Knee Injury Case Studies A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. Studies Results Routine laboratory values Within normal limits (WNL) Long bone (femur, fibula, and tibia) X-ray No fracture Arthrocentesis with synovial fluid analysis Appearance Bloody (normal: clear and straw-colored) Mucin clot Good (normal: good) Fibrin clot Small (normal: none) White blood cells (WBCs) <200 WBC/mm3 (normal: <200 WBC/mm3 ) Neutrophils <25% (WNL) Glucose 100 mg/dL (normal: within 10 mg/dL of serum glucose level) Magnetic resonance imaging (MRI) of the knee Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tears Arthroscopy Tear in posterior aspect of medial meniscus Diagnostic Analysis The radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful. Critical Thinking Questions 1. One of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching? 2. Why is glucose evaluated in the synovial fluid analysis? 3. What are special tests used to differentiate type of Tendon tears in the knee ? Explain how they are performed (Always on boards)

I NEED all presentation in APA format

references must be from a book or journal not websites

 

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Project Control

 

The actual implementation of a project occurs within the execution phase. During this phase, it is not uncommon for project managers to determine that projects have deviated from the original scope, time, or cost (the “triple constraint”), often due to unforeseen issues. When one element of this “triple constraint” changes, project managers must adjust the remaining two elements in order to satisfy project requirements. Maintaining this balance is one of the greatest challenges a project manager faces.

 

In this Discussion, you examine scenarios featuring issues that arise during the execution phase of a project. You analyze how you would modify the project in terms of scope, time, and cost in order to resolve the issues and fulfill project requirements. You also explain how you would communicate these modifications to key stakeholders.

 

Consider the following scenario

 

1. You are the lead project manager tasked with implementing a hospital’s new patient identification and tracking system. The currently planned system is designed to function using only barcodes, but many key stakeholders have called for the system to also include the use of radio-frequency identification (RFID) features. In order to meet the demands of the stakeholders, your project scope expands to include RFID technology. How will you modify your budget and schedule to accommodate this increased scope?

 

 

 

1. You are managing the development of a computerized physician order entry (CPOE) system in a hospital that caters to the suburban population of a major city. A much larger hospital that accommodates most of the city’s downtown residents has recently been severely damaged in a storm. As a result, the inner-city hospital is operating at a low level of capacity and diverts much of its patient flow to other hospitals. In order to help alleviate the strain caused by this new influx of patients, your hospital’s executives are requiring you to implement the CPOE system 2 weeks early. Your project team is currently composed of just enough individuals to complete the project on time using the original timeline. The planned CPOE system has many non-essential features that usually take two phases to implement. However, these features are currently planned to be incorporated during your single-phase CPOE implementation. How do you adjust the project’s scope and cost to meet the new schedule demands?

 

 

 

1. You are managing the implementation of an electronic medical record system in a small physician’s office. Due to much lower-than-expected profits in the fourth quarter, you have had a substantial cut in the amount of funding available for your project. The scope of the medical record system is more extensive than the bare minimum required for a practice of this size. In addition, the implementation schedule is as condensed as possible to reduce downtime in the office. This condensed schedule requires the use of expensive, high-quality resources. How can you adjust your plan to compensate for the project’s reduced budget?

 

 

 

To prepare:

 

• By Day 1 of this week, your Instructor will assign you to a specific scenario (scenario 1). Review this week’s Learning Resources on controlling the elements of the “triple constraint,” and consider how they apply to the scenario to which you were assigned.
• Determine how you could modify the project in your assigned scenario in terms of scope, time, or cost in order to fulfill the project requirements.
• Consider how you would communicate the modifications you identified to key stakeholders.

 

 

 

Post by tomorrow 10/18/2016 a minimum of 550 words in APA format with 3 references from the list below. Apply the level one headings as numbered below:

 

1) Post the number of your assigned scenario and a description of where and how you would adjust the plan in terms of budget, scope, and timeline.

 

2) Explain how you would communicate modifications to key stakeholders. Provide rationale for your response.

