discuss how the Affordable Care Act changed the staffing needs of health care organizations. Give specific attention to hospitals and primary care services. Also, include human resources concepts related to fulfilling those staffing needs.

Are the programs of DOH successful in promoting immunization in the Philippines? Why or why not?

List the anatomic alterations of the lungs associated with pneumothorax

Describe the causes of pneumothorax

List the cardiopulmonary clinical manifestations associated with pneumothorax

Describe the general management of pneumothorax

Cloning

What are the potential outcomes of this innovation for patients, the health care system, the costs of health care, and health providers?

What is the relationship between vaccination rates and disease rates? And How did vaccination become a widespread practice?

J.H. is a 5-week-old infant brought to the emergency department (ED) by his mother, who speaks little English. Her husband is at work. She is young and appears frightened and anxious. Through a translator, Mrs. H. reports that J.H. has not been eating, sleeps all of the time, and is “not normal.”

J.H. is admitted to the medical unit with the diagnoses of meningitis and rule out sepsis. The ED physician
gives the orders shown in the chart.
Chart View
Emergency Department Orders
CBC with differential
Blood culture
CMP
UA
Cerebrospinal fluid (CSF) for culture, glucose, protein, cell count (following lumbar
puncture)
Ceftriaxone (Rocephin) 260 mg IV now (loading dose)
Acetaminophen (Tylenol) 50 mg suppository per rectum for irritability

J.H. is diagnosed with Escherichia coli meningitis. His medical care plan will include 14 to 21 days of antibiotic
therapy. You are developing his nursing plan of care. Mrs. H., through her translator, asks you what could have caused her baby to be sick, given that he had an immunization when he was born. She asks whether he should get “more shots” so this won't happen again. You reinforce to Mrs. H. that infants have immature immune systems, and they are vulnerable to infections until they have been fully immunized.

Write a end of shift SBAR report.

Since the primary care clinic is just starting to measure performance, you don’t want to overwhelm them with too many different measures. So you decide to select one structure measure, two process measures, and two outcome measures. Do some research on the Internet if you are unfamiliar with the types of patients and conditions seen in a primary care clinic.

Post your measures organized as a table (see below) and explain why you chose these measures

Working as a member of an interprofessional team is an important aspect of the Registered Nurse. Teamwork and collaboration have been proven to have a positive impact on safe, quality, and client care. Effective communication helps to decrease risk of client injury and increase continuity of care.

Give an example of experience(s) with practices that include health care teamwork and communication, and how working together made a positive impact.

• What areas are nurses strong in their knowledge and/or experience?
• What explain what are the most common weakest knowledge and/or experience of nurses today?

Evaluate a reaction that uses multiple water-soluble vitamins and their derivatives. While you are evaluating include which part of the reaction mechanism that these vitamins or vitamin derivatives mechanistically contribute.

Create a possible ethical dilemma relating to your chosen field. For example: You are a Medical Assistant and your supervising physician consistently asks you to perform procedures that you are not trained for. Or, you are a Medical Biller and your supervisor has asked you to overbill certain procedures because the clinic that you work for is in financial trouble. Using the 7 Step Decision Making Model, apply the facts of your dilemma.

Prepare a review of vitamin stability for 3 vitamins (5 pts/vitamin). In that review, recommend ideal food preparation that would maximize the vitamins uptake and utilization by the body? Note: for some vitamins, obtaining them from raw food is not ideal, if that is the case why not?

2. One of the major differences between a for-profit (FP) and not-for-profit (NFP) hospital is:

3. The majority of the United States population is covered through the following:

1. By 2025, there will be a shortage of 52,000 primary care physicians. The most significant cause of this shortage is:

   		Geographic maldistribution
   		Specialty maldistribution
   		A decline in medical school students
   		Failure to increase medical school enrollment in alignment with demographic growth

Describe 2-3 risks that has been identified for a EMR project

• Financial Risk
• Technical Risk
• Commercial Risk
• Execution Risk
• Contractual or Legal Risk

What steps could you take to prevent or mitigate these risks?

There is no more information

Sherman is a 65-year-old, sedentary male with Heart Failure (HF). He weighs 200 lb, is 5’8” tall. He has a cardiac output of 4.0 L/min and his left ventricular ejection fraction (LVEF) is 40%. He is referred to you by his cardiologist who would like him to begin exercising in your cardiac rehabilitation facility. Discuss how heart failure affects Sherman’s physiology and the compensatory mechanisms to maintain circulation. How will this limit his ability to exercise?   

As his clinician you need to design an 8-week exercise program for Sherman. Before you develop an exercise program, you evaluate his VO2max, which is 20 mL/kg/min. Specify the optimal training program including intensity and duration that would yield the greatest improvement in his cardiovascular function and explain why. Outline Sherman’s expected cardiovascular (central and peripheral) and pulmonary adaptations to exercise. How would you evaluate his cardiopulmonary performance before and after the 8-week exercise program to determine if the program was successful?