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Economics 2

  

As a master's-level health care practitioner, you may sometimes be tasked with the need to complete a systematic evaluation as a way of improving your organization’s outcomes. In this assessment, you will have a chance to practice these skills by completing a systematic evaluation of a unit, facility, or organization that you are familiar with in an attempt to identify the need to address the economic health care issue that you presented in the previous assessment. This systematic evaluation is often referred to as a needs analysis. Understanding how to do a needs analysis will be key as you advance through your career in the health care environment.

    POWEPORINT SLIDE CREATION Topic : HIV Encephalopathy

    Topic: HIV Encephalopathy 

    Create a PowerPoint slide on the topics listed below using APA format. Must have in-text citations, Pictures/ videos, and a reference page. This PowerPoint presentation will be presented at a meeting! 

    Definition 

    Symptoms 

    Causes 

    Diagnosis 

    Treatment 

    Prevention 

      Individual project 4

       Marketing research is conducted to collect, record, analyze, and interpret data relative to your business market and product category. Global market research is done with the same purpose; however, the scope of the research is for organizations conducting business on a worldwide scale. 

        Psychiatrics Note week 7

            Write the clinical write up for a  psychiatric fictitious  patient .32-Year-Old female With Post-Traumatic Stress Disorder (PTSD),. Stable Patient. Follow up. Currently in Psychotherapy. Form attached.

        MRU PMHNP Clinical Write-Up

        Student Name:

        Write Up #

        Typhon Case #

        Semester/Year:

        Course:

        Chief Complaint

        What brought you here today…? (Put this in quotes.)

        “

        History of Present Illness

        Depression symptoms: Can you describe your depression symptoms? What makes the depression better, what makes the depression worse? Does the depression, come and go?

        Anxiety: Does the anxiety come and go or is there all the time? Does anything make the anxiety worse or better? Do you go into panic? If so, how often and how long does it usually last?

        Mood swings: Do your moods go up and down? If so, can you tell me more about a typical mood swing?

        Anger/irritability: Do you get angry more than you should? How do you act when you get angry?

        Attention and focus: Do you have trouble concentrating or staying on track?

        Current self-harm, suicidal/homicidal ideations: Do you currently or have you recently thought about hurting yourself? If so, do you have a plan of hurting yourself?

        Hallucinations: Do you ever hear or see anything that other people may not hear and/or see?

        Paranoia: Do you feel like people are talking about your or following you?

        Sleep: Do you have trouble falling or staying asleep? How long does it take you to fall asleep? Once you get to sleep, do you stay asleep all night or are you up and down throughout the night?

        Past Psychiatric History

        At what age did the mood symptoms start?

        Do you have a previous psychiatric diagnosis? If so, what age and what was going on (if anything) around the time of the diagnosis?

        Where there any environmental factors that could have contributed to the moods? For example, divorce, death in the family, etc.

        Any previous treatment and if so, what was it and did it work? List any previous psychiatric medications have been tried and why the medication was stopped.

        Family History

        Include parents, siblings, grandparents if applicable/known; pertinent mental health history.

        Personal/Social History

        Education, marital status, occupation, work history, and legal history

        Substance Abuse History

        Do you currently or in the past used any illegal drugs? If so, what did you use? If currently using drugs, how much do you use? When was the last time you used?

        Do you currently or in the past had an issue with alcohol abuse? If so, when was the last time you drank? Do you ever pass out when you drink? Has your drinking been a problem for you in the past?

        Do you currently smoke cigarettes or vape?

        Do you smoke marijuana?

        Medical History

        Medical problems

        Previous surgeries

        Mental Status Exam

        Appearance and Behavior

        Appearance: Gait, posture, clothes, grooming

        Behaviors: mannerisms, gestures, psychomotor activity, expression, eye contact, ability to follow commands/requests, compulsions

        Attitude: Cooperative, hostile, open, secretive, evasive, suspicious, apathetic, easily distracted, focused, defensive

        Level of consciousness: Vigilant, alert, drowsy, lethargic, stuporous, asleep, comatose, confused, fluctuating

        Orientation: “What is your full name?” “Where are we at (floor, building, city, county, and state)?” “What is the full date today (date, month, year, day of the week, and season of the year)?”

        Rapport

        Speech

        Quantity descriptors: talkative, spontaneous, expansive, paucity, poverty.

        Rate: fast, slow, normal, pressured

        Volume (tone): loud, soft, monotone, weak, strong

        Fluency and rhythm: slurred, clear, with appropriately placed inflections, hesitant, with good articulation, aphasic

        Affect and Mood

        Mood (how the person tells you they're feeling): “How are you feeling?”

        Affect (what you observe): appropriateness to situation, consistency with mood, congruency with thought content

        · Fluctuations: labile, even, expansive

        · Range: broad, restricted

        · Intensity: blunted, flat, normal, hyper-energized

        · Quality: sad, angry, hostile, indifferent, euthymic, dysphoric, detached, elated, euphoric, anxious, animated, irritable

        Congruency: congruent or not congruent mood?

