Scenario # 2 Your facility is a large children’s hospital in north Texas. Until recently your facility was part of a larger health care facility run by the state. The facility is now corporately owned and operated. During this reorganization period a major fire occurred at a local elementary school. Over 100 injured children were sent to your facility for care. You encountered many problems: care was delayed and inappropriate for many children because of the nature of their injuries due to lack of parental consent for treatment and smoke inhalation and burns. Your task is to develop a disaster plan specifically to address the deficiencies and to reshape your public image following the fire at the elementary school.

Discuss cultural issues that the situation presents

Explain budgetary plans or concerns

Explain credentialing or accreditation issues the situation present

Describe your response to the situation

Please write major ( 4) Physical changes, that occur in the human body in old age-related to the following systems in the first column, and write (4) health problems that occur as a result of physiological changes, (4) nursing interventions and (4) ways of evaluating them (4).

Please respond to the following questions based upon these course objectives:

• Determine the different types of hospital ownership.
• Examine the different healthcare delivery systems.
• Discuss how delivery systems relate to the concepts of public health.

Please answer the following questions with supporting examples and full explanations.

1. For each of the learning objectives, provide an analysis of how the course supported each objective.
2. Explain how the material learned in this course, based upon the objectives, will be applicable to the professional application.

CASE STUDY PARKINSON’S DISEASE Miss Rose is a 74 year old female, who is a retired widow and lives with her son for the past five years. Both enjoy planting seedlings and own a community agriculture store. She does not suffer with hypertension or diabetes and has an active lifestyle. She is also not known to have any psychiatric illnesses. Over the past six months Miss Rose’s son and herself noticed physical changes and decided to visit her General Practitioner. At her visit she mentioned to the doctor that she was having difficulty rising up from a sitting position after grooming her plants or turning from one table to another when she has customers. Documentation on her clinic file noted that she previously complained of difficulty walking and falling when coming out of bed. She was sent for an X-ray but there were no clinical findings. The physician asked her to describe what happened when she fell. Miss Rose verbalized that when she got up from bed and starting walking she started moving forward and backward then stooped forward with small fast steps and then she fell. Her son mentioned to the doctor that he has noticed that when she is pruning her plants she has abnormal rhythmic movement of the upper and lower limbs. She occasionally has a slight limp and her handwriting has become smaller over the past months. This has stopped her from doing her daily yoga exercises and she has been very disturbed about it. Miss Rose then further explained that the movement started on the distal part of both upper limbs at the same time. She also expressed that during rest she noticed the movement in her limbs and as she started her tasks the movements became more aggravated. Urinary incontinence is also a problem for Miss Rose and she is having difficulty in her swift movements to her bathroom. The patient was later diagnosed with Parkinson’s disease. After the assessment and interview of Miss Rose the Physician documented the following: Physical Assessment Vital Signs: BP- 130/74 mmHg Temperature - 36.7 C, Pulse- 78 bpm regular and bounding Respiration- 20 bpm Height- 5ft 7 in Weight- 70 kg Facial expression- Masklike Gait- Shuffling gait with tendency to fall forward and backward CNS Examination Alert and oriented to time, person and place Level of consciousness GCS- 15/15 Sleeping patterns- normal Swallowing gag reflex- normal Cogwheel rigidity present Tremor present Bradykinesia present Dysphonia present

Instructions:Answer the question below.

a) Discuss the nursing management of the patient using a care plan. Three actual and two (2) potential problems.

Advocacy in all forms is ever present in society to ensure that members have an individual (or group) speaking up for their needs. How one may advocate for one group may not be the same as the way they may advocate for another. , discuss the need to utilize different and innovative techniques when advocating for special populations (immigrant or learning disabled for example). discuss with your classmate why these techniques cannot be utilized for all groups. Be sure to discuss how techniques will change based upon need as well. Expert Answerinformation icon An expert answer will be posted here Post a question Answers from our experts for your tough homework questions

Create a mock corporate compliance and risk management plan: You have been tasked with creating a corporate compliance and risk management plan for a small, rural public community hospital. In a minimum of 1000 words, discuss the steps you would take to create the plan, what specific areas you feel should be covered based upon the demographics of patients being served and how your plan will ensure patients are receiving quality care? with references.

