Answer the questions based on the following scenarioMrs. G is

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• Perform a literature search utilizing a topic from your readings to find a relevant/recent article (
  

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  Personal Philosophy of Nursing EssayUse the questions from Box 3-2 on page

  Personal Philosophy of Nursing EssayUse the questions from Box 3-2 on page 111 of your textbook as a guide as you write your personal philosophy of nursing. The essay is to be typewritten and double-spaced (1,000 words) and shouldinclude the following:1. Introduction that includes who you are and where you practice nursing2. Definition of nursing3. Assumptions or underlying beliefs4. Definitions and examples of the major domains of nursing5. Summary that includes answers to the following questions: a. How are the domains connected?b. What is your vision of nursing for the future? c. What are the challenges that you will face as a nurse? d. What are your goals for professional development?attached is Box 3-2 on page 111

  III. Analysis A. Describe the policy-making processes, if any, implicated

  Question III. Analysis A. Describe the policy-making processes, if any, implicated by the scenario and issue, and explain why they are implicated. If you feel no processes are fairly implicated, please justify your reasoning. B. Analyze existing health policy and population-health programs related to the issue in the scenario, and explain why they are related to the issue. C. Explain how the scenario and issue implicate principles of budgeting, governance, and strategic planning. If you feel it does not implicate any such principles, please justify your reasoning. D. Apply principles of management theory and population health improvement to the scenario, explaining why the principles are applicable to the specific scenario.FOR THE FOLLOWING SCENARIOPHE 610 Managed Care Contract Negotiations and Population Health Improvement Western Valley Independent Practice Association (WVIPA) is a nonprofit organization made up of 700 member physician groups. WVIPA charges membership dues (via a membership agreement) to its member physician groups; the dues pay for WVIPA’s operating expenses and organizational costs. In return, WVIPA credentials providers, negotiates insurance contracts and reimbursements for its members, and performs some basic data analytics functions. WVIPA’s membership is distributed disproportionately among six counties. Two thirds of WVIPA’s membership (and nearly all of its highly coveted physician specialty groups) comes from two counties: McKinley and Grant. McKinley and Grant counties are home to prosperous, growing communities that attract both young physicians and those physicians seeking to retire. Neither county is designated as a health professional shortage area. Practices in McKinley and Grant counties receive substantial reimbursements on a fee-for-service basis because they provide high-quality specialty care. These practices have invested in electronic medical record (EMR) systems and data analytics functions. WVIPA’s remaining membership comes from four (predominantly rural) counties: Taylor, Harrison, Polk, and Monroe. All four counties are designated as health professional shortage areas. Most of the practices in Taylor and Harrison counties are solo practitioner offices; these physicians rarely use EMR systems. WVIPA reports that the quality of care offered by these physicians is excellent and readmission rates are low, but that gathering data from these practices can be time and labor intensive without EMR systems. These practices report that they do not make enough money to invest in EMR systems. Physicians in Polk and Monroe counties typically use EMR systems, but access in those counties is poor. Patients must wait more than three months for a preventive care visit. These practices typically do not engage in care coordination activities because access is poor, and patients who need follow-up would not be able to get in to see a provider immediately. WVIPA’s most valuable function (according to its member physician groups) is its role in negotiating and securing favorable reimbursement rates from insurance companies. When WVIPA negotiates with a payer, it leverages its physician network—which is a monopoly, in some areas—to increase reimbursements. WVIPA has negotiated Medicaid, Medicare, and commercial contracts for its physician members. All physician groups that are members of WVIPA must agree to participate in (and accept payment from) the insurance contracts that WVIPA negotiates and signs. WVIPA uses a contract committee (the “Committee”) with representation from 12 major member physician groups to secure approval for its negotiated contracts. If the Committee approves the contract, WVIPA can sign it. If the Committee does not approve the contract, WVIPA must refuse to sign the contract. Over the past two months, WVIPA has been negotiating with the largest insurer in the region. WVIPA’s existing contract with the insurer will terminate by expiration in one month. WVIPA is being asked to sign one contract that will provide reimbursement for services rendered to patients who are enrolled in the insurer’s Medicare, Medicaid, and commercial plans. The draft contract is nearly ready for signature. WVIPA’s contract staff and the insurer’s representative are pleased with the contract; it contains a number of provisions that promote the Triple Aim: better care, improved health, and lower cost. WVIPA’s contract staff have highlighted the following exciting provisions:  Monthly payments to WVIPA to monitor physician performance data  Bundled payments and capitated payments instead of fee-for-service reimbursement  Incentive payments to practices for care coordination to prevent unnecessary emergency department visits and readmissions  Payment schedules that incentivize better access to primary care  Patient assignment to reward high-performing practices WVIPA’s Executive Director, Ms. Tyler, has reviewed the draft contract. The Committee has requested a presentation from Ms. Tyler about the draft contract next week; the Committee members will vote whether to accept (and direct WVIPA to sign) the contract after Ms. Tyler concludes her presentations. Ms. Tyler would like your opinion (as the director of health plan contracting) about the draft contract provisions. She plans to share your analysis and recommendations with the Committee. Specifically, Ms. Tyler wonders whether WVIPA and WVIPA’s membership will be successful with the new contract. At the same time, she knows that the provisions in the draft contract promote population health improvement. Ms. Tyler is also aware that a contract with this insurer is critical to WVIPA’s long-term financial success. Draft a proposal letter to Ms. Tyler

