2023 1 minimum 4 full pages 1 page each document not words

Nursing 2023 Health Care Policy X 4 (due: 24 hours)

1 minimum 4 full pages 1 page each document not words 2023 Assignment

  

1) **********minimum 4 full pages (1 page each document) ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign 

4) References not older than 5 years

5) Each answer must be identified according to the question number. Check the list of questions. 

Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

___________________________________________________________

You must answer (2) question 4 times. 

You must submit 4 documents (each one 1 page).

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions

_____________________________________________________________

Case:

Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. 

Questions:

1) What do you think are some effective tactics for APN strategic positioning regarding pay equality? 

2) Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- 

See:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

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2023 Please answer the following question in 2 3 paragraphs the answer requires two

Nursing 2023 Discussion nr 1(Q #1) 3069

Please answer the following question in 2 3 paragraphs the answer requires two 2023 Assignment

Please, answer the following question in 2-3 paragraphs, the answer requires two references:  1). from peer-reviewed Nursing Journal not older than 5 years, and 2). from the following text book:  

Title: Nursing Health Assessment – A Best Practice Approach.

Author(s): Jensen, S (2015)

Publisher, Edition:Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. 2nd Ed.

ISBN 13: 978-1451192865;

APA format is required.

Discuss the importance of nurse-patient communication in the following areas: (1) introduction, (2) ethical considerations, (3) communication style used, and (4) age and condition variations.  

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2023 You are the registered nurse performing a health assessment on a newborn infant From the functional health pattern portion

Nursing 2023 DQ

You are the registered nurse performing a health assessment on a newborn infant From the functional health pattern portion 2023 Assignment

You are the registered nurse performing a health assessment on a newborn infant. From the functional health pattern portion of the assessment, you learn the mother is reluctant to breastfeed her baby. How do you respond? Explain the approach you will take to ensure adequate nutrition for the newborn, with or without breastfeeding. Provide rationale for your answer.

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2023 In no less than 500 words share your top 2 3 Professional Strengths and Weaknesses and reflect how your strengths make

Nursing 2023 Healthcare Exploration and Careers Module 4 Discussion

In no less than 500 words share your top 2 3 Professional Strengths and Weaknesses and reflect how your strengths make 2023 Assignment

 

In no less than 500 words, share your top 2-3 Professional Strengths and Weaknesses and reflect how your strengths make you a strong candidate for positions you are interested in applying to, as well as how you are working towards improving your weaknesses. Be sure to address how you highlighted these strengths on your resume and/or cover letter drafts. Ensure that you respond to at least one other student’s discussion post.

Positions I am interested in applying to are Pediatric Office and/or NICU department in hospital

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2023 What are the economic costs of this health problem for society families and individuals What are the social costs

Nursing 2023 Economic and Social Costs Associated with the Health problem HIV (AIDS)- APA FORMAT!

What are the economic costs of this health problem for society families and individuals What are the social costs 2023 Assignment

  • What are the economic costs of this health problem for society, families, and individuals?
  • What are the social costs (cost in any means such as time, human resource, social burden) associated with this health problem for society and individuals?
  • Use data (statistics) from credible sources to support your discussion.
  • Using APA format, create a reference list citing all the sources used in writing your paper.
  • Interpret and include at least one graph or table that relates to the content of your paper. You will discuss the graph or table as part of your narrative and include the graph or table in an Appendix at the end of your paper. Cite the source for the tables or graphs below each one and in the reference list using APA format.

  1. Each focus paper must be written in a scholarly manner using proper APA format (6th edition).
  2. Each focus paper must be at least 750 words in length. The 750 words do not include the title page, reference list or appendix.
  3. Your paper should not consist of more than 10% of direct quotes. This means that in a 750-word paper, no more than 75 words can be directly quoted from a source. Points will be deducted from papers exceeding the 10% limit. Instead of quoting, paraphrase the information in your own words.
  4. Your papers must be submitted as MS Office Word documents, using a 12-point font, double spaced and with page numbers upper right corner of each page.
  5. In each focus paper, you must use at least three different credible, professional references to support your discussion.  Your references should be cited in-text and in a reference list using proper APA format.
  6. The order of your paper should be: title page, body of your paper, reference list and appendix. 

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2023 Describe the strategy a healthcare organization can use to lower its cost of care What

Nursing 2023 Dis 6-570

Describe the strategy a healthcare organization can use to lower its cost of care What 2023 Assignment

 Describe the strategy a healthcare organization can use to lower its cost of care. What types of IT applications could they use to help them achieve this goal? If the organization has a strategy of improving the quality of its care, what types of IT applications might it consider? Compare these two lists of applications and discuss the organization’s course of action.

Requirements:

– 2 pages 

– Cite a minimum of three articles to support your statements. 

– APA writing standard 

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2023 Type of paperResearch Paper SubjectNursing Number of pages5 Format of citationAPA Number of cited resources4 Type of serviceWriting The community

Nursing 2023 Order 760889: Community Education Intervention

Type of paperResearch Paper SubjectNursing Number of pages5 Format of citationAPA Number of cited resources4 Type of serviceWriting The community 2023 Assignment

 

  • Type of paperResearch Paper
  • SubjectNursing
  • Number of pages5
  • Format of citationAPA
  • Number of cited resources4
  • Type of serviceWriting

The community is Tenafly, New Jersey and the Health Care needs is diabetes type 2 and the teaching is dietary Follow the Rubric which will be sent and all sections should be answered completely

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2023 Topic Social Services Share what social services are available in your community and give

Nursing 2023 Social Service

Topic Social Services Share what social services are available in your community and give 2023 Assignment

Topic: Social Services Share what social services are available in your community and give examples of when it is important to involve social services in the management of your patients in the primary care setting? Please give examples of what you have done in your clinic setting involving social services. Support your discussion with evidence based practice and recommendations.

