2023 In a short essay 500 750 words answer the Question at the end of Case

Nursing 2023 2

In a short essay 500 750 words answer the Question at the end of Case 2023 Assignment

In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite.

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2023 Many people in the US particularly the elderly take more than one prescribed

Nursing 2023 Conduct An Interview Of A Client Who Is Taking Multiple Medications (polypharmacy).

Many people in the US particularly the elderly take more than one prescribed 2023 Assignment

 

Many people in the US, particularly the elderly, take more than one prescribed medication. CDC (2014) reported that between 2009 and 2012 nearly 48% of persons asked used at least one prescription drug, 22% used three or more prescription drugs, and nearly 11% used five or more.

In a recent study published by the Mayo Clinic, seven out of 10 Americans take at least one prescription drug. The most commonly prescribed drug is antibiotics — taken by 17 percent of Americans — followed by antidepressants and opioids — each taken by 13 percent of Americans. In addition, findings showed that:

  • Even more staggering than the CDC findings, currently more than half of Americans take two prescription medications, and 20 percent of Americans are on at least five prescription medications.
  • More women than men receive prescription medications.
  • Antidepressant prescriptions are more common among women than men, and are most common among women ages 50 to 64.

When people take multiple medications, there is a greater risk for confusion about which medications are taken, when they are taken, and what they are being taken for. There is also a higher risk for drug interactions and increased side effects and adverse reactions.

Sometimes because of the sheer number of medications being prescribed, they may be forgotten, become too much of a bother, or a financial burden which can significantly impact client compliance and lead to poor health outcomes.

In this written assignment, you will be conducting an interview of a client who is taking multiple prescribed medications (three or more) and submitting a written paper describing the findings from the interview. You will then develop a Client Teaching Plan. Your instructor will assist you in the selection of the client. You must achieve a “pass” in this assignment to satisfactorily fulfill the requirements for the Pharmacology course.

The three parts of this assignment are:

Conduct an interview of a client who is taking multiple medications (polypharmacy). You must prepare the client before the interview by explaining why you are conducting the interview. You can say “my assignment is to find out about the medications you are taking so I can determine if you need more information about what you are taking”. You must always get permission from the client to conduct the interview and you must tell the client how the information will be used. You can say, “I will not be using your name in the information I share and I will be submitting it to my instructor only for this student assignment”. If there is important information that needs to be communicated to you, your doctor, family, or nurse, my instructor will assist me in following up on this”. Tell the client you will take no more than 30-45 minutes for the interview.

There may be a family member or significant other present during the interview. That is fine. Be sure to identify who answered a question and if possible always have the client answer first. Always thank the client (and others) when you complete the interview.

Do not use recording equipment for this interview. Have a notepad and pencil or pen and explain that you will be taking notes. When the interview is over, go to a quiet place and take some time to fill in any information you did not jot down. If you wait, you will not remember.

When setting the environment for the interview, make sure the client (and others) is comfortable and you are comfortably seated facing the client. If possible, do the interview in a quiet place.

Ask questions slowly giving the client time to answer. Pay attention to the client’s hearing and ability to respond to the questions. Be sure your non-verbal communication demonstrates you are calm and relaxed.

Use the following interview question guidelines when conducting the interview. Be aware that the client may not be able to answer each of the questions with detailed information. Collect as much information as the client is able and willing to give you. Remember you are the interviewer so you will be collecting information and not making any comments about the information shared by the client except to ask for further clarification if you are not sure what was said or need more detail if it is available.

  1. What medications are you taking?
    (Before the interview research each of the medications. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions).

    For the following questions, paraphrase the client’s answers for your written paper.

  2. How long have you taken each these medications?
  3. Do you know why you are taking these medications?
  4. Who told you about the medications and why you need to take them? Were you able to ask any questions about the medications and if so were they answered so you understood what was said?
  5. How do you feel about taking these medications?
  6. Are you taking other medication purchased “over the counter” such as in a drug store? If so, what is it and why are you taking it.
  7. How and when do you take your medications?
  8. Do you have any difficulty taking the medications? If so, what happens and how do you deal with any difficulties.
  9. Have you ever felt any uncomfortable feelings and/or body reactions to taking these medications? If so, what were they and how were they handled?
  10. If you had the above reaction, did they take you off the medication and/or replace it with another medication? Were you told why this happened?
  11. Do you have any reason not to take the medications?
  12. Have you ever not taken the medication? If so, what was the reason?

