Posts

polypharmacy.

Polypharmacy is defined as being on 5 or more medicines, and is a major concern for providers as the use of multiple medicines is common in the older population with multimorbidity, and as one or more medicines may be used to treat each condition.

  • Discuss two (2) common risk factors for polypharmacy. Give rationale for each identified risk factor.
  • Discuss two interventions you can take as a Nurse Practitioner in your clinical practice to prevent polypharmacy and its complications.

Using  at least 2 evidenced-based, peer-reviewed references no older than 5 years.

"Is this question part of your assignment? We can help"

ORDER NOW

U.S. health care delivery system

As the country focuses on the restructuring of the

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation 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 Turnitin. Please refer to the directions in the Student Success Center.

40.0 %Clearly States How the Practice of Nursing and Patient Delivery Will Evolve, While Addressing Relevant Concepts That Include Continuity or Continuum of Care, Accountable Care Organizations, Medical Homes, and Nurse-Managed Health Clinics

20.0 %Evidence of Feedback and Forecasting of Nursing Role From Colleagues

20.0 %Use of Vocabulary Regarding Evolving Practice of Nursing and Patient Care Delivery

nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
A minimum of three scholarly references are required for this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation 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 Turnitin. Please refer to the directions in the Student Success Center.

40.0 %Clearly States How the Practice of Nursing and Patient Delivery Will Evolve, While Addressing Relevant Concepts That Include Continuity or Continuum of Care, Accountable Care Organizations, Medical Homes, and Nurse-Managed Health Clinics

20.0 %Evidence of Feedback and Forecasting of Nursing Role From Colleagues

20.0 %Use of Vocabulary Regarding Evolving Practice of Nursing and Patient Care Delivery

"Is this question part of your assignment? We can help"

ORDER NOW

sympathomimetic amine drug

Please APA style minimun 300 words. Publication no older more than 5 years. Please.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

Please use this site:

 

https://phsc.edu/sites/default/files/program/files/Nurse-Practice-Act.pdf

"Is this question part of your assignment? We can help"

ORDER NOW

obesity

Consider the following case study:

Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

· Atenolol 12.5 mg daily

· Doxazosin 8 mg daily

· Hydralazine 10 mg qid

· Sertraline 25 mg daily

· Simvastatin 80 mg daily

To prepare:

  • Review      this week’s media presentation on hypertension and hyperlipidemia, as well      as Chapters 19 and 20 of the Arcangelo and Peterson text.
  • Select      one one the following factors: genetics, gender, ethnicity, age, or      behavior factors.
  • Reflect      on how the factor you selected might influence the patient’s      pharmacokinetic and pharmacodynamic processes.
  • Consider      how changes in the pharmacokinetic and pharmacodynamic processes might      impact the patient’s recommended drug therapy.
  • Think      about how you might improve the patient’s drug therapy plan based on the      pharmacokinetic and pharmacodynamic changes. Reflect on whether you would      modify the current drug treatment or provide an alternative treatment      option for the patient.

With these thoughts in mind:

Post an explanation of how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study. Then, describe how changes in the processes might impact the patient’s recommended drug therapy. Finally, explain how you might improve the patient’s drug therapy plan.

– This work should have Introduction and conclusion

– This work should have at 3 to 5current references (Year 2012 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

**Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 19, “Hypertension”      (pp. 257-272)
    This chapter examines the relationships between the cardiovascular,      nervous, and renal systems. It then describes diagnostic criteria for      hypertension patients, drugs used to treat hypertension and possible      adverse reactions, monitoring patient response, and patient education.
  • Chapter 20, “Hyperlipidemia”      (pp. 275-286)
    This chapter explores causes of hyperlipidemia, treatments for      hyperlipidemia patients, and methods for monitoring patient response. It      also reviews strategies for risk assessment and patient education.
  • Chapter 21, “Chronic Stable      Angina” (pp. 289-303)
    This chapter begins by exploring factors that contribute to chronic stable      angina, types of drugs used in treatment, and diagnostic criteria for      initiating drug therapy. It also examines methods for monitoring patient      response to treatment and educating patients on self-care.
  • Chapter 22, “Heart Failure”      (pp. 305-322)
    This chapter examines the process of prescribing drugs to treat heart      failure and explores effects of prescribed drugs, proper dosages, and      possible adverse reactions.
  • Chapter 50, “Pharmacotherapy      for Venous Thromboembolism Prevention and Treatment, Stroke Prevention in      Atrial Fibrillation, and Thromboembolism Prevention with Mechanical Heart      Valves” (pp. 863-886)

This chapter covers drug therapy options for three disorders requiring anticoagulants: venous thromboembolism, atrial fibrillation, and ischemic stroke. It also explains the process of initiating and managing drug therapy for patients with these disorders.

**Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

Required Media

Laureate Education, Inc. (Executive Producer). (2012). Hypertension and hyperlipidemia. Baltimore, MD: Author.

This media presentation outlines hypertension and hyperlipidemia including contributing factors, evaluation, treatment, and implications.

