Category: Nursing homework help

***THIS ASSIGNMENT IS A POWERPOINT SLIDE PRESENTATION**** 5-6 slides!!
****RUBRIC ATTACHED IN FILES!!***
This assignment is for my advanced nurse practitioner course. So, the affected organization/workplace would be a hospital or any healthcare organization.
 
It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.
As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.
o Prepare:
Review the Resources and identify one change that you believe is called for in your organization/workplace.

This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.

Reflect on how you might implement this change and how you might communicate this change to organizational leadership.
The Assignment (5-6-minute narrated PowerPoint presentation):
Change Implementation and Management Plan
Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose. 
Your narrated presentation should be 5–6 minutes in length.
Your Change Implementation and Management Plan should include the following:
An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
A description of the change being proposed
Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
Details about the type and scope of the proposed change
Identification of the stakeholders impacted by the change
Identification of a change management team (by title/role)
A plan for communicating the change you propose
A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

Identify ONE client-focused quality or safety issue that may be pertinent to your future advanced nursing practice role. Medication error may NOT be used as a topic for this assignment.
Describe the scope and impact of the issue. 
Discuss three possible roles advanced practice nurses may play in addressing the issue.  
Explain why the issue is of interest to your future role.  

Describe your clinical experience for this week.
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife. Discuss the following: 
What additional information should you obtain about the pain the patient is experiencing?
What additional physical assessment needs to be performed with this patient?
What considerations are important to remember if the patient’s CRP level is elevated?
What differential diagnoses should be considered for the patient?
What patient teaching will be incorporated into the visit to modify the patient’s risk factors?
How will you respond to the patient’s statement that he does not have time to “be sick” and needs to take care of everything during this visit?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

Established in 1987, ABC Community Hospital not-for-profit is an acute care hospital located in an east coast Metropolitan area. With a staff of nearly 200 physicians and specialists, 800 employees and 100 volunteers, they offer a full range of healthcare services. They are accredited by the Joint Commission. The hospital has been profitable for the last 5 years with a profit margin of 3-4%. The mission of ABC Community Hospital is to provide accessible and comprehensive healthcare services in a convenient and cost-effective manner to the people who live in our community.
At the last Board meeting, hospital administration and the Board of Directors began to discuss a proposal to build a new wing devoted to a Cancer Center and ancillary services devoted to the treatment of cancer. The new wing would have 30 acute care beds, four surgical operating rooms, intensive care unit and extensive support services, including physical therapy and hospice care. All patient rooms would be private. There are no Cancer Centers within a 200 mile radius of the hospital service area.
The Board of Directors is concerned with taking on the additional debt for the Cancer Center. They have tasked the CFO with developing a financial plan and strategic plan that will outline the impact of the Cancer Center on the financial status of the hospital. They want you to address the following areas:
What are the key financial policy targets for which the Board is responsible? List and explain each.
Create the strategic and financial plan for the new Cancer Center proposal within the framework of the hospital’s mission statement. 
Explain how management control is used in conjunction with the financial plan. Include the integration of the financial plan with management control.  Indicate the phases of management control.
What are the major categories of assumptions that must be specified to project a future balance sheet? What are the set of programs or activities to which the organization will commit resources during the planning period?

 
You are the CFO of a 400-bed hospital in Texas and having trouble with your bottom line and staying within budget. As part of your continued efforts to train your department directors/ supervisors and board on understanding cost and how it is used in the decision process, you have set up classes to explain major concepts of cost. You will address the following areas in your presentation of 6-8 slides not including title and reference slides and with 200 word speaker notes for each slide:
Explain the concept of management control and how budgeting is used as part of it.
Describe the concept of zero-base budgeting.
Explain how benchmarking is performed at the department level.

 The CEO of a 400-bed hospital has scheduled a board of directors meeting to discuss the current financial situation of the hospital and steps that need to be done to correct some current problems. The CFO needs to send each board member an explanation of the financial statements that they will be discussing. You are the Director of Finance and he has asked you to put together a memo, explaining each statement. Do the following:
Provide a copy of the most common four statements used within your hospital and what information is available in each.
Make sure you explain each main components/section of each statement.

 
It is budget time and the CEO has asked you to develop a presentation on cost concepts and how it is used in decision making. As the Director of Budgeting and Finance, you have been tasked to present the presentation to all directors, supervisors and physicians. The CFO has ask you to address the following:
How and why do we classify cost?
Discuss the four major categories of direct and indirect cost and explain each. Give examples of each.
What is the difference between controllable and uncontrollable cost, give an example of each.

 
The CEO of a 100-bed Nursing Home has noticed that the board of directors is having a hard time understanding his vision of where the hospital needs to go. The CFO has a lot of trouble getting the board of directors to understand the organization’s key performance indicators/metrics using balanced scorecard and dashboard reporting. He has selected you to develop a scorecard and dashboard illustrating the key indicators and send the sample and a memo to the board members explaining the following:
Your sample balanced scorecard and dashboard reporting
Discuss the four key success factors of dashboard reporting

NOTE: You may develop your own or research and find a healthcare balanced scorecard and dashboard online.

Create prescriptions using the patient information, medications, and indications listed below. Your goal is to demonstrate the accurate way to write a prescription that a patient would present to a pharmacy. The prescription should be written and signed. You will develop your mock prescriptions in a word document to include everything one might find on a printed prescription pad. You will write one prescription per page.
To write your prescriptions, please use the following patient information:
Patient Name: Jane Doe
DOB 1/1/2001
Duration: 3 months
Write a prescription for each of the following medications:
Sertraline, 100mg each day (depression)
Lorazepam, 1mg twice each day, if needed (panic attacks)
Aripiprazole, 2mg before bedtime (depression)
Methylphenidate ER, 54mg every morning before school (ADHD)
Be sure to include all of the relevant Rx info – quantity dispensed, refills, etc. etc.  The examples you submit should look like a real-life written Rx that a patient would hand to a retail pharmacy.