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This week’s graded discussion topic relates to the following Course Outcomes (COs).

• CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
• CO3 Utilize effective communication when performing a health assessment. (PO 3)

The topic this week asks you to apply what you have learned to the following case study.

As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 6 hours of sleep per night, but that is okay with her. She lives 1 hour from campus and commutes each day. Using Healthy People 2020 (Links to an external site.)Links to an external site. and your text as a guide, answer the following questions.

1. What additional information would you like to gather from Maria?
2. What are Maria’s real and potential health risks?
3. Why is Maria’s culture important when obtaining the health assessment?
4. Pick one of Maria’s health risks. What would be one reasonable short-term goal for this risk?
5. What nursing interventions would you incorporate into Maria’s plan of care to assist her with meeting your chosen goal? Please provide rationale for your selections.
6. Class,

   As we begin this week starting to talk about Healthy People 2020, I am looking forward to your input and answers to the questions with the scenario and Maria. As you are reviewing the Healthy People 2020 new topic areas, in this week’s lesson, what are your thoughts on them? Do any of these topics apply to your current workplace setting? Can you share an example of the scenario or a workplace example, and would these new areas benefit you in your practice?

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When looking at productivity standards for an HIM department, you need to take into consideration if the department has a paper based environment (medical record is created and maintained in paper form), hybrid environment (medical record is a combination of electronic and paper documents) or EMR environment (medical records are fully computerized either through direct entry by clinicians into the electronic medical record software, scanning of paper documents to the electronic medical record or a combination of both and after discharge HIM processes are based on an electronic medical record).

There are two parts to this assignment. The first part will be developing productivity standards and the second part will be developing benchmarking standards for the HIM department.

Part 1

For part one of this assignment, refer to the following AHIMA article Management Practices for the Release of Information , Bock, Linda J, RHIA; Demster, Barbara, MS, RHIA, CHCQM; Dinh, Angela K, MHA, RHIA; Gorton, Elisa R, RHIA, MAHSM; Lantis, James R, Jr, MHA, RHIA. Journal of AHIMA79.11, http://search.proquest.com.ezproxy.rasmussen.edu/docview/212608050?accountid=40836 to work on the assignment of developing productivity standards for the new position that was hired to work for you. You can also use other sources for this information and include your references on your paper. In this paper, be sure to include the following:

• Develop productivity standards for the newly hired position.
• Include standards for low, medium, and high performers.

Part 2

For part two of this assignment, you will need to develop a benchmark for the Release of Information position. Benchmarks or Best Practices are based on the performance of similar organizations by gathering data on the standards by national or local professional associations and standard setting organizations. The Joint Commission on Accreditation of Hospitals has a standard stating that History and Physical examinations need to be done within 24 hours of admission to a hospital. Thus, HIM Directors have used this guideline to measure the hospital compliance with this standard. When establishing benchmark for the HIM Department, the manager should first select key functions that will be benchmarked and relating this to the specific function. When the key indicators have been identified, research can then began on the benchmarks by reviewing published sources. The following benchmarks steps can be followed:

• Identify departments that have achieved outstanding performance based on the key indicators (98% achievement).
• Studying the best practice used that make it possible to achieve the outcome desired.
• Implementing the best practice in the HIM department to achieve the goal.

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Hello,

I have atteched the access files that you should use and the instructions of both of them.

Thanks

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AcademicWritersDen.com boasts a team of highly skilled and experienced writers who specialize in various academic fields. The company carefully selects its writers through a rigorous screening process to ensure that they possess the necessary qualifications and expertise. Whether it’s an essay, research paper, or any other homework assignment, students can rely on AcademicWritersDen.com to connect them with professionals who have an in-depth understanding of the subject matter. This ensures that the work delivered is of high quality and meets the academic standards set by educational institutions.

It has been said that once you leave home, you can never return. In Laura Esquivel’s novel, Like Water for Chocolate, all three daughters leave home and return. However, the impacts of leaving and returning are different for each young woman. What makes the difference? Have you been profoundly impacted by leaving your home (parent’s home, community, home country) and returning? If so, what made the difference for you and allowed you to grow?

Note: You are expected to write a well thought out response of at least 2 paragraphs. Please keep in mind that this is not a text or Tweet. As such, you should spell out words and write using complete sentences. If you can, make connections between the novel and the short stories.

I want you to rewrite my experience and impact to connect it to the story

So my impact is:

I’m an international student, I love arts in all kinds, I used to live in Saudi Arabia and now I in United States for college. At first my goal was to get my architecture degree and then go home and start working. However coming to the US had changed me a lot opened my eyes more on things I couldn’t see. The first impact I was expecting oh going to college normal life I wake start my day with breakfast and go to my classes. But no It has a lot of temptation, I struggled a lot emotionally physically I cried a lot laughed a lot But I love it. And that changed my goal instead of going home I wanted to work in a different country start from 0 and not only relying on my architecture major to be the only goal. Coming here made me appreciate the struggles the experiences and that giving up isn’t an option, with all those I want to combine these things and the architecture designing skills to make many types of art like digital visuals and fashion.

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