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systemic corticosteroids

S.C. is a 21-year-old college student. She presents with intermittent wheezing. She has a history of asthma as a child but had been free of symptoms until this year. She has symptoms 1 to 2 days per week but denies nocturnal wheezing. Her symptoms do not interfere with her normal activities. She has never taken systemic corticosteroids and has never been hospitalized for asthma. On physical exam, you observe soft end-expiratory wheezing at the bases bilaterally. Pulmonary function tests today show an FEV1/FVC of 80% with an FEV1 90% of predicted. She has no other medical conditions and and is not taking any nonprescription, prescription or complementary alternative medicines. She has no known environmental or drug allergies.

DX: Asthma

1. List specific goals for treatment for S.C.

2. What drug therapy would you prescribe? Why?

3. Write prescription for drug therapy prescribed.

4. What are the parameters for monitoring success of the therapy?

5. Discuss specific patient education based on the prescribed therapy.

6. List one or two adverse reactions for the selected agent that would cause you to change therapy.

7. What would be the choice for second-line therapy?

8. What over the counter and/or alternative medications would be appropriate for S.C.?

9. What lifestyle changes would you recommend for S.C.?

10. Describe one or two drug-drug or drug-food interactions for the selected agent.

MUST USE REFERENCE IN TEXT CITATIONS, NURSING JOURNALS ONLY WITHIN 5 YEARS

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Four Prototypic Dimensions of Parenting

***DO NOT PUT IN ESSAY FORM, BUT YET AS ANSWERING TO EACH QUESTION BY THE NUMBER ASSIGNED TO IT.

DISCUSION #1:

In your initial post, consider the Four Prototypic Dimensions of Parenting and address the following:

  1. Which style best describes the approach used by your parents/guardians when you were growing up?
  2. Which style do you (or would you) use with your children?
  3. What impact do you think the parenting-style you experienced growing up has had on you? Has it influenced (or would it influence) your style as a parent?

Be sure to support your responses and give examples.

DISCUSSION #2: 

This module introduces the topic of puberty and explores how children develop physically, psychosocially, and cognitively during this time. Often, parents/caregivers are not comfortable talking with children about the changes they experience during puberty and, consequently, leave children to figure things out on their own.

As a parent/guardian, what do you think would be important to tell a child about puberty? Describe at least one thing you would explain from each of the following categories:

  1. physical changes
  2. psychosocial changes
  3. cognitive changes

DISCUSSION #3: 

Explain the positive and negative aspects of the living arrangements for the elderly listed below. Be sure to thoroughly evaluate each option.

  1. Living in own home
  2. Living with their children
  3. Assisted living facility
  4. Nursing home with intermediate care
  5. Nursing home with skilled nursing care and make recommendations for healthy and disabled elderly

DISCUSSION #4: 

While life expectancies continue to increase, differences exist between men and women. As a general rule, women outlive men, yet there are a few countries where men survive longer than women.

  1. What are some reasons females outlive men in the United States and most countries of the world?
  2. What are some reasons that men outlive women in countries other than the United States?
  3. What are some of the factors that contribute to these gender differences?

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Cultural Diversity

Assigned Culture: ______________________________________________________________________

Purpose: To recognize that individual culture does impact womans health care, communication, nutrition, and family influences that shape the families you are caring for.

Concept: Cultural Diversity

Objective:  Write a paper regarding a culture and its impact on families, contraception, conception and birth.

Instructions:  Create a cultural diversity paper.

1. This project is to a be written paper 5 pages in length APA format. These 5 pages include a cover page and a reference page.

2.  Refer to Purnells’ Cultural Competency as a guide to assessing the patient in the identified culture from your Health Assessment course.

3.  Is education valued, are boy children preferred over gril children? How do they view families? Is contraception allowed and who is involved in the decision making regarding birth control choices?

4. In an unintended pregnancy is adoption allowed? Is assisted reproductive technology accepted? What about donor sperm or surrogacy?

5. Who attends childbirth? Where do women have babies? What are the special practices employed to support the new mom and baby? Who in the family system makes decisions regarding the woman’s health?

6. What implications does culture present to the issues of womens’ health care?

See below ( 10 points)

Refer to Purnells’ Cultural Assesment Tool to address additional questions to enhance each section  (See attached)

 

Points:

Description of requirement:

Total points  with comments

 

1 point

Overview of culture that is not   familiar to you.

a.  Study and investigate the role of women in   the culture you have chosen

b. Is education   valued?

c. Is one gender   preferred over another?

d. How does this   culture view families?

