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

Continuous process improvement is a significant step in Kotter's last step "make it stick". The last step defines the cultural change for the organization and is marked by employee buy-in, leadership's ability to motivate staff towards change, and redefining the organization's position on the "process change". As a future health care leader you create the vision and point your staff to the path towards process change. What motivational techniques might you use to encourage your staff to embrace change and engage in the ongoing process of process improvement?

I need to respond to this forum post in 150 words

. Traditional Hmong birth practices were absolutely mind-blowing to me. I cannot imagine the birthing process happening in that manner. People preferences are peoples preferences but it still is amazing to me that women give birth at home here. With the list of things that could go wrong during child birth in such a short amount of time it is crazy to think home births are becoming to popular. When the book stated that she was completely alone during the process and her husband was only allowed to bring her a glass of water while making sure not to look at her, I was in shock. Along with the fact that she was to give birth in silence.

2. Lia's birth was what we as Americans would label as "normal". Aside from the fact that it was a C-Section, but is still much more common these days than what traditional Hmong practices were. In a sterile room with nurses and personal, and APGAR scores and newborn weights. All things that seemed foreign to the mom.

3. Hmong birth practices are very very traditional. It seems dangerous and almost like women should be ashamed of the birthing process. Although that is probably just the way it was done years before and they continue to do the same as their own family members. In America the birthing process is supportive and safe. With people making sure all things go naturally giving you as little or as much aide as you wish during the process.

4. It gave me respect for the women in that culture in that time period. It also made me a bit angry at the way women were taught to hide the most amazing thing the human body can possibly do.

Policy analysis dealing with health care in Canada.

Policy analysis is a disciplined application of intellet to public problems, why is it important to practise policy analysis?

A construction worker is admitted after falling approximately 15 feet from scaffolding. What diagnostic interventions does the nurse anticipate in the care of this trauma patient?

Health care in Canada

Problem definition is seen to e a key fitst step in the public policy cycle. Describe the ways in which a potential policy problem is made know to governemnt?

Describe in three sentences how Trinidad & Tobago solved the mystery of its salmonella outbreaks. explain methodology used

9. Why must the physician be careful with the amounts of medication ordered?

10. Mrs. Li is curt, demanding, and disagreeable toward her daughter-in-law. Why does she act this way?

11. Explain why Mr. Li blames the airplane ride and the Western food for his heart attack. Why does he meditate and do exercises?

12. Is Mr. Li’s stoicism during dying surprising? Why do the family members refuse to discuss his health and possible death?

what is the common mistakes of the nurse can do during drug administration?

Epidemiology: 1) Using the article by Reuters 2020 about the corona virus, demonstrate using the epidemiological triangle to show how the disease spread. How do you propose emerging and infectious disease be controlled in the future?

Do you feel that merit based pay is a good practice? Why or why not?

How to you tell the difference between orthopedic/musculoskeletal signs/symptoms and neurological signs/symptoms? Are there certain patterns of signs/symptoms that characterize each?

Case Study:    Fluid and Electrolytes Imbalance

          Week 2 of 4 is due 01/28/18 by 1159 pm EST

Clinical Reasoning, Decision Making and Critical Thinking

We will use this scenario and build on it over the next 4 weeks.

Now, Mr. Donald had a partial colectomy and a colostomy, day 1 post-op. Morphine via PCA pump and an IVF NS + 20 mEq KCL at 75 mL/hr. Experienced insomnia and required 2 bolus of Normal Saline for hypotension. He has a hemovac and it drained 200 mLs of serous sanguinous drainage over 24 hours. Surgical dressing to the mid abd area dry and intact. He has a colostomy bag, currently with no effluent noted. Oxygen via nasal cannula at 4 L/min. O2 sat 95% on 02 at 4L via nasal cannula. Blood sugar are well controlled. He lives alone.

*****In part 1 of 4 you considered the patient situation and collected relevant cues and information.

Part 2 of 4 will focus on PROCESSING INFORMATION

The next step of the clinical reasoning cycle is to interpret the data (cues) that you have by carefully analyzing and then applying your knowledge about fluid and electrolyte balance. Remember you must know normal versus abnormal finding to get a complete understanding of Mr. Donald’s signs and symptoms.

Which of the following of the vital signs are considered to be within normal parameters for Mr. Donald. What are the normal values for the other vital signs? (2 points)

Temperature

Pulse rate

Respiratory rate

Blood pressure

His 02 sats are OK, right. A normal 02 sat level for Mr. Donald would be: (2 points)

80-85%

85-90%

90-95%

95-100%

True or false. Rational for your answer 3 points each. ½ point deducted for incorrect rational. Refer to the table

Now that we identified the relationships above, let’s make inferences based on your analysis. From what you know about your patient’s, Mr. Donald’s history, surgery, s/s,you’re your knowledge about fluid balance, which of the two inferences are correct and include the rationals: 5 points

Normotensive and bradycardic

Hypertensive and tachycardic

Febrile and normotensive

Oliguric and tachycardic

Hypertensive and afebrile

Polyuric and hypotensive

Hypotensive and afebrile

Part 2 of 4,   30 possible points.

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Case study 1 of 4, already done. Refer to it as needed

Scenario:

Patient is a 68-year male patient who has a history of fluid and electrolyte imbalance. Mr. Donald is status post coronary artery bypass graft (CABG) 3 days ago. He also has multiple co-morbidities, colon cancer, anemia, and hypertension.   Alterations in fluid and electrolyte status are common in the elderly population. Therefore, maintaining and managing fluid and electrolyte balance is of utmost importance in preventing avoidable events, complications and mortality.

Mr. Donald has a history of colon cancer and sought treatment as soon as he noted visible blood in his stool. His bowel patterns are not regular as he experience severe diarrhea or constipation. Gastroenterologist was consulted by the attending physician.

Effective clinical reasoning and decision making skills will aid you in recognizing and managing patient’s change of condition. Oh, I failed to mention, also noting early s/s and intervening in a timing manner.

First, we need to collect relevant data about his current condition. Review the following data:

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While relevant data requires you to review current information, it also mandates that you gather new information (recall related knowledge - anatomy, physiology, pathophysiology, pharmacology, etc).

Therefore, a strong foundation of nursing knowledge is needed to help you synthesize and apply that knowledge to nursing practice (I cannot emphasize this enough).

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What do you do in the event of a seizure, orthostatic hypotension, or autonomic dysreflexia? WHY are you taking the specific actions for each?