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pathophysiological change

Mr. K. is a 57-year-old man who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of his discomfort.

Discussion Questions

1-Discuss the

Mr. K. is a 57-year-old man who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of his discomfort.

Discussion Questions

1-Discuss the development of atherosclerosis, including the predisposing factors in this case and the pathophysiological changes.

2-Discuss the complications that might develop in this patient.

3-Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of atherosclerosis, maintaining circulation in the leg, and treating complications.

Use APA 6th Edition Format and support your responses with at least 2 peer-reviewed references within 5 years of publication.  All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences.

, including the predisposing factors in this case and the pathophysiological changes.

2-Discuss the complications that might develop in this patient.

3-Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of atherosclerosis, maintaining circulation in the leg, and treating complications.

Use APA 6th Edition Format and support your responses with at least 2 peer-reviewed references within 5 years of publication.  All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences.

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Policy Brief

Benchmark – Policy Brief

The benchmark assesses the following competencies:

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

  1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
  2. Create a problem statement.
  3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
  4. Discuss the 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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Description of Final Paper

Top of Form

Bottom of Form

Overview/Description of Final Paper: The final written assignment will synthesize what you have discovered about the different advanced practice roles and scope of practice found in the Master of Nursing curriculum: APRNs, nurse educator, nurse informaticist, and nurse administrator/executive. You will review all roles and then examine the specialty for which you were admitted, focusing on the scope of practice, core competencies, certification requirements, and legal aspects of practice for that specific role. You will also identify the practice environment and population you will be working with, as well as peers and colleagues. In addition, you will discuss your future leadership role and participation in professional organizations.

Your paper is to be based on current literature, standards of practice, core competencies, and certification bodies for your chosen role. The paper should be 8-10 pages excluding the title and reference pages, and APA format is required.

Criteria:  

· Advanced Practice Roles in Nursing:

o Briefly define advance nursing practice and the roles in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and health information. Distinguish between ANP and the APN.

o Describe the advance nursing practice role you aspire and briefly share the experiences and/or qualities you have that have influenced your decision. Include your personal philosophy.

· Selected Advanced Practice Role:

o Identify the AP you interviewed and summarize the interview, which should/may include (if not in the interview, please address):

o Examine regulatory and legal requirements for the state in which you plan to practice/work.

o Describe the professional organizations available for membership based on your selected role.

o Identify required competencies (domains), including certification requirements for your selected role.

o Describe the organization and setting, population, and colleagues with whom you plan to work.

· Leadership Attributes of the Advanced Practice Role:

o Determine your leadership style

o Define Transformational Leadership and as it relates to your identified leadership attributes that you possess or need to develop

o Apply the leadership style you will embrace in AP to one of the domains

· Health Policy and the Advanced Practice Role

Based on your program of study, review the literature and address the following:

FNP/AGNP: Medicare reimbursement for NPs is 85%for the same health care that MDs receive at 100% reimbursement? Please address questions below and state your position on this mandate.

FNP/AGNP: What states have NP Full Practice Authority and which states have limitations or restrictions? How does this apply to your state? Please address questions below and state your position on this regulation.

Nurse Executive: What is value-based care and how will it impact decisions made at the executive level relative to nursing and AP nursing? Please address and state your position on the regulation.

Nurse Informaticists: What law(s) was enacted to regulate health information? Please address questions below and state your position on this regulation.

Nurse Educator: What agency regulates nursing education?  Explain in detail.

For the above category chosen, address the following:

§ Describe the current policy or trends and determine if it needs to change; if opposed to change state why

§ Provide the process required to make the change with key players and parties of interest; support opposition

§ Explain how you could lead the effort to make or influence the change in policy or keep the policy the same and the impact in healthcare quality.

· Conclusion-Summarize your role paper by highlighting key points made in your paper.

Submission Details:

· Support your responses with examples.

· Cite any sources in APA format.

· Submit your document to the Submissions Area by the due date assigned.

· Week 5 

· Article and Videos

· Read the following peer reviewed article. Incorporate key points in your DQ 1 and any other assignment.

