Who are the future leaders of health care? Where can current health care professionals find these individuals and how can these future leaders be supported in their development? In the next 5-10 years, what are two leadership roles that will be critical in supporting continuous quality improvement in health care? Explain your answer.

Robert Greenwood, a 70-year-old male, arrives at the clinic for blood pressure checkup. he denies pain. his vital sign are TPR 97.4-66-20, BP 158/90, O2 sat 96%. He is 69 3/4 inches tall and 165 lbs. His previous records indicate that he is allergic to "sulfa drugs". He states that he is currently taking Lipitor, 20 mg, on every day; atenolol, 50 milligrams, one every day; and 81 mg of asprin daily. He denies using alcohol, tobacco, and recreational drugs and does not know when he had his last tetanus shot. progress note documentation

A medical assistant calls in her patient, an African American transgendered woman (in her late 40s) to take a patient history, blood pressure, weight, and other vitals before she sees the physician. The assumption is that she is of middle class economic status. The medical assistant notes in her history that she is in the process of transitioning from male to female and questions the patient’s religious beliefs in relation to her decisions. The patient becomes agitated and expresses to the medical assistant that this is none of her business. The patient replies that she is here only for her annual physical. The medical assistant proceeds with preparing the patient for the physician. The medical assistant notes the woman has extremely long, thick hair in a style known as locks. As the patient stands on the scale, the medical assistant asks her how much she believes she would weigh without her hair. The patient is rather surprised and responds by stating that she doesn’t understand the question. She looks at the medical assistant, who has short blonde hair and asks, “Do you mean if my hair was short? I don’t understand your question.” “No, the medical assistant replies, “I mean if you remove your hair.” The patient became quite offended because her hair is her own and cannot be removed. She tells the medical assistant that her question was inappropriate and inaccurate and asks if she could just record her weight and move on to the blood pressure. The medical assistant looks at her with trepidation, still suspicious about her hair, and asks the patient to roll up her sleeves, so she can apply the blood pressure cuff. The patient is visibly offended, based on her expression, but receives no apology from the assistant. After completing the blood pressure check, the medical assistant tells the patient her blood pressure is very high. “You may want to consider cutting out soul food.” The patient replies curtly, “I am a vegetarian, and I don’t eat soul food.” The medical assistant leaves curtly, indicating that the doctor will be right in to proceed with the exam. The patient seriously considers leaving as she waits for the doctor because she has been so offended.

If you were the office manager or physician, evaluate this medical assistant against a “code of conduct.” Create an office policy statement to guide cultural sensitivity training of all staff to ensure the quality of care. The policy statement should be at least six paragraphs of methods and affective behaviors that should be exhibited by all staff as it applies to this case study and your research.

1. What happens to the body temperature during exercise and why?

2. What physiological adaptations occur that allow a person to acclimate to exercise in the heat?

3. Describe the conditions at altitude that could limit the ability to perform physical activity.

4. What types of exercise are detrimentally influenced by exposure to high altitude and why?

APA format required; references

M. S., a 23-year-old unmarried female, has a recent history of gonorrhea. For the past two weeks, she has had a heavy, purulent discharge and general malaise. Concerned that her symptoms appear to be worsening, M. S. made an appointment at the gynecologic clinic. The clinic physician palpated her abdomen and did an  examination. M. S. experienced lower abdominal pain and tenderness, which was increased during the pelvic examination. Cultures were taken on the material removed from the vagina and cervix. A diagnosis of acute PID was made based on the data gathered. It was decided that M. S. should be admitted to the hospital so that maximum doses of antibiotics could be administered and the course of her infection followed more closely.

1. What route does the gonococcus take in the development of PID?
2. What are the clinical manifestations of acute PID?
3. How would M. S.’s infection be managed if it were decided to treat her as an outpatient? What instructions should she receive? Include medications.
4. How does chronic PID compare with acute PID?
5. What are the possible complications of PID that M. S. could develop?
6. Identify 3 nursing diagnoses, short term and long term goals and expected outcomes for M.S.

