2023 At its core pathology is the study of disease Diseases occur for many reasons But some such

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Nursing 2023 Discussion: Alterations In Cellular Processes

At its core pathology is the study of disease Diseases occur for many reasons But some such 2023 Assignment

At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally.

Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans.

For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts. 

To prepare:

  • By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
By Day 3 of Week 1

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

  • The role genetics plays in the disease.
  • Why the patient is presenting with the specific symptoms described.
  • The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
  • The cells that are involved in this process.
  • How another characteristic (e.g., gender, genetics) would change your response.

I will be adding a discussion that will need a reply after. I will add 2 of them but at a different time depending on when they are availabe.

Julia’s discussion

In this scenario, it appears that a 16-year-old boy had an allergic reaction to amoxicillin. While this is unfortunate and was probably unavoidable, the provider could have reduced the risk of a medical emergency by asking a few questions. Genetics is important as familial tendency to develop allergic conditions is thought to have a genetic link. In an article published in PubMed, the authors wrote “The allergic diseases are complex phenotypes for which a strong genetic basis has been firmly established.” (Ortiz & Barnes, 2014). It does not say in the scenario, but family medical history could have identified an increased risk for this child, but the order was most appropriate given the diagnosis of Strep throat and the available history.

According to the required reading this week, the clinical manifestations of an allergic reaction are related to histamine being released into the body McCance, K. & Huether, S., 2019) . Acute allergic reactions are mediated by IgE antibodies and arises rapidly after exposure. Symptoms include hypotension, bronchospasm, angioedema (swelling), and urticaria (itching), all reported reactions in this scenario. Acute allergic reactions result from the immune system identifying a substance, in this case, amoxicillin as dangerous as a result of previous exposure (Bhattacharya, 2010). After exposure, there are antibody receptors for that substance in the body, another exposure results in the rapid release of histamine and other mediators from basophils and mast cells. Basophils and mast cells both look granulated. The granules are tiny packets of chemicals: histamine, leukotrienes, and cytokines, and other mediators. When the IgE antibodies on the surface of the basophils and the mast cells encounter an identified allergen, it triggers the cells to degranulate, releasing the contents of the granules out of the cell, where they can act in the body. The release of these vasoactive mediators results in a sudden drop in blood pressure and blood volume, flushing, itching, and bronchospasm, and potential death due to shock.

In the case that his boy had other factors such as he was female, had a family history of sensitivities or autoimmune disorders would have increased his risk of having an allergic reaction. The article “Genetics of allergic disease” went on to say, “Several reports have found that allergic diseases such as asthma, rhinitis, conjunctivitis, and dermatitis as well as allergic reactions to drugs and foods, are more common in patients with the autoimmune disease systemic lupus erythematosus.” (Ortiz & Barnes, 2014). It is important to get a full medical history and family history to avoid potential drug reactions like what was described in this scenario. While genetics alone does not guarantee a reaction, it does increase the risks and should be considered when implementing medications in a patient’s care.

References

Bhattacharya, S. (2010, January). The facts about penicillin allergy: A review. PubMed Central (PMC). Retrieved March 1, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3255391/

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier

Ortiz, R., & Barnes, K. (2014, November 21). Genetics of allergic diseases. PubMed Central (PMC). Retrieved February 28, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415518/

Jens Discussion

Discussion Response

The scenario displays a patient that has strep throat. Strep throat is caused by group A streptococci or streptococcus pyogenes (Krishnan et al., 2016). There are many factors that can play a role in regard to how severe the disease can be for the compromised individual. Genetic context is one of those factors. Many people wonder why some children are more prone to getting strep throat over others. Research has shown that a combination of genetic and immunological factors makes some individuals more suspectable (Dan et al., 2019). Kids with recurrent episodes of strep throat have a decrease of both B and follicular helper T cells, and have smaller geminal center areas (Dan et al., 2019). Thus, a poor immune response is associated with these kids. Genetic testing suggests that group A streptococci tonsillitis is more prevalent in people who have two specific gene variants in the HLA region (Dan et al., 2019). 

