Health Care – 2025 What are your thoughts about the debate regarding whether health care is

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Health Care – 2025

 

What are your thoughts about the debate regarding whether health care is a right or a privilege? How has the changing health care environment impacted your practice?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Quality Improvement Paper (Nursing) – 2025 Full text research article based of quality improvement for Acute care setting such as an ER or

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Quality Improvement Paper (Nursing) – 2025

Full text research article based of quality improvement for Acute care setting such as an ER or ICU.

  

a) Examining the nursing problem (Nurse:Patient ratios)

b) Correlating the clinical problem to clinical significance 

c) Describing the significance towards implication for practice 

d) Formulating interventions based on the best evidence available 

e) Describing and producing the outcome of the interventions 

f) Disseminating evidence-based recommendation for practice

Must be APA style, must contain proper citations, minimum 6 pages long. All articles to use are attached.

Pediatric Nursing – 2025 1 The mother of a 10 year old girl has brought her to the clinic based on concerns expressed by

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Pediatric Nursing – 2025

 

#1.  The mother of a 10-year-old girl has brought her to the clinic based on concerns expressed by the school nurse.  The teacher has noted times when the girl appears to be daydreaming; however, after the nurse witnessed a few of these incidents, she has recommended the child be evaluated for absence seizures.  The mother is not totally convinced that is true, however, is willing to find out.

     A.  How would you respond to this mother?

     B.  What patient centered care will be appropriate here?

     C.  What safety measures should the parents be encouraged to follow?

#2. You are assessing a child’s vision and notice the child is unable to correctly answer her questions when shown the Ishihara color plates.  When questioning the mother, you discover that the child has not understood the colors but the mother has just assumed the child was slow.

     A.  How would you proceed?

     B.  What care would you provide in this case?

     C.  How will you know the nursing care plan was effective for this child?

#3.  The parents have brought their 3-year-old son to the clinic for an evaluation.  They are concerned something is wrong because he cannot seem to move like he used to and is having difficulty climbing up and down the stairs.

     A.  How would you respond?

     B.  What patient-centered care should you develop?

     C.  You recognize that this patient will need assistance from other departments.  Which additional team members will be able to assist this patient and his family?

#4.  A mother has brought her 4-year-old daughter to the emergency department.  She didn’t realize her husband had sprayed the lawn with a pesticide and allowed their daughter to play in the yard.  She now comes in with complaints of nausea, vomiting, difficulty breathing, and confusion.

     A.  How would you respond?  What are you initial interventions?

     B.  How can you help the family?

     C.  What are some nursing diagnoses that would be appropriate for this situation?

#5.  The parents are in denial demanding a second opinion.  The physician has just informed them their 2-year-old son has a glioblastoma.  Devastated, they ask the nurse, “How can this happen to us?”

     A.  How would you respond?

     B.  What are some nursing diagnoses you would identify in this situation (more than 1 please)

     C.  What are some expected outcomes related to your nursing diagnoses? (should have an outcome for every diagnoses)

Journal Entry #1 – 2025 List the objective s met and briefly describe 8 activities you completed during each time

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Journal Entry #1 – 2025

  

List the objective(s) met and briefly describe 8 activities you completed during each time period. for that week in the Total Hours for This Time Frame column. Journal entries are due in Weeks; include your Time Log with all hours logged (for current and previous weeks) each time you submit a journal entry.

Health Ques – 2025 With the information presented in Chapter 1 of Ball et al in

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Health Ques – 2025

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

  • By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
  • How would your communication and interview techniques for building a health history differ with each patient?
  • How might you target your questions for building a health history based on the patient’s social determinants of health?
  • What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
  • Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
  • Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
  • Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

Discussion 3 – 2025 1 Identify a population to assess and develop an evidence based primary care health promotion recommendations to

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Discussion 3 – 2025

1) Identify a population to assess and develop an evidence-based, primary care health promotion recommendations to deliver in their own communities (Ex: Hispanics-Diabetes, African – Americans and Prostate Cancer, etc).

