Explaining how Lobectomy or pneumonectomy (entire lung) procedure is performed, the risk of the procedure, and nursing considerations related to the procedure.

Please discuss the following question in your own words 300 word on the following question.

Kotter’s 8 steps of change focus on introducing organizational change and on managing resistance to change while encouraging buy-in by the applicable constituents which in the case of health care organizations includes both medical and nonmedical staff and employees, the board of directors, patients, and so on. Focusing on a change that you would like to make in your organization, share the reason for the change and whether these 8 steps will be applicable or not.

1, Outline the role of serum cardiac biomarkers in the diagnosis and risk stratification of ACS.

Please discuss the following question in your own words 300 word on the following question

Choose a real health care organization to study. Interview 1 key leader who is involved in the organization's health care delivery. Based on questions asked and answers given, the report will summarize the questions and answers and then present detailed information evaluating the following: Interdepartmental interaction, and communications of the organization and these changes may impact may impact operations and budgets.

Develop two performance standards for a job that you currently have or have had in the past.

One must be a qualitative standard and one must be a quantitative standard.

provide 200 words please

Melissa is a 31-year-old, recently married female who presents to your office for an annual visit. She has three children ages 2, 5, and 8. Her new husband wants to wait at least a year before they try to have a child of their own. She has used combined oral contraceptives (COCs) for more than 10 years. Since the birth of her last child, she has been using COCs intermittently. She finds it too difficult to remember to take the pills regularly and wants an easier method. Menses are regular, although her periods seem heavier than usual, and she gets more irritable when she is not taking the COCs. She rarely exercises and admits to smoking and drinking occasionally. She is overweight. She has no medical history.

What additional information do you need to obtain?

Discuss her options and provide evidence for your rationale. Include patient education in your discussion.

Discharge Summary:

This 28-year-old female presented to the hospital on 4/14/XX in active labor and was admitted to the labor and delivery area.

Pregnancy History: This is the second pregnancy for this woman. She previously delivered a male infant 2 years ago. This pregnancy was normal with no complications.

What is the correct diagnostic code(s) for this case?

Hospital Course:
The patient was in labor for 9 hours and delivered a 7-pound, 12-ounce female at 1:23 a.m. on 4/15/XX. The child was examined by Dr. Peterson and referred to her care. The remaining hospital course was uneventful.

Discharge Instructions:
The patient was instructed to follow up in my office in 10 days or sooner if any concerns develop.

What is the correct diagnostic code(s) for this case?

Discharge Summary:

This 28-year-old female presented to the hospital on 4/14/XX in active labor and was admitted to the labor and delivery area.

Pregnancy History: This is the second pregnancy for this woman. She previously delivered a male infant 2 years ago. This pregnancy was normal with no complications.

What is the correct diagnostic code(s) for this case? ______________

Hospital Course:
The patient was in labor for 9 hours and delivered a 7-pound, 12-ounce female at 1:23 a.m. on 4/15/XX. The child was examined by Dr. Peterson and referred to her care. The remaining hospital course was uneventful.

Discharge Instructions:
The patient was instructed to follow up in my office in 10 days or sooner if any concerns develop.

What is the correct diagnostic code(s) for this case? ____________

How to achieve clean water in poor countries such as Africa

Provide an example of a computerized data collection form or system from your institution or one you have found online for syndromic surveillance and explain how it is used. What are the advantages and disadvantages of this type of data collection system?  

A 36 year old caucasian, obese, female presents to the ED with a complaint of epigastric pain for the last 2 days. THe pain radiates through to her back, is consistant, sharp in nature and relieved with sitting up. Associated symptoms includes nausea and non-bloody emesis. Eating make the pain worse and therefore she has not eaten for the last 24 hrs. He is married and has two children. She denies any alcohol and drug use. One assessment she is afebrile, heart rate 100, respirations 22, and BP 110/70mmhg. SHe is restless from the pain, diaphorietic and has a icteric sclera. Heart and lung assessment are unremarkable. abdomen is soft with hypoactive bowel sound and tender in the epigastric area and RUQ.

LAB;

Sodium- 140

Potassium- 3.0

Creatnine- 1.0

BUN- 20

WBC 12000

Hct- 54%

Hgb-18

platetes 200,000

AST- 70

ALT 75

Alkaline phosphatase 294

Total bilirubin- 8.0

GGT- 65

Lipase- 1050

2020 Summer

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M9 Case Study

Submit Assignment

• Due Saturday by 11:59pm
• Points 100
• Submitting a text entry box or a file upload
• Available until Jul 18 at 11:59pm

Questions

1. The clinical scenario is most consistent with which diagnosis? You may simply list your answer below using a bullet point format. This does not have to be in a complete sentence.

2. What data in the clinical scenario supports your diagnosis? Make sure to interpret the lab values that you list. You may simply list your answers below using a bullet point format. This does not have to be in a complete sentence. Interpret the labs that you list as part of your answer by indicating normal, high or low.

3. What are the two most common causes of the diagnoses in question 1? Which etiology is most likely causing the diagnosis in question 1? You may simply list your answer below using a bullet point format. This does not have to be in a complete sentence.

4. Describe the key pathophysiologic concepts of the diagnosis in question 1. To answer this question completely, you must answer all of the sub-questions below using complete sentences. Each sub-question may be answered in 1-6 sentences.

a. Why is the potassium value abnormal?

b. What do the abnormal GGT and Alkaline Phosphate indicate?

c. Why are the lipase and bilirubin elevated?

5. For what actual or potential complications related to the diagnosis in question 1 does she need to be monitored? You may simply list your answer(s) below using a bullet point format. This does not have to be in a complete sentence.

Discuss some of the legal and ethical issues that may arise out of the collection methods that you have found in the literature.

Literature review on Health Care in the Rural Community