A case scenario for a patient who experiences transitions across three points of healthcare delivery

A case scenario for a patient who experiences transitions across three points of healthcare delivery. For example, a patient who is admitted through the Emergency Department rushed to surgery and transferred to the surgical intensive care unit; or a patient who transitions from an assisted living facility to the hospital and then to a long-term acute care facility. These are just two examples. However, you can be creative as you create the case scenario.

 

Leading Person-centered Care

Part 1: Case Scenario

Judy, a terminally ill patient, was suffering from the final stages of pulmonary fibrosis one nightlight; Judy experienced difficulties in breathing and was rushed to the hospital emergency room. The doctor discovered that Judy had pneumonia and gave her oxygen, steroids, and antibiotics, but his condition did not improve. Judy was transferred to inpatient so that the doctor could observe her progress. After observing her situation for a few days, the doctor finally recommended that the best way to deal with Judy’s condition was to go through palliative care or use a mechanical ventilator.

 

Judy did not like the idea of her final days undergoing life support, so she chose home-based care to spend her last days with her family. The nurse assigned to Judy could advise her family on how best they would like to care for Judy’s needs through home-based care. Judy was sent home with prescriptions for different medications and oxygen. Judy’s family was referred to hospice personnel, who would help them coordinate home-based care and help with the filling of drugs. The nurse assigned to Judy and his family would also avail herself to assist Judy when she experienced any health challenges.

 

Introduction

One of the significant vulnerabilities of the healthcare system is the transition of care across different healthcare delivery points due to the increased occurrence of medical errors and clinical deterioration. The transition of care refers to the various points that patients move to contact health care professionals to receive medical services as their conditions and needs of care change (World Health Organization, 2016), for example, shifting from the emergency department to the patient.

 

Effective transition involves the coordination and collaboration of different healthcare professionals and the patient’s engagement to facilitate the safe and timely delivery of patients to the various transition points. Poor transition care leads to increased chances of readmission and a higher cost of care.

 

Transitions in point of care delivery

A case scenario for a patient who experiences transitions across three points of healthcare delivery

• Explain the transitions in point of care delivery portrayed within the case scenario.
• Discuss the variables that could impact safety, quality, and continuity of care for the transitions described.
• Identify one specific patient outcome for each transition, and explain why that outcome is appropriate.
• Identify one evidence-based strategy to support outcome achievement and person-centered care for each transition.

Transitions in point of care delivery

In the case scenario, the patient Judy experienced transitions across three points of healthcare delivery; first, the patient was admitted through the emergency department after she experienced difficulties in breathing as a result of pneumonia. She was then transferred to inpatient because her condition did not improve, and finally, the patient was transferred to home-based palliative care.

 

 

Some of the factors that could affect safety, quality, and continuity of care for the transitions include poor communication. The healthcare professionals in charge of taking care of a patient do not communicate effectively or share vital information (Delboccio et al., 2015).

For example, in the case of Judy, if the nurse in charge of coordinating home-based palliative care does not provide the family with appropriate information on how the family can take care of the patient, it could lead to the patient’s premature death (Josephson, 2016).

Judy was admitted to the emergency department after experiencing difficulty breathing; the physician dealing with her case was aware that she was at her end-stage pulmonary fibrosis; therefore, she had adequate information to deal with her issue appropriately.

After being admitted to the inpatient and diagnosed with pneumonia, Judy received two medical recommendations for her condition: palliative care or intubation and a mechanical ventilator.

The outcome of Judy’s transition from the emergency department to home-based palliative care was smooth because the health professionals in charge of her case were aware of her preexisting condition, and she was provided an appropriate medical recommendation for her condition.

 

 

A case scenario for a patient who experiences transitions across three points of healthcare delivery: The role of the nurse is to ensure high-quality, person-centered points of care delivery

 

A case scenario for a patient who experiences transitions across three points of healthcare delivery

Nurses are essential in facilitating the transition from the hospital setting to palliative care by providing emotional support to the patient and his family and managing all the tasks required to facilitate a smooth transition (Camicia & Lutz, 2016). Nurses also develop and evaluate the care transition plan to eliminate communication barriers. One of the care coordination principles includes collaborating and engaging the patient and their families to attain the desired outcome.

