Category: Healthcare

Instructions: Please respond to at least 2 of your peers posts. Watch the video submission from your peers and reply in a written format. Responses need to demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the students position. Peer one Subjective: Today, I am presenting a 53-year-old African American male seen in clinic with a chief complaint of bilateral lower extremity neuropathy. He describes persistent numbness and tingling in both feet that have gradually worsened. He states the sensation is worse at night and sometimes interferes with sleep. He denies recent injury, swelling, redness, or open wounds. His past medical history is significant for Type 2 diabetes mellitus, hypertension, hyperlipidemia, and coronary artery disease. His current medications include metformin 500mg daily and 15 units of Lantus qHS for diabetes management, lisinopril 10mg for BP control, atorvastatin 10mg for hyperlipidemia, and aspirin 81mg daily for cardiovascular protection. He reports generally taking his medications but admits his blood sugars are often higher than they should be, ranging between 185-210 Social history reveals he lives with his spouse and works a mostly sedentary job. He has a prior smoking history of about 20 pack-years but quit 7 years ago. He drinks alcohol occasionally and denies illicit drug use. His diet is high in processed foods, and he reports limited physical activity. He denies chest pain, shortness of breath, vision changes, or recent hospitalizations. His main concern today is the loss of sensation in his feet and the fear of complications. Objective: Upon examination, the patient is alert and in no acute distress. Vital signs: BP 142/88, HR 78bpm, Resp 16, Temp 98.9. Hes 75in tall and weighs 252lbs Cardiovascular exam reveals regular rate and rhythm without acute abnormalities. Peripheral pulses are present but slightly diminished in the BLE. Neurological exam shows decreased sensation to light touch. Skin is intact with no ulcers, calluses, or signs of infection. Most recent labs show an elevated hemoglobin A1C of 9.6%, indicating suboptimal glycemic control, along with lipid levels consistent with his hyperlipidemia history. Assessment: This patients presentation is most consistent with diabetic peripheral neuropathy, a microvascular complication of long-standing Type 2 diabetes. Chronic hyperglycemia leads to nerve ischemia and metabolic injury, resulting in the bilateral, symmetric sensory changes noted. His comorbid conditions, hypertension, hyperlipidemia, obesity, and coronary artery disease, further increase vascular damage and contribute to the progression of neuropathy. Other differentials considered include peripheral arterial disease and vitamin deficiencies, but the distribution of symptoms and his diabetes history strongly support diabetic neuropathy as the primary diagnosis. Plan: Management will focus on both symptom control and risk factor modification. First, we emphasized that improved glycemic control is the most important strategy for slowing neuropathy progression. Medication adherence, dietary changes, and regular blood glucose monitoring were reinforced. For neuropathic discomfort, we discussed first-line options such as duloxetine or pregabalin, which are evidence-based treatments for diabetic neuropathic pain. A comprehensive foot exam was completed today, and the patient was educated on daily foot inspection, proper footwear, and avoiding barefoot walking to reduce the risk of ulcers and amputation. Blood pressure and lipid management were reinforced, including continued use of lisinopril and atorvastatin, and cardiovascular protection with aspirin as prescribed. Lifestyle counseling included increasing physical activity, reducing processed foods, weight management, and smoking cessation reinforcement, even though he is a former smoker. Follow-up is planned in 3 months to reassess symptoms, monitor A1C, and continue diabetic foot care Peer two Type 2 Diabetes Mellitus (T2DM) is a common endocrine and metabolic disorder characterized by hyperglycemia resulting from insulin resistance and relative insulin deficiency. Patients often present with nonspecific symptoms such as fatigue, polyuria, and polydipsia, which can develop gradually over months. Early recognition and intervention are critical in preventing complications such as cardiovascular disease, neuropathy, retinopathy, and nephropathy. In a recent clinical encounter, a 52-year-old male presented with fatigue, increased thirst, and frequent urination for the past three months. Using the OLDCART framework, the onset was gradual, symptoms occurred daily, and were worsened after meals high in carbohydrates. He reported mild relief with fluid intake but noted occasional blurred vision. His past medical history included hypertension and hyperlipidemia, managed with lisinopril and atorvastatin. He had no known drug allergies. Family history was significant for a father with T2DM. Socially, the patient does not smoke, consumes alcohol occasionally, and engages in moderate exercise. Objective findings included a blood pressure of 138/86 mmHg, heart rate of 78 bpm, respiratory rate of 16, temperature 98.6F, oxygen saturation 98%, height 510, weight 210 pounds, and BMI 30.1, indicating obesity. On physical examination, the patient was alert and oriented, appeared overweight, but exhibited no acute distress. Cardiovascular, respiratory, abdominal, and neurological exams were unremarkable. Based on the patients history, risk factors, and presentation, the primary assessment was suspected T2DM, with hypertension noted as a secondary chronic condition. Laboratory testing, including fasting blood glucose, HbA1c, lipid panel, and renal function tests, was planned to confirm the diagnosis and assess for complications. Therapeutic planning included patient education on lifestyle modifications, including diet and exercise, and consideration of metformin pharmacologic therapy if laboratory results confirmed T2DM. Additionally, a referral to a dietitian was provided to support individualized nutritional counseling. Preventive measures were emphasized, including routine foot care, retinal exams, blood pressure monitoring, and adherence to vaccination guidelines in accordance with USPSTF recommendations. Early recognition and management of T2DM are critical for reducing complications and improving patient outcomes. Comprehensive assessment, patient education, and preventive care remain essential components in managing endocrine and metabolic disorders (Waheed et al., 2024; Liu et al., 2024).

