Mgmt. of Principles of HIM

Developing Skills and Characteristics of a Culturally Competent Manager (Leader)

To create a culturally competent organization one must consider internal and external objectives which is a continual process. This is not only a crucial component in developing skills and characteristics of a culturally competent leader; but it must be embraced as an ongoing process of professional and personal development.

Challenging and perhaps altering attitudes and opinions of those different from ourselves as well as identifying our own biases, is not an easy task.

This discussion assignment will allow you to take first steps toward self-awareness. Take a moment and share your responses to the following questions:

• When did you first become aware that people were different racially or ethnically?
• When did you first become aware of yourself as a member of a racial or ethnic group?
• When were you first made aware of people being treated differently because of their race or ethnicity?

Make an individual Health Teaching Plan ( Instructional Plan ) for a mother's class specifically focusing on Breast Care and Breastfeeding. Please use the template attached for your guide.

INSTRUCTIONAL PLAN

Theme:

Goal:

Date:

A patient who completed a third cycle of trastuzumab, doxorubicin, cyclophosphamide and paclitaxel reports numbness and tingling of hands and feets. Which medication is most likely causing this side effect:

a. doxorubicin

b. paclitaxel

c. cyclophasmide

d. trastuzumab

Part I

Define the following ethical perspectives in your own words. A minimum of three sources must be utilized and cited properly with in-text citations and a reference list. Avoid using direct quotes. If you summarize or paraphrase information in your own words, you must cite sources to provide credit for the ideas and concepts.

A = Rule utilitarianism
B = Kantian ethics
C = Virtue ethics
D = Care ethics
E = Social contract ethics
F = Subjective relativism
G = Cultural relativism
H = Divine command theory
I = Act utilitarianism

Part II

Determine which ethical perspective above is primarily reflected in each of the ten arguments below and explain why. A minimum of three sources must be utilized and cited properly with in-text citations and in the reference list. Avoid using direct quotes. If you summarize or paraphrase information in your own words, you must cite sources to provide credit for the ideas and concepts.

1. Margarita spoke with her family and they all agreed that they would let her take the medication that would allow her to die peacefully instead of in pain.
2. Souerette watched over the children in the daycare meticulously. She knew which children she could trust alone because of their behaviors with each other.
3. He does not have the right character and temperament to be a state governor. He avoided service by faking a medical condition, he rarely tells the truth, he eats and drinks too much, and he has little patience with people.
4. Patient autonomy and free choice are morally correct.
5. I believe that it is perfectly fine to lie about some things.
6. Wearing a mask when engaging with the public is the right decision because it protects the welfare of those in your community.

Discuss your observations and experiences, how Hawthorne effect increase or decrease productivity (or maybe both?) and what kind of bias will thin introduce?

Delegation

Tom Joserine, a nurse manager of a 36-bed orthopedic unit, has decided that he is too busy to complete all the work that needs to be done. Nurse Joserine has recently read an article on delegation and has decided that delegating tasks to others is an excellent way to accomplish the mound of work that he has to complete. He believes that there are two tasks that take most of his time, disciplinary problems and quality improvement activities. Nurse Joserine calls the nursing coordinator, Janet Jeleen, into the office and informs her that she will now be responsible for all evaluations and handling of incident reports. Nurse Jeleen tells him that she will need some guidance on this new activity. Nurse Joserine informs her that the hospital has managerial classes in which she can enroll to help her with this new duty.

Nurse Joserine also calls Jo Ellen Mae, a clinical nurse specialist for the orthopedic unit, and informs her that she will now be responsible and accountable for the quality improvement activities on the unit. Monthly reports are due on the 10th of each month. He informs Nurse Mae that if she has any questions, she can call the head of the quality improvement committee. When Nurse Joserine leaves the hospital that day, he feels good that he has decreased his workload and happy that he found the article on delegation.

1. Did Nurse Joserine delegate tasks appropriately? Why or why not?
2. Who will be held accountable for the outcomes of the roles/tasks that Nurse Joserine has delegated?

Explain the meaning of community rating and experience rating. Explain what is meant by adjusted community ratings.  

IN YOUR OWN WORDS, summarize everything that you have learned in Med-Surge 1. Pathophysiology, Signs and symptoms, Interventions and Patient Teaching if applicable (FOR EACH DISEASE) five diseases, plagiarism .med surge

1. What are some pros and cons of the AZ H.B. 2668 from the perspective of the patient, family, or community and its role in reducing the cost for health care insurers.
2. What are the government's impact on the cost of health care about the AZ H.B. 2668.
3. What regulatory authority will implement or enforce AZ H.B. 2668.
4. What are the differences between federal, state, and local health care regulatory responsibilities in the AZ H.B. 2668.

Gregorio Salcedo a 30 year old Mexican American obese; his parents both have high

cholesterol and family history of Hypertension and DM. Gregorio’s cholesterol is high. What would be your recommendations to achieve a Positive Nutrition Lifestyle.

Karen Cole, 56 year old female, Karen Cole, a school principal at White House High School. Admitted directly from the Dr.’s office to the IMCU after initial complaint for tightness in her chest, denies pain, and slight shortness of breath. Vital signs are BP: 168/92, P: 90, R: 24, T: 98.6. Her husband insisted that she come. She is insisting that she will only stay 12 hours, because she has to be back to school in the morning.

Write a SBAR report.

Oxytocin Induction of Labor Secondary to Postdates (41 4/7 weeks)

WHAT ARE THE:

Alterations in Health (Diagnosis):

Pathophysiology Related to Client Problem:

Health Promotion and Disease Prevention:

Risk Factors:

Expected Findings:

Laboratory Tests:

Diagnostic Procedures:

Nursing Care:

Therapeutic Procedures:

Medications:

Client Education:

Interprofessional Care:

Safety Considerations:

Complications:

Identify at least two (2) short-term outcomes (results) to achieve the successful implementation of an STI screening program. Note: Your outcomes should be SMART, meaning they should be specific and measurable. Short-term outcomes measure gains in knowledge and/or skills.

State at least two (2) medium-term outcomes (results) to achieve the successful implementation of an STI screening program. Note: Medium-term outcomes measure changes in behavior.

State one (1) long-term outcome (result) to achieve the successful implementation of an STI screening program. Note: Long-term outcomes measure reductions in mortality and morbidity rates and improvements to the quality of life.

Gracie Adams is 81 years old. She lives at Waterloo Nursing Home. She has always been a very light sleeper in the past, but since she has moved into the nursing home, she has really struggled getting more than a couple of hours of sleep at a time. Gracie is frustrated with always being fatigued and never having the energy to play Bingo.

1. Gracie wants a new medication to be prescribed to help her sleep better. She wants to be able to rest for longer periods of time and feel rested when she wakes up. What types of medications would assist with this need?
2. Gracie chooses to take a medication but is concerned that she will have other effects from the medication. What side effects can these medications have on her body?
3. You are concerned with giving Gracie more medications. You want Gracie to try some nonpharmacological measures to get more sleep. What can you advise Gracie to do?
4. Gracie is now getting more sleep. She is getting to be on a very good routine and getting 10 hours of sleep at night. She is worried about the need to continue on her sleep medications. Can she stop taking the medication and continue sleeping well?
5. You want to provide Ms. Adams with information about the factors that may be contributing to her inability to get enough restful sleep and measures she can take to help. What information will you provide her?