 

The second principle is applying professional communication to enhance patient-centered care. The transition of care is a vital process within the healthcare delivery system. It requires the coordination and collaboration of different health professionals and the patients’ engagement for the process to be a success. Ineffective management of the transition process could negatively impact a patient’s health.

 

 

References

Camicia, M. & Lutz, B. J. (2016). Nursing’s role in successful transitions across settings. Stroke, 47(11) e246-e249. https://doi.org/10.1161/STROKEAHA.116.012095 Clinical Practice. 6(2): 183-189.

Josephson, S. A. (2016). Focusing on transitions of care. Neurology

Delboccio, S., Smith, D. F., Hicks, M., Lowe, P., V., Graves-Rust, J. E., Volland, J. & Fryda, S. (2015). Success and challenges in patient care transition programming: One hospital’s journey. The Online Journal of Issues in Nursing, 20(3). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/O

World Health Organization. (2016). The transition of care: Technical series on safer primary care. https://apps.who.int/iris/bitstream/handle/10665/252272/9789241511599-eng.pdf? sequence=1

Discuss the steps to evaluate new foreign markets

Discuss the steps to evaluate new foreign markets
Explain international market entry methods
Describe the four international competitive strategies
Explain the importance of formal and informal institutions to succeed in a foreign market
Relate this week’s topics to a real-life scenario
Demonstrate critical thinking in terms of applying the concepts learned to situations found in the global marketplace
Alon, I., Kupetz, A. H. (2006, 2017). Ruth’s Chris: The high stakes of international expansion. Ivey Publishing.

 

Explain international market entry methods

Discuss the steps to evaluate new foreign markets

In addition to reading the case, listed below is additional information to help you analyze the Ruth’s Chris Case:

Based on the decision criteria (discussed in the case and criteria that you think is most relevant), discuss two potential international locations, including the city and the country for the next restaurant.
Compare the two locations using the CAGE analysis format.
Make a final recommendation of the best location (of the two discussed in # 1 and # 2 above). Provide persuasive explanations and supporting information to justify your recommendations. Convince Mr. Hannah (and me) why Ruth’s will be successful in this new international location.
Recommend a mode of entry (company-owned, franchise, license, joint venture, export, etc.) and explain why this is the best way for Ruth to enter. Discussing potential partners and licensees is highly encouraged (and will be rewarded).

 

Describe the four international competitive strategies

Discuss the steps to evaluate new foreign markets

Remember: do not waste any time or space repeating facts in the case. (I have read the case.) Be clear and concise. Use both qualitative and quantitative data to support your recommendations. Use charts, graphs, tables, etc., to support your analysis.

Discuss the challenges and/or important factors facing the company
Show evidence that you performed research on relevant topics (industry, company, product, country, market, competition, etc.) and understand the current situation
Discuss two possible alternatives to “solve” the problem
Recommend a specific course of action and provide a convincing explanation as to why your actions will lead to success for the company

What are some important events in African American history?

What are some important events in African American history?

Creating Black Americans: African American history and its meanings, 1619 to present. “Ranging from life in Africa before slavery to today’s hip-hop culture, this magnificent account of African-American history examines a past rich in beauty and creativity but also in tragedy and trauma.

 

What are the major themes events of Black History?

 

What are some important events in African American history?

Writing for a new generation, eminent historian Nell Irvin Painter blends a vivid narrative based on the latest research with an array of artwork by African-American artists, adding a vital dimension to the story and a new depth to our understanding of black history. (Oxford University Press, 2005) We ask that you choose the book you read based on two primary criteria.

 

What is the importance of African American History?

What are some important events in African American history?

(a) Select a book that will support you in locating in history the origins of the hierarchical sorting of people that has led to oppression, domination, power, and privilege.

(b) Select a book that will teach you about the history of oppression in the United States. Lead in-class conversations on how the history they have read informs social work assessments at the individual, family, group, community, and organizational levels.

