Provide at least Five Targeted Questions you would ask the patient to build his or her health history and to assess his or her health risks.

“CASE STUDY #1”

JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”

Note: REMEMBER AT LEAST THREE REFERENCES AND APA FORMAT

Stakeholders help ensure the success of a change project. They can be an individual or group that is interested in or affected by the change. When stakeholders are involved in the change, they raise awareness in the community, and provide valuable insight (ORourke, Higuchi, and Hogg, 2016). Working with stakeholders from the beginning of the project allows for their input and expertise on what the goals should be. When stakeholders are engaged, change is easier, and the plan is often better developed (Ginex, 2018).

The proposed change project will require several stakeholders. Internal stakeholders for postpartum hemorrhage bundle will include: administration, department manager, doctors, nurses, midwives, lab, surgery, house supervisor, and anesthesia. The external stakeholders will include administration at the corporate level of SCL-Health, the quality department, and possibly the legal team. For us to successfully overhaul how we provide care to postpartum patients, we will need the support from all the stakeholders. OR and anesthesia are important stakeholders, because they can identify possible problems with staffing, and OR space during hemorrhage management. Providers, both MD and midwives, are important because they will need to agree on the best first-line medications and cutoffs for implementing the protocol. They must be prepared to be called back to the bedside more often if there is a concern about blood loss and change their practice from estimated blood loss, to quantified blood loss.