Describe the negative aspects of abandoning traditional healthcare strategic planning processes and adopting a contemporary approach.

Case study continued (questions 9–12)
When you meet with Imogen at a local coffee shop for their regular catch-up, Imogen tells you how things are going. You say, ‘I still get quite wound up sometimes, but I feel pretty good on the whole’.
You suggest that Imogen continues to review and monitor her stress management plan and the next time they meet, you can go through and review whether or not it is working effectively.
For the next month, Imogen keeps a daily record of every stressful incident and what happens, how she reacts, how she felt, what she did to regain calm and whether or not it worked. She also rates her stress levels six times a day to see if it varies much and to identify patterns.
At the following meeting, together you review Imogen’s results. By looking for patterns, they noticed that Imogen’s stress responses are worse after lunch and that her stress levels are high at that time as well. Imogen comments that she has started going to the nearby café for takeaway food and it is taking up too much of her lunchtime queuing and waiting for service. The café has very few healthy food choices and she rarely enjoys lunch. Imogen says she will begin to bring her lunch from home and to prepare it the night before. The work lunchroom is warm and friendly with a nice outdoor area.
You point out that the yoga classes are obviously working because on the nights Imogen does yoga (two nights per week) her stress is almost non-existent by the time she goes to bed, and the next morning when she wakes up. Imogen decides to do some yoga poses and stretches using a DVD she has at home on the nights she doesn’t go to class. There is also discussion among the staff for arranging a walk together during lunchtime three times a week.
Imogen is pleased with the changes she is making and even though you had reminded her that she can also contact her workplace Employee Assistance Program (EAP) for some counselling, she is confident she is now on the right track.

CS Question 9
Describe two strategies that Imogen used to monitor the effectiveness of the stress management strategies she w as using.

CS Question 10
Describe two methods Imogen used to review the effectiveness of the stress management strategies she w as using.

CS Question 11
Describe one way Imogen adjusted the strategy to ensure the stress management strategy w as effective.

CS Question 12
List one internal option and one external option that Imogen used to access additional support.

Medication Template:

Please answer the following questions for:

Medication: Cisplatin

Category Class: Platinum compounds

Expected Pharmacological Action:

Therapeutic Use:

Complications:

Contraindications/Precautions:

Interactions:

Medication Administration:

Nursing Interventions:

Patient Education:

Evaluation of medication effectiveness:

What do you see as some of the most significant impacts of managed care for patients?
Managed care for patients have had a negative effect on physician-patient relationships, the ability to obtain ethical obligations, and the quality of patient care. I feel like these are negative effects because of the health care systems "reform" efforts. Managed care actually makes it harder for the patients to access specialized services and makes them less satisfied with the care they receive. The population we live in today is somewhat vulnerable when it comes to their health. So many changes have come about and have caused patients to lose their managed care plans from the guidelines being switched under the health reform. Some of the patients feel like its more about the money than it is about the health quality in patient care. the health reform also made the premiums for health care to be increased. When this happened it made it a lot harder for patients living on SSI or one check per month to not be able to afford the insurance. If the patients can't afford the medical insurance then this causes a health decline in the patients

What else can I add to this

Medication Template:

Please answer the following questions for:

Medication: Doxirubicin

Category Class: Anti Tumor Antibiotics

Expected Pharmacological Action:

Therapeutic Use:

Complications:

Contraindications/Precautions:

Interactions:

Medication Administration:

Nursing Interventions:

Patient Education:

Evaluation of medication effectiveness:

Increasingly patients are creating and maintaining personal health records (PHRs) with data from a variety of healthcare providers as well as data they have generated about their health. What provisions should be included in a model privacy and security policy that patients might use in making decisions related to their privacy and the security of their PHRs?

An 18-year-old patient complains of an increased urge to drink water and urinate. He has been losing weight rapidly for the past few months. Following several diagnostic tests, the physician tells him that he has diabetes mellitus. However, the patient refuses to believe the diagnosis, saying that he always thought diabetes was a disease of obese and older adults. He is devastated and feels that this disease means the end of his social life and carefree lifestyle.

1. Considering the symptoms, with which type of diabetes mellitus is the patient diagnosed? What are its characteristics?
2. How is type 2 diabetes mellitus different from type 1 diabetes mellitus?
3. How is type 1 diabetes mellitus managed?
4. How should the nurse deal with this patient?

Orthopedic. 1. An 8-year-old boy has been brought to the orthopedic clinic by his caregiver after falling from a tree. The child has a broken arm that has been x-rayed and is now being cast. A. What should this child and the caregivers be taught regarding care of the cast? B. What instructions should the nurse give the caregiver regarding things to report to the care provider?

Define implicit and explicit goals. Give an example of each.