Each book group will lead a 20-minute conversation covering the following:

• Provide an overview of one or two historical incidents from the book and explain why the author includes it. What is the author trying to show?
• How can we see echoes of these events or this tendency in the modern U.S.? Silberman School of Social Work updated Spring 2020 5
• How does social work either confront or perpetuate these tendencies?
• How do your own biases, preconceptions, and history factor into your understanding of the historical content you have read and your perception of whether or not echoes of this content or this tendency are present in the modern U.S
• Concluding remarks: how will you use this history to inform your social work practice?

Distinguish between Institutional and Residual Models of Social Welfare policy

 

Paper Format: Each paper includes several questions for you to address. Integrate your answers into a single essay, be sure to cover each question.

 

Unit I provides descriptive information about basic social welfare programs and concepts that you may or may not be familiar with. Review these programs and concepts before writing your paper, they will be referenced throughout the course.

 

 

The US social welfare policy

1. Based on the Midgley and the Abramovitz readings, write a brief definition of social welfare policy that makes sense to you at this point.

 

1. Distinguish between Institutional and Residual Models of Social Welfare policy.
2. What does the NASW Code of Ethics add to our understanding of US social welfare policy?

 

2. The core of the US social welfare system consists (a) Social Insurance programs (e.g., Social Security, Unemployment Insurance, Medicare) and (b) Public Assistance programs (e.g., AFDC/TANF, Food Stamps (SNAP), Medicaid). The Social Insurance and Public Assistance programs serve different populations and represent very different social welfare philosophies. Which programs are Institutional and which are Residual?

 

1. Drawing on Tussing’s article/the instructor’s video, why are Social Insurance programs  more popular than public assistance programs?
2. After you understand the difference between the two kinds of programs, ask someone you know (who is not otherwise informed about social welfare policy) what they think about “Social Security” and “welfare” and why? How did their comments compare to Tussing’s observations?” (Don’t tell them what you’ve read until after you heard from them).

 

All texts/resources used in your papers should be properly cited using APA format and a reference list should be included. For a quick overview of APA rules go to Online Writing Lab at Purdue University or see the materials provided by the Writing Program at Silberman. No need to include a cover page, abstract, or header for these papers. Online reference management tools can also assist you with this process (and save you a lot of time).

Pretest Survey Question

Pretest Survey Question

Purpose: This assignment aims to prepare you to collect data for your DNP project.  As part of that preparation you will create a simple survey, plan for your data analysis, and develop a participant information sheet.  You will complete it with the following information:

Directions: 

1. Create a unique method for your participant to identify themselves to link their pre-test and post-test responses without revealing their identity to you.

• The identifier should be something the participant can readily recall but not identifiable to you.
• An example would be First three letters of your mother’s first name, the first 3 numbers of your driver’s license, and the last three letters of the street you grew up on.
• An example of how this would look is: jes123dge
  • The mother’s first name is: Jessica
  • Driver’s license begins with 123
  • The street grew up on Breckenridge

Identify a planned descriptive data analysis for each question

2. Write 5 questions for your peers.  This is to help you gain practice for your DNP project. You will need to fulfill the following criteria:

1. • The five questions should have one the following levels of measurement:
     • One nominal question.
     • One ordinal question.
     • One interval question.
     • One ratio question.
     • One qualitative question.
   • At least ONE demographic question.
   • At least ONE question that is subjective and could (or will change) based on the day (such as mood, weather temperature, tiredness, comfortable clothes).
   • NO specialty specific questions (i.e., don’t ask specific NICU questions – all classmates are from different specialty backgrounds and would not be able to answer).
   • NO political questions
   • Identify a planned descriptive data analysis for each question.

1. • Includes: measures of central tendency, cross tabs, frequency counts, correlations, etc.
   • Refer to Laerd Statistics(Links to an external site.) if you need help with descriptive statistics.

Measures of central tendency

 

4. Discuss how you are going to protect your participants’ data.

1. • Review the Belmont Report.
   • This is the informed consent portion.
   • Even when not collecting identifiable information, you need to provide specific details (i.e., Information sheet).
   • Identify a planned descriptive data analysis for each question. measures of central tendency, cross tabs, frequency counts, correlations, etc.
     Refer to Laerd Statistics if you need help with descriptive statistics.

