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Template Case Study Chosen: (List what case you have chosen) Demographics: Age/Gender SUBJECTIVE CC: HPI: (As listed from Case Study Information) Subjective: (What questions will you ask? Must be listed by System, ONLY as it pertains to Chief Complaint/HPI. Should NOT be all systems or full head to toe unless pertinent). OBJECTIVE General: VS BP, HR, RR, Weight, Height, BMI Physical Exam Elements: (Must be listed by System, ONLY as it pertains to Chief Complaint/HPI. Should NOT be all systems or full head to toe unless pertinent.) POC Testing (any Point of Care (POC) testing specifically performed in the office): What tests (if any) did you perform during the visit (urine dip, rapid strep, urine pregnancy test, Glucose finger-stick, etc.)? Leave blank if none. ASSESSMENT Working Diagnosis: (Must include ICD 10) Differential Diagnosis: PLAN Diagnostic studies: If any, will be ordered (Labs, X-ray, CT, etc.). Only include if you will be ordering for your patient. Remember the importance of appropriate resource utilization. Remember you are managing this patient in the CLINIC setting, NOT THE HOSPITAL. Treatment: Must include full Sig/Order for all prescriptions and OTC meds (Name of medication, dosage, frequency, duration, number of tabs, number of refills). CANNOT only list drug class. Should follow evidence-based guidelines. Referrals: If Applicable Education: Health maintenance: RTC: Week 6 Endocrine/Metabolic/Hematological Discussion Prompts Maria is a 35 y/o female who is complaining of frequent vaginal yeast infections. She has had 4 in the last 6 months, and they have been treated with topical and oral antifungal medications which have initially worked, but the infections recur within 1-2 weeks. Maria reports increased thirst and urination for the last two to three months. Maria is an office manager in a bookstore who works full-time and has 4 children aged 5, 7, 10, and 12, who live with her 80% of the time. She has been divorced x 3 years and is struggling to make ends meet and reports she and her children frequently eat fast food because of the low cost and time constraints. Maria’s vital signs are 136/88, 98.8, 16, 80, Ht 5’3”, Wt 187 lbs,?? Tim is a 22 y/o male who is complaining of lethargy, cold sensitivity, weight gain of 10 lbs over the last 3 months with an unnoticeable change in appetite, brain fog, constipation, and muscle weakness that he feels has become progressively more noticeable over the last several months. Tim is a heterosexual, single, full-time college student and works part-time at a coffee shop. His last annual physical examination was 2 years ago and was WNL. His current vital signs are 110/70, 62, 98.6, 12, Ht 5’9” Wt 190 lbs.? Brian is a previously healthy 56-year-old white man who presents with progressive neuropathy and declining mental status over several months. The patient initially developed numbness of his fingertips and the balls of his feet and began to lose motor control of his hands, which manifested as dropping objects or flinging them as he tried to pick them up. As symptoms progressed, he had visual tracking problems that were severe enough to interfere with driving a car, and he developed short-term memory loss and slowing of cognitive function. His current vital signs are 117/70, 72, 98.6, 12, Ht 5’9” Wt 193 lbs. Brian's Laboratory Results Hemoglobin (Hgb) 15 g/dL (13.5 to 17.5 g/dL) Hematocrit (Hct) 45% (41-50%) Mean Corpuscular Volume (MCV) 93 fL (80-100 fL) Serum Vitamin B12 (cobalamin) 175 pg/mL (200-910 pg/mL) Serum Methylmalonic Acid (MMA) 6434 nmol/L (0-400 nmol/L) Plasma Homocysteine 11 ?mol/L (5–15 ?mol/L) Anti-intrinsic factor (anti-IF) antibody 1.0 (0-1.1 Unit) Acetylcholine Receptor (AChR) binding antibodies negative (?0.02 nmol/L) Head computed topography (CT) No cerebral atrophy or white matter changes consistent with demyelination Table 1. Common Endocrine and Metabolic Disorders. Complete Table 1 if you chose case study #1 or #2. In addition to your SOAP note, you must also complete the following table. Upload your SOAP note and table to the discussion board. Diagnosis Signs/Symptoms Gold Standard Diagnostics Gold Standard Treatment Hyperthyroidism Grave's Disease Hypothyroidism Hoshimoto's Thyroiditis Addison's Disease Cushing's Diabetes Mellitus Type 1 Diabetes Mellitus Type 2 Hyperprolactinemia *Exam Tip First-line medication for type 2 DM is metformin (Glucophage). If patient on metformin 500 mg daily and A1C is high (>7%), increase dose to metformin 500 mg BID. If A1C is still high (>7%) and on metformin 500 mg BID, increase dose to metformin 1,000 mg BID (or 1 g BID). If taking maximum dose of metformin (1 g BID), can use several drug classes with it such as a sulfonylurea like glipizide (Glucotrol XL) 5 mg PO daily (do not exceed maximum dose of glipizide 20 mg/day), DPP-4 inhibitor (Januvia, Onglyza), TZDs (Actos), others. Table 2. Common Hematologic Disorders. Complete Table 2 if you chose case study #3. In addition to your SOAP note, you must also complete the following table. Upload your SOAP note and table to the discussion board. Diagnosis Signs/Symptoms Gold Standard Diagnostics Gold Standard Treatment Iron Deficiency Anemia Thalassemia Minor Aplastic Anemia Pernicious Anemia Vitamin B12 Deficiency Non-Hodgkin's Lymphoma Multiple Myeloma Thrombocytopenia Folic Acid Deficiency Neutropenia Hodgkin's Lymphoma

