Based on the information provided, what might you consider when determining whether this patient should perform exercise training, and what benefits would you expect to observe?

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KINE 4610 – Case Study 1

Exercise Assessment and Plan
The goals of the exercise program, mutually agreed on by the individual and the clinical exercise professional, are to lose weight and improve body composition, lower blood glucose levels, and reduce risk for another cardiac event. When asked about interests and hobbies, the individual indicates that he enjoys traveling, wine tasting, playing with his dog, and classic movies. Participation in a supervised exercise program and frequent contact with an exercise professional are advised. Mr. SD is instructed to increase the frequency of blood glucose monitoring to assess the effect of exercise on his blood glucose levels. He is also advised to monitor his feet daily for redness, sores, or other areas of trauma that must be treated early to prevent further issues.

Discussion Questions
a. Based on the information provided, what might you consider when determining whether this patient should perform exercise training, and what benefits would you expect to observe?
b. Are there any signs, symptoms, medications, or other items listed that would need to be considered when assessing this patient for an exercise training program?
c. Develop a 12 wk exercise prescription for cardiorespiratory, resistance, and range of motion training if applicable. Use the FITT principle when developing your prescription.
d. Discuss issues that might affect this individual’s ability to begin and adhere to exercise training.
e. What considerations might affect decisions for exercise workload or intensity progression?
f. Based on the subject’s medical history and test results, identify areas for which the patient should be further educated (e.g., weight control, diet modification). Are there other resources that you might use?

Discuss two benefits of HIT on quality and safety in the healthcare setting and elaborate on potential threats to these benefits.

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Discussion

Provide a paragraph or two of discussion for each SEPERATE discussion.

Discussion #1:
Discuss two benefits of HIT on quality and safety in the healthcare setting and elaborate on potential threats to these benefits.

Fondahn, E., De Fer, T. M., Lane, M., & Vannucci, A. (2016). Washington manual of patient safety and quality improvement. Wolters Kluwer.

Discussion #2:
Discuss two unintended consequences of HIT on quality and patient safety, and elaborate on potential solutions to mitigate these consequences.

 

Wallace, C., Zimmer, K. P., Possanza, L., Giannini, R., & Solomon, R. (2013). Anticipating unintended consequences of health information technology and health information exchange. How to identify and address unsafe conditions associated with health IT

How did the patient’s social factors contribute to the patient outcomes? Reflect on how the patient’s economic status influences the provider’s plan of care.

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Health Promotion

Focus on patients age 35–65. Discuss how you provided health promotion in the clinical setting this week.

How did the patient’s social factors contribute to the patient outcomes?

Reflect on how the patient’s economic status influences the provider’s plan of care. Include medication regimen and diagnostic tests.

APA format

About one page long

At least 3 references not older than 5 years old

 

Propose a strategy to manage risks when balancing individual rights and duty of care in your own area of responsibility for 4.4.

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Manage the risks presented when balancing individual rights and professional duty of care

4.1 – 4.4 This is a good start to this piece of work. Propose a strategy to manage risks when balancing individual rights and duty of care in your own area of responsibility for 4.4. This should be a strategy devised by yourself, rather than an essay explaining how to manage risks. Think about the risks that need to be prioritised and establish an action plan that prioritises the wellbeing and safety of an individual. Your action plan should allow for flexibility and innovation in risk management. Please amend and resubmit. (REFER)

Examine any applicable rules and regulations pertaining to malpractice in the Kingdom of Saudi Arabia. Detail a specific procedure in dealing with the reporting of medical errors in a healthcare facility.

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Medical Malpractice (125 points)

Create a PowerPoint presentation detailing the standard operating procedure in dealing with “near misses” in your facility. Be sure to address the following issues:

  • Examine any applicable rules and regulations pertaining to malpractice in the Kingdom of Saudi Arabia.
  • Detail a specific procedure in dealing with the reporting of medical errors in a healthcare facility.

 

Compare operational management theories that can aid in the implementation of quality improvement programs in a healthcare facility.

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Compare operational management theories that can aid in the implementation of quality improvement programs in a healthcare facility.

Imagine you have been tasked with developing a quality improvement program that will improve the overall quality of the organization. You will need to complete a SWOT analysis, compare operational management theories, and then decide which one would be best to help your organization reach its goals.

Describe how a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis can directly assist with improving quality in a healthcare organization (reduced mortality, improving door to balloon times, etc).
Choose at least two operational management theories ( MBO, TQM, CQI, etc) and discuss their similarities and differences. MBO,TQM,CQI
Which operational management theory do you believe would be best to improve quality in a healthcare environment (Reduced readmissions, reduced medication errors, improved patient satisfaction, etc.) ? Explain.
Describe at least two areas of improvement. Select one and provide a detailed outline for quality improvement based on the previous category

Based on the medical history, what is the primary disease of concern, and are there any comorbidities? Describe the patient’s diagnosis and comorbidities (pathophysiology). What major symptoms or signs are reflective of the disease of concern and comorbidities if applicable?