  hi, can you answer these questions ? I will provide you in

  hi, can you answer these questions ? I will provide you in all personal information.you can repeat some information in every single essay 1. Please explain how you have displayed the University’s Core Values (C.A.R.E.S = Compassion, Accountability, Respect, Excellence, Service) through work, school or in the community within the past year. ( 380 – 500 words)2. Please share your concept of professionalism and leadership in the profession of nursing and clinical qualities. Give examples on how you have shown professionalism and leadership in nursing profession. (380 – 500 words)3. Please explain, why you desire this scholarship? Qualifications This scholarship is based on merit and financial need.Applicant must have a financial need to meet my educational expensesI am an undergraduate nursing major at A. UniversityApplicant must have cumulative GPA of 2.50 or higher. (170 – 200 words)4. One scholarship is being offered to a BSN student. The recipient is selected based on their cumulative GPA. I am an undergraduate nursing major at A. UniversityApplicant must have cumulative GPA of 3.0 or higher (170 – 200 words.)5.The scholarship is available to undergraduate and graduate nursing students. It is based on merit and financial need.Please explain, why you desire this scholarship? (170 – 200 words)Qualifications:I am an undergraduate nursing major at A. UniversityApplicant must have a financial need to meet my educational expensesApplicant must have cumulative GPA of 3.0 or higher6. Six scholarships of $5,000.00 are being awarded. The scholarship is available to BSN nursing students. This scholarship is based on merit and financial need. The student must have a cumulative GPA of 2.50 or higher. The scholarship can be used to offset the student’s educational related expenses. (170- 200words)QualificationsApplicant must be an undergraduate nursing major at A. UniversityApplicant must have a financial need to meet my educational expensesApplicant must have cumulative GPA of 2.50 or higherApplicant must be enrolled for at least 6 credit hours or more per semester7. The scholarship is based on an undergraduate student’s superior academic achievement, clinical qualities, professionalism and leadership. (400 – 500 words)QualificationsI have superior academic achievement, clinical qualities, professionalism, and leadership.I am an undergraduate nursing major at A. UniversityApplicant must be enrolled for at least 6 credit hours or more per semesterApplicant must have cumulative GPA of 2.50 or higherPlease share your experiences in your academic achievement; professionalism, clinical qualities, and leadership8. One scholarship is awarded annually to a junior or senior nursing student. Recipient is selected based upon financial need and academic performance. (170 – 200 words)Qualifications Applicant must have a financial need to meet my educational expenses – an undergraduate nursing major at A. University Please explain, why you desire this scholarship?