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2023 Comment 1 I have never personally been put in this kind of

Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED

Comment 1 I have never personally been put in this kind of 2023 Assignment

Comment 1

I have never personally been put in this kind of situation but we have education every year about this at our hospital. A scenario, a young child, age 8, is brought into the emergency room twice in one week for “falling” and his arm is hurting again. The first visit’s xray of his arm was normal, no broken bones seen. The child is discharged. The second visit, the xray shows a broken clavicle. The nurse and doctor assess the child and notice bruises all over the child’s body under his clothes. The nurse and doctor know that they must be caution at this point. Start with questions to the child: How did you fall? Do you fall often? Ask where a particular bruise came from. The child shys away and start to hide his face.  The healthcare team then turn to the mother and again are cautious with the way the questions are asked. The mother is reluctant to answer the questions but she does in a hesitant way but does not make eye contact. The healthcare team dismiss themselves stating they would return soon. The nurse and doctor have a private conversation and they both are suspecting child abuse and know that it is their duty to mandatory report their suspicions after their assessment. Our hospital policy for mandating reporting is to follow they chain of command before reporting. The manager must be notified and the administration on call must be notified along with the risk officer. When all has been notified then the local police station and DHR will be notified. This can flow very easily if done properly. The State of Alabama had changes to the mandatory reporting law in 2013. The changes are: 1.) The State of Alabama mandates that the person who assess and has the suspicion on that assessment must be the one to support it to the police and DHR. 2.) Any public or private employer who discharges, suspends, disciplines, or penalizes an employee solely for reporting suspected child abuse or neglect will be guilty of a Class C Misdemeanor (National, 2018).

Comment 2

The State of Texas has a law that mandates anyone who thinks a child, a person 65 years or older, or any adult with disabilities is being abused, neglected or exploited must report it to the department of Family and Protective Services (DFPS). The abuse report can be made by phone 1-800-252-5400 or online at Texas Abuse Hotline 24 hours, seven days a week or call 911 the Local Law enforcement.

A person who reports abuse in good faith is immune from civil or criminal liability. The DFPS keeps the name of the person making report confidential. Anyone who does not report suspected abuse could be held liable for a misdemeanor or felony.

In the State of Texas, nurses and doctors are mandated to report any suspected child or elderly abuse to the department of Family and Protective Services or the Local law enforcement agency. They also document all findings including physical findings in the patient’s chart. Both nurses and doctors are also expected to report the suspected abuse to their immediate supervisors like nurse managers or senior doctors respectively (Texas Department of Family and Protective Services, n.d.).

Scenario

I was working in ER one evening when a 6-year boy was brought in by his parents with complaints of a painful leg secondary from fall. On assessment, the child looked frightened and withdrawn from the environment.  Multiple bruises at healing stages, black eye and swollen left leg was noted. When I asked the parents what could have caused the findings, both mother and father stated “ the boy is” messy” with himself and falls most of the time when playing”. When I asked the boy what happened to his leg and skin, he just stared at me. The doctor ordered an x-ray of the left leg, which reviewed spiral fracture of the femur.

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2023 I need a response for this case study In Mrs Allen s case ACC AHA guideline is applicable

Nursing 2023 response

I need a response for this case study In Mrs Allen s case ACC AHA guideline is applicable 2023 Assignment

I need a response for this case study:

In Mrs. Allen’s case, ACC/AHA guideline is applicable, especially in the context of the intervention of CVD. Although the primary focus of the guideline is prevention, there are alternative aspects of the framework that suit the health status and situation of Mrs. Allen (Leening & Ikram, 2018). A multidisciplinary team will dissect issues that are relevant to the patient, such as barriers to access to care, social-economic risk concerns, and cultural influences relating to her African American background, race and ethnicity, and, most importantly, the health goals.

                        The 68-year-old patient has no significant safety concerns for a high-intensity statin. The patient requires medication despite MI history. In situations involving MI and acute coronary syndromes, the ASCVD guideline recommends categorization into a distinctive statin benefit group (Leening & Ikram, 2018). In terms of specificity, Mrs. Allen should take daily dosages that help to lower LDL-C by an average of 50% in the high-intensity category. She requires 80 mg of Atorvastatin, while the low-intensity minimum is 10 mg. Crestor in the form of Rosuvastatin should be 40 mg or a moderate of 10 mg. Additional considerations include lovastatin 40 mg and Fluvastatin at 40 mg two times a day (Ross, Shah, & Leeper, 2016). Safety considerations and appropriate dosage are paramount requirements in the ACC/AHA guideline. 

                She needs as well take antiplatelet medications, such as Plavix, Brilinta, or Effient in combination with aspirin because she had surgery of stent placement and history of MI. In additional, Mrs. Allen needs to take Furosemide, because she experiences shortness of breath and pitting edema of the lower extremities. Patients, who has history of MI needs to take ACE inhibitors if they have no contraindications to it. Since Mrs. Allen is African-American, she may not tolerate ACE inhibitor and may develop allergic reaction (dry cough or swelling of the lips, tongue, face, or throat). In this case she needs to take Angiotensin receptor blockers (Mercado, Smith, & Macconnon, 2013).  

                              Conclusively, there is no doubt that Mrs. Allen requires urgent medical intervention. There are social-economic concerns such as financial constraints to afford medication. The ACC/AHA guideline stipulates the ideal mechanisms to help alleviate the suffering of such patients. Additional complications on the part of the patient require a cautious approach to medication, especially in regards to dosage (Ross, Shah, & Leeper, 2016). The guidelines and framework for patients with Arteriosclerotic Cardiovascular Disease is the most realistic path to Mrs. Allen’s positive health outcomes.

This is the original work if you needed:

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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