        Perception

        Paranoia

        Auditory hallucinations

        Visual hallucinations

        Thought Content

        Suicidal

        Homicidal

        Delusions (erotomanic, grandiose, jealous, persecutory, and somatic themes?)

        · Delusions are fixed, false beliefs.

        · These are unshakable beliefs that are held despite evidence against it, and despite the fact that there is no logical support for it.

        · Is there a delusional belief system that supports the delusion?

        If not a delusion, then could it be an overvalued idea (an unreasonable and sustained belief that is maintained with less than delusional intensity (i.e. – the person is able to acknowledge the possibility that the belief is false)?

        Ideas of Reference (IOR): everything one perceives in the world relates to one's own destiny (e.g., thinking the computer or TV is sending messages or hints).

        First rank symptoms: auditory hallucinations, thought withdrawal, insertion and interruption, thought broadcasting, somatic hallucinations, delusional perception, and feelings or actions experienced as made or influenced by external agents

        What is actually being said? Does the content contain delusions?

        Are the thoughts ego-dystonic or ego-syntonic?

        Thought Form/Process

        What is the logic, relevance, organization, flow, and coherence of thought in response to general questioning during the interview?

        Descriptors: linear, goal-directed, circumstantial, tangential, loose associations, clang associations, incoherent, evasive, racing, blocking, perseveration, neologisms.

        Cognition

        Cognitive testing

        Education level

        Insight

        What is their understanding of the world around them and their illness?

        Are they able to do reality-testing (i.e., are they able to see the situation as it really is)?

        Are they help-seeking? Help-rejecting?

        Judgement

        What have their actions been? Have they done anything to put themselves or other people at harm?

        Are they behaving in a way that is motivated by perceptual disturbances or paranoia?

        What is your confidence in their decision making?

        Medications

        Medical medications (list)

        Psychiatric medications (list)

        Psychiatric Medication

        Use this template of this table for each medication. Try to use your own words. For example, how would you explain this information to them or their family?

        Brand/generic name

        Dose at the time of visit

        Starting dose

        How does this medication work?

        Major side effects

        Is this medication FDA approved for why the person is using this medication?

        Patient education

        Medication class

        Psychiatric Diagnosis

        Current diagnosis

        DSM-5 symptom criteria for each diagnosis (write out DSM-5 symptom criteria)

        Did they display/state any symptoms that match the diagnosis?

        Billing/Coding

        ICD 10 Code

        Billing Code

        Treatment Plan

        Medication changes made during visit

        Clinical impression

        Recommended therapy/support sources for person and the reason why

        Next visit scheduled

        Nursing Healthcare Law and Policy Assignment 3

          

        Training and educating those within an organization who are responsible for implementing and working with changes in organizational policy is a critical step in ensuring that prescribed changes have their intended benefit. A leader in a health care profession must be able to apply effective leadership, management, and educational strategies to ensure that colleagues and subordinates will be prepared to do the work that is asked of them.

          Policy

            

          The Assignment: (1 page not including the title and reference page)

          Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

          • Briefly and generally explain the policy or regulation you selected.
          • Address the impact of the policy or regulation you selected on system implementation.
          • Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
          • Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
          • Use APA format and include a title page, in-text citations, and reference page.

          As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

          With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

          In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

          To Prepare:

          Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics. Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA). Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

          The Assignment: (1 page not including the title and reference page)

          Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

          Briefly and generally explain the policy or regulation you selected. Address the impact of the policy or regulation you selected on system implementation. Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow. Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific. Use APA format and include a title page, in-text citations, and reference page. Use the Safe Assign Drafts to check your match percentage before submitting your work.

          Submit your completed Policy/Regulation Fact Sheet.

          POLICY/REGULATION FACT SHEET

          RESOURCES

          Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

          WEEKLY RESOURCES

          BY DAY 5 OF WEEK 11

          8/8/24, 3:15 PM Module 6: Week 11: Assignment

          https://waldenu.instructure.com/courses/118716/assignments/1403549?module_item_id=4290982 1/4

          NURS_5051_Module06_Week11_Assignment_Rubric

          Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

          1. To submit your completed assignment, save your Assignment as WK11Assgn_LastName_Firstinitial

          2. Then, click on Start Assignment near the top of the page. 3. Next, click on Upload File and select Submit Assignment for review.

          SUBMISSION INFORMATION 8/8/24, 3:15 PM Module 6: Week 11: Assignment

          https://waldenu.instructure.com/courses/118716/assignments/1403549?module_item_id=4290982 2/4

          Criteria Ratings Pts

          25 pts

          25 pts

          25 pts

          Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:· Briefly and generally explain the policy or regulation you selected.· Address the impact of the policy or regulation you selected on system implementation.

          25 to >22.0 pts Excellent A fully developed and detailed Fact Sheet is provided for the Assignment….Using the literature and course resources:…The response accurately and thoroughly explains in detail the policy and regulation selected….The response accurately and thoroughly explains in detail the impact of the policy or regulation selected on system implementation.

