You are a physician who has just become a partner in a nine-person group practice located in a city of 350,000 people with two teaching hospitals (240 beds and 185 beds), two other smaller community hospitals, and twenty group practices of ten physicians each or larger. The area’s largest employer has just gotten a contract that will require it to hire 260 new employees. Another company has just announced that it is relocating to the city and expects to need 115 new employees. Overall, the local economy is thriving with great prospects for the future. You have some awareness that your group faces competition in attracting patients, but you are not sure what to do about it.

Question:

-Describe what you will do to educate yourself about the idea of “strategic thinking,” the principles of strategic planning and management, and the actions the group should take to prepare itself for the future?

-How will you involve the group’s partners in the strategic initiatives you have in mind?

-On the basis of what you have learned about managing healthcare as a business strategy, what are some of the first steps you would propose that the group take?

Nursing theories applicable for a research titled "Attitude of a nurses regarding abortion"

DIRECTION: Create an NCP in relation to the case scenario.

Case Scenario: This is a case of a patient referred to a specialty memory clinic at the age of 62 with a 2-year history of repetitiveness, memory loss, and executive function loss. Magnetic resonance imaging scan at age 58 revealed mild generalized cortical atrophy. He is white with 2 years of postsecondary education. Retirement at age 57 from employment as a manager in telecommunications company was because family finances allowed and not because of cognitive challenges with work. Progressive cognitive decline was evident by the report of deficits in instrumental activities of daily living performance over the past 9 months before his initial consultation in the memory clinic. Word finding and literacy skills were noted to have deteriorated in the preceding 6 months according to his spouse. Examples of functional losses were being slower in processing and carrying out instructions, not knowing how to turn off the stove, and becoming unable to assist in boat docking which was the couple’s pastime. He stopped driving a motor vehicle about 6 months before his memory clinic consultation. His past medical history was relevant for hypercholesterolemia and vitamin D deficiency. He had no surgical history. He had no history of smoking, alcohol, or other drug misuse. Laboratory screening was normal. There was no first-degree family history of presenile dementia. Neurocognitive assessment at the first clinic visit revealed a poor verbal fluency (patient was able to produce only 5 animal names and 1 F-word in 1 min) as well as poor visuospatial and executive skills. He had fluent speech without semantic deficits. His neurological examination was pertinent for normal muscle tone and power, mild ideomotor apraxia on performing commands for motor tasks with no suggestion of cerebellar dysfunction, normal gait, no frontal release signs. His speech was fluent with obvious word finding difficulties but with no phonemic or semantic paraphrasic errors. His general physical examination was unremarkable without evidence of presenile cataracts. He had normal hearing. There was no evidence of depression or psychotic symptoms.

Module 10 Case Studies

Chapter 11

KT, age 42, presents to the emergency department with a complaint of having a “heart attack”. She reports chest pain, apprehension, trembling, shaking, confusion, dizziness, nausea, and difficulty breathing. Her EKG is normal and she is found not to be experiencing a myocardial infarction. After further exploration, it is discovered that KT has a significant number of life stressors and a family history of anxiety. She is diagnosed with panic disorder.

1. Outline the process that is most likely occurring in this woman’s body.
2. What is the etiology of panic disorder?
3. How do the expected clinical manifestations match what she is presenting?
4. What diagnostic tests could be used?
5. What treatment measures would you anticipate?

Chapter 19

A.Z., a 65-year-old woman, was having a follow-up visit with her physician. She was concerned about a change in her sleeping habits, including taking at least 30 minutes to fall asleep. She woke up after only about 5 to 6 hours of sleep and found herself unable to fall asleep again. She consequently got sleepy in the afternoon and took frequent naps.

1. What are some causes of age-associated sleep disorders?
2. What are the typical changes in sleep patterns that occur in response to age?
3. What causes age-related changes in sleep patterns?
4. What are the risks related to the use of pharmacologic sleeping aids in the elderly?
5. What non-pharmacologic strategies can be used to help promote sleep

i) What are some similarities and what are some differences between the PSW and the OTA/ PTA roles and responsibilities? How did each role complement each other?

ii) Write a S.M.A.R.T. Goal on how you can guarantee your success when working with another member of an interdisciplinary team (detailed with explanation).

iii) What can a personal support worker, learn from the OTA and PTA

iv) How can you use the experience of an OTA and PTA to enhance PSW' s professional career

Identify a screening/measurement tool to assess for alcohol use disorder and alcohol withdrawal. Include a link or copy of the screening/measurement tool.

Write at least a 265-word response to the following. Your response must address all aspects of each question, must include your personal opinions, ideas, or thoughts; and must provide examples in any situation where it is warranted.

·       Describe a time or situation when you saw the impact of technology in health care. Why was this important?

Discuss two challenges faced by individuals who must use durable medical equipment (DME, also known as “assistive devices”), such as a cane, walker, or wheelchair, to perform their activities of daily living (ADLs). Describe how these affect their quality of life (QOL)

What are the consequences of using advanced access in multi-specialty clinic? How might these tools be applied to provide same-day scheduling?

Reaction paper about Provisions of the Healthcare Reform and Healthcare Inequalities and Health Inequities

When enacting the strategy of ______ nurses are able to have input into the decision-making process like equals, but in a way that doctors are unaware of their contributions, thus maintaining the perception of the nurse’s role as subordinates.

1. A concern on social media is

   	A.	access.
   	B.	privacy.
   	C.	the EHR.
   	D.	the proliferation of apps.

6.25 points   

QUESTION 15

1. Social networking may be used by

   	A.	families.
   	B.	all of the answers are correct
   	C.	nurses.
   	D.	patients.

6.25 points   

QUESTION 16

1. ______ are defined as unexpected occurrences involving death or serious physical or psychological injury, or the risk thereof.

   	A.	Medical errors
   	B.	Socializations
   	C.	Power conflicts
   	D.	Memorable messages

6.25 points   

QUESTION 17

1. Which of the following is not an approach to conflict resolution?

   	A.	Avoidance
   	B.	Collaboration
   	C.	Authority
   	D.	Competition

6.25 points   

QUESTION 18

1. The _____ involves the contradiction of attempting to be regarded as a competent peer of physicians, while at the same time conforming to the traditional hierarchical structure that relegates nurses to an inferior status position within the physician-nurse relationship.

   	A.	detached-attached role dialectic
   	B.	denying the hierarchy
   	C.	equal-subordinate dialectic
   	D.	superior–equal role dialect

6.25 points   

QUESTION 19

1. _____ is crucial to contribute to the effective functioning of nursing organizations and consequently, to the excellence of nursing care.

   	A.	Evaluation
   	B.	Managing Conflict
   	C.	Background
   	D.	Dominance

Reaction about The Ethics of Epidemics and the current global pandemic