Using the current literature and pathophysiology explain the risk that smoking poses to her future health. Identify the challenges and reasons why some patients are reluctant to quit and evidenced based strategies that could assist Mrs Beecham to address this. Outline how you would explain the risks and potential outcomes to Mrs Beecham.

/in /by

* References should not be more than 5 years
The question to be answered Topic ( 1. Mrs Beecham has a history of cardiovascular and respiratory disease where smoking is a clear risk factor. Using the current literature and pathophysiology explain the risk that smoking poses to her future health. Identify the challenges and reasons why some patients are reluctant to quit and evidenced based strategies that could assist Mrs Beecham to address this. Outline how you would explain the risks and potential outcomes to Mrs Beecham. )

Instruction :

• The word count for this written assignment will be 1650 words.
• You will be expected to use research or evidence-based journal articles (a minimum of five), textbooks and appropriate authoritative web sites (not Better Health Channel, Virtual Hospital, etc.), and all references used are to be no older than five years.
• All referencing is to be formatted intext and final list using the APA 6th Edn referencing style.
• A Table of Contents is required if headings are used in your assignment.
• provide an excellent introduction to your submission, and clearly explain how you intend to answer the topic question with Excellent paragraph structure.
• Professional language used throughout, with well-defined terms.
• Your conclusion provides a high quality summary of the major points covered in your
• You effectively linked quality research based evidence to justify each of your rationales.

THE CASE STUDY :
Mrs Dorothy (Dotty) Beecham is 74 years old, and has been admitted with community-acquired pneumonia (CAP) and query Deep Vein Thrombosis (DVT). Mrs Beecham arrived in the emergency department, concerned about her increasing shortness of breath, high temperature, fatigue, ‘strange’ coloured sputum as well as pain and swelling in her right calf. Her clinical manifestations on admission were dyspnoea, fever, and chills. Mrs Beecham’s current medical history includes Chronic Obstructive Pulmonary Disease (COPD), Myocardial infarction 2012, osteoarthritis (poor mobility and awaiting a Total Knee replacement), hypertension, hypercholesterolaemia, type 2 diabetes mellitus, varicose veins and 4 episodes of DVT in the last 2 years. Mrs Beecham states that she has been smoking upto 5 cigarettes/day since 2012 and prior to this 20 per day for 25 years despite knowing about her emphysema, heart disease and risks for further DVT’s. Her alcohol intake is limited to the1 small glass of port per day. Mrs Beecham is a retired machinist, who lives alone since her husband’s death 2 months ago. Her two children live in Qld and visit infrequently. She has one sister Ruby who brought her to the emergency department.

Develop a training manual that will be utilized for training new employees

/in /by

In this assignment, you will develop a training manual that will be utilized for training new employees (certified medical administrative assistants {CMAAs} who join the clinic.

Note: Physicians are hiring more CMAAs to help manage the increasing complexities of patient care and practice management, while also helping to implement cost-effectiveness and efficiency. The responsibilities of a CMAA can be tailored to the needs of the practice. You will manage front-office functions, manage patient flow, and handle a wide range of tasks that have been discussed in the past few weeks. As a CMAA, you may convey clinical information on behalf of the physician and follow clinical protocol when speaking with patients, but you cannot exercise independent medical judgments. You will also help to optimize patient flow, enabling the physician to see more patients with efficiency, all while following your State’s(South Carolina) scope of practice and working under the supervision of a licensed physician.
• The Project deliverables are as follows:
o Training Manual
o Title Page
o Course number and name
o Project Name
o Your Name
o Date
• The training manual should include the following topics: 8-10 pages APA format; Plagiarism needs to be no greater than 25%
o An introduction to the health care system
o The organization’s structure
o The process of checking patients in and out
o Scheduling patients
o Various community and patient resources
o Processes for how to interact with patients
o Health insurance plans
o Financial procedures related to the policies of the organization
o Clean claims
o Financial procedures related to the organizations cash flow
o Billing policy and procedures
o Protecting patients’ privacy
o Accounting and bookkeeping procedures and processes
o Office procedures for various forms of documentation (release of information, electronic health record)
o Health Insurance Portability and Accountability (HIPAA) rules and regulations
o HIPPA forms
o Advance directives
o Medical record responsibilities
o Obtaining patient demographics and insurance information
o Receive, triage, and route phone calls
o Review records for medical necessity
o Release of information guidelines

Discuss a situation in which an individual in this profession might be held liable for negligence. Also discuss ways to proactively avoid or prevent negligence in the profession that you selected.

/in /by

Paper 1: Professional Liability—select an allied health (nonphysician) profession; this can be your own profession or another profession that interests you. Some examples of allied health professions include physical therapy, respiratory therapy, pharmacy, nursing, physician assisting, radiography, ultrasonography, nuclear medicine, medical laboratory, medical assisting, phlebotomy, and many others. Discuss a situation in which an individual in this profession might be held liable for negligence. Also discuss ways to proactively avoid or prevent negligence in the profession that you selected.

reading
Medical Law and Ethics

FOURTH EDITION
BONNIE F. FREMGEN, Ph.D.

