2023 THIS DISCUSSION IS DIVIDE IN TWO PARTS 1 MAIN DISCUSSION POST BY TUESDAY 04 27 2021 BEFORE 8 00 PM EST

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Nursing 2023 Discussion Week 8 – NURS 6052

THIS DISCUSSION IS DIVIDE IN TWO PARTS 1 MAIN DISCUSSION POST BY TUESDAY 04 27 2021 BEFORE 8 00 PM EST 2023 Assignment

  **THIS DISCUSSION IS DIVIDE IN TWO PARTS – 

1. MAIN DISCUSSION POST BY TUESDAY 04/27/2021 BEFORE 8:00 PM EST

2. TWO REPLIES BY FRIDAY 04/30/2021 BEFORE 8:00 PM EST

Please review the complete instructions on the attached document and the PDF resources provided. 

Also review the rubric to be in compliance. 

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2023 COMMENT 1 primary intervention in disaster planning is the planning prior to the disaster

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Nursing 2023 Please Do A Comment Base In These . Write At Least 140 Words. Academic References Need. Write The References In Each Comment. Please Not Together. References From (2012 -2018 ). Please Read Carefully The Comments. Good Reference Is Important DUE TO REVIEW

COMMENT 1 primary intervention in disaster planning is the planning prior to the disaster 2023 Assignment

COMMENT 1

primary intervention in disaster planning is the planning prior to the disaster (Davis, et al., 2010). In the case of the Haiti earthquake the disaster was present prior to the actual earthquake. The country was already stricken by poverty. This national poverty lead to infrastructure problems that were difficult for disaster response to overcome. 

Managing the problem of impoverished nations infrastructure prior to a disaster would slow the progression of disease after disaster strikes. The healthcare needs of Haiti were not being met prior to the disaster. Hospitals were underfunded and when disaster struck the hospitals and medical facilities that were not built to be earthquake resistant were severely damaged. Funding of proper facilities and education of disaster planning of healthcare workers and the community would have gone a long way in easing the extent of the Haiti disaster. 

Tertiary interventions directed at managing this disaster would be funding of programs to improve the economy and lessen the impact of poverty for Haiti. Once immediate healthcare needs are met, the process of rebuilding with a focus on overall improvement of economy so that it is sustainable for the future is needed. 

There are many organization and charitable foundations involved in improving the economies and infrastructures of countries to lessen the overall impact of poverty. International Action is a charitable foundation that currently has a focus on bringing clean water to Haiti. They are building sustainable supply of clean water. The organization is working the local population to provide affordable clean water. I would choose to work with this organization because they are making an improvement in an infrastructure that improves health and safety of a basic necessity, clean water. 

COMMENT 2

Primary prevention with patients who experienced the 2010 earthquake in Haiti, would focus on preventing disease from occurring. For Instance, the community health nurse could attempt to prevent patients from breathing in dust, and air contaminants by having them, and staff wear masks. Medical staffing was somewhat scarce, however staff available are to make sure to use universal precautions to ensure that patients are not exposed to illness, and disease, from other patients, by staff who did not take their time to wash their hands properly, and Don gown, and gloves when necessary.

An example of a Secondary Prevention, would be to require staff keep all patient wounds covered and clean. Patients that may have suffered injury, or loss of a limb would need proper wound care.  Although, water supplies were limited, making sure that patient wounds are cleaned with peroxide, or betadine, and keeping the wound covered with clean bandages so that patient’s wounds wont’s become infected. Also, if patients skin has been exposed to foreign objects (such a wood or nails) if the patient is not up to date on their shots they may need a tetanus shot or booster. Tertiary intervention would focus on reducing complications of disease. Patients that were suffering from Sepsis would need to be monitored closely, and treated with antibiotics or Patients with fever would be treated with antipyretics.

