What are the changes Medicare/Medicaid making in nursing homes?

https://www.cms.gov/newsroom/press-releases/hhs-releases-new-data-and-report-hospital-and-nursing-home-ownership
https://www.hhs.gov/guidance/document/nursing-homes
https://www.cms.gov/newsroom/press-releases/cms-issues-significant-updates-improve-safety-and-quality-care-long-term-care-residents-and-calls

What are the changes Medicare/Medicaid making in nursing homes?

What are the pro and cons?

How does it affect the nursing home?

How do the changes affect the care of patients?

How does it impact the future of nursing homes?

Describe the purpose of the treatment regimen in preventing complications of the disease process.

Assignment – Sensory Perception Disorder
Care Map
Purpose of the Assignment
Identify the importance of client compliance with a treatment regimen to prevent a permanent disability.
Describe the purpose of the treatment regimen in preventing complications of the disease process.
Course Competency
Strategies for safe, effective multidimensional nursing practice when providing care for clients experiencing sensory and perception disorders.
Instructions
Ms. Julia Jones, a 68-year old African American woman, has just been diagnosed with primary open-angle glaucoma. Her ophthalmologist has explained the pathophysiology of the disease to her and is trying to select the best treatment option for her. You are the nurse working with the ophthalmologist, and Ms. Jones has asked you about the eye drops the doctor has recommended. Mrs. Jones’s physician has recommended Combigan, one drop in the right eye every 12 hours. Your client has never administered eye drops and she does not know anything about the medication her ophthalmologist has prescribed. She is interested in how the medication works, the side effects, how it is administered, and why it is so important in the treatment of her glaucoma.
Develop a nursing care plan using template directly after these instructions to address Ms. Julia Jones concerns.
For this assignment, include the following: assessment and data collection (including disease process, common labwork/diagnostics, subjective, objective, and health history data), three NANDA-I approved nursing diagnosis, one SMART goal for each nursing diagnosis, and two nursing interventions with rationale for each SMART goal for a client with a musculoskeletal disorder.
Use at least two scholarly sources to support your care map. Be sure to cite your sources in-text and on a reference page using APA format.
Check out the following link for information about writing SMART goals and to see examples:
http://rasmussen.libanswers.com/faq/212524
You can find useful reference materials for this assignment in the School of Nursing guide:
https://guides.rasmussen.edu/nursing/referenceebooks
Have questions about APA? Visit the online APA guide:
https://guides.rasmussen.edu/apa

State how health information systems are built for assessment, data gathering, and analysis of the workflows.

Health information systems provide a variety of multi-faceted information to provide organizations with the ability to determine areas of strength and weakness. Using the Measure Evaluation Health Information System (HIS) Assessment Tools Database (Links to an external site.) website, choose one assessment tool for health information systems from the website for evaluation of the organization you are presently in practice. https://www.measureevaluation.org/his-strengthening-resource-center/his-assessment-tools.html.
Organization I work for is Community Home Care & Hospice. https://www.communityhch.com/
Using the tool, assess the organization to the best of your capability.
Provide a summary of your evaluation.
Next, select one standard from the American Nurses Informatics Association and determine the alignment of the organization based on the evaluation information you gathered using the assessment tool.
Provide two QSEN aligned recommendations for the organization to use for improvement of the present health information system.
What data would you use from the evaluation to support or not upport alignment with the standard?
Speak on at least two current and emerging technologies to support safe practice environments, and to optimize patient safety, cost-effectiveness, and health outcomes.
State how health information systems are built for assessment, data gathering, and analysis of the workflows.

Discuss the artifact in depth.  Explain the stereotypes or biases that you see being perpetuated in the artifact. 

Analyze: Artifact of Popular Culture
Evaluation Title: The Business of Pop Culture
We have seen throughout this course how popular culture influences our attitudes, both positively and negatively. In this final paper, you will examine an artifact in pop culture to determine its message and effect.
For this assignment, select an artifact that, in your opinion, unfairly creates a negative bias or promotes a negative stereotype about one population of society. The pop culture artifact can be a media source (song, movie, television program), a product or other tangible associated with pop culture.  Provide a link to this artifact (or an image). Explain why you have selected this artifact, and why you feel that this creates a negative bias. Describe how you would re-design or re-write the script of this artifact to change the way others would view this population.
In your paper:
Provide a specific link to pop culture artifact used for this paper or an image of the artifact.
Discuss the artifact in depth.  Explain the stereotypes or biases that you see being perpetuated in the artifact.
Discuss the role of popular culture in communicating harmful or incorrect stereotypes or biases.  Using the concepts, terminology, and ideas within Units 1-7, recommendations for how people can identify and correct views that are incorrect or harmful.
Re-design or re-write this artifact to change the way others could view this population without the negative bias.  Be sure to support this revised artifact with factual examples of the culture.
Specifications:
Submit a 1200-1500 word essay addressing the questions above.
In your essay: This is very Important
Be sure to structure your essay with an introduction paragraph that includes a thesis statement, well-organized supporting paragraphs, and a conclusion that reiterates the main points of your argument.

