Tag Archive for: nursing

diabetes

Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/

To Prepare
  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.
By Day 3 of Week 5

Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.

5 references not more than 5 years

ZERO PLAGIARISM

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Breathing, Heart, and Lungs

week2 discussion

Breathing, Heart, and Lungs

An anxious patient is having rapid and shallow breathing. After a few moments, he complains of a tingling sensation.

  • What could be the causes of this tingling sensation?
  • What are the various patterns of respiration and their significance?
  • Ethnicity and culture influence risk factors for heart disease. Do you agree? Why or why not?
  • What is the technique of percussion and palpation of the chest wall for tenderness, symmetry, bulges, fremitus, and thoracic expansion? Explain.
  • Would you anticipate hearing hyper-resonance on a patient with a history of tobacco use? Why or why not?
  • What are the mechanics of breathing with reference to lung borders and the anatomical structure of the lungs and diaphragm?

Citations should conform to APA guidelines.

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literature review

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required.

CHECK FOR PLAGIARISM PLEASE. MINIMUM OF 3 REFERENCES

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ration care

Je

How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?
I believe Palin bringing up the ration of care for the sick, disabled and elderly was very important and a very effective way to grab the attention of many Americans. Not every American has a disable family member nor do they have to per say “deal”or worry with all of the medical and financial burdens these families have to take on. I believe Palin bringing this to many americans attention and speak for the people that are unable to speak for themselves was very effective when it comes to making it known they are also worthy of the care that every other “normal” American is able to receive.

Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?
It is hard to pick one thing that would inform someones judgement, but I would have to say analysis of facts. It is important to always do your own research and not base everything you believe off of what other people are saying. With that being said, I do still agree with Palin and her advocating for the sick, elderly and disabled people of America but doing my own research also taught me more about what Palin was referring to. I came across this statement “The health reform bill being considered in the House of Representatives says that a Comparative Effectiveness Research Center shall “conduct, support, and synthesize research” that looks at “outcomes, effectiveness, and appropriateness of health care services and procedures in order to identify the manner in which diseases, disorders, and other health conditions can most effectively and appropriately be prevented, diagnosed, treated, and managed clinically.” (2009, Politifact). It was not solely about and nothing to do with evaluating patients for their worthiness.

Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?
Yes I believe it is very important for nurses to be involved in politics and endorsement of health reforms even if they are not considered to be perfect. Nurses are huge advocates and we have a voice that could speak out make a huge difference.

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Recruiting Participants for Your EBP Proposal.

Recruiting Participants for Your EBP Proposal.

For this assignment, write the Sample Section of your EBP Project Proposal (see attached EBP Project Proposal) in a Word document.

Here is a Week 8 Sample Section Example (Word) of what the sample section can look like.

Sample Section Guidelines

This section covers your planned recruitment and ethical considerations for your future participants. It should take up about two to three pages. The purpose is to tell the reader what your recruitment plan is for the study. You should have subheadings throughout this section of the paper.

In this section, write about the following:

1. Sample: Cover the following points in no more than two paragraphs each:

– How subjects will be recruited

– What the inclusion criteria will be (for more expansion, you may add the exclusion criteria to show what was consciously eliminated)

– The type of sample (random, purposive, convenience, etc.)

– The proposed sample size and rationale for this choice

– The selection method (random table of numbers, flip a coin, etc.— this depends on the type of study)

Although this subsection should cover all these items, it may be written in a narrative style.

2. Setting: Keeping in mind that this is a proposed setting, and it should not be recognizable for confidentiality and privacy reasons. It is a broad view of the setting. For example:

The proposed setting for this study is a large teaching hospital in the northeast. The actual place where the study would be carried out is in the three medical–surgical units in this hospital. Each unit has a bed capacity of 25–30 beds with occupancy rates of 92% to 95%. The study will take place in a private conference room.

Or, if a mailed questionnaire or survey is to be used:

The proposed setting for data collection will be by mailing the questionnaire to the homes of the subjects. The researcher would be mailing the questionnaires from home with a return-addressed, stamped envelope.

3. Informed Consent and Ethical Considerations: Institutional Review Board (IRB) approval will be obtained. The researcher will submit an application and proposal to the Regis College IRB first. After approval from Regis College, the institution where the study will take place usually requires IRB approval as well. The request or application may be one of three types:

– Exempt from review: This is for studies with no intervention or may be just for a medical record review.

– Expedited review: This is for minimal risk to subjects—physical or psychological.

– Complete institutional review: This is for studies that may pose a risk to subjects.

Please address means of protecting human subjects, such as the use of pseudonyms for qualitative studies and the use of numbers to identify subjects in quantitative studies. Data storage must be addressed. Make certain that identifying data (informed consent document) is maintained in a locked file separate from de-identified data (demographics, surveys, transcripts) that also will be maintained in a locked file in the researcher’s locked office.

Free of Plagiarism (Turnitin Assignment)

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Future of Nursing and the Institute of Medicine research

In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:

  1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
  3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

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. Please refer to the directions in the Student Success Center.