PLEASE SEE UPLOADED MATERIAL PLEASE USE TRI FOLD POSTER IT WILL BE PRINTED THE SIZE OF THE TRIFOLD

Answer the following questions together in a single cohesive essay format. This is a written assignment. (Min 750 words)

4a. Select an existing healthcare organization. Describe and critic at least one patient safety initiative and one quality improvement initiative. Describe the impact of each in at least 350 words (15 points).

4b. Identify and describe a theoretical framework or conceptual model from the fields of social science or psychology that can be applied to explain and modify patient safety and quality of care in healthcare organizations today.

• For example, read the article on
• (Be sure to be logged into VPN to access this through the free library resources) to gain insight on how effective teamwork in healthcare has implications on patient safety and the role of team science. Based on what social science and psychology offer us, what 5 recommendation(s) would you make to improve both quality of care and safety. Discuss in at least 400 words (15 points).
• Please note you may select recommendations from this article but please ensure that at least 3 out of 5 of the recommendations are different from the ones identified in this article and that the theoretical framework you discuss is different from the ones mentioned in this article. Research and cite your references completely and accurately. (10 points).

Please use the word count function in Microsoft Word to verify that the number of words in your assignment meets the requirements for assignments in this course (more words are fine to complete your thoughts and perspectives). Exercise critical thinking by including your own perspective, evaluating what might be causing the differences and similarities. Support your perspective with scholarly resources.

In this course you must reference any materials you use for perspectives that are not originally your own and apply APA style formatting for your bibliography and in-text citations. Please cite correctly and completely to ensure that you are maintaining academic integrity and to avoid losing points.

You may paraphrase the content in your narratives but I will be expecting that you integrate your independent thoughts and balance paraphrased and quoted content with your perspective. Any content that is paraphrased or quoted must have a resource cited in the text of your narrative and referenced in your bibliography. All the resources referenced in the bibliography should be cited somewhere in your narrative. Review your written assignments for typos and grammatical errors before you submit your work.

Please note that I expect graduate-level work from all my students. Please visit

to learn what is meant by graduate-level work.

Make sure you have a title page, reference page(s), use APA format, check grammar, use spell check, and answer the questions thoroughly… the page(s) and word counts are suggestions and you may go beyond them to complete your thoughts. Save your paper using the following naming standard: YourLastnameFirstnameInitial_Module#paper.doc (For example, KhanA_Module1paper.doc).

F6: Social Science and Behavioral Aspects of Health – Knowledge (models of theoretical framework that explains and modifies behavior related to health outcomes)

For this Discussion:

• Please read this article on
• Identify the behavioral theoretical framework explaining the healthcare provider’s behavior and explain the framework. (20 points)
• Identify another similar framework and describe it. Focus on the factors and relationships between the various factors. 20 points)

Complete in at least 400 words in one cohesive essay format. Total 45 points

Many careers are influenced by government regulations. Health care is one of those careers, similar to education, in which workers are hesitant to be involved in the political process. In order to advance the cause of quality patient care, it is very important that doctorally prepared advanced practice nurses get involved in the political process. This assignment will prepare you to determine what policy you may want to be involved in changing by creating an objective policy brief. A policy brief is a concise summary of a particular issue, the policy options to deal with it, and some recommendations on the best option. This assignment consists of two parts. General Requirements: Use the following information to ensure successful completion of the assignment: Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. This assignment requires that at least two additional scholarly research sources related to this topic and at least one in-text citation from each source. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Upload both parts of the assignment to the assignment drobox. Learners will submit this assignment using the assignment dropbox in the digital classroom. In addition, learners must upload this deliverable to the Learner Dissertation Page (LDP) in the DNP PI Workspace for later use. Directions: Part 1: In 500-750 words, address the following: Identify a current health care policy in your community or state. Research the issue and determine your personal stance based on the current evidence. Part 2: Locate the contact information for a state, local, or federal official for your area. (Baltimore Maryland) Locate information regarding the official’s stance on the issue. Send the official a letter or email that explains your position and offers suggestions on how the official should move forward with the agenda from your policy brief. Rubric Criteria Current Health Care Policy – Community or State 25 points Personal Stance 25 points Policymaker or Influencer Identification 10 points Letter to Policymaker or Influencer 10 points Thesis, Position, or Purpose 7 points Development, Structure, and Conclusion 8 points Mechanics of Writing 5 points Format/Documentation 10 points Total 100 points

Develop a structured comparison of Health Informatics (HI), Health Information Management (HIM) and Digital Health

Submit a two-page (minimum), double spaced, 12 font MS Word document in APA 7th Edition format for the assignment below. Refer to the grading rubric for Critical Analysis assignments.