This an example of an student Posting: 

 Each population has some specific health issues that can require health promotion programs. American Indian population attracts attention in this context because of the specific state of affairs. Although this population has several main health issues for which health promotion can be required, all these issues can be solved by following the directions that cause a generally healthy lifestyle.

According to the U.S. Department of Health and Human Services (n.d.), the main issues in the American Indian population is diabetes, obesity, and tobacco use. Even though those are three different issues, the health promotion for solving them is quite similar. Such promotions have to be generally focused on a healthy lifestyle. This means healthy nutrition – less fat and sweet food and more healthy food and balanced nutrition. The next item is physical activity – starting with such common advice as more walking and ending with making sport a healthy habit. This advice is also helpful for coping with tobacco use. This habit often appears when a person has stress with which it is hard to cope. However, sport is helpful in decreasing the level of stress, and therefore, it can be useful to break the smoking habit. Therefore, one can see that advice directed on causing a healthy lifestyle is helpful for coping with health issues, widespread in the American Indian population.

This way, one can see that even though the American Indian population has several main health issues that can require healthcare promotion programs, all these issues can be solved by following the directions that cause a generally healthy lifestyle. The issues of diabetes, obesity, and tobacco can be solved with healthy nutrition and physical activity.

-PLEASE USE APA STYLE 6TH EDITION

-AT LEAST 300 WORDS

-2-3 REFERENCES NO MORE THAN 5 YEARS OLD

Chronic Illness And Rehabilitation – 2025 Develop a realistic case and Identify a chronic illness and its relationship

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Chronic Illness And Rehabilitation – 2025

 Develop a realistic case and Identify a chronic illness and its relationship to rehabilitation. Could be from a previous experience on your career.

  1. Identify chronic illness and its relationship to rehabilitation.
    Choose from one:
    COPD, CHF, Stroke, Hip fracture
  2. Create interventions that support an older adult’s adaptation to the chronic illness or disability.
  3. Describe the nurse’s role in assisting older adults in managing chronic conditions.
  4. From your readings and knowledge which opportunities do you think can be change in the health care system to improve care for older adults with chronic illness and disability.

 

Submission Instructions:

  • The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • The paper is to be 5 pages in length, excluding the title, abstract and references page.
  • Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • Journal articles and books should be referenced according to APA style.

Case Study – 2025 What do you do Do you change the documents Do you go back and confront your supervisor What is

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Case Study – 2025

What do you do?

Do you change the documents?

Do you go back and confront your supervisor?

What is your decision and why did you make it?

What is your next course of action?

What other factors do you consider and what other actions do you take?

ANSWER ALL QUESTIONS

CASE ATTACHED BELOW

What ethical framework/Distributive Justice Theory best supports your decisions regarding the case and why?

Nursing Leadership In A Diverse Society – 2025 Discussion Question 1 The COVID 19 Pandemic has presented the nation and health care organizations

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Nursing Leadership In A Diverse Society – 2025

Discussion Question 1

The COVID-19 Pandemic has presented the nation and health care organizations with an unforeseen emergency. This type of situation requires all health professionals to be leaders in their communities.

·  Review this article https://gacc.nifc.gov/cism/documents/leadership.pdf 

·  Review the ANA statement calling for a collaborative effort to respond to COVID-19 at this link https://www.nursingworld.org/news/news-releases/2020/american-nurses-association-calls-for-collaborative-effort-to-respond-to-the-coronavirus/

Answer these questions:

1. In your present health care organization how well prepared is the organization and the staff to respond to the pandemic?

