Question 1 :

Identify one health care reform initiative put forth by a  politician. Briefly discuss the initiative. Who do you feel the  initiative benefits? Who does it harm? Should it be passed? Why or why  not?

Question 2 :

For this reflective discussion:  Reflect upon two concepts that you learned in this course.

• What are the concepts? What insight or ideas did you gain from  learning each of these concepts? Were there aspects of the concepts that  you would challenge?
• What is the importance of these concepts to public health? How will you use this new wisdom in your current or future career?
• Optional: Offer feedback on how the course and/or facilitation of the course can be improved.

Reflection is a mental process that challenges you to use critical  thinking to examine the course information, analyze it carefully, make  connections with previous knowledge and experience, and draw conclusions  based on the resulting ideas. A well-cultivated critical thinker raises  vital questions and problems, formulating them clearly and precisely;  gathers and assesses relevant information, using abstract ideas to  interpret it effectively; comes to well-reasoned conclusions and  solutions, testing them against relevant criteria and standards; thinks  open-mindedly within alternative systems of thought, recognizing and  assessing, as need be, their assumptions, implications, and practical  consequences; and communicates effectively with others in figuring out  solutions to complex problems. (Paul & Elder, 2008)

In order to earn maximum credit, the comment should be more than your  opinion, and more than a quick “off the top of your head” response. Be  sure to support your statements, cite sources properly, cite within the  text of your comments, and list your reference(s). The response must be a  minimum of 250 words.

For this questions, please read the following case study and then respond to the questions noted below.

Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a “normal cold” and it will not go away. He has a productive cough for green mucous and has green nasal discharge. He says he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies.
In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally.

1. Is there any additional subjective or objective information you need for this client? Explain.
2. Would you treat Mr. JDs cold? Why or why not?
3. What would you prescribe and for how many days? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.
4. Would this treatment vary if Mr. JD was a 10 year-old 78 lb child? Include the class of the medication, mechanism of action, dosing, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings
5. What health maintenance or preventive education is important for this client based on your choice medication/treatment?

Do 2 pages

Provide References

Practice Experience: Stakeholder Analysis

The next step in the process is to begin identifying the challenges and impediments to implementing a quality improvement plan. In the analysis consider the individuals affected by the change as well as the cost of implementing the quality improvement plan.

Post a description of some of the proposed action steps for implementing improved practice, and explain where potential challenges might compromise your proposed improvement project. Describe what resources are needed for your solution, and explain whether or not those resources are cost-effective. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

Read and respond to two or more of your colleagues’ postings from the Discussion question. Provide feedback on potential challenges you see might compromise the improvement project and what other resources might be more cost effective. As a member of a community of practice, help each other refine and clarify the patient-centered Practice Experience Project.

Benchmark – Capstone Project Change Proposal

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Problem statement
3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

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.

4-The BSN prepared RN has a research knowledge base that pushes critical thinking and process improvements and change. Challenging policies in place and ensuring the pediatric clinic I work in is using the most up to date and best practices when caring for patients is one of my goals. It is also important o me to educate staff on the changes including providers and nurses. Thus far, they have been receptive to change and I have had little push back. There are a few staff members that continuously challenge me and my research but it helps me gain more knowledge and to show professionalism and integrity to staff when dealing with conflict and change. Knowing that a BSN prepared RN is leading the pediatric clinic is comforting to the providers and staff within the clinic and there is a lot of trust instilled in the advocacy to our patients by practicing with EBP. The BSN prepared RN has the research to become even more innovative with new health care strategies.

5-Evidence-based practice (EBP) is an essential component of the practice of a bachelor of science in nursing student because EBP involves thorough investigation in the treatment of a patient. EBP involves taking into account references of the patient and combines it with the knowledge of the doctor in order to facilitate delivering maximum positive results. An objective of EBP is to avoid the use of unnecessary healthcare procedures and making decisions based on the available body of facts. EBP plays a major role in improving the standard of treatment given to patients.

When placing a nasogastric tube for feeding, it is important to determine its position by testing the pH of the aspirate to determine whether the tube has been placed in the correct position. Through this practice, it can be confirmed hat the tube has been placed in the gastric pathway and not in the respiratory pathway, which greatly reduces the incidence of pneumonia.

6-yes BSN prepared nurses use more critical thinking in processes and procedures. It is encouraging to work with management that supports your views. It also builds confidence in what you do and will encourage you to do more. Challenges from co-workers are inevitable especially when you are trying to change the old ways of doing things. No everybody like change and not everybody is comfortable dealing with change. Thanks for sharing your posts.