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1

Treatments and medications

Please read the questions carefully in order to answer them. Use only 7th edition APA. Please use references only within five years.

Utilizing your learning from this course and from other courses (e.g., research methods, clinical practicum, etc.), address the four hypothetical questions posed in the latter section of this Week’s content.  These questions include:

What would be considered a ‘clinical best-practice guideline’ in this new personalized healthcare world?  Would they exist?

What research designs would be the best to study cause-effect relationships in healthcare?  Would randomized control trials still be the ‘gold-standard’ when clinicians are able to develop treatments and medications specific to an individual’s genomic markers?
How would the profession of nursing look in a world where there is a focus on the genetic composition of an individual in terms of their treatment and recovery?  What would nursing education/practice need to do to support this refocus on client care? What are the potential legal and ethical considerations that nurses will need to reflect upon?

2

Improvements in care

Imagine that you are a hospital administrator at the Sunlight Hospital in California. The main complaint among the patients is the quality of care. Your job is to understand the state of the hospital, create value, increase efficiency, and turn the facility into a local hospital of choice. Whenever you are making visits in various wards to meet the employees and the patients, you hear how the patients love the hospital, but they would like to see certain improvements in care. The employees seem to be very busy executing their duties and not interacting much with the patients. The hospital board has asked you to compile a report of your findings and suggested strategy for achieving the hospital’s current goals.

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

Write a 4–6 page paper in which you:

Classify five measurements of quality of care in a hospital, and justify the major reasons why you believe these measurements matter to patients in their process of choosing a hospital for emergency or inpatient care.

Specify four main features in health care organizations that can be used to design a successful quality improvement plan. Articulate the significant manner in which the specified features can lead to failure or success of quality of care in Sunlight Hospital.
Suggest the salient reasons why quality of care would add value to and create a competitive advantage for the Sunlight Hospital. Justify your response.
Go to Basic Search: Strayer University Online Library to find four recent (within the last five years) quality academic resources for this assignment. Note: Wikipedia and other websites do not qualify as quality academic resources.

3

Diabetes among African-Americans

This week, you will continue working on your research paper. Discuss the following topics as you add new issues to the paper:
At this point, you should be taking your work from the previous weeks and combining all the information into your final paper.

Your paper should be 15 to 20 double-spaced pages in length excluding the title and reference pages. Apply APA standards to citation of sources.
Utilize at least 7 to 10 scholarly sources in your research. Write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.

In your research paper:

Provide an introductory background of the selected research topic.

Describe the selected research topic, health-related state or event. Describe the disease, disability, or chronic condition.
Describe the population at risk or affected by the disease, disability,or chronic condition.

Describe, in detail, the epidemiology of your selected health-related state or event (e.g.disease, disability,chronic condition)
Describe the occurrence, signs and symptoms, and control of your selected health-related state or event (e.g.disease, disability,chronic condition).
List the steps that might be used to investigate and address the disease or public health problem described in the selected research.

4

Evaluation of Benchmark Underperformance

Write a 4-6-page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1.

Evaluation of Benchmark Underperformance

            Both hbA1c and low foot exam metrics have fluctuated significantly, which requires the management\’s special attention. HbA1cand low foot exams are critical in diagnosis the patients with diabetes in the early stages, thus enacting appropriate interventions. It would be hard for one to substantiate which metric is underperforming its benchmark to the highest degree. Both benchmarks are widespread in the organization, and they affect the greatest number of the patients too. The underperformance of both benchmarks has a serious impact on the patients. As Bikramjit Raveender & Sudipta (2017) outline, the hbA1c and low foot exams are important diagnostic approaches that the healthcare units utilize to diagnose diabetes. Consequently, limits the ability to diagnose and identify diabetes at an early stage before it causes serious effects on the body like organ failure. The patients are forced to live with improperly managed diabetes which turns out fatal in the future. The facility needs to implement cultural competency programs to encourage patients from minorities to seek primary health care services. It needs to train its staff on how to handle minority patients and, at the same time, respect their values and culture. Secondly, the facility needs to improve staffing and hire more primary care staff and reduce their workload.

A Recommendation for Ethical Action to Address Benchmark Underperformance

            Improvement on the HbA1c and low foot exams should be Mercy Medical Center. One of the ethical recommendations that the organization needs to implement is cultural competency care and community education. The majority of the MMC clients are white people, which dissuades the minority patients from seeking healthcare services. Some of the factors that may dissuade minority patients from seeking primary healthcare services are language barriers, cultural values, and norms differences, among others (Lopes Campelo et al.,2018). The facility should train its health staff on how to handle and treat minority patients. It needs to train them to understand and respect the diverse cultures and use this knowledge to offer patient-centered care. Secondly, the facility needs to improve staffing to reduce work overload on the existing staff. Poor performance in the primary care unit is a consequence of numerous inadequate staffing (Glette, Aase, & Wiig, 2017). Improving the number of staff will increase the hbA1c and low foot exams, thus improving diabetes management in the Shakopee community and the entire country too.

The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.

Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.

Recommend ethical, evidence-based practice guidelines to improve targeted benchmark performance prescribed by applicable local, state, or federal health care policy or law.

5

Healthcare organizations

Population Health Management

Research a minimum of five articles on the challenges of providing access to healthcare in the Kingdom for the population by considering patient demographics and geographic considerations. Explain the patient education strategies that are needed to overcome some of these challenges. Explain how this strategy supports the mission, vision, and values of Saudi Vision 2030. Summarize the benefits to Saudi patients, healthcare organizations, and healthcare providers.

Requirements:

Your paper should be five to six pages in length, not including the title and reference pages.
You must include a minimum of five credible sources. Use the Saudi Electronic Digital Library to find your resources.

6

Therapeutic treatment

This week, you identified several causes and effects of your Capstone problem. For this Assignment, you are to explain 3 primary causes and 3 effects from those causes. You will need a thorough discussion of each cause (fully describe the source) and the effects (fully describe who is impacted and how). Following the description of the 3 causes and effects, this narrative should conclude with a final paragraph that briefly summarizes those causes and your reaction to the relationship between these causes and the development of the problem.

To prepare:

Review the Learning Resources related to causes and effects and how this might support your Assignment.
Review the “Causes and Effects of Your Capstone Problem Organizational Matrix” found in the Learning Resources and use this template to help you organize your thoughts and ideas for this Assignment.
Review your research from your literature review related to your specific problem and consider 3 causes and 3 effects that were described about your problem.

Assignment

Write a clearly defined narrative that incorporates the 3 causes and 3 effects and explain how these causes and effects relate to your problem.
Explain your reaction to the findings about the causes and effects of the problem.
Explain whether you believe these causes could have been prevented and how.
Explain which cause or effect you think was most important in leading to the problem and why.

I am attaching the required resources for this assignment, however, feel free to use any scholarly resource that could help you, and make sure to cite it APA7.

My capstone project is on the effect of the Extinction Burst in treatment especially in self-injurious behaviors.

I am attaching also the previous assignment related the capstone project.

7

Healthcare organizations.

Research a minimum of five articles on the challenges of providing access to healthcare in the Kingdom for the population by considering patient demographics and geographic considerations. Explain the patient education strategies that are needed to overcome some of these challenges. Explain how this strategy supports the mission, vision, and values of Saudi Vision 2030. Summarize the benefits to Saudi patients, healthcare organizations, and healthcare providers.

Requirements:

Your paper should be five to six pages in length, not including the title and reference pages.
You must include a minimum of five credible sources. Use the Saudi Electronic Digital Library to find your resources.