Tag Archive for: nursing

Health and Human Services

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Module 09 Written Assignment – Hospital ComparisonPoints/Grading Rubric:CriteriaPointsIdentify facility closest to your home5List strengths of the facility10List weaknesses of the facility10Discuss what this tells you about the quality at this facility15Grammar, APA and Organization

The Department of Health and Human Services has created a website called Hospital Compare, a powerful online tool to enable consumers to learn about the quality of specific hospitals and compare them to other hospitals. You can find the site at Hospital CompareFind information on the hospital closest to your

home.
List strengths and weaknesses of each. What does this website tell you about the quality of care?
Hospital:
Strengths:
Weaknesses:
What does this tell you about the quality at this facility?

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Research Ethics

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During this course, you will learn the components required for a research study. Each week you will learn components of the research process through your readings and application of the knowledge gained to published research articles.

During this week, you are expected to examine the protection of human subjects in research from early research studies, through the development of research codes to current research standards. The aim is to familiarize you with the ethical issues associated with research and gain firsthand information of the processes used to protect research participants.

Task:

View each of the You Tube clips listed below:

https://www.youtube.com/watch?v=Rz8ge4aw8Ws Caring Corrupted: The Killing Nurses of the Third Reich

https://www.youtube.com/watch?v=-O5gsF5oyls Research Ethics

https://www.youtube.com/watch?v=86zWBjDaXPk Belmont Report Part 1

https://www.youtube.com/watch?v=cIafASIIU70 Belmont Report Part 2

https://www.youtube.com/watch?v=iFik0of3iUM IRB (Institutional Review Board)

After viewing each video, write two paragraphs about each video describing the purpose of the video and discussed one point from each video that you think is important regarding protecting human subjects in research and provided rationale. Your submission should be 400-500 words, using APA style. How would you work with the IRB?

Submission Details

Name your document as SU_NSG6101_W2_Project_LastName_FirstInitial.doc.
Submit your certificate to the Submissions Area by the due date assigned.

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independent and dependent

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Discuss Topic 1: Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 1

Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

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nurse manager

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Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
  • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support

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therapeutic theory

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Assignment 4: Practicum – Week 10 Journal Entry

Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal.

: Explain whether your therapeutic theory has changed as a result of your

practicum experiences. Recall the theories you selected in Week 1 which is

(Cognitive Behavioral Theory & Rational Emotive Behavioral Theory)

: Explain how you integrated the therapeutic approaches from this course in your

clinical practice. Include how this helped you achieve the goals and objectives

you developed in Week 1 ( For this assignment, just make up any goals)

: Explain how you might impact social change through your work with clients who

have mental health issues.

: Support your approach with evidence-based literature.

NOTE: PLEASE SEE AND PAY ATTENTION TO THE ATTACHED Practicum Journal Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION IN MENTAL HEALTH NURSING AND INCLUDE REFERENCES

 

Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter      17, “Psychotherapy With Children” (pp. 597–624)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Bass, C., van Nevel, J., & Swart, J. (2014). A comparison between dialectical behavior therapy, mode deactivation therapy, cognitive behavioral therapy, and acceptance and commitment therapy in the treatment of adolescents. International Journal of Behavioral Consultation and Therapy, 9(2), 4–8. doi:10.1037/h0100991

Koocher, G. P. (2003). Ethical issues in psychotherapy with adolescents. Journal of Clinical Psychology, 59(11), 1247–1256. PMID:14566959

McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84(5), 453–464. doi:10.1037/ccp0000081

Zilberstein, K. (2014). The use and limitations of attachment theory in child psychotherapy. Psychotherapy, 51(1), 93–103. doi:10.1037/a0030930

 

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Health Policy Brief Part I

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Assignment 1

Assignment 1

Health Policy Brief Part I

This assignment is one of three papers that will be developed throughout the Policy, Advocacy, and Healthcare Ethics course. The purpose of this assignment is to draft a health policy brief for stakeholders and community members. In other words, you will identify a relevant health-related issue impacting populations and/or communities in the United States that has legislative and policy implications at the state and/or national level. The assignment is not about identifying a policy or procedure at your place of employment, but rather identifying a systematic healthcare concern that has legislative and policy implications at least at the state level. Sample issues may be identified in your state legislative website, board of nursing website, or national association website. Also, your textbook addresses systematic issues such as smoking during pregnancy, medical cannabis use, and patient safety outcomes, to name a few. Prior to beginning to work on this project, please view the 18:36 minute video developed by the Women’s and Children’s Health Policy Center titled, The Art and Craft of Policy Briefs: Translating Science and Engaging Stakeholders, which will provide you with an understanding on the development of a policy brief.

