3) Mr. B is a 70 year old man who developed sub sternal chest pains radiating down his left arm while at home. he was taken to the ER via ambulance. His breathing was labored, pulses rapid and weak and his skin was cold and clammy. an ECG was done which revealed significant “Q” waves in most leads. Troponin level was elevated. Arterial blood was draw with the following results.

Ph 7.22

PCO2 30 MM

HG PO2 70 MM

HG O2 SAT 88%

HCO3 22 MEQ/LITER

1. Aside from the obvious diagnosis of MI, what is Mr. B’s acid base status and what caused this disturbance?

post your initial response by Tuesday at midnight. Both responses must be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references  are required (other than text). Refer to grading rubric for online discussion.

GUIDELINES FOR THE 2nd 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.

·  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 you did for me last week as a Reference for this new 2nd Field Log assignment. 

  1. Choose an herbal supplement or a vitamin and discuss the origin, culture, mechanism of action, condition or disease that it is used for. Discuss risk factors, regulations, reliability of your sources. Include any current newsworthy information related to the supplement that you have chosen to report. 2. Support your paper with cited peer reviewed journals no older than 5 years.

 Instructions: Read the following case study and answer the reflective questions. Please provide  rationales for your answers. Make sure to provide citations/references for your answers in APA  format.  

 CASE STUDY: Drug-Facilitated Sexual Assault: Jessica Sexual assault includes any type of sexual activity to which an individual does not agree. Because of  the effects of some drugs, commonly called date rape drugs, victims may be physically helpless,  unable to refuse, or even unable to remember what happened. Jessica, a 16-year-old high school  sophomore, expresses concern to the school nurse practitioner that she knows someone who might  have had sex “without knowing it.” How can the nurse practitioner answer these common questions?  Reflective Questions  1. What are date rape drugs and how can a person be unaware that such a drug has been  ingested?  2. What can you do to protect yourself?  3. What do you do if you think you have been sexually assaulted? 4. What can you do when someone you care about has been sexually assaulted? 5. What role does a nurse practitioner play in the care of sexually assaulted patients,  particularly in the adolescent age group? 

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. 

To Prepare:

• Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
  • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
• Reflect on which type of dissemination strategy you might use to communicate EBP.

Question

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.