 

 

 

Required Readings

 

 

 

Coplan, S., & Masuda, D. (2011). Project management for healthcare information technology. New York, NY: McGraw-Hill.

 

• Chapter 3, “Project Management”
  • “Scope Control” (pp. 58)
  • “Control Schedule” (pp. 64–67)
  • “Control Costs” (pp. 71–75)

 

These three areas of Chapter 3 focus on controlling scope, time, and cost, also referred to as the triple constraints.

 

 

 

Project Management Institute. (2013). A guide to the project management body of knowledge (PMBOK guide) (5th ed.). Newtown Square, PA: Author.

 

• Chapter 3, “Project Management Processes for a Project”
  • 3.5, “Executing Process Group” (pp. 56)
  • 3.6, “Monitoring and Controlling Process Group” (pp. 57)

 

These sections of Chapter 3 explore how to coordinate people and resources in accordance with the project management plan. These sections also cover the processes used to track, review, and regulate a project’s performance.

 

 

 

• Chapter 5, “Project Scope Management”
  • 5.6, “Control Scope” (pp. 136–140)

 

This section of Chapter 5 explains the process of monitoring a project’s status and scope. The text also describes how to manage changes to the scope baseline.

 

• Chapter 6, “Project Time Management”
  • 6.7, “Control Schedule” (pp. 185–192)

 

In these pages of Chapter 6, the authors explain the process of monitoring a project’s status to update project progress and manage changes in a schedule baseline.

 

• Chapter 7, “Project Cost Management”
  • 7.4, “Control Costs” (pp. 215–223)

 

This section of Chapter 7 reviews the processes used to update a project budget and manage changes to the cost baseline.

 

 

 

Cortelyou-Ward, K., & Yniguez, R. (2011). Using monitoring and controlling in an electronic health record module upgrade: A case study. The Health Care Manager, 30(3), 236–241.

 

Retrieved from the Walden Library databases.

 

This article examines the application of monitoring and controlling to an electronic health record module upgrade. The article makes recommendations related to flexibility, tracking changes, teams, milestones, and testing.

 

 

 

Noblin, A. M., Cortelyou-Ward, K., & Ton, S. (2011). Electronic health record implementations: Applying the principles of monitoring and controlling to achieve success. The Health Care Manager, 30(1), 45–50. 

 

Retrieved from the Walden Library databases.

 

This article explores the principles of monitoring and controlling in the context of an electronic health record implementation. The article also examines issues such as project costs, project progress, schedule controls, quality management, and controlling risks.

 

 

 

Yin G.-L. (2010). Project time and budget monitor and control. Management Science and Engineering, 4(1), 56–61. 

 

Retrieved from the Walden Library databases.

 

The author of this article describes how time and budget can be successfully controlled during a project’s implementation. The author presents techniques for accomplishing this, as well as describing potential pitfalls.

 

 

 

Document: Project Management Tools Available for Apple/Mac Computers (PDF)

 

This document contains a list of project management tools that are compatible with Apple/Mac computers.

 

 

 

Required Media

 

Laureate Education (Producer). (2013b). Executing, monitoring, and controlling [Video file]. Retrieved from https://class.waldenu.edu

 

 

 

Note: The approximate length of this media piece is 8 minutes.

 

In this presentation, roundtable participants Dr. Mimi Hassett, Dr. Judy Murphy, and Dr. Susan Newbold discuss the science of executing a project and the art that is involved in the continued monitoring and controlling of it. They talk about the triple constraint of cost, scope, and time and suggest some automated tools and skills that can help in tracking shifting components of a project.

 

 

 

 

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Purpose

Community health nurses practice in a variety of settings. The purpose of this paper is to describe the community setting and analyze the role of a nurse in the assigned setting. Health promotion nursing interventions and a professional nursing organization related to this role will also be examined.

The topic for this paper is the role of a nurse in a faith community setting.

Directions

Watch the tutorial on tips for completing the Community Settings and Community Health Nursing Roles assignment.