Submission Parameters:

For the first part of this three-paper assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 5-6 pages, which does not include the cover page and reference page(s).

I.   Introduction (including purpose statement)

II.  Identify and describe a specific and relevant healthcare issue

  • Please identify an issue that      has state and/or national legislative implications
  • Describe the healthcare issue      with the support of research studies, bills that have been introduced to      the legislature, national association position statements, and reliable      electronic health-related sources (i.e. Institute of Medicine, Centers for      Disease Control and Prevention). Include information on the demographic      impacted by the issue, adverse health/clinical outcomes, and prevalence.

III.  Identify potential stakeholders and/or constituents who may support your health policy brief. For example, you may address the individuals, communities, and/or populations who may be impacted by the issue.

IV.  Identify at least one specific piece of legislation (bill) that is pending on your healthcare issue. Also, please identify if this piece of legislation is sponsored by the state or at the national level. Many times, bills are supported by national organizations such as the American Association of Nurse Practitioners. If your state legislature is not proposing a bill on your specific topic, you may identify a bill from another state for this paper. Make sure that you provide in-text citations and reference the document.

V.   Draft a plan for your Health Policy Brief, which may capitalize from an existing health campaign and/or proposed bill. Include at least two objectives that you hope to achieve. The plan should seek to create a new policy or change an existing policy at the state and/or national level. The plan should be described in no more than 2 paragraphs.

VI.  Conclusion

This assignment is one of three papers that will be developed throughout the Policy, Advocacy, and Healthcare Ethics course. The purpose of this assignment is to draft a health policy brief for stakeholders and community members. In other words, you will identify a relevant health-related issue impacting populations and/or communities in the United States that has legislative and policy implications at the state and/or national level. The assignment is not about identifying a policy or procedure at your place of employment, but rather identifying a systematic healthcare concern that has legislative and policy implications at least at the state level. Sample issues may be identified in your state legislative website, board of nursing website, or national association website. Also, your textbook addresses systematic issues such as smoking during pregnancy, medical cannabis use, and patient safety outcomes, to name a few. Prior to beginning to work on this project, please view the 18:36 minute video developed by the Women’s and Children’s Health Policy Center titled, The Art and Craft of Policy Briefs: Translating Science and Engaging Stakeholders, which will provide you with an understanding on the development of a policy brief.

Submission Parameters:

For the first part of this three-paper assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 5-6 pages, which does not include the cover page and reference page(s).

I.   Introduction (including purpose statement)

II.  Identify and describe a specific and relevant healthcare issue

  • Please identify an issue that      has state and/or national legislative implications
  • Describe the healthcare issue      with the support of research studies, bills that have been introduced to      the legislature, national association position statements, and reliable      electronic health-related sources (i.e. Institute of Medicine, Centers for      Disease Control and Prevention). Include information on the demographic      impacted by the issue, adverse health/clinical outcomes, and prevalence.

III.  Identify potential stakeholders and/or constituents who may support your health policy brief. For example, you may address the individuals, communities, and/or populations who may be impacted by the issue.

IV.  Identify at least one specific piece of legislation (bill) that is pending on your healthcare issue. Also, please identify if this piece of legislation is sponsored by the state or at the national level. Many times, bills are supported by national organizations such as the American Association of Nurse Practitioners. If your state legislature is not proposing a bill on your specific topic, you may identify a bill from another state for this paper. Make sure that you provide in-text citations and reference the document.

V.   Draft a plan for your Health Policy Brief, which may capitalize from an existing health campaign and/or proposed bill. Include at least two objectives that you hope to achieve. The plan should seek to create a new policy or change an existing policy at the state and/or national level. The plan should be described in no more than 2 paragraphs.