All students are required to complete Tables 1-3 Download Tables 1-3as a component of the discussion. PART II Select one of the following four case scenarios. Identify the prompt in the subject line of your post, for example, Case Scenario 1 - Brenda Complete all Part II elements of the discussion: Each prompt has additional key questions to address in the body of your response to ensure an understanding of learning objectives. Use at least 1-2 scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. Case Scenario 1: Brenda is a 13-year-old brought into the clinic by her mother for a left leg limp she developed last week. Brenda’s BMI is >95%. She reports no history of injury and her past medical history is unremarkable. She can bear weight on her left leg but complains of left hip, groin, and knee pain when she does. What more should you know about Brenda? What specific exam techniques should you perform and why? What diagnostic tests should you order and why?

You will have to write an essay on one of the three topics of your choice:1st topic: Mental Health and Illness2nd topic: Prejudice and Discrimination3rd topic: Deviance and DefianceYou can discuss about anything you want connected to one of those three topics. The goal is to show through the reflections that you understand the Sociological concepts and theories of the topic of your choice. However, it is not about just defining the concepts but rather reflect on them based on one idea, one experience, or thought connected to the topic

Health care professionals make decisions that can either improve or hinder a patient's care and are based on principles of organizational behavior and development. For this assignment, you will write a paper that includes the following two parts. Part 1: Scenario Evaluation Review the scenario called "Critical Decision Making for Providers" in the Allied Health Community media, found in the topic Resources. Examine the scenario involving Mike, the lab technician, and do the following: Explain the consequences of a failure to report. Explain the impact his decision had on patient safety and organizational performance (risk for litigation, organization's quality metrics, workload of other hospital departments, etc.). As Mike's manager, describe how you would address the issue with him and steps you would take to ensure other staff members do not repeat the same kind of mistake. Reflect on the scenario and describe what underlying aspects or issues may be contributing to workplace dilemmas such as this. Part 2: Organizational Behavior and Development Analysis Consider the way most health care organizations function (structure, people, technology, environment). From the perspective of a leader in your current or future health care setting: Explain the principles of organizational development that contribute to the success of a health care organization. Explain how these principles could be applied to the scenario. A minimum of the textbook and three other scholarly references from credible sources are required for this assignment. Two of the three scholarly resources must be from a peer-reviewed journal published within the past 5 years and must be appropriate for the assignment criteria and health care setting. Textbook: The Interprofessional Health Care Team: Leadership and Development by Weiss, D., Tillen, F., & Morgan, M. J. (2024). The interprofessional health care team: Leadership and development (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284273380 Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

All details are on the instructions page.  Prepare a summary of the article in your own words and your own writing style and structure.