2. What was the nursing leaders’ response to the crisis?

3. Relate the response to the theories you learned in this course and the Crisis Leadership article.

4. What else should be done to improve the response? What is the leader’s role in this improvement?

5. How are you responding to the pandemic as a health care professional and leader?

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

REPLY 1 – 2025 Neurological System The nervous system is a collection of nerves and specialized cells forming a spectacular network

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REPLY 1 – 2025

Neurological System

The nervous system is a collection of nerves and specialized cells forming a spectacular network of connections which transmit signals between different parts of the body. It controls the activities of all body organs and tissues. Structurally, it is organized into two parts: the central nervous system, comprising the brain and spinal cord, and the peripheral nervous system, which connects the central nervous system to other parts of the body. 

The aging process is associated with many biological, physiological, environmental, psychological, behavioral, and physical processes. These changes often result in several complex health conditions dubbed geriatric syndromes. Most cells have a short life span and are easily regenerated and replaced by new cells in the human body. On the other hand, nerve cells are generated in vivo, have a longer life span, and are usually not replaced when they die or are destroyed. 

Several changes occur in the central nervous system. Firstly, nerve cells and supporting neuroglia are gradually lost with age. On the other hand, the remaining cells function less efficiently, and there is an increased concentration of harmful materials such as free radicals and iron in the remaining brain tissue (Knight & Nigam, 2017). Secondly, there is a decrease in brain mass leading to decreased function of affected areas such as the cerebral cortex, hippocampus, and motor cortex, manifesting as impairments in higher functions, memory loss, and gait. Thirdly, the ventricles increase in size and due to the loss of cells lining the ventricles. Fourthly, there is a decrease in cerebral blood flow and diminished integrity of the blood-brain barrier over time. There is also a decline in the production of neurotransmitters. Lastly, age-related changes to the vertebrae and intervertebral discs may increase pressure on the spinal cord and its branching nerve roots. This can slow down nerve impulses’ conduction along motor neurons, contributing to reduced muscular strength (Manini et al., 2013).

There is a slowed nerve conduction in the peripheral nervous system attributed to decreased axonal length, loss of mitochondria, and degeneration of peripheral neurons’ myelin sheath. This may result in decreased sensation, slower reflexes, and clumsiness. On top of that, damaged neurons are not repaired efficiently in older adults, and some are not repaired at all. 

The decrease in brain function with aging may impair mental function seen in neurodegenerative conditions such as delirium and dementia. Delirium is defined as an acute confusional state characterized by an acute decline in attention-focus, perception, cognition, and consciousness. In contrast, dementia is an acquired global impairment of intellect, memory, and personality but without impaired consciousness. 

The two conditions are similar in that they exhibit similarities in their presentation: impaired memory and judgment, confusion, disorientation, and variable degrees of paranoia and hallucinations (Fong et al., 2015). However, they also have some differences. Delirium usually has an acute onset, fluctuating course lasting days to weeks can occur at any age but is more common in the elderly with underlying conditions. On the contrary, dementia has an insidious onset, has a chronic course lasting months to years, and is more common in the elderly. Delirium is essentially due to reversible impairment of cerebral oxidative metabolism, while dementia is caused by exogenous insult or an intrinsic process affecting cerebral neurochemistry. The causes of delirium include metabolic disorders, toxins, infections, anatomic disorders, withdrawal, trauma, hypoxia, deficiencies, endocrinopathies, heavy metals, and acute vascular events (Inouye et al., 2014). On the other hand, dementia results from neurodegeneration, vascular defects, toxins, infections, autoimmune disorders, neurometabolic disorders, and other endocrinopathies.

References

Knight, J., & Nigam, Y. (2017). Anatomy and physiology of ageing 5: the nervous system. Nursing times113(6), 55-58.

Inouye, S. K., Westendorp, R. G., & Saczynski, J. S. (2014). Delirium in elderly people. The Lancet383(9920), 911-922.

Manini, T. M., Hong, S. L., & Clark, B. C. (2013). Aging and muscle: a neuron’s perspective. Current opinion in clinical nutrition and metabolic care16(1).