The Walmart Expansion Analysis

The Walmart Expansion Analysis. You will likely need to gather more data to make your case. You are encouraged to seek additional data points to assist you in your analysis. Other data points you may want to consider include, but are not limited to

Gross national income
Population and demographic data
Key economic metrics, including current economic status, inflation, etc.
Labor market data, including average wage, unemployment rate, cost of living, etc.
Market environment
Foreign exchange
Credit environment outlook

 

Why did Walmart think it needed to expand globally?

 

The Walmart Expansion Analysis

In this final project you will continue to build on your Walmart Case study work from previous courses. Imagine that you have been hired as a data analyst for Walmart. The Walmart executive team has asked you to gather data that will assist them in determining if this foreign market is a viable option for a Walmart expansion. You will continue to research the same region you have chosen to expand to in your previous MBA courses. Please refer to the Walmart Case Study for the list of available regions.

 

What is Walmart’s expansion plan?

The Walmart Expansion Analysis
Summarize the background of the country or region, including what makes it unique and why it is a viable option for Walmart expansion.
Assess the data sets and include any charts or graphs used in your evaluation.
Measure outlook sales, interest, and other trends to make a determination on the regional outlook. Is the outlook improving, remaining stable, or deteriorating? For example, how will this expansion affect sales trends, interest cost trends, etc.?

What was Walmart’s early global expansion strategy?

The Walmart Expansion Analysis
Calculate whether Walmart will have favorable or unfavorable currency translation adjustments. For example, how strong is the country’s currency against the U.S. dollar?
Create revenue projections and sales projections based on the data. Consider the currently translation adjustments in your projection.
Propose a recommended course of action based on your interpretation of the data.

Brief history of Boeing and the strategic models

Brief history of Boeing and the strategic models. The Boeing Company is one of the world’s leading aerospace engineering companies and employs more than 170,000 people worldwide. As well as being the largest manufacturer of commercial jetliners, Boeing is also involved in designing and manufacturing satellites and defense systems.

For decades, Boeing maintained a competitive advantage through the technical performance of advanced aerospace products. Over the last five years, business strategy has shifted steadily in favor of financial performance through cost-cutting, savings of assets, and increasing reliance on global suppliers.

The Airlines industry is responsible for about 11% of greenhouse gases emitted by the U.S. transportation sector. Aviation’s share of greenhouse gas emissions was poised to grow as air travel increased and ground vehicles used more alternative fuels like ethanol and biodiesel. Boeing estimates that biofuels could reduce flight-related greenhouse-gas emissions by 60 to 80%. The solution blends algae fuels with existing jet fuel.

What type of engineers works at Boeing?

• Electronic & Electrical Engineering.
• Flight Engineering.
• Materials, Process & Physics Engineering.
• Mechanical & Structural Engineering.
• Product Security Engineering.
• Production Engineering.
• Software Engineering.
• Systems Engineering.
• Test and Evaluation Engineering.

Boeing Industrial Engineers directly influence the design, build, and delivery of Défense, space and security systems, commercial jetliners, and aftermarket support. They are vital to innovating the production system and accelerating digital transformation.

 

 

Boeing’s strategic options and associated risks

Brief history of Boeing and the strategic models

Brief history of Boeing and the strategic models

Assume you are part of the strategic team working on Boeing’s current and future moves, representing the Engineering Department. You must prepare a report with your own recommendations and conclusions. The focus should not be on the history or a summary of the case study but on your research on current developments and future steps. Your focus should be on the technical and operational contribution to the company strategy. How can you, as an engineer, contribute to the decision-making and the profitability of the company?

The report must contain:

• The analyses you have done, including a brief history of Boeing and the strategic models they have used through the years
• The strategic options you selected with the associated likely risks
• The action plans to implement the selected strategies that involve operations and engineering
• The expected outcomes of your recommendations

 

What is Boeing’s business model?

The objective of this assignment is to help students analyse a specific company and its historic strategy and deepen their understanding of the strategic choices available to the company and the likelihood of success in implementing new strategies. Demonstrate how engineering can contribute to strategic choices and implementation and, therefore, to business performance. The assignment will cover learning outcomes 1, 5 & 6.