Chapter 4: Today’s Healthcare Environment

Chapter 5: The Physician–Patient Relationship

Risk Factors and Pathophysiology

/in /by

EDITING ALL UPLOADED 6 PIECES TO THE DRAFT UPLOADED FORMING ONE 5 RESEARCH PAPER
Assessment of health promotion need.
Description of the project
• Target population
• Manner of teaching or presentation
• Considerations for implementation
Analysis of journal articles.
Includes appropriateness of articles to provide evidence of current trends related to the selected topic.
*Articles cited on Power Point, poster or Abstract

Education: Relevance to nursing practice for health promotion with the pediatric population and their families.

PAPER
Writing reflects neatness, spelling, punctuation, professional language in an organized manner

NB: PLEASE USE THIS PART OF UPLOAD AS THE BASIS OR FOUNDATION OF THIS ORDER.( FILL IN THE REST OF THE SIX(6) UPLOADS WITHOUT CHANGING HOW IT IS ORGANIZED:
SIDS: Sudden Infant Death Syndrome

Couples have to wait nine months while their fetus grows into a tiny human being. As parents, there is nothing worse than waiting those nine months then losing the little one suddenly. When an infant dies unexpectedly, this is known as SUID, Sudden Unexpected Infant Death. SUID consist of all infant deaths that occur because of an unknown cause, including Sudden Infant Death Syndrome, SIDS (NICHD, 2015). SIDS is one of the five leading causes of death in infants before the age of one. Approximately 3,500 of all infant deaths are sudden with no immediately obvious cause (NICHD, 2015).

In the medical field, SIDS may be referred to as “crib death or cot death” (NICHD, 2015). This is because SIDS is prevalent when a baby is sleeping, although sleeping is not a cause of SIDS. An infant who dies because of SIDS may be healthy and shows no signs health complications. The probability of a child dying is seen mostly within the first six months of a child’s life. A greater risk of death is on children who have been born with low birth weight or prematurely. African American, American Indian and Alaska Native infants are also at a greater risk of SIDS (NICHD, 2013). This syndrome is more likely to affect baby boys than baby girls. According to a survey conducted in the United Kingdom, approximately 300 babies die due to unexpected or sudden cause. Despite the statistics obtained, SIDS remains to be an uncommon disease with the infant mortality rate considered low (Adams, Ward & Garcia, 2015).

Risk Factors and Pathophysiology

There are various theories, which have been developed to try to describe the occurrence of SIDS. In 1994, there was literature, which proposed a triple-risk model. According to this particular model, three simultaneous factors are behind the cause of this particular condition. The first causative agent according to this model is that the infant should possess underlying vulnerability, which would likely predispose them to SIDS (Centers for Disease Control and Prevention, CDC. 2012). Stress should, also arise from a source that is exogenous for instance asphyxia which is directly related to defects associated with the sleeping position that a child adopts. Thirdly, the stress should arise and be experienced at a crucial developmental stage of the child such as during the first 12 months of the life of an infant. Current research studies have sort to determine and identify underlying vulnerabilities of this particular condition.

According to this study, there are two conditions which have been identified that would likely lead to the predisposition of sudden deaths. One of these conditions is data link disorders that can be inherited. These inherited disorders can be fatty acid oxidation which are mutations seen in the gene medium-chain acyl-coenzyme A dehydrogenase. They may range from this abnormalities to infant death, which is unexpected, which makes up 1% of the SID cases. 5-10 % of the SID cases are consequently caused by genetic cardiac channelopathies. Various other factors exist that propel the spread of the SUID incidences and they include sleeping on armchairs and couches, bed-sharing especially the adult beds, being exposed to tobacco smoke, overheating, poor sleeping positions and covering a child’s face with blankets or clothing while they are asleep (Cressie, 2015). Other activities may protect this condition from occurring. These actors include regular immunizations, pacifiers and breastfeeding.

There are various topics currently being researched about the occurrence of this particular condition. These areas include autonomic nervous system disruptions and the effect of nicotine towards the development process of the brain. Normal arousal mechanism defects are a likely cause of the condition. There is a close association between SIDS and prone sleeping positions. In this particular instance, it becomes possible for an individual to rebreath exhaled air causing an upper-airway obstruction, which may also lead to hyperthermia when an individual adopts a facedown position (Degnan, 2013). Failure to know the appropriate infant head turning and head lifting with relation to asphyxia or neuronal reflexes and pathways deficit may result into inefficient protection and arousal originating from exogenous stressors.

How to prevent the occurrence of this condition and recommendations

American Academy of Pediatrics (AAP) in 2011 released a policy statement that highlighted and touched on recommended safe environments for infant sleeping. These recommendations aimed at reducing not only the risk of suffering from SIDS but also prevention from all sleep-related deaths that affects infants up to the age of 12 months. These conditions include entrapment, asphyxia, and suffocation. These conditions are dependent on an individual’s medical condition after analysis of risks and benefits by a physician. Therefore, the following aspects are essential and fundamental in eradicating the condition (Horne, Hauck & Moon, 2015).