VI.  Conclusion

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clinical findings

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Question

Question 1

2 / 2 pts

Dilated and sluggish pupils, widening pulse pressure, and bradycardia are clinical findings evident of which stage of intracranial hypertension?

Stage 4

Stage 2

Stage 1

Stage 3

Question 2

2 / 2 pts

Posthyperventilation apnea (PHVA) ceases and rhythmic breathing is resumed when levels of arterial

carbon dioxide become normal.

oxygen increase.

oxygen decrease.

carbon dioxide increase.

Question 3

2 / 2 pts

Uncal herniation occurs when

the hippocampal gyrus shifts from the middle fossa through the tentorial notch into the posterior fossa.

the diencephalon shifts from the middle fossa straight downward through the tentorial notch into the posterior fossa.

the cingulate gyrus shifts under the falx cerebri.

a cerebellar tonsil shifts through the foramen magnum.

Question 4

2 / 2 pts

What are the areas of the brain that mediate several cognitive functions, including vigilance, reasoning, and executive functions?

Occipital

Limbic

Parietal

Prefrontal

Question 5

0 / 2 pts

The most critical aspect in diagnosing a seizure disorder and establishing its cause is

computed tomography (CT) scan.

cerebrospinal fluid analysis.

health history.

skull x-ray films.

Question 6

2 / 2 pts

Cerebral edema is an increase in the fluid content of the

brain tissue.

meninges.

neurons.

ventricles.

Question 7

2 / 2 pts

Which is a characteristic of brainstem death?

Comatose

Vegetative state

Apnea

Locked-in syndrome

Question 8

2 / 2 pts

Which disease process is infratentorial?

Cerebellar neoplasm

Parkinson disease

Encephalitis

Cerebral neoplasm

Question 9

2 / 2 pts

Microinfarcts resulting in pure motor or pure sensory deficits are the result of which type of stroke?

Lacunar

Hemorrhagic

Embolic

Thrombotic

Question 10

0 / 2 pts

Spinal cord injuries are most likely to occur in which of the following regions?

Cervical and thoracic

Lumbar and sacral

Cervical and lumbar

Thoracic and lumbar

Question 11

2 / 2 pts

A right hemisphere embolic cerebrovascular accident has resulted in left-sided paralysis and reduced sensation of the left foot and leg. The vessel most likely affected by the emboli is the right _____ artery.

middle cerebral

posterior cerebral

vertebral

anterior cerebral

Question 12

2 / 2 pts

In children most intracranial tumors are located

laterally.

below the tentorium cerebelli.

above the tentorium cerebelli.

posterolaterally.

Question 13

2 / 2 pts

What are the most common side effects of selective serotonin reuptake inhibitors (SSRIs)?

Hypertensive crisis and agitation

Orthostatic hypotension and weight gain

Dry mouth and sexual dysfunction

Sleep disturbances and nausea

Question 14

0 / 2 pts

Which neurotransmitter is reduced in people with schizophrenia?

Acetylcholine

Dopamine

Gamma-aminobutyric acid (GABA)

Serotonin

Question 15

0 / 2 pts

Which electrolyte imbalance contributes to lithium toxicity?

Hyponatremia

Hypernatremia

Hypokalemia

Hyperkalemia

Question 16

2 / 2 pts

Benign febrile seizures are characterized by

onset after the fifth year of life.

respiratory or ear infections.

lasting 30 minutes or more.

a temperature less than 39° C.

Question 17

2 / 2 pts

The clinical manifestations of dyskinetic cerebral palsy include

exaggerated deep tendon reflexes, clonus, and rigidity of extremities.

scoliosis, contractures, and stiffness of trunk muscles.

increased muscle tone and prolonged primitive reflexes.

jerky uncontrolled and abrupt fine musculoskeletal movements.

Question 18

2 / 2 pts

A _____ is the test done on amniotic fluid and maternal blood to test for neural tube defect.

α-fetoprotein (AFP)

total protein

culture

C-reactive protein

Question 19

2 / 2 pts

Symptoms characteristic of bulimia nervosa include:

a perception that the body is fat when it is actually underweight.

recurrent episodes of binge eating with fears of not being able to stop eating.

absence of three consecutive menstrual periods.

a fear of becoming obese despite progressive weight loss.

