[ANSWERED] In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal.
In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Capstone Project Topic Selection and Approval In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team. Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed. Write a 500-750 word description of your proposed capstone project topic. Include the following: The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project. Significance of the topic and its implications for nursing practice. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice. You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Prepare this assignment according to the guidelines found in the APA Style Guide. Expert Answer and Explanation Capstone Project Topic Selection and Approval Nurses should ensure that patients receive safe and quality care. This capstone project focuses on fall prevention, an issue that has significant implications on the safety and quality of care. The information concerning this topic is detailed as follows; The Problem This Capstone project centers on falls among geriatric patients. Patient falls are one of the major concerns affecting the safety and wellbeing of patients, especially in geriatric facilities. According to estimates by the Agency for Healthcare Research and Quality, approximately a million patients fall each year. The same report attributes almost 10% of total adverse events in health care facilities to falls resulting in significant injuries. The problem poses a significant concern not only on the health outcomes of patients but also on the cumulative health care costs attributed to treating fall-related injuries. Based on these factors, it was considered a significant problem that needed to be addressed. The setting in which the Problem Occurs. Falls are an issue that occurs in both community settings and within health care facilities. From the estimates provided by the AHRQ, the cases of hospital falls show that it is a major challenge affecting the health outcomes of patients. The prevalence of community-related falls is even higher, with geriatric patients being at a higher risk than any other population group, as per Bor et al. (2017). Due to the fragile nature of geriatric patients, the rate of falls in nursing homes and other geriatric care facilities experience higher cases of fall-related injuries compared to other health care settings. Therefore, a targeted solution focusing on this setting is essential in improving the health outcomes of geriatric patients (Prabhakaran et al., 2020). Description of the Issue Hopewell et al. (2018), in their study, noted that patients who are 65 years and above are at a higher risk of experiencing falls. There are various factors associated with falls among the elderly population. For example, a study by Hamza et al. (2019) identifies a positive link between falls and medication use in assisted living facilities. Moreira et al. (2018) noted that fall risk awareness, functional capacity, and physical activity level were significant predicting factors associated with falls among older adults. Understanding these factors is crucial in coming up with viable interventions to reduce falls-related injuries among older patients. Effect of the Problem Falls should be an issue of concern to all care providers as noted by Aryee et al. (2017). Aryee et al. note some of the implications relating to falls which include increased cost of care, long hospital stays, hospital readmissions, risk of permanent disability, and unfortunately, at times even death. Sherrington et al. (2017) list patient falls as a leading cause of morbidity and mortality among older adults, with significant socio-economic burdens for patients and their families. The significant impact of the issue makes it a cause for concern that should be handled with utmost priority by care providers. Significance of the Topic and its Implications for Nursing Practice Falls and falls prevention is a significant topic in nursing practice. Nurses are supposed to advocate for patient safety and quality of care (Abbasinia et al., 2020). Therefore, the prevention of falls among geriatric patients aligns with this mandate. Similarly, as a way of improving the health outcomes of patients, reducing falls-related incidents within geriatric facilities. Proposed Solution The proposed falls prevention solution is to initiate a nurse education intervention, to inform and remind nurses of some of the best evidence-based practices relating to falls prevention. Some of these practices include proper medication administration practices, effective risk assessment strategies, use of risk identification tags, to list a few. The efficacy of educational interventions for health care professionals as a way of reducing incidents of falls is supported by Shaw et al. (2020). Conclusion This paper has provided an overview of the capstone topic and why it is relevant in nursing practice. Addressing the issue of falls in older adults will go
[ANSWERED 2023] Lab Assignment Assessing the Abdomen
Lab Assignment Assessing the Abdomen A male went to the emergency room for severe midepigastric abdominal pain. He was diagnosed with AAA ; however, as a precaution, the doctor ordered a CTA scan. Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen. In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible To Prepare Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study. With regard to the Episodic note case study provided: Review this week’s Learning Resources, and consider the insights they provide about the case study. Consider what history would be necessary to collect from the patient in the case study. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. The Assignment Analyze the subjective portion of the note. List additional information that should be included in the documentation. Analyze the objective portion of the note. List additional information that should be included in the documentation. Is the assessment supported by the subjective and objective information? Why or why not? What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Chapter 6, “Vital Signs and Pain Assessment”This chapter describes the experience of pain and its causes. The authors also describe the process of pain assessment. Chapter 18, “Abdomen”In this chapter, the authors summarize the anatomy and physiology of the abdomen. The authors also explain how to conduct an assessment of the abdomen. Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. Chapter 3, “Abdominal Pain” This chapter outlines how to collect a focused history on abdominal pain. This is followed by what to look for in a physical examination in order to make an accurate diagnosis. Chapter 10, “Constipation” The focus of this chapter is on identifying the causes of constipation through taking a focused history, conducting physical examinations, and performing laboratory tests. Chapter 12, “Diarrhea” In this chapter, the authors focus on diagnosing the cause of diarrhea. The chapter includes questions to ask patients about the condition, things to look for in a physical exam, and suggested laboratory or diagnostic studies to perform. Chapter 29, “Rectal Pain, Itching, and Bleeding” This chapter focuses on how to diagnose rectal bleeding and pain. It includes a table containing possible diagnoses, the accompanying physical signs, and suggested diagnostic studies. Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis. Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center. These sections below explain the procedural knowledge needed to perform gastrointestinal procedures. Chapter 107, “X-Ray Interpretation: Chest (pp. 480–487) Chapter 115, “X-Ray Interpretation of Abdomen” (pp. 514–520) Note: Download this Student Checklist and Abdomen Key Points to use during your practice abdominal examination. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Student checklist. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Key points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center. Optional Resource LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical. Chapter 9, “The Abdomen, Perineum, Anus, and Rectosigmoid” (pp. 445–527)This chapter explores the health assessment processes for the abdomen, perineum, anus, and rectosigmoid. This chapter also examines the symptoms of many conditions in these areas. Chapter 10, “The Urinary System” (pp. 528–540)In this chapter, the authors provide an overview of the physiology of the urinary system. The chapter also lists symptoms and conditions of the urinary system. NURS_6512_Week_6_Assignment_1_Rubric NURS_6512_Week_6_Assignment_1_Rubric Criteria Ratings Pts This criterion is linked to a Learning Outcome With regard to the SOAP note case study provided, address the following:Analyze the subjective portion of the note. List additional information that should be included in the documentation. 12 to >9.0 pts Excellent The response clearly, accurately, and thoroughly analyzes the subjective portion of the SOAP
[ANSWERED 2023] Research the range of contemporary issues
Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission: Describe the contemporary issue and explain what external stressors are associated with this issue. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Rubric Criteria Total90 points Criterion 1. Unsatisfactory 2. Insufficient 3. Approaching 4. Acceptable 5. Target Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc. 0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout. 4.05 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent. 4.27 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted. 4.81 points Few mechanical errors are present. Suitable language choice and sentence structure are used. 5.4 points No mechanical errors are present. Appropriate language choice and sentence structure are used throughout. Thesis, Position, or Purpose Communicates reason for writing and demonstrates awareness of audience. 0 points The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident. 4.73 points The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience. 4.98 points The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience. 5.61 points The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated. 6.3 points The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience. Development, Structure, and Conclusion Advances position or purpose throughout writing; conclusion aligns to and evolves from development. 0 points No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered. 4.73 points Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose. 4.98 points Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose. 5.61 points The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose. 6.3 points The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose. Contemporary Issue and Associated External Stressors A description of the contemporary issue and explanation of what external stressors are associated with the issue are provided. 0 points A description of the contemporary issue and explanation of what external stressors are associated with the issue are omitted or inaccurate. 16.88 points A description of the contemporary issue and explanation of what external stressors are associated with the issue lack detail or are incomplete. 17.78 points A description of the contemporary issue and explanation of what external stressors are associated with the issue are present. 20.03 points A detailed description of the contemporary issue and explanation of what external stressors are associated with the issue are present. 22.5 points A thorough and accurate description of the contemporary issue and explanation of what external stressors are associated with the issue are present. Support Options for Adolescents Encountering External Stressors A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is provided. 0 points A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is omitted or inaccurate. 13.5 points A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented lacks detail and is incomplete. 14.22 points A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue is present. 16.02 points A detailed of includes support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is present. 18 points A thorough and accurate discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is present. Assessment Strategies to Screen for the Issue and External Stressors An outline includes assessment strategies to screen for the issue including external stressors during an assessment for an adolescent patient and a description of what additional assessment questions one would need to ask. A definition of the ethical parameters regarding what you can and cannot share with the parent or guardian is provided. 0 points An outline that includes assessment strategies to screen for the issue, including external stressors during an assessment for an adolescent patient and a description of what additional assessment questions one would need to ask, is omitted or inaccurate. A definition of the ethical parameters regarding what you can and cannot share with the parent or
