Tag Archive for: Nursing Assignment Help

2023 Healthcare reform is a term that is ever present in our practice

Nursing 2023 CH Dis 1

Healthcare reform is a term that is ever present in our practice 2023 Assignment

Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon.

Review the article below and answer the following questions.

Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46. . doi:10.1016/S2155-8256(17)30097

  1. Select one of the four challenges and expand on how your workforce has responded to the change.
  2. How have these challenges affected the access to care for your patients?
  3. What can you do to decrease the effect on your patients? Provide a specific example.

2 references with in text citation.

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2023 The Assignment Examine Case Study A Young Caucasian Girl With ADHD You will be

Nursing 2023 Assignment: Assessing And Treating Clients With ADHD

The Assignment Examine Case Study A Young Caucasian Girl With ADHD You will be 2023 Assignment

  

The Assignment

Examine Case Study: A Young Caucasian Girl With ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

· Decision #1

o Which decision did you select?

o Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with 

Decision #1 and the results of the decision. Why were they different?

· Decision #2

o Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?

· Decision #3

o Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with 

o Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

Note: Support your rationale with a minimum of three academic resources no more than five years old in APA Format

Attention Deficit Hyperactivity Disorder
A Young Girl With ADHD

BACKGROUND

Katie is an 8 year old Caucasian female who is brought to your office today by her mother & father. They report that they were referred to you by their primary care provider after seeking her advice because Katie’s teacher suggested that she may have ADHD. Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine whether or not she has this condition.

The parents give the PMHNP a copy of a form titled “Conner’s Teacher Rating Scale-Revised”. This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their family primary care provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. The teacher opined that she lacks interest in school work and is easily distracted. Katie is also noted to start things but never finish them, and seldom follows through on instructions and fails to finish her school work.

Katie’s parents actively deny that Katie has ADHD. “She would be running around like a wild person if she had ADHD” reports her mother. “She is never defiant or has temper outburst” adds her father.

 
 

SUBJECTIVE

Katie reports that she doesn’t know what the “big deal” is. She states that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds her other subjects boring, and sometimes hard because she feels “lost”. She admits that her mind does wander during class to things that she thinks of as more fun. “Sometimes” Katie reports “I will just be thinking about nothing and the teacher will call my name and I don’t know what they were talking about.”

Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. Offers no other concerns at this time.

 
 

MENTAL STATUS EXAM

The client is an 8 year old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is bright. Katie denies visual or auditory hallucinations, no delusional or paranoid thought processes readily appreciated. Attention and concentration are grossly intact based on Katie’s attending to the clinical interview and her ability to count backwards from 100 by serial 2’s and 5’s. Insight and judgment appear age appropriate. Katie denies any suicidal or homicidal ideation.

Diagnosis: Attention deficit hyperactivity disorder, predominantly inattentive presentation

Decision Point One:

Begin Wellbutrin (bupropion) XL 150 mg orally daily

RESULTS OF DECISION POINT # ONE

Client returns to clinic in four weeks

Katie’s parents inform you that they stopped giving Katie the medication because about 2 weeks into the prescription, Katie told her parents that she was thinking about hurting herself. This scared the parents, but they didn’t want to “bother you” by calling the office, so they felt that it would be best to just stop the medication as they would be seeing you in two weeks

Decision Point #Two:

Select what the PMHNP should do next:

Educate the parents that Bupropion sometimes causes suicidal ideation in children and that this is normal, and restart the drug at the previous dose

RESULTS OF DECISION POINT TWO

Client returns to clinic in four weeks

Katie’s parents again report that after about a week of treatment with the Bupropion, Katie began telling her parents that she wanted to hurt herself and began having dreams about being dead. This scared her parents and they stopped giving her the medication

At this point, they are quite upset with the results of their daughter’s treatment and are convinced that medication is not the answer

Decision Point # Three:

Select what the PMHNP should do next:

Refer the parents to a pediatric psychologist who can use behavioral therapy to treat Katie’s ADHD

Guidance to Student

Bupropion is used off-label for ADHD and is used more commonly in adults. It’s mechanism of action results in increasing the neurotransmitters norepinephrine/noradrenaline and dopamine. Since dopamine is inactivated by norepinephrine reuptake in frontal cortex, (which largely lacks dopamine transporters) bupropion can increase dopamine neurotransmission in this part of the brain, which may explain its effectiveness in ADHD. However, Bupropion as well as other antidepressants have been linked to suicidal ideation in children and adolescents- despite the fact that it was being used initially to treat ADHD, it is still an antidepressant.

