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Discuss the Mrs. Gomez’s history that would be pertinent to her difficulty sleeping. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.

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What plan of care will Mrs. Gomez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

Discuss the Mrs. Gomez’s history that would be pertinent to her difficulty sleeping. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.

· Describe the physical exam and diagnostic tools to be used for Mrs. Gomez. Are there any additional you would have liked to be included that were not?

· Please list 3 differential diagnoses for Mrs. Gomez and explain why you chose them. What was your final diagnosis and how did you make the determination?

· What plan of care will Mrs. Gomez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

You are doing an eight-week clerkship in a family medicine practice. Christina, the medical assistant, hands you the progress note for the next patient, which identifies the patient as Mrs. Gomez, “a 65-year-old woman who is here today reporting that she can’t sleep.”

Dr. Lee, your preceptor, fills you in: “Mrs. Gomez has been a patient here for several years. Difficulty sleeping is a new issue for her. Her past medical history is significant for hypertension and diabetes. Generally, she has been doing well, although I notice that her last hemoglobin A1c has climbed to 8.7%.”

 

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How does the shift to population health initiatives support or hinder health care quality management?

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How does the shift to population health initiatives support or hinder health care quality management?

The transformation of the health care industry is focused on quality. As the industry moves from volume-based, fee-for-service medicine to a model promoting the value of health care services, quality will be the driving force behind, a process of, and an outcome of ongoing system changes. Some initiatives include reducing avoidable re-admissions, transitioning to population health, spreading improvements, and testing and implementing new models of care and payment delivery—such as accountable care organizations and patient-centered medical homes (Bristol & Joshi, 2014).

This week you consider the factors affecting the spread of improvements. You will analyze how the shift to population health initiatives supports or hinders health care quality management and the future trends in health care. You will also assess health care stakeholders’ future expectations about excellence in health care quality

Post a cohesive response to the following:

What have you identified as future trends in health care quality management?

How does the shift to population health initiatives support or hinder health care quality management?

What are future expectations about excellence in health care quality from a stakeholder’s point of view?

 

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Outline the causes, incidence and risk factors of the identified condition and how it can impact on the patient and family

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The following questions relates to the patient within the first 24 hours:
1. Outline the causes, incidence and risk factors of the identified condition and how it can
impact on the patient and family (400 words)
2. List five (5) common signs and symptoms of the identified condition; for each provide a
link to the underlying pathophysiology (350 words)
a. This can be done in the form of a table – each point needs to be appropriately
referenced
3. Describe two (2) common classes of drugs used for patients with the identified condition
including physiological effect of each class on the body (350 words)
a. This does not mean specific drugs but rather the class that these drugs belong to.
4. Identify and explain, in order of priority the nursing care strategies you, as the registered
nurse, should use within the first 24 hours post admission for this patient (500 words)

Word count: 1600 words (every question has a specific word count, which must be adhered to)
Instructions:
• Students are to choose one (1) of the case studies below and answer the associated
questions. The assignment is to be presented in a question/answer format not as an
essay (i.e. no introduction or conclusion).
• Each answer has a word limit (1600 in total); each answer must be supported with
citations.
• A Reference List must be provided at the end of the assignment.
• Please refer to the marking guide available in the unit outline for further information.

 

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Provide resource information for new members, including contact information, membership requirements, and organizational endorsements (i.e., what other members or other organizations are saying about the selected organization).

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The function of the organization, as well as its mission and vision.
Potential advantages of membership in the organization.
Provide resource information for new members, including contact information, membership requirements, and organizational endorsements (i.e., what other members or other organizations are saying about the selected organization).
Create a topic for an upcoming meeting that would appeal to your target audience.

Further Directions

Choose a professional nursing organization that relates to the nursing profession or your clinical practice area. Assuming that you are the chairperson of membership for the organization, create a full-page flyer designed to recruit new members to the professional organization.

 

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