2023 The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare

Nursing 2023 Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare 2023 Assignment

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. 

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time. 

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. 

To Prepare:

  • Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
  • Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. 
  • Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor. 

The Assignment (4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a  4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

  • Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
  • Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. 
  • Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

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2023 Professional Practice Paper Based on the AP role of the person that you interviewed in W1 Project in a 3

Nursing 2023 Professional Practice Paper

Professional Practice Paper Based on the AP role of the person that you interviewed in W1 Project in a 3 2023 Assignment

 

Professional Practice Paper

Based on the AP role of the person that you interviewed in W1 Project, in a 3- to 5-page paper (excluding the title page, references, and appendices) describe the role, the type of organization, and address all the interview questions, and include:

  • List the type of organization. For example: Primary care office, ED, Specialty, cardiology GI etc.
  • List the type of and how many clients it serves. FP would see all ages. Research in your area the number of visits in a local office per year or # of visits seen local ED, specialty office etc. 
  • the professional fit for advanced nursing role. “Fit” refers to the Qualifications in order to be an AP provider at that agency/organization. What license, credentialing (accrediting agency, and other expectations NPI, CMS)?
  • Include a brief job description
  • Discuss board of nursing NPA or scope of practice of the state. Include what the NPA in the state allows and restrictions.

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2023 Read chapter 32 of the class textbook and review the attached PowerPoint presentation Once done answer the following questions

Nursing 2023 Week 11

Read chapter 32 of the class textbook and review the attached PowerPoint presentation Once done answer the following questions 2023 Assignment

Read chapter 32 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following questions; 

1.Do you think that the societal norms for men regarding expressing emotion and social support have changed in recent years? Why or why not? If so, how can community health/public health nurses take an advantage of this to help men improve their health? 

2.Are there differences in the ways that homosexuality in men and women are viewed by general society in the US? If so, why do you feel that these differences exist? From where or whom do people get their messages about homosexuality or other non-heterosexual lifestyles?  

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used (excluding the class textbook) and 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 700 words is required.  Please follow the instructions on how to present the first page and the name of the assignment when you post should be Week 11 discussion questions, not my name or blackboard posting

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2023 GUIDELINES FOR THE 4th FIELD EXPERIENCE REQUIREMENT You must attend 1 policy event

Nursing 2023 Health Policy, Politics, and Perspectives (Field Experience Log)

GUIDELINES FOR THE 4th FIELD EXPERIENCE REQUIREMENT You must attend 1 policy event 2023 Assignment

GUIDELINES FOR THE 4th FIELD EXPERIENCE REQUIREMENT:
You must “attend” 1 policy event, at least approximately 1 hour in length. 

The event may be online and it must have a health policy focus. Online health policy events/ webinars will be posted from which you may choose.  Event must be health-related

GENERAL GUIDELINES:
1.  At the event, take notes, and then write up an account and analysis of the event, using the template for field experience logs (below), and the Field Experience Rubric.

FIELD LOG GUIDELINES:

As a way of demonstrating completion of this course requirement, you must submit, in writing, field logs that detail certain aspects of the event. The template for field experience logs is below.

·  Each event log should be three to five double-spaced pages of text.

·  Provide only a brief summary of the event itself.

·  The analysis section should be 550 to 800 words, and be the most developed component of the report. In the analysis section, you can write about the process of policy being made at this event, and/or you can write about the actual health policy issue being discussed/considered.

·  Your analysis should reference at least two sources. They can be from the learning materials in this course or other sources, but should be current (within the last 3 months).

·  Use APA format for citations and references.

TEMPLATE FOR FIELD EXPERIENCE LOGS :
·  The name of the event/meeting and who has sponsored it.

·  Describe the steps taken in preparation for the event (beyond listening or attending the event).

·  Place, date, time, and length of hearing/meeting/event.

·  Topic under discussion.

·  Names of participants and their titles (to the extent you can get them).

·  Brief description of the testimony/meeting/event. (If more than one issue is presented, discuss a sampling of issues.)

·  Analysis of the health policy issue and its implications for healthcare. Integrate course content and readings in your analysis. This section should be approximately 500 to 750 words.