[ANSWERED 2023] Within the Shadow Health platform
Within the Shadow Health platform, complete the Focused Exam: Cough Results Within the Shadow Health platform, complete the Focused Exam: Cough Results. The estimated average time to complete this assignment each time is 1 hour and 15 minutes. Please note, this is an average time. Some students may need longer. This clinical experience is a focused exam. Students must score at the level of “Proficient” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficient level. Upon completion, submit the lab pass through the assignment dropbox. Students successfully scoring within the Proficient level in the Digital Clinical Experience on the first attempt will earn a grade of 100 points; students successfully scoring at the Proficient level on the second attempt will earn a grade of 90 points; and students successfully scoring at the Proficient level on the third attempt will earn a grade of 80 points. Students who do not pass the performance-based assessment by scoring within the Proficient level in three attempts will receive a failing grade (68 points). If the Proficient level is not achieved on the first attempt, it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and the course resources may help you improve your score. Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion. You are not required to submit this assignment to LopesWrite. Expert Answer Topic 2 DQ 1 Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse. Identify two factors that increase the vulnerability of a child for abuse in the age group you have selected. Expert Answer and Explanation The Health Assessment of Infants All children including infants, toddlers, pre-school, and school-age children can experience child abuse in many forms. School-age children are among the most exposed to many forms of abuse, as they have encounters with parents, teachers, as well as other individuals outside the family. Warning Signs that Indicate Child Abuse There are several warning signs in school-age children that could indicate possible child abuse. Among the most common include underperformance, disruptive behavior, and lateness in school. The child can also appear dirty and unkempt, indicating a form of neglect from the family or guardians (Hodges & McDonald, 2019). In cases of sexual abuse, the child could also have suicidal thoughts and experience shame among his or her peers. Cultural Practices that can be misidentified as Child Abuse There are different cultural practices that can be mistaken to be child abuse. For example, in some communities, it is mandatory that school-age children above 14 years to have part time jobs. This can be easily misunderstood to be child labor (Lee & Kim, 2018). Another practice is the act of disciplining a child which could happen in many forms including physical discipline. However, this kind of discipline must not result in the child shedding blood. Reporting Mechanism in Delaware and the Responsibility of the Nurse in Reporting Suspected Child Abuse Delaware is one of the counties that take child abuse cases seriously in that there is a rigid reporting system. A person who witnesses child abuse should call the community hotline, and in cases of emergency, they should call 911 and also help the child. Nurses should report suspected cases of child abuse in the facilities as they provide treatment as this would help to avoid further psychological and physical harm of the child. References Hodges, L. I., & McDonald, K. (2019). An Organized Approach: Reporting Child Abuse. Journal of Professional Counseling: Practice, Theory & Research, 46(1-2), 14-26. Lee, H. M., & Kim, J. S. (2018). Predictors of intention of reporting child abuse among emergency nurses. Journal of pediatric nursing, 38, e47-e52. Topic 2 DQ 2 Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement. Expert Answer and Explanation Physical Assessment When carrying out a physical assessment of both a child and an adult, the foremost thing is to collect as much information from the patient as possible through observation of the physical attributes. For both, checking for the vital signs, blood pressure, and temperature is done during physical assessment. The normal parameters for both however vary, with the distinction taken into consideration during assessment. Cardiac assessment is however, different for both, due to the level of heart development and prevalent issues which might be there for adults and not in children. Analysis of the airway and breathing patterns also vary for the two groups. When offering instruction, the nurse is required to first consider the age of the patient, social, education, and cultural background of the patient. After learning of these attributes, a proper communication strategy can be formulated to provide instruction in a manner that can be understood. The instructions offered should also be done in a respectful manner. When carrying out the assessment, the nurse should first introduce themselves to create a good rapport with the patient. Two-way communication, which includes patient’s feedback is an essential aspect in collecting as much relevant data from the patient as possible (O’Hagan et al., 2014). When communicating, choosing a language that is simple and can be
[ANSWERED 2023] Using the Marketing Plan Outline
