Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.

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 Use the image in “Discussion Question Resource: Chest X-Ray” to answer the following Critical Thinking Questions.
Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.
Critical Thinking Questions

Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.
Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.
What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.

Foundational Accounting Concepts

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Foundational Accounting Concepts   

Although it is important to be familiar with foundational accounting concepts and to understand how they are calculated, it is equally important to recognize how the information from these calculations fits into the larger picture of daily actions in hospitals. Consider the simple task of taking patients their dinner trays. Think of all of the different costs that are involved. The dietitian must be paid, as well as the food handlers. The food has to be purchased as well as the trays and utensils. Trays must be delivered, picked up, and cleaned. A cost is incurred at each stage.  In this Discussion, you consider how the costs of the daily tasks performed by nurses are accounted for and impact cash flow.  

To prepare: •Review this week’s Learning Resources focusing on the difference between accrual accounting and cash accounting. Conduct additional research as needed until you are confident that you grasp the distinction between the two approaches. 

•Consider why you would select one approach over the other and the effect it would have on financial decision making. Determine how you could explain these concepts to someone not familiar with accounting. 

•Select a task you might perform daily, or an item that you might use daily in the workplace, and determine where the cost should appear on a balance sheet. 

•Reflect on the role of cash in the financial operations of an organization. How could cash flow issues impact your own organization (or one with which you are familiar)?  

 Post an explanation of the difference between accrual accounting and cash accounting, and when each might be used. Then, describe a task you might perform or an item you might use daily, and explain where the cost should appear on a balance sheet, and why. Finally, assess how cash flow issues could impact your own organization (or one with which you are familiar).

Required Readings  

Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.  
•Chapter 4, “Assets, Liabilities, and Net Worth” (pp. 33-36)    In this chapter, you are introduced to the meaning of assets, liabilities, and net worth. You explore the relationship between the three and how they must be balanced if an organization is to be successful.     •Chapter 6, “Expenses (Outflows)” (pp. 47-54)    The focus of this chapter is expenses and how they differ from costs. It highlights how costs should be reported and how expenses can be grouped for more effective planning and control.     •Chapter 9, “Understanding Inventory and Depreciation Concepts” (pp. 81-93)    This chapter examines the relationship between inventory and the cost of goods. It demonstrates how to calculate inventory turnover and product depreciation.     •Chapter 11, “Reporting as a Tool” (pp. 119-125)    This chapter describes the basic financial reports and how they are used in financial decision making. The four key financial statements are the balance sheet, the statement of revenue, and expense, the statement of fund balance or net worth, and the statement of cash flows.      

Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.  Retrieved from the Walden Library databases. 
 •Chapter 2, “Health Care Financial Statements” (pp. 25–86)    This chapter describes the shared four basic financial statements of all organizations. The authors relate the basics to business-oriented and non-for-profit health organizations.     
•Chapter 3, “Principles and Practices of Health Care Accounting” (pp. 87–120)    This chapter explores the accounting practices and principles of health care. The authors detail the rules for recording transactions and the process of recording and developing financial statements.

Discuss how the problem impacts the organization and/or patient’s cultural background

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Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:
1.Describe a healthcare problem.
Note: A healthcare problem can be broad in nature or focused.

2.  Explain the significance of the problem.
3.  Describe the current practice related to the problem.
4.  Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).

B.  Complete the attached “PICO Table Template” by identifying all the elements of the PICO.
1.  Develop the PICO question.

C.  Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:
1.  Identify the keywords used for the search.
2.  Describe the number and types of articles that were available for consideration.
a.  Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).
Note: Be sure to upload a copy of the full text of the aritcles with your submission

D.  Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.

Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.
Note: Be sure to upload a copy of the full text of the articles with your submission.

E.  Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

F.  Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:
1.  Explain how you would involve three key stakeholders in the decision to implement the recommendation.
2.  Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.
3.  Identify two strategies that could be used to overcome the barriers discussed in F2.
4.  Identify one indicator to measure the outcome related to the recommendation.

G.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
FILE ATTACHMENTS:Evidence Matrixlink opens in new window 

ATTACHMENTS:Evidence Matrixlink opens in new windowPICO Table Examplelink opens in new windowWEB LINKS:1.XAP Task 2 Rubriclink opens in new window

Differentiate any religious/spiritual beliefs and values relative to the issue.

