explain the pathophysiology of the respiratory alteration

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In clinical settings patients often present with various respiratory symptoms such as congestion coughing and wheezing. While identifying a symptoms underlying illness can be challenging it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders as well as properly diagnose and prescribe treatment for their patients. For this reason you must have an understanding of the pathophysiology of respiratory disorders.Consider the following three scenarios:Scenario 1:Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. Its never seemed all that bad. Ms. Teel thought it was just a normal thing but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and in fact most nights the baby coughs to some extent. Additionally Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate 7-month-old infant with breath sounds that are clear to auscultation. The infants medical history is significant only for eczema that was actually quite bad a few months back. Otherwise the only remarkable history is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection.Scenario 2:Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just cant seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and dont know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.Scenario 3:Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical history. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a really bad cold. The cold is characterized by a profound deep mucus-producing cough. She denies any rhinorrhea or rhinitisthe primary problem is the cough. She develops these coughing fits that are prolonged very deep and productive of a lot of green sputum. She hasnt had any fever but does have a scratchy throat. Maria has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.To PreparePost a description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario. Then explain the pathophysiology of the respiratory alteration. Finally explain how the factors you selected might impact the disorder

The Influence of Mission and Vision on Planning

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Discussion 1: The Influence of Mission and Vision on Planning As you read the following mission statements think about what you might deduce about each organization:Nurses advancing our profession to improve health for all American Nurses AssociationThe American Red Cross prevents and alleviates human suffering in the face of emergencies by mobilizing the power of volunteers and the generosity of donors American Red CrossThe mission of Southwest Airlines is dedication to the highest quality of Customer Service delivered with a sense of warmth friendliness individual pride and Company Spirit Southwest AirlinesTo inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice education and research Mayo ClinicProvide telehealth solutions and executive medical research management to enhance and support military healthcare and promote innovative medical technologies Telemedicine & Advanced Technology Research Center (TATRC)Googles mission is to organize the worlds information and make it universally accessible and useful GoogleAn organizations mission describes its core purpose. In partnership with the organizations vision which communicates a future-focused direction the mission provides a basis for planning and decision making at all levels of the organization.For this Discussion you compare mission and vision statements from multiple organizations and consider how these statements relate to planning.To prepare:Review the information related to the planning hierarchy and mission and vision statements in this weeks Learning Resources.Research the mission and vision statements of three different types of organizations: a for-profit health care organization a not-for-profit health care organization and an organization outside of health care. As you examine the organizations mission and vision statements consider the following:How effectively do the mission statements articulate the organizations purpose?How effectively do the vision statements reflect future aims?Do the mission and vision statements convey who (which groups) the organizations serve? Do they indicate obligations to various stakeholders?Are the statements an appropriate length?What do you glean about how leaders in health care and in other industries envision and convey mission and vision?What do you discern about the interdisciplinary nature of crafting mission and vision statements by looking across organizations including those outside of health care?Identify key insights you have gained by comparing the mission and vision statements of these three organizations.Consider how an organizations mission and vision relate to the planning hierarchy. For each organization you have selected think about how the mission and vision could or should influence planning. What elements of each mission and vision stand out as especially significant?Post a comparison of the mission and vision statements of the three organizations selected. Explain how specific elements of each organizations mission and vision statements might inform planning in that organization. Include references/links for the organizations mission and vision statements in your post.Read a selection of your colleagues responses.Respond to at least one of your colleagues using one or more of the following approaches:Ask a probing question substantiated with additional background information or research.Share an insight from having read your colleagues postings synthesizing the information to provide new perspectives.Validate an idea with your own experience and additional resources.Required ReadingsSare M. V. & Ogilvie L. (2010). Strategic planning for nurses: Change management in health care. Sudbury MA: Jones and Bartlett.Review Chapter 4 Just What Is Strategic Planning? (pp. 5782)Chapter 7 The Three Key Elements of the Strategic Planning Process: A Vision That Guides Nursings Future Action (pp. 117143)Chapter 7 addresses elements of the strategic planning process which includes mission and vision.Cady S. H. Wheeler J. V. DeWolf J. & Brodke M. (2011). Mission vision and values: What do they say? Organization Development Journal 29(1) 6378.Retrieved from the Walden Library databases.This article addresses research on mission vision and values from 300 different organizations.Desmidt S. Prinzie A. & Decramer A. (2011). Looking for the value of mission statements: A meta-analysis of 20 years of research. Management Decision 49(3) 468483.Retrieved from the Walden Library databases.This article looks at the relationship of organizational mission and financial performance. It includes a discussion of what a mission statement is and the purpose(s) it serves.Hirota S. Kubo K. Miyajima H. Hong P. & Won Park Y. (2010). Corporate mission corporate policies and business outcomes: Evidence from Japan. Management Decision 48(7) 11341153.Retrieved from the Walden Library databases.The authors examine the implications of the mission statement for organizational practices and performance.King D. L. Case C. J. & Premo K. M. (2012). An international mission statement comparison: United States France Germany Japan and China. Academy of Strategic Management Journal 11(2) 93119.Retrieved from the Walden Library databases.This article examines the content of mission statements stakeholder involvement and the development of goals and objectives.Required MediaLaureate Education (Producer). (2013b). Case study: Mountain View Health Center [Interactive media]. Retrieved from CDN database. (NURS 6241)This interactive multimedia piece presents a case study of Mountain View Health Center with information about the types of activities performed there organizational structure strategic priorities and financial allocations. You will use this as a resource for Discussion 2.Optional ResourcesMarquis B. L. & Huston C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia PA: Lippincott Williams & Wilkins.Chapter 7 Strategic and Operational Planning (pp. 138161)Review as needed.Desmidt S. & Prinzie A. A. (2011). The organizations mission statement: Give up hope or resuscitate? A search for evidence-based recommendations. Advances in Health Care Management 10 2541.