 

2.5 points 

What health care practices does this   culture embrace that may be different than Western medicine?

a. What practices   may interfere with health care?

b. What are the   major illness common to the culture you are studying and what are its   implications on pregnancy and birth?

 

2.5 points

What spiritual or religious practices does   this culture follow?

a. Is contraception   allowed and which forms are acceptable?

b. Who makes the   decision regarding contraception choices?

c. Is assisted   reproductive technology acceptable, donor sperm, surrogacy?Is adoption   allowed?

d. What gives   strengths and meaning to life?

 

2.5points

Birth practices specific to your assigned   culture:

a. Where do the   women have babies, ( home birth, hospital, birth home) and who attends the   birth? What are the special practices employed   to support the mom or new baby?

b. Who in the   family system makes decisions regarding the woman’s health such as an   emergency cesarean section?

c. Include an   explanation regarding how the content provides a focus for nursing assessment   and or nursing interventions and nursing advocacy.

 

1.5points

References: APA Format

a. References: Utilize   in text citations within the power point slides and provide a reference at   the bottom of the slide. Include a reference page slide.

 

10 Total

* Please choose any culture other than African, Because we are not to talk on culture we’re part of.

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New Models for Evidence-Based Practice

New Models for Evidence-Based Practice

A professional goal for DNP-prepared nurses is to produce new evidence-based models of care and develop evidence-based guidelines. As you continue to develop and engage in your EBP Project, keep this aim in mind. What could help to facilitate the acceptance of new practices?

As noted in earlier weeks, every specialty area should base practice on research and evidence. For example, in informatics, an informatician who plans to implement a new health information system would be wise to follow a model that research shows has been effective. Similarly, those involved in leadership or management can review change models and theories, exploring current evidence on best practices that produce positive results. For this Discussion, you evaluate evidence-based practice models, change theories, and frameworks that assist with the adoption of new evidence-based practice approaches.

To prepare:

Reflect on your hospital setting and the use of evidence-based practice models. How are these models used? If they are not used, how might the integration of an evidence-based practice model change practice?
Review the Rosswurm and Larrabee article presented in the Learning Resources focusing on the model they present for integrating new evidence-based practices (See attached file).
Research and locate an evidence-based practice model from nursing or another discipline that could be used in your specialty area to lead a systematic change to evidence-based practice approaches. You may also use a model or framework discussed in your course text, Translation of Evidence into Nursing and Health Care Practice.
Consider how using a model for evidence-based practice can facilitate adoption of new approaches to practice.
By tomorrow Tuesday 9/25/18 10 pm, write an essay of a minimum of 550 words in APA format, and at least 3 scholarly references from the list of required readings below. Include all level one headings as numbered below:

Post a cohesive response that addresses the following:

1) Discuss the use of evidence-based models in your hospital setting.

2) Describe a model for evidence-based practice or change theories and frameworks that you could utilize to facilitate the adoption of new approaches to practice. Substantiate your selection with evidence from the literature.

Required Readings

Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54-60.

Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322. (See attached file).

Pryse, Y., McDaniel, A., & Schafer, J. (2014). Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales. Worldviews on Evidence-Based Nursing, 11(4), 240-247.

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: A systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.

Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209.

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social determinants of health

What are social determinants of health? How do social determinants of health contribute to the development of illness? What is a communicable disease chain? Are there steps that a nurse can take to break a link within the communicable disease chain? Give a specific example.

Readings within your text covering international/global health and the following websites will assist you in answering these questions:

U.S. Centers for Disease Control and Prevention (CDC) Global Health website: http://www.cdc.gov/cogh/index.htm

U.S. Department of Health & Human Services (HHS) Global Health website: http://www.globalhealth.gov/index.html

Families USA – Why Global Health Matters—Here and Abroad website: http://www.familiesusa.org/

World Health Organization (WHO) website: http://www.who.int

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Pocahontas Memorial Hospital

Providing healthcare services to residents in rural areas has presented increased challenges that include access and cost. For your Capstone Project, you will be using a case study that focuses on Pocahontas Memorial Hospital located in Pocahontas County, West Virginia.

Pocahontas Memorial Hospital (PMH) would like to offer a comprehensive satellite health clinic within Pocahontas County. You have been contracted to prepare a report for the PMH Board of Directors to guide them in determining the feasibility of opening a satellite clinic as part of a strategic initiative for their annual strategic management planning process.

