Category: Nursing

A 75-year-old man with a history of hypertension, diabetes, and environmental allergies, presents to the office with a complaint of persistent dry hacking cough that does not improve with over-the-counter treatment with antitussives and allergy medications. The man reports that he has had the cough for 3 months and is tired of the coughing spells he experiences. His medical history reveals that he started taking lisinopril 6 months before this appointment, has taken an over-the-counter allergy medication for several years, and his blood pressure today is 150/92. Other medications include metformin XR 500 mg daily, aspirin 81 mg once daily, and loratadine 10 mg daily. The physical exam is negative for any issues other than his mild neuropathy from long-term diabetes. The cough is noted to be dry and hacking as the patient has described. The man is not in acute distress.
What questions would have been asked as part of the medical history?
What physical aspects would have been completed as part of the physical exam?
Based on the medical history and physical exam, what is the most likely cause of his cough?
What other possible diagnoses should be considered?
Are there any other tests that should be completed before producing a diagnosis? Why or why not?
What is the treatment for this patient, including education?
Research: (APA Assignment), Title Page, Introduction, Headings. Citation and reference page is required.
Length: A minimum of 750 words, not including references
Citations: At least three high-level scholarly references in APA from within the last 5 years.

INFORMATICS TECHNOLOGY INTRODUCTION ASSIGNMENT INSTRUCTIONS
OVERVIEW
The doctoral student will complete a formal paper addressing implementation of a
technology project suitable to his/her workplace/practice. The Essentials of Doctoral Education
for Advanced Nursing Practice (2006) addresses the understanding of DNP students to utilize
patient care technology for the improvement and transformation of health care. The informatics
technology project will allow the DNP student to identify a relevant technology for improving
practice, patient care delivery and outcomes. The student will examine workflow design related
to the chosen technology along with evaluation related to impact on policy, procedures and/or
organizational protocols. As a result of the chosen technology for the project, the student will
present the research and information learned to classmates.
INSTRUCTIONS
The student will choose an informatics technology related to his/her practice relevant for a DNP
student grounded in evidence-based practice. The informatics technology introduction will
introduce the technology, identify how the technology will improve practice, patient care
delivery and/or outcomes along with relevance to DNP practice. Review NDNQI Quality
standards, Meaningful Use criteria and/or the CMS Quality initiatives.
Items to include are outlined as follows:
• 5 – 7 pages of content excluding the title page and references.
• Current edition of APA format
• Minimum of 5 articles published within the last 5 years
• Acceptable sources: Scholarly resources (peer reviewed and or evidence based); textbook
and the Bible.
Note: Your assignment will be checked for originality via the Turnitin plagiarism tool.

MHA Leadership Skills Alignment
Instructions
Before submitting your Assessment, carefully review the rubric. This is the same rubric the assessor will use to evaluate your submission and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.
Access the following to complete this Assessment:
Reflect on the criteria provided in the Rubric.
U.S. Breast Cancer Statistics
Annual Costs of Cancer Care—Cancer Prevalence and Cost of Care Projections
Chemo Costs in U.S. Driven Higher by Shift to Hospital Outpatient Facilities
GDP Per Capita
Health Expenditure Per Capita
Life Expectancy at Birth, Total (Years)
Breast Cancer Drug – Comparison Chart
Use the APA Presentation Template.
Download the Writing Checklist to review prior to submitting your Assessment.
This assessment has two-parts. Click each of the items below to complete this assessment.
Part I: Determining Pricing and Marketing Strategy for a New Drug
You have been tasked with developing a pricing and marketing strategy for Comanapracil, which you will share in a 10 – 15 slide presentation with board of directors. As you undertake this task, be sure to address the following:
U.S. Breast Cancer Statistics
Annual Costs of Cancer Care—Cancer Prevalence and Cost of Care Projections
Chemo Costs in U.S. Driven Higher by Shift to Hospital Outpatient Facilities
Breast Cancer Drug—Comparison Chart
Develop and present estimates for the demand for Comanapracil and the price of the drug you think the market will bear. Be sure to include the number of customers for this drug.
Describe where and to whom you will focus your marketing efforts. For each, detail why they are important.
Explain three ways you will ensure that insurance companies pay for your drug.
Explain the elasticity of demand for a drug like Comanapracil. What factors could potentially change the elasticity of demand?
Assume you are able to obtain a patent and are ready to go to market immediately. Explain the length of time for which your drug will receive patent protection, so that you are protected from competition prior to generics entering the market. Also, explain why patent protection exists in healthcare.
Note: Your presentation should provide key concepts in the slides with a full discussion as your narrative below in the speaker notes, while using the rubric for guidance to meet expectation.
Part II: Compare International Healthcare Systems to Develop an International Market Entry Strategy
It is your job to develop a market analysis for four different healthcare markets with unique insurance systems. These four analyses will be contained within one 10- to 11-slide presentation to the board of directors. Your analysis will serve as a basis for deciding which country to market Comanapracil:
Germany
United States
Ghana
Brazil
Create your presentation as follows:
The first slide will be an analysis of the relationship between spending on healthcare per capita and life expectancy in each country. Refer to the learning resources to create a chart comparing the spending on healthcare per capita with the life expectancy in each country. Underneath the chart, on the same slide, address the question: Is there a relationship between life expectancy and healthcare spending?
Next, based on what you have learned about the healthcare systems of Germany, the United States, Ghana, and Brazil, create four slides (one for each country) that summarize how each healthcare system is structured.
Next, create another four slides (again one for each country). Each of these slides should summarize your findings from conducting a SWOT analysis for each country (that is, identify the economic strengths, weaknesses, opportunities and threats) associated with marketing Comanapracil in each country.
Create one to two slides recommending which two countries are most attractive for marketing Comanapracil and why.
Your board has shown a particular interest in the German market. In order to market your drug in Germany successfully, you must be approved by the German Institute for Quality and Efficiency in Health Care (IQWIG). Create two to three slides, which argue for the importance of why your drug should be approved by the IQWIG. Address the following issues:
How much of a gain in health outcomes will this drug provide?
Do other drugs provide similar effectiveness in treating this disease?
How many people will benefit from this drug? Explain why some people will benefit from the drug more than others.
Note: Your presentation should provide key concepts in the slides with a full discussion as your narrative below in the speaker notes, while using the rubric for guidance to meet expectation. This one assignment but I need two power points done as instructed above. Thanks

