Define organ recovery and transplantation.

1000 words 20%

The purpose of this assessment is to challenge your thinking in relation to the contemporary views of chronic illness and its management.

The reading 4.6 (Hitchcock, 2015) is somewhat controversial in its approach, but likely presents views and scenarios familiar to you. It addresses ‘alternative’ treatments, ‘integrative’ health care, the use of medicines that are often seen as fixes to contemporary life, the politics of health care, and more.

Hitchcock (2015, p.24) states: “Real ‘integrated medicine’… is recognising that a large portion of our ill health is a combined mental, physical, environmental, interpersonal, social and political phenomenon” .
Read and critique Hitchcock’s paper. In your critique consider the following:
•Do you agree with Hitchcock’s criticisms of modern ‘diseases’ and their remedies?
•What evidence do you have for your views?
•Does Hitchcock provide evidence for her views? If so, what type of evidence?
•Why do you think she takes the position she does? What is her intention? Do you think this is a reasonable approach?
•What is the ‘tone’ of this paper?
•Do you think she makes valid points? Why?
•How does Hitchcock’s definition of integrated medicine compare with the medical and nursing definitions presented in this section

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Competencies

Distinguish operational practices that will create an exceptional customer experience.

Instructions

As you continue in the Emerging Leaders onboarding learning and development program for the second quarter, you have experienced a few successes and now some wins. During this onboarding-program you have continued to participate in assessments and have now completed a leadership development and a strategic plan outline. Now let us continue to move forward in the onboarding program where you are now being asked to develop a customer service plan outline to help you to demonstrate your ability to distinguish operational practices that will create an exceptional customer experience.

For this customer service plan, establish an outline to distinguish operational practices that will create an exceptional customer experience program by addressing and answering the following questions:
What is an exceptional customer experience? Explain how you as an Emerging Leader will you define an exceptional customer experience for your organizational customers.
What steps should team members take to create an exceptional customer experience? Explain how you as an Emerging Leader will develop your team members to implement these steps.
What metrics will you use to measure the effectiveness of an organizational exceptional customer experience program? Explain how you as an Emerging Leader will use these outcomes to sustain and maintain an organizational exceptional customer experience program.
Clearly distinguish operational practices that will create an exceptional customer experience.

Grading Rubric

FFCBA01234No PassNo PassCompetenceProficiencyMasteryNot SubmittedNo identification of customer service plan that will create an exceptional customer experience program, missing basic features and support.Identifies customer service plan that will create an exceptional customer experience program, but lacks explanation of basic features.Identifies customer service plan that will create an exceptional customer experience program with explanation and supports stance.Identifies customer service plan that will create an exceptional customer experience program, fully explains features and supports stance.Not SubmittedNo selection of operational practices that will create an exceptional customer experience.Selects operational practices that will create an exceptional customer experience, but lacks explanation and personal examples.Selects operational practices that will create an exceptional customer experience with explanation and personal examples.Selects operational practices that will create an exceptional customer experience with fully supported personal examples and explanation.Not SubmittedNo noticeable attempt to define exceptional customer experience.Correctly defines one key aspect of the exceptional customer experience; attempts to define another.Correctly defines key aspect of the exceptional customer experience.Correctly defines one key aspect of the exceptional customer experience with supporting research.Not SubmittedNo noticeable attempt to explain how an Emerging Leader will develop team members to implement an exceptional customer experience.Attempts to explain how an Emerging Leader will develop team members to implement an exceptional customer experience with some supporting evidence.Explains how an Emerging Leader will develop team members to implement an exceptional customer experience with supporting evidence.Thoroughly explains how an Emerging Leader will develop team members to implement an exceptional customer experience with strong supporting evidence.Not SubmittedNo identification of metrics used to measure the effectiveness of an exceptional customer experience program.Attempts to define metrics used to measure the effectiveness of an exceptional customer experience program with minimal supporting information.Describes metrics used to measure the effectiveness of an exceptional customer experience program with supporting information.Defines metrics used to measure the effectiveness of an exceptional customer experience program with strong supporting evidence.Not SubmittedNo discussion of how an Emerging Leader will use metrics to sustain and maintain an organizational exceptional customer experience program.Attempt to discuss how an Emerging Leader will use metrics to sustain and maintain an organizational exceptional customer, but lacks full explanation and examples.Discusses how an Emerging Leader will use metrics to sustain and maintain an organizational exceptional customer experience program with support through explanation and examples.Discusses how an Emerging Leader will use metrics to sustain and maintain an organizational exceptional customer experience program with fully supported and thorough explanations and Emerging Leader examples.

An important step in the EBP process is reviewing the current body of literature to better understand the subject or topic in which you are interested. By conducting a review of the literature, you are building foundational knowledge about the topic; later, you can use this background to build new insights. Developing a strong grasp of a topic can only be garnered by taking the time to thoroughly search for relevant information and resources.

For this EBP Process Nursing Essay Discussion, you will practice searching the literature to find evidence on a specific topic.

To prepare:

Choose a simple search term(s) relating to a topic of your PICOT question.
Review the information on the evidence hierarchy discussed in Chapter 2 of the course text, in the article, “Facilitating Access to Pre-Processed Research Evidence in Public Health,” and in the multimedia presentation “Hierarchy of Evidence Pyramid,” found in Learning Resources.
Review the information on EBP Process Nursing Essay, “Levels of evidence.” Take a few minutes to explore the different types of databases available for each level of evidence and focus on the meaning of filtered and non-filtered resources.
Conduct a literature search in the Library on your selected topic using the databases that you reviewed. Use at least one database for each of the three levels of filtered information and at least one unfiltered database. Record the number of hits that you find at each level of the hierarchy of evidence.
Select one article from the results at each level of the hierarchy. Compare the articles based on the quality and depth of information. What would be the value of each resource if you were determining an evidence-based practice?
Post a summary of your EBP Process Nursing Essay. Describe what topic you selected, the search term(s) that you used, and the number of results found at each level of the hierarchy. Compare the types of information found in the articles from different levels and the value of the information from each level. Highlight a useful tip that you could share with your colleagues about conducting an effective literature search.

