1) Minimum 8  full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 3 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page

              Part 5: minimum 1 page

              Part 6: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

                Part 3: Minimum 5 references not older than 5 years         

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Health Care Policy

1. Describe a type of health care spending that you consider wasteful or services that you consider have little or no benefit. 

2. Explain why you find the spending wasteful, and if eliminated, what impact it may have on the American public.

Part 2: Health Care Policy 2

  

Meeting: Maternal Health and Mortality: 

Topic: “The House Ways and Means Committee convened a hearing to discuss the high rate of mothers dying due to causes related to pregnancy or childbirth in the U.S. Olympian and gold medalist track and field athlete Allyson Felix testified about the need to address the racial disparities with maternal health care” (“House Committee Examines Racial Disparities in Maternal Mortality Rates”, n.d.).

Location: May 16th, 2019 @ C-Span.org

Link: https://www.c-span.org/video/?460809-1/house-committee-examines-racial-disparities-maternal-mortality-rates&start=1692&transcriptQuery=nicu

1. The purpose of the meeting, key participants, key agenda items, and meeting logistics

2. Background information and a description about the committee

3. One specific topic that was discussed at the meeting and an explanation of the committee process

4.An analysis of the key stakeholder positions related to the topic discussed

5. Key interactions that occurred at the meeting

6. Outcomes of the meeting including the specific topic focus

Part 3: Nursing research

   

1) What type of analysis you are conducting in your research

studies and explain it?  cross-sectional quantitative descriptive study  

2) What are the advantages and disadvantages of both inferential analysis and qualitative analysis?

Part 4: Nursing role and scope

1. Describe a clinical experience that was troubling to you. 

2. Describe what bothered you about the experience and what could have you done differently utilizing critical thinking.

Part 5: Physical Assessment

1. A patient who has smoked for 20 years has a desire to quit. He has COPD. 

a. Discuss the 5 A’s used in assessing readiness to quit smoking.

b. Discuss the “Stages of Change Model” that assesses readiness to quit as well.

2. A patient has come to the emergency room with severe dyspnea. A pulmonary embolism (PE) is suspected.

a. What other clinical manifestations are indicative of a PE?

b. What is a major risk factor for development of a PE?

Part 6: Physical Assessment 2

During assessment of the apical pulse,the nurse has the patient supine. They locate the apical impulse at the 6th intercostal space near the axilla area. 

1. Discuss normal location of apical pulse and suggest causes for the location at the 6th intercostal space.

Stroke volume (the volume of blood ejected with each heartbeat) depends in turn on preload, myocardial contractility, and afterload. 

2. Discuss these cardiovascular components and discuss disease processes related to each of them.

 

Hearing & Eye Age-Related Diseases 

After studying Module 5: Lecture Materials & Resources, discuss the following:

• Define presbycusis, name signs and symptoms, etiology and differential diagnosis.
• Create 3 interventions-education measures with a patient with Presbycusis.
• List, define and elaborate on three different retinal and macular diseases age-related.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your

Choose a problem faced by clients/patients in your practice area (MedicalSurgical Nursing) that you think is important and would like to learn more about. Turn in 3-4-page literature review paper (excluding cover page and references) on the standing knowledge of the identified question.

This assignment is to demonstrate and to complete an online literature search on a topic of interest. You will locate and retrieve at least 5 research studies/references that address your selected problem. Included with your written problem statement, is a description of search strategy you used, including search terms and data bases that help you retrieve material. 

Maternal Morbidity and Mortality

The U.S. has unacceptable rates of maternal morbidity and mortality, especially when compared to other developed nations. Women in America continue to experience sickness and death throughout the perinatal period – during pregnancy, birth, and in the postpartum period. 

This activity provides resources and educational stories from National Public Radio (NPR), USA Today, the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN), the March of Dimes, and the Illinois Department of Public Health. Please work through the activities and respond to the prompts after each section directly on this document. Place your responses on this document in a different color ink or font.Submit this assignment to clinical Absences Assignment Dropbox.