Introduction
Some people believe that you can tell who a person is by what they do when no one is looking. Let's look at the following case. John Doe, a nurse, has downloaded an application to her phone that allows him to download copyrighted textbooks for a nursing course (that Doe is going to take) without his Internet Service Provider knowing it. The application is called "Cloak" as in cloak of invisibility (a hooded coat one wears to make it so others cannot see you). The application disguises his phone and makes it so the information on it is inaccessible. John is aware that other people who are of a lower socio-economic status (like him) also use this software program for the same reason (and to save money). John Doe knows that his religion forbids him from using this application to download in this manner. John Doe is focused on his own economic situation and does not consider the publisher, author, and others involved in the books. Think about a course of social action; what social values should be used to address this moral issue and conflict.

Create a personal ethical philosophy and explain from which philosophy or philosophies (it must include at least one of the following: virtue ethics, Kantian ethics, utilitarianism, virtue ethics, or social contract ethics) you created it and why the contents are important and meaningful for you. List its precepts.

• Take your personal ethical philosophy statement and use it to work through John Doe's case. What is moral and immoral per your theory?
• How would the veil of ignorance or a different theory of justice address John Doe's case?

• Information Management Systems: Benefits of Electronic Medical Records

Informatics: Planning informatics Technology Interventions

You are a pharmacist. You recently purchased a gross of an antibiotic from a secondary pharmaceutical wholesaler. A patient last week came in and said the pill tasted funny, and never dissolved. Concerned, you had the pill tested and found it was compressed drywall powder coated in highway paint.

What is going on here? Is this a big or common problem? Does the FDA handle these matters or does some other agency?

Identify the unique purpose of nursing that is NOT performed by any other profession. What do nurses do that no other profession or discipline is dedicated to perform? Identify this concept and link it to a concept in any theoretical framework.

Describe your experience with using a facsimile machine and if you agree or not agree it is an essential part of a healthcare facility. With all the bells and whistles on the Electronic Health Records, will the fax machine still be needed in the office? How might the EHR replace the fax machine? Provide one reference to support your discussion.

The topic of having a “designer” baby is one that can be very controversial. Dictionary online defines a designer baby as, “a baby whose genetic makeup has been selected in order to eradicate a particular defect, or to ensure that a particular gene is present”.

The topic has many pros and cons, and these pros and cons are related to all backgrounds, and beliefs. Research more about designer babies and take a stand either for or against this topic.

In your discussion post address the following:

• Explain your position, and why you made that selection.
• What information did you find that supports your thinking?
• What are some reasons that someone might disagree with you?

Why does Paul Farmer argue that the death of Acephie Joseph was not just a medical issue, but an example of structural violence?

You are the Director of Acute Respiratory Care in a small community hospital in Suburban Barrie, Ontario. You have been asked to be the leader of a project to design a new protocol for ICU admission. The former criteria of admission to ICU for any respiratory failure was:

                Oxygen saturation below 93%

                Tachypnea above 30 (RR>30)

Gasping for air and possible confusion/delirium of the patient/Encephalitis

Blood pressure below 90/60

Fail to improve Oxygen saturation upon application of CPAP

Presence of ARDs (acute Respiratory Distress) on imaging

(The above criteria are only few pre-requisitions and are all in combination together. The information only given for your own reference and you are not obligated to talk about the details like above in your essay)

The present criteria are now less sensitive which means that patient for instance need to have oxygen saturation below 89% for admission to ICU and so on. Therefor, due to lack of the number of ICU rooms we need to admit the harsh and sever patient status who are severely unstable, and we transform the regular infected patients into In-ward department and not ICU. Thus, our outcome is to be more specific for admitting patients into ICU- the patients who really are in danger of respiratory failure.

In order to plan for this change, you must design a change process plan which will ensure you will be successful in planning and implementing this change in procedure. Write a scholarly paper to address the following questions:

1. What type of change is being asked for in this situation?
2. Define who the target group is in this situation.
3. Explain how you would determine the hospital’s readiness and capacity for this particular change.
4. As the leader, how would you motivate the staff to embrace this change?
5. Discuss the factors which will affect the organization’s capacity for change.