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This is a Collaborative Learning Community (CLC) assignment.
In your Collaborative Learning Community, write a paper of 500-1,000 words and include the following:

Discuss cultural beliefs and influences relative to the health issue.
Differentiate any religious/spiritual beliefs and values relative to the issue.
Appraise how religious/spiritual beliefs and values have influenced progress in addressing the issue–either negatively or positively.
Compare differences in ideologies related to the issue across political party lines, geographic regions, and countries of the world.

This is  APA format aqt least 500 word, references. I have added all the topics that have been added so far, I have topics 1-4 added. the one that will worked on is Topic 5
  
Topic 1
Influenza CLC group essay 11-28-2017
Introduction
Influenza commonly known as flu is a contagious respiratory infection that attacks the general respiratory system that is, the nose, throat, and even the lungs. It is caused by the two types of influenza viruses which are influenza A, influenza B and influenza C (Wang & Tao, 2010). Attacks from both viruses are epidemic and seasonal as they are common within specific periods within a year. Attack mechanisms for influenza A viruses depends on the genes on the surface protein of a patient. They are normally spread through sneezing and coughing from an infected individual to the surrounding air (Wang & Tao, 2010).
The flu can also attack an individual in case they get into direct body tissue contact with an infected individual for example handshaking. Health professionals argue that the flu virus is stubborn and spreads mainly over tiny droplets which are produced when the infected individuals’ cough, talk, and sneeze (Wang & Tao, 2010). Such droplets are easily carried by the surrounding air and can be landed in the nose and mouths of the immediate persons. Additionally, it can enter into one’s system if he or she gets into direct contact with a surface or object that has the influenza bacteria and consequently rubs or touches their nose, mouth or even eyes (Wang & Tao, 2010).
Health departments have overtime identified initiative to address the problem of influenza, such initiatives include: 
Reducing human exposure to the flu viruses, this initiative works by notifying the public on the safe ways to prevent and control the spread of the virus and it actively works to reduce infection opportunities and curbs the spread of the pandemic virus (Abramson, 2011).
They have built able capacities to cope with the pandemic, measures have been taken and put in place to cope with the virus since helping the society to stay free from the virus (Abramson, 2011).
They have innovated much on early warning and acknowledgments, information about influenza and its impacts to the society are made clear since it is effective for the society to stay free from the influenza virus (Abramson, 2011).
Necessary global scientific researches are being carried out and developments to ensure that vaccines and antiviral drugs are available across the globe mostly during the seasons which the virus is spread. The scientific knowledge enables quick and effective identification of the virus at its initial stages (Abramson, 2011).
Several measures have been put in place to measure the progress of the issue. They include;
The World Health Organization has continuously carried out tests to identify cases of attack by the virus at its early stages that are in one to four days of an individual’s exposure to the influenza virus (Tam & Sellwood, 2013).
Materials enlightening the public about the virus and the most convenient ways to stay free from the attack are being developed and provisional with all measures that can help curb and salvage the situation (Tam & Sellwood, 2013).
The current status of the issue based on measures outcomes clarifies that the globe is well up and at a good place to overcome the spread of influenza viruses. This has been made possible by the continuous scientific researchers which develop antiviral drugs and vaccines which are work to stop the spread and impacts of the influenza virus upon the general society (Tam & Sellwood, 2013).
References
Abramson, J. (2011). Inside the 2009 Influenza Pandemic. World Scientific Publishing Company, 2011.
Tam, J., & Sellwood, C. (2013). Pandemic Influenza. CABI, 2013.
Wang, Q., & Tao, Y. (2010). Molecular Virology. Horizon Scientific Press.
Topic 2
     Influenza 
Diane Boll, Lisa Hart, Risper Ireri
Grand Canyom University:NUR 508
12-06-2017
Influenza