The patient presented with enlarged tonsils, sore throat and cervical adenopathy. These symptoms occurred from the invasion of streptococcus pyogens. The body tries to fight the illness by sending white blood cells to kill the bacteria, which causes an inflammatory response. When foreign bodies are presented to the lymphoid cells, cellular proliferation and enlargement occurs (Maini & Nagalli, 2021). Hyperemia and oedema cause the tonsils to enlarge and convert the lymphoid follicles into abscesses that then become crypts (McCance & Huether, 2019). These crypts produce exudate. A temperature of 99.6 may or may not be an immune response. If the low-grade temp is in correlation with the infection, it is the bodies way to kill the bacteria and make it harder for the pathogen to survive. 

Anaphylaxis is a severe reaction with rapid onset and is characterized by breathing or circulatory problems and is usually connected with skin and mucosal changes (Reber et al., 2017). This allergic reaction occurred when the boy took amoxicillin. This response occurred because the body failed to protect itself from the foreign body or antigen (Reber et al., 2017). The exposure to the allergen caused large quantities of Immunoglobin E (IgE) to be released. The antigen binds to IgE which causes chemicals to be released. One of these chemicals that is released from the basophils and mast cells is histamine (Reber et al., 2017). Histamine causes bronchoconstriction, increased gastric motility, vasodilation, and increased vascular permeability (Reber et al., 2017). Histamine is a defense mechanism used to try to destroy the antigen (Reber et al., 2017). Histamine is what caused the boy to have swelling of the tongue and lips, difficulty breathing and audible wheezing. 

The effector cells involved in the allergic reaction are mast cells, basophils, macrocytes/macrophages and neutrophils (Reber et al., 2017). Mast cells are key players in anaphylaxis and IgE dependent allergies (Reber et al., 2017). Mast cells emit large numbers of FcεRI, the IgE receptor, during an immune response to an allergen (Reber et al., 2017). These receptors activate the secretion of chemicals such as histamine and cysteinyl leukotrienes (Reber et al., 2017). 

Basophils can also express high levels of FcεRI (Reber et al., 2017). There is not enough evidence to show how important basophils are in the pathology of anaphylaxis, however, basophils can help diagnose or determine allergens during an allergen sensitivity test (Reber et al., 2017). IgE dependent activation of human basophils is correlated with higher basophil cell surface makers and forms the basis of “basophil activation tests” or allergen tests (Reber et al., 2017). 

Monocytes/macrophages respond to anaphylatoxins and express high levels of FcγRs (Reber et al., 2017). However, there is not enough research to show how much monocytes/macrophages are involved in the anaphylaxis process (Reber et al., 2017). Along with monocytes/macrophages, neutrophils are also an area of continuing studies. Research has recently shown that neutrophils have a T cell priming ability which enhances eosinophil migration (Reber et al., 2017). 

Perhaps if the individual in the scenario was a female, the symptoms wouldn’t have been as severe. A study was conducted on mice that showed female mice were more resistant to the group A Steptococcus bacteria (Krishnan et al., 2016). The male mice had greater concentrations of inflammatory cytokines and chemokines, and greater bacterial dissemination (Krishnan et al., 2016). 

References

Dan, J. M., Havenar-Daughton, C., Kendric, K., Al-kolla, R., Kaushik, K., Rosales, S. L., Anderson, E. L., LaRock, C. N., Vijayanand, P., Seumois, G., Layfield, D., Cutress, R. I., Ottensmeier, C. H., Linestam Arlehamn, C. S., Sette, A., Nizet, V., Bothwell, M., Brigger, M., & Crotty, S. (2019). Recurrent Group A streptococcus tonsillitis is an immune susceptibility disease involving antibody deficiency and aberrant T follicular helper cells. Science Translational Medicine. https://doi.org/10.1126/scitranslmed.eaau3776