Using the Marketing Plan Outline WHAT: Using the Marketing Plan Outline on pages 84-66 in Chapter 2, create a Marketing Plan for a health care provider of your choice (real or fictional). See Exhibit 1-1 on page 25 for some examples of “primary providers” – use one of these types of providers. The Marketing Plan should include the following sections: I. Management Summary II. Economic Projections III. The Market – Qualitative IV. The Market – Quantitative V. Trend Analysis VI. Competition VII. Problems and Opportunities VIII. Objectives and Goals IX. Action Programs WHEN: You should have already posted your topic during Week One. Your final project will be due on Saturday of Week 4. WHERE: Post the Marketing Plan as a Word document by clicking on the title above Week 4 Final Project. Final Project Grading Criteria: Marketing Plan Content: 50 points possible Followed Guidelines: 20 points possible Grammar/Spelling: 20 points possible Creativity: 10 points possible Total: 100 points possible Expert Answer and Explanation Marketing Plan for NHC Place at Cool Springs HealthCare Overview of the Organization NHC Place at Cool Springs HealthCare is a private long-term care facility providing nursing care and therapy services to patients with long-term health problems and senior people in Franklin, Tennessee, a city with a population of about 83,454. The healthcare facility was started in 1971 as part of a larger corporation known as the National HealthCare Corporation (NHC) by Dr. Carl E Adams, a community leader in Murfreesboro and a physician. The facility is home to a 180-bed post-acute 24-hour skilled nursing HealthCare Center. It provides care to people to need skilled nursing care after a serious illness, joint replacement surgery, stroke, and a cardiac procedure. The facility has a team of specialized nursing practitioners, physicians, therapists, and nurses. It provides 24-hour nursing care using licensed nursing professionals. Services provided by the facility include diabetes management, ambulatory care, memory care, high acute care, staffing and ancillary services, incontinence care, and medication management. It also provides specialized care services such as podiatry care, wound care, IV therapy, psychological services, and pain management. The vision of the facility is to provide care to all patients in a better way every day. The current strategic plan of the facility is to expand its services to Brownsville, Haywood County, Tennessee. Management Summary The healthcare facility is managed by a board of directors. The chairman of the board is Robert G. Adams. Stephen F, Flatt is the Chief Executive Officer & Inside Director of the healthcare facility. Other leaders of the organization are Vicki Dodson, Senior Vice President, Patient Service, Michael Ussery, Senior Vice President & Treasurer, Jeffrey R. Smith, Senior Vice President & Chief Information Officer, B. Anderson “Andy” Flatt, President & Chief Operating Officer, Bubba McIntosh, Senior Vice President, Ancillary Services and Service Strategy, and Brian F. Kidd, Senior Vice President, Controller & Principal Accounting Officer. Economic Projections Economic projections show that economic factors that will affect the marketing of the healthcare facility’s services in the coming years. One of the factors that will impact the marketing of NHC Place at Cool Springs HealthCare’s service is inflation. There has been a rise in inflation in recent years. Adam et al. (2022) noted that the cost of commodities has increased since 2020. The authors noted that covid-19 impacted production and thus decreased the number of goods in the market. As a result, the supply of goods decreased and demand and prices increased. The rising costs of oil will also affect the marketing of the facility’s services. increasing oil services will increase the cost of transporting drugs and other healthcare facility equipment to the new city and this will increase marketing costs. The business expectations will also impact the marketing of NHC Place at Cool Springs HealthCare’s service. The facility expects to attract customers from all over Haywood County by the end of the year. As such, the facility’s management will increase financial support for a marketing campaign. The facility aims to capture a huge market share in Haywood County. The Market – Qualitative Demographics is defined by Sánchez-Cabrero et al. (2018) as information used by marketers to describe populations affected by the marketing plan. According to the authors, marketers must understand their customers to provide products and services that meet their needs. In marketing, marketers should understand the target market to better appeal to their needs (Sánchez-Cabrero et al., 2018). NHC Place at Cool Springs will provide care services to various people including the senior population, individuals with long-term health problems, such as diabetes, major surgeries, serious heart conditions, patients with drug and alcohol addiction, those who need physical therapy, and those who need palliative care. The facility targets all members from all races and age groups. It will also provide mental health and rehabilitation services. The facility will target those who need its services regardless of their income. The population’s culture will not be considered when providing them. Some of the programs the facility will work with include Medicare, Medicaid, and TRICARE. These programs provide health insurance services to many Americans. The organization will also work with third-party payers, such as employee insurers in providing health services to their patients. Other healthcare institutions will also be part of the organization. The facility will work with neighboring hospitals and clinics to get referrals for patients who need long-term care. Some of the healthcare organizations that will be targeted by NHC Place at Cool Springs HealthCare include Rhea Medical Center Physician Group, A Pattern Medical Clinic, A Pattern Medical Clinic, Rhea Medical Center Physician Group, and Fairfield Memorial Hospital. The Market-Quantitative The healthcare facility seeks to open another office in Brownsville City. According to the Tennessee Department of Health (n.d), the state is ranked 31 in the US in terms of nursing homes that meet the CMS National Nursing Quality Care Collaborative score meaning that most of the nursing homes in the state provide quality care that is above average. The state has a composite score of 10.97% against the US average of 8.2. Image 1 below shows how