What method would you choose to estimate BFP if it’s necessary? Why?How many grams of protein should he ingest on a daily basis to maintain (in a healthy way) his current weight?

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The patient just graduated college with a degree in Mechanical Engineering and is working full-time for the Department of Transportation. He is 25 years old, diabetic and lactose intolerant. His blood pressure is 134/91, he weighs 225lb, he is 5ft 9in tall and his waist circumference is 44in. He had a cholecystectomy when he was 24 years old and has experienced an increased number of bowel movements and some gastrointestinal discomfort since he had the surgery. He also expressed that he does not eat dairy products in general but he usually eats two containers of yogurt every day (see food label below) as a snack because its easy and convenient for him. When asked about his daily physical activity, he admits to only walking around his neighborhood maybe once a month. He was asked to keep a record of his diet for a week and these are some of the results: 3425 kcal/day (total intake), 1321 kcal from lipids, 250 kcal from protein and 1854 kcal from carbohydrates. *show work for calculations for partial credit

Is he overweight or obese? Why?
What method would you choose to estimate BFP if it’s necessary? Why?
Is he eating more or less than he should? Why?
How many grams of protein should he ingest on a daily basis to maintain (in a healthy way) his current weight?
What are some of the problems with his current diet? (be specific and backup your answer with data) What dietary changes should he make to help him lose weight?
What percentage of his daily value of protein (based on his EER) does he get from eating yogurt?
Based on his medical history, why do you think he eats yogurt every day?
What do you think is the cause of his increased frequency of bowel movements and gastrointestinal discomfort he has experienced since his surgery?

Select an older adult (65 years of age or older) to interview for approximately one hour.What other stressors/distresses in life at this time? Include those related to: basic growth need deficits; under or over affiliations with others; and insecure attachments (review developmental tasks for this age group)

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Select an older adult (65 years of age or older) to interview for approximately one hour. Do not choose a family member or someone that you know well for this experience.

You might try to arrange an interview with someone from church, in your neighborhood, the relative of a friend, a co-worker, etc. Please conduct the interview face to face. Your visit might focus on a theme (such as physical health, relationships, coping, cultural background and practices, feelings about aging, good resources for the elderly, plans for living arrangements), OR it could be general in nature. Ask questions that elicit values, opinions and feelings. Most people will share their story if they have a willing listener.

Two questions to include in your interview are:

     How has he or she changed since they were 25 years old?

     Discuss their thoughts on illness and wellness?  Has their personal definition of illness and wellness    

     changed over throughout their life?  If so, how?

In addition, address two agencies in your local area that you can use as a referral source to enhance your own nursing practice.  Give a brief overview of each agency and explain the opportunities the agency offers for improving health of older adults. 

Optional questions are listed below.

After the visit, write a refection paper. Write the paper using APA guidelines. Include a cover page and a reference page. Each section of this paper will be graded on completeness of report, and critical reflecition and thought.

Include two scholarly articles to support an idea from this interview.  In addition, cite your textbook at least once in your reflection paper.

Optional Interview Questions

1. What are the client’s greatest concern/stressors at this time?

2. What other stressors/distresses in life at this time? Include those related to: basic growth need deficits; under or over affiliations with others; and insecure attachments (review developmental tasks for this age group)

State the EHR mandate. Who started it? When? What are the goals of the mandate? Describe your facility’s plan. If you have already implemented a system, what steps were taken? Make sure you use the HealthIT.gov website.

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Address EHR implementation strategies for health organizations and describe how EHRs improve patient safety. Consider your own facility’s implementation of its electronic health record, if you have one. If not,contact a large health system in your area and talk to their IT department, or select one of your clinical sites and contact that IT department. Answer the following questions:

  • State the EHR mandate. Who started it? When?
  • What are the goals of the mandate?
  • Describe your facility’s plan. If you have already implemented a system, what steps were taken? Make sure you use the HealthIT.gov website
  • Describe “meaningful use”.

Create a minimum 10-slide PowerPoint presentation describing and explaining the six-step process for strategy development in your hospital’s healthcare strategic management action plan.

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Healthcare Strategy.
Introduction: The process for healthcare strategy development follows a logical sequence of steps. Decisions made at each step will have implications and consequences at successive steps in the process, so forward thinking is very important.
You are the vice-president in charge of your hospital’s strategic planning process this year. You are addressing your key stakeholders and planning participants at the first strategic planning meeting.
Your assignment is to create a minimum 10-slide PowerPoint presentation describing and explaining the six-step process for strategy development in your hospital’s healthcare strategic management action plan. Additionally, explain strategic alternatives available to healthcare organizations today.

Discuss the analytic and emergent models of strategic management. Why are both models important for healthcare organizations today?

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Question 1
You have just been appointed director of development and planning for a250-bed community hospital in the Midwest. It is has been five years since your organization conducted a full strategic planning process, and it shows that your facility is behind the times. You have your work cut out for you, but how will you begin? What do you see that has to be done to initiate the strategic planning process for your hospital to catch up with the advancement of healthcare in America? Why?