Krishnan, K. C., Mukundan, S., Alagarsamy, J., Laturnus, D., & Kotb, M. (2016). Host genetic variation and sex differences potentiate predisposition, severity, and outcomes of Group A Streptococcus mediated necrotizing soft tissue infections. Infection and Immunity, 84(2), 416–424. https://doi.org/10.1128/IAI.01191-15

Maini, R., & Nagalli, S. (2021). Lymphadenopathy. Treasure Island, FL: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK558918/

McCance, K. L., & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

Reber, L. L., Hernandez, J. D., & Galli, S. J. (2017). The pathophysiology of anaphylaxis. Journal of Allergy and Clinical Immunology, 140(2), 335–348. https://doi.org/10.1016/j.jaci.2017.06.003

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2023 Review Crossing the quality chasm A new health system for the 21st century Knowing

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Nursing 2023 Crossing the quality chasm

Review Crossing the quality chasm A new health system for the 21st century Knowing 2023 Assignment

 Review Crossing the quality chasm: A new health system for the 21st century. Knowing your strengths as a leader, in less than one paragraph, state how you would contribute to a collaborative effort in improving health care to individuals.  

 Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. 

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2023 Question 1 Using the ICD 10 PCS index in Encoder Pro code for cervical disc

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Nursing 2023 help with work need it done by 3-11-2019

Question 1 Using the ICD 10 PCS index in Encoder Pro code for cervical disc 2023 Assignment

Question 1. Using the ICD-10-PCS index in Encoder Pro, code for cervical disc disorder with radiculopathy, mid-cervical region.

M50.12

M50.11

M51.12

M52.111

Question 2. Using the ICD-10-PCS index in Encoder Pro, code for cervicalgia.

M54.1

M54.2

M54.21

M54.11

Question 3. Using the ICD-10-PCS index in Encoder Pro, code for migraine without aura, intractable, with status migrainosus.

G42.000

G42.109

G43.010

G43.011

Question 4. Using the ICD-10-PCS index in Encoder Pro, code for segmental and somatic dysfunction of cervical region.

M99.10

M99.01

M99.03

M99.04

Question 5. Using the ICD-10-PCS index in Encoder Pro, code for migraine without aura, intractable, without status migrainosus.

G43.019

G43.021

G43.011

G43.01

Question 6. There are new chiropractic procedures entering health care each year. What are the benefits to chiropractic procedures? How are these procedures helpful to patients?Your response must be a minimum of 75 words in length.

Question 7. Explain the Other Procedures section of the ICD-10-PCS, and describe what can be found in this section. Please give the other procedures. Code for the procedure, and explain the procedure in detail. You can use a variety of options to explain such as the device being used and/or the method of approach. Your response must be a minimum of 200 words in length.

Question 8. Define root operations for procedures in the Osteopathic, Other Procedures, and Chiropractic sections.Your response must be a minimum of 200 words in length.

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2023 The Assignment Examine Case Study A Young Caucasian Girl With ADHD You will be

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Nursing 2023 Assignment: Assessing And Treating Clients With ADHD

The Assignment Examine Case Study A Young Caucasian Girl With ADHD You will be 2023 Assignment

  

The Assignment

Examine Case Study: A Young Caucasian Girl With ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

· Decision #1

o Which decision did you select?

o Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with 

Decision #1 and the results of the decision. Why were they different?

· Decision #2

o Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

· Decision #3

o Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with 

o Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources no more than five years old in APA Format

Attention Deficit Hyperactivity Disorder
A Young Girl With ADHD

BACKGROUND

Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition.

The parents give the PMHNP a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work.

Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father.

 
 

SUBJECTIVE

Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.”

Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time.

 
 

MENTAL STATUS EXAM

The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation.

Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation

Decision Point One:

Begin Wellbutrin (bupropion) XL 150 mg orally daily

RESULTS OF DECISION POINT # ONE

Client returns to clinic in four weeks

Katie’s parents inform you that they stopped giving Katie the medication because about 2 weeks into the prescription, Katie told her parents that she was thinking about hurting herself. This scared the parents, but they didn’t want to “bother you” by calling the office, so they felt that it would be best to just stop the medication as they would be seeing you in two weeks

Decision Point #Two:

Select what the PMHNP should do next:

Educate the parents that Bupropion sometimes causes suicidal ideation in children and that this is normal, and restart the drug at the previous dose

RESULTS OF DECISION POINT TWO

Client returns to clinic in four weeks

Katie’s parents again report that after about a week of treatment with the Bupropion, Katie began telling her parents that she wanted to hurt herself and began having dreams about being dead. This scared her parents and they stopped giving her the medication

At this point, they are quite upset with the results of their daughter’s treatment and are convinced that medication is not the answer

Decision Point # Three:

Select what the PMHNP should do next:

Refer the parents to a pediatric psychologist who can use behavioral therapy to treat Katie’s ADHD

Guidance to Student

Bupropion is used off-label for ADHD and is used more commonly in adults. It’s mechanism of action results in increasing the neurotransmitters norepinephrine/noradrenaline and dopamine. Since dopamine is inactivated by norepinephrine reuptake in frontal cortex, (which largely lacks dopamine transporters) bupropion can increase dopamine neurotransmission in this part of the brain, which may explain its effectiveness in ADHD. However, Bupropion as well as other antidepressants have been linked to suicidal ideation in children and adolescents- despite the fact that it was being used initially to treat ADHD, it is still an antidepressant.

At this point, the parents are probably quite frustrated as no parent wants to hear their child talking about hurting themselves or having dreams about being dead. If the parents are adamant about no more medications, referral to a pediatric psychologist or similar therapist skilled in the use of behavioral therapies to treat ADHD in children. However, it should be noted that behavioral therapies work best when combined with medication, however, if the parents are insistent, then behavioral therapy may be the only alternative left in the treatment of Katie.

In terms of the pathophysiology of ADHD, whereas it may be true that increasing age may demonstrate some improvement in symptoms (some people will actually experience complete resolution of symptoms by adulthood), it is not helping Katie in the here and now. Katie still needs help with her symptoms which are causing academic issues.

The PMHNP should attempt to repair the rupture in the therapeutic alliance (the parents now believe that medications are not the answer) by explaining rationale for the use of Bupropion (many people like to start with Bupropion because it has a low-risk for addiction). The family should be encouraged to allow the PMHNP to initiate Adderall as it has a very good track record in terms of its efficacy in treating ADHD.

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2023 Ideas must be fully developed for full points Paper must be 5 7 pages in length and

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Nursing 2023 PTSD PAPER

Ideas must be fully developed for full points Paper must be 5 7 pages in length and 2023 Assignment

  1. Ideas must be fully developed for full points. 
  2. Paper must be 5-7 pages in length and submitted in formal APA format. 
  3. Include a strong thesis statement supported by scholarly research.
  4. Include a concluding paragraph about the importance of nursing care in helping this client work toward mental health.

Psychosocial Nursing Course Project Guidelines

Discuss the characteristics of your specific mental health concern. Define the mental health condition.

  • Describe the signs and symptoms. Give examples.
  • What are the effects on work, family and social functioning?
  • What are some of the legal and ethical concerns surrounding this condition, such as competency, consent, right to treatment and commitment?

Discuss the variety of treatment options for a patient with this mental health concern, including therapies, medication, and nursing interventions.

  • Describe therapies that are commonly used.
  • Discuss the medications commonly used, effects, side effects.
  • Include nursing interventions that can be used.

Discuss the nurse-client relationship in caring for a person with this specific mental health condition and how it may vary from other areas of nursing.

  • Include ethical concerns that may arise in caring for the patient.
  • Discuss maintaining appropriate boundaries in the relationship. 
  • Describe how the work of one nursing theorist can be helpful in caring for this client and designing appropriate interventions. 

Discuss your personal feelings about caring for a client with this mental health concern.

  • What are your concerns? 
  • How do you maintain personal safety and client safety in the case of decompensation? What are the goals for this client? 
  • Are you interested in working with clients with this specific mental health concern and why? 