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KINE 4610 – Case Study 1

INSTRUCTIONS:
• Scroll down to the portions that indicate Discussion Questions. Provide answers to the posed questions with as much detail as deemed necessary. As a guideline, your answers to each question should not exceed 100 words (if it is slightly over, though, no grade penalty will be applied).
• When submitting your answers for Case study 1, make sure to save your document as .PDF file so that we will be able to open it.
• Assignment deadline: February 27, 2023.

SUBJECTIVE

Medical History
Acute periodic episodes of elevated blood glucose levels but without experiencing hyperosmolar hyperglycemic nonketotic syndrome or diabetic ketoacidosis. Two–vessel coronary artery bypass surgery 5 yr prior, moderate peripheral neuropathy (loss of most sensation in soles of feet), and early stages of diabetic kidney disease. Medications: metformin taken two times per day, captopril (for blood pressure control and protection of kidneys), and Lipitor for control of hyperlipidemia.

Diagnosis
Mr. SD is 63 yr old and was diagnosed with type 2 diabetes 5 yr ago.

Discussion Questions
a. Based on the medical history, what is the primary disease of concern, and are there any comorbidities?
b. Describe the patient’s diagnosis and comorbidities (pathophysiology).
c. What major symptoms or signs are reflective of the disease of concern and comorbidities if applicable?

Research a business continuity plan (BCP) and disaster recovery plan (DRP). Many vendors such as Ernst & Young (EY), Accenture, and Druva offer BCP/DRP services. Find a particular BCP/DRP case study, service, template, or program.

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HA 505 week 6 discussion-

Research a business continuity plan (BCP) and disaster recovery plan (DRP). Many vendors such as Ernst & Young (EY), Accenture, and Druva offer BCP/DRP services. Find a particular BCP/DRP case study, service, template, or program.

In your initial post, discuss what you learned.

Assistance: Visit https://www.disasterrecovery.org/business-continuity-plan/ Links to an external site.and ask for a free cloud based BCP/DRP plan., They will send you a presentation and template.

Determine Tony’s acid-base imbalance. Describe possible causes of the imbalance. Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance.

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Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.

Scenario

Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.

Tony’s ABG results:

pH 7.28

PaCO2 – 55 mm Hg

PaO2 – 70 mm Hg

HCO3 – 30 mEq/L

Instructions

In a 1-2 page Word document:

  1. Determine Tony’s acid-base imbalance.
  2. Describe possible causes of the imbalance.
  3. Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance.
  4. List the multidimensional care strategies that are appropriate for the care of Tony.
Resources

For assistance with citations, refer to the APA Guide.

For assistance with research, refer to the Nursing Research Guide.

 

Analyze and discuss at least three critical barriers that impact the health and well-being of your chosen group; one must be a micro-level (individual) barrier that is financial, one must be a macro-level (community/state) barrier that relates to access and funding for care, and the third barrier may be one of your choosing.

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DISCUSSION ESSAY

For the second written assignment of the course, you will continue in the design of your proposed model program by demonstrating your understanding of your selected population’s challenges, which negatively impact this group’s health and well-being. Based on this week’s research, conduct an assessment of the barriers, limitations, and other distinguishing features, as they exist within your community.

Prepare a recap of the model program for your community that you originally shared in the Week 2 written assignment. As stated in the Week 2 directions, changes to the potential program can be made as you research and develop the focus of the program.

Analyze and discuss at least three critical barriers that impact the health and well-being of your chosen group; one must be a micro-level (individual) barrier that is financial, one must be a macro-level (community/state) barrier that relates to access and funding for care, and the third barrier may be one of your choosing.

Discuss at least one proposed solution for each barrier. Your solution for the micro barrier must include an analysis of various potential funding options (both independent and integrated). Your solution for the macro barrier must include an analysis of financing resources for health care.

Research and analyze the regulatory, legal, ethical, and accreditation requirements and issues for the service(s) offered in your proposed program. Discuss how each will impact the management of the program.

Your assignment should be a minimum of three pages in length (excluding title and reference pages) and should include a minimum of three scholarly sources cited according to APA guidelines as outlined in the Writing Center.

Note: All assignments in this course are progressive; therefore you should use the same population selected in your Week 2 assignment. The Week 2 assignment’s contents do not need to be re-submitted with this assignment.