2023 The U S Department of Health Human Services released a comprehensive Clinical Practice

Nursing 2023 2 DB family practicum

The U S Department of Health Human Services released a comprehensive Clinical Practice 2023 Assignment

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available.

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

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2023 Create a possible ethical dilemma relating to your chosen field which is Healthcare Administration For example You are a Medical

Nursing 2023 Medical Law And Ethics Module One

Create a possible ethical dilemma relating to your chosen field which is Healthcare Administration For example You are a Medical 2023 Assignment

 Create a possible ethical dilemma relating to your chosen field. (which is Healthcare Administration) For example: You are a Medical Assistant and your supervising physician consistently asks you to perform procedures that you are not trained for. Or, you are a Medical Biller and your supervisor has asked you to overbill certain procedures because the clinic that you work for is in financial trouble. Using the 7 Step Decision Making Model, apply the facts of your dilemma. 

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2023 The media and Hollywood in particular represent one avenue in which the general public becomes familiar with the role

Nursing 2023 DQ

The media and Hollywood in particular represent one avenue in which the general public becomes familiar with the role 2023 Assignment

 

The media, and Hollywood in particular, represent one avenue in which the general public becomes familiar with the role of nurses. How does the media positively or negatively influence the public’s image of nursing? What other avenues may better educate the general public on the role and scope of nursing as well as the changing health care system?

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2023 According to the American Diabetes Association 2011 25 8 million children and adults have been diagnosed with diabetes

Nursing 2023 Diabetes

According to the American Diabetes Association 2011 25 8 million children and adults have been diagnosed with diabetes 2023 Assignment

According to the American Diabetes Association (2011), 25.8 million children and adults have been diagnosed with diabetes in the United States. Approximately 2 million more are diagnosed every year, with another 79 million people considered to be in a pre-diabetes state. These millions of people are at risk of several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. Since diabetes has a major impact on the health of millions of people around the world, it is essential for nurses to understand the pathophysiology and associated alterations of this disorder. In this Discussion, you compare two types of diabetes—diabetes mellitus and diabetes insipidus.

To Prepare

  • Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation.
  • Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Think about how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Post an explanation of the pathophysiology of diabetes mellitus and diabetes insipidus. Describe the differences and similarities between resulting alterations of hormonal regulation. Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

APA Citation 3 to 4 References within 5 years

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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 WEEK 3 PROJECT

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.

QUESTIONS FROM WEEK 1 PROJECT 

  

1. What is the difference between the role you play, and the role played by other nurses? 

2. How long have you served a family nurse practitioner and what position were you serving before? 

3. What is the major challenge faced when serving as a family nurse practitioner? 

4. In which ways do you participate in the patient’s experience? 

5. How do you handle a situation when a patient request for a certain type of medication such as antibiotics which you feel is not necessary? 

6. In your line of duty, have you ever experienced a situation or an action happening which was unethical? 

7. What was the situation and what response did you offer as a solution? 

8. In a situation where one of your patients is not giving a positive response to the medication you have administered and request for more that the set amount, what do you do to solve this? 

9. Is there any one given time when you went far above in providing patient care which was exceptional? Explain the scenario and the result?

10.  Is there any time in your life when you and the physician disagreed on how to diagnose or treat a given patient? How did you deal with this situation?

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2023 APA format 1 and half 3peer review reference 3 from Walden University Library Heparin Induced Thrombocytopenia When an individual

Nursing 2023 Need response for below post

APA format 1 and half 3peer review reference 3 from Walden University Library Heparin Induced Thrombocytopenia When an individual 2023 Assignment

APA format 1 and half  3peer review reference 3 from Walden University Library

 

Heparin Induced Thrombocytopenia 

When an individual has a platelet count less than 150,000 platelets/uL, he or she is considered to have thrombocytopenia. This condition can occur because of genetic predispositions or can be acquired. When thrombocytopenia is seen due to congenital origin, the underlying disease could be TAR syndrome, Wiskott Aldrich syndrome, or a gene mutation. Acquired thrombocytopenia is usually seen in relation to viral infections, mediation use, a nutrient deficiency, , renal failure, or radiation therapy, or cancer (Huether & McCance, 2017, p. 541). 

Thrombocyopenia can be induced with the use of heparin. Furthermore, this condition is called heparin induced thrombocytopenia (HIT) syndrome. It occurs in result to an immune response to the use of heparin. It is less common when using unfractionated heparin, like Lovenox. The immune response causes IgG antibodies to react against the heparin-platelet factor, which leads to platelet activation. The increase in platelet factor 4 and thrombin production leads to an increase in platelet consumption. Platelet consumption results in low platelet counts which appear five to ten days later after heparin was administered (Huether & McCance, 2017, p. 541). 