All three of the proposed interventions listed above fall under the Post Impact Phase. “The post impact phase has to parts, the emergency phase, and the recovery phase” (Mauer, & Smith, 2009 All the above listed interventions happened during the Post Impact Phase. The disaster had already occurred, and these are the steps to be taken after. In a disaster situation, I would work with organizations such as FEMA. FEMA’s (or the Federal Emergency Management Agency) “mission is to help people before, during, and after disasters” (FEMA, 2018)

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2023 Re Topic 7 DQ 2 The most effective and important piece of change is through the evaluation of

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Nursing 2023 DQ72 RESPONSE

Re Topic 7 DQ 2 The most effective and important piece of change is through the evaluation of 2023 Assignment

    Re: Topic 7 DQ 2
 

The most effective and important piece of change is through the evaluation of the patient. After education of the staff and implementation of the education and procedures that are to begin taking place for the surgical patient, surveys will be conducted. As it currently stands, each and every post-operative patient is contacted the next business day and a brief survey is done verbally, a few weeks later, a written survey is sent out. Patients that undergo procedures with expected pain and post-operative medications, will receive slightly different surveys than those surveys that exist today. New questions for those patients who received pain medication will include their satisfaction level with pain in the Post Anesthesia Care Unit on a scale of one to ten, their current level of pain at home, and their satisfaction with their level of pain at home with their current medication. Additionally, the patients will be asked if they know when they are to take two pills in a prescription that states “one to two pill, every four to six-hour”, as well as what to do with any leftover medications they may have after surgery, the current amount of medications left on hand, and where the patient is currently storing their pain medications in the house. The answer to these questions will be compiled each day to create a record of the patient’s understanding of the teachings they were given, and their satisfaction with their care and level of pain after surgery. These surveys will continue to be complied to create monthly satisfaction surveys.

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2023 FOLLOW THE RUBRIC Identify a quality improvement opportunity in your organization or practice In

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Nursing 2023 Quality Improvement Proposal

FOLLOW THE RUBRIC Identify a quality improvement opportunity in your organization or practice In 2023 Assignment

*FOLLOW THE RUBRIC*

Identify a quality improvement opportunity in your organization or practice. In a 1,250- 1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice.

*FOLLOW THE RUBRIC*

Include the following:

  1. Provide an overview of the problem and the setting in which the problem or issue occurs.
  2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
  3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  5. Explain how the quality improvement initiative will be evaluated to determine whether there was an improvement.
  6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

*FOLLOW THE RUBRIC*

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2023 Medical Cannabis Medical cannabis use elicits debate across the country The stakeholders in support of medical marijuana include

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Nursing 2023 Discussion, Reply Each, 250 Words Min. Similarities Less 10 %, APA

Medical Cannabis Medical cannabis use elicits debate across the country The stakeholders in support of medical marijuana include 2023 Assignment

Medical Cannabis

            Medical cannabis-use elicits debate across the country. The stakeholders in support of medical marijuana include patients, clinicians, pharmaceutical industry, and nurses (Andreae et al., 2016). Patients with adverse diseases experience severe symptoms that can be alleviated by medical cannabis. Clinicians and nurses believe that cannabinoid drugs can resolve pain, vomiting, nausea, anxiety, and appetite stimulation. The pharmaceutical industry supports medical marijuana because the approval of the drug presents a business opportunity. However, the federal and some state governments classify the drug as Schedule 1 because it has the potential for dependency (Andreae et al., 2016). Furthermore, religious groups believe that marijuana legalization may lead to misuse of the drug, hence corroding the moral structure of the society.

            The current research regarding medical marijuana indicates that the drug can be used safely and effectively used to improve the quality of life for patients. After evaluating the therapeutic impacts of cannabis, the Institute of Medicine indicated that the drug had significant therapeutic value due to Tetrahydrocannabinol (THC) (National Conference of State Legislatures, 2019). However, their report cautioned against the use of smoked cannabis because it introduces harmful substances into the patient’s body. Studies have found positive impacts of medical marijuana on adverse effects of glaucoma, cancer, HIV/AIDS, and multiple sclerosis (National Conference of State Legislatures, 2019). As such, there is a need to perform further research to support the effective and ethical use of the drug.