Fong, T. G., Davis, D., Growdon, M. E., Albuquerque, A., & Inouye, S. K. (2015). The interface between delirium and dementia in elderly adults. The Lancet Neurology14(8), 823-832

REPLY 2

Neurological SystemAs human beings age, the cerebral and the nervous system experience natural modifications as they begin to decline. The cerebral framework and the spinal cord get deprived of nerve cells along with their mass, known as atrophy (Xu et al., 2017). The nervous cells begin to convey messages slower than before. Byproducts can accumulate in the cerebrum tissue as the nerve cells disintegrate. This breaking down can cause strange alterations in the cerebrum known as tangles and plaques to begin to develop.The malfunctioning of the nerves may influence an individual’s senses. A fatty brown colored shade termed lipofuscin may likewise form in the nerve tissue. The patient may lose or have diminished reflexes or reduced sensation. This reduction in sensation and reflexes triggers problems with locomotion and an individual’s health. The slowing down of thinking, memory, and thought is a usual phase of aging. These advances are not identical for every human being.Some individuals have numerous adjustments in their nervous and cerebral tissue, other individuals have minimal to no changes. These advances are not ordinarily recognized with the influences on an individual’s capability to think. At the age of 30, an individual’s neurons decrease in quantity, the size and number of neurological cells increase, axons and dendrites start thinning and declining in quantity (Xu et al., 2017). The deviations that transpire in the central nervous system during the aging process are a reduction of the inflow of blood to the brain and a decrease in the brain’s size and weight.As one continues to age, some peripheral neurons depict shrinking of axonal extent, degeneration of myelin sheaths, and mitochondria reduction. The harm may begin due to an increase in the concentration of pro-inflammatory influences in the human body. The maturing body turns out to be less compelling in clearing harmful metabolites, and as the peripheral nerves are hardly managed, this inefficiency can add to peripheral nerve injury. The reduction of myelin eases back the conduction of peripheral nerve driving forces. In healthy patients, this decrease in conductivity leads to a few issues, but in high-risk patients such as those with diabetes, it might intensify to diabetic neuropathy (Wong et al., 2018). Harmed peripheral nerves are not fixed as easily in more seasoned individuals as in their more youthful years. A portion of these nerves are never fixed, and the damage can lead to decreased motor control and sensation.Delirium refers to an abrupt modification in the brain that leads to emotional disturbance and mental confusion. Delirium makes it challenging to remember, pay attention, think, and sleep. Although the cause of delirium is not exact, it is commonly caused by infections, organ failure, or medications. Dementia, on the other hand, is a loss of memory, problem-solving capabilities, language, and other thinking capabilities that are serious enough to disrupt one’s daily life (Livingston et al., 2020). Dementia occurs as a result of loss or damage of nerve cells and the links with the brain. Both dementia and delirium get attributed to confusion, hallucinations, impaired memory, and disorientation. The difference between the two is that delirium is a result of drug toxicity or acute illness and is usually reversible. Moreover, dementia is caused by anatomical changes in the brain and is usually irreversible.

ReferencesLivingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., Brayne, C., Burns, A., Cohen-Mansfield, J., Cooper, C., Costafreda, S. G., Dias, A., Fox, N., Gitlin, L. N., Howard, R., Kales, H. C., Kivimäki, M., Larson, E. B., Ogunniyi, A., … Mukadam, N. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet, 396(10248), 413–446. https://doi.org/10.1016/s0140-6736(20)30367-6.  (Links to an external site.)Wong, J. C., Walsh, K., Hayden, D., & Eichler, F. S. (2018). Natural history of neurological abnormalities in cerebrotendinous xanthomatosis. Journal of Inherited Metabolic Disease, 41(4), 647–656. https://doi.org/10.1007/s10545-018-0152-9.  (Links to an external site.)Xu, X., Wang, B., Ren, C., Hu, J., Greenberg, D. A., Chen, T., Xie, L., & Jin, K. (2017). Age-related Impairment of Vascular Structure and Functions. Aging and Disease, 8(5), 590.

250 words for each