With HIT syndrome, the patient will experience venous and arterial clotting, while having low platelets levels. This problem is difficult to manage because the patient is clotting and has a risk for bleeding at the same time. Priority management of the patient’s condition is essential (Krzych, Nowacka, & Knapik, 2015).  

Drug Therapy

After HIT syndrome has been identified, it is important to stop the use of heparin and look at other avenues of anticoagulant therapy. There is not a reversal medication to stop HIT from occurring. Managing the patient based on their clinical manifestations is the mainstay of treatment (Huether & McCance, 2017, p. 541). 

Behavior

Patients with HIT syndrome typically need platelet replacement. Platelets are a blood component and require consent from the patient prior to them being given. Some individuals have religious beliefs, such as a Jehovah witness, in regards to receiving blood products and will refuse platelet therapy. This therapy is patient choice, but refusal of platelets can be detrimental to the patient. It is important to give all patients the option to receive therapy and discuss pros and cons of their decision. Promoting patient decision making is essential as we strive to maintain their autonomy (Edelen, 2014). 

References

Edelen, A. (2014). Blood products and the Jehovah’s witness: An ethical concern. Kentucky 

Nurse, 62(2), 4-5.

Huether, S. E., & McCance, K. L. (2017). Understanding  pathophysiology (6th ed.). St. Louis, 

MO: Mosby. 

Krzych, Ł. J., Nowacka, E., & Knapik, P. (2015). Heparin-induced thrombocytopenia. 

Anaesthesiology Intensive Therapy, 47(1), 63-76. doi:10.5603/AIT.2015.0006

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2023 As individuals grow older they experience biological changes but how they experience these changes varies considerably Senescence or the process

Nursing 2023 Discussion: The Aging Process

As individuals grow older they experience biological changes but how they experience these changes varies considerably Senescence or the process 2023 Assignment

 As individuals grow older, they experience biological changes, but how they experience these changes varies considerably. Senescence, or the process of aging, “affects different people, and various parts of the body, at different rates” (Zastrow & Kirst-Ashman, 2019, p. 644).

What factors affect the aging process? Why do some individuals appear to age faster than others? In this Discussion you address these questions and consider how, you, as a social worker, might apply your understanding of the aging process to your work with older clients.

To prepare for this Discussion, read “Working With the Aging: The Case of Francine” in Social Work Case Studies: Foundation Year.

Working With the Aging: The Case of Francine

Francine is a 70-year-old, Irish Catholic female. She worked for 40 years as a librarian in an institution of higher education and retired at age 65. Francine has lived alone for the past year, after her partner, Joan, died of cancer. Joan and Francine had been together for 30 years, and while Francine personally identifies as a lesbian, she never came out to her family or to her colleagues. When speaking to all but her closest confidantes, Francine referred to Joan as her “best friend” or her “roommate.” Francine’s bereavement was therefore complicated because she did not feel she could discuss the true nature of her partnership with Joan. She felt that there was little recognition from her family, and even some of her close associates, of the impact and meaning of Joan’s death to Francine. There is a history of alcohol abuse in Francine’s family, and Francine abused alcohol from late adolescence into her mid-30s. However, Francine has been in recovery for several decades. Francine has no known sexual abuse history and no criminal history.

Francine sought counseling with me for several reasons, including an ongoing depressed mood, a lack of pleasure or enjoyment in her life, and loneliness and isolation since Joan’s death. She also reported that she had begun to drink again and that while her drinking was not yet at the level it had been earlier in her life, she was concerned that she could return to a dependence upon alcohol. Francine came to counseling with several considerable strengths, including a capacity to form intimate relationships, a successful work history, a history of having maintained her sobriety in the past for many years, as well as insight into the factors that had contributed to her current difficulties.

During our initial meetings, Francine stated that her goals were to feel less depressed, to reduce or stop drinking, and to feel less isolated. In order to ensure that no medical issues were contributing to her depression symptoms, I referred Francine to her primary care physician for an evaluation. Francine’s physician did not find any medical cause of her symptoms, diagnosing Francine with moderate clinical depression and recommending that Francine begin a course of antidepressant medication. Francine was reluctant to take medication and first wanted to try a course of counseling.

In order to help Francine meet her goal of reducing her depression symptoms, I employed a technique called behavioral activation (BA), which is drawn from principles of cognitive behavioral therapy and helps to reengage people in pleasant physical, social, and recreational activities. We began with a small initial goal of having Francine dedicate at least 5 minutes of each day to an activity she found pleasant or rewarding. Over the following weeks, we increased the time. Francine’s treatment progress was monitored through weekly completion of the Patient Health Questionnaire (PHQ-9) in order to determine whether or not her depressive symptoms were improving.