Your argument should be supported by reputable research cited in APA format both in the body of the paper and in your references section.

What causes people to make changes in their lives?

In this course, you will spend time reading and applying information regarding psychological theory. It is important to understand why theory is needed. As such, please discuss why counselors need theory. Be sure to detail at least three reasons why the use of theory in counseling is important.

 

The counseling process is designed to help people make positive changes in their lives. This might entail helping clients make changes in the way they think, feel, or behave. Before formally reviewing any of the theories reflect on the following questions and share your thoughts:

  1. What are your views about change?
  2. What causes people to make changes in their lives?
  3. What do you think leads people to be resistant to change?
  4. How open to change are you inclined to be?
What steps were crucial in the identification of the bacteria?

1. Presentation and Structure
Introduction / Materials and Methods / Results / Discussion format used
A clear aim is indicated
Changes or modifications to the method (if they occur)
The test results for the samples are presented accurately and clearly
Identification using the key was indicated and explained
Well-structured, with logical flow
Appropriate use of headings
Suitable use of font style and sizes
Tables are formatted appropriately incl. labelling and layout

2. Discussion
The meaning of the specific results is explained
The accuracy and repeatability of the test results critically evaluated
The pathogenicity of the sample species indicated
The significance of the identified species for the scenario indicated
Practical measures recommended that relate to the identified species
Sources of error are identified
Effects of error on the results explained
Strategies to reduce error discussed
The methodology was critically evaluated / limitations explained
Accurate information presented
Precise information presented
Relevant information presented

3. Writing Style
Clear, concise and coherent
Objective language used
Correct spelling, grammar, punctuation and word use
Each paragraph focuses on a single point
Statements supported with appropriate references
4. Research and Referencing
Peer-reviewed material sourced
Primary source material sourced
Non-peer reviewed material used critically and sparingly
Up-to-date sources
Relevant sources used
Broad coverage of authors/sources – not just given references
Sources not simply copied; no quotes used
Correct use of citation style
Reference list formatted correctly

All four sections are worth 25%

The Prac Report is a scientific paper: it will have the following format:

Introduction: very brief, but include an aim (not the “educational” aim given – give one that you think most precisely addresses what was achieved)

Materials and Methods: you probably only need to just reference to the online Lab (Cakebread 2020) – check out how to reference websites.

Results: present only results – the main result is a couple of names. If you have a table, think about what you present in it. In general, you shouldn’t include data that is not directly required for explaining your results or brought up in the Discussion

Discussion: this is the section that will require your greatest focus.
A separate Conclusion is not required, but you should have at least a simple statement to indicate that you do / do not believe your aim has been achieved.
In the report you need to address two main questions:
How valid are your results what are the sources of error?
You need to analyse the procedures undertaken. The following questions may assist:
What factors could have led us undertaking the procedures with a bacteria other than the one you did?
What factors could have led to not culturing bacteria from the original sample?
What steps were crucial in the identification of the bacteria?
What factors could have altered the results you obtained?

What is the significance the significance of this finding? You need to discuss the implications of finding this species in the milk and suggest the likely specific management actions that should be taken. As part of your report, you should explore the nature and spread of specific form of mastitis, the incidence within the herd and suggested measures for control of the bacterial species you have identified.  This information needs to be supported by good strong references.

References and referencing
Basically, every substantial statement you make must either be your original creation or be referenced. Original should be indicated as such – it doesn’t happen that often!

But what is a good reference? In general, a peer-reviewed primary source journal article is to be preferred. All reputable journals have peer-review. Primary source means this has been written by the people who actually did the original research – the article generally has a Results section.

Can I use review articles? Yes, but sparingly and in the right context. Good for overview and general statements, but not for specific facts.

Can I use other sources (web-sites/ trade newspapers/ newspaper report etc) – yes, very sparingly and only when scientific journal articles do not present that specific information.
How many references should I include? Depends on what you are saying and the quality of the references.  As a very rough guide – 5 is a minimum – 50 is probably overboard.

Style Guide: APA 7th Edition – https://library.unimelb.edu.au/recite/apa7

Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial. 

