Can you help me develop a picot question? P: Adult

What is a health care organization’s administrative role regarding oversight of risk management policies and ensuring compliance with managed care organization (MCOs) standards?
August 15, 2019
 “ I have scaly crust in sole of feet and moist white crusts between my toes since I started using boots warm weather” for past 2 weeks.  HPI: E.D a 45-year-old hispanic female presents to the clinic for complaint of itching in feet and scaly curst in sole of feet and moist white crusts between toes. She developed a red, itchy rash consistent with hypersensitivity reaction. She also indicates that she has noticed that her symptoms are worsening for past 2 weeks and it started after she started to use boots in warm weather. She has symptoms of red, itching rash consistent with a hypersensitivity reaction and tinea pedis. She wore about 2 weeks ago her mother’s shoes without socks and her mother has history of Tinea Pedis.
August 15, 2019

Get help with college essays at Smashing EssaysQuestion Can you help me develop a picot question? P: Adult style=”color:rgb(51,51,51);”>patients (population) newly diagnosed with type 2 diabetes (issue) I: Implement dietary and lifestyle changes (intervention) C: A1C levels before and after lifestyle and dietary changes (Comparison) O: Decrease A1C levels (outcome) T: 3 months after diagnosis of type 2 diabetes (time)

I live in Tampa, FL (Hillsborough County)Review this week’s lesson and assigned

I live in Tampa, FL (Hillsborough County)Review this week’s lesson and assigned reading on the nurses’ role in population health, and reflect on what you have learned in this course. Address the following questions.

2 to 3 pagesSkills Nutrition, Feeding, and Eating. Based on this topic

2 to 3 pagesSkills Nutrition, Feeding, and Eating. Based on this topic please choose research articles no older than 5 years old to support the topic. You can choose one of the 5 topics listed in the attached criteria/guideline below. THis paper is a follow up to a research paper that I uploaded. Please use the articles I used for the first paper.

Need a PICOT topic / question for evidence based nursing

Question Need a PICOT topic / question for evidence based nursing intervention for psychiatric med compliance in schizophrenia patients. ( Outpatient setting) any suggestions?

where can I get more help with ATI ?

Question where can I get more help with ATI ?

roles of federal, state, and local public health agencies in the development of standards for informatics in healthcare.

Discuss the roles of federal, state, and local public health agencies in the development of standards for informatics in healthcare.includes refences.

What does a Meissners corpuscle do?

Question What does a Meissners corpuscle do?

Is there any documentation for the final in Nurs 6660

Question Is there any documentation for the final in Nurs 6660

This question was created from Discussion Boards for HCAD 640.docx

Question This question was created from Discussion Boards for HCAD 640.docx https://www..com/file/34943980/Discussion-Boards-for-HCAD-640docx/ I was trying to see the answer to this discussion. Explain the overall trend in the ultimate delivery of quality healthcare services and treatments. ATTACHMENT PREVIEW Download attachment 34943980-325744.jpeg reviewing the report, in a minimum of 250 words, explain the overall trend in the ultimate delivery of quality healthcare services and treatments. List and discuss the three payment-determination bases.

What are at least two opportunities that exist for RNs

Question What are at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Then explain some of the challenges that these opportunities may present and describe how one might overcome these challenges. 

You are the nurse of an older adult who is

Question You are the nurse of an older adult who is being discharged and need to provide education for the promotion of safe ambulation. How can mobility promote a healthy lifestyle?

and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:Three peer-reviewed, scholarly or professional references are required.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

a paragraph , citations and references .

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.Evaluate the Health History and Medical Information for Mr. M., presented below.Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.Health History and Medical InformationHealth HistoryMr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.Case ScenarioOver the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.Objective DataLaboratory ResultsCritical Thinking EssayIn 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

I expect 300-500 words as an initial post and 100- 150 for

I expect 300-500 words as an initial post and 100- 150 for responses. Please make the posts meaningful and responses respectful and substantive. “Nice post” is neither. If you use outside resources, make sure to use APA formatting for your reference and in-text citations.