"Is this question part of your assignment? We can help"

ORDER NOW

Global Health, Policy, and the Future

Assignment:

Global Health, Policy, and the Future

This assignment will be a 5 to 7-minute video or audio embedded in a PowerPoint presentation.

***  (I need a power point with talking points listed in the added notes section) 

– Review the Sustainable Development Goals (SDG) found under Additional Resources.

Select one SDG that align with your interests or one you feel passionate about that could significantly improve global health.

Review the recommended actions.

Consider what steps healthcare professionals can take to advocate for vulnerable people at a global level?

Additional Resources:

This assignment will require you to create a 5 to 7-minute video or audio recording in a PowerPoint presentation.

Reflect on global issues in healthcare and address the following in your presentation:

  • Briefly describe the  selected SDG and the identified vulnerable population
  • Analyze current healthcare policies that impact your selected global recommendation or SDG
  • Explain the reason you selected the SDG and why it is relevant to the vulnerable population.
  • Discuss why the SDG you selected should be achieved, including why there should be funding to implement the SDG.

Assignment Expectations

**Again, I do not need you to do the audio, just the pp with the added notes

Length: 5 to 7 minute video presentation (mp4 format) with slide presentation

Structure: Include a title, objectives, and reference slides in APA format. Your presentation must include an introduction and a conclusion.

ReferencesUse the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) s

"Is this question part of your assignment? We can help"

ORDER NOW

changes introduced

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-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 4 sources and must be published within the last 5 years. Abstract is required with good conclusion.

"Is this question part of your assignment? We can help"

ORDER NOW

Effective communication

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

Photo Credit: Getty Images/Caiaimage

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

  • By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
  • How would your communication and interview techniques for building a health history differ with each patient?
  • How might you target your questions for building a health history based on the patient’s social determinants of health?
  • What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
  • Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
  • Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
  • Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

"Is this question part of your assignment? We can help"

ORDER NOW

American Association of Colleges of Nursing (AACN)

The purpose of this assignment is to provide a concise description and appraisal of the American Association of Colleges of Nursing (AACN) Essentials of master’s Education in Nursing. Following APA guideline, provide a brief explanation on each of the essentials reflecting on each essential affects the clinical practice and the author’s interpretation on each essential. Make sure to include a (Title page, abstract, introduction, body, conclusion, and reference page).

Title Page: Title of article, journal information and your name and date 1 point Your score Abstract: Brief summary of article (1-2 paragraphs) 1 points The Problem: (2 or 3 paragraphs) Is the problem clearly stated? Is the problem practically important? What is the purpose of the study? What is the hypothesis? Are the key terms defined? 3 points Review of Literature: (1 -2 paragraphs) Are the cited sources pertinent to the study? Is the review too broad or too narrow? Are the references recent? Is there any evidence of bias? 2 points Design and Procedures: (3-4 paragraphs) What research methodology was used? Was it a replica study or an original study? What measurement tools were used? How were the procedures structures? Was a pilot study conducted? What are the variables? How was sampling performed? 3 points Data analysis and Presentation: (1 – 2 paragraphs) 2 points How was data analyzed? Did findings support the hypothesis and purpose? Were weaknesses and problems discussed? Conclusions and Implications: (2-3 paragraphs) 3 points Are the conclusions of the study related to the original purpose? Were the implications discussed? Whom the results and conclusions will affect? What recommendations were made at the conclusion? What is your overall assessment of the study and the article?

"Is this question part of your assignment? We can help"

ORDER NOW

calcitonin in blood

1.-What is the problem, if a child has low concentration of calcitonin in blood? ?

2.-Where are produced the ADH and oxytocin?

3.- Please explain all the steps of the Renin-Angiotensin-Aldosterone axis.

4.- Why the heart and the thymus are considered organs with secondary endocrine functions? Please explain.

5.- Please explain Follicular phase and Luteal phase.

no copy and paste

"Is this question part of your assignment? We can help"

ORDER NOW

Course Outcomes (COs).

Purpose

This week’s graded topics relate to the following Course Outcomes (COs).

  • CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain unexpected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
  • CO 4 – Identify teaching/learning needs from the health history of an individual. (PO 2)
  • CO 5 – Explore the professional responsibilities involved in conduction a comprehensive health assessment and provide appropriate documentation. (PO 6)

The Assignment

A distant cousin approaches you at your family reunion and says, “Great to see you! I heard you are a nurse. My friend is having success with the (insert selection from list below) and I am wondering what you think about it? Should I give it a try?”

Choose one of the following to consider in your response:

  • Paleo Diet
  • Anti-inflammatory Diet
  • Mediterranean Diet
  • Vegan Diet
  • Ketogenic Diet

In your discussion post, please include the following information:

  1. Briefly describe the diet you have selected to consider.
  2. Share how you would respond to your cousin. Please include questions you would ask, and your advice/recommendations.

"Is this question part of your assignment? We can help"

ORDER NOW