 

 

The assignment should be written in a business-style report format rather than a typical academic essay format. This assignment should reflect good strategic thinking and recommendations based on sound/logical business arguments and the contents delivered in class. Evidence on the use of references or a bibliography should be present. As this module is part of a Business Programme, students are expected to use tables, charts and other visual elements to support their views and analyses since this is common practice in the business environment.

Federal Contracting Activities and Contract Types

Federal Contracting Activities and Contract Types.The Department of Energy plans to issue a $1,000,000 government contract to a company that specializes in the manufacturing of solar panel systems. As a result, a government auditor has been contacted to examine the operational data of SolarCal and your company in order to decide which company should win the government contract.

You may create and/or make all necessary assumptions needed for the completion of this assignment.

In order to complete this assignment, refer to Assignment 1 where you discussed SolarCal and your company.

Instructions

In order to complete this assignment, refer to the scenario in the Introduction of New Solar Company Assignment where you discussed SolarCal and your company, as well as the scenarios and readings from previous weeks.

Refer to the rubric for this assignment to become familiar with how your paper will be graded.
Refer to scenarios and readings from previous weeks to complete this assignment.
Note: It is essential that you review your case analyses when completing this assignment.
Week 9 Case Analysis: Concept of Facilities Capital Cost of Money and the Procedure for Determining FCCOM
Week 10 Case Analysis: Government Policies Regarding Profit and Preferred Measure and Processing of Equitable Adjustments

 

Federal Contracting Activities and Contract Types: Overview of the history of SolarCal and Superstar Solar, Inc.

 

Federal Contracting Activities and Contract Types

Write a 6–8 page paper in which you:

1. Create a 1-page overview of the history of SolarCal and Superstar Solar, Inc., the companies competing for the government contract.

2. The government is deciding on which contact type it will offer. Discuss firm fixed-price and cost reimbursement contracts and what the preferred preference would be for each company when the government decides on a type. Justify the response.

3. The government decided that it will offer a firm-fixed price contract for this project. Discuss the expenses in detail for each company. The following should be included in these costs:

Direct Costs.
-Labor.
-Operating.

Indirect Costs.
-Labor.
-Operating.

4, Suggest which company should be awarded this government contract based on the data that was presented for each company. Next, provide three to five reasons to support your stance.

5.Use at least three quality resources in this assignment. Note: Wikipedia and similar websites do not qualify as quality resources.

The specific course learning outcome associated with this assignment is:
Recommend a company for a government contract award based on history and cost considerations related to production.

Ways to recognize social injustices and work to eliminate barriers

Ways to recognize social injustices and work to eliminate barriers

The Garland School of Social Work seeks students who desire to make a lasting impact and have demonstrated potential for success in graduate studies. As part of your MSW application, you are required to submit essay responses for each of the prompts below. These essays are an opportunity to highlight your strengths and motivation for pursuing social work. Please note, each essay response should be no more than 3,000 characters.

The application will consider any text entered as a response. We strongly recommend that you save your responses in an external document in case of technical difficulties. Any information lost or not saved cannot be recovered.

1)Social Work Profession Essay
In your own words, explain your understanding of the social work profession.
Describe the personal characteristics that equip you for this field.
Thoroughly outline the professional and personal experiences that have inspired you to pursue social work.

2)Advocating for Others Essay
The field of social work is about recognizing social injustices and working to eliminate barriers often faced by underrepresented populations.

 

Describe how a graduate social work degree can help eliminate barriers

Ways to recognize social injustices and work to eliminate barriers

Describe your experiences with recognizing social injustice.
Describe how a graduate social work degree can help you eliminate these barriers.

3) Mission Statement Essay
The Diana R. Garland School of Social Work is dedicated to producing alumni influencing the social welfare of people, families, and communities through service and leadership by ethically integrating faith with practice.

Describe what this statement means to you.
Describe how Baylor’s program will influence you as a practitioner.

4) Societal Issue Essay
Describe a societal issue.
Address the following questions in your response:
Why does this issue deserve public action and resources?
How has society contributed to this issue?
Describe how social workers can take action to address the issue and how you might take an active leadership role.
Include any personal experiences which have contributed to your understanding of this issue.