1 – Discussion – Leading Health Indicators [due Thurs]

Post a total of 3 substantive responses over 2 separate days for full participation. This includes your initial post and 2 replies to other students. Explore HealthyPeople.gov to familiarize yourself with an initiative aimed at promoting health through attaining four overarching goals.Due Thursday After navigating the site, respond to the following in a minimum of 175 words: Due Monday Reply to at least 2 of your classmates. Be constructive and professional in your responses.

student will submit a clinical PICOT (Population, Intervention, Comparison, Outcome, Time) question for an evidence-based practice topic. Once faculty approves the student’s question, the student will search the literature using databases such as the

The student will submit a clinical PICOT (Population, Intervention, Comparison, Outcome, Time) question for an evidence-based practice topic. Once faculty approves the student’s question, the student will search the literature using databases such as the Cumulative Index to Nursing

Historical perspective of End stage renal diseaseEtiology of end stage

Question Historical perspective of End stage renal diseaseEtiology of end stage renal diseasePathophysiology of end stage renal diseasediagnosis of end stage renal diseaseTreatments for end stage renal diseasecare of the patient with end stage renal disease

Proofread for me please,Thank you****************************Introduction Frankfort hospital is a small

Question Proofread for me please,Thank you****************************Introduction         Frankfort hospital is a small hospital located in a town of Frankfort, Kansas.  This hospital has been serving its the community for many years. Lately, this hospital is looking into ways to increase its income by diversifying its services through vertical integration.          Vertical integration is a idea when a healthcare or hospital is trying to increase its income by acquiring or providing different types of services and expanding market influence (Mange, 2000). Vertical integration in a healthcare setting is opening of different clinical services that can generate income by providing services like home health care, long term care, pulmonary rehabilitations, cardiac rehabilitation, hospice etc.  Those different services can generate income to the hospital.         The hospital is trusted by the community to provide the medical needs of the public with honesty and integrity.  The hospital administration is proposing the expansion of medical care via vertical integration to create different specialty services to increase income to the hospital. This expansion plan shouldn’t be at the expense of the quality services that this is supposed to provide to the community.  These different changes should bring the value to the public. Some studies have showed when hospitals expand their services as to vertically integrated delivery system, the quality care that they deliver reduces [2, 3, 4].  So, Especial care should be taken on the quality care while implementing the changes.            To meet this ambitious money generating goal, it has to overcome two main obstacles. The first problem is the limited specific skill set or experienced workforce present in the city. The second issue is to modernized the outdated equipment of the hospital. These goals are to be accomplished with understanding that this hospital has inadequate finance and these changes has to be implemented within one year.  Discussion         To boost up its financial condition, Frankfort hospital is looking into opening new specialty services. This organization has an outdated medical equipment. Its current employees do not have the specialty skill needed to perform the proposed new services. The hospital administration is requesting to open different specialty services to improve the financial well-being of the hospital. Knowing that the current financial situation of this organization, hiring new employee to each specialty care services might play a counterintuitive role in the organization’s bank. So, to tackle this situation with little financial risk, it can be done in the following ways.           Before going in hiring new employees it might be beneficial to keenly study the current employees of the hospital and their position description. This could enable the administrators to identify the personnel to work in the proposed specialty services by training and developing the current employees in multiple skills so that they can perform various tasks at the same time in order to address the shortage. This can be presented to the employees to voluntarily join the training to get specialty training. For joining the different trainings, they might be compensated a little increase in salary and opportunity to work overtime when needed. For the long run they might also be marketable with the training they will be receiving. Select all the employees that can be available and suitable to perform all the required tasks to perform.            Recruiting new graduates from different colleges and providing them with all necessary trainings to perform these new services can also be another route.  When these new graduates are trained by well-seasoned doctors, nurses, and therapists, this can solve the employee shortage and provide top notch quality care without much financial burden to the organization.          Before opening new specialty services, they also need to study market availability for the services they are proposing to open. Instead of opening all the services, they need to select the services that this community needs. The goal should be while the community is benefiting from the new services, the hospital financial needs should also be improving.           To run the new specialty services, it may require new equipment. Instead of purchasing all new equipment right away at once, they may need to outsource some key functions in a manner that will save costs and maintain quality service delivery.  Hiring some to provide the equipment for the short run is another option, as the organization does not have adequate financing to enable purchases and give time until they are ready financially to purchase the required equipment.       