Parts 6 and 7 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.
APA format
1) Minimum 14 pages (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page
You must strictly comply with the number of paragraphs requested per page.
Part 1: minimum 1 page
Part 2: minimum 1 page and one paragraph
Part 3: minimum 1 page and two paragraphs
Part 4: minimum 4 pages (72 hours)
Part 5: minimum 1 page
Part 6: minimum 1 page
Part 7: minimum 1 page
Part 8: minimum 1 page
Part 9: minimum 1 page
Part 10: minimum 1 page
Part 11: minimum 2 pages (48 hours)
Submit 1 document per part
2)¨******APA norms
All paragraphs must be narrative and cited in the text- each paragraph
The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.
Bulleted responses are not accepted
Don’t write in the first person
Don’t copy and paste the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 3 references (APA format) per part not older than 5 years (Journals, books) (No websites)
Part 4: Minimum 6 references (APA format) per part not older than 5 years (Journals, books) (No websites)
Part 11: Minimum 4 references (APA format) per part not older than 5 years (Journals, books) (No websites)
All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
6) You must name the files according to the part you are answering:
Pulmonary Function: D.R. is a 27-year-old man, who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights on the last week and often have been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.
Case Study Questions
According to the case study information
1. Hhow would you classify the severity of D.R. asthma attack? (One paragraph)
2. Name the most common triggers for asthma in any given patients (One paragraph)
a. Specify in your answer which ones you consider applied to D.R. on the case study.
Based on your knowledge and your research
3. Explain the factors that might be the etiology of D.R. being an asthmatic patient (One paragraph)
Part 2: Pathophysiology
Answer the questions in a single paragraph. Make sure the number of words is similar.
Fluid, Electrolyte and Acid-Base Homeostasis:
Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:
1. Could you determine what type of water and electrolyte imbalance does she has? explain
Based on your readings and your research
2. Define and describe Anion Gaps and its clinical significance.
One paragraph
3. Describe the signs and symptoms to the different types of water imbalance
a. Describe clinical manifestation she might exhibit with the potassium level she has.
One paragraph
4. Which would be the most appropriate treatment for Ms. Brown and why?
One paragraph
5. What the ABGs from Ms. Brown indicate regarding her acid-base imbalance?
Part 3: Nursing Role Transition (Write in the first person)
Role: Nurse
Unit: Dialysis
Include the role and unit of care in the answers to the questions
1. What makes a team effective in terms of achieving expected outcomes for the patients? (One paragraph)
2. What makes a team ineffective in terms of achieving expected outcomes for the patients? (One paragraph)
3. What is your input on your teamwork being effective? (One paragraph)
4. Do your teamwork effective? why? (One paragraph)
5. How can the nurses avoid being a part ineffective in the teamwork (One paragraph)
Part 4: Nursing Role Transition (72 hours)
Role: ANP-certified registered nurse anesthetists
1. Abstract (One paragraph)
2. Introduction (One paragraph)
3. Describe the role (Two paragraphs)
4. Why are you becoming a Nurse Practitioner? (Write in the first person-– Two paragraphs)
Find one research article, expert opinion about the Nurse Practitioner role
5. Summarize the article. (Two paragraphs)
6. What does the Institute Of Medicine (IOM) say about the need of Nurse Practitioners? (One paragraph)
7. Describe the effects that you will have as an advanced practice nurse in terms of healthcare industry and patient outcomes. (Write in the first person-Two paragraphs)
8. Conclusion (One paragraph)
Part 5: Philosophy/Critical Thinking
Answer the questions in a single paragraph. Make sure the number of words is similar.
According to the movie, Wit
One paragraph
1. Describe the involvement of nurse Susy with the main character of the movie.
2. Compare what could you have done differently? Write in the first person
.
One paragraph
3. Discuss the family dynamic and how this affects the main character.
4. Discuss the nurse’s action and how this impacts the relationship with the patient
One paragraph- Writ in the first person
5. In your opinion, do you think that the nurses working with the patient posse a strong work ethic? Give examples. Write in the first person-
Parts 6 and 7 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.