             Over the years, individual states have legalized medical marijuana regardless of the federal statute that prohibits it. Currently, thirty-three states have a comprehensive medical cannabis program, while thirteen states allow limited use of the drug (National Conference of State Legislatures, 2019). The trend shows that policies and laws will continue to improve the availability of the drug across the country. Such acceptance across the board may influence the federal government to review its current opposition to marijuana legalization. Moreover, new policies and laws will guide nursing practice in advising and prescribing the drug effectively and safely; without skepticism associated with the current criminalization. Ultimately, future practice is likely to improve as patients access effective, safe, and ethical cannabis.

References

Andreae et al. (2016). Stakeholders’ views on barriers to research on controversial controlled substances. The Journal of Clinical Ethics, 27(4), 308-321.

National Conference of State Legislatures. (2019). State medical marijuana laws. Retrieved  from http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx. L

2. peer Reply

When it comes to the debate on whether cannabis should be legalized as medicine or not, it affects different stakeholders such as drug dealers, medical practitioners, law enforcement. It also affects the students and citizens in general (Compton,2017). The legalization of Cannabis has a positive impact on citizens since it can cure different diseases. In the case whereby the patients misuse cannabis by overdosing so that they may feel different than that harms their health. In the case of medical practitioners, the legalization of the use of cannabis would have a positive impact since they can conduct research and use the drug appropriately to cure different diseases. In the case of drug dealers, the legalization of cannabis will harm their illegal business since if cannabis can easily be accessed it means the price will go down leading to low income and they lose customers (Unger, 2016). For law enforcement, there is a mixed reaction since they understand both the advantage and disadvantages of cannabis. Though most law enforcers agree that if legalized few people would be abusing the drug.

The medical research shows that there is increased use of cannabis since it has several benefits in terms of improving the health of people. Cannabis helps in stopping the growth of cancer cells in the patient’s body, it also helps in preventing growth in the lungs and brain. It helps in the prevention of Alzheimer’s disease which mainly affects older adults (Compton, 2017). It helps in reducing anxiety among high smokers preventing them from being paranoid. Cannabis helps in the treatment of glaucoma preventing the affected from poor vision and blindness. It also helps in the treatment of arthritis by reducing the pain and inflammation among the affected patients.

Different policies were implemented to cope with the increased use of cannabis. The policies include; implementation of medical cannabis law which ensured that cannabis is strictly used by the affected patients only (Unger, 2016). The policies involve the prohibition of use and possession of cannabis so to assist in reducing the rate at which the drug is consumed especially among the youths.

References

Compton, W. M., Han, B., Hughes, A., Jones, C. M., & Blanco, C. (2017). Use of marijuana for medical purposes among adults in the United States. Jama, 317(2), 209-211.

Unger, J. B., Soto, D. W., & Leventhal, A. (2016). E-cigarette use and subsequent cigarette and marijuana use among Hispanic young adults. Drug and alcohol dependence, 16. Y

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2023 A nurse on a medical surgical unit has made the same medication error

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Nursing 2023 Discussion Topic Week 12 Rn

A nurse on a medical surgical unit has made the same medication error 2023 Assignment

  A nurse on a medical/surgical unit has made the same medication error two days in a row. As the nursing manager, describe how you would decide whether this is a systems problem or a problem related to the individual nurse. In either case, explain how you (the manager) should correct the problem.

  • Must address the topic.
  • Rationale must be provided.
  • May list examples from your own nursing practice.
  • 150-word minimum/250-word maximum without the references.
  • Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

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2023 In a four page scholarly paper address the following Provide a succinct overview

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Nursing 2023 Nursing essay paper

In a four page scholarly paper address the following Provide a succinct overview 2023 Assignment

In a four-page scholarly paper, address the following:

·  Provide a succinct overview of the model (The Purnell Model for Cultural Competence) and discuss how the selected model or theory addresses the four concepts within the nursing metaparadigm (person, health, nursing, environment).

·  Discuss how the selected model or theory qualifies as a theoretical framework within the profession of nursing, and its use within the profession.

·  Describe how the chosen model or theory can be applied in your future nurse practitioner role.