At this point, the parents are probably quite frustrated as no parent wants to hear their child talking about hurting themselves or having dreams about being dead. If the parents are adamant about no more medications, referral to a pediatric psychologist or similar therapist skilled in the use of behavioral therapies to treat ADHD in children. However, it should be noted that behavioral therapies work best when combined with medication, however, if the parents are insistent, then behavioral therapy may be the only alternative left in the treatment of Katie.

In terms of the pathophysiology of ADHD, whereas it may be true that increasing age may demonstrate some improvement in symptoms (some people will actually experience complete resolution of symptoms by adulthood), it is not helping Katie in the here and now. Katie still needs help with her symptoms which are causing academic issues.

The PMHNP should attempt to repair the rupture in the therapeutic alliance (the parents now believe that medications are not the answer) by explaining rationale for the use of Bupropion (many people like to start with Bupropion because it has a low-risk for addiction). The family should be encouraged to allow the PMHNP to initiate Adderall as it has a very good track record in terms of its efficacy in treating ADHD.

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2023 Write an introductory cover letter of no more than 500 words in which

Nursing 2023 letter

Write an introductory cover letter of no more than 500 words in which 2023 Assignment

  

Write an introductory cover letter of no more than 500 words in which you explain your professional objectives, professional interests, and strengths as an applicant

. Both the cover letter and resume should be formally written using a professionally accepted format. Review “Resume Resources,” located at for http://www.resume-resource.com/examples-medical.html for examples of approved formats; however, other professional templates may be used.

Share your resume with a colleague and elicit their feedback. Revise your resume if needed and submit the resume in the assignment section of the course.

APA style is not required, but solid academic writing is expected.

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 not required to submit this assignment to Turnitin

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2023 MODULE 7 TOPIC Case Report What Does the Research Say In this assignment learners are required to write a

Nursing 2023 DNP- DATA ANALYSIS

MODULE 7 TOPIC Case Report What Does the Research Say In this assignment learners are required to write a 2023 Assignment

MODULE 7

TOPIC: Case Report: What Does the Research Say?

In this assignment, learners are required to write a case report. The report should demonstrate a depth and breadth of the knowledge and skills gained in the current course and potentially solve an identified real-world practice problem.

General Requirements:

Use the following information to ensure successful completion of the assignment:

· Use at least two additional scholarly research sources published within the last 5 years. Provide citations and references for all sources used.

· Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.

· 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.

Directions:

Identify a particular real-world problem using a PICOT template that you have used in previous courses. Include the particular clinical setting and potential health/disease issue you will examine. Identify and fully describe the research that has taken place within the last 5 years.

Your case report must include the following:

1. Introduction with a problem statement.

2. Brief synthesized review.

3. Description of the case/situation/conditions.

4. Proposed solutions describing the validity and reliability of the research you have read.

5. Conclusion.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting.

STUDY MATERIALS

Read Chapter 10 in Clinical Analytics and Data Management for the DNP. Review Chapter 9.

URL: 

http://gcumedia.com/digital-resources/springer-publishing-company/2014/clinical-analytics-and-data-management-for-the-dnp_ebook_1e.php

Fink, A. (2013). Wanted! Valid and meaningful data as proof of best available evidence. In Evidence-based public health practice (pp. 159-210). Thousand Oaks, CA: SAGE. doi: 10.4135/9781506335100.n5

URL: 

http://methods.sagepub.com.lopes.idm.oclc.org/book/evidence-based-public-health-practice/n5.xml

Dimova, R. B., & Allison, D. B. (2016). Inappropriate statistical method in a parallel-group randomized controlled trial results in unsubstantiated conclusions. Nutrition Journal, 15, 1-3. doi:10.1186/s12937-016-0163-z

URL: 

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115983348&site=ehost-live&scope=site

Explore the author information provided on the Journal for Nurse Practitioners website, in preparation for responding to the discussion questions in this topic.