· A Day in the Life:  Nurse Johnson & Johnson Nursing Campaign Mystery Box Unboxing  ( https://www.youtube.com/watch?v=rgojAOyPvfk&list=PLU05He9EuwhlRCO5iVPgjeA7-K1lE3Y8X )

· Strech, S., & Wyatt, D. A. (2013). Partnering to lead change: Nurses’ role in the redesign of health care. Association of Operating Room Nurses.AORN Journal, 98(3), 260-6. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.1016/j.aorn.2013.07.006

·

· A Day in the Life:  Nurse Educator A Day in the Life – Susan, Nurse Educator, MSN, RN, Ph.D. Candidate  ( https://www.youtube.com/watch?v=Z_sG4GRtP-o )

· A Day in the Life: Family Nurse Practitioner A Day in the Life – Steve (Family Nurse Practitioner)  (https://www.youtube.com/watch?v=d-kL1OFbCC8 )

· A Day in the Life: Palliative Care NP A Day in the Life – Lauren (Nurse Practitioner- Palliative Care)  ( https://www.youtube.com/watch?v=dYvL_KhG_YM )

· What is Nurse Informatics? Nursing Informatics in Two Minutes  ( https://www.youtube.com/watch?v=scY_9w-p0y4 )

·

· Nurse administrator talks about leadership in a hospital system Meet Clarian Health Chief Nurse Executive  ( https://www.youtube.com/watch?v=oi1oCcnxvio )

· The Role of the Midwife The role of a midwife – 24/7 case loading midwife and what they do.  ( https://www.youtube.com/watch?v=-XVcI168IeI )

· CRNA Career Profile – Nurse Anesthetist  ( https://www.youtube.com/watch?v=AygysDUSMfk )

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Course Outcomes (COs).

Purpose

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

  • CO 2: Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)
  • CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Discussion

Data analysis is key for discovering credible findings from implementing nursing studies. Discussion and conclusions can be made about the meaning of the findings from the data analysis.

  • Share what you learned about descriptive analysis (statistics), inferential analysis (statistics), and qualitative analysis of data; include something that you learned that was interesting to you and your thoughts on why data analysis is necessary for discovering credible findings for nursing.
  • Compare clinical significance and statistical significance; include which one is more meaningful to you when considering application of findings to nursing practice.

Professor’s comment: Hello Class,
Welcome to week 6! In this thread, I ask that you discuss the differences between clinical significance vs.statistical significance and descriptive statistics vs. inferential statistics. What are some examples of these and when it comes to significance, is one more meaningful than the other?

This week, we also discuss the 4 basic rules of understanding results. These are helpful to think about once you have completed this class.

In this thread we will work toward the following Course Outcomes:

  • Apply research principles to the interpretation of the content of published research studies
  • Examine the sources of evidence that contribute to professional nursing practice.

I look forward to your posts! Paula

references: Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning.

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

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academic writing

Details:

Previously, you employed academic writing to describe business decisions made related to a segment of a multi-year integrated case study, and you suggested research needs that result from your interaction with the case. In this assignment, you will use concise business writing to create a presentation of your decisions and rationale for delivery to a C-suite executive in a corporation.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • Refer to “DBA-815 Integrated Case Study” located in the Course Add-Ons for this course.
  • Refer to the paper you wrote in the Topic 5 assignment as well as related instructed feedback.
  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • APA style is not required for this assignment, but correct and appropriate business writing is expected.

Directions:

Using the case study paper your wrote in Topic 5, create an executive summary presentation of the paper (5-7 slides, exclusive of the title and reference slides) with appropriate speaker notes that could be delivered to a C-suite executive in a corporation in less than 4 minutes. Consider the feedback from your instructor on the case study paper you completed in Topic 5. Include the following in your presentation:

  1. A summary of the business issue emphasizing the economic concerns.
  2. An overview of at least two viable potential resolutions and the supporting research and theory. (Reinforces C.2.3: Recommend the application of newly developed or revised theories to specific business opportunities and challenges.)
  3. An overview of the ethical implications of each option and the extent to which these ethical implications are influenced by the mission, vision, and core values of Purple Cloud. (Reinforces C.2.2: Recognize that values and ethics are fundamental to business success and sustainability.)
  4. Your recommended solution, rationale, and influence on the long-term organizational health of Purple Cloud. (Reinforces C.2.3: Recommend the application of newly developed or revised theories to specific business opportunities and challenges and C. 2.5: Validate and advance business practice through the appropriate application of business theory.)

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Lyme Disease Case Study

Lyme Disease Case Study

A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaintsof headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’ssymptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered:

Studies

Results

Lyme disease test,

Elevated IgM antibody titers against Borrelia burgdorferi(normal: low)

page1image15805504

Erythrocyte sedimentation rate (ESR),

30 mm/hour (normal: ≤15 mm/hour)

Aspartate aminotransferase (AST),

32 units/L (normal: 8-20 units/L)

Hemoglobin (Hgb),

12 g/dL (normal: 14-18 g/dL)

Hematocrit (Hct),

36% (normal: 42%-52%)

Rheumatoid factor (RF),

Negative (normal: negative)

Antinuclear antibodies (ANA),

Negative (normal: negative)

Diagnostic Analysis

Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent.

