For this assignment, you are required to interview a senior executive of a health care organization. Ask the following questions in the interview, in addition to two original questions of your own:
What type of health care organization are you affiliated with? What is your position within the health care organization? Describe your role and scope of responsibilities.
Describe the relationship between your health care organization’s vision, mission, goals, and strategic plan.
Tell me about a time your organization’s operational performance positively or negatively affected its ability to deliver services and achieve performance goals.
Describe the process you take to deliver a particular type of service offered by your health care organization.
Describe one aspect of your business operations.
Submit a short 200-250-word reflection on your interview experience along with your 7 interview questions and the interviewee’s responses. Your reflection should include the following:
Your reaction to the interviewee’s response to each question. Did you agree or disagree and why?
Additional questions you have based upon the interviewee’s response.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
There are various symptoms associated with hypertension, including nose bleeding, severe headaches, chest pain, vision problem, irregular heartbeat, fatigue or confusion, and blood in the urine.
Diagnostic Testing
While examining whether the patient has hypertension, a physician may request a blood pressure measurement. The blood pressure measurement will show elevated BP. An elevated BP is a systolic pressure that ranges from 120 to 129 mm Hg and a diastolic pressure of not above 80 mmHg
Treatment plan
The physician prescribes the medicine to the patient depending on their blood pressure measurements and their overall health. Some of the medicines prescribed include diuretics, calcium channel blockers, Angiotensin II receptors blockers (ARBs), among others. However, the patients are required to change their lifestyle, including nutrition and physical activities.
Patient teaching plan
Patients are encouraged to consume a heart-healthy diet. They should try a dietary approach to stop hypertension (DASH) diet, which encourages them to consume whole grains, vegetables, fruits, fish, and low-fat dairy foods. They need to consume a lot of potassium and engage in physical activities but with the physician’s guidance.
The hypertension differential diagnosis includes renal artery stenosis, hyperaldosteronism, chronic kidney disease, coarctation, and aortic valve disease.
Heart Failure
The heart failure signs and symptoms include weakness or fatigue, rapid or irregular heartbeat, swelling in the legs, feet, or ankles, reduced ability to work, swelling of the abdomen, nausea and lack of appetite, chest pain, and decreased alertness.
Diagnostic testing
A physician t may recommend blood testing where they evaluate whether the patients’ blood might indicate heart failure. Secondly, the physician may recommend an electrocardiogram test (ECG) which records the electoral activity in the patient’s heart. It helps in checking any problems in the heart.
Treatment plan
The treatment depends on the stage of the heart failure. For example, the treatment for Stage A heart failure includes conducting regular exercise, like walking every day, intake of food with low sodium content, quit smoking or alcohol use. Also, the doctor may prescribe medication like beta-blockers angiotensin-converting enzyme inhibitor (ACE-I) in case the patient has high blood pressure, diabetes, or coronary artery disease. Other treatments include a biventricular pacemaker, implantable cardiac defibrillator, heart surgery, heart transplant, or use of ventricular assist devices.
The patients eat plenty of fruits, whole grains, and vegetables. They should consume fat-free and low-fat dairy products, beans, fish, skinless poultry, and lean meats. Patients need to limit foods high in trans-fat, saturated fat, and cholesterol. Lastly, they need to take less than 6 grams of salt a day.
Some of the differential diagnoses for heart failure include extracardiac fluid overload, cardiac or respiratory etiologies, and a high output state.
Dyslipidemia
Some of the signs and symptoms of dyslipidemia include dizziness, chest pain, trouble breathing, chest tightness, heart palpitations, cold sweats, heartburn, exhaustion, or swelling of feet and ankles.
Dyslipidemia is diagnosed by measuring serum lipids. Here, the physician may require the patient to conduct routine serum measurements, including total cholesterol HDL cholesterol, TGs, and LDL cholesterol.
Treatment plan
A pharmacological plan is the common treatment of dyslipidemia. The doctor is more likely to prescribe HMG-CoA reductase inhibitors, bile acid-binding resins, nicotinic acid, and fabric acid derivatives. Other possible treatments include plasmapheresis, estrogen replacement therapy, or surgery in severe cases.