Question 20

2 / 2 pts

Intussusception causes intestinal obstruction by

the loss of peristaltic motor activity in the intestine, causing an adynamic ileus.

twisting the intestine on its mesenteric pedicle causing occlusion of the blood supply.

forming fibrin and scar tissue that attach to intestinal omentum and cause obstruction.

telescoping of part of the intestine into another usually causing strangulation of the blood supply.

Question 21

2 / 2 pts

After a partial gastrectomy or pyloroplasty, clinical manifestations that include increased pulse, hypotension, weakness, pallor, sweating, and dizziness are a result of

a rapid gastric emptying and creation of a high osmotic gradient in the small intestine that causes a sudden shift of fluid from the blood vessels to the intestinal lumen.

hemorrhage postoperatively in which a large volume of blood is lost, causing hypotension with compensatory tachycardia.

an anaphylactic reaction in which chemical mediators, such as histamine, prostaglandins, and leukotrienes, relax vascular smooth muscles causing shock.

a concentrated bolus that moves from the stomach into the small intestine, which causes hyperglycemia, resulting in polyuria and eventually hypovolemic shock.

Question 22

0 / 2 pts

Hepatitis _____ in children is primarily associated with blood transfusions.

D

B

A

C

Question 23

2 / 2 pts

_____ diarrhea results from lactose intolerance.

Motility

Secretory

Small volume

Osmotic

Question 24

0 / 2 pts

A person with cystic fibrosis has an exocrine pancreatic insufficiency because

the pancreas has a volvulus at the ampulla of Vater.

of the impaired blood supply to the pancreas causing ischemia.

genetically the pancreas is unable to produce digestive enzymes.

the pancreatic ducts are obstructed with mucus.

Question 25

2 / 2 pts

Prolonged diarrhea is more severe in children than in adults because

children have diarrhea more often than do adults.

children have a higher fluid volume intake.

less water is absorbed from the colon in children.

fluid reserves are smaller in children.

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CASE STUDY: 

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This is a case study that was split in 2 part, first I had to find the primary and diferencial diagnosis and now with the same data I have to work with the lab result.

CASE STUDY:

Male    20 y/o    Self employee landscaping   Marihuana ocassional user. Heterosexual choices with no regular single  partner. He loves parties and Practice Soccer regularly.

Ricardo does not speak English so he comes to see you with his sister. She says that he has a very sore throat and feels very tired. On closer questioning, you find out that the sore throat started approximately 24 hours ago. He has pain on swallowing, and he does not have a cough. He has not taken any tablets for pain. On examination, Ricardo’s temperature is 38 degrees centigrade and he has tender enlarged anterior cervical lymph nodes on the left side. He has an enlarged red left tonsil partially covered in white exudate. The right tonsil is also red but not so enlarged. He is breathing and swallowing normally throughout the consultation.

You do not have any access to Ricardo’s past medical history as he has just registered with your practice and he previously lived in Brazil. Ricardo’s sister says that Ricardo has not had serious medical conditions before and has never been allergic to antibiotics.

PART 1: What are the provisional primary and differential diagnoses ( ANSWER:  primary: tonsilitis; differencial: mononucleosis, or strep throat)

PART 2: Then you have the labs results   ( LAB IS ATTACHED)

What factors increase the possibility that the infection is bacterial in origin keeping in mind Hx and this lab results? 

Posting should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals for each post should be in the 50-150 words range.   Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected, but are not mandatory.

PART 1 RESPONSE IS ATTACHED

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health maintenance visit

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Mr. James is a 62 year old male in a primary care practice being seen for a health maintenance visit (last visit was over 10 years ago).  His only complaint of note is fatigue but generally feels well.  He denies any limitations in “doing the things I like to do”, including yard work and fishing.  He works full time as a supervisor for a commercial construction company.  He is married and has 2 daughters.  His oldest daughter is expecting their first grandchild.

He has a history of “recreational” IV drug use when he was in his early 20s while he was in the military.  Denies any drug use since that time.  He indicates “minimal” alcohol use – generally no more than 2-3 beers or glasses of wine a week.  He has no chronic illnesses and does not take any medicines on a regular basis.