This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Course Resources for assistance with APA formatting. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting.

1. The  community health setting for this paper must be a faith community such as a church/parish, or other congregation.

2. Read the chapter of your textbook on the assigned community health setting and take notes based on the outline below.

3. Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).

4. Thoroughly address the following categories using the APA Template that is provided.

· Introduction (one paragraph):

o The introduction should be interesting and capture the reader’s attention.

o Introduce the assigned community setting

o Briefly identify CHN role(s) in this setting

o Identify vulnerable population(s) served in this setting

o Include a purpose statement

· Community Setting (two to three paragraphs)

o Describe the assigned community setting, including vulnerable population(s) served.

o Discuss three health services provided by the a CHN in the assigned setting.

o Use your textbook or an outside scholarly source to address these sub-points.

· Health Promotion Nursing Intervention (two to three paragraphs) 

o Describe in detail health promotion intervention(s) that a CHN could implement in the assigned community setting.

o Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.

o Utilize at least one peer-reviewed scholarly article related to a health promotion intervention.

· Professional Nursing Organization (two paragraphs)

o Provide a detailed description of a professional nursing organization related to the assigned community setting. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.

o Discuss one professional issue that this organization is addressing related to the assigned community setting.

· Summary (one paragraph)

The summary reiterates key points about:

o The community setting and the CHN role(s)

o Health promotion intervention

o Professional organization

o Includes a concluding statement.

· Reference Page: The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Program Resources for examples of properly formatted references.

Guidelines

The setting for this paper must be a faith community.

· Application: Use Microsoft Word 2010™ or later to create this assignment on the template provided.

· We highly recommend that you used the specific APA paper template for this assignment linked above as the headings are already included.

· Scholarly Writing: APA format is required. Review APA documents in Program Resources, and use the free resources of tutor.com for writing tutors.

· Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list).

· Quotations should be minimal—please paraphrase your sources. A maximum of one quotation should be used for this paper.

· Save your paper with your last name in the document title (e.g., Smith Community Settings).

· Submission: Submit your paper by 11:59 p.m. MT Sunday of Week 4.

· Late Submission: See the course policy on late submissions.

Best Practices in Preparing the Paper

The following are best practices in preparing this project.

· Follow the guidelines above carefully.

· Use only the assigned community setting.

· Complete you own work.

· Use the provided APA assignment specific template.

· Ask you instructor if you have any questions.

· Use the 1st column of the grading rubric to make sure all elements of the paper are addressed.

· Cite all sources within the paper as well as on the reference page.

· Proofread prior to final submission.

· Check for spelling and grammar errors prior to final submission with Grammarly.com or the free tutor available through the Tutoring link in the course.

 

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Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section.

This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion.

Please see the Writing Center located in the student portal for assistance with writing, APA, and online communication.

Topic: Application of Standards of Care

For the case scenario, discuss the standard(s) of care that the parties will be held to in this case. How will the standards of care and the Nurse Practice Act for your state be applied in a court of law if the case is sued?

Case Scenario

SK, age 61, was admitted to the hospital. Because of understaffing of nurses in the hospital, her assigned RN did not assess her often enough and did not monitor her oxygen level.

SK went to the hospital with what she thought was a bad cold, and was admitted with a diagnosis of pneumonia. Following admission, she became increasingly feverish and short of breath, but her family’s calls for help went unanswered. In fact, her daughter was unable to find anyone when she went to the nurses’ station looking for help. The patient eventually stopped breathing, and someone finally responded to the family’s desperate and frantic calls for help. SK was successfully resuscitated, but sustained brain damage due to oxygen deprivation. She was left unable to walk, talk, or care for herself.

There were 41 other patients on this unit. Although the hospital’s own staffing standards called for 5 registered nurses and 2 licensed practical nurses to staff this unit, only 3 registered nurses were on duty. Records for the unit in question indicated that the hospital failed to meet its own staffing standards for 51 out of 59 days before this incident.

3 references need

 

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