I helped Francine address her drinking by reconnecting her with effective coping strategies she had used in the past to achieve and maintain her sobriety. These included identifying triggers for the urge to drink and exploring her motivations for both continuing to drink and for stopping her use of alcohol. Francine began attending regular meetings of Alcoholics Anonymous™ (AA) and found several meetings that were specifically for older women and for lesbians. In addition, Francine spoke regularly with a sponsor who helped her to remain abstinent during particularly stressful moments during her reengagement in sobriety.

Finally, in order to address Francine’s goal of feeling less lonely and isolated, we explored potential avenues to increase her social networks. In addition to spending time with her family, friends, and her AA sponsor, Francine began to visit the local lesbian, gay, bisexual, and transgender (LGBT), center for the first time in her life and attended a support group for women who had lost their partners. Francine also began spending time at her local senior center and went there at least three times a week for exercise classes, other recreational activities, and lunch. She also began to do volunteer work at her local library once a week.

Over several months of counseling, Francine stopped drinking; significantly increased her daily involvement in pleasant and rewarding activities, including social and recreational activities; and reported feeling less lonely, despite still missing her partner a great deal. Francine’s scores on the PHQ-9 gradually decreased over time, and after 16 weeks of counseling, Francine reported that she no longer felt she needed the session to move on with her life. In addition, Francine visited her primary care physician, who found upon evaluation that her depression had lifted considerably and that an antidepressant was no longer indicated. By the end of counseling, Francine’s focused work on identifying her depression symptoms and her triggers for drinking equipped her to better recognize when she might need support in the future and to whom she could reach out for help if she needed it.

By Day 3

Post a Discussion in which you:

  • Apply your understanding of the aging process to Francine’s case. How might Francine’s environment have influenced her aging process? How might you, as Francine’s social worker, apply your knowledge of the aging process to her case?
  • Identify an additional strategy you might use to apply your knowledge of the aging process to social work practice with older clients in general. Explain why you would use the strategy.

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2023 For your written assignment find three advertisements These can be videos radio

Nursing 2023 Module 05 Written Assignment – Analyze 3 Advertisements

For your written assignment find three advertisements These can be videos radio 2023 Assignment

 

For your written assignment, find three advertisements. These can be  videos, radio ads, print ads, interactive media, or any other sort of  media used for advertising purposes. For each advertisement, provide a ½ page analysis that answers the following questions:

  • Summarize the advertisement, the apparent demographic it is aimed at, and the product it is pitching.
  • What are the arguments being made? Are they explicit or only implied?
  • Are the arguments being forwarded cogent? Why or why not?
  • What sorts of devices, rhetorical, language, or other are employed to either enhance or distract the audience from the message?

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2023 week 4 discussion Topic 1 Interview someone from a different cultural background than your

Nursing 2023 nursing

week 4 discussion Topic 1 Interview someone from a different cultural background than your 2023 Assignment

 week 4 discussion

Topic 1

Interview someone from a different cultural background than your own to learn how he or she perceives illness, including the meaning, causes, treatment, and feelings associated with both acute and chronic illnesses. Determine how his or her culture tends to view nurses. In your discussion:

Discuss how the perceptions of the interviewee influence his or her health behavior, including when he or she seeks help and the type of practitioner he or she consults.

Describe how his or her perceptions differ from your own.

Describe the strategies you could employ to promote the delivery of culturally competent care.

 Citations should conform to APA guidelines. You may use this APA Citation  

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2023 A nurse is taking care of an 85 year old woman in a hospital based skilled nursing facility In the report

Nursing 2023 Acid-Base and Electrolyte case study

A nurse is taking care of an 85 year old woman in a hospital based skilled nursing facility In the report 2023 Assignment

 

A nurse is taking care of an 85-year-old woman in a hospital-based skilled nursing facility. In the report, the nurse is told the patient has not been breathing well for the past 2 days. She has been lethargic, her skin is warm and dry, and she has a decreased urine output. The following laboratory findings were returned from the laboratory immediately after morning report:

  • Na: 147
  • Cl 110
  • K 4.0
  • Blood Gases:
  • pH 7.33
  • PCO2 48
  • HCO3 27
  • Po2 96
  • Urine:
  • Urine Specific Gravity 1.040

Address the following:

  1. Identify each of the abnormal laboratory findings in the above results. Specify how they differ from a normal range and identify what condition each abnormality indicates.
  2. What specific electrolyte disturbance does the patient have?
  3. What clinical manifestations would the nurse expect to see with this electrolyte abnormality presented above?
  4. If the patient had an increase in her potassium level, what clinical manifestations would the nurse monitor for?
  5. What blood gas abnormality is seen in this patient? Discuss the rationale for your answer.
  6. What are the three major mechanisms of pH regulation?

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines,

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