Part 6: Evolution, Taxonomy, and Phylogeny
Watch the following videos on evolution, taxonomy and phylogeny and understand how they are related to one another. Then, read the following scientific article by Donley et al. (2004) (see part 6 and 7 File) and answer
The pap3r discusses similarities between lamnid sharks and tunas. Lamnids, sharks belonging to the family Lamnidae such as Carcharodon carcharias and Isurus oxyrinchus
1. All have which taxonomic groupings in common?
2. Explain the concept of convergent evolution as discussed in the article.
a. Provide a correctly cited example of one other pap3r that discusses convergent evolution between these taxonomic groups.
Scientific literature often involves approaching complicated topics with terms or concepts you have never encountered before.
3. Provide an example of something the article you found interesting but were unfamiliar with prior to reading.
a. Discuss ways you find it helpful to approach these complex subjects when reading a pap3r.
Part 7: Evolution, Taxonomy, and Phylogeny
Watch the following videos on evolution, taxonomy and phylogeny and understand how they are related to one another. Then, read the following scientific article by Donley et al. (2004) (see part 6 and 7 File) and answer
The pap3r discusses similarities between lamnid sharks and tunas. Lamnids, sharks belonging to the family Lamnidae such as Carcharodon carcharias and Isurus oxyrinchus
1. All have which taxonomic groupings in common?
2. Explain the concept of convergent evolution as discussed in the article.
a. Provide a correctly cited example of one other pap3r that discusses convergent evolution between these taxonomic groups.
Scientific literature often involves approaching complicated topics with terms or concepts you have never encountered before.
3. Provide an example of something the article you found interesting but were unfamiliar with prior to reading.
a. Discuss ways you find it helpful to approach these complex subjects when reading a pap3r.
Part 8: Nursing leadership
1. Explain why leaders are made and are not born (Three paragraphs)
Part 9: Nursing Leadership
1. Define what is meant by strength-based leadership in nursing (One paragraph)
2. Give one profound/complete example of strength-based leadership in nursing (One paragraph)
3. What characteristics have the nurses capable of demonstrating strength-based leadership (One paragraph)
Part 10: Nursing Leadershipwrite in the first person
Role: Nurse
Position to advocate: Patient
Situation: A head nurse who appeared to be intoxicated with alcohol physically abused an elderly woman while she was showering her. The nurse became aware of the behavior of the head nurse.
Nursing should be an advocate for themself, their client, and their profession.
1. Describe the situation daily
2. Describe your position
3. How did you deal with the situation as a leader nurse?
Part 11: Nursing philosophy (Write in the first person)
1. Introduction (One paragraph)
2. What is your idea of what a nurse should be? (One paragraph)
3. Why do you want to be a nurse? (One paragraph)
4. How do you identify with the feelings of others? (One paragraph)
5. How do you plan to handle conflict amongst your patient and their family members? (One paragraph)
6. Do you enjoy and find fulfillment in serving others? (One paragraph)
Week 9 Assignment 2 - Case Study: Total Quality Management: The Patient Process at East-Southern Kentucky Community College Medical Clinic
Dr. William Jones has been the director of the health center clinic at East-Southern Kentucky Community College (ESKCC) for about six months. Having been a part of a much larger medical center in the past, he has seen the benefits of total quality management (TQM) and feels that it would help improve the operations at the ESKCC clinic. He has made some positive changes to the staffing of the clinic, but now feels that he must tackle making improvements to its operations. Consequently, he has created a TQM team (of which you are a part) and has made certain that they have received the necessary training to start examining the various processes within the health center's operations. The ambulatory health service department of the ESKCC health center clinic has received increased complaints from the ESKCC student body and staff concerning the services it offers in its walk-in urgent care clinic. Dr. Jones feels that this center would be an excellent starting point for the TQM team.
The Data
The team is presented with the following data regarding student/staff complaints:
CHART IS ATTACHED
The Patient Review Process
The process for a patient (either a student or a staff member) coming in because of a problem is as follows:
When a patient arrives at the clinic, the patient first sees the receptionist, who checks to see if the patient was seen before. If so, the receptionist pulls the medical record from the file. If the patient is new, the receptionist has the patient complete the necessary forms and creates a medical record.
Patients are seen by the physician in the order they arrive. If one of the two examination rooms is empty, the nurse escorts the patient to the examination room and records the patient's medical complaint. If no examination rooms are available, the nurse escorts the patient to a waiting area until an examination room is available.
