Category: Healthcare

Directions

Implementation, adaptability, and sustainability are essential to creating meaningful change in clinical outcomes. This is often the most difficult part of any translational or evidence-based project. The Iowa Implementation and Sustainability Framework offers a method to achieve your goals and 81 different implementation strategies within the four stages of implementation based on empirical evidence.

Use the Iowa Models evidence-based recommendations to create an implementation and sustainability plan for your proposed scholarly project. Look at Figure 2 (page 4) and Figure 6 (page 16) in Cullen, et al. (2022) (in ) for what to consider. Your plan should include well-developed paragraphs for each of the following:

1. Your evidence-based intervention and evaluation of how you will create awareness and interest in your project in your unit/organization (Phase 1 of the model).
2. Steps you will take in your organization to build knowledge and commitment to your intervention (Phase 2).
3. Plan to promote action and adoption of your intervention (Phase 3).
4. Ways in which you will make your intervention/practice change sustainable after your project has completed (Phase 4).
5. An appendix with your plan in table format with short statements based on Figure 6 (Cullen et al. p. 16). Use the
7. .

You must cite any authors from evidence you used to support your plan. However, you do not need other references unless you use literature in addition to Cullen et al. (2022). Rather than seeking out literature, thoughtfully approach your strategy and plan, focusing on possible barriers during the implementation phase and how those will be addressed.

Your paper should be 3 to 4 pages long, not including the title page, references, and appendix. Review the

. Do not forget to add the associated implementation table appendix with your project content.

During the COVID19 era, virtual visits increased, and many people began to take advantage of this method for their health care needs. Choose two technologies that will make virtual visits easier or convenient or allow the visit to be easier. What problems do you see with these methods of provision of care? Discuss future trends going forward with telehealth or virtual healthcare. Do you think virtual health visits will continue post COVID19 and if so why/why not? Requirements: 2-3 page APA paper excluding Title and Reference page. Use at least 4 current references (not older than 5 years) to support your ideas. Use the WilmU Library’s APA Citation Help page to assist with citation and formatting.

Fact Pattern:

A patient, who lives in a rural community, visits a local doctor to seek treatment for an unknown illness. The doctor suspects that the patient might have a disease known as Condition X, which can be diagnosed with a blood test. There are two such tests available. The first test involves mixing a blood sample with certain chemicals, then observing the results under a microscope. This test yields false negative results 10 percent of the time. In other words, one out of every 10 tests of a positive sample will read as a negative result.

The second test uses mass spectrometry equipment to analyze blood samples. This test is more complex than the first test, and it requires costly equipment, which must be operated by specially trained technicians. The second test yields false negative results 0.1 percent of the time. In other words, one out of every 1,000 tests of a positive sample will read as a negative result.

The doctor tests the patient using the first test. The test result comes back negative. As it turns out, however, this is a false negative, and the patient soon develops more advanced symptoms of Condition X. These symptoms might have been avoided with an earlier diagnosis.

The patient later visits a second doctor, and complains of severe wrist and finger pain that makes it difficult for the patient to use his right hand. Chronic pain of this type is an advanced symptom of Condition X. The second doctor accurately tells the patient that the only available treatment is to inject Drug A into the affected joints. The patient agrees to have the injections. The second doctor knows, but does not tell the patient, that Drug A carries a 1 in 1,000 risk of permanent nerve damage. As a result of the drug, the patient suffers nerve damage and permanently loses all feeling in his right hand.

The patient sues the first doctor for malpractice, alleging that the doctor was negligent in using the first test instead of the second test. At trial, the first doctors expert witness testifies that in rural communities, doctors do not make enough money to afford mass spectrometry equipment. Moreover, the expert testifies that it is difficult to find technicians who are trained to operate the equipment and who are willing to live in rural areas. Accordingly, the expert testifies, the use of the first test is customary in rural communities, including the one where the patient was treated. The patients own expert witness testifies that in the experts opinion, the use of the first test is always unreasonable, because the second test is so much more reliable.

The patient also sues the second doctor for malpractice, alleging that the doctor did not obtain the patients informed consent for the injection, because the second doctor did not disclose the risk of nerve damage. The patient contends that if the patient had known of this risk, he would not have had the injections. Applicable law follows the patient rule of informed consent, also known as the materiality rule. Applicable law also follows the modified locality rule.

Questions1 Did the first doctor violate the standard of care by using the first test instead of the second test?

Explain in detail (300 word minimums)

2 Did the second doctor commit malpractice by failing to obtain the patients informed consent for the injection?

Explain in detail (300 word minimum)

All Answers are 200 Words Minimum. Thorough Legal Responses are a Priority

1. Telehealth & Jurisdiction:

A physician treats a KY patient by video while traveling in another state. A complication arises and the note contains devicegenerated content with minimal clinician edits. Discuss malpractice exposure, licensure/jurisdiction pitfalls.

2. Legal Medical Record (LMR) vs. Safety Files (records request):

Plaintiff requests all records, incident reports, attorney-client discussions, peerreview minutes. Please define the difference in these terms.