Use a minimum of two sources in your analysis.

Please use headings and subheading in your analysis.

Entrusted with a leadership role, a manager is responsible for overseeing a department or group of employees within a specific organization. A manager needs to know what motivates employees to perform their job. If employees don’t perform their job the manager would need to enforce rules, provide criticism, and discipline employees. Read the case below and answer the questions at the end.

Case: A Good Employee, But…

Housekeeping supervisor Ellie Richards was faced with a situation that left her feeling uncomfortable about the action she would have to consider taking. In discussing the matter with Stan Miller, the other housekeeping supervisor, she began with, I have no idea how I should deal with Judy Lawrence. I just don’t recall ever facing one like this before.

Stan asked, What’s the problem?

Excessive absenteeism, Eli answered. Judy has rapidly used up all of her sick time, and most of her sick days have been before or after scheduled days off.

What’s unusual about that? Unfortunately, we have several people who use their sick time as fast as it’s accrued. And most get sick on very convenient days.

What’s unusual is the fact that it’s Judy Lawrence. She’s been here seven years, but this apparent sick time abuse has all been within the past few months. She’s used her whole sick time bank in 7 months. And most recently she was out for 3 days without even calling in.

Stan said, You can terminate her for that.

I know, said Ellie.

Especially when you take her other absences into account. You’ve warned her about them?

After a moment silence Ellie said, No not in writing. Just once, face to face.

Any record of it? Fill out a disciplinary dialogue form for her to sign?

No, said Ellie. I really hated to. I know I should have taken some kind of action by now, but I can’t seem to make myself do it.

Stan asked, Why not?

Because she’s always been such a good employee. She’s always been pleasant, she’s always done what she’s told to do, and she’s always done quality work. Shes still that way, except for her attendance problems of the past 7 months.

Ellie shrugged and continued, I guess what I’m really hung up it hung up on is: How do I discipline someone who is usually a good employee, and do it in such a way that it doesn’t destroy any of what is good about her?

Stan shook his head and said, Good performer or not, I’d say you ought to be going by the policy book. That’s all I can suggest.

Questions:

1. Describe A.H. Maslow’s basic human needs (physiological, safety, love, esteem, and self-actualization).
2. Explain the difference between motivating and environmental factors
3. Explain the use, abuse, and alternatives of sick-time.
4. How would you advise Ellie to proceed in the matter of Judy Lawrence?
5. Do you feel that Ellie’s failure to take action thus far affects your ability to take action now? Why or why not?
6. Do you feel that Ellie’s failure to take action effects other employees? Why or why not?

Use a minimum of two sources in your analysis in addition to your textbook.

Writing assignment about perspectives on elderly in APA format

Step 1

Review the instructor feedback you received in the work you submitted in Modules 1-3.

Reflect on your research process. Think about ways you can refine or streamline the parts of your research proposal.

Step 2

Create your research proposal

Assemble a single cohesive document containing all components of your research proposal. Confirm all elements of the proposal are present using the following outline:

• Title Page
• Introduction
• Area of Professional Concern
• Problem Statement or Hypothesis
• Research Questions
• Literature Review
• Research Methodology/Design
• Data Collection and Analysis Plan
• Conclusion
• References

You may use the and paste appropriate sections into the document.

Step 4

Read through your compiled work. Use your reflection, instructor feedback, and previous modules rubrics to guide your improvements. Revise your proposal components.

Here is some of the instructor feedback:

There are several sections of the data collection and analysis section that include very specific statements and decisions that are not common knowledge and are without citation. I have left annotations on several of those sections.

Each of the sections of the data analysis and collection plan are subsections of the overall plan and therefore should be identified as level 2 headings, not level 1.

Your plan is good, but it needs support from the literature on data collection and analysis in the form of citations and references.

You have a good start. I would like to see deeper analysis and discussion in your paragraphs. Compare and contrast the literature to consider how each article support the other (or doesn’t) for each theme you have identified.

A good rule of thumb when writing paragraphs is to think of them like a sandwich. Start with the topic statement as the first sentence. Use the next 2-4 sentences to support the assertion you made in your first sentence; these are the sentences with citations. Conclude with a sentence that brings the discussion to a close and helps usher in the next sentence.

You are the Nurse Manager of the Intensive Care Unit where the nurse wearing appropriate personal protective equipment tested positive for Ebola.

Submit a paper addressing:

• List top three concerns or issues to address. Please consider this from a manager/leadership position with consideration of the infected nurse, unit staff, and hospital management.
• Remember, as a Nurse Manager, you will need to ensure you meet the needs of your unit staff as well as leadership (Chief Nursing Officer and Chief Executive Officer.

Word count is to be 350-450 not including references. 7th ed. APA formatting expected with in- text citations and 2 references (not including the article/video). Rubric attached and links under instructions for article and video.

Link to video:

https://www.cbsnews.com/video/1012-nurse-who-cared-for-dallas-ebola-patient-tests-positive-for-virus-smart-bike-wheel-could-change-transportations-future/

Resource article for assignment:

https://www.cnn.com/2014/10/12/health/ebola/index.html