Pattie teaching plan
The patients should change their lifestyles to reduce the risk factors. As such, they should stop smoking, maintain a healthy weight, and exercise regularly. Also, they should get consumers low fat, high fiber diet, and low cholesterol.
Differential diagnosis
Conditions exhibiting similar signs and symptoms as dyslipidemia include obstructive liver disease, hypothyroidism, biliary obstruction, chronic renal insufficiency, nephrotic syndrome, obesity, anorexia, diabetes, and metabolic syndrome.
Colorectal CA
Colorectal cancer signs and symptoms include changes in the bowel habits such as constipation or diarrhea, blood in the stool or rectal bleeding, persistent abdominal discomfort like gas, pain or cramps, a feeling that the bowel does not empty completely, unexplained weight loss, and weaknesses or fatigue.
Diagnostic testing
Some of the diagnostic tests include colposcopy, MRI testing, MSI or MMR testing, gene testing, and CT scan.
Treatment plan,
Colorectal CA can be treated using different methods depending on its stage. Some of the common treatment procedures include targeted therapy, radiation therapy, and a combination of surgery, targeted therapy, and chemotherapy. Palliative care is also provided to relieve the symptoms and side effects.
Patient Teaching
Individuals are encouraged to conduct regular screenings. The patients should eat a well-balanced diet, exercise regularly, cease smoking, reduce fat consumption, particularly animal fat, and take calcium supplements.
Differential diagnosis
Conditions exhibiting similar signs and symptoms as Colorectal CA include diverticular disease irritable bowel disease like Crowns disease.
Abdominal pain
Signs and symptoms include severe pain, weight loss, bloody stools, fever, persistent nausea and vomiting, swelling of the abdomen. The patients’ skin may become yellowish and exhibit severe tenderness when touched.
Diagnostic Testing
The physician may require some tests like blood tests, urine tests, ultrasound, MRI, Coloscopy, X-ray, and CT scan. Also, stool and saliva analysis is conducted.
Treatment plan
The doctor may prescribe some medications, including pain medications Tylenol, NSAIDS, Opiates, and disease medications like sulfasalazine for IBD.
Patient Teaching
The patients are encouraged to eat smaller amounts of food at each meal and not consumer fried or greasy foods, including high-fat food. They should not consume foods that are known for gas.
Differential diagnosis
Some of the conditions exhibiting similar signs and symptoms include diverticulitis, colitis, nephrolithiasis, and herpes zoster.
Hepatitis
Some of the signs and symptoms of hepatitis include nausea, fever, loss of appetite, abdominal pain, vomiting, joint pain, light-colored stools, and jaundice.
Some of the antiviral medications for viral hepatitis include tenofovir, entecavir, adefovir, lamivudine, and telbivudine.
Patient Teaching
Patients with Hepatitis C virus infection are advised to cease alcohol use as it may accelerate the onset of end-stage liver disease or liver cirrhosis. They are educated on the risk for transmission to sex partners, although the possibility is low.
Differential diagnosis
Conditions that exhibit signs and symptoms such as hepatitis include ischemic hepatitis, alcoholic liver disease, and hepatotoxicity from toxins or drugs.
This week we will be reporting on the interview with your APN. Along with the interview you will be investigating the Board of Nursing’s scope of practice and national certification requirements.
Identify the APN you interviewed and summarize the interview, which may include (if not in the interview, please address):
Identify required competencies, including certification requirements for your selected role and that of your interviewee.
Submission Details:
This will be a 2-4 page paper (excluding the title page and references).
Literature support is encouraged and points are assigned.
Peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years old, unless it is a hallmark reference; e.g., Institute of Medicine (IOM) (2010). The Future of Nursing: Leading Change, Advancing Health.
Format your paper, citations, and references using correct APA Style
The clinician I will be interviewing is Rebecca Aba PMHNP-BC, a nurse practitioner currently working in a mental health setting . She has 7 years of experience working in the nursing field. The interview process will take place on 1/20/2022.
Below are the questions I would like to ask Rebecca during our interview.