Healthcare stakeholders disagree about the impact of legal risks, medical malpractice claims, tort reform, and defensive medicine on the cost of care and the cost of health insurance in the United States, as well as the importance of such impact. How do legal risks, medical malpractice claims, tort reform, and defensive medicine impact the relationship between healthcare providers and patients? How should they impact the relationship? Make three suggestions to improve existing healthcare policy based on your analysis of impacts on the provider-patient relationship. 1. Your analysis of the issue or situation 2. Your assessment of the impact on key stakeholders 3. Your clear recommendations on a course of action or policy

just write the choice answer ty

1. Which of the following is NOT a reason that there is E. Coli 0157:H7 in ground beef in America?

2.

What was wrong with the US government recommendations to eat less saturated fat to reduce risk of heart disease?

Assignment: Asthma and Stepwise Management

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.

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One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To Prepare

• Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children.
• Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.
• Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

By Day 7 of Week 3

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

• Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
• Explain the stepwise approach to asthma treatment and management for your patient.
• Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

Q1. Critically discuss the key important factors and forces in the general and industry environments that affect the Jaw Resort and Spa Bahrain choice of strategy. Discuss how the pandemic COVID-19 affected environment factors and forces and consequently your Jaw Resort and Spa Bahrain performance. From your own perspective, what actions should your Jaw Resort and Spa Bahrain do to keep its competition alive if this situation prevailed? (35 marks-800 words)

The neurology consult report includes the following statement: “Client’s diet is notable for moderate amounts of aspartame and no significant glutamate.” What are aspartame and glutamate? Why did the neurologist assess Mrs. Giammo’s intake of aspartame and glutamate?

1. Ambulatory Care refers to

1. Emergency Care done in an ambulance
2. First Aid performed by an EMT
3. Cannot be covered by medical insurance
4. Is another term for Outpatient Services

2. The increase in the elderly population in the United States will be a factor

1. In increasing the cost of health care
2. In decreasing the cost of health care
3. Will have no effect on the cost of health care
4. In lowering health insurance premiums

3. Primary Health care is regarded as
   1. Essential Health Care
   2. Specialty Care
   3. Rehabilitative Services
   4. Allied Health Care

4. The supplemental insurance that is part of the Medicare program is known as
   1. Medicare Part A
   2. Medigap
   3. Medicare Part B
   4. Medicaid

5. The term used to describe medical tests and services that are not medically justified or billing for a higher priced service
   1. Primary Care
   2. Defensive Medicine
   3. Inpatient Care
   4. Fraudulent Care

6. A characteristic that is needed to be considered a hospital
   1. Is a license from the Federal Government
   2. That you provide a minimum of five specialty services
   3. Registered Nurses must supervise continuous nursing care
   4. You must have access to Public Transportation

7. One of the needed criteria that is necessary to be labeled a Critical Access hospital is
   1. It is located in a rural area
   2. It has over 100 beds
   3. It is located in an urban area
   4. It only takes Health Market Place insurance

8. The Primary Care Physician provides the following service
   1. Specialty Care
   2. Rehab Services
   3. “Gatekeeping”
   4. Tertiary Care

9. State sponsored anti-smoking programs is an example of this type of Determinant of Health
   1. Co-Payment
   2. Policy Making
   3. Individual Behavior
   4. Health Disparities

10. Which Health Market Place plan provides the best cost coverage from the Insurance Carrier
    1. Bronze
    2. Gold
    3. Silver
    4. Platinum

11. A veterans administration or military hospital is an example of
    1. A teaching hospital
    2. A Public, Federal hospital
    3. A propriety hospital
    4. A non-profit community hospital

12. Health Insurance Companies are regulated by the
    1. Federal Government
    2. American Medical Association
    3. Hospital Associations
    4. State that they serve

13. A factor in the high cost of health care in the United States is
    1. Electronic Medical Record Keeping
    2. A Multipayer system and administrative costs
    3. The Social Security Act
    4. The TriCare Medical System

14. Eating, Bathing, and Dressing are considered
    1. Activities of Daily Living
    2. A Determinant of Health
    3. Macroview Evaluations
    4. Instrumental Activities of Daily Living

• Consider the issues of staffing, nursing shortages, and the aging population. Choose one, describe the issue, and explain the factors that contribute to it.