Discuss the meaning of the following statement about the negative aspect of managed care: Healthcare is over-managed and under led.

Discuss the meaning of the following statement about the negative aspect of managed care: Healthcare is over-managed and under led. What can nursing leaders do to improve healthcare so that it is not over-managed and under led?
NO MORE THAN 400 WORDS
THE SCENARIO
As a nurse manager, you are faced with scheduling the staff for the Thanksgiving, Christmas, and New Year’s holidays. The unit has no policy, and this scheduling has always been a nightmare that everyone has somehow lived through. There are 35 RNs and 10 UAPs (unlicensed assistive personnel). You expect a full census, and there is no option for closing beds.
THE QUESTION
How do you determine if it is a fair and equitable division of time off for all staff?

Complete the table by identifying, describing and comparing at least 10 agencies and other professional organizations that support and help improve the healthcare industry.

Complete the table by identifying, describing and comparing at least 10 agencies and other professional organizations that support and help improve the healthcare industry. Please include both government and non-government agencies and organizations. Examples have been provided in the table below (they do not count for your overall 10).

Identify the factors that have led to the current realities of long-term care in the United States.

Assignment 2: Human Resources and Staffing Crisis at Blumberg’s Nursing Home
Due Week 10 and worth 250 points
Blumberg’s Nursing Home (BNH) is a 100-bed Medicare and Medicaid certified facility in suburban Philadelphia, PA. The administrator recently terminated the facility’s Director of Nursing (DON), receptionist, and dietary aid for inappropriate conduct. They had all been involved in purchasing and using illegal substances on facility grounds. Facility staff, as well as many of the more lucid residents, have found out about the incident.
The charge nurse has been appointed interim DON. The human resource manager has sent a memo to all staff informing them of a mandatory staff meeting to discuss BNH’s code of ethics and to provide additional training on workplace culture. Because federal law requires that there be at least one (1) registered nurse on duty for a minimum of eight (8) hours a day, seven (7) days a week, and that the DON must be a registered nurse (RN) ““ which the interim DON is not ““ BNH is out of compliance.
Write a four to six (4-6) page paper in which you:
Assess the immediate staffing needs at BNH. Prioritize the order in which BNH should fill the main unstaffed position(s). Justify your selection(s).
Considering the reason behind the termination of the employees, formulate a human resources policy that addresses inappropriate conduct in the workplace, the process of reporting inappropriate conduct, and the consequences of violating the policy. Explain your rationale.
Per the text, an effective long-term care facility administrator must have both leadership and management skills. Propose at least one (1) way the administrator in this case must demonstrate quality leadership skills, and one (1) way the administrator must demonstrate quality management skills in the aftermath of this crisis so as to improve and maintain staff and resident morale.
Recommend a strategy for BNH to use the Quality Indicator Survey to improve administrative practices and ensure future compliance at the facility. Justify your recommendation.
Use at least three (3) quality academic resources. Note: Wikipedia and other similar websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Differentiate the administrative functions of long-term care practices from those of other healthcare administrative services.
Identify the factors that have led to the current realities of long-term care in the United States.
Assess the various stakeholder groups of long-term care along with the nature of the relationship(s).
Recommend how a company can use the Quality Indicator Survey to improve administrative practices.
Use technology and information resources to research issues in long-term care management.
Write clearly and concisely about long-term care management using proper writing mechanics.
Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills. Click here to access the rubric for this assignment.

discuss the pathophysiology of their presenting condition, and using evidence based literature explore current surgical treatment options for your patient.

CASE STUDY THREE: Gianna Rossi – Osteoporosis – Hip Arthroplasty
Gianna Rossi is 79 years old with 5 adult children. Gianna was married to Antonio, who died 4
months ago. Gianna is retired, and is currently living with her oldest son Luca and his family. She has
her own self-contained area in Luca’s house and has been generally independent with her activities
of daily living (ADL). She has needed some assistance with shopping, some housekeeping tasks and
managing her medications (currently uses a Dosette box). She is 158cm in height and weighs 89kgs
with a BMI of 35. Her medical history includes osteoporosis and hypertension. Blood tests revealed
low vitamin D levels.
Over the last few months Gianna has been experiencing increasing pain in her left hip which has
significantly impacted her mobility and capacity to self-care. Her son found her lying on the floor.
Gianna said ‘I just collapsed because the pain in my hip was so bad’. Luca called an ambulance
which transported Gianna to the Emergency Department. An X-Ray revealed a fracture of her left hip
due to osteoporosis. Gianna signed a consent form for a left total hip replacement
(THR)/arthroplasty the following day.
Following a left THA, Gianna was transferred to the post anaesthetic recovery room (PARU). Her
blood loss during surgery was estimated at 1500mls. On admission, Gianna was asleep and difficult
to rouse. A Redivac drain, with 200mls blood in it, and an indwelling urinary catheter (IDC) were
insitu. The IDC had drained 30mls of concentrated urine for the hour. One unit of packed cells was
being administered over 2hrs and she had oxygen at 6L/min via a Hudson mask. Her vital signs were
as follows: temperature 36o
C, pulse 110, blood pressure 95/50, respirations 10, O2 saturations 93%.
A foam abduction pillow was between her legs. Upon wakening, Gianna complained of pain and was
administered 5mg of Morphine with good effect.
Gianna was transferred to the orthopaedic ward where she has been for the past 4 days. She is
eating and drinking well. but requiring some assistance with ADLs. She is teary and is expressing
concerns about her ability to maintain her independence after discharge. Gianna is currently
mobilising under supervision using a four-wheeled walker. Her pain is being managed with
paracetamol 1gm q6h, and tramadol 100mg B.D. Her son Luca is worried about his mother’s safety
at home as both he and his wife work long hours during the day.
Page 2 of 2
Q1. In relation to your chosen patient, discuss the pathophysiology of their presenting
condition, and using evidence based literature explore current surgical treatment
options for your patient.
Q2. Critically discuss the assessment of ventilation, circulation and consciousness prior
to the patient’s discharge from PARU. Discussion must relate to the effects of
anaesthesia and surgery on these three physiological functions, and be directly related
to your chosen patient.
Q3. Develop a discharge plan to support your chosen patient on discharge home.
Include any education you deem relevant, any referrals to allied health professional/s
required, and discuss your rationale.