3. Disclosure & Early Resolution:

After a retained foreign body, outline a disclosure plan, how to document it, and which teams to notify (risk, carrier, leadership).

4. Supervision & Delegation:

An APP performs a procedure with remote physician oversight; a complication occurs. Recommend logical fixes and training.

5. Root Cause Analysis (RCA) Privilege Boundaries (Kentucky)

Your teams RCA begins after receiving a litigation hold. Evaluate whether the RCA remains privileged under KY law.

see attached

Discussion Post 2

The concept of PEEP is arguably one of the most important to understand when approaching the topic of airway management. Advancements such as CPAP and BiPAP have drastically improved patient outcome and reduced the need for RSI and intubation in the field.

In 2-3 paragraphs, explain the concept of PEEP and how that relates to CPAP/BiPAP. What is the difference between CPAP and BiPAP? What types of patient’s typically benefit from non-invasive positive pressure?

Cardiovascular disease is the leading cause of death in the United States and has been for many years. While many conditions are genetic, there are plenty of lifestyle choices that can increase the risk of a cardiac event or exacerbate a patient’s symptoms.

For this assignment, you are to create a mock public health post (ie flyer, pamphlet, social media post) that details a specific cardiovascular condition, to include its risk factors and mitigation strategies. As this topic is so broad, you’ll have plenty of options to choose (think congestive heart failure, heart attack, atherosclerosis…) Remember, the idea is for this to be educational for the public, so include some graphics and statistics.

Feel free to be as creative as you’d like. I look forward to seeing what everyone comes up with!

Older Adult Community Assessment Paper Part Two Moving forward with Mrs. Es scenario. From the point of view of an older adult, use the information you gathered in part one to evaluate your neighborhood in terms of how adequately it will meet the present and anticipated future needs of older adults, such as Mrs. E. Write a paper on this using APA format. Use the seventh edition APA. This is an academic APA paper from the view of an outside person (Write in 3rd person; avoid I, You, or We statements). Avoid telling a story of yourself and your dog. Avoid personal information about your family. Avoid material on older adults that does not apply to the community (half page on hypertension from the Mayo Clinic does not belong; focus on the community and older adults. Your paper should be a minimum of three pages and a maximum of five pages, double-spaced, not counting the cover page, appendix, or references. Students must use at least three current academic articles (that are peer-reviewed) in addition to support their view of the neighborhood. These references should concern the characteristics and needs of older adults. Crime rates should be reported as incidents per 1000 or 100,000 inhabitants. Crime rates should be reported using government sources. Facts that are not common knowledge should be supported with a citation. One of those references can be your textbook. All submissions will be checked for plagiarism. If any is detected without an appropriate citation, the student will receive zero points in that area of the assignment and may be referred to the Office of Student Conduct (OSC) for academic dishonesty. Also, if you are repeating this class, remember you cant use your old assignment. You must select a different location; otherwise, you will violate student conduct and be referred to the Office of Student Conduct (OSC). See Canvas for the grading rubric of the Older Adult Community Assessment Paper. THIS PAPER IS GRADED USING THE RUBRIC METHOD. LET ME KNOW IF YOU NEED CLARIFICATION’ ALSO, I NEED THE PAPER TUESDAY NIGHT SO I CAN REVIEW IT

Review from this weeks learning activities for more information on retail and walk-in clinics.

Watch the following six videos as you prepare to complete the assessment:

Select 1 of the following in your community or surrounding area.

• Walk-in clinic, such as an urgent care facility
• Retail clinic in your local grocery store or retail pharmacy
• No-appointment physicians office

Research the market of your chosen facility. Consider the following questions as you complete your research:

• What are the demographics of the consumers who might use the selected facility? This may include data such as:
• Age
• Gender
• Income
• Race
• Marital status
• Education
• Occupation
• Home ownership
• Number of people in the household
• Age of the home
• Where is the selected facility located?
• What marketing strategies could be used to attract consumers to the selected facility?

Consult the following resources for help finding this information:

• The provides data about the people, places, and economy of the United States. Search the website to find the population, average income, and other frequently requested data about a community.
• provides topographical and statistical information about the United States, including population, demographic, and economic data.
• The provides wage and occupation data at national, regional, state, and metropolitan-area levels.

Assessment Deliverable

Write a 700- to 1,050-word market analysis report of the facility you selected. In your report:

• Describe the facility you selected, its location, and the services it offers.
• Analyze the demographics of the consumers who might use the selected facility.
• Analyze the marketing approach used for the facility.
• Consider the targeted audience based on the demographics of the consumers who might use the facility.
• Consider whether marketing techniques can be the same when marketing to different demographics.

take my manuscript and turn it into a powerpoint presentation with min wording on each slide. The majority of the info in the speaker notes

Please use the following guidelines when creating your PowerPoint:

• Please do not copy and paste your paper to your slides
• Limit to 7 lines per slide
• Limit to 7 words per line
• One table/graph per slide – create a new slide for additional table/graphs
• Show references on Literature Review slide
• Avoid slides that are too busy with non-pertinent graphics
• We want to hear you sharing your project, not reading from a slide; you need to know your project to be able to answer questions