TURNITIN ASSIGNMENT (FREE OF PLAGIARISM)!!!

Note: Attached, you will find a Field Experience Log work that you may use as a Reference for this new 4th Field Log assignment. 

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2023 Hi dear can help me to finish this assignment with good quality and be

Nursing 2023 Injury Prevention

Hi dear can help me to finish this assignment with good quality and be 2023 Assignment

 

Hi dear,

can help me to finish this assignment with good quality and be on time please?

 Answer the following: for each Discussion 1 and Initial response must be a minimum of 200 words or more. You must cite referenced answers with reading citations, with page numbers, parenthetical style (Author, Date: page#), and the source listed APA style at the end of the post.  

Discussion 1

The content of this video is graphic because it showed injury and death during the 2017 Las Vegas Shooting: http://www.cnn.com/videos/us/2017/10/02/las-vegas-strip-shooting-jake-owen-concert-sot.cnn

After watching the video, the Las Vegas incident have serious morbidity and mortality effect on public health.

1. Please share your thoughts on how this incident can be used to provide/develop public health programs that can prevent or respond to similar catastrophes.

2. What type of injuries can result from these type of events?

3. How about the first responders, what type of occupational injuries will they be exposed to?

Discussion 2 

1. Access either one of the following checklist:

2. Share the location where you used the checklist.

3. Discuss at least 2 things that you learned about your community or 2 things that you can improve within your community based on the checklist you chose.

4. Share your thoughts about your results.

Thanks,

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2023 I was looking for help writing the paper portion of the assignment I have attached the rubrics necessary to

Nursing 2023 Nursing Assignment

I was looking for help writing the paper portion of the assignment I have attached the rubrics necessary to 2023 Assignment

I was looking for help writing the paper portion of the assignment. I have attached the rubrics necessary to complete the paper portion only (not the power point presentation and/or project). I would like a 4 page paper regarding how I would carry out patient teaching for proper inhaler use/care/maintenance and techniques for an Asthmatic adult patient.

 

 Instructions to Assignment Attached

This assignment is due July 12th at 9pm  

 4 pages (1000 words) excluding title and reference page.

APA formatting

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2023 describe the health problem HYPERTENSION Include a discussion of morbidity mortality epidemiology

Nursing 2023 Hypertension

describe the health problem HYPERTENSION Include a discussion of morbidity mortality epidemiology 2023 Assignment

describe the health problem HYPERTENSION

Include a discussion of morbidity, mortality, epidemiology and pathophysiology related to this health problem

PRACTICE GUIDELINE: Describe the clinical practice guideline used for hypertension . Reflect on the questions included. Expand on your answer using support from evidence

·  Does the clinical practice guideline adequately address the health problem? Describe.

·  Is this practice guideline based on current evidence (within 5 years)? What is the strength of this evidence?

·  Does this clinical practice guideline adequately direct the healthcare provider in the management of a patient with this problem?

·  How effective is this clinical guideline in the management of patients with this healthcare problem? Think about how you would assess the effectiveness of patient management.

ANALYSIS: Think about future healthcare needs of patients with this problem, changing demographics, and changes in healthcare policies. Address these questions.

·  Does this clinical practice guideline need revision(s)? Please explain your answer in detail.

·  If you were going to revise this clinical practice guideline, what would you change? What evidence would you use to base your changes on?

·  How might changes in US demographics and healthcare reform affect this clinical practice guideline?

·  What strategies would you use to increase the likelihood that a new or modified clinical practice guideline would be adopted and used in clinical practice?

EVALUATION How would you determine its effectiveness of this revised clinical practice guideline in directing care for patients with the identified health problem? 

Outline the steps you might employ.

LEARNING POINTS (3-5 bullet points outlining key learning in this case.)

REFERENCES (APA formatting, current within past 5 years.)

Expectations

·  Length: 8 pages not including the title page, abstract, and reference pages

·  Format: APA formatted paper 

·  Research: APA formatting, current within past 5 years.