To do a comment to each post with two credible reference each comment with citation above 2013

Post 1

Patient Information:

XX, 20, Male

S.

CC: “intermittent headaches”

HPI: 20 year old male who complains of experiencing intermittent headaches, which diffuses all over his head. The great intensity and pressure occurs above the eyes and spreads to the nose, cheekbones, and jaw.

Location: Generalized headache

Onset: Unknown

Character: Pressure

Associated signs and symptoms: Greatest intensity above eyes and spreads to the nose, cheekbone, and jaw

Timing: Intermittent

Exacerbating/ relieving factors: Unknown

Severity: Unknown

Current Medications: Unknown

Allergies: Unknown

PMHx: Unknown

Soc Hx: Unknown

Fam Hx: Unknown

ROS:

GENERAL: Unknown

HEENT: Unknown

GENITOURINARY: Unknown

NEUROLOGICAL: Unknown

MUSCULOSKELETAL: Unknown

LYMPHATICS: Unknown

PSYCHIATRIC: Unknown

ALLERGIES: Unknown

O.

HEENT: Unknown

GENITOURINARY: Unknown

NEUROLOGICAL: Unknown

MUSCULOSKELETAL: Unknown

LYMPHATICS: Unknown

Diagnostic results:

Mental Status Screen: The cause of a headache could have a life-threatening cause. Ruling out life threatening causes first is the priority. Completing a mental status screen first is imperative to ensure the patient is fully orientated and able to provide a accurate health history (Dains, Baumann, & Scheibel, 2016, p. 221).

Determine the presence of a trauma. Bleeding can occur which can result in a sudden change in mental status (Dains, Baumann, & Scheibel, 2016, p. 223).

Determine the presence of any underlying chronic disease process. Patients who are immunocompromised are more likely to acquire an infection that could affect the brain. Furthermore, a headache could result from an electrolyte imbalance, blood sugar change, or hypercapnia to name a few (Dains, Baumann, & Scheibel, 2016, p. 223).

Complete blood count (CBC) with differential: Ordered to detect any abnormal lab findings (Dains, Baumann, & Scheibel, 2016, p. 229).

Computed Tomography Scan (CT): Will detect any intracranial disease and should be completed with a new onset headache or in the presence of abnormal neurological findings (Dains, Baumann, & Scheibel, 2016, p. 229).

Lumbar Puncture: Will evaluate the cerebrospinal fluid pressure and can detect altered components, such as lymphocytes, glucose, protein, and bacteria. Would aid in detecting an infection of the central nervous system (Dains, Baumann, & Scheibel, 2016, p. 229).

Erythrocyte Sedimentation Rate (ESR): Elevated in the presence of inflammation and is utilized when arteritis is suspected (Dains, Baumann, & Scheibel, 2016, p. 229).

Skull Radiography- Utilized post trauma to view intracranial structures (Dains, Baumann, & Scheibel, 2016, p. 229).

A.

Differential Diagnoses:

Tension-Type Headache (TTH): Most common adulthood headache. Often related to muscle contraction that could be caused by hunger, depression, or stress. Sign and symptoms include bilateral, generalized, or localized pain that distributes in the frontotemporal region. The level of pain can be mild to moderate with a throbbing, tight, or pressurized pain with a gradual onset. Duration is different for every patient, but can range from hours to months (Dains, Baumann, & Scheibel, 2016, p. 230; Kim et al., 2017)

Mixed Headache: Occurs from muscular and vascular contraction. The pain is often described as throbbing with a constant pain while the patient is awake. Further symptoms include tightness, pressure, and muscle contraction. This is a possible diagnosis, but not expected due to the patient not complaining of muscle contraction (Dains, Baumann, & Scheibel, 2016, p. 230).

Sinusitis: Would be consider a secondary headache because it is caused by another disease process. Sore throat, postnasal discharge, and facial pain are often seen in conjunction with the headache. Specifically, pain occurs over the affected sinuses. This is a possible diagnosis, but additional respiratory symptoms would be expected if it were the cause (Dains, Baumann, & Scheibel, 2016, p. 230).

Cluster headache: Onset is typically abrupt, occurs at night, and seen mostly in men. Pain is described as as severe, burning, piercing, or neuralgic. An episode can be 15 minutes to 2 hours at a time. The patient will experience several episodes in a cluster of time. Each cluster ranges from days to weeks. Other symptoms seen with a cluster headache are ipsilateral rhinorrhea, conjunctivitis, facial sweating, ptosis, and eyelid edema. Headaches are brought on by the consumption of alcohol, stress, and heat or wind exposure. Overall, the patients clinical presentation does not match cluster headaches (Dains, Baumann, & Scheibel, 2016, p. 230; Weaver-Agostoni, 2013).

Dental disorders: The presence of a tooth abscess or nerve root dysfunction could cause a headache with associate facial pain. The oral inspection of the mouth may reveal redness or area of infection. The oral mucosa will also be tender to touch. This is a possible diagnose for out patient, but not likely given we do not know the results of his oral exam (Dains, Baumann, & Scheibel, 2016, p. 230).