Tag Archive for: nursing

U.S. health care delivery system

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Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

  1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
  2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
  3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
  4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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hospital for evaluation

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An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that he has late-stage Alzheimer’s disease, Parkinson’s disease, hypertension, and type II diabetes mellitus, which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD; levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for home care nursing follow-up.

Questions:

  1. On the initial home visit by the nurse, what assessments should be made?
  2. The wife and daughter need teaching about his antiepileptic medication. What teaching should be included?
  3. During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?

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public health issue

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Select a public health issue and write a 750-1,000 word policy brief that provides a brief summary of the issue, options to solve the issue, and the best way to solve this issue. Select a public health issue from one of the following American Public Health Association websites: Climate Change (https://www.apha.org/topics-and-issues/climate-change) or Topics and Issues (https://www.apha.org/topics-and-issues).

Follow this outline when writing the policy brief:

  1. Identify issue.
  2. Background information – (a) Population effected; (b) Local, state or national level; and (c) Evidence about the issues supported by resources
  3. Problem statement.
  4. Suggestions for addressing the issue (solutions) – (a) Including necessary stakeholders (government officials, administrator); and (b) Include budget or funding considerations, if applicable
  5. Impact on the Health Care Delivery System

Include three peer-reviewed sources and two other sources to support the policy brief.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

RUBRIC:

Background Information:

A discussion of background information is thoroughly developed with supporting details.

Problem Statement:

A problem statement is thoroughly developed with supporting details.

Suggestions:

Suggestions for addressing the issue are thoroughly developed with supporting details.

Impact:

A discussion on the impact on the health care delivery system is thoroughly developed with supporting details.

Thesis Development and Purpose:

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction:

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use):

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment):

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style):

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

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Assessment Instructions 

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Write an article for a community newsletter for a local retirement village that explains the laws, policies, and choices surrounding end-of-life health care decisions.

Nurses are at the bedside during the dying process; they spend entire shifts with patients and families; they develop trusting relationships; and they are competent to assess patient and family needs. Nurses gain a unique perspective that allows them to become aware when a patient is not responding to treatment. This perspective places nurses in a position to facilitate end-of-life decision making. (Adams, Bailey. Anderson, & Docherty, 2011, para. 4)

Assessment Instructions

 

Your manager asked you to prepare an article for a community newsletter for a local retirement village. The editor wants you to talk about the laws, policies, and choices surrounding end-of-life health care decisions

Preparation

Search the Capella library or the Internet for scholarly and professional peer-reviewed articles on end-of-life care. You will need at least three articles to use as support for your work on this assessment.

Directions

Write an article of 750–1,000 words (3–4 pages) that discusses the laws, policies, and choices surrounding end-of-life health care decisions. Address the following in your article:

  • Describe the role of the nurse in end-of-life decision making with patients and their families.
  • Explain the legislation that generated end-of-life health care policies. Was the legislation an outcome of a specific medical case?
  • Identify the primary policies regarding current health care practices related to end-of-life health care decisions. How to these policies affect treatment decisions?
  • Explain the effect of end-of-life regulations and controls on patient outcomes. What effect does this have on the nurse-patient relationship?
  • Describe the ethical considerations that have influenced policy decisions in regard to end-of-life decisions.

Additional Requirements

Your article should meet the following requirements:

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • References: Cite a minimum of three resources; a majority of these should be peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
  • APA format: Resources and citations should be formatted according to current APA style and formatting.
  • Length: 750–1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
  • Font and font size: Ti

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Learning Resources

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In your role, you must understand group processes and stages of formation, as this will help you develop groups and determine an individual’s appropriateness for group therapy. Whether you are at the beginning stages of group formation or facilitating a session for a developed group, it is important to consider factors that may influence individual client progress. For this Assignment, as you examine the video Group Therapy: A Live Demonstration in this week’s Learning Resources, consider the group’s processes, stages of formation, and other factors that might impact the effectiveness of group therapy for clients.

  • Review this week’s Learning Resources and reflect on the insights they provide on group processes.
  • View the media, Group Therapy: A Live Demonstration, and consider the group dynamics.

The Assignment

In a 2- to 3-page paper, address the following:

  • Explain the group’s processes and stage of formation.
  • Explain curative factors that occurred in the group. Include how these factors might impact client progress.
  • Explain intragroup conflict that occurred and recommend strategies for managing the conflict. Support your recommendations with evidence-based literature.

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emergency department

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A 58-year-old man comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. He comes to the ED today because the pain is severe and no longer relieved by rest. His father died of a heart attack at age 62; he smokes one pack of cigarettes per day; and,he describes his lifestyle as sedentary.