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2023 Evaluation of the Lungs and Thorax There are several ways to examine lungs and

Nursing 2023 db reply

Evaluation of the Lungs and Thorax There are several ways to examine lungs and 2023 Assignment

 

Evaluation of the Lungs and Thorax

There are several ways to examine lungs and thoracic cavity. The easiest method is simple observation. Noting if there are accessory muscles are used, cyanosis present, deformities of the thoracic cavity, audible noises with respiration, and delays in inspiration or expiration call all give clues as to the patient’s respiratory status (Bickley, 2017).

Palpation is the next method of examination. When palpating the thoracic cavity, feel tender areas. Crepitus is a clue that air has leaked into the subcutaneous tissue. The clinician should test for expansions by placing both hands on the patient’s back. The thumbs should be located at the tenth rib and the fingers should be loosely parallel to each other and on the lateral portion of the rib cage. As the patient breaths the clinician’s hands should apart in an equal manner (Bickley, 2017).

Percussion is another important tool. While percussion does not help with lesions deep in the thoracic cavity, it does allow for the clinician to understand whether air, fluid, or a solid mass lies five to seven centimeters bellowed the percussed area (Bickley, 2017).

Auscultation is an excellent skill for a clinician. Every clinician should know the different adventitious lung sounds and their clinical significance (Bickley, 2017).

Factors that Influence Change in the Evaluation

Patient history, presenting symptoms, and abnormal findings, all help guide a physical assessment.  Some common thoracic and lung presenting symptoms include pain in the chest, back, and substernally, shortness of breath or wheezing, as well as a cough with or without hemoptysis (Bickley, 2017).

An asthmatic patient should be evaluated to make sure there is no wheeze present, that they are not frequently short of breath and using their rescue inhaler, and that they have not lost lung function (Cramer, Davidson, & Alic, 2015; Bickley, 2017).

Pain in the thoracic cavity can be cardiac, gastric, pneumonia, anxiety, or even a lesion on the lung (Frey, 2015; Bickley, 2017). Patient history and a focused assessment can help narrow down a diagnosis and treatment plan (Bickley, 2017).

References

Bickley, L. S. (2017). Bates’ Guide to Physical Examination and History Taking, 12th Edition. [Vitalsource]. Retrieved from https://online.vitalsource.com/#/books/9781496354709

Cramer, D. A., Davidson, T., & Alic, M. (2015). Asthma. In J. L. Longe (Ed.), The Gale Encyclopedia of Medicine (5th ed., Vol. 1, pp. 545-553). Farmington Hills, MI: Gale. Retrieved from http://link.galegroup.com.prx-herzing.lirn.net/apps/doc/CX3623300200/GVRL?u=lirn50909&sid=GVRL&xid=644b6d6a

Frey, R. J. (2015). Lung Abscess. In J. L. Longe (Ed.), The Gale Encyclopedia of Medicine (5th ed., Vol. 5, pp. 3088-3091). Farmington Hills, MI: Gale. Retrieved from http://link.galegroup.com.prx-herzing.lirn.net/apps/doc/CX3623301121/GVRL?u=lirn50909&sid=GVRL&xid=f4e0f075

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2023 Using Evidence Based Health Assessments During your BSN program you have been introduced to the

Nursing 2023 U1d1

Using Evidence Based Health Assessments During your BSN program you have been introduced to the 2023 Assignment

Using Evidence-Based Health Assessments

During your BSN program, you have been introduced to the importance of using an evidence-based model for practice. In this discussion, you will explore evidence-based techniques and strategies that can be used when conducting health assessments by reflecting on the following elements:

Based on your independent research, identify and discuss existing best practices for conducting a health assessment.

please use where appropriat: Labor and Delivery 

  • Identify and discuss key factors included in an assessment at various levels (community, group, or individual).
  • Analyze the impact of information systems, technology, and telecommunication on direct and indirect patient care and nursing practice in relation to conducting a health assessment.

must be at least 150 words with at least one APA formatted reference in the discussion and final reference.  

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2023 Chief complaint I m here for a medication refill because I ran out of my

Nursing 2023 Discussion Board

Chief complaint I m here for a medication refill because I ran out of my 2023 Assignment

 

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.

HPI:  Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History:  Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111,  R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1.     According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2.     Does he need medication(s) given his history of MI?

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