Identify and describe three different report formats(e.g. graphics, chart, table) used to evaluate performance in healthcare reporting .Give an example of healthcare data that might be displayed in each of the report types.

Required one page answer.Please provide correct answer.

You are working the day shift on a medical inpatient unit. You are discussing discharge instructions with
J.B., an 86-year-old man who was admitted for mitral valve repair. His serum blood glucose had been
averaging 250 mg/dL or higher for the past several months. During this admission, his dosage of insulin
was adjusted and he was given additional education in managing his diet. While you are giving these
instructions, J.B. tells you his wife died 9 months ago. He becomes tearful when telling you about that loss
and the loneliness he has been feeling. He tells you he just doesn't feel good lately, feels sad much of the
time, and hasn't been involved in his normal activities. He has few friends left in the community because
most of them have passed away. He has a daughter in town, but she is busy with her work and grandchildren.
He tells you that he has been feeling so down the past few months that he has had thoughts about
suicide.

Please help me write SBAR for this case study

You are the nurse caring for M.H., a 30-year-old male hospitalized on the oncology unit, as he is undergoing chemotherapy treatment for non-Hodgkin’s lymphoma. His labs today indicate his WBC count is 1,000 (normal is 3,500-10,500). His oncologist has ordered filgrastim (Neupogen) 480 mcg SQ daily. M.H. asks you, “So what exactly does this medication do and why do I need it?”. He also tells you that it is his 3-year-old son’s birthday and his entire family was planning to come to the hospital tonight so M.H. could take part in the birthday celebration. How do you respond to M.H.’s medication questions and plans for the birthday celebration? (10 points)

Performance measures can be used to evaluate healthcare performance. Define the four(structure measure, process measure, outcome measure, patient experience measure) categories of measures and give a hospital example of each concept.

Required one page answer.Please provide correct answer

Death is the most difficult loss human beings experience.

What if:
death was on your doorstep....you have the right to make decisions about your end-of-life situation.

1. What are your personal feelings related to quality versus quantity of your life? Support your response.

2. Would you consider assisted suicide? Why or why not? Support your response.

3. What techniques will you use to communicate your intentions to your family? Provide an example. Will they assist you in your decision.......do you think?

What would you wish to include in your obituary (a notice of the death published in newspapers)? Be specific.

4. Write your own obituary, imagining at what age you would die, and what will have happened in your life (education, jobs, family) between now and the time of your death.

5. What funeral arrangements will you make? Funeral, plot, headstone......who pays for it? Burial site? Cremation? Body donation? Support your response.

• The key components to healthy weight loss are what?
• Identify and describe three reasons you believe it is difficult for most individuals to lose weight.
• Next, find your own healthy weight loss resource and post it on the discussion board to share with your classmates.

Define what qualitative and quantitative analytical tools are used for in healthcare.Give one example of healthcare quality problems and tools used to solve this problem.

Required one page answer.Please provide correct answer.I got wrong answer last time.

