Case Study of Harris

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APA formatCase study of HarrisHarris: Spinal Cord Injury at T3, CompleteHarris is a 20-year-old African American male with a diagnosis of complete spinal cord injury at T3 and resultant paraplegia. Harris also has a diagnosis of a fractured right tibia and fibula and right proximal radial and ulna fractures. Harris was admitted to the rehabilitation hospital from the acute-care hospital where he stayed for 2k weeks after his accident.Harris was in an automobile accident that resulted in his injuries. He was a passenger in the car and was struck from the right side by another car. Harris was pinned in the car for a short period of time and reports having no feeling in his legs immediately after the two cars collided. His friend, who was driving the car, was not seriously injured.Harris lives with his fiancée, Marsha, on the 15th floor of a new apartment complex in the city, It is a small one-bedroom apartment, They intend to be married next spring. Harris is also planning on completing his baccalaureate degrec in computer science and has one semester left to finish,   Harris works full-time for his brother’s plumbing business as a bookkeeper. During the little free time he has, he likes to travel with Marsha and golf with his friends. Harris had no funcional deficits before the accident.Harris’ family is extremely supportive and visits daily. His brother Jeff calls frequent|y and his mother makes all his favorite meals, which she brings in for the nurses as well as Harris. Harris’ father is not well and cannot visit as often due to respiratory distress, but teleshones his son regularly. Marsha, who is a dental hygienist, has taken time off work to be with Harris every day at the hospital.Harris is admitted to the rehabilitation hospital with the goal of returning home. He is eager to get started and tells the admission nurse “he more therapy, the better.” Harris will be evaluated by PT, OT, nursing, social work, and the physiatrist.Occupational Therapy EvaluationUpon evaluation, Harris is talkative and motivated. He is in a wheelchair with lateral supports. His right LE is in a full-arm cast and his right LE is in a cast from the toes distal to the knee. Harris says he is right-handed. When asked how he has been feeling since the accident, his reply is “fine.” When the question is rephrased as to his emotional state, his response is the same.Harris has no cognitive, perceptual, visual, or hearing deficits. He has no sensation in either LE and reports no sensation in his buttocks as well., His LE sensation is intact, as is the sensation in his superior trunk region. His sensation is impaired in his inferior trunk region. Harris’ low back area cannot be assessed during the evaluation due to his position in the chair.Harris has no AROM in the LEs. His motion is intact in the left UE and cervical area. His right LE cannot be fully assessed due to the cast. Motion in his right digits is normal given the limitations of the cast. His left UE has normal strength, right UE is not fully assessed, but Harris can lift the cast up over his head.Harris has no complaints of pain except for stiffness in his neck. He has some light edema in the right digits at the MCP to DIP joints but no cyanosis. He has multiple bruises and abrasions over his body that nursing is monitoring.Harris’ sitting balance is poor to fair, and he is unable to sit up independently without minimal assistance. He does attempt to correct himself when leaning but lacks the strength to maintain upright posture without external assistance. He is independent in sitting with the lateral supports in the wheelchair.Harris uses a sliding board with moderate assistance to transfer from surface to surface. He is non-ambulatory and is non-weight-bearing on the right leg. Harris requires ocasional assistance to propel himself in a wheelchair because of his inability to use his right arm. He performs bathing tasks ably and can wash his face, hands, chest, and peri-area independently. He requires total assistance for back, buttocks, and legs. He requires maximum assistance for dressing himself.  Harris reports feeding himself without help although “it’s messy sometimes.” Harris has a catheter for urination and had been incontinent of bowel since the accident. His admission Functional Independence Measure (FIM) scores were in the 3 to 4 range for UE tables and 1l range for LE tables.Assignment Objectives:· The student will identify and demonstrate (as applicable) role and participation in the Occupational Therapy process (referral, screening, evaluation, treatment planning, intervention, reevaluation and discharge planning)· The student will determine and select the model of practice/frame of reference that would best guide the treatment of the identified impairments.· The student will demonstrate proficiency in applying OT treatment techniques and practices to a case study that will be assigned to them.· The student will create a problem list, list of strengths, long-term goals, and short-term goals.· The student will demonstrate treatment session which will be described in an intervention note.· After the treatment session, the student will identify opportunities to recommend to the occupational therapist the need for referring client for reevaluation, discharge planning and additional evaluation for other services and/or professional(s).Procedure:· The student will be assigned a case study with an array of physical dysfunctions.· Student will complete an analysis based on a structure and guideline that requires information in regards to: Problems, strengths of the client, long-term and short-term goals for treatment.· Student will develop two treatment sessions applying techniques, strategies and practices· Student will demonstrate by role play, one treatment session.· Student will write an intervention/treatment note accordingly.