Do you agree with your peers’ assessment?
Take an opposing view to a peer and present a logical argument supporting an alternate opinion.
Share your thoughts on how you support their opinion and explain why.
Present new references that support your opinions.

What is the diagnosis?
What is your immediate management plan?
What is your subsequent management plan?
Should an ultrasound be ordered?

Write an evidence-based paper in APA- Style formatting answering the part C and D prompts. See attached for further details.

For this assessment, develop your presentation slides and speaker notes, then record your presentation. You are not required to deliver your presentation to an actual audience.
Presentation Format and Length
You may use PowerPoint (recommended) or other suitable presentation software to create your slides and add your voice over. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
Be sure that your slide deck includes the following slides:
Title slide.
Presentation title.
Your name.
Date.
Course number and title.
References (at the end of your presentation).
Your slide deck should consist of 10–12 slides, not including a title and references slide with typed speaker notes and audio voice over. Your presentation should not exceed 20 minutes.
Create a detailed narrative script for your presentation, approximately 4–5 pages in length.
Supporting Evidence
Cite 3–5 credible sources from peer-reviewed journals or professional industry publications to support your presentation. Include your source citations on a references page appended to your narrative script.
Grading Requirements
The requirements outlined below correspond to the grading criteria in the Ethical and Policy Factors in Care Coordination Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.
Explain how governmental policies related to the health and/or safety of the community affect the coordination of care.
Provide examples of a specific policy affecting the organization or group.
Refer to the assessment resources for help in locating relevant policies.
Be sure influential policies include the Health Insurance Portability and Accountability Act (HIPPA).
Identify national, state, and local policy provisions that raise ethical questions or dilemmas for care coordination.
What are the implications and consequences of specific policy provisions?
What evidence do you have to support your conclusions?
Assess the impact of the code of ethics for nurses on the coordination and continuum of care.
Consider the factors that contribute to health, health disparities, and access to services.
Consider the social determinants of health identified in Healthy People 2020 as a framework for your assessment.
Provide evidence to support your conclusions.
Communicate key ethical and policy issues in a presentation affecting the coordination and continuum of care for a selected community organization or support group. Either speaker notes or audio voice-over are included for a proficient score; both speaker notes and the audio voice over are included for a distinguished score.
Present a concise overview.
Support your main points and conclusions with relevant and credible evidence.