Physical exam:

Vitals: 38.1-97-18-183/139

Normocephalic.  Alert & Oriented x3.

Eyes: PERL. No nystagmus, no icterus.

Neck: Supple, no cervical lymphadenopathy

Cardiovascular: Normal Rate and rhythm. No murmur, gallops. 2+/4+ radial, brachial, dorsalis pedis pulses bilaterally. No jugular venous distension.  No edema.

Pulmonary: Lungs are clear. No dyspnea or orthopnea.

Abdomen: Soft and nontender, active bowel sounds. No liver enlargement; abdomen flat. No striae.

Skin: Warm and dry; no rashes.  Multiple tattoos on both arms.

Rectal exam: Stool is brown, no rectal masses.

Lab results:

CBC:  WBC 9,000; RBC 5.10; Hemoglobin 15.3 g/dL Hematocrit 46%; MCV 90; Platelets 152,000.

Electrolyte Panel:  Sodium  136 mEq/L; Potassium 3.7 mEq/L; Creatinine 1.1 mg/dL; BUN 12 mg/dL;  Glucose 115mg/dL

Alanine aminotransferase (ALT) 36

Aspartate aminotransferase (AST) 50

Bilirubin (total) 0.9 mg/dL

Hepatitis A IgM negative; IgG positive

Hepatitis B surface antigen negative; surface antibody positive; core antibody negative

Hepatitis C (HCV) antibody reactive (positive), Hepatitis C RNA positive with an undetectable viral load.

APA Format

Information is presented in a scholarly manner (clear, grammatically correct) and reflects synthesis of information from sources.  APA format is correctly used for citations and references. Submission follows assignment guidelines; does not exceed page limit (6 pages, excluding title and reference pages). (15 pts)

UTA Title page (5 pts)

Respond to the following questions regarding the Case Study

1. The clinical scenario is most consistent with which type of hepatitis? Please list your answer below using a bullet point format.  This does not have to be in a complete sentence.  A citation is not required. (10 pts)

2. What specific data in the clinical scenario supports your diagnosis? You may list your answers below using bullet point format.  This does not have to be in a complete sentence. A citation is not required. (10 pts)

3. What is the most likely cause of this patient’s diagnosis you noted in Question 1? You may list your answer below using a bullet point format. This does not have to be in a complete sentence.  A citation is not required. (10 pts)

4. Describe key pathophysiologic concepts that relate to the diagnosis in question 1. To answer this question completely, you must answer all of the sub-questions below using complete sentences. Each sub-question may be answered in 1-6 sentences.  ***Citations are required for each answer to each question using APA format.  You MAY NOT use direct quotes.

a. How does Hepatitis lead to an increased risk of hepatocellular carcinoma?  Describe how the virus affects the hepatocytes and may lead to cancer.  ( 10 pts)

b. How does Hepatitis lead to cirrhosis of the liver?  Describe the pathologic steps of how cirrhosis develops and how cellular changes can lead to liver failure.  ( 10 pts)

c.  One of the negative sequela of liver failure is increased bleeding.  Why do individuals with liver failure experience potentially life threatening bleeding?  Describe how liver failure leads to coagulopathy. ( 10 pts)

d.  Portal hypertension is also a negative sequela of liver failure.   Describe how liver failure leads to portal hypertension AND how portal hypertension manifests.  (10 pts)

5. Mr. James is concerned that he will transmit the virus to his new granddaughter after she is born.

What is the likelihood of transmitting the virus to his granddaughter?  Provide a single sentence that includes your rationale.  A citation is not required.  (10 pts)

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effective communication strategies

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Purpose

This week’s graded topic relates to the following Course Outcome (CO).

CO4: Integrates clinical nursing judgment using effective communication strategies with patients, colleagues, and other healthcare providers. (PO#4)

Discussion

Change is part of our daily healthcare environment. Clinical nursing judgments based on quality and safety, as well as protocols and standards, reflect our patient-centered care values.

  • What steps could you take to develop more resilience in your practice setting?
  • How might you communicate a change in practice to patients and nursing peers?

Professor’s comment:

Class please discuss clinical nursing judgments based on safety and quality of care.

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

American Nursing Association [ANA]. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: American Nurses Publishing.

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