1.  Length: The paper (excluding the title page and reference page) is no more than four pages in length.

2.  A minimum of four (4) scholarly literature sources must be used from within the last 5 years

3.  APA format

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2023 Health care organizations continually face challenges from various regulatory and government agencies while also being bound by Managed

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Nursing 2023 Health Care Organisations And Manage Care Organisation

Health care organizations continually face challenges from various regulatory and government agencies while also being bound by Managed 2023 Assignment

 Health care organizations continually face challenges from various regulatory and government agencies while also being bound by Managed Care Organization (MCO) standards. View the video located in the study materials entitled “College of Nursing and Health Care Professions: Do We Know What Our Future Is?” for insight into the challenges of health care reform. Based on the video, describe two key reform factors that you believe will need to be addressed by future health care workers or leaders and explain why. (Note: You can download slides from this video for ease of review in developing your forum response). Additionally, what role does adherence to MCO standards play in your future health care vision? 

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2023 Your literature review submission should include more than just everyone s article critiques See below from the

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Nursing 2023 article critique

Your literature review submission should include more than just everyone s article critiques See below from the 2023 Assignment

  

Your literature review submission should include more than just  everyone’s article critiques. See below from the EBP Phase 2  requirements. 

  1. Conduct a literature search, record key terms and results.
  2. Select research articles of the highest level of evidence.
  3. Critique the article and submit to the instructor.
  4. Highlight the main points and recommendations from each research article.

This means you need to also be submitting a record of your literature  search with the key terms used and results yielded and the main points  and ideas from each article. This would be a paragraph or two of each  article

my question for this article was 

do the nurse work 12 hours shift make more medication error compared to nurses who work 8 hours shifts? 

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2023 Complex Patient Case Study B Overview Joan is a 78 year old female who is scheduled

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Nursing 2023 Nursing Clinical Case Study

Complex Patient Case Study B Overview Joan is a 78 year old female who is scheduled 2023 Assignment

  

Complex Patient Case Study B

Overview

Joan is a 78-year-old female who is scheduled with you today because she needs refills for her blood pressure medication. When you look at her record, you notice that she has not been in for 14 months. You notice that there are a number of missed appointments on record, but that she has been calling in for refills for her meds. During the last call, the office nurse told her she would need to come in for a visit to obtain the refills. Her record indicates that her medications at her last visit included Lisinopril/hctz 10/12.5 and simvastatin 20mg daily.

She reports that she takes her blood pressure medication “most of the time” but doesn’t take the simvastatin regularly because her neighbor developed liver problems from it. She remembers in the past that she was told she has a “touch of sugar.” She feels good but she wants to get checked out and wants to “get her act together” and start taking care of herself because her brother, who is 48, just found out that he has “clogged arteries.” She would like some help with quitting smoking as well. She also tells you that she had a “little heart attack” when she was 72.

Her vital signs are: BP: 168/94, pulse: 84 and regular, resp: 18

Height: 5’9” Weight: 221lbs

  1. What additional subjective information do you need to      obtain? Be specific to her medical history and reason for presentation      today.
  2. What objective information do you need to obtain? Be      specific to her medical history and reason for presentation today.
  3. What labs/diagnostic tests are indicated and why?      Include references for your rationales.

You conduct the visit. The review of systems and physical exam, with the exception of her blood pressure and weight, are normal. The diagnostic tests and laboratory test you ordered were normal with the exception of the following:

  • EKG – Afib with a rate of 82
  • Fasting Lipids: Total cholesterol: 242, LDL: 176, HDL:       36, triglycerides: 250
  • Fasting glucose: 162
  • HgbA1c – 7.4
  1. What is your complete diagnosis list for this patient?
  2. How will you manage her blood pressure      pharmacologically? Provide a rationale for your choice and include      references.
  3. How will you manage her cholesterol pharmacologically?      Provide a rationale for your choice and include references.
  4. What is Joan’s CHADS-Vasc score? What is her yearly      risk for stroke? What treatment will you recommend based on her score and      why? Remember to include references for your rationales.
  5. Estimate Joan’s 10-year ASCVD.
  6. During the follow up visit, you discuss her lab results      and their implications. What will you tell her?

Please refer to the Grading Rubric for details on how this activity will be graded.

  • S Question 1
  • O Question 2, 3
  • A Question 4
  • P Question 5, 6, 7, 8, 9

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