Ask a final question about whether the client would like to tell you anything further about their medications.

Write a paper describing your research and findings about the medications being taken and the results of the interview. Report your findings in a 3-5 page written paper. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.

Use accurate and appropriate spelling and grammar and APA Editorial Format for sources used in your written paper.

Develop a teaching plan for this client based on your findings. Based on the findings from the interview, develop a 2-3 page teaching plan to include the following:

  1. List one goal for this teaching plan
  2. Describe two to three teaching resources that might be used
  3. Identify two teaching strategies that can be used based on the client interviewed
  4. List specific client instructions regarding the medications and what adverse reactions they should be aware of/and what to do
  5. Identify at least one factor that may negatively influence adherence to the medications and how it can be overcome
  6. If, appropriate, describe how the family might be involved in ensuring the client is on a proper and safe medication regime

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2023 Using metrics to assess organizational program efficiency and effectiveness Previous Next According to McLaughlin and Olson 2012

Nursing 2023 Module 2 Discussion

Using metrics to assess organizational program efficiency and effectiveness Previous Next According to McLaughlin and Olson 2012 2023 Assignment

Using metrics to assess organizational/program efficiency and effectiveness

Previous Next 

According to McLaughlin and Olson (2012), “a key component of effective operations is the ability to move strategy to action” (pg. 13).  Once a health care organization has a strategy, it is then necessary to select the accurate assessment tool to implement the strategy. Balance scorecards, strategy maps, and dashboards are three organizational assessment tools that are used frequently to move a strategy into action.

  1. Read the article, The balanced scorecard, strategy maps and dashboards: Why are they different? at the following link: http://www.cgma.org/magazine/2013/jul/20138186.html
  2. Identify two (2) issues from the list of top issues confronting hospitals in 2016 published by the America College of Healthcare Executives (https://www.ache.org/pubs/research/ceoissues.cfm)
  3. Then choose one (1) tool (balanced scorecard, strategy maps, or dashboards) per selected issue and discuss (from a health care manager perspective) how you would use that tool to minimize the selected issue.

McLaughlin, D. B., & Olson, J. R. (2012). Healthcare operations management (2nd ed.). Chicago, IL: Health Administration Press.

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2023 Chapter 20 Anus Rectum Prostate While you are examining a 1 year old girl the mother mentions how eager

Nursing 2023 Anus, Rectum, Prostate

Chapter 20 Anus Rectum Prostate While you are examining a 1 year old girl the mother mentions how eager 2023 Assignment

 Chapter: 20 Anus,Rectum,Prostate 

While you are examining a 1-year-old girl, the mother mentions how eager she is to begin toilet training her child. How should you respond? When is it best to begin toilet training? 

What do the rectum and anus form?

Control of the external anal sphincter is gradually achieved at what age?

Differentiate between internal and external hemorrhoids.

You are observing an examiner take the history of a 70-year-old man as part of the musculoskeletal examination. You notice that the examiner asks the patient about exercise habits in his early years. Is this a relevant question to ask this patient? Why or why not?

A young woman is concerned about a 1-cm difference in the length of her legs. What is the best response to give this patient?  

A 3-year-old boy has had anal itching that becomes worse at night. What do these symptoms indicate?

You are assessing a pregnant woman who has had a fourth-degree perineal laceration. Why is it necessary to assess this patient’s anal sphincter function? 

You are about to perform a rectal examination of an older adult. What is the suggested position for this patient? 

What is a clue to the diagnosis of Hirschsprung disease?

What do persistent, pencil-like stools suggest?

Distinguish between the stool of a formula-fed baby and a breastfed baby.

Create a chart or two-column list that compares the risk factors for colorectal cancer with those for prostatic cancer.

What are the risk factors for colorectal cancer?

What are the risk factors for prostate cancer?

What symptoms are associated with BPH?

JF is a 42-year-old patient who presents for an annual examination, but he complains that he has had a fever for the past few days and recently some “urinary symptoms.”

1- Describe the best method for a rectal examination during the physical assessment

2- What additional past medical history questions would you ask of JF since you suspect prostatitis?

3- During the rectal examination of JF with acute prostatitis, what findings would expect on physical examination? .

A, Correct procedure for introducing finger into rectum. Press pad of finger against the anal opening. B, As external sphincter relaxes, slip the fingertip into the anal canal. Note that patient is in the hips-flexed position.