Critical Thinking Questions

  1. What is the cardinal sign of Lyme disease? (always on the boards)
  2. At what stages of Lyme disease are the IgG and IgM antibodies elevated?
  3. Why was the ESR elevated?
  4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment.

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stepwise approach

Assignment:

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.

One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To Prepare

· Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children.

· Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.

· Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

ASSIGNMENT

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

· Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.

· Explain the stepwise approach to asthma treatment and management for your patient.

· Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

REQUIRED READINGS

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

Chapter 60, “Drugs for Asthma and Chronic Obstructive Pulmonary Disease” (pp. 673–693)

Chapter 61, “Drugs for Allergic Rhinitis, Cough, and Colds” (pp. 695–702)

Document: APA Presentation Template

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 ADHD or autism

Using evidence-based research, design and develop a Parent Guide for your choice of a disorder including: it should be on ADHD or autism

  • Signs   and symptoms
  • Pathophysiology
  • How  the disorder is diagnosed
  • Treatment  options

Construct a 3 fold brochure, 2 page pamphlet, or a short PowerPoint presentation on the topic of your choice. Focus more on the idea that this is meant for parents. Remember that lay materials are usually at the 6th-8th grade reading level. Instead of academic references, include some links that are appropriate for parents. Respond to one other colleague and give them feedback on their product. 

  • Signs   and symptoms
  • Pathophysiology
  • How  the disorder is diagnosed
  • Treatment  options

Construct a 3 fold brochure, 2 page pamphlet, or a short PowerPoint presentation on the topic of your choice. Focus more on the idea that this is meant for parents. Remember that lay materials are usually at the 6th-8th grade reading level. Instead of academic references, include some links that are appropriate for parents. Respond to one other colleague and give them feedback on their product. 

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 Preoperative Nursing Management

Case Study, Chapter 17, Preoperative Nursing Management

1. Joan Arnold, 67 years of age, is a female patient who underwent a coronary angiogram that diagnosed severe coronary artery disease in three of her coronary arteries, the left anterior descending, the left circumflex, and the right coronary artery. She is scheduled for a coronary artery bypass graft operation tomorrow. The nurse provides patient education for Mrs. Arnold and her husband, which includes watching a hospital video on the operation, the intensive care environment, what to expect after the surgery, the recovery period, and cardiac rehabilitation. The video also covered the importance of coughing and deep breathing, using an incentive spirometer, splinting, early ambulation, pain medication, and how to position oneself safely. The video stressed the importance of not rolling onto the side that the chest tube may be in place postoperatively. The video also discussed the preoperative preparation. The nurse also provided a booklet on the subject material. The nurse had a session with the patient and her husband to assess their understanding and to answer any questions they may have had.

  1. What specific preoperative nursing measures should the nurse review with the patient to help decrease the risk for postoperative complications?
  2. Explain the role of the nurse when implementing the immediate preoperative preparation the day before surgery and the morning of the surgery?

2. The nurse in a gynecology clinic is completing preoperative teaching for a patient scheduled for an abdominal hysterectomy next week. The patient states that she is currently taking 325 mg of aspirin daily for chronic joint pain, along with a multivitamin. The patient has type 2 diabetes; she closely monitors her blood glucose levels. Currently, she is taking an oral hypoglycemic agent. The nurse advises her to ask the anesthesiologist whether she should take this medication the morning of surgery.

  1. The nurse instructs the patient to stop taking the aspirin. What is the rationale for this action?
  2. Why is it important to assess the patient for use of herbal products prior to surgery?

c.The patient asks how surgery could affect her blood glucose; how should the nurse respond?

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Ethical Exemplars

It’s a 2 page task I need it in 3 hours.

Use the attached file

https://drive.google.com/file/d/1YEAW6OGygLgIw8GypPYurUkzbsnbu2On/view?usp=drivesdk

Project Title/Subject

Review the sectioned headed, Two Ethical Exemplars

Describe Your task

Review the sectioned headed, Two Ethical Exemplars in Chapter 22

Type of Service

Essay

Urgency 2 hours

No. of Pages/Wordcount 1 page(s)/275 Words

Citation Style

APA Style

Detailed Description/Explanation

Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.

Files app.captainform.com/upload_dld.php?fileid=4d9f87a87d6501007d41c72ba0fbe45a

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