For this discussion post, I chose to find an article related to nurse practitioners in the emergency room and what their role and scope of practice may be viewed as. To search for this article, I used the link provided in the additional resources of the module and used the EBSCO host search engine.  I have previously used this search engine in my previous college for my Bachelor’s degree.  Therefore, I already knew that in order to narrow my search it is beneficial to change the published year to five years prior to present and check the box for academic journals only to show.  I have found many resources on this search engine for my bachelors degree and have rarely ever had a problem.  What is different with this, is in order to find the full text, I had to click on the Walden button.  I would definitely recommend this database to my colleagues and other students due to it’s ease of navigation and use as well as the numerous options for the published academic journals available. Below I will cite the source correctly using APA formatting. 

HA4070D – Regulatory Environment in Health Care

Assignment 01: Three Perspectives

Directions

Write a two to three page paper taking into consideration the perspectives of three major players in health care delivery as it relates to the new Affordable Care Act, as well as historical expectations and practices in healthcare: 1) the patient, 2) the doctor, and 3) the hospital.

Please address the following in writing your paper:

1.From the patient perspective:

.What do patients expect from medical treatment?

.What leads people to seek treatment?

.How does a patient decide where to go for treatment?

2.From the doctor’s perspective:

.How does a physician expect to be paid?

.How does a physician decide what patients to treat?

.What threats exist today to a doctor’s autonomy and authority?

3.From the hospital’s perspective:

.How would a hospital prefer to relate to physicians on its staff?

.How has the relationship between hospitals and physicians changed over the past 50 years?

.What impact does the dominance of the nonprofit form of hospital have on the relationship to the physician?

.What do hospitals expect from patients?

.How does a hospital’s duty to treat differ from the physician’s?

In writing this paper, discuss each player and each point. Please cite sources to back your opinions and writings. Double space your paper. Use Headings to organize your paper if appropriate. For information on citations check these handouts from the APA Style tab on the library website.

The Law of Health Care  Finance & Regulation–Vitalsource Bookself-username-crtshhill49@yahoo.com-Password-#magicMAN61

• Ticket to Class
  • Place in Bright Space prior to the start of class
  • No single word responses (At least 200 – 300 words in your response.
  • Give questions some thought and answer honestly and sincerely
  • Give examples if you have them
  • Cite resources
  • Worth 20 points / 5%
  Scenario:
  • Your 79, year old female patient suffered a stroke 6 months ago. She is cared for in her sister’s home. The patient is dependent for position changes. She is unable to communicate the need to be turned. She must be fed at all meals. She has a stage II pressure injury on her sacral area.
  Questions:
  • Develop a teaching plan for the family to ensure that the patient’s needs are met
• Discussion Topic ASSIGNMENT 2
  

  Musculoskeletal

  Appendix C

  The student will:
  • Apply critical thinking through participation of selected topics
  • Engage in thoughtful discourse with peers
  • Incorporate topic discussion into clinical judgment and decision making within the setting
  Directions: Musculoskeletal
  • A 72, year old man lived a fairly sedentary lifestyle as an accountant. Now that he is retired, he recognizes the need to be active to maintain his health as long as possible. He is concerned, however, that it is too late for him to start exercising because he has never engaged in such activities.
  Part 1:
  • The original post must be at least 200 – 300 words in length
  • What encouragement, if any can you give him?
  • What suggestions can you make for an exercise program?

Adult Health 1 Study Guide

GU/Reproductive Unit 

Chapters 53, 55, & 59 

Remember that assigned textbook readings should be supplemental to reviewing & studying the Powerpoint presentations. Answers to these study guide questions can be obtained from the textbook chapters, powerpoint presentations, as well as class lectures & in-class activities. 

Chapter 53: Assessment of Kidney & Urinary Function

*This chapter is an overview of the anatomy, functions, assessments, & diagnostics of the renal & urinary systems. Please review this chapter as a refresher of the basic structures & functioning of these systems to help you better understand the conditions we will discuss for these units. 

Chapter 55: Management of Patients with Urinary Disorders – p. 1615-1622 & p. 1632-1637

Conditions to Know: UTIs, Nephrolithiasis (Kidney Stones)

1. What are some risk factors for the development of UTIs? See Chart 55-2.

2. What are some factors that contribute to the development of UTIs in older adults?

3. What are the signs and symptoms of a UTI?

4. How are UTIs diagnosed? 

5. How are UTIs treated?

6. Describe the nursing interventions that are necessary when caring for a patient with a UTI. 

7. What are some teaching points you would want to include in your patient education regarding the prevention of UTIs? See Chart 55-5. 

8. What are some clinical manifestations of kidney stones? 

9. What are the goals of management for a patient diagnosed with a kidney stone? 

10. Describe the nursing care necessary when caring for a patient with a kidney stone. 

11. If a patient is unable to pass a stone on their own, what other procedures or surgical interventions may be necessary to eradicate the stone? 

12. What are some teaching points you would want to include in your patient education regarding the prevention of kidney stones? See Chart 55-12. 

Chapter 59: Assessment & Management of Patients with Male Reproductive Disorders – p. 1762-1778

Conditions to Know: BPH, Prostate Cancer 

1. What is BPH and what are some risk factors for the development of this condition? 

2. What are some signs and symptoms associated with BPH?

3. How is BPH diagnosed?

4. Describe the medications used to help treat symptoms of BPH – mechanism of action, adverse effects, & patient teaching points for alpha-adrenergic blockers (tamsulosin) & 5-alpha-reductase inhibitors (finasteride). 

5. What is a TURP procedure and how does it help manage BPH? 

6. Describe the nursing responsibilities necessary when caring for a patient connected to continuous bladder irrigation (CBI) following a TURP procedure. 

7. What post-op education points are important to include in your teaching for a patient following a TURP/CBI?

8. What are some risk factors for the development of prostate cancer? 

9. Prostate cancer in early stages rarely produces symptoms. What are some clinical manifestations that may be seen that may indicate progressive (metastasis) prostate cancer? 

10. How is prostate cancer diagnosed? 

 Locate one peer reviewed evidence-based article that describes a “best practice” being used in delivering client centered care and promoting health. It can be for any client across the life span. Discuss the best practice and give two reasons why this practice is important and “best” and how it affects care and the promotion of health. Provide the reference for the article (use APA Editorial format).