Wiedenbach emphasized that the nurse’s goals are grounded in the nurse’s philosophy, or “those beliefs and values that shape one’s attitude toward life, toward fellow human beings, and toward herself.” Discuss each of the following philosophic considerations that are relevant for nursing practice:

a. What is the nature of human beings?

b. What is the nature of nursing?

c. What is the focus of nursing?

Hall’s identified the care, cure and core model of nursing in the 1960’s. Considering the changes that have occurred in nursing practice over the last 50 years, discuss ways Hall’s model continues to remain relevant to current practice and the ways that it may be challenged by today’s practice

Scenario: You are working on the postoperative surgical unit and admitted Mrs. X, a 58-year-old client with a history of obesity, hypertension, hypothyroid and sleep apnea. Mrs. X who lives independently at home falls and sustains a fractured right hip. The client will have an open reduction and internal fixation (ORIF) of the right hip this afternoon. Her preoperative weight was 190 pounds (86 kg), and she is 5 feet, 5 inches (165 cm) tall. Current Home Medications: Toprol 50 mg daily, Levothyroxine 0.137 mcg daily

1. Identify 3 factors creating risks for Mrs. X undergoing surgery.

2. What will you include in your pre-op teaching? (3 priority topics)

3. In preparing the room for Mrs. X’s admission, what equipment would you ensure is in place to eliminate embarrassment and promote patient safety? Explain your rationale.

4. You receive Mrs. X from the recovery room. How will you focus your initial assessment, and why?

Scenario: You are working on the postoperative surgical unit and admitted Mrs. X, a 58-year-old client with a history of obesity, hypertension, hypothyroid and sleep apnea. Mrs. X who lives independently at home falls and sustains a fractured right hip. The client will have an open reduction and internal fixation (ORIF) of the right hip this afternoon. Her preoperative weight was 190 pounds (86 kg), and she is 5 feet, 5 inches (165 cm) tall. CASE STUDY PROGRESS: On postoperative day 2, Mrs. X is refusing to get out bed to ambulate or to transfer to the bedside recliner. She is requesting to be left alone and lie in bed all day.

1. List at least 3 interventions you should encourage for the immobile patient with risk for postsurgical complications.

2. What are the 3 risk factors associated with immobility and bed rest after surgery?

3. What other postoperative complications is this client at most risk for experiencing? What is the physiological basis for the development of each complication?
4. What education should you give to Mrs. X about the importance of using the incentive spirometer (IS)?

Please read the following article and discuss the following article in 450 word count in your own words. If need any additional information I have attached the name and author of the article and you can pull the article up.

Fibuch, E. E. (2011). Failure of senior leadership: Is this a problem in your hospital? Physician Executive, 37(2), 46‐50. The article looks at the reasons behind failed leadership in the context of health care organizations in the U.S. It provides stages of derailment of senior leadership including the leader's failure to be self-aware of themselves and others, pride and arrogance and missing the warning signs from feedback on their declining performance. It lists the most common leadership shortcomings which include lack of enthusiasm, lack of clear vision and direction and having poor judgment.

Other than the television commercials, identify another way NEHCC could have met its goal to increase community awareness. How could NEHCC have reached its target market of single mothers with young children other than via television?

Interview an upper level manager (e.g., CEO, CFO, CID, IT manager) in a hospital, or other health care facility that has instituted electronic medical records. Your interview should be 30 mintues in lenght and may be completed face-to-face or over the phone. The interview should focus on the implementation of the EMR system, including: factors that influenced the organization to institute the EMR system. Resistance to the decision-making process. Obstacles experienced during the inital EMR rollout. Overall impact on quality in health care since instituting the EMR.

Write a 1000, 1,250 word paper summarizing the interview and the interviewee's perspectives on the four points above. This paper should also include a brief history of electronic medical records in the health care industry. How does the information gained in the interview match up with your readins/research on the subject? This paper should cite at least three references, and should be in APA 6th edition.

You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, LPNs, and CMAs, the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area, the community has been growing and now includes promising opportunities in employment, education, and comfortable living spaces for young families. However, there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations.   

The central city includes two (2) large acute care facilities, and one (1) tertiary care facility that is known for its excellent pulmonary care. Both acute care hospitals provide the usual services such as labor and delivery, outpatient surgery, chronic diseases care, etc. and have fully equipped ancillary departments, such as lab and radiology. Up until this point, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.

Write a five to seven (5-7) page paper in which you:

Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years.

Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services.

Analyze and discuss one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions.

Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services. Begin by naming a goal, and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal.

Determine how you would then address whatever opportunities for improvement seem to exist and what processes you would put in place.

Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.

Format your assignment according to the following formatting requirements:

Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.

ICD PCS Coding

The changing of traction apparatus on the back would be reported with code

Due to an automobile accident, John's right lower arm was placed in traction using traction apparatus. The code for this procedure would be

Due to extensive bleeding, Dr. Smith packed a wound of the left upper leg. The procedure would be coded with code

Mary was seen today due to an open wound of the right inguinal region. The bandage that was previously placed was removed and replaced with a new bandage. This procedure would be reported with code

The placement of compression on the left foot using an intermittent pressure device would be reported with code

Removal of packing material from the nose would be reported with code

The removal of a brace from the right lower leg would be reported with code

Nursing Theory Comparison Paper: Orem's Theory of Self-Care Deficit and Leininger’s Theory of Cultural Care Diversity and Universality The following should be included: • An introduction, including an overview of both selected nursing theories • Background of the theories • Philosophical underpinnings of the theories • Major assumptions, concepts, and relationships • Clinical applications/usefulness/value to extending nursing science testability • Comparison of the use of both theories in nursing practice • Specific examples of how both theories could be applied in your specific clinical setting • Parsimony • Conclusion/Summary • References: Use the course text and a minimum of three additional sources, listed in APA (6th ed.) format

Select a nursing theory, model, or framework from this week’s course readings and activities you feel fits your values and nursing practice. In your post, address the following:

• Briefly summarize your selected theory, model, or framework.
• Discuss why the theory, model, or framework fits your values and nursing practice.
• Provide 2-3 professional examples that show how you apply (or could apply) this theory, model, or framework in your nursing practice.
  • Professional examples may include work experiences, past clinical experiences as a nursing student, or an example from a peer-reviewed journal article.

A 68-year-old right-handed woman was brought to the emergency room with sudden onset face, arm, and leg paralysis on the left side. She was speaking in a dysarthric situation. Past medical history was notable for hypertension. On neurologic examination; the patient had right gaze preference. No movement on the left arm and left leg with hyperreflexia and Babinski’s sign on the same side. When the doctor asks the patient to hold up her left arm, she was holding the arm on the right side instead of right. the doctor heard a right carotid bruit continuing into diastole.

What do you think about the stroke etiology for the above-mentioned patient? (classify it according to TOAST classification) (explain with a maximum of 100 words)

Discuss a patient's right to an informed consent by reflecting on a time when you or a family member were asked to provide consent for a procedure (i.e., consent for a surgical procedure, consent for a diagnostic procedure, consent for vaccination, or consent for a dental procedure). Based on the facts surrounding the event and what you’ve learned regarding informed consent, explain why you believe the consent was or was not a proper consent.

Describe how the information you received did or did not meet the standards of informed consent.

Describe the measures taken by the health care providers working with you or your family member to ensure that you were fully informed.

What more could have been done to ensure informed consent was achieved?