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.

Describe how Musk has exhibited each of the Big Five personality factors. Which of these factors do you think has the most correlation with Musk’s success as a leader?

Case 2.3 Elon Musk

When he was 12, Elon Musk created and sold his first product. That video game, Blastar, was the start of Musk’s meteoric entrepreneurial career, which has seen him take on everything from electric cars to space travel to alternative energy.

Musk grew up in South Africa, the son of an engineer and a Canadian model. In grade school Musk was introverted and often bullied, but at 15 he learned how to defend himself with karate and wrestling. He moved to Canada at 17 to attend university and three years later left Canada to attend the University of Pennsylvania where he earned degrees in economics and physics. In 1995, only two days into a PhD program in energy physics at Stanford, Musk dropped out to launch his first company, Zip2, with his brother Kimbal. An online city guide, Zip2 provided content for websites of both the New York Times and the Chicago Tribune. Four years later, Compaq Computer Corporation bought Zip2 for $307 million.

The Musk brothers then founded X.com, an online financial services/payments company, which became PayPal. Three years later, eBay acquired PayPal for $1.5 billion.

Now a billionaire, Musk started Space Exploration Technologies Corporation, or SpaceX, in 2002 with the intention of building reusable spacecraft for commercial space travel. A year after launching SpaceX, Musk became the cofounder, CEO, and product architect at Tesla Motors, dedicated to producing affordable, mass-market electric cars as well as battery products and solar roofs. He also launched several other side projects, including establishment of The Boring Company devoted to boring and building underground tunnels to reduce street traffic, becoming cochair of the nonprofit research organization OpenAI with the mission of advancing digital intelligence to benefit humanity, and development of the Hyperloop to create a more expedient form of transportation between cities.

But unlike his earlier ventures, both SpaceX and Tesla had considerable challenges. In 2008, Musk was nearly out of money after SpaceX’s Falcon 1 rocket, of which he was the chief designer, suffered three failed launches before it finally had a successful one. Meanwhile, Tesla was hitting speed bump after speed bump in the development of its vehicles, hemorrhaging money, and losing investor confidence as well as orders from customers who were unhappy with the long wait time to get their vehicles.

Musk faced these challenges the way he did as a bullied school kid: head on. “Leaders are . . . expected to work harder than those who report to them and always make sure that their needs are taken care of before yours, thus leading by example,” he said (Jackson, 2017).

At SpaceX, Musk continued to innovate, and the company accomplished a stunning number of achievements including successfully having rockets land safely back on earth after launches, transporting supplies to the International Space Station, and developing a rocket that could carry heavier payloads. By 2019, SpaceX had 6,000-plus contracts, worth $12 billion, with NASA and other commercial satellite companies. The company, which says its ultimate mission is to foster interplanetary life, is planning a cargo mission to Mars in 2022 (Space Exploration Technologies Corp., 2020).

Many credit SpaceX’s success to the unified culture at the company created by its fairly flat organizational structure and the fact that, despite its growth, the company still maintains a start-up mentality and feel.

“It’s an incredible place to work,” said one engineer. “There’s a great sense of connectedness between everyone. Everyone’s got the same goal in mind. Everyone’s working super hard to deliver a product successfully. It’s amazing when it all culminates in launch” (Mind & Machine, 2017).

Dolly Singh, the former head of human resources at SpaceX, said, “The thing that makes Elon Elon is his ability to make people believe in his vision” (Snow, 2015). Jim Cantrell, SpaceX’s first engineer, added, “He is the smartest guy I’ve ever met, period. I know that sounds overblown. But I’ve met plenty of smart people, and I don’t say that lightly. He’s absolutely, frickin’ amazing. I don’t even think he sleeps” (Feloni, 2014).

But to turn Tesla around, Musk had to roll up his shirtsleeves. The company, which was four years behind on the production of its Model 3, was under severe public scrutiny from investors and industry analysts. After missing one deadline after another, Musk restructured the organization in April 2018 and took over as the head of engineering to personally oversee efforts in that division. In a 2018 Twitter post, Musk said that to meet production goals, it was time to “divide & conquer, so I’m back to sleeping at factory.” By the end of June 2018, Tesla had met its goal of producing 5,000 Model 3 cars per week, while churning out another 2,000 Model S sedans and Model X SUVs (Sage & Rodriguez, 2018).