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2023 Provide a 500 words APA written summary on The Quality and Safety Education

Nursing 2023 Health care information and Technology Wk 6 Assign

Provide a 500 words APA written summary on The Quality and Safety Education 2023 Assignment

 

Provide a 500 words APA written summary on The Quality and Safety Education for Nurses (QSEN) initiative established for nursing informatics including safety, evidence, quality, and team involvement.

1) Make sure you provide QSEN definition of the role of informatics

2) Within your summary explain informatics nurse’s role in the implementation and management of technology that improves safety during medication administration.

3) Explain practice and technologic solutions to enhance medication administration safety.

Follow proper APA format and style and include a cover page, reference page, and any applicable tables or appendices.

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2023 Discussion Treating Childhood Abuse In 2012 statistics in the United States indicated that state CPS agencies received

Nursing 2023 Discussion Wk4

Discussion Treating Childhood Abuse In 2012 statistics in the United States indicated that state CPS agencies received 2023 Assignment

 

Discussion: Treating Childhood Abuse

In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.

In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

Learning Objectives

To Prepare for this Discussion:

  • Read the Learning Resources concerning treating childhood abuse.
  • Read the Child Abuse Case Study in the Learning Resources.

Post:

  • What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.
  • How might exposure to the media and/or social media affect the patient?
  • What type of mandatory reporting (if any) is required in this case? Why?

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2023 1 Why is understanding the health care system at the local level important

Nursing 2023 DQs

1 Why is understanding the health care system at the local level important 2023 Assignment

#1:

 

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course mentor that you will take into consideration for your own change project.

#2:

 

Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP project. Why? Has your mentor used either theory, and to what result?

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2023 Select ONLY ONE question listed below to write an essay for this week s discussion forum 1 From Chapter 7 p

Nursing 2023 Week 4 “managers Balance” Forum Post

Select ONLY ONE question listed below to write an essay for this week s discussion forum 1 From Chapter 7 p 2023 Assignment

Select ONLY ONE question listed below to write an essay for this week’s discussion forum.

1.  From Chapter 7, p 182-191, Darr (2011, p. 150) writes, “Managers must achieve the difficult balance between loyalty to the organization and fidelity to their personal ethic and professional integrity. How far should a manager go in following the crowd or in standing alone?”.  Address this question with details and supporting/opposing opinions.

2.  From Chapter 7, whistle-blowing is discussed.  Define the term whistle-blowing.  Identify positive and negative outcomes of whistle-blowing for the party who exposed the issue(s).

No formal format required, 200-250 words required. This is a very short forum post, simple and to-the-point answer needed only.

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2023 question What do you think are the two most prevalent age related changes that affect

Nursing 2023 nursing

question What do you think are the two most prevalent age related changes that affect 2023 Assignment

question: 

What do you think are the two most prevalent age-related changes that affect the lifestyle of the elderly? How would you help an elderly patient adjust to the two changes you identified?

answer:

1.) Differentiate between age-related changes and risk factors.

“A unique challenge of caring for older adults is the need to differentiate between age-related changes and risk factors, because the interventions for age-related changes differ from those for risk factors. Age-related changes cannot be reversed or altered, but it is possible to compensate for their effects so that wellness outcomes are achieved. By contrast, risk factors can be modified or eliminated to improve functioning and quality of life for older adults.

In the Functional Consequences Theory, age-related changes are the inherent physiologic processes that increase the vulnerability of older people to the detrimental effects of risk factors. From a body–mind–spirit perspective, however, age-related changes are not limited to physiologic aspects but include potential for increased cognitive, emotional, and spiritual development. Thus, nurses holistically focus on the whole person by identifying age-related changes that can be strengthened to improve the older adult’s ability to adapt to physiologic decline. For example, nurses can work with older adults to strengthen their coping skills. In addition, nurses have many opportunities to build on the wisdom of older adults, especially their “everyday problem-solving” skills, by teaching about interventions to address risk factors” (Miller).

2.) Address the risk factors in relation to prevention and treatment of their medical conditions. 

