2025 1 In the last century what historical social political and economic trends and issues have influenced today s health care system 2

Issue Of Quality And Safety 2025

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system? 2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome? 3. How does technology improve patient outcomes and the health-care system? 4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside? 2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: • What does the organization/agency do that supports the hallmarks of quality? • What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? • How has the organization/agency affected facilities where you are practicing and your own professional practice?

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2025 Population Affected by Disabilities Rural and Migrant Health Read chapter 21 and 23

Community Week 8 2025

Population Affected by Disabilities. Rural and Migrant Health Read chapter 21 and 23 of the class textbook and review the attached PowerPoint presentations. Once done, answer the following questions. Mention and discuss the differentiation between the medical model and social construct definitions of disability. Identify and discuss selected health care and social issues that influence the ability of people with disabilities to live and thrive in the community. Mention and discuss the characteristics of rural community health nursing practice. Mention and describe the features of the health care system and population characteristics common to rural aggregates. As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 6 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard.  If you don’t post your assignment in any of the required forums you will not get the points. A minimum of 2 evidence-based references besides the class textbook no older than 5 years must be used (excluding the class textbook) . You must post two replies to any of your peers on different dates sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. A minimum of 800 words is required. Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

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2025 You must answer the 4 questions twice You must submit two documents

Population Affected By Disabilities. Rural And Migrant Health X2 (due: 24 Hours) 2025

You must answer the 4 questions twice. You must submit two documents, in each one you must answer the 4 questions. Copy and paste will not be admitted. You should address the questions with different wording, different references, but always, objectively answering the questions. 1) **********minimum 3 full pages per each document = Total 6 pages ( not words)**************************** ( cover or reference page not included) 2)¨**********APA norms ( All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences) 3)********** It will be verified by Turnitin and SafeAssign 4) **********References from the last 5 years 5) The points don’t be must copied in the work. It must be identified by numbers. For example 1) the differentiations are ……………………… the definitions …… ……. 2) Health care and social issues are ……………….. 3) The characteristicsh are 4) ……………………………….. __________________________________________________________ Read well: You must answer the 4 questions twice. You must submit two documents, in each one you must answer the 4 questions. Copy and paste will not be admitted. You should address the questions with different wording, different references, but always, objectively answering the questions. ______________________________________________________________ Mention and discuss the differentiation between the medical model and social construct definitions of disability. Identify and discuss selected health care and social issues that influence the ability of people with disabilities to live and thrive in the community. Mention and discuss the characteristics of rural community health nursing practice. Mention and describe the features of the health care system and population characteristics common to rural aggregates.

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2025 Population Affected by Disabilities Rural and Migrant Health Read chapter 21 and 23 of the class

Community Week 8 2025

Population Affected by Disabilities. Rural and Migrant Health Read chapter 21 and 23 of the class textbook and review the attached PowerPoint presentations. Once done, answer the following questions. Mention and discuss the differentiation between the medical model and social construct definitions of disability. Identify and discuss selected health care and social issues that influence the ability of people with disabilities to live and thrive in the community. Mention and discuss the characteristics of rural community health nursing practice. Mention and describe the features of the health care system and population characteristics common to rural aggregates. As stated in the syllabus present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion tab of the blackboard titled “Week 6 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard.  If you don’t post your assignment in any of the required forums you will not get the points. A minimum of 2 evidence-based references besides the class textbook no older than 5 years must be used (excluding the class textbook) . You must post two replies to any of your peers on different dates sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. A minimum of 800 words is required. Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

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2025 you need to answer the same question 2 times copy and paste is not

Ethical And Legal Nursing X 2 ( Due: 24 Hours) 2025

********you need to answer the same question 2 times (copy and paste is not accepted) you must answer the question 2 times on different pages in the same document (Word) 1) **********minimum 2 full pages ( not words)**************************** ( cover or reference page not included) 2)¨**********APA norms (All paragraphs must be narrative and cited in the text) 3)********** It will be verified by Turnitin and SafeAssign 4) References not older than 5 years 5) Do not copy the questions in the document. Identify your answer to the questions with numbers. Example: 1) The areas are………………… 2) Goals are……………… 3)……………………. __________________________________________________________ Read well. ********you need to answer the same question 2 times (copy and paste is not accepted) you must answer the question 2 times on different pages in the same document (Word) _________________________________________________________ Questions: A nurse manager is reviewing occurrence reports of medical errors over the last six months. The nurse manager knows that medical errors are not the only indicator of quality of care. They are, however, a pervasive problem in the current health care system and one of the greatest threats to quality health care. The nurse manager is putting together a list of possible solutions to decrease the number of occurrences of medication errors. 1. Recognizing that health care errors affect at least one in every 10 patients around the world, the World Health Organization’s World Alliance for Patient Safety and the Collaborating Centre identified priority program areas related to patient safety. What are the patient safety program areas the nurse manager should consider for implementation? 2. Describe the Joint Commission 2017 National Patient Safety Goals for Hospitals. 3. Discuss the Institute of Medicine’s four-pronged approach to reducing medical mistakes?

