ELECTRONIC MEDICAL RECORDS 1 Electronic Medical Records Institution Affiliation Date ELECTRONIC MEDICAL RECORDS An electronic medical record is one that comprises of medical data as well as clinical data in one single facility for example the office of the doctor. The electronic medical record has recently replaced the traditional paper built medical record for individuals. There are various types of electronic medical records that normally have the similar type of information. An electronic health record contains detailed patient history and is normally shared among several facilities and agencies. An electronic medical record is used by the providers so that they can diagnose and treat diseases. The electronic medical records have proven to be of ore benefit as compared to paper based records since they enable providers track data over a certain period of time and patients who have previously visited the hospital can be easily identified. We also find that the use of electronic medical records has generally improved the overall quality of healthcare (Skolnik, 2011). However, there are potential issues that are likely to be encountered with the use electronic

ENVIRONMENTAL ANALYSIS Mayo Clinic Current Environmental Analysis Name Institution 1 ENVIRONMENTAL ANALYSIS 2 Mayo Clinic Current Environmental Analysis Healthcare organizations utilize directional strategies as a framework of guiding their practice and management. Primarily, the directional strategy of an organization helps in defining what the organization stands for and what it aims to achieve. Aligning an organization’s directional strategy with the industry’s structural features is a crucial aspect of healthcare management towards achieving strategic plans. An environmental analysis, therefore, must accompany the directional strategy in order to determine whether the organization is utilizing the best approach to not only boost its competitive power but also achieve goals and improve the quality and safety of healthcare. This paper presents a critical environmental analysis of Mayo Clinic to understand its strategic management in relation to the healthcare industry and the organization’s directional strategies. Background Mayo Clinic is one of the leading healthcare systems in the United States and it offers care in all specialties. This organization is based in Rochester, Minnesota, Phoenix, Arizona, and Jacksonville, Florida. As a nonprofit academic medical center, the organization runs operations in patient care, research, and education. Mayo Clinic is the ranked the top healthcare organization by U.S News and World Report and is known for

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PATIENT HISTORY- RESPIRATORY PROBLEM Patient History- Respiratory Problem Student’s Name Professor’s Name Course Title Date 1 PATIENT HISTORY- RESPIRATORY PROBLEM 2 Patient History- Respiratory Problem Biographical Data Mr. A is a 40-year-old man working as a high school English teacher. Subjective The patient was well until ten days before admission when he started experiencing a cough that was productive of green sputum occasionally. Later, the cough started getting bloodstains. He has shortness of breath with exertion and is worse during the night. The patient also reports the hotness of the body. He has no recent travel history but reports that his coworkers are also sick. He denies sinus congestion and has no sore throat. Has a history of smoking cigarettes for the past fourteen years-two packets a day. He is hypertensive and adherent to medications. He also reports a history of appendicectomy and tonsillectomy. Objective The patient is alert, masculine, and appears moderately ill. His vital signs include an elevated blood pressure of 150/95mmhg, a pulse rate of 90bpm and a respiratory rate of 24 breaths/minutes, and a temperature of 101.5 degrees Fahrenheit. The patient has no skin rush, no finger clubbing, and no cyanosis. On examination, the chest is symmetrical on expansion, with an increased AP diameter. The percussion had the hyper resonance in the lungs. On auscultation, he had wheezes all over the lung fields, but there is fair bilateral

PICOT By Ruth Chosen Issue: Obesity Facts ◦ Obesity is a major issue in the USA ◦ 1/3 of adults are obese in USA (Chooi, 2019). ◦ 1/6 kids are obese (Holland, 2020) ◦ Related to Cardiovascular disease, hypertension, Diabetes ◦ Impacts quality of life PICOT Question In patients who are (P)obese with a BMI of 30.0 or greater, does (I)exercise compared (C) to diet (O)decrease the BMI within (T) one year? Development of PICOT ◦ P:the patient of the problem. (Davies, 2011) ◦ I: for Intervention ◦ C: comparison (Davies, 2011) ◦ O: outcome ◦ T:(Davies, 2011) Development of PICOT ◦ Conducted preliminary research on topics I was interested in. Obesity, cardiovascular, diabetes. Looked at possible interventions. Chose obesity due to public health impact. Obesity was chosen for problem (P). ◦ Diet and exercise were common interventions in the previous subjects. Chose them for Intervention (I) and comparison (C). ◦ Looked at weight reduction using BMI as indicator for outcome (O). Easy to measure, track, and abundant in preliminary research ◦ One year (T) chosen as timeframe to allow enough time for Intervention and comparison to occur. Many articles had 12 months and above follow-up. Key Search Terms ◦ Obese ◦ Obesity ◦ BMI ◦ exercise ◦ weight ◦ weight reduction ◦ diet ◦ calorie ◦ calorie reduction Research Databases: CINAHAL ◦ CINAHAL: This database contained 750+ nursing and allied health journals. Also had indexes of