Influenza is a highly infectious respiratory illness that mostly occurs during winter months north of the equator. Influenza, commonly known as the “flu” occurs between October and March and with reported outbreaks between September and May. Signs of influenza include but are not limited to high fever, myalgia, headache, sore throat, chills and persistent malaise (Edelman & Mandle, 2006). Each year in the US alone, influenza and pneumonia result in 114,000 admissions with 36,000 lives lost and costs an estimated $12 billion (Walton, 2016). Edelman and Mandle (2006) discussed the influenza vaccine markedly reduce the incidence of complications, hospitalization, and deaths and the vaccine can be given to anyone above six months unless allergic to it. It’s given with caution to those with allergies to eggs (Edelman & Mandle, 2006). Contrary to misconception, the most common vaccine is not made up of the live influenza virus but composed of the inactivated whole virus or virus subunits grown in chick embryo cells and given annually (Edelman & Mandle, 2006). Influenza is a global issue as many in underprivileged countries without access to adequate health care continue to die from it and there is a need to rapidly identify the virus and provide proper treatment, thereby preventing its spread locally and internationally. 
Influence of Health and Socioeconomic Status on Influenza
Though all age groups can contract influenza those with fragile or weakened immune systems are more severely affected and include the pregnant women, elderly adults with comorbidities like diabetes, hypertension, cardiovascular disease, malignancy, and chronic obstructive pulmonary disease. According to Walton (2016), children less than two years have the highest infection rate, but death rates are usually highest among elderly (age 65 and older). Influenza is associated with low social, economic status, lack of preventive treatment and poor housing. Most
of the people affected by influenza lack insurance coverage, have lower levels of education, are unemployed, lack social network and travel long distances to medical facilities (Watson, 2016).
Initiatives
Health departments have overtime identified initiatives to address the problem of influenza, such initiatives include: reducing human exposure to the flu viruses, this initiative works by notifying the public on the safe ways to prevent and control the spread of the virus and it actively works to reduce infection opportunities and curbs the spread of the pandemic virus (Abramson, 2011). They have built able capacities to cope with the pandemic, measures have been taken and put in place to cope with the virus since helping the society to stay free from the virus (Abramson, 2011). They have innovated much on early warning and acknowledgements, information about influenza and its impacts to the society are made clear since it is effective for the society to stay free from influenza virus (Abramson, 2011). Necessary global scientific researches are being carried out and developments to ensure that vaccines and antiviral drugs are available across the globe mostly during the seasons which the virus is spread. The scientific knowledge enables quick and effective identification of the virus at its initial stages (Abramson, 2011). Several measures have been put in place to measure the progress of the issue. They include; The world Health Organization has continuously carried out tests to identify cases of attack by the virus at its early stages that are in one to four days of a n individual’s exposure to the influenza virus (Tam & Sellwood, 2013). Materials enlightening the public about the virus and the most convenient ways to stay free from the attack are being developed and provisional with all measures that can help curb and salvage the situation (Tam & Sellwood, 2013). The status of the issue based on measures outcomes clarifies that the globe is well up and at a good place to overcome the spread of influenza viruses. This has been made possible by continuous scientific researchers which develop antiviral drugs and vaccines which are to stop the spread and impacts of the influenza virus upon the general society (Tam & Sellwood, 2013).
Current Status of Influenza
Global Action Plan for Influenza Vaccines (GAP) is “a comprehensive strategy to reduce the 
present global shortage of influenza vaccines for seasonal epidemics and pandemic influenza in 
all countries of the world (GAP, 2017). Initially, GAP was to be accomplished through three 
major approaches: The first GAP approach was to encourage countries to increase their use of 
seasonal influenza vaccine. This would in turn reduce the disease burden of seasonal influenza
infections, help to contribute towards the preparedness of industrialized countries to respond to 
an eventual pandemic and possibly, most importantly, motivate industry to develop greater 
capacity for manufacturing vaccines (GAP, 2017). The second GAP approach concentrates on 
increasing production capacity for pandemic vaccines. The short-term goal was established, by 
2015 enough vaccine would be produced to immunize two billion people. Additionally, a long
term goal established to produce enough vaccine to immunize 70% of the world’s population 
with two doses (GAP, 2017). Lastly, the third GAP approach addressed the need for the research 
community to design more potent and effective vaccines through use of new technologies. 
Progress
According to the Global Action Plan, the seasonal influenza vaccine production 