  1.Describe two possible areas of CNS damage that might cause

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  In a Word document, write 2-3 paragraphs about 3 strengths

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  This question was created from LP 3.2 Assignment Procedure 15.1

  Question This question was created from LP 3.2 Assignment Procedure 15.1 Documentation Patient Education https://www..com/file/21179001/LP-32-Assignment-Procedure-151-Documentation-Patient-Education/ i am looking for care plan for conjunctivitis with3 diagnosis with rationale , 3 goals for each nursing diagnosis and 3 intervention for each diagnosis with scientific reference ATTACHMENT PREVIEW Download attachment 21179001-324263.jpeg Instructions: 1. Research Care and Treatment for Conjunctivitis (Pink Eye) 2. Document in THIS Progress note how you would educate the patie process For treating the condition.

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  1. What level should the fundus be at 12 hours

  Question 1.   What level should the fundus be at 12 hours post delivery? Two fingerbreadths below the umbilicus One fingerbreadth above the umbilicus One fingerbreadth below the umbilicus At the level of the umbilicus 1 points  QUESTION 21.   A client has just delivered a baby, 3 hours and is complaining of being unable to void. What should the practical nurse do? Palpate the bladder Check for distention of the bladder Notify the nurse in charge Encourage the patient to force to void 1 points  QUESTION 31.   Where would the fundus be on the 3rd post partum day? The fundus is palpated on the median The fundus is above the umbilicus The fundus is at the symphysis pubis The fundus is located halfway between the umbilicus and the symphysis pubis 1 points  QUESTION 41.   What is the appropriate care for a patient with swollen perineum with an episiotomy? Apply an ice pack for 30 minutes Apply an ice pack for an hour Apply an ice pack for 20 minutes Apply an ice pack for 5 minutes 1 points  QUESTION 51.   A 6 month-old baby is having diarrhea and vomiting. Which of the following assessment parameter is appropriate? Check for sunken fontanel Check for diluted urine Check for bradycardia Monitor the respiratory rate 1 points  QUESTION 61.   Which of the following indicate that the wound is infected? Serosanguineous drainage – this blood with plasma Small purulent drainage Sanguineous drainage Absence of drainage 1 points  QUESTION 71.   A young lady comes to the community health clinic and asks the PN why she missed her period. Which of the following question asked by the PN is appropriate? “Are you using birth control pills?” “Could you be pregnant?” “Are you experiencing nausea in the morning?” “Are you on strict diet?” 1 points  QUESTION 81.   Which of the following is the best site for administering subcutaneous injection? Abdominal Lower back Deltoid Forearms 1 points  QUESTION 91.   Which of the following is the best site for IM injection in adult? Vastus lateralis Ventrogluteal Dorsogluteal Deltoid muscle 1 points  QUESTION 101.   What should the PN do when she aspirates blood when administering IM injection? Discontinue injection and start the procedure again Continue the injecting the medication Change the needle and inject slowly 1 points  QUESTION 111.   Which of the following is an appropriate way of giving IM “Z” track method? Pull skin laterally Pinch skin Move skin upwards Move skin downwards 1 points  QUESTION 121.      Which activities should be avoided by a post-mastectomyv c patient? Lifting grocery shopping bags Combing hair  Working in the garden Walking 1 points  QUESTION 131.   While the PN is getting a blood product for blood transfusion from the blood bank, another nurse asks her to get blood product for her patient, too. When promoting safety, the PN will do which of the following? Get both her patient’s and her colleague’s patient’s blood product Ask her colleague for the room and bed number of her patient Get the patient’s blood product first then return to the blood bank to get the other nurse’s patient’s blood product Tell her to let the laboratory assistant help her in obtaining the blood from the blood 1 points  QUESTION 141.   Which among the following is a correct statement about administering a nitroglycerin patch? Press patch at each edge firmly Take patch out after a shower Take patch out before shower Leave patch on for 24 hours 1 points  QUESTION 151.   