Psychosocial Nursing Course Project Guidelines

Discuss the characteristics of your specific mental health concern. Define the mental health condition.

  • Describe the signs and symptoms. Give examples.
  • What are the effects on work, family and social functioning?
  • What are some of the legal and ethical concerns surrounding this condition, such as competency, consent, right to treatment and commitment?

Discuss the variety of treatment options for a patient with this mental health concern, including therapies, medication, and nursing interventions.

  • Describe therapies that are commonly used.
  • Discuss the medications commonly used, effects, side effects.
  • Include nursing interventions that can be used.

Discuss the nurse-client relationship in caring for a person with this specific mental health condition and how it may vary from other areas of nursing.

  • Include ethical concerns that may arise in caring for the patient.
  • Discuss maintaining appropriate boundaries in the relationship. 
  • Describe how the work of one nursing theorist can be helpful in caring for this client and designing appropriate interventions. 

Discuss your personal feelings about caring for a client with this mental health concern.

  • What are your concerns? 
  • How do you maintain personal safety and client safety in the case of decompensation? What are the goals for this client? 
  • Are you interested in working with clients with this specific mental health concern and why? 

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2023 3 posts Re Topic 2 DQ 2 Global health plays an increasingly crucial role in both global security and the

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Nursing 2023 question

3 posts Re Topic 2 DQ 2 Global health plays an increasingly crucial role in both global security and the 2023 Assignment

3 postsRe: Topic 2 DQ 2

“Global health plays an increasingly crucial role in both global security and the security of the U.S. population (Office of Disease Prevention and Health Promotion, 2019)”. The health in our communities or in the United States population could possibly be affected by events around the world. For example, there is more access to easily visit many countries throughout the globe. Many individuals enjoy travelling and explore countries which they may not be aware a health threat or epidemic is developing. It is often heard or written in the news of infectious diseases are emerging and causing a threat. “The Institute of Medicine’s 2003 report Microbial Threats to Health2 stresses that the United States should enhance the global capacity for responding to infectious disease threats and should take a leadership role in promoting a comprehensive, global, real-time infectious disease surveillance system (Office of Disease Prevention and Health Promotion, 2019)”.

Website, https://www.intrahealth.org/vital/10-global-health-issues-watch-2019, lists ten global health issues to watch in 2019. Unbelievably one that hits close to most of our communities is food related. Across the globe, there is high demand for high calorie and low to no nutritional value diets that are being combine with a sedentary lifestyle which increases the probability of heart disease, diabetes and noncommunicable diseases (NCDs).“NCDs are now responsible for around 41 million deaths per year, according to the World Health Organization—and more than 85% of those occur in low- and middle-income countries (IntraHealth International, INC., 2019)”. This affects everyone, even impacts larger health care systems. “NCDs are estimated to cause a cumulative loss of output of $47 trillion between 2011 and 2030 (Kaoser Family Foundation, 2019)”.

The health care stakeholders have been aware of the emerging global health issue, it is alarming because many of the non-communicable diseases may be prevented all with proper nutrition and adding more activity in the individual’s routine. The health care delivery systems have a system where the goals are to promote health, prevent the disease, and protect the population’s health. My example was regarding nutrition, stake holders may encourage fast food restaurants to serve healthier alternatives as equally affordable as the high fat cheap take outs. In regard to activity, insurances may offer discounts for gym memberships or online virtual classes that may be done in the comfort of their home. These suggestions will not take a toll on their budget compare to a person acquiring an NCD and accruing clinical or hospital bills. The investment in providing proper education is necessary and the process ought to be aim globally.

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2023 Note Refer to the attachment for Isbar guide APA Style at least three citations and references 1 Discuss the importance

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Nursing 2023 Nursing Questions

Note Refer to the attachment for Isbar guide APA Style at least three citations and references 1 Discuss the importance 2023 Assignment

Note: Refer to the attachment for Isbar guide. APA Style, at least three citations and references

1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.

2. What similarities and differences can you identify among the above interactions? 

3. Explain the concept of congruence between verbal and nonverbal communication.

4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective? 