capacity had increased globally from “less than 500 million per year to nearly 1 
billion doses per year” by the end of 2010, and the numbers have steadily continued
to rise yearly (2017). Additionally, 14 developing countries have been awarded 
grants from WHO to establish in-country manufacturing capacity for influenza 
vaccines to prevent and treat influenza (GAP, 2017). Moreover, significant progress 
has been achieved with new vaccine formulations. Regular consultations have been 
conducted to bring together vaccine researchers and public health professionals to 
discuss pandemic influenza vaccines and vaccines that can potentially induce broader 
spectrum and longer lasting immunity against both seasonal and pandemic influenza 
strains (GAP, 2017). Also, according to Global Action Plan (2017) sharing of 
research information has been made possible through a non-restricted internet based 
database to facilitate data sharing on clinical trials. This is updated and 
complemented with data from technical meetings, publications, and direct contacts 
with manufacturers.
Conclusion
From the time of the first documented global pandemic, which contributed to an estimated 
300,000 deaths worldwide, science has been researching and monitoring influenza (Influenza, 
2017). Through initiatives between joint stakeholders much progress has been made toward 
decreasing the number of deaths per year as well as other serious complications related to 
influenza (GAP, 2017). The best line of treatment will always be preventing and control through 
vaccination, early detection, and meticulous hand hygiene. 
References
Abramson, J. (2011). Inside the 2009 Influenza Pandemic. World Scientific Publishing 
Company, 2011. Retrieved from   
http://www.worldscientific.com/doi/abs/10.1142/9789814343572_0001
Edelman, C. L., & Mandle, C. L. (2006). Health promotion throughout the life span (6th ed.). St.
Louis, MO: Mosby Elsevier.
Global Action Plan. (2017). World Health Organization (WHO). Global action plan for influenza 
vaccines (GAP) Retrieved from http://www.who.int/influenza_vaccines_plan/en/
Influenza. (2017). World Health Organization (WHO). Influenza surveillance outputs Retrieved 
from http://www.who.int/influenza/resources/charts/en/
Tam, J., & Sellwood, C. (2013). Pandemic Influenza. CABI, 2013. Retrieved from 
http://www.worldcat.org/title/pandemic-influenza/oclc/798303591 
Walton, B. E. (2016). Influenza Pandemic and Other Bugs. Ohio Nurses Review, 91(6), 20-30.
Wang, Q., & Tao, Y. (2010). Molecular Virology. Horizon Scientific Press.
Topic 3
INFLUENZA(FLU)
Diane Boll, Lisa Hart, Risper Ireri
Grand Canyon University: NUR 508
12-20-2017
Influenza is a cross-community pandemic hence requires attention from all sectors involved in maintaining a community’s welfare. Therefore both the public and the private sectors are involved in funding for initiatives to address influenza and such is achieved through: 
For the public sector; 
State agencies; which are permanent or temporally bodies appointed by the government and assigned to oversee and administer in different areas within the state. State agencies which are designated with the responsibility to monitor the health sector and related programs actively provide public funding in such states (“Funding Applications.org : Choose Application”, 2017).
Federal agencies; are special government organizations set up for the purpose to manage its resources and offering financial oversight to ensure accountability. Such units are sources of public funding to initiatives that address flu in the society (“Funding Applications.org : Choose Application”, 2017).
Private corporations; are small business units held by non-governmental bodies or a small group of shareholders which offer products and services to the public. Such organizations offer funds to initiatives directed towards ending the influenza pandemic as a way of giving back to the society as an ethical practice (“Funding Applications.org : Choose Application”, 2017).
Private foundations; are non-profit companies which are created through an initial donation from an individual or a firm and the donated funds are managed by the foundation’s trustees and directors. Initiatives aimed at the control and prevention of influenza getting funding from all active private organizations to facilitate their running (“Funding Applications.org : Choose Application”, 2017).
Quality initiatives that address influenza pandemic;
Well calculated and predetermined emergency actions; since the pandemic attacks as a surprise emergency programs have been put across as initiatives to stay ready to tackle it anytime, it knocks hence the health sector has reached a milestone in fighting it (Wang & Tao, 2010).
Prevention and preparedness to control the effects of the pandemic; prevention measures against the pandemic include: – reducing human exposure to influenza virus which is attained through enlightening the public on the flu and away to possibly stay free from it. Secondly strengthening early warning systems which make it possible to note any trace of the flu at its initial stages and initiate the efforts required to stop its effects. And thirdly, having adequately developed flu containment operations (Wang & Tao, 2010).