“A major focus of wellness-focused nursing is to identify risk factors that can be addressed through health promotion interventions. For example, from a health promotion perspective, nurses routinely assess for risks associated with stress, smoking, obesity, poor nutrition, and inadequate physical activity. An aspect that is unique to caring for older adults is the need to identify myths or ageist attitudes that can affect health care. For example, if urinary incontinence is mistakenly attributed to “normal” aging, then the older adult will not receive appropriate evaluation and interventions. Environmental risks are also particularly pertinent to older adults because additional risk factors, such as sensory, mobility, or cognitive impairments, can compromise their safety and functioning. Identification of risk factors is an integral aspect of the Functional Consequences Theory because nurses have numerous opportunities for promoting wellness by identifying and addressing the many modifiable factors that affect functioning and quality of life for older adults” (Miller).

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2023 Create a 10 12 slide PowerPoint presentation to identify medications associated with a chosen disease or health condition

Nursing 2023 Pharmacological Treatments

Create a 10 12 slide PowerPoint presentation to identify medications associated with a chosen disease or health condition 2023 Assignment

Create a 10–12-slide PowerPoint presentation to identify medications  associated with a chosen disease or health condition, explain the  actions and side effects of the medications, and discuss any  controversies related to the medications. Explain a treatment regime,  including pharmacology, for the disease or health condition you  selected, along with how the treatment regime may affect a client’s  lifestyle.

By having a thorough understanding of pharmacology, nurses can  eliminate possible medication errors in their nursing practices. The  basic principles of pharmacology include pharmacokinetics (what the body  does to a drug) and pharmacodynamics (what a drug does to the body).  Pharmacology plays a significant role in the nursing profession, so it  is extremely important for nurses to understand the actions of the  pharmacological agents they will administer to patients in order to  intervene appropriately if necessary. 

Show Less  

Another critical skill for a nurse is the ability to apply and  evaluate evidence-based practices, principles, models, and  pharmacological guidelines and protocols commonly used in nursing  practice. Understanding how specific protocols and guidelines are  developed will aid nurses in treating patients with a multitude of  physiological and psychological conditions.

Nurses must be able to measure outcomes of pharmacological  interventions when caring for patients. The effective use of  evidence-based practice guidelines, models, and principles is one way  that nurses can analyze quality outcomes for the pharmacological  treatments used for patients.

Pharmacology includes different categories of major drugs used in  the treatment of primary diseases. The same drug may be used to treat  more than one disease or condition, while two patients with the same  disease may require different drug treatments. In addition, the  professional nurse must be aware of what types of things can influence a  patient’s response to a drug. Some things are obvious—other  medications, for example—while some are less so. Things like age,  weight, herbs—even foods people eat every day—can influence how a person  responds to a particular drug. At times, even a strong cultural belief  can influence how a drug will react. Nurses who administer drugs have a  responsibility to assess patients for both the desired response, as well  as for any unwanted and potentially harmful reactions that may occur.

Imagine your supervisor has asked you to conduct a lunch and learn  session to educate your fellow nursing staff on pharmacological  interventions.

Preparation

Select a disease or health condition that requires pharmacological  intervention. You may choose any disease or health condition you wish,  but the disease or health condition must be relevant to nurses from a  variety of settings (for example: ER, pediatrics, public health, et  cetera).

Requirements

Once you have selected a disease or health condition, create a  PowerPoint presentation you could use in your lunch and learn session,  including the following:

  • Identify the disease or health condition you have chosen, along  with the areas where nurses are likely to see it. (Do this in the agenda  slide or next slide after the agenda.)
  • Identify the three drugs used most often in the treatment of the disease or health condition.
  • Explain the types of actions, side effects, indications, and  contraindications that could be expected from the pharmacological  treatment.
  • Describe the treatment regime most often prescribed for the  disease or health condition. This should include pharmacology but not be  limited to pharmacology.
  • Explain how the treatment regime (including pharmacology) may  impact a client’s lifestyle. Consider things such as finances, ease or  complexity of administration, instructions (frequency, duration), et  cetera.
  • Describe how a nurse should monitor a client being treated for  the disease or health condition in order to obtain a quality patient  outcome.
  • Explain any controversies associated with the drugs used in the  treatment. For example, is there a black box warning with any of the  drugs?

Use the notes section of each slide to expand your points or draft  your mock oral presentation (or both) and reference your resources. Use  at least 3 peer-reviewed or professional resources to support your work  in this assessment. Be sure your PowerPoint includes a title slide, a  slide with your agenda or list of topics to be covered, and a reference  slide. Follow current APA style and formatting guidelines for your  citations and references.

Additional Requirements

  • Number of slides: 10–12, not including the title and reference slides.
  • Be creative. Consider your intended audience.

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