Your report should be organized according to the following structure and contain the elements described:

  • Introduction: This is where you introduce your audience to what this report will cover.
    • Description of PMH and potential project
    • Discussion of whether the organization’s mission, vision, and goals support the project
  • Assessment: This is your evaluation of various factors that affect the feasibility and development of the project.
    • Internal and external stakeholders involved and their buy-in for this project
    • Internal and external environmental challenges (e.g., access for consumers, medical equipment, technology, community involvement required)
    • A market analysis
    • A SWOT analysis
  • Recommendations and Implementation: This is where you detail your recommendations and strategies for implementation. Your recommendations should be based directly on what you outlined in your assessment.
    • Strategies for attracting healthcare professionals and staff
    • Feasibility for development of a satellite clinic
    • Value-adding support and resources (e.g., equipment, technology, etc.)
    • Develop strategic initiatives
    • Short- and long-terms plans for implementation of strategic initiatives
    • Brief discussion of how you will evaluate and benchmark this project
  • Conclusion: This brief summary should pull together your assessment and recommendations and leave the audience with a clear sense of what can be done.

Your well-written report should meet the following requirements:

  • Be 12–15 pages in length, not including the cover or reference pages or appendices.
  • Include the strategic thinking maps and content you created for the earlier module assignments. They may be added in addition to/or as a part of the 12-15 pages of content or moved to the Appendix section.
  • Be formatted according to APA Requirements.
  • Provide support for your statements with full APA in-text citations from a minimum of ten (10) scholarly references—five of these references must be from outside sources and five may be from course readings, lectures, and textbooks.
  • Include full market analysis and SWOT analysis diagrams in the Appendix, but present your narrative discussion of each in the Assessment section of your report.

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Health Promotion and Community Resource Teaching Project

CLC – Health Promotion and Community Resource Teaching Project

  • Join Group

This is a Collaborative Learning Community (CLC) assignment.

An important role of nursing is to provide health promotion and disease prevention. Review the 2020 Topics and Objectives on the Healthy People website. Choose a topic of interest that you would like to address, in conjunction with a population at-risk for the associated topic. Submit the topic and associated group to your instructor for approval.

Create a 15-20-slide PowerPoint presentation for your topic and focus group. Include speaker notes and citations for each slide, and create a slide at the end for References.

Address the following:

  1. Describe the approved topic and associated population your group has selected. Discuss how this topic adversely affects the population. How does health disparity affect this population?
  2. Explain evidence-based approaches that can optimize health for this population. How do these approaches minimize health disparity among affected populations?
  3. Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population. Ensure your proposal is based on evidence-based practice.
  4. Present a general profile of at least one health-related organization for the selected focus topic. Present two resources, national or local, for the proposed education plan that can be utilized by the provider or the patient.
  5. Identify interdisciplinary health professionals important to include in the health promotion. What is their role? Why is their involvement significant?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines..

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emergency health-care environmen

You have to create an E-Poster on what you see as the future of nursing practice and the role of nursing in the emergency health-care environment. You need to predict the future based on present evidence.

The E- Poster needs to include the following:

1. Introduction

2. Statement of the issue

3. Evidence supporting the issue

4. Prediction of the future role of the nurse.

5. Conclusion

6. References: minimum of three references from peer-reviewed nursing journals (encourage the use of international journals). Articles need to be within the last 3 years unless historical.

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Leadership Implications

Assignment # 1.

W10- Discussion:

Leadership Implications

“The greatest leader is not necessarily the one who does the greatest things. He is the one that gets the people to do the greatest things.”

— Ronald Reagan
U.S. President (1981-1989)

Leadership is a critical role for advanced practice nurses. In order to be an effective leader, one must examine his or her role as an advanced practice nurse, and use his or her knowledge, and leadership skills to address issues related to his or her specialty area. There is a saying that one must know when to follow and when to lead. In order to be a good leader, you must also learn how to follow. As you transition from student to practicing NP, seek opportunities for mentorship to develop your leadership skills. Recognizing when to lead and when to follow is an interchangeable process that requires experience and preparation. The future for Americans in health care is unpredictable. This week it is important to focus on the complex and advanced leadership role that is needed to make effective change in a dynamic and demanding health care system.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

State Practice Agreements

Write 1 page

This week you will have an opportunity to evaluate state practice agreements in your state ( of TEXAS ) and examine issues related to NP practice.

To prepare:

1. Review and Post a brief description of the REVIEW of practice agreements for NPs in your state of TEXAS.

2. dentify /name at least two physician collaboration issues in your state of Texas.

3. Explain what you think are the barriers to NPs practicing independently in your state mof TEXAS.

4. Finally, outline a plan for how you might address NP practice issues in your state.

5. Suggest additional actions you will  take.

6. Validate an idea with your own clinical experiences with the support of an additional literature search from a reputable source.

REFERENCES:
Required Readings

Buppert, C. (2015). The Employed Nurse Practitioner. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (323-336). Burlington, MA: Jones & Bartlett.