Submit 1 Mini-SOAP note on a patient that you saw in clinic this week. Submit here as a Word Document. See the example template below for the required format. Review the rubric for more information on how your assignment will be graded. Problem-Focused SOAP Note Format Demographic Data Age, and gender (must be HIPAA compliant) Subjective Chief Complaint (CC) unless an Annual Physical Exam (APE) History of Present Illness (HPI) in paragraph form (remember OLDCART: Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment) Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies, immunizations, and preventative health maintenance as applicable Family Hx: As applicable Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc. Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap, vaccines, colonoscopy) Objective Vital signs Physical findings listed by body systems, not paragraph form Assessment (Diagnosis/ICD10 Code) Include all diagnoses that apply for this visit Plan Dx Plan (lab, x-ray) Tx Plan: (meds) Pt. Education, including specific medication teaching points Referral/Follow-up Health maintenance (including when screenings, immunizations, etc., are next due): *Based on population focus, some additional details may be required by faculty

This visual assignment will profile a contemporary or historical leader.   Students are encouraged to select a leader who has demonstrated leadership styles discussed in class.   Political figures are discouraged, however business, healthcare, religious, athletic, or societal leaders are acceptable.   Students may present their leader via any visual presentation means appropriate (Powerpoint).  Be creative! Information to be included:   Picture- a picture of your leader Biographic Information- a historical review of their life, career and how they became a leader Leadership Qualities: describe at least 3 qualities that the leader has. You need to provide examples of when they used these skills during their time as a leader. Leadership Style:   based on what you have learned in this course, what type of leadership style does/did this person demonstrate, use examples  Perspective-  Leaders often cause division.  Is this leader a leader in everyone’s opinion? What other perspectives are there about this leader?  Saying, everyone thinks this person is a leader is not acceptable.  What alternative opinions and thoughts are out there about this person or their leadership style?

Overview You have just taken on a new role as a marketing manager for a new hospital in Ajo, Arizona-Ajo Medical Center (AMC). There is one other hospital in the area, but it is 40 miles from the center of town, making it difficult for many residents to get to. The new AMC will be much more accessible for residents who live closer to town. The CEO of AMC has asked you to create a proposal in which you provide a competitive marketing entry strategy and a communication strategy and suggest marketing research tools for the new hospital. Instructions Create a proposal (including a Sources page) in which you: Develop a SWOT analysis to determine the best approach for market entry. The following resources may be helpful: 7 Strategies for A Successful New Market EntryLinks to an external site.. How Do You Prepare to Enter a New Market?Links to an external site. Formulate a proposed marketing entry strategy for how your hospital will enter the local market and attract patients in ways that differentiate it from the other area hospitals. The following resources may be helpful: Marketing to Healthcare: Applying the 4 C'sLinks to an external site.. Formulating Productive Marketing Communications Strategy: A Major Health System's ExperienceLinks to an external site.. Develop a proposed communication strategy for the new hospital using the 4 C's for marketing communication. The following resource may be helpful: 20 Market Research Tools (With Importance and Types)Links to an external site.. Create a list of suggested marketing research tools that AMC could use to identify the target market and to learn about patient wants and needs. Make sure the tools are a good fit for AMC. Examples include Google Analytics, SurveyMonkey, Spyfu, and Claritas MyBestSegments. Use 4-5 credible, relevant, and appropriate sources to support your writing. Cite each source at least once within your assignment. For help with research, writing, and citation, access the library or review library guides. Keep in mind that this proposal is for the CEO, so the proposal should also: Contain accurate and clearly written information. Be professional in appearance. Use headings. Incorporate colors, graphs, and charts as appropriate. Include a Sources page at the end of the proposal, cited using the Strayer Writing Standards format. This course requires the use of Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the Library site for all support. Check with your professor for any additional instructions.