5. How have you seen ISBAR used during your clinical experiences? 

6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports. 

7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond? 

8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?

9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.

10. Discuss the differences between direct delegation and indirect delegation. 

1. You have to observe delegation procedures in your assigned unit:

A-What considerations does the RN take into account when delegating patient care? 

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2023 Details As you have discovered through this course nurses are influential members

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Nursing 2023 ASSIGNMENT

Details As you have discovered through this course nurses are influential members 2023 Assignment

  

Details:

 

As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs440v_how-a-bill-becomes-a-law-v2.1.php/.

Then, view the “Bill to Law Process” to watch the scenario.

After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first in order to use it.

Submit the assignment to the instructor. You also reserve the right to submit your completed proposal to the respective government official. However, this is optional. If you select to submit your proposal as a part of the legislative process, refer to “Find Your Representative” or research the contact information on your own.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to Turnitin.

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2023 This module reviews Consumer Assessment of Healthcare Providers and Systems CAHPS surveys The CAHPS survey process

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Nursing 2023 CAHPS/HCAHPS – 2 And A Half Pages

This module reviews Consumer Assessment of Healthcare Providers and Systems CAHPS surveys The CAHPS survey process 2023 Assignment

 This module reviews Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys.  The CAHPS survey process will be explored to determine what factors influence patient satisfaction. 

 https://www.ahrq.gov/cahps/about-cahps/index.html 

 https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS 

 Determine which company your facility uses to track patient satisfaction (i.e. Press Ganey or a competitor). Identify how the company was chosen, how patients are selected to receive a survey or do 100% of patients receive the survey, how are surveys sent out (electronic or paper), what is the return rate on surveys, what does the facility do with the data, how meaningful does the organization perceive the data to be, and how is data feedback provided to providers and front line staff? You may also provide an example of when something was changed, modified or put in place as a result of CAHPS data. You may also explore the Medicare Website and compare multiple hospitals to look at data. 

Rubric attached- must follow

I am a nurse in a hospital 

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2023 Final Project Milestone One For additional details please refer to the MILESTONE ONE

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Nursing 2023 15p

Final Project Milestone One For additional details please refer to the MILESTONE ONE 2023 Assignment

Final Project: Milestone One

For additional details, please refer to the MILESTONE ONE RUBRIC AND GUIDELINES attached below – ALL INSTRUCTIONS ARE THERE

The Organization to use is for this project: Venice Family Clinic 

Further information to help answer assignment!

At the most basic level, every type of business, including healthcare organizations, must analyze their financial position through the lens of their ability to operate as a going concern. A going concern is essentially an accounting term that means the organization will continue to operate into the future. Is your organization (Joslin or Venice) operating as a going concern? Tell me!

This ability is really determined in three main ways:

  1. Can the hospital cover its expenses with its revenues (or at the very least, do expenses equal revenues so there is no loss)?
  2. Does the hospital have enough capital to finance operations in both the short and long term?
  3. Does the hospital have the ability to renew itself?

The first metric will be our focus at this point in the course as it is the quickest way to determine the financial condition of an organization. The other two use many other metrics that take into account the organizations future ability to generate cash and income should certain scenarios / investment decisions be made.

#1. The easiest way to answer this question is to compute the margin which is determined as follows:

(Revenues – Expenses)
Revenues

Another way to answer this question is to compute the current ratio which is determined as follows:

Total Current Assets
Total Current Liabilities

There is not a fixed rule as to what is “good” or “bad.” Usually it really does just depend on the area the facility is operating in and what is going on that year. For example, an organization that decided to pay off a great deal of its long-term debt in one year (or purchase a large piece of equipment) may appear to have a lower margin that one year. In cases like that, you may have a low or even negative margin but a decent (say >2.0) current ratio. Seemingly, they conflict but put in context they make sense. If you are given more than one year of financial data (which you are…) then you should be able to calculate the ratio for each year and determine if you are getting better or worse and hopefully why. Look for large changes, such as big equipment purchases or debt financing.

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