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Tag: Care Plans

  • [Solved] Bj ai presentation week 6

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  • [Solved] Analyze the following paragraph and provide a reply as DNP student, use as support DIFFERENT FROM POst refereences from 2020-2026 on APA 7 format, inlcude in text citations.

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    Yusmays, 8100 The delivery of health care services in the United States has undergone significant transformation in response to rising costs, fragmented care delivery, and increasing emphasis on value-based outcomes. Integrated care models, particularly vertical integration and virtual integration, …

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    Yusmays, 8100

    The delivery of health care services in the United States has undergone significant transformation in response to rising costs, fragmented care delivery, and increasing emphasis on value-based outcomes. Integrated care models, particularly vertical integration and virtual integration, have emerged as strategic approaches to improve care coordination, quality, and population health outcomes (Shortell et al., 2021).

    **Vertical integration** occurs when a health care organization expands ownership or direct control across multiple levels of the care continuum, such as hospitals acquiring primary care practices, specialty clinics, laboratories, or even insurance plans. This structure is designed to align incentives across services and reduce fragmentation of care (Cutler & Scott Morton, 2023). One major advantage of vertical integration is improved continuity of care, allowing patients to transition more seamlessly across settings while supporting standardized clinical pathways and shared accountability for outcomes. Additionally, vertically integrated systems are often better positioned to implement value-based payment models due to centralized governance, unified electronic health records, and aligned financial incentives. However, vertical integration also presents important limitations, including increased market consolidation, reduced competition, and potential price increases for consumers, which may negatively impact affordability and access to care, particularly for vulnerable populations (Cutler & Scott Morton, 2023).

    In contrast, virtual integration involves collaboration among independent health care entities that remain legally separate but are functionally connected through contractual agreements, shared clinical protocols, health information exchange, and performance-based incentives. Common examples include clinically integrated networks (CINs) and accountable care organizations (ACOs). Virtual integration offers greater flexibility and allows organizations to coordinate care without the financial and regulatory burden associated with mergers or acquisitions (Shortell et al., 2021). This model supports innovation, preserves provider autonomy, and facilitates participation in population-based payment arrangements. However, its effectiveness depends heavily on strong leadership, data interoperability, and shared accountability structures. Without robust governance and performance monitoring, virtual integration may fail to achieve consistent improvements in quality and cost outcomes.

    From a Doctor of Nursing Practice (DNP) perspective, both integration models have significant implications for advanced practice leadership. DNP-prepared nurses are well positioned to lead care coordination initiatives, implement evidence-based practice across systems, and evaluate quality and population health outcomes within integrated delivery models. These roles align closely with DNP Essential II (Organizational and Systems Leadership) and Essential IV (Information Systems and Technology), as both vertical and virtual integration require system-level thinking, data-driven decision-making, and interprofessional collaboration to improve health outcomes and equity (American Association of Colleges of Nursing [AACN], 2021).

    In summary, vertical and virtual integration represent complementary strategies rather than mutually exclusive approaches. Vertical integration offers structural alignment and control, while virtual integration provides adaptability and collaboration across independent organizations. Health care leaders must critically assess organizational capacity, community needs, and regulatory environments to determine the most effective integration strategy to support high-quality, equitable, and sustainable health care delivery.

    ###### **References**

    American Association of Colleges of Nursing. (2021). _The essentials: Core competencies for professional nursing education_. [https://www.aacnnursing.org](https://www.aacnnursing.org/)

    Cutler, D. M., & Scott Morton, F. (2023). Hospitals, market concentration, and health care prices. _Journal of Economic Perspectives, 37_(3), 121–146. https://doi.org/10.1257/jep.37.3.121

    Shortell, S. M., Gillies, R. R., & Wu, F. M. (2021). United States innovations in integrated care and accountable care organizations. _Health Policy, 125_(7), 927–934. [https://doi.org/10.1016/j.healthpol.2021.05.002](https://doi.org/10.1016/j.healthpol.2021.05.002)

  • [Solved] 565 week 7 discussion

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    Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions. General Instructions **Step 1**: Review your assigned clinical application activity from the lesson. Your assigned client is based on the first letter of your last name in the…

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    Assignment Prompt & Instructions

    Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

    General Instructions

    **Step 1**: Review your assigned clinical application activity from the lesson. Your assigned client is based on the first letter of your last name in the chart below. The client case link will take you to the page in the lesson where the respective case is located.  Scroll to the bottom of the page to locate the client case.

    [Lester Payne](https://chamberlain.instructure.com/courses/190253/pages/week-7-drugs-used-to-manage-upper-gi-conditions "Week 7: Drugs Used to Manage Upper GI Conditions ")

    **Step 2**:  Assess the client’s case, the applicable clinical practice guideline (CPG), and the prescription writing activity for that client within the lesson.

    **Step 3**: Answer the discussion prompts below with explanation and detail, providing complete references for all citations. Refer to the lesson for client information.

    **Step 4**: Reply to peers with a different assigned client.

    **Step 5**: Look back at your initial post and respond to peers and faculty that have commented.

    Include the following sections:

    1. **Application of Course Knowledge**: Answer all questions/criteria with explanations and detail.