Student Name: _________________________________________

1. NPR maternal mortality series (2017): https://www.npr.org/series/543928389/lost-mothers

o WatchTo Keep Women from Dying in Childbirth, Look to California (14:07)

o WatchFocus on Infants During Childbirth Leaves U.S. Moms in Danger (12:11)

o WatchBlack mothers keep dying after giving birth: Shalon Irving’s story explains why (12:11)

o WatchFor every woman who dies in childbirth in the U.S., 70 more come close (10:42)

o ReadRedesigning Maternal Care: OB-GYNs Are Urged to See New Mothers Sooner and More Often (4/23/2018)

o ReadNearly Dying in Childbirth: Why Preventable Complications Are Growing in the U.S. (12/22/2017)

o WatchMany Nurses Lack Knowledge of Health Risks to Mothers After Childbirth (6:54)

o ReadIf You Hemorrhage, Don’t Clean Up: Advice From Mothers Who Almost Died (8/3/2017)

o ReadU.S. has the worst rate of maternal deaths in the developed world (5/12/2017)

Prompt #1: Choose two of the video stories and two of the article stories that captured your attention the most. Provide a brief summaryfor each of the four pieces. Include your reaction, and if anything surprisedyou. Each commentary should be a separate paragraph, 4-5 sentences for each.

2. USA Today videos and stories (2018)

Deadly Deliveries: (9 minutes)

https://www.usatoday.com/in-depth/news/investigations/deadly-deliveries/2018/09/19/maternal-death-rate-state-medical-deadly-deliveries/547050002/

Prompt #2: Briefly summarize Antoinette Pratsinakis, Ali Lowry and YoLanda Mention’s stories. What were their complications? What did the health care team do right? What did they do wrong?

How Hospitals Are Failing New Moms, in Graphics:

https://www.usatoday.com/deadly-deliveries/interactive/how-hospitals-are-failing-new-moms-in-graphics/

Prompt #3: Define maternal mortality. Rank the maternal mortality rate from lowest to highestfor the following developed nations: U.S., Canada, Germany, Japan, France, England. Approximately how many women die in childbirth in America every year? How many suffer severe complications? 

3. AWHONN: Read the article “Saving Women’s Lives” https://awhonnconnections.org/category/post-pregnancy/postpartum-care/

Prompt #4: What does the acronym POSTBIRTH stand for? How can we use this to better educate our new mothers on postpartum risks? 

4. March of Dimes – Read position statement:

https://www.marchofdimes.org/materials/March-of-Dimes-Maternal-Mortality-and-SMM-Position-Statement-FINAL-June-2018.pdf

Prompt #5: According to the CDC, what are “pregnancy-related deaths”? What are the top causes of maternal deaths? What is the role of the March of Dimes in efforts to reduce maternal mortality?

5. Read about House Resolution (HR) 1318: 

https://www.congress.gov/bill/115th-congress/house-bill/1318

Prompt #6: What is the name of HR 1318? In your own words, summarize HR 1318. What and when was the outcome of HR 1318? Do you think this will help to reduce the problem of maternal M&M? Why?

7.  Read article:  Illinois Releases First Maternal Morbidity and Mortality Report

http://www.dph.illinois.gov/news/illinois-releases-first-maternal-morbidity-and-mortality-report

Prompt #7: What were the highlights of what the committee found? Summarize the 6 key recommendations from the report.

8. Final reflection

Prompt #8: 

o What reaction did you have to these resources? What was the most impactful story, article, or new information you learned? Why? 

o What solutions have been suggested to address the growing problem of preventable complications? What is our responsibility, as health care professionals? 

o What do you think are the barriers that nurses face which prevent the delivery of quality care and education?

Edit question’s attachments..

Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.

Case Study #3: Insomnia and Sleep Disorders 

S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally “lived with it” and self treated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensin converting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products.

Diagnosis: InsomnIa

1. List specific goals of therapy for S.H.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Discuss specific patient education based on the prescribed therapy

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What OTC and/or alternative medicines might be appropriate for this patient?

8. What dietary and lifestyle changes might you recommend?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.