1. Sarah According to Lee et al. (2019), The Institute of Medicine (IOM) identifies patient safety as a critical concern in healthcare and the best solution is enhancing quality of care. “The IOM has emphasized the importance of creating a culture of safety in healthcare organizations to improve patient safety and quality of care” (Lee et al., 2019). Lee et al. (2019) has coined the phrase “safety culture” and defines it as the product of individual or group values, attitudes, perceptions, competencies, and patterns of behavior that determine the commitment to an organization’s health and safety Melnyk & Fineout-Overholt (2023) suggest that healthcare leaders are a key piece in implementing and sustaining a culture of quality, especially when it comes to an evidence-based practice approach to decision making in their organizations. Healthcare leaders must focus on creating an environment where staff and physicians feel comfortable to implement and sustain EBP for the purpose of improving healthcare quality and patient outcomes, as well as decrease costs (Melnyk & Fineout-Overholt, 2023). There are several ways in which a culture of quality can be created. Melnyk & Fineout-Overholt (2023) suggest competencies should be utilized as a mechanism for healthcare professionals to provide high-quality safe care. Competencies are great measurement tools for healthcare professional’s skills set and can help leaders guide the quality of care that is expected. The Quality and Safety Education for Nurses (QSEN) project focuses on a global nursing initiative with the purpose to develop competencies that would prepare future nurses who would have the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the healthcare systems within which they work” (Melnyk & Fineout-Overholt, 2023, p. 369). Studies have proven that leaders who are courageous and committed to establishing EBP as the driver for best practices have led to more effective teamwork, a more engaged and satisfied staff, improvements in patient care and patient outcomes (Melnyk & Fineout-Overholt, 2023). Studies have proven that creating a positive, evidence-based, patient-centered culture has increased the quality in care of patients. Lee et al. (2019) describes a study showing the positive relationship between safety culture and patient falls. These studies also have measured patient/family-reported satisfaction levels and direct patient outcomes being related to the safety culture in healthcare organizations. Feldman et al. (2019) suggests that creating a culture of high quality in the healthcare field requires a focus on developing many leaders who are quality improvement experts as well as experts on patient safety and change management. Feldman et al. (2019) explains that to create a culture of high-quality it must develop slowly and include buy-in from all levels of care providers within an organization. Colossians 3:23 states “whatever you do, work at it with all your heart, as working for the Lord, not for human masters” (NIV, 2020, p. 522). This verse is exceptional for this thread topic. Healthcare leaders must focus on creating a culture of high-quality care to set an example for their team. Utilizing evidence-based practice and competencies to hold their staff accountable and providing a positive and open-minded work environment is essential to sustaining a culture of quality. Resources Barker, K. L. (2020). Niv study bible. Zondervan. Feldman, S. S., Buchalter, S., Zink, D., Slovensky, D. J., & Hayes, L. W. (2019). Training leaders for a culture of quality and safety. Leadership in Health Services, 32(2), 251–263. https://doi.org/10.1108/lhs-09-2018-0041 Lee, S. E., Scott, L. D., Dahinten, V. S., Vincent, C., Lopez, K. D., & Park, C. G. (2019b). Safety culture, patient safety, and quality of Care Outcomes: A literature review. Western Journal of Nursing Research, 41(2), 279–304. https://doi.org/10.1177/0193945917747416 Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in Nursing & Healthcare: A guide to best practice. Wolters Kluwer.   2. Baker  There are several factors that must be addressed when implementing and sustaining a culture of quality within health care. Some of these factors include sufficient commitment from leadership, proper education and training, staff accountability, and open dialogue between health care providers and the patients they serve (Coles et al., 2020). While all these concepts play a critical role in maintaining a culture of quality within a health care facility, their effectiveness ultimately relies on leadership commitment and the dedication of leaders to establish a culture centered around evidence-based practice and continuous quality improvement at the workplace. In fact, health care leaders must create and sustain work environments where clinicians need to implement evidence-based practices and provide the best patient care. Furthermore, it is the responsibility of health care leaders to use the best EBP in their decisions, which models ideal behavior for other employees and ultimately provides the best environment and culture for informed decision-making and establishing a culture of competence and high quality for both employees and patients at the facility (Melnyk & Fineout-Overholt, 2023, pp.421-422). There are several leadership styles and strategies one can implement to instill a culture of high quality and evidence-based practice at their facility. These different styles are known as innovative leadership, transformational leadership, servant leadership, and authentic leadership. Innovative leaders tend to promote creativity, embrace change, and optimize resource utilization in new ways. Transformational leaders inspire followers to commit to delivering high quality care, encourage autonomy and growth, and ultimately improve patient outcomes by focusing on patient-centered care and continuous improvement at the facility. Servant leaders prioritize the well-being of team members through establishing a positive work environment, improving staff morale, and emphasizing the patient-centered care model through traits of empathy, compassion, and patient safety. Lastly, authentic leaders are transparent and rely on ethical behaviors and trust for effective EBP implementation, greatly value diversity and a culture of fairness and open communication, and correlate to higher levels of job satisfaction among employees, which increases the probability of staff members embracing change and evidence-based decision making at the facility (Specchia et al., 2021). Ultimately, each of these leadership styles have their own strengths and weaknesses to contribute to successfully establishing a culture of evidence-based practice and high-quality care at the workplace. Through embracing change and having leaders who are committed to both their employees and their patients, a culture of high quality and informed decision-making will take place. Biblical Integration James 1:4, “Let perseverance finish its work so that you may be mature and complete, not lacking anything” (Holy Bible). James encourages believers to embrace challenges and difficulties which allow for the development of endurance and spiritual maturity. The goal of this is for one to become more Christlike and experience a life full of growth and development while building a relationship with God along the way. This relates to quality improvement measures in health care in several ways. Primarily, the successful implementation of quality improvement measures requires perseverance and allows for health care employees to constantly work towards improvement. Furthermore, maturity within health care is established when one gains an understanding of the complexities of health care, which can only be achieved through learning experiences and successful collaboration with health care colleagues. In conclusion, this verse emphasizes the importance of perseverance as it leads to maturity and completeness. As health care professionals, this verse can be applied to ensure that a constant pursuit of quality improvement is established to provide the best possible experience for patients. References Coles, E., Anderson, J., Maxwell, M., Harris, F. M., Gray, N. M., Milner, G., & MacGillivray, S. (2020). The influence of contextual factors on healthcare quality improvement initiatives: a realist review. Systematic reviews, 9, 1-22. https://doi.org/10.1186/s13643-020-01344-3Links to an external site. Holy Bible – American Standard Version. (Original work published 1901) Retrieved from: https://holy-bible.online/asv.phpLinks to an external site. Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in Nursing & Healthcare: A guide to best practice (Fifth Edition). Wolters Kluwer. Specchia, M. L., Cozzolino, M. R., Carini, E., Di Pilla, A., Galletti, C., Ricciardi, W., & Damiani, G. (2021). Leadership styles and nurses’ job satisfaction. Results of a systematic review. International journal of environmental research and public health, 18(4), 1552. https://doi.org/10.3390/ijerph18041552Links to an external site. 