 
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Health Care Policy

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Discussion: Health Care PolicyIn this week’s media presentation, Dr. Trautman, Dr. Wakefield, and Ms. Coyle discuss how public policies initiated at the national or state level ultimately influence what occurs at the institutional and local level of nursing practice and health care delivery. Health care policy usually is developed to address health care cost, quality, or access, or a combination of the three. Due to the nature of their interaction with patients, nurses are well situated to be effective, knowledgeable advocates for their patients.In this week’s Discussion, you will examine how current policies impact how you as a nurse provide health care. You will then select an issue of interest and determine how you could advocate for policy in that area.To prepare:Select one public policy that currently is impacting you and your practice. Consider the following:What health care driver was the policy designed to address: cost, quality, access, or a combination?Does the policy appear to be achieving its intended results? On what data are you basing your assumption?What have been the effects (adverse or positive) of this policy on health care cost, quality, and access?How is this policy affecting your nursing practice?Next, select a health care issue—something you see or experience on a daily basis—about which you would like to influence a practice change through the policy process.Review the Learning Resources, focusing on Kingdon’s Model. How would you utilize this model to guide your policy development?Post a brief description of a public policy that is having an impact on your practice; summarize your analysis of the policy using the bulleted list above as a guide. Then, summarize the issue you would like to influence though a change in public policy, and outline how you would utilize Kingdon’s Model to guide your policy development.Read a selection of your colleagues’ responses.Required ReadingsMilstead, J. A. (2013). Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones and Bartlett Publishers.Chapter 1, “Advanced Practice Nurses and Public Policy, Naturally” (pp. 1–27)This chapter explains public policy and the nurse’s role in directing health care issues to the government and securing a response.Chapter 2, “Agenda Setting” (pp. 19–44)This chapter provides examples of the process of moving a problem to the attention of the government so the solution can be considered at the state and federal levels.Chapter 3, “Government Response: Legislation—Politics: Playing the Game” (pp. 45–71)This chapter explores the multiple factors that influence the development of public policy through the legislative branch of government.Coalition for Patients’ Rights. (2012). Retrieved from http://www.patientsrightscoalition.org/This website details the initiative of the Coalition for Patients’ Rights, which seeks to ensure that patients everywhere have access to the quality health care providers of their choice.University of Washington School of Medicine. (n.d.) Ethics in medicine: Managed care. Retrieved from http://depts.washington.edu/bioethx/topics/manag.htmlThis article explains the effects and ethical concerns associated with managed care, which integrates payment with the delivery of health care.

 
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LIRN Assignment

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Assignment:Students will be assigned a body region. Each student will then be responsible for choosing one article from a peer reviewed journal using the virtual library in relation to applied anatomy and kinesiology for the assigned body region. Students must have the article approved by the instructor prior to submission of the annotated bibliography. The instructor will approve the article based on a peer reviewed journal not content or relevance to topic. Students will then be required to write an annotated bibliography on the approved article.Instructions:Students will construct an annotated bibliography. An annotated bibliography is a list of citations of articles, books, and other publications on a particular topic. Each citation is followed by a relatively brief paragraph that summarizes the source’s argument and other relevant material including its intended audience, sources of evidence, and methodology. The assignment will be completed individually and out of class. The annotated bibliography consists of two elements:1. The citation in current AMA style format2. The Annotation – The annotation should consist of one paragraph using whole complete sentences in the third person and should be approximately 150-200 words in length. The assignment should be typed, double spaced, in Times New Roman 12 font, 1” margin.The annotation should include most, if not all, of the following: Explanation of main purpose Description of content Focus of article Relevance of topic Type of intended audience Evaluate its method, conclusion and/or reliability Strengths / weaknesses or biases Your own brief impression of the work Assessment: The assignment will be assessed according to the criteria identified in the grading rubric on the attached page.

 
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Developing a Culture of Evidence-Based Practice Peer answers

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Respond to  two of your colleagues by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.APA FormatMin of 2 sources

 
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Quality improvement model

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Identify any existing quality concern or an existing patient safety issue and provide the rationale for choosing this issue.

 
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Covey Habit 5: “Seek First to Understand and then to be Understood.”