    1. Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?
    2. Assess the applicable clinical practice guideline (CPG) for your assigned client linked on the same page in the lesson where the client case is located. What treatment is recommended by the CPG for your client’s situation?
    3. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?
    4. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?
    2. **Integration of Evidence**: Integrate relevant scholarly sources as defined by [program expectationsLinks to an external site.](https://mychamberlain.sharepoint.com/:b:/r/sites/StudentResourceCenter/Shared%20Documents/Program%20Page%20Documents/NP/NP%20Program%20Expectations%20for%20Scholarly%20Resources%2012-2023.pdf?csf=1&web=1&e=7ZM9K8):

    1. Cite a scholarly source in the initial post.
    2. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
    3. **Professionalism in Communication**: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
    4. **Reference Citation**: Use current APA format to format citations and references and is free of errors.

    please provide AI and similarity report

    – [\
    \
    LesterPaybe.docx](https://www.sweetstudy.com/files/lesterpaybe-docx "LesterPaybe.docx")

  • [Solved] Nursing NEW ASSIGNMENT

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    Students enrolled in the Leadership course are required to submit a two-pages scholarly assignment, excluding the title and reference pages. The Assignment must adhere to the American Psychological Association (APA) 7th edition formatting guidelines and incorporate a mínimum of four (4) scholarly re…

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    Assignment Prompt & Instructions

    Students enrolled in the Leadership course are required to submit a two-pages scholarly assignment, excluding the title and reference pages. The Assignment must adhere to the American Psychological Association (APA) 7th edition formatting guidelines and incorporate a mínimum of four (4) scholarly references published within the past 5 years with DOI# and with in-text citation. DON exceed the number of references requested.

    The Assignment will comprehensively address the following four topics:

    1. Qualities of an Outstanding Nurse Leader: Analyze and describe the essential qualities of an exemplary nurse leader. Elaborate on how these qualities contribute to the development and empowerment of their workforce and the overall effectiveness of their units.

    2. Importance of Time Management: Discuss the critical role of effective time management in nursing practice. Additionally, explore evidence-based strategies and techniques for improving personal time management skills within a healthcare setting.

    3. Delegation. Prioritization, and Scope of Practice: Examine the principles of delegation and prioritization in client care. Clearly delineate the scope of practice for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Unlicensed Assistive Personnel (UAPs) within the context of safe and effective delegation.

    4. Legal Issues in Nursing: Identify significant legal issues relevant to nursing practice. Analyze the potential impact of these legal considerations on the provision of client care and professional accountability.

    REQUIREMENTS:

    -2 PAGES

    – CAN'T HAVE MORE THAN 10% PLAGIARISM OR AI TEXT INCLUDING THE REFERENCES.

    -PLEASE REFERENCES MUST BE ORIGINAL AND CAN'T BE COPY AND PASTE BECAUSE THE TURNITIN REPORT MARK REFERENCES AS WELL

    – USE APA format with.

    -You will include the following four topics:

    – Identify the qualities of an outstanding nurse leader and how those qualities help to build and develop their workforce and units.

    -Discuss the importance of time management and ways to improve your time management skills.

    -Discuss delegation and prioritization of clients and scope of practice for RN, LPN, and UAP

    -Identify legal issues in nursing and their impact on the care of the client.

    -DUE DATE FEBRUARY 9, 2026

  • [Solved] GI system

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  • [Solved] BMC week 6 ppr

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  • [Solved] Bj week 7 presentation

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  • [Solved] Treatments for Gastrointestinal & Endocrine Disorders

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    1. Describe diagnostic criteria for nausea and vomiting and treatment recommendations 2. Discuss symptoms of GERD, complications, and drug management 3. Compare and contrast Crohn's disease and Ulcerative colitis 4. Discuss Diabetes, its causes, symptoms, and treatment

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    1. Describe diagnostic criteria for nausea and vomiting and treatment recommendations
    2. Discuss symptoms of GERD, complications, and drug management
    3. Compare and contrast Crohn's disease and Ulcerative colitis
    4. Discuss Diabetes, its causes, symptoms, and treatment

  • [Solved] Mr week 7 soap

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    Mr week 7 soap **files (1)** – ## SOAPNoteTemplateonly.docx **## SOAPNoteTemplateonly.docx** | | | | — | — | | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _________…

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    Mr week 7 soap

    **files (1)**

    – ## SOAPNoteTemplateonly.docx

    **## SOAPNoteTemplateonly.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

    **## SOAPNoteTemplateonly.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

  • [Solved] HCI-YULE

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    **Discuss the importance and impact of common patient safety tools on recent trends with relevant examples [minimum 4].** **3 PAGES** **APA FORMAT** **REFERENCES WITHIN THE PAST 5 YEARS WITH IN-TEXT CITATIONS AND DOI#** **NO MORE THAN 10% PLAGIARISM ALLOWED WILL BE SUBMIT VIA TURNITIN** **DUE DATE…

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    Assignment Prompt & Instructions

    **Discuss the importance and impact of common patient safety tools on recent trends with relevant examples [minimum 4].**

    **3 PAGES**

    **APA FORMAT**

    **REFERENCES WITHIN THE PAST 5 YEARS WITH IN-TEXT CITATIONS AND DOI#**

    **NO MORE THAN 10% PLAGIARISM ALLOWED WILL BE SUBMIT VIA TURNITIN**

    **DUE DATE FEBRUARY 10, 2026**