When the patient is in the examination room, the nurse performs routine tests. The nurse then writes the complaint and findings on a medical examination form, a form that will be subsequently filed with the patient's medical record.
The physician examines the patient and orders medical tests, if necessary. A diagnosis and treatment plan is presented to the patient by the physician; a written copy of this plan and any other appropriate instructions are written on the medical examination form.
When the physician releases the patient, the patient returns to the receptionist, who prepares a bill. If the patient has health insurance, the bill is sent to the health insurance carrier.
The patient leaves after either paying the bill (by cash, check, or credit card) or signing the forms to authorize payment by his or her health insurance company. If the health insurance company refuses to pay or partially pays the bill, the receptionist bills the patient by mail. Any patient with an unpaid bill or bad credit history is refused subsequent treatment until the old bill is paid.
Instructions
As a member of the ESKCC TQM team, you are asked to put together a report that recommends improvements to the overall patient process. Create a 4–6 page report in a Word document (copy and paste any charts created in Excel) addressing the following tasks:
Construct a Pareto Chart for the data regarding complaints to the health center that is presented in Table 1. Describe two conclusions from examining this data.
Develop a control chart for the waiting time complaint (complaint #2). Explain how the control chart is developed and show the calculation process.
Illustrate the causes for Complaint #2 in a fishbone diagram. (Note: refer to the readings for examples.)
Develop a flow chart for the process that the clinic uses for a patient who comes into the ambulatory center. Draw two conclusions from examining the flow chart regarding either or both of the following:
How the process affects the patient.
Potential sources of unnecessary complexity.
Determine three improvements to streamline the patient process based on the insights that you gain from examining the process flow chart as well as your understanding of total quality management concepts from your course readings.
This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.The specific course learning outcome associated with this assignment is:
Propose improvements to a health services organization based on total quality management (TQM) concepts.
July 1, 2023
Week 9 Assignment 2 - Case Study: Total Quality Management: The Patient Process at East-Southern Kentucky Community College Medical Clinic
Dr. William Jones has been the director of the health center clinic at East-Southern Kentucky Community College (ESKCC) for about six months. Having been a part of a much larger medical center in the past, he has seen the benefits of total quality management (TQM) and feels that it would help improve the operations at the ESKCC clinic. He has made some positive changes to the staffing of the clinic, but now feels that he must tackle making improvements to its operations. Consequently, he has created a TQM team (of which you are a part) and has made certain that they have received the necessary training to start examining the various processes within the health center's operations. The ambulatory health service department of the ESKCC health center clinic has received increased complaints from the ESKCC student body and staff concerning the services it offers in its walk-in urgent care clinic. Dr. Jones feels that this center would be an excellent starting point for the TQM team.
The Data
The team is presented with the following data regarding student/staff complaints:
CHART IS ATTACHED
The Patient Review Process
The process for a patient (either a student or a staff member) coming in because of a problem is as follows:
When a patient arrives at the clinic, the patient first sees the receptionist, who checks to see if the patient was seen before. If so, the receptionist pulls the medical record from the file. If the patient is new, the receptionist has the patient complete the necessary forms and creates a medical record.
Patients are seen by the physician in the order they arrive. If one of the two examination rooms is empty, the nurse escorts the patient to the examination room and records the patient's medical complaint. If no examination rooms are available, the nurse escorts the patient to a waiting area until an examination room is available.
When the patient is in the examination room, the nurse performs routine tests. The nurse then writes the complaint and findings on a medical examination form, a form that will be subsequently filed with the patient's medical record.
The physician examines the patient and orders medical tests, if necessary. A diagnosis and treatment plan is presented to the patient by the physician; a written copy of this plan and any other appropriate instructions are written on the medical examination form.
When the physician releases the patient, the patient returns to the receptionist, who prepares a bill. If the patient has health insurance, the bill is sent to the health insurance carrier.
The patient leaves after either paying the bill (by cash, check, or credit card) or signing the forms to authorize payment by his or her health insurance company. If the health insurance company refuses to pay or partially pays the bill, the receptionist bills the patient by mail. Any patient with an unpaid bill or bad credit history is refused subsequent treatment until the old bill is paid.