  • Blood pressure 180/96, pulse 98, temperature 99.8° F, respirations 20
  • Height 5’11”, weight 210 lbs, BMI 29.3 kg/m2
  • Skin diaphoretic and clammy
  • Heart rhythm regular, no murmurs or extra heart sounds
  • Cardiac markers and Electrocardiogram (EKG)—pending

1. Discuss the spectrum of acute coronary syndrome. 2.What would you anticipate this patient’s cardiac markers and electrocardiogram could potentially reveal?

3.Describe the healing process that occurs in the infarcted myocardium, identifying vulnerable periods during the healing process.

4 pages and 6 references , 0 % plagarism

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ethical issue

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In this assignment you will analyze the implications of an ethical issue according to your worldview.

 

Write a 1,000-1,500-word essay in which you analyze ethical thinking and use values-based decision making to address a case study from the perspective of the Christian worldview as compared to your own worldview assumptions. Choose one case study from the five options listed on “Ethical Dilemmas.”

 

After an appropriate introductory paragraph with thesis statement, in which you name the scenario you are choosing, address each of the following six sections with at least one paragraph each. Use the underlined titles for each of your heading.

 

  1. Ethical Dilemma: Briefly describe the ethical dilemma in your own words, including (a) What in the scenario makes it difficult to make an ethical decision? and (b) Name at least two options for resolving the scenario, providing a brief overview of what sort of ethical decisions each option might make.
  2. Core Beliefs: What beliefs about God and humanity from the Christian worldview are relevant to the scenario? How might these core worldview commitments of Christians influence one’s decision making with regard to this scenario?
  3. Resolution: Describe the Christian worldview’s proposal for resolving the ethical dilemma. How should the person in the scenario act, according to the Christian worldview? What is the best course of action for a Christian? (Note: The resolution should be consistent with Christian worldview commitments.)
  4. Evaluation: What might be the unintended consequences and perceived benefits of the resolution proposed by the Christian worldview?
  5. Comparison: How does the Christian worldview’s resolution compare to another option?
  6. Conclusion: Synthesize the main points, pulling the ideas of the paper together.
  7. References

Use and cite two course resources (textbook, lectures, and the Bible), and at least two scholarly sources that address the issue from opposing sides. You may want to make use of the Opposing Viewpoints in Context database found in the GCU Library.

 

Prepare this assignment according to the guidelines found in the GCU 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.

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Cultural competence and diversity

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1) Cultural competence and diversity are often considered to have the same meaning in healthcare facilities. What is the difference between these two terms and their applicability in terms of healthcare professionals in various healthcare settings?

2) Explain the unique circumstances under which the ancestors of most Black/African American people arrived in the Americas. Why is it important for health service professionals to understand this history?

3) Is Hispanic a racial or ethnic category? Explain. How might this impact the status of the African/Black group, for example, in terms of whether it is the largest or second largest minority group?

4) List the racial categories based on the OMB classification in the United States. Explain the geographic origins of the people designated for each of the categories. Why is it important for health professionals to understand cultural differences among and between groups?

5) A physical therapy office in “Little Haiti” in Miami, Florida is closed due to lack of funds. All patients’ appointments are routed to a nearby hospital’s physical therapy department in which the predominant population served is Cuban. List and describe a minimum some steps you believe the department has to take to meet the needs of the patients from a culturally competent prospective.

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patient’s wishes for medical care

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Directions*** week 9 and 10 are separate assignments and each need their own reference list. At least 2 references requires for each week. APA format. No certain page requirement as long as it covers the topics

 

Week 9 Journal

 

An advance directive is a legal document that defines a patient’s wishes for medical care. This document is a way for patients to share their wishes with family members and health care providers when their illness or mental capacity prevents them from making decisions. As an advanced practice nurse who has care discussions with patients and their families, you need to not only be familiar with the process of completing an advance directive, but also understand how this document might impact your role in patient care and treatment.

 

Journal Entry Part 1

 

For the first part of your journal entry, reflect on the Five Wishes presented on the Five Wishes website and PDF and complete your Five Wishes. Explain your state’s requirements for advance directives, including whether your Five Wishes can be turned into a formal document. (**I will message you the state i live in) Then, explain how your experience of completing your Five Wishes advance directive will help you guide discussions with patients and their families. Finally, explain how you might apply the Five Wishes advance directives to your nursing practice. Include how this advance directive might benefit patients in decision making for specialized areas of care.

 

** Five wishes reference https://class.waldenu.edu/bbcswebdav/institution/USW1/201750_27/MS_NURS/NURS_6540/readings/USW1_NURS_6540_fiveWishSample_Week%209.pdf

 

 

 

Journal Entry Part 2

 

For the second part of your journal entry, reflect on geriatric patients from your practicum site with disorders related to specialized areas of care, such as oncology, nephrology, urology, gynecology, and neurology. Describe a case of a frail elder patient who must make decisions related to specialized areas of care. Then, explain potential patient outcomes and include whether treatments would be beneficial and how they would impact the patient’s quality of life. Finally, describe the patient’s wishes in terms of treatments and interventions for the disorder (Was there an advanced directive?) and how the patient might want to spend any remaining time. Include how environmental factors, such as family, caregivers, ethnicity, culture, religion, and/or personal values, might impact decision making for treatments and interventions. If you did not have an opportunity to evaluate a patient with this background during the last 9 weeks, you can select a related case study or reflect on previous clinical experiences.