Obtaining loans and other sources of financing is the other option, in order to support the key operating activities.  Barriers         There are various barriers that would exist in meeting the various needs, however, there are also various ways out.  First, with regard to training the employees, one barrier would be their attitude towards the training; which will be dealt with by informing them the benefits of the training and development programs.  Furthermore, outsourcing will face the problem of maintaining quality; this can be solved by making the parties to the outsourcing aware of the keep performance measures that they will need to abide by. Hiring of equipment may face the challenge of high charges; this can be solved by using competitive tendering; then choosing the provider that will offer the best quality at the lowest charge. Lastly, the obtaining of loans may face the drawback of productivity. This can be solved by forecasting the revenues that will be generated; then making a decision on whether the loans are productive or not. Explanation         There are various problems that can be anticipated, which will need ways to be addressed. First, is the quality of their work; which can be solved by setting standards that they will need to meet as well as a code of ethics to guide their behavior. Moreover, there is the issue with productivity; which can be solved by using a pay system based on the employees’ level of productivity. Motivation of the employees is the other issue; which can be solved by using a variety of ways such as providing a conducive working environment. All this will take managerial commitment and cohesion within the organization in order to achieve the various objectives. Telemedicine Services         Recently the number of doctors working in rural hospitals is decreasing. Due to this problem the access to quality health care diminishing in hospitals like Frankfort hospital. In a rural area only 39.9 doctors are for 100, 000 but it is 53.3 doctors 100000 in urban areas (Telemed2U, 2018.).  Telemedicine can play a huge role to counterbalance this problem.  By using technology doctors can see their patients remotely. This method can increase access to care, increase quality care, enable doctors to monitor patients while at home and decreases the costs to the patient (Telemed2U, 2018)..           When patients go to hospitals like Frankfort and can’t find a specialist to see right away could have long lasting consequences on the patient’s life. Delayed diagnosis even for hours could change the prognosis of the patient’s disease. Illnesses that might have been treatable if discovered at an early stage, such as cancers, can have a devastating outcome at late stages, leading to shorter life spans. These are an issue that needs to be addressed across the board in the health care system.  Since the Frankfort hospital computer system is new and updated, this may enable it have to open up the telemedicine services.  By doing this their patients will have access to see a specialist with out living their home hospital. This could enable to see the patients the specialist with out delay and this the money that could be lost by referring the patient to another hospital will stay at home. This is double win for the patient and the hospital.          Some studies have showed when hospitals expand their services as to vertically integrated delivery system, the quality care that they deliver reduces (Carlin, 2015). Summary/Conclusion           Frankfort Hospital has a great vision and looking into expanding services to the community by opening different specialty services. Some of the services can be easily implemented since they don’t require too much capital but some needs huge capital for equipment purchase and recruit skilled trained personnel from another city or state. Detailed study is needed to look into some of the proposed services. One of the areas to look into is if the patient load needed to effectively run this specialty service is or could be present to utilize the opened services. If the study shows there are plenty of patients that can utilize the services, it is it can be implemented slowly without affecting the delivery of quality care. Implementing these services could generate more money and could improve the financial issues of the hospital.  Adapting this new policy must be efficiency and strategy based   References1. Byrne MM, A. C. (1999, Jan-Feb). NCBI . Retrieved from NCNI Web site: https://www-ncbi-nlm-nih-gov.proxy.kumc.edu/pubmed/103455562. Carlin CS, D. B. (2015, August). NCBI. Retrieved from NCBI Web site: https://www.ncbi.nlm.nih.gov/pubmed/255293123. LaPointe, J. (2019, February 14 ). Revcycle Intelligence xtelligent Heathcare Media. Retrieved from Revcycle Intelligence Web site: https://revcycleintelligence.com/news/vertical-integration-in-healthcare-doesnt-boost-care-quality4. Manag Care Interface . (2000, April 13). NCBI. Retrieved from NCBI Web site : https://www-ncbi-nlm-nih-gov.proxy.kumc.edu/pubmed/110662845. TeleMed2U. (2018, January 5). Retrieved from TeleMed2U Web site: https://www.telemed2u.com/2018/01/05/telemedicine-rural-areas-connection/ 

Some of you are new nurses, some of you, like

Question Some of you are new nurses, some of you, like me, are seasoned nurses who have been practicing for a while. Think about a time when family was critical to the patient’s care. Were the family’s interactions helpful? Did they hinder your ability to provide care? Yes How did you address the issues? Most importantly was the outcome positive for the family?

In what circumstances is expert testimony unnecessary in medical malpractice?

Question In what circumstances is expert testimony unnecessary in medical malpractice?

I need help with this paper…NRS428VN Grand Canyon Universityneed help

Question I need help with this paper…NRS428VN Grand Canyon Universityneed help with 750-1000 paper on a public health issue chosen from the American public health association website under the climate change or topics and issues links, was considering doing lead…also it needs a problem statement and I can list the other requirements too

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