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2025 The IOM published report Future of Nursing Leading Change Advancing Health makes recommendations

Refection Paper 2025

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education. In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals. Include the following: Discuss your options in the job market based on your educational level. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics. Discuss whether continuing nursing education should be mandatory. Provide support for your response. You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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2025 You must answer the 4 questions twice You must submit two documents in each one you must

Transcultural Perspectives In The Care Of Older Adults. X 2 (due: 24 Hours) 2025

You must answer the 4 questions twice. You must submit two documents, in each one you must answer the 4 questions. Copy and paste will not be admitted. You should address the questions with different wording, different references, but always, objectively answering the questions. 1) **********minimum 3 full pages per each document = Total 6 pages ( not words)**************************** ( cover or reference page not included) 2)¨**********APA norms ( All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences) 3)********** It will be verified by Turnitin and SafeAssign 4) **********References from the last 5 years 5) The points don’t be must copied in the work. It must be identified by numbers. For example 1) It is important that nurses learn about this culture ……. 2) It is important to focus the diabetic patient on ……………….. 3) It is important to assess the feeding habits of the patient with 4) ……………………………….. __________________________________________________________ Read well: You must answer the 4 questions twice. You must submit two documents, in each one you must answer the 4 questions. Copy and paste will not be admitted. You should address the questions with different wording, different references, but always, objectively answering the questions. _______________________________________________________________ Question: Diabetes has been emerging as a major public health concern among Native American communities in the United States for the past 40 years. The Pima Indians in Arizona currently have the highest recorded prevalence of diabetes in the world. On average, American Indian and Alaska Native adults are 2.6 times more likely to have diabetes than non-Hispanic Whites of similar age. Diet is a key factor in controlling blood glucose levels and preventing serious cardiac, renal, peripheral vascular, and retinal complications such as heart attacks, renal failure, limb amputations, and blindness. An Indian Health Service (IHS) nurse visits a patient in her mobile home, located on an Arizona Indian reservation. The patient is a 72-year-old, obese, female Pima Indian with a blood glucose level of 280. She is at risk for serious complications of type 2, or non–insulin-dependent, diabetes mellitus. With type 2 diabetes, the body either resists the effects of insulin or doesn’t produce enough insulin to maintain a normal blood glucose level. The patient lives with her adult daughter, two grandchildren, and five great-grandchildren. The nurse’s goals are to use culturally appropriate diet education to repattern the patient’s eating habits for the purpose of reducing the blood glucose level to normal (between 70 and 110 mg/dL); promoting steady sustained weight loss (5 pounds per week); encouraging increased exercise and activity. The nurse also asks the patient to participate in group sessions at the Pima Community Center focused on healthy food preparation and eating a balanced meal. If you were a nurse who just began doing home health care on the Pima Reservation, how would you learn about the specific cultural beliefs and practices related to nutrition and diet for this patient as a member of the Pima Indian Nation, versus stereotypes about the diet of Native Americans in general? Given that the patient’s family doesn’t own a vehicle, how will you encourage her to shop for healthy foods, prepare them, and actively participate in weight loss and exercise programs held free of charge at the Pima Community Center? How would you assess the patient’s eating habits, for example, type of food, method of preparation, amount eaten, etc.? Each of the patient’s children, grandchildren, and great-grandchildren is obese. How would you involve the patient’s family in the plan of care and motive them to lose weight as well?

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2025 Effective communication is vital to constructing an accurate and detailed patient history

Discussion: Building A Health History 2025

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks. For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor. Photo Credit: Getty Images/Caiaimage To prepare: With the information presented in Chapter 1 of Ball et al. in mind, consider the following: By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note : Please see the “Course Announcements” section of the classroom for your new patient profile assignment. Case study : 16-year-old white pregnant female living in an inner-city neighborhood How would your communication and interview techniques for building a health history differ with each patient? How might you target your questions for building a health history based on the patient’s social determinants of health? What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks? Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration. Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient. Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history. Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient. at least four references

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2025 Examine the importance of professional associations in nursing Choose a professional nursing organization that relates to your

Assigment W-5 2025

Examine the importance of professional associations in nursing. Choose a professional nursing organization that relates to your specialty area, or a specialty area in which you are interested. Provide a detailed overview the organization and its advantages for members. Include the following: Describe the organization and its significance to nurses in the specialty area. Include its purpose, mission, and vision. Describe the overall benefits, or “perks,” of being a member. Explain why it is important for a nurse in this specialty field to network. Discuss how this organization creates networking opportunities for nurses. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area. Discuss opportunities for continuing education and professional development.

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2025 Chief complaint I m here for a medication refill because I ran out of my medicines

Discussion Board 2025

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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