This chapter covers the rights of employed NPs, contract negotiation, interviewing, responsibilities of an NP employee, employer’s evaluation of the NP’s performance, malpractice insurance, and collaborative practice agreements.

Hatt, K. (2015). 5 Interview Pitfalls. Recruiters reveal how to respond to the most complicated questions. Advance Healthcare Network for NPs & PAs. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/student-and-new-grad-center/student-top-story/5-interview-pitfalls.aspx

Thomas, A. C., Crabtree, M. K., Delaney, K. R., Dumas, M. A., Kleinpell, R., Logsdon, C.,…Nativio, D. G. (2012). Nurse Practitioner Core Competencies. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pd

Assignment #2

W11 – Discussion: Write 1 page.

State Practice Agreements

Social Change Agents

Assignment #2

W 11 Discussion

STATE PRACTICE AGREEMENT

Social change Agents

“We’ve been called disruptive innovators,” Ford said. “And I think ‘disruptive innovators’ is great – we just need more of them.”

— Heidesch, T. (2008)

As NPs, we are obligated to promote our profession. A component of promoting the profession is proactively being engaged with our communities and identifying areas where change is needed. An example of this would be identifying a community issue, such as an increase in the rate of obesity in a middle-school population and discovering that soda machines are present in the schools. Identifying a problem and being a positive change agent is an essential component of the NP role. Understanding the lawmaking process and how to initiate a local or state change empowers the NP to impart Social Change.

This week you will focus on the importance of leadership in advanced practice nursing. You will have an opportunity to examine how you can execute positive social change in your state for salient advanced practice nursing issues.

Consider the following:

During NP clinical practicum experiences, we identify, as nurses, many health care issues that need to be addressed at the local, state, or national level. Addressing the need for change in health care policy is now an intricate part of your role as a social change agent.

For this Discussion, you will identify a change needed in your community and what your nursing legacy for positive social change will be.

To prepare:

· 1. Consider the health care issues and deficits you have recognized in your professional practice.

· 2. Identify a change needed in your community in health care policy and discuss how you could impart change during your career as an NP.) (A change needed in my community is Obesity ).

· 3. Consider your future as a NP and what your nursing legacy will be. How will you impart Social Change?

1. Post a change needed in your community and an explanation for how you will begin to implement that change.

2. Then, share with your colleagues a brief explanation of what your nursing legacy will be:(My nursing legacy  will be (Being an advocate for health promotion through disease screenings and illness prevention)

3.  How will you impart Social Change. 

4.  Provide  at least one suggestion for a colleague in your class on how they could implement this change and for their nursing legacy.

REFERENCES: Required Readings

Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning.

· Chapter 12, “Lawmaking and Health Policy” (pp. 421-433)

This chapter covers the legal process, the judicial system and health policy. Additionally, law and rules that affect NPs, how to initiate a change in law and the process involved from beginning until law or rule is finalized.

Christensen, C. M., Bohmer, R. M. J., & Kenagy, J. (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5), 102-112, 199.

Note: Retrieved from the Walden Library databases.

Heidesch, T. (2008). Disruptive innovation NPs are true Health Care Reformers. Advance Healthcare Network for NPs & PAs, 16(12), 94. Retrieved from http://nurse-practitioners-and-physician-assistants.advanceweb.com/Article/Disruptive-Innovator.aspx

National Conference of State Legislatures (n.d.). Glossary of Legislative Terms. Retrieved from http://www.ncsl.org/research/about-state-legislatures/glossary-of-legislative-terms.aspx

No plagiarism. Due Jan.30.18 by 12noon

Write 1 page only on each discussion (2 pages $20)

Use references provides ONLY

Check your grammar and sentences on gramerler.c

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quick service

he Le Chic is a restaurant located on a busy street in the center of a major city. It attracts a steady flow of customers who like its commitment to quick service with good food. As such the management pride themselves on offering a standard menu, which includes a good range of affordable yet delicious dishes – from starters and appetizers, through main courses and specials to pastries and desserts. While Le Chic seats around 80 customers, its layout is basic restaurant style and customers have often said that it has a ‘fast-food’ feel to it which fits

with its current business objectives but may not be ideal for the future.

links to use

https://smashingessays.com/get-help-with-nursing-college-essay/

A major concern for management has always been to maximize efficiency and reduce turnaround times: orders must be swiftly relayed to the kitchen and the food brought to the table within 15 minutes, even during ‘peak hours’ – the intended outcomes being consistency in both customer service and daily sales targets.

The details given at Smashing Essays should guide you.

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