Do the forms contain information on a living will?

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$20.00Be sure to use vocabulary that is relevant to the topic. Also be sure to cite your work appropriately whenever possible. You should follow the most recent APA guidelines when citing your work.DQ1:In your lectures this week beginning of life fundamental rights and Roe vs. Wade provided a perspective of ethical issues. Whether a legal right or a law the ethical issues surrounding the beginning of life are complex emotional and potentially costly.Regardless of your position on abortion describe the ethical factors involved with the beginning of life debate; please be sure to research and consider both sides of the issues. Also include who your credible sources believe the primary patient to be and what factors need to be considered surrounding quality of life for the unborn and risks to the mother.Please thoroughly research and then consider the role of hospice and palliative medicine at the end-of-life. Research the costs of end-of-life care in our country as well. Discuss whether or not your credible sources believe extraordinary care should continue when efforts will be futile and why they feel this way; your opinions are not required but are welcomed.Then research your states Advance Directive laws. Describe the law in your words and describe the functions of the forms. Do the forms contain information on power of attorney? Do the forms contain information on a living will? Is it law in your state that hospitals ask patients if they have a Living Will and provide education if not?

Discuss the advantages and disadvantages of telemedicine in healthcare

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Discussion #2:TWO (2) posts are required for each discussion forum. Try to make your first initial post (response to the discussion question) by Saturday and your next posts (response to other students’ posts) by Sunday.In the 1st Video: Next steps in health & medicine — where can technology take us? | Daniel Kraft | TEDxBerlin .This talk was given at a local TEDx event produced independently of the TED Conferences. Daniel Kraft shows us where technology can take us in health and medicine. He pulls out countless gadgets of his jacket that will change the future of health-monitoring and improve our access to personal health care.In the 2nd Video John discusses the complicated reasons why the United States spends so much more on health care than any other country in the world and along the way reveals some surprising information including that Americans spend more of their tax dollars on public health care than people in Canada the UK or Australia. Who’s at fault? Insurance companies? Drug companies? Malpractice lawyers? Hospitals? Or is it more complicated than a simple blame game? (Hint: It’s that one.)In the 3rd Video U.S. health care costs are higher than any other country in the world. So what is it about America’s system that makes it so expensive?After reading chapter 5 on Medical Technology chapter 6 on Health Services Financing and watching the videos on Medical Technology and Health Care Finance complete the following questions.Directions:A) Answer the following questions below. The minimum word count for all six responses (total)to the discussion board question(s) should be 700 words or more (excluding reinstatement of the discussion board questions and references).Chapter 5: Medical Technology1) As a future Healthcare Administrator one of your goal is to provide healthcare in the urban or rural area of your state. You have heard that telemedicine may be an opportunity for you.-Discuss the advantages and disadvantages of telemedicine in healthcare.2) Discuss the governments role in technology diffusion.3) Why is medical technology more available and used in the United States than in other countries?-Your experiences may be very helpful and interesting to all of us.However be sure that you also back up your posts with factual information from the text (when it applies to the initial discussion board question (s) and responses to peers) or other creditable sources. A minimum of one reference is required to support your response to the discussion question and reply to a classmate. You may cite the course required textbook and or other sources in which you have used content from. Make sure your references are in APA format.Chapter 6 on Health Services Financing4) What is meant by healthcare financing in its broad sense? What impact does financing have on the healthcare delivery system?5) List and explain oneway the United States can decrease Healthcare cost.6) Scenario: You just got hired as entry level healthcare administrator and your employer offers two types of insurance plans. A married coworker/employee with two children asks your advice about which plan they should choose. Your coworker/employee reveals to you that their daughter is autistic and requires special medication and counseling. Although you can’t tell your coworker/employee which plan to choose.- Discuss the general concepts of insurance (private and governmental).-What advice will you give your coworker/employee about choosing? Explain your reasoning in detail.