Preparedness is achieved by having a well build up capacity to cope with the pandemic and critically investing in developing new pandemic vaccines and antiviral drugs. Readiness to deal with the situation just in case it attacks is key to addressing the pandemic (Wang & Tao, 2010).
Being insured versus being uninsured impacts health outcomes related to influenza differ. Because insured person is covered against all the dangers that may accrue to him or her as a result of exposure to the flu hence that is an initiative to enable persons to remain focused on their daily tasks (Wang & Tao, 2010).
On the other hand, uninsured individuals do not have any cover or preventative/ control measure that stands between them and the flu. Therefore in case they are exposed to it thus its impact will relatively be all over them hence they are not stable enough while getting through their day to day activities hence the community suffers some loss (Wang & Tao, 2010).
References
Funding Applications.org : Choose Application. (2017). Fundingapplications.com. Retrieved 15 December 2017, from https://www.fundingapplications.com/index.php
Wang, Q., & Tao, Y. (2010). Influenza: Molecuar Virology. Horizon Scientific, Press, 2010.
Topic 4
Ethical principles in the treatment of Influenza are the guiding statements that the World Health Organization has put across to guide on efforts directed towards treating, prevention and control of the pandemic. The Influenza pandemic has been identified as a health threat for all populations thus calling upon the intervention of global health organizations (Van-Tam, 2012).
Below are some of the leading ethical principles that are applicable in the treatment of influenza;
The principle which addresses global initiatives that are reducing the spread of the pandemic through isolation and putting travel restrictions which subsequently denies them their freedom of movement. The World Health Organization states that all persons are obliged to the freedom of movement hence put such measures which see some populations restricted and denied their freedom of movement is inappropriate. Alternatively all societies despite their health status must be allowed to enjoy their right and privilege of movement with effective control and prevention measures to curb the spread of the pandemic (Van-Tam, 2012).
The protection that health workers addressing the pandemic are obliged to safeguard against the risks which they are exposed to as they execute their duties. Ethical principles of protecting healthcare workers who are actively exposed to the dangers of being infected with the pandemic as they interact with the infected population. Therefore when the risks to which healthcare specialists are exposed to are addressed, then they stand motivated hence maximum delivery while serving the public (Van-Tam, 2012).
It has been provided that there is a prioritized access to healthcare resources facilitated by the increased demand and shortages being experienced from the health provider’s end. The Influenza pandemic commonly identified with the specific populations hence such populations have been given priority to access health services directed towards control, prevention and preparedness to deal with the epidemic and reduce its fierceness on them (Van-Tam, 2012).
Population disparities are the differences which are enjoyed by individuals of different populations in the access and availability of health facilities and services to curb the spread and impacts of the pandemic in society. Ethical principles applicable in the treatment of influenza have brought into being disparities which are influencing the way the community is protected from the epidemic. Such variations can be eliminated by manipulating the set principles and coming up with other ethical principles through a careful consideration of the general population because influenza pandemic is not selective. Such an ethic principle will bring uniformity in the service availability and accessibility (Van-Tam, 2012).
ANA’s code of Ethics for Nurses serves to guide on the execution of nursing responsibilities in a manner that observes the quality and standard services while attending to patients. The ethics ensure that patient’s rights are followed all through the treatment, and a good quality of the service is assured. In the other hand, the rights of the nursing specialist subsequently observed. Therefore the applicable ethical principles consistent with the ANA’s code ethics for nurses which sees them appropriate as they respect both sides involved in the pandemic’s, prevention, control and preparedness (White, 2012)
References 
Van-Tam, J. (2012). Pandemic Influenza. CABI, 2012.
White, K. (2012). The Essential Guide to Nursing Practice: Applying ANA’s Scope and Standards in Practice and Education. American Nurses Association.