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Approach the persons, places, or things that are obstacles to your positive attribute. Put yourself in their position/shoes, and describe why these persons, places, or things are obstacles to your growth. Kindly refer to Habit 5 in the attached book.

 
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influence of leadership

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The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace. In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently?

 
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Family Health – Week 2 Individual Success Plan

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All students will complete the Individual Success Plan in Week 2 of the course. Use the Pre-Predictor Score Report to guide you in this assignment.Please use my score to complete the report.Thanks

 
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OPEN FOR ANYONE

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I am looking for someone to do this assignment.   Is two assignments1.Module 01 Live Classroom – CMA Exam Study SessionThis course includes mandatory weekly Live Classroom sessions. These sessions are study sessions that will cover various topics that you will need to know to successfully pass the Certified Medical Assisting Exam. The first five sessions are mandatory; the final week’s session is optional, but you are encouraged to attend to continue your preparation for the CMA Exam. Check the School of Health Sciences CMA Exam Review library page for dates and links to the sessions.You must attend the first five weekly study sessions (or listen to the recorded version after the session has been conducted by the end of each week) and submit a weekly reflection assignment. Download the template for the reflection assignment below:here is the link to open for the assignmentUnder: CMA SCHEDULE-FALL 2016Click on WEEK 1 LINK and listen to it and answer the questions to the assignment.http://guides.rasmussen.edu/healthsciences/CMAexam2. Module 01 Live Classroom – CMA Exam Study SessionThis course includes mandatory weekly Live Classroom sessions. These sessions are study sessions that will cover various topics that you will need to know to successfully pass the Certified Medical Assisting Exam. The first five sessions are mandatory; the final week’s session is optional, but you are encouraged to attend to continue your preparation for the CMA Exam. Check the School of Health Sciences CMA Exam Review library page for dates and links to the sessions.You must attend the first five weekly study sessions (or listen to the recorded version after the session has been conducted by the end of each week) and submit a weekly reflection assignment. Download the template for the reflection assignment below:here is the link to open for the assignmentUnder: CMA SCHEDULE-FALL 2016Click on WEEK 2 LINK and listen to it and answer the questions to the assignment.http://guides.rasmussen.edu/healthsciences/CMAexam

 
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Nursing Management: Module 4

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Nursing ManagementReference textbook: Sullivan, E.J. (2012). Effective leadership and management in nursing. (8th Ed.). Upper Saddle      River, NJ: Prentice-Hall. ISBN-10: 0132814544 | ISBN-13: 978-0132814546Chapters: 5, 9, 11, 124.1 Module IV OverviewMODULE IVChange, Conflict Management,Team Building, CommunicationLearning ObjectivesModule IV concentrates on the following course outcomes—Critique communication processes encountered in practice seen in terms of client and organizational outcomes.There will be discussion of change theories and successful implementation of change. Team building will be presented, including an analysis of team communication. Both management and followership roles will be discussed.Reading AssignmentSullivan: 5, 9, 11, 12OverviewChange defines healthcare and organizations. Today’s organizations are driven by changes in technology, economics, demographics and the need to comply with government rules/regulations and consumer demands for quality affordable care. All of that and more in an environment struggling for financial viability. The professional nurse must understand the process of change, including driving forces of change, change theories and models, communication strategies to effect change and common barriers to change. One of the primary roles of the nurse manager is that of change agent. It is a responsibility of both managers and staff nurses within healthcare organizations to understand the costs and benefits of change. Resistance to change is evidenced in many ways, some common barriers include: fear of unknown, real or perceived stress, loss of status and power, increase in unmet needs. Lewin’s Change Model is a traditionally accepted change model. It incorporates steps for doe implementing planned change. Change is a systematic process and organizations use tools to monitor the process of change. The Havelock Model of Planned Change serves as an additional resource for systematically implementing change.Conflict management, team building and the communication processes of the nursing team are integral in delivering quality patient outcomes. The nurse must understand the importance of cultural diversity in nursing management and how diversity affects care delivery. Finally, the concept of polarity management is introduced to assist nurses in being able to embrace ambiguity and balance mutually important but competing concepts.Briefly explain one of the Change theories, including its steps; and how you have seen it used in the organization.  Was it effective or not and if not, why not.Discuss common barriers to change and who is typically involved in blocking change.Describe five common approaches to conflict resolution and their effectiveness. How is conflict resolution handled in your organization?What factors do you think contribute to effective team building?

 
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