Musk has been described as an unconventional leader, even by Silicon Valley standards. He is a prolific tweeter in which he comments on everything from building cyborg dragons, to jokes about bankruptcy, to mixing Ambien with red wine (Davies, 2018). He has graced magazine covers and goes on talk shows and appeared on animated television shows The Simpsons and South Park. His peculiar sense of humor was on dramatic display when he launched his own red Tesla Roadster sports car into space atop the first SpaceX Falcon Heavy rocket. At the same time, some of his behavioral quirks have also become liabilities.

In a public earnings call with investors and financial analysts, Musk attacked two analysts for asking what he called “bonehead” and “dry” questions that he refused to answer, resulting in Tesla’s stock value plunging 10% (Davies, 2018). When his efforts to assist in the rescue of 12 young soccer players and their coach from a flooded cave in Thailand were criticized as self-aggrandizing rather than serious, Musk responded with a tweet calling one of the divers involved in the rescue “pedo guy,” insinuating he was a child molester (Levin, 2018).

In August 2018, Musk wrote on Twitter that he was considering taking Tesla private and that he had the necessary funding “secured” to do so. As a result, Tesla’s stock price immediately shot up, gaining the attention of the Securities and Exchange Commission (SEC), which investigated and ultimately fined Musk $20 million. Less than two weeks after that episode, Musk gave an emotional interview with the New York Times, in which he alternately laughed and cried in a display that left many questioning his mental state and sent Tesla investors into sell mode with their stock (Crum, 2018).

Not long after that interview, Musk changed his mind and said Tesla would remain a public company. He followed that decision with an appearance on the Joe Rogan Experience podcast during which he smoked what was said to be a marijuana-laced cigarette (Davies, 2018).

“The reason Elon seems to attract drama is that he is so transparent, so open, in a way that can come back to bite him,” his brother and Tesla board member Kimbal Musk told the New York Times. “He doesn’t know how to do it differently. It’s just who he is” (Gelles, 2018).

After all of the drama in 2018, there were many concerns about where Tesla would go in 2019. The answer? Tesla ended 2019 on a high note, with a record stock price topping out at more than $400 per share.

“It’s been quite the turnaround for Musk since his ‘funding secured’ tweet debacle of last year,” one analyst noted. “Tesla’s stock has been one of the top performers of the second-half of the year and Musk is proof that you can take on the SEC, smoke weed on podcasts, call people pedo guy and still run a $70 billion company” (Crum, 2018).

Questions

  1. Describe how Musk has exhibited each of the Big Five personality factors. Which of these factors do you think has the most correlation with Musk’s success as a leader?
  2. If you were asked to design a leadership training program based on the trait approach, how could you incorporate the story of Elon Musk and his leadership? Around which of his traits would you structure your training? Are some of his leadership traits more teachable than others? Discuss.
How does the community health nurse recognize bias, stereotypes, and implicit bias within the community?

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format.

What specific branch of the U.S. government is involved in this current event?

Imagine you are a political writer with your own blog. You write about current events and what they mean for the U.S. government and its citizens. You have been asked to write a blog post of 2-3 typed pages about an event from the last 3 months involving U.S. political issues or policies.

Instructions

Step 1: Choose one of the following political issues or policies:

  • the U.S. President
  • congress
  • administrative departments
  • political activists
  • judicial rulings
  • a campaign
  • an election

Step 2: Choose 1 reputable news source that has reported on your chosen event.

Here are some sources to choose from:

  • liberal leaning news: The New York Times, The Washington Post, The Atlantic, Vox, HuffPost, Politico, CNN, Time Magazine
  • conservative leaning news: National Review, The Washington Times, The Wall Street Journal, The Federalist, Fox Online News, Washington Examiner
  • centrist news: NPR Online News (National Public Radio), Reuters, BBC, CNBC News, USA Today, Christian Science Monitor, Pew Research Center
  • To see ratings of news sources, visit AllSides’s Media Bias Ratings.

Step 3: Summarize your chosen current event in 1-2 paragraphs. Include what the event is, when it took place, and the political issues or policies to which it connects.

Step 4: In addition to your brief summary, answer each of the following questions:

  1. What specific branch of the U.S. government is involved in this current event? (1-2 paragraphs)
  2. Who or which groups are affected by this event? (1-2 paragraphs)
  3. What biases or leanings exist in the media source you chose? Give examples. Were these counterbalanced in any way? (1-2 paragraphs)
  4. What are your opinions on the issue? Use relevant facts and supporting evidence from your source(s) to support your opinion. (1-2 paragraphs)

Step 5: Cite your selected news article and any other sources.

Note: You should be conscious of your own bias and make every effort to avoid biased, opinionated, emotional, or judgmental language in this summary. That means avoiding words such as “always,” “obviously,” “clearly,” etc.