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quality of medical care

Assignment

Complete ALL of the bullet points below:

  • Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.” What are the other dimensions of quality care and why are they important? What has changed since the days when “doctor knows best?”
  • Quality in medical care may be defined as achieving the greatest benefit at the lowest risk. How have the priorities of our health care system and the allocation of resources addressed this goal?
  • Contrast the definitions of implicit and explicit criteria in assessing health care quality. How is each type of criterion useful in quality assessment?

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

 

Sultz, H.A., & Young, K.A., (2017). Health care USA: Understanding its organization and delivery (9th ed.). Boston: Jones & Bartlett,

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responsibilities of a Nursing Information Expert

Guidelines

 

Purpose

The purpose of this assignment is to:

  • communicate your understanding of the importance of quality information in everyday nursing practice;
  • discuss the roles and responsibilities of a Nursing Information Expert; and
  • articulate how the professional nurse uses information/data in every day practice to improve outcomes.

Directions

  1. Download the NR361 Interview Form (Links to an external site.)Links to an external site., which will be used to complete this assignment.
  2. Select your interviewee and schedule an interview. This individual must be a Registered Nurse. Job titles of RNs who may be considered include, but are not limited to, Nursing Clinical Information Manager; Super User, Director/Manger Clinical Education; Chief Information Officer; Quality Assurance or Performance Improvement Nurse; Nurse Informaticist; Telenursing Specialist; Nurse Abstractor; Case Manager; Compliance Nurse. If you have any concerns about whether the RN is suitable for this assignment, contact your instructor BEFORE you schedule the interview.
  3. Review all questions (areas of inquiry) on the Interview Form PRIOR to conducting the interview. You may print the form and take it with you to the interview.
  4. Note there are five required questions to ask the RN.
  5. Note there are four optional questions. You need to select only one of these to ask the RN.
  6. Note there are two follow-up questions that must be answered by you.

Prior to conducting your interview, review two scholarly resources. These resources should guide your understanding of the RN’s role and responsibilities or make you more knowledgeable about GIGO, Interprofessional Communication, or other key concepts in the questions that you may not fully understand. For example, if your interviewee is a telenurse, you would want to review information on this specialty. If you do not know what GIGO means, look it up.

  1. Conduct your interview. The length of your interview will vary but should not exceed one hour.
  2. Submit the completed interview form prior to the deadline outlined above.

Please NO PLAGIARISM this assginment goes through turn it in. Also i will attach the form as well as the guidelines.

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Health History and Discharge Orders

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

  1. Identify, prioritize, and describe at least four problems.
  2. Provide substantiating evidence (assessment data) for each problem identified.
  3. Identify and describe at least four medical and/or nursing interventions.
  4. Discuss your rationale for the interventions identified.

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

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

Entire Assignment

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

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pharmacological care

 PurposeProblem-based learning is a methodology designed to help students develop the reasoning process used in clinical practice through problem-solving actual patient problems in the same manner as they occur in practice. The purpose of this activity is to develop students’ clinical reasoning skills using a case-based learning exercise. Through participation in an online discussion forum, students identify learning issues in a self-directed manner which facilitates learning for the entire group. Activity Learning Outcomes Through this discussion, the student will demonstrate the ability to:

  1. Synthesize clinical knowledge, didactic learning and research findings to provide appropriate pharmacological care to primary care patients. (CO 1, 2, 3, 4 & 5)

Case Study & Discussion QuestionsClaudia (G2P2) is a 36-year-old mother who recently delivered a child 9 months ago. She has been using condoms for birth control for the last 7 months. Today she is requesting a more convenient method of birth control. She is not sure of her current pregnancy plans, however, she does not wish to discuss sterilization or an IUD. She has no religious contraindications for treatment.PMH: positive for mild hypertension with first pregnancy, seasonal allergies.Surgeries: Left inguinal hernia and tonsillectomy.Family history: Mother-HTN; Father-Colon CA (both deceased)Social History: Denies tobacco use, wine one to two glasses a week, denies recreational drugs, exercises twice a week.Drug allergies-Sulfa causes a rash.Current medications-MVI with Fe, Calcium chews, Allegra 10mg daily prn for allergies.Vitals: Height 67 inches, weight 157 pounds, BP 110/75, P 70, R 16. PAP collected today, breast exam WNL, urine pregnancy negative.A physical exam is normal.

  1. What are your treatment goals for Claudia today?
  2. What are two possible medications (in different classes) that you can recommend for Claudia? Please provide a detailed rationale and mechanism of actions for each medication. Make sure that all recommendations are cited with guidelines or scholarly, peer-reviewed articles and always include medication, strength, dosage form, route, frequency, and duration when making recommendations.
  3. Pick one of the medications from your response above and list five (5) patient-centered teaching points to communicate to the patient.
  4. What would your contraceptive choice be if Claudia smoked 10-15 cigarettes per day? Explain your answer.

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