problem
the assessment tool criteria to evaluate interventions recommended for Johns problem
Management Intervention [500-700 words]Your intervention should discuss:
what the intervention is
how it works to manage the problem John is experiencing
how the intervention is administered (e.g. how much/how often etc.)
what the benefits are of this intervention for John
what the evidenced based literature says about the intervention
what the different perspectives/opinions/findings are regarding this intervention why this intervention is most suitable/appropriate for John
Prevention Intervention [500-700 words] Your intervention should discuss:
what the intervention is
how it works to prevent John from experiencing complications from the problem d
how the intervention is administered (e.g. how much/how often etc.)
what the benefits are of this intervention for John
what the evidenced based literature says about the intervention
what the different perspectives/opinions/findings are regarding this intervention why this intervention is most suitable/appropriate for John
Conclusion [200 words] Give a brief summary of the main points of the essay.
References [not included in word count] Appendix 1 (Nursing Process Template for all of Johns problems) [not included in word count and no references required] Appendix 2 Problem Assessment Tool [not included in word count and reference required]


 

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Have we lost touch with human interaction/communication on some level?Of course we can laugh when our parents and grandparents (or even we) reflect on the “good ol’ days” when life was simple and children played in the yard, made fun out of anything they could find,

Have we lost touch with human interaction/communication on some level?Of course we can laugh when our parents and grandparents (or even we) reflect on the “good ol’ days” when life was simple and children played in the yard, made fun out of anything they could find,

Of course we can laugh when our parents and grandparents (or even we) reflect on the “good ol’ days” when life was simple and children played in the yard, made fun out of anything they could find, and spent minimal time in front of the “boob tube” and even less playing video games. But even if television, the media, film, computers/internet, and video games aren’t necessarily bad for children and teens, give some thought to what they are missing out on by spending so much time with these everyday “outlets.” What might they be doing instead and what might those other activities do for their mental, emotional, and physical health? Have we lost touch with human interaction/communication on some level? Have we come so far that it is too late to get some of that back?


 

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Discuss ways to support nurses in integrating spirituality into clinical practice. Discuss ways to support nurses in integrating spirituality into clinical practice. Discussion cannot be more than (300) words

Discuss ways to support nurses in integrating spirituality into clinical practice. Discuss ways to support nurses in integrating spirituality into clinical practice. Discussion cannot be more than (300) words

Chapter 21: pg. 463 – 473 Dying in Peace Chapter 23: pg. 513 – 525 Smoking Cessation Chapter 24: pg. 545 -558 Vulnerability Model of Recovery from Addiction Chapter 30: pg.677 – 698 Cultural Diversity and Care Chapter 32: pg. 721 -733 Spirituality and Health Chapter 36: pg. 815- 823 Teaching Future Holistic Nurses

1. Discussion Question: Discuss ways to support nurses in integrating spirituality into clinical practice. Discussion cannot be more than (300) words


 

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What kind of people or personalities might companies try to appeal to by advertising on MySpace?

Suddenly, on the Internet, it’s 1999. But instead of Hotmail, Yahoo! or ICQ, it’s social networking site MySpace.com that is attracting Web surfers at a blistering pace. More than 180,000 visitors are registering every day at a Web site that attracted its first 60 million registered users in under 30 months. Already laying claim to about half the reach that monster players Yahoo! and Google enjoy, MySpace typically draws over 20 million unique visitors each month. And, by the time you read this, all of these statistics will probably have been surpassed, given the site’s incomprehensible growth rate. As Internet success stories go, the MySpace phenomenon is nothing short of spectacular. Rupert Murdoch’s News, Inc., bought the site from parent company Intermix Media in 2005 for $580 million, but many observers think that was about one-fourth of what the site could have sold for had the board and the lead investors not rushed into the deal. What reminds industry observers of 1999, though, is that MySpace is a hot property, yet it has no visible business model beyond trading eyeballs for ad dollars. So why aren’t mega advertising dollars flooding the doors at corporate headquarters? A quick tour of MySpace.com would probably answer that question for anyone with a brain and a pulse. MySpace is an anything-goes, youth-oriented, social hub at the center of music, matchmaking, and social rendezvousing. Friends keep in touch with each other by posting their profiles, photos, music preferences, social events, and more to personalized Web pages. The pages they create can host automatically loaded music videos or tracks that start to play as soon as the Web page loads. Pictures are uncensored, as are avatars and messages posted to pages by friends or any registered visitor who happens to land there. The only thing the site monitors is hate speech, but that may change in the wake of a 2005 controversy in which two sexual predators were convicted of luring minors into sex acts by trolling MySpace’s public pages. Skin, lewd language, and descriptions of adult events and activities can be found whenever users care to share or search for them. Not all of the content on MySpace is mature or off-color, however. More than 350,000 music groups or individual performers are registered there, and mainstream acts post pages there so that fans can follow their activities. The Foo Fighters even allowed their album In Your Honor to air free for a week on MySpace before its official release. The site also hosts hundreds of thousands, possibly millions, of unique video clips in 16 categories. There are blog listings, independent and user-generated film reviews, event listings, classifieds, discussion forums, and, of course, those personal pages and music samples. At least 45 percent of MySpace users are in advertisers’ coveted under-25 age bracket. The minimum age requirement is 14, and therein lies the advertisers’ rub. Advertising on MySpace raises ethical concerns and sparks fear of unwanted brand association, even though the user base is the most valued. Though the site claims to generate tens of millions of dollars in ad revenue each month, that pales in comparison to what it could be making. David Cohen, the senior vice president of Interpublic Group’s top ad agency, Universal McCann, considers the advertising opportunities on MySpace “a double-edged sword.” He points out that user-generated content can be “risqu é , in bad taste, et cetera.” His Fortune 100 clients don’t like the idea of placing advertisements for their products in an environment where they have little control over what appears beside them. Still, MySpace has its supporters. As the fifth largest Web property on the Internet, it is always going to be attractive to somebody. HSBC, Cingular, Aquafina, and H&R Block have all bought ad space there; surely, many more deep-pocketed firms will follow. As Richard Doherty, research director of Envisioneering Group, asks, “If you pull away from MySpace, where do you go? Do you do due diligence on the next 10 [social networking sites]? Advertisers need this audience. This is a new double-digits-minutes eyeball magnet and advertisers have to be there.”82 Questions 1. Considering the effects of advertising on consumers, what are the risks that advertisers take in placing advertisements on MySpace? 2. What kind of people or personalities might companies try to appeal to by advertising on MySpace? 3. Do you think the MySpace environment will make it easier or more difficult for advertisers to induce ad viewers to follow the AIDA plan? 4. Compose a list of the companies, products, and services that you think would benefit from advertising on MySpace.com. Are there any in particular that you think should stay away from MySpace, regardless of its popularity?


 

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