I understand you want to hear my story; well I’m not much for talking, but I can give you the highlights. There’s a lot that’s happened over my 80 years. From the top. My name is Sherman Yoder, but I answer to “Red.” No one around here even remembers my real name. I was born in this house in the downstairs bedroom. Mom had already delivered six kids and there was no way I was waiting for Dad to finish feeding the hogs and get Mom to town before I come out. Mom used to love to tell that story. Dad bought this farmhouse and the first hundred acres right before he went off to WWI. The folks saw good times and bad in this ol’ place and so have I. All my brothers and sisters left the land as soon as they could. I was the only one of the lot to care about this place and want to carry on what Dad started. I really haven’t gone far from this spot in my entire life. The one time I got it in my head to try something different; I wound up in Korea with an Army uniform on. I was glad to get back to this place after that stint and here I’ve been ever since. Married the neighbor girl Bessie when I got back. Her dad wasn’t so sure that it would work out since she was 8 years younger than me and she intended to go off to the state college. We sure did prove him wrong; we celebrated our 50th anniversary the week before Bessie died. The ladies at the church had the hall all decorated up and we brought Bessie home from the hospital for the afternoon. She was bound and determined to live for that day; no way did she want her friends to go to that much work for her to not show up. I couldn’t believe it when the ladies had to prepare for the reception after we buried Bessie in that same hall one week later. We had such a good life together. That was 10 years ago. I don’t do much of the farm work anymore. Our son Jon takes care of the crops and the few animals we have. I still go out to the hen house every morning to collect the eggs. I’m a little stiff in the morning, but I get loosened up enough to walk out to gather some fresh eggs to go with my bacon for breakfast. I get in to town at least once a week; on Monday morning me and my buddies meet at the VFW for our coffee and donut break. I get caught up on all the town gossip and we laugh and bellyache about what’s going on in the world. Three weeks ago I celebrated my 80th birthday. My daughter in law, Judy, organized a big “to do” at the church after the Sunday service with cake and ice cream and all the fixins’ for my party. I had a big piece of cake but skipped the ice cream. Doc Baker was there and I knew he would scold me about too much sugar. Six months ago he told me I had diabetes and I started taking a pill for it, but a few weeks ago he put me on insulin. I figure I should be able to eat what I want; come on, I’m not going to live forever, and it was my favorite cake, German chocolate. I ate it in the kitchen so the Doc wouldn’t see me; wouldn’t you know, his office nurse Helen came in the kitchen with a load of dishes just as I was putting the last bite in my mouth. She just winked at me and smiled. After the party I went out to the mall with Jon and the grandkids. I’m not one for shopping much, but I needed a new ink cartridge for my printer and the computer store is the one place I like to look around in. Too bad we parked clear on the other end of the mall so the kids could go by their favorite stores for Grandpa to buy them a little something. Jon got real mad at me when I asked if I 2 could sit and rest for a while, so I just kept walking. I guess my new shoes were a little tight; I didn’t feel anything but when I got home there was some blood on my sock, and then I saw a sore on my big toe. It must not be too bad since it’s not hurting except when I try to put my shoes on. I showed the sore to Jon and Judy the other day and Judy said she would call the doctor to see what she should put on it. Jon gets so irritated when I need extra help; I hope I can just continue to soak my foot in hot water to clean it out. Judy was a nursing assistant out at the old folk’s home for many years; I’m hoping she will be able to help me with this. I like the idea of the home nurses coming out here as long as my VA benefits pay for it. That way they can see that I’m doing just fine living here on my own. I was searching on the Internet for the best way to treat this sore; there are so many sites that talk about foot sores if you’re a diabetic. Some of those pictures are pretty scary; I can’t sleep at night thinking about what could happen if this doesn’t heal. Of course I haven’t slept through the night for years. Even the couple of beers I have at night when I’m on the computer don’t seem to be helping anymore. Judy sometimes gives the kids Benadryl to help them sleep so I’ve been taking a couple when I go to bed; they seem to help me sleep a little better. As a matter of fact, I need to wrap this up now. I promised Jack, my grandson in college, that I’d Skype him in a few minutes. He just started the agronomy program at the university. I love to hear about what he’s learning and give him encouragement to come back to the farm.

what are red strength?

what are your concerns for this patient?

what is the cause of your concern?

what information do you need?

what are you going to do about your concern?

what is Red experiencing?

Share feedback on the progress and or impact of your change initiative regarding communication barriers within healthcare?

3. Jennifer is ordered IV Cefazolin. She weighs 10 kg. The safe dose of Cefazolin is 50-100 mg/kg/day IV in equal doses q 8 hrs. a.
   1. The instructions on the vial tell you to mix the 500 mg vial with 2 ml sterile water to obtain concentration of 225 mg/ml. How many milliliters you need to draw from the vial to administer the dose ordered in question
   2. You need to administer the Cefazolin as an IV additive and the recommendation is to dilute it in normal saline to 5-20 mg/ml and run over 30 minutes. What is the minimum volume you can dilute it to?
   3. What is the rate you need to set your pump if you want the medication and the 4 cc normal saline flush to be infused over 30 minutes?

4. The physician's order is as follows: Morphine Infusion 5 mg in 50 ml Normal Saline, to deliver 20 mcg/kg/hr, run infusion at 6 ml/hr. The patient’s weight is 30kg. You obtain Morphine 10 mg/ml injection ampoules from the narcotic cupboar
   1. In your pediatric textbook the recommended dose for Morphine infusion is 0.01 – 0.04 mg/kg/hr. Is the dose you are giving appropriate?
   2. What is the volume of Morphine you must draw up to make up the above infusion?

1. Explain the pathophysiology of a condition that involves decreased production of adrenal gland hormones.

Monica who was diagnosed with PIH is 8 hours post vaginal delivery. She remains on Magnesium Sulfate 2 gm/hr IV. Her deep tendon reflexes are 3+, with 2 beats of clonus present. She is complaining of a severe headache and blurred vision. Her Magnesium blood level is 3.2 mEq/l. What do you suspect is happening? What are your priority nursing interventions and rationales for each intervention?

are leaders born or created?explain