Task summary: In this assessment, you will assume the role of the senior nurse at a regional hospital who has been assigned to develop a disaster recovery plan for the community using MAP-IT and trace mapping, which you will present to city officials and the disaster relief team. Use at least 4 academic sources and as many graphs/tables as possible. Full order description:? MAIN DETAILS:  1 Develop a disaster recovery plan for the community that will reduce health disparities and improve access to services after a disaster.? Assess community needs.? Consider resources, personnel, budget, and community makeup.? Identify the people accountable for implementation of the plan and describe their roles.? Focus on specific Healthy People 2020 goals and 2030 objectives.? Include a timeline for the recovery effort. 2 Apply the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework to guide the development of your plan: ? Mobilize collaborative partners.? Assess community needs. Use the demographic data and specifics related to the disaster to identify the needs of the community and develop a recovery plan. Consider physical, emotional, cultural, and financial needs of the entire community. Include in your plan the equitable allocation of services for the diverse community. Apply the triage classification to provide a rationale for those who may have been injured during the train derailment. Provide support for your position. Include in your plan contact tracing of the homeless, disabled, displaced community members, migrant workers, and those who have hearing impairment or English as a second language in the event of severe tornadoes.? Plan to reduce health disparities and improve access to services.? Implement a plan to reach Healthy People 2020 goals and 2030 objectives.? Track and trace-map community progress. Outside sources are allowed too.