Order Details/Description please follow instructions on the paper Presentation Organizational structure Consider the following scenario: You are a manager of a large rehabilitation center that provides short-term care rehabilitation services on an inpatient and outpatient basis. Your center is proposing a new addition of long-term care services, and with this expansion, you must hire and train several new employees. Develop a 12- to 15-slide Microsoft® PowerPoint® presentation on the organizational structure of the rehabilitation center described in the scenario above. Create the presentation for the audience you selected in Week 2. Address the following in your presentation: Slide 1 Introduction Slide 2 The effects of organizational structure on communication S2-What are appropriate communication methods for managers within this organization? S2-What is the importance of these communication methods within this organizational structure? S2-What internal relationships must be considered? S2-What external relationships must be considered? Slide 3 S3-The steps involved in organizational planning and functions of management S3-What steps are used to plan and implement change within the organization? Slide 4 S4-How might these steps be applied to the scenario? Slide 5 Slide 5-Strategies and methods needed to influence organizational change and to minimize conflict S5-What are strategies that might be used to bring about change in the organization? S5-How might strategies be used to prevent or to minimize conflict? S5-What strategies might be applied if conflict does arise? S5-What is the manager’s role in conflict management? Slide 6 Slide 6-The ethical issues considered important in today’s health care organization Slide 6-How might ethical issues alter your way of conducting change in the organization? Slide 7 S7-The effects of financial and human resource management controls S7-How might financial and human-resource control issues affect your decision-making process? Slide 8 S8-The analysis of the administrative process needed to track outcomes and improve quality Slide 9 S9-What environmental influences related to health care may affect outcomes and quality within the organization? Slide 10 S10–How will the implemented change be tracked or evaluated? Slide 12 Conclusion Slide 11 an graph, pictures or diagram on organizational structure pertaining to this PowerPoint List major points in the slides. Include detailed explanations in the speaker notes section that correlate to each point. Include photos, diagrams, or graphs please slide 12. Include at least five to seven references to support your presentation. APA style and in-text citation To Order Now, click the link below: http://universitypremiumessays.com/order/ We Can Also Assist You With Similar Orders At Highly Discounted Rates!!!
April 24, 2018
Foundations Of Nursing In The Community)
April 24, 2018

Caring for Clients with common Digestive/ Gastrointestinal Health Challenges.

Select any three (3) questions from Case Study # 1 or from Case Study # 2, and discuss the rationale by posting/ responding in the online learning activity/ discussion forum. Please identify the case study selected and copy the three questions chosen directly into the post. Include and properly reference information taken from the course readings to support your ideas.


(must be 3 pages with at least 5 references no older than 5 years)

Joshua Phelps, 37, arrives at the ED complaining of right lower quadrant abdominal pain. You obtain his vital signs and find out that he has no known allergies and takes no medications. His BP is 156/ 94; pulse, 100 and regular; respirations, 20; and temperature, 99.6 F (37.6 C).

What is the next step in investigating his problem?
Mr. Phelps’ pain began last evening and is associated with nausea, but he hasn’t vomited. Eating doesn’t seem to affect the pain, and he hasn’t had any bowel or bladder changes.

In assessing Mr. Phelps’s pain, what information should you obtain?
Mr. Phelps describes his pain as constant, deep and achy, and worse with movement. On a pain scale of 0- to 10, with 10 being the worst pain he has ever experienced, he rates the pain at a 7. He doesn’t want to lie supine and is guarding his right lower quadrant.

When assessing Mr. Phelps’ abdomen, describe the order and specifics associated with the assessment?
Abdominal assessment shows a normal inspection, normoactive bowel sounds, and no masses, enlargement, or tenderness of the liver or spleen. However, Mr. Phelps did display rebound tenderness and positive obturator and iliopsoas signs. Based on his history and physical assessment, the healthcare provider orders a complete blood cell count and urinalysis. The results indicate a total white blood cell (WBC) count elevation with 96% neutrophils. The urinalysis is normal.

Mr. Phelps’ signs and symptoms, history, physical assessment, and lab findings suggest which diagnosis? Explain your rationale.
Abdominal aortic dissection.
Acute appendicitis.
Renal calculi.
Acute Cholecystitis.

What is my knowledge concerning providing care for and with clients experiencing digestive and gastrointestinal challenges? (i am a community rpn)

Case Study #2
1) In assessing Mr. Phelps’s pain, what information should you obtain?The information that should be obtained about Mr. Phelps’s pain include:
Character of the pain: deep and achy
Duration: States it’s constant
What makes the pain worse or better: movement makes it worse, lying supine
Location: right lower quadrant
Distribution of referred pain
Time pain started: last evening

2) When assessing Mr. Phelps’ abdomen, describe the order and specifics associated with the assessment?

Start with inspecting the abdomen noting colour, contour, symmetry, the umbilicus is midline etc.
Next we would auscultate because “percussion and palpation can increase peristalsis which would give a false interpretation of bowel sounds” (Jarvis, 2014). During auscultation we listen for bowel sounds(character and frequency) and vascular sounds.
Percussion comes next “to assess the relative density of abdominal contents, to locate organs, and to screen for abdominal fluid or masses”(Jarvis, 2014).
Palpation is last. You note whether their is tenderness, masses, involuntary rigidity, guarding etc.

3) Mr. Phelps’ signs and symptoms, history, physical assessment, and lab findings suggest which diagnosis? Explain your rationale.

Mr. Phelps’s assessments suggest acute appendicitis based on the following findings:positive obturator and iliopsoas sign, pain in RLQ. “when the iliopsoas muscle is inflamed (which occurs with an inflamed or perforated appendix) pain is felt in the RLQ” (Jarvis, 2014)
Rebound tenderness
Pain aggravated by movement
Total white blood cell count elevation with 96% neutrophils


Jarvis, C. (2014). The Abdomen, Physical Examination and Health Assessment (2nd CanadIan ed., pp 557-569). Toronto, ON: Elsevier Canada.



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