          22 to >19.0 pts Good A developed Fact Sheet is provided for the Assignment….Using the literature and course resources:…The response explains the policy or regulation selected….The response explains the impact of the policy or regulation selected on system implementation.

          19 to >17.0 pts Fair The response is missing one or two of the required topics or topics are superficially addressed.

          17 to >0 pts Poor The response is missing three or more required topics or the topics are superficially addressed.

          · Address the impact of the policy or regulation you selected on system implementation.· Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

          25 to >22.0 pts Excellent Using the literature and course resources:…The response accurately and thoroughly explains in detail the impact of the policy or regulation selected on system implementation….The response accurately and thoroughly explains in detail the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow.

          22 to >19.0 pts Good Using the literature and course resources:…The response explains the impact of the policy or regulation selected on system implementation….The response explains the impact of the policy or regulation selected on clinical care, patient/provider interactions, and workflow.

          19 to >17.0 pts Fair The response elements are superficially addressed.

          17 to >0 pts Poor The response is incomplete or missing.

          · Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

          25 to >22.0 pts Excellent Using the literature and course resources:…Specific and accurate response thoroughly highlights in detail the organizational policies and procedures that are/will be in place at a healthcare

          22 to >19.0 pts Good Using the literature and course resources:…Accurate response highlights the organizational policies and procedures that are/will be in place at a healthcare organization

          19 to >17.0 pts Fair The response elements are superficially addressed.

          17 to >0 pts Poor The response is incomplete or missing.

          8/8/24, 3:15 PM Module 6: Week 11: Assignment

          https://waldenu.instructure.com/courses/118716/assignments/1403549?module_item_id=4290982 3/4

          Total Points: 100

          Criteria Ratings Pts

          10 pts

          5 pts

          5 pts

          5 pts

          organization to address the policy or regulation selected.

          to address the policy or regulation selected.

          Resources 10 to >8.0 pts Excellent Assignment includes: 3 or more peer-reviewed articles and 2 or more course resources.

          8 to >7.0 pts Good Assignment includes: 2 peer- reviewed articles and 2 course resources.

          7 to >6.0 pts Fair Assignment includes: 1 peer- reviewed article and 1 course resource.

          6 to >0 pts Poor Assignment includes: 1 or no resources.

          Written Expression and Formatting – Fact Sheet:The Fact Sheet is professional; images are appropriately attributed; images are clear. The Fact Sheet text is readable. Fact Sheet flows well and is presented in a logical order.

          5 to >4.0 pts Excellent Fact sheet is professional with proper attribution, clear images and readable text presented in a logical manner.

          4 to >3.0 pts Good Fact sheet is professional with proper attribution, clear images and readable text presented in a logical manner 80% of the time.

          3 to >2.0 pts Fair Sixty to seventy nine percent of the Fact Sheet follows these guidelines: Fact sheet is professional with proper attribution, clear images and readable text presented in a logical manner.

          2 to >0 pts Poor Sixty percent or less of the Fact Sheet follows these guidelines: Fact sheet is professional with proper attribution, clear images and readable text presented in a logical manner.

          Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation

          5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors.

          4 to >3.0 pts Good Contains a few (1-2) grammar, spelling, and punctuation errors.

          3 to >2.0 pts Fair Contains several (3-4) grammar, spelling, and punctuation errors.

          2 to >0 pts Poor Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

          Written Expression and Formatting – APA:The reference list and image attribution list follow correct APA format.

          5 to >4.0 pts Excellent Uses correct APA format with no errors.

          4 to >3.0 pts Good Contains a few (1- 2) APA format errors.

          3 to >2.0 pts Fair Contains several (3- 4) APA format errors.

          2 to >0 pts Poor Contains many (≥ 5) APA format errors.

          8/8/24, 3:15 PM Module 6: Week 11: Assignment

          https://waldenu.instructure.com/courses/118716/assignments/1403549?module_item_id=4290982 4/4

          ,

          Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following: 21st Century Cures Act

          · Briefly and generally explain the policy or regulation you selected.

          · Address the impact of the policy or regulation you selected on system implementation.

          · Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

          · Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

          · Use APA format and include a title page, in-text citations, and reference page using the articles below

          Use the resouces below for references

          · McGonigle, D., & Mastrian, K. G. (2022).  Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

          · Chapter 8, “Legislative Aspects of Nursing Informatics: HIPAA, HITECH and Beyond” (pp. 161–181)

          · American Association of Nurse Practitioners. (2018).  MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement Links to an external site. . Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

          · Centers for Medicare and Medicaid Services. (n.d.).  MACRA Links to an external site. . Retrieved January 18, 2019, from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

          · HealthIT.gov. (2018a).  Health IT legislation Links to an external site. . Retrieved from  https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislationLinks to an external site.

          · HealthIT.gov. (2018b).  Meaningful use and MACRA Links to an external site. . Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

          · U.S. Department of Health and Human Services. (n.d.).  Laws & Regulations Links to an external site. . Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

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