Question 2
Discuss the analytic and emergent models of strategic management. Why are both models important for healthcare organizations today?

Question 3
Strategic management exists at all levels of the healthcare organization. Explain how strategic thinking maps apply to the different levels of strategy within a healthcare organization.

Question 4
You have just been named CEO of a community hospital in a town of 50,000people on the West Coast. You are replacing a CEO who had served in the position for 24 years. When you meet him during his last week on duty, he offers this observation: “My advice is stay in your office, keep the door shut and let the assistant administrators take care of all the complaints and stupid ideas out there. This town never appreciated having a hospital, and they don’t support it. I just hope it survives so you have a job running it.” It has been a long time since the hospital reached out to the community for feedback and recommendations and a long time since the word “stakeholder” was even spoken here.
How will you approach your new position based on this? How will you handle making a difference? Explain.

Question 5
You have just been named director of marketing for a community hospital in a town of 500,000 people on the East Coast. There are five major health systems with inpatient facilities in your community, and the competition is intense. You definitely need to conduct a competitor analysis right away, but how will you proceed with that? Explain what key factors and forces you will consider as you analyze your competitors.

Question 6
You have just been named director of emergency medical services for a hospital-based emergency medical services (EMS) program. Your program is housed in a 250-bed acute care hospital in a town of 35,000 people. You are employed by the hospital itself, reporting to the chief executive officer (CEO). Formal strategic planning has never been done for the EMS program before, and the physician medical director is not very involved at this time.
How will you proceed to prepare a strategic plan for this program? What steps will you take, and who will you involve in the process? Explain.

How can a healthcare manager apply what they learned in college to their current or future career? How might the lessons they have learned positively impact their career success?

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Question 1
You are the director of marketing and development for a 500-bed hospital in Chicago. Your chief executive officer (CEO) has assigned you to lead the process of creating directional strategies for the hospital. Most of the hospital’s department directors and other participants in your strategic planning process have never created directional strategies before. They will need guidance from you on this process in order to participate effectively.
How will you explain the process for establishing directional strategies? What guidance can you offer them to implement these strategies with your knowledge of directional strategies?

Question 2
You are a hospital vice-president assigned to lead this year’s strategic planning process. Your facility is a 200-bed long-term acute care hospital in Alabama. At your first strategic planning session, you want to make sure that all of your participants understand positioning strategies, both market-wide strategies and focused strategies.
How will you explain these strategies to your participants before the planning process begins? Do you feel your inputs strategies are sufficient to meet the needs of your facility? Why?

Question 3
You are the chief executive officer (CEO) of a small community hospital in Nebraska. You serve a town of 5,000 people and a large agricultural region surrounding the town. As you prepare for strategic planning this year, you realize that your hospital will need to go through re-engineering in order to survive financially under the new reimbursement regulations announced by the Centers for Medicare and Medicaid Services.
Discuss the key principles you will need to follow as you begin there-engineering process? What do you believe are the most important considerations here, and why?

Question 4
How can a healthcare manager apply what they learned in college to their current or future career? How might the lessons they have learned positively impact their career success?

Discuss how to implement objectives of Healthy People 2020 to increase wellness. Discuss nursing’s role as an advocate for participant acceptance of diagnosis and treatment.

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In a Microsoft Word document of 4-5 pages formatted in APA style, describe the information collected about a person with a chronic illness. Note that the title and reference pages should not be included in the total page count of your paper.

Using the information from the interview you conducted in Week 2:

List the support needs of your participant beginning with the highest priority and then in descending order.
Provide examples of appropriate interventions of the professional caregiver, for example, the nurse.
Discuss how to implement objectives of Healthy People 2020 to increase wellness.
Discuss nursing’s role as an advocate for participant acceptance of diagnosis and treatment.
Discuss the impact of the environment on patient’s health.
Include social determinants that impact care.
Support your responses with examples and information from library resources, textbook and lectures.

On a separate reference page, cite all sources using APA format.

Based on the first few chapters of Being Mortal by Atul Gawande, how do independence behaviors by patients, the aging population itself and dependence behaviors help shape quality of care, whether positively or negatively?

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Quality of care and patient safety should be priority throughout the care of a patient, including to the moment of life’s end. Based on the first few chapters of Being Mortal by Atul Gawande, how do independence behaviors by patients, the aging population itself and dependence behaviors help shape quality of care, whether positively or negatively? make sure to include a minimum of 4 cited sources one of which should be Atul Gawande “Being Mortal”

Identify two professional journal and two nursing and two health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge. Includes a conclusion.

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Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Identify two professional journal and two nursing and two health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge. Includes a conclusion.

Write a 2000 word paper evaluating the PPACA. Detail its timeline from inception to implementation.

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Write a 2000 word paper evaluating the PPACA. Detail its timeline from inception to implementation. Analyze the effect the PPACA currently has on access and delivery of healthcare and the anticipated effects it will have on healthcare delivery in the future. What opportunities has the PPACA created for nursing? Describe your state’s position on Medicaid expansion. How has this helped/hurt health care in your state of arizona? All references within the last 5 years and in apa format. All facts must have in text citations.