Which of the following is appropriate when cleaning the skin around the stoma? Cleanse the area with betadine – to prevent infectiom Swab the area with 70% alcohol Use tap water and mild soap Scrub the area with peroxide 1 points  QUESTION 161.   When is the best time to change the ostomy bag and provide stomal care? In the morning After a shower and breakfast After physiotherapy exercises After dinner 1 points  QUESTION 171.   Cervical dilation of 7 – 10 cm falls under? Latent phase Active phase Transition phase Second stage of labour 1 points  QUESTION 181.   Which food should not be given with Coumadin? Beans Bread Orange Broccoli 1 points  QUESTION 191.   Which of the following instructions would be most appropriate for the practical nurse to give to Sandy who is pregnant in regards to nutrition during pregnancy? Eat a balanced diet that includes foods rich in iron It is important to have enough nutrients as you will be eating for two The goal of your diet is to reduce weight You are probably already obtaining the nutrients you need 1 points  QUESTION 201.   Sandy, pregnant, develops pregnancy induced hypertension. While being hospitalized, the PN’s most effective way of helping Sandy decreased her anxiety would be to: Initiate discussion of her condition Post “no visitor” sign on her door Reassure her that everything will be alright Encourage her friends to visit 1 points  QUESTION 211.   In addition to vital signs, which of the following are the most important for the PN to assess post delivery: Fundus, lochia, perineum Breast, hemorroids, voiding Breast, fundus, voiding Perineum, hemorroids 1 points  QUESTION 221.   A patient tells the nurse that his wife died a year ago and feeling lonely. Which of the following responses made by the PN is appropriate? “I know how you feel. I lost my mother 3 years ago.” “That’s too bad. Can I get you coffee or tea?” “How have you been coping?” “Was this your first lost?” 1 points  QUESTION 231.   Which of the following defines informed consent? It is a responsibility of the person performing the procedure Consent can be verbal or written except in emergency Consent prevents delays in completing diagnostic or surgical procedures Consent is only requested when the clients are scheduled for surgery 1 points  QUESTION 241.   Jason is a 3 year-old boy who sustained brain injury. The PN, during physical assessment, would performed first: Change in the level of consciousness Change in vital signs Motor deficits Changes in the pupil size 1 points  QUESTION 251.   A patient was admitted to the ER due to 3° burn in her chest sustained from an explosion of a barbecue grill. Which assessment finding by the PN indicates that the patient is deteriorating? Respiratory rate Pulse oxymetry reading Level of consciousness Extend of burn site 1 points  QUESTION 261.   Which among the following teaching is the most appropriate for the patient who is being discharged with colostomy? Refer the patient to some training session on colostomy care Refer the patient to a support group for people with colostomy – emotional support Teach the patient to avoid foods that produce gas or flatus Teach the patient to change the colostomy bag when it is half-full – bag is emptied not change 1 points  QUESTION 271.   The mother is Rh negative and the husband is Rh positive. In which of the following time should the mother receives RhoGam? During pregnancy After abortion On delivery At delivery 1 points  QUESTION 281.   Swelling on the newborn’s suture line which did not subside on the 3rd day. What should the PN advise the mother? To consider it as normal To see the MD Inform her about the medication that is available for the swelling She should wrap the affected site with pressure dressing 1 points  QUESTION 291.   What is the priority action for the PN to take to a patient who just returned from the Recovery Room to the ward after mastectomy? Check vital signs Check the respiratory rate Check the level of consciousness Check the dressing for signs of infection 1 points  QUESTION 301.   You see a male and female patients having intimate sexual encounter in the nursing home. What would the PN do? Call both the clients and tell them not to do that again Talk to them and report to the supervisor as appropriate Leave them alone as this is their own private affair Encourage them to express their intimacy as desired

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