What are the principles of systems analysis?

What are the principles of systems analysis? In this course, you have learned about the key principles and practices underlying IT systems analysis, design, implementation, and management. You will apply this knowledge in this final project by creating a systems proposal document. The project is divided into four milestones, which will be submitted throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules Two, Four, Six, and Eight. The final submission will occur in Module Nine. In this assignment, you will demonstrate your mastery of the following course outcomes: · Assess the relationship of systems analysis, design, implementation, and development processes as they relate to the management of information technology systems ·

 

Communicate the paradigms, processes, and activities of systems development to diverse audiences · Apply structure and object-oriented analysis modeling techniques to analyze, design, and manage information technology systems · Construct written and visual representations of the analysis, design, implementation, and management of information technology systems based on the systems development life cycle Prompt You will select your case study and will apply the content provided, describing the business process to complete the final project. Alternate sources for case studies include the case studies found in the textbook except for the Personal Trainer Case. You can additionally search the internet for business case ideas. You will complete an analysis of an existing information technology system and make recommendations for updates to meet business goals based on your chosen case study. Your final submission will include an introduction, system requirements, design specifications, and implementation plan. All components listed below should be submitted as a single, organized systems proposal document and include screenshots of all relevant diagrams, charts, and tables.

 

What is the key goal of system analysis and design?

What are the principles of systems analysis?

1. Introduction: Provide an overview of your selected case. Be sure to provide appropriate citations and references to the selected case study. a) Background: Establish a context for understanding your systems proposal. Specifically, explain any essential paradigms, processes, and activities of the existing information technology systems. b) Problem Statement: What problem needs to be solved? Why is it a problem? What are the impacts on the enterprise? c) Audience: Who are your audiences for this system’s proposal? How will you effectively communicate the information of your proposal to these diverse groups? II. Systems Requirements: Detail the specific requirements of your case. Include screenshots of all relevant diagrams, charts, and tables. a) Requirements Modeling: Assess the current system to identify the requirements for the new system. Be sure to address the following aspects: outputs, inputs, processes, performance, and controls (i.e., security). b) Data Process Model: Create a visual representation of all relevant data processes that represents a logical model of the requirements of the system based on the systems development life cycle. c) Data Flow Diagrams: Create a visual representation of the data flow based on the systems development life cycle. d) Data Dictionary: Create a data dictionary that annotates your system requirements to build clarity in communicating with the relevant audiences.
4. e) Object Modeling: Use appropriate object modeling techniques and tools to describe the system requirements. f) Use Case Diagrams: Create (a) use case diagram(s) that outline the system requirements based on the systems development life cycle. III. Systems Design: Propose a solution that addresses the identified problem in your case. Include screenshots of all relevant diagrams, charts, and tables. a) Specifications: Provide a physical design that will meet the specifications outlined in the systems requirement document. b) Data Design: Create entity relationship diagrams that accurately describe the proposed solution, including 3NF table designs. c) User Interface Design: Illustrate the user interface design. Specifically, address your proposed human-computer interactions (HCIs) and graphical user interfaces (GUIs). Your proposals should follow user-centered design principles and address all design requirements. d) System Architecture: Describe the system architecture. Specifically, address the corporate organization and culture, enterprise resource planning, the total cost of ownership, scalability, integration and interface requirements, and security. e)
5. Feasibility Analysis: Provide supporting details that justify why your proposed solution is appropriate for solving the problem. In your defense, address operational, technical, economic, and scheduling feasibility. Ensure you frame your response to communicate effectively to your target audiences. IV. Project Plan: Illustrate your recommended implementation and management strategies. Include screenshots of all relevant diagrams, charts, and tables. a) Work Breakdown Structure: Describe all the essential roles and functions required to implement the solution. Who will be doing the work, and what, specifically, will they need to do? b) Project Monitoring and Control Plan: How will you ensure the project is going smoothly? What is your plan of attack to ensure that all controls are adhered to? What is the defined critical path? Ensure you frame your response to communicate effectively to your target audiences. c) Timeline: What is the estimated amount of time for implementation? Create a visual representation that captures your timeline (e.g., Gantt chart) based on the systems development life cycle.