Instructions
As a member of the ESKCC TQM team, you are asked to put together a report that recommends improvements to the overall patient process. Create a 4–6 page report in a Word document (copy and paste any charts created in Excel) addressing the following tasks:
Construct a Pareto Chart for the data regarding complaints to the health center that is presented in Table 1. Describe two conclusions from examining this data.
Develop a control chart for the waiting time complaint (complaint #2). Explain how the control chart is developed and show the calculation process.
Illustrate the causes for Complaint #2 in a fishbone diagram. (Note: refer to the readings for examples.)
Develop a flow chart for the process that the clinic uses for a patient who comes into the ambulatory center. Draw two conclusions from examining the flow chart regarding either or both of the following:
How the process affects the patient.
Potential sources of unnecessary complexity.
Determine three improvements to streamline the patient process based on the insights that you gain from examining the process flow chart as well as your understanding of total quality management concepts from your course readings.
This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.The specific course learning outcome associated with this assignment is:
Propose improvements to a health services organization based on total quality management (TQM) concepts.
July 1, 2023
Week 9 Assignment 2 - Case Study: Total Quality Management: The Patient Process at East-Southern Kentucky Community College Medical Clinic
Dr. William Jones has been the director of the health center clinic at East-Southern Kentucky Community College (ESKCC) for about six months. Having been a part of a much larger medical center in the past, he has seen the benefits of total quality management (TQM) and feels that it would help improve the operations at the ESKCC clinic. He has made some positive changes to the staffing of the clinic, but now feels that he must tackle making improvements to its operations. Consequently, he has created a TQM team (of which you are a part) and has made certain that they have received the necessary training to start examining the various processes within the health center's operations. The ambulatory health service department of the ESKCC health center clinic has received increased complaints from the ESKCC student body and staff concerning the services it offers in its walk-in urgent care clinic. Dr. Jones feels that this center would be an excellent starting point for the TQM team.
The Data
The team is presented with the following data regarding student/staff complaints:
CHART IS ATTACHED
The Patient Review Process
The process for a patient (either a student or a staff member) coming in because of a problem is as follows:
When a patient arrives at the clinic, the patient first sees the receptionist, who checks to see if the patient was seen before. If so, the receptionist pulls the medical record from the file. If the patient is new, the receptionist has the patient complete the necessary forms and creates a medical record.
Patients are seen by the physician in the order they arrive. If one of the two examination rooms is empty, the nurse escorts the patient to the examination room and records the patient's medical complaint. If no examination rooms are available, the nurse escorts the patient to a waiting area until an examination room is available.
When the patient is in the examination room, the nurse performs routine tests. The nurse then writes the complaint and findings on a medical examination form, a form that will be subsequently filed with the patient's medical record.
The physician examines the patient and orders medical tests, if necessary. A diagnosis and treatment plan is presented to the patient by the physician; a written copy of this plan and any other appropriate instructions are written on the medical examination form.
When the physician releases the patient, the patient returns to the receptionist, who prepares a bill. If the patient has health insurance, the bill is sent to the health insurance carrier.
The patient leaves after either paying the bill (by cash, check, or credit card) or signing the forms to authorize payment by his or her health insurance company. If the health insurance company refuses to pay or partially pays the bill, the receptionist bills the patient by mail. Any patient with an unpaid bill or bad credit history is refused subsequent treatment until the old bill is paid.
Instructions
As a member of the ESKCC TQM team, you are asked to put together a report that recommends improvements to the overall patient process. Create a 4–6 page report in a Word document (copy and paste any charts created in Excel) addressing the following tasks:
Construct a Pareto Chart for the data regarding complaints to the health center that is presented in Table 1. Describe two conclusions from examining this data.
Develop a control chart for the waiting time complaint (complaint #2). Explain how the control chart is developed and show the calculation process.
Illustrate the causes for Complaint #2 in a fishbone diagram. (Note: refer to the readings for examples.)
Develop a flow chart for the process that the clinic uses for a patient who comes into the ambulatory center. Draw two conclusions from examining the flow chart regarding either or both of the following:
How the process affects the patient.
Potential sources of unnecessary complexity.
Determine three improvements to streamline the patient process based on the insights that you gain from examining the process flow chart as well as your understanding of total quality management concepts from your course readings.
This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.The specific course learning outcome associated with this assignment is:
Propose improvements to a health services organization based on total quality management (TQM) concepts.
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