 

 

 

Week 10 Journal

 

Elder abuse is any intentional or negligent behavior that results in physical, sexual, emotional, pharmacological, and/or financial abuse. Unfortunately, abuse is sometimes difficult to identify, and elders are often hesitant or unable to report abuse themselves (Administration on Aging, n.d.). This makes it important for health care providers to regularly monitor for signs of abuse and react according to local and state laws.

 

Journal Entry Part 1

 

For the first part of your journal entry, select and describe one of the following types of elder abuse: physical, sexual, mental/emotional/verbal, pharmacological, or financial. Explain strategies for identifying this abuse. Then, explain how you would proceed based on your local and state laws once you have identified this abuse in a patient. Describe resources in your community that assist victims of this type of abuse and explain how you, as the advanced practice nurse, might apply these resources for abused elders who are identified in the clinical setting.

 

Journal Entry Part 2

 

For the second part of your journal entry, reflect on the different cultures—ethnic, religious, regional, or generational—of the elder patient population at your practicum site. Describe the cultures you have observed and explain the influence of these cultures on the prevalence and detection of elder abuse. Then, explain how culture might impact the way you would implement resources for preventing or addressing abuse.

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Nursing Process: Approach to Care

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FIRST PAPER

 

Benchmark – Nursing Process: Approach to Care

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-2,000 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

  1. Describe      the diagnosis and staging of cancer.
  2. Describe      at least three complications of cancer, the side effects of treatment, and      methods to lessen physical and psychological effects.
  3. Discuss      what factors contribute to the yearly incidence and mortality rates of      various cancers in Americans.
  4. Explain      how the American Cancer Society (ACS) might provide education and support.      What ACS services would you recommend and why?
  5. Explain      how the nursing process is utilized to provide safe and effective care for      cancer patients across the life span. Your explanation should include each      of the five phases and demonstrate the delivery of holistic and      patient-focused care.
  6. Discuss      how undergraduate education in liberal arts and science studies      contributes to the foundation of nursing knowledge and prepares nurses to      work with patients utilizing the nursing process. Consider mathematics,      social and physical sciences, and science studies as an interdisciplinary      research area.

You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and 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. An abstract is not required.

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. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN-BSN

2.1: Incorporate liberal arts and science studies into nursing knowledge.

3.1 Utilize the nursing process to provide safe and effective care for patients across the life span.

SECOND PAPER

 

Advocacy Through Legislation

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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, which can be 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. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsNRS-440V-RS4-AdvocacyThroughLegislation.docx

Advocacy Through Legislation

Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add more rows as is appropriate for the topic/proposal.

 

Problem

In no more than 250 words, describe the   problem, who is affected, and the current ramifications. Explain the   consequences if the issue continues.

 

 

Idea for Addressing Solution

In no more than 250 words, outline your   idea for addressing the issue and explain why legislation is the best course   for advocacy.

 

 

Research the Issue

Perform research and compile information   for your idea. Present substantive evidence-based findings that support your   idea for addressing the problem (studies, research, and reports). Include any   similar legislation introduced or passed in other states.

 

Evidence 1

 

Evidence 2

 

 

Stakeholder Support

Discuss the stakeholders who would support   the proposed idea and explain why they would be in support.

 

Stakeholder(s) Supporting 1

 

Stakeholder(s) Supporting 2

 

 

Stakeholder Opposition

Discuss the stakeholders who would oppose   the proposed idea. Explain why they would be in opposition and how you would   prepare to debate or converse about these considerations.

 

Stakeholder(s) Opposed 1

 

Stakeholder(s) Opposed 2

 

 

Financial Incentives/Costs

In no more than 250 words, summarize the   financial impact for the issue and the idea (added costs, cost savings,   increased revenue, etc.). Provided support.

 

 

Legislature:   Information Needed and Process for Proposal

Discuss the how to advocate for your   proposal using legislation. Include the following:

 

Provide the name and complete contact   information for the legislator.

 

Describe the steps for how you would   present this to your legislator. 

 

Outline the process if your legislator chooses   to introduce your idea as a bill to congress.

 

Christian Principles and Nursing Advocacy

In no more than 250 words, discuss how principles   of a Christian worldview lend support to legislative advocacy in health care   without bias. Be specific as to how these principles help advocate for inclusiveness   and positive health outcomes for all populations, including those more   vulnerable, without regard to gender, sexual orientation, culture, race,   religion/belief, etc. 

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