Identify the benchmarks and quality measures used to compare to the office data for your proposal (Excel spreadsheet). Assess the compatibility of the proposed data and examine potential issues related to information quality (1–3 pages).
Expand All
Step One: Preparation
Locate data related to quality measures relevant to your topic from one or more of these websites:
Agency for Healthcare Research and Quality. (n.d.). https://www.ahrq.gov/
Centers for Disease Control and Prevention. (n.d.). https://www.cdc.gov/
The Joint Commission. (n.d.). https://www.jointcommission.org/
NCQA. (n.d.). https://www.ncqa.org/
Occupational Safety and Health Administration. (n.d.). https://www.osha.gov/index.html
Any other site that contains national or state health care quality measures.
Step Two: Data Collection
Using the Data Collection Spreadsheet Guide [XLSX] Download Data Collection Spreadsheet Guide [XLSX]as an example, ;create a spreadsheet containing three tabs: Dashboard Tracking, Data Collection, and Trending.
On the first tab, Dashboard Tracking, draw from the information you gathered in Step One as part of your preparation for this assessment:
Identify the specific benchmark data you will compare with your office data. Remember it is up to you to establish your benchmarks.
Organize or create a spreadsheet to display the totals, percentages, averages, and so on of your office data and of the national or state data you will be using for comparison. Note: Your Office Data column will be blank because you are not collecting any office data. This is only a proposal to do an information review of the quality of care provided by the physician group. Data does, however, need to appear in the Benchmark (national/state) data column.
Include at least one comparison graph of your choice on this tab.
On the second tab, Data Collection, draw from the information you gathered in Step One as part of your preparation for this assessment:
Create a form you will use to collect specific data from the patients’ records.
Include a row for each patient.
Provide a column for each data collection point (quality measure) you will be comparing.
Note: The information on this page is totaled, averaged, et cetera, with the results linked to the first tab.
To create your third tab, Trends, you will need to do some additional research. Identify national benchmarks for the condition you have chosen that could be compared to your office data. For example, if the trend in your office is that you are seeing more patients with asthma, but the national trend is decreasing, you have discovered a discrepancy that needs to be investigated.
To perform your analysis:
Visit one or more of the following websites containing national data:
Agency for Healthcare Research and Quality. (n.d.). Healthcare cost and utilization project. https://hcupnet.ahrq.gov/#setup
Centers for Disease Control and Prevention. (n.d.). CDC WONDER. https://wonder.cdc.gov/WelcomeT.html
Any other site that contains national or state health care data.
Locate and analyze statistical data relevant to the selected condition.
Examine trends:
What other meaningful trends exist? For example, consider the number of new cases, increases or decreases of cases within a specific age range or location, et cetera.
How do the national and state trends compare?
Is the national trend increasing or decreasing?
What is the percentage of cases who expire from the disease?
Identify the trending of one statistical result relating to the condition you selected over the last 5–10 years.
Create a line graph on the third tab of your spreadsheet, Trends, that illustrates the national and/or state trending of the disease you selected over the past 5–10 years.
Note: Remember you have not collected your office data yet for comparison purposes. You could add that data at a later time.
Step 3: Data Compatibility
Write a short section to add to the proposal you will complete in Assessment 3. Be sure this section of your proposal includes all of the following headings and your narrative addresses each of the bullet points.
Introduction
Provide a brief 1–2 sentence, high-level summary explaining data compatibility.
Data Compatibility
Assess the compatibility of the data:
How can you ensure data from multiple sources is compatible?
How do you know the data you are using for comparison is compatible with your office data?
What challenges are associated with data standardization? We do not want to compare apples with oranges. You want to be sure data from multiple sources:
Represents the same condition.
Uses similar statistical analysis.
And so on.
Effects of Health Information Quality on the HIE
Explain the difference between an HIE and a national database.
Explain what problems can develop if facilities submit incomplete or inaccurate information to an HIE.
Explain what problems can develop if facilities submit incomplete or inaccurate information to a national database.
Explain how incomplete or inaccurate data may affect your proposal.
Conclusion
Briefly reinforce your paper’s main points.

This is a proposed service improvement project on the oral care of older patients in a palliative care setting in a local hospital.It is a comprehensive written project plan on the re design of an element of service provision that enhances the experiences and outcomes of those involved in the service.You are going to design a service improvement project and use evidence based to provide the background and rationale for the project which will include QI tools, including the PDSA Cycle, appendices and Extractio table. References must include nursing books and journals, NMC, nursing literature and researches all references withing 10 years.This essay must be written in a level 6 and in third person and there should be no mention of any particular names of patient or a named hospital. Please follow strictly the module outcomes and the marking criteria attached and word count must be strictly 3000 or the paper will fail.The aim of the project is to improve the management of oral care of older patients in palliative care by 50 % in a local hospital by March 2025.Note: I will like to request a 500 word draft within 3 days, which I need to submit to check I am on track before final submission. Thanks.

Please answer the following PICO question (75-100 words). Cited per APA (7th ed) and comment on the post in general. I attached the rubric. Please use references only from the last 5 years.
PICO question related to mental health:
(P) In adolescents diagnosed with depression (I) does cognitive behavioral therapy (C) compared to pharmacological treatment (O) lead to greater improvement in depressive symptoms?
Type of Question: According to Gallagher Ford and Melnyk (2019), PICO questions aim to identify the terms to search for the best evidence to answer a clinical question. PICO questions are used as a search strategy (Gallagher Ford & Melnyk, 2019). PICO questions allow for unbiased and effective searches for the questions posed (Gallagher Ford & Melnyk, 2019).
Sources for Best Evidence: CINAHL, MEDLINE, and PsychINFO would be the best sources for my PICO question. CINAHL and MEDLINE examine healthcare issues across different disciplines (Melnyk & Fineout-Overholt, 2019). PsychINFO examines psychological, behavioral, and health sciences (Melnyk & Fineout-Overholt, 2019).
Levels of Evidence: According to Melnyk and Fineout-Overholt (2019), levels of evidence rank evidence by the type of design or research methodology that would answer the question with the fewest errors. Level I evidence is generated from systematic reviews or meta-analyses of all RCTs or evidence-based clinical practice guidelines and is the most substantial level of evidence to guide clinical practice (Melnyk & Fineout-Overholt, 2019)
References
Gallagher Ford, L., & Melnyk, B. M. (2019). The underappreciated and misunderstood PICOT question: A critical step in the EBP Process. Worldviews on Evidence-Based Nursing, 16(6), 422–423. https://doi-org.ezproxy.utica.edu/10.1111/wvn.12408
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Wolters Kluwer.