URL: 

http://www.npjournal.org/content/authorinfo

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2023 Students are required to maintain weekly reflective narratives throughout the course to combine into one

Nursing 2023 Benchmark – Professional Capstone And Practicum Reflective Journal

Students are required to maintain weekly reflective narratives throughout the course to combine into one 2023 Assignment

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.

In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:

1. New practice approaches

2. Intraprofessional collaboration

3. Health care delivery and clinical systems

4. Ethical considerations in health care

5. Population health concerns

6. The role of technology in improving health care outcomes

7. Health policy

8. Leadership and economic models

9. Health disparities

Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.

While APA style is required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines. 

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2023 Medicare Using the South University Online Library or the Internet research about the

Nursing 2023 homework help w5a1

Medicare Using the South University Online Library or the Internet research about the 2023 Assignment

 Medicare 

Using the South University Online Library or the Internet, research about the changes to Medicare.

Based on your research and understanding, respond to the following:

  • Describe the changes to Medicare that are direct results of the Patient Protection and Affordable Care Act of 2010.
  • Analyze and explain the possible impacts upon the health care system as more Americans gain access to health care.
  • Explain the ways in which increased access to health care may affect baby boomers either positively or negatively.
  • Explore the role technology plays in accessing health care and on the Patient Protection and Affordable Act.
  • Analyze and explain the two new technologies that have affected health care in the past five years.
  • Analyze and describe the two new technologies that will be needed in the years ahead to keep up with the aging baby boomers.

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2023 Respond to at least two of your colleagues posts by offering suggestions strategies for

Nursing 2023 Discussion#1

Respond to at least two of your colleagues posts by offering suggestions strategies for 2023 Assignment

 Respond to at least two of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources.

at least 2 references in each peer responses! 

  Clinical documentation improvement seems to be a very gray area of nursing and in the medical field, in general. Most times, nurses working in this field find ourselves educating physicians and hospital administration about the importance of our program and how it impacts quality outcomes for the hospital. Most hospital administrations and physicians like to think of our department as dealing with hospital reimbursement. While part of this may have been true when the programs were created with most CDI program falling under a revenue cycle department, programs are now quality driven. Clinical documentation affects patient outcomes by showing the severity of illness and case mix index of a specific DRG while capturing all of the comorbid conditions that also affect a stay, such as diabetes with hyperglycemia. Finding peer reviewed articles, like the ones below, provide evidence of how a CDI program helps to improve everything from length of stays and better outcomes for patients and families. 

I was honestly very surprised to find so many articles in the ScienceDirect area of the Walden Library. I have been looking for articles such as these to help support our program in Tampa with our physicians. Ongoing education and support is something that I am always striving to bring to our physicians. It is very difficult to show the worth of your program to physicians and administration without discussing dollars and cents. I would definitely love to share this information with my colleagues, both nurses and physicians. Sometimes, physicians need additional resources to help them understand. Nurses working in this field can always use more resources to help better assist them in explaining and using evidence to explain and validate why our program is so important. 

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Part one For the theory that you have selected to do your theory

Nursing 2023 Praxis Of Suffering

Part one For the theory that you have selected to do your theory 2023 Assignment

Part one

For the theory that you have selected  to do your theory paper on, you will be using it for this discussion board. You will be analyzing a few components of the theory

The theory is Toward a Praxis of Suffering. Janice Morse.

Find a research article that uses the theory AND ANSWER THE FOLLOWING QUESTIONS.You can use this for your paper.

It must be a research article. See Module two for an overview of  research articles. 

POST A PDF OF YOUR ARTICLE: WE NEED THE ACTUAL ARTICLE NOT THE LINK

INCLUDE A VERY BRIEF DESCRIPTION OF THE STUDY

1. What is the purpose of the theory? 
2.   What are the main concepts in the theory?  3. Are they operationally defined? Theoretically defined? 4. Does the theory contribute to the discipline of nursing? 

Theoretical and operational definitions. For that chosen concept, write theoretical and operational definitions. You can find it in the article. If it is not explicitly written , then you have to surmise what  it  is based on article.

If  the study is qualitative you have to determine  how the researcher used the theory to generate the interview questions and based on the results how you would ope rationalize the concept (since there is no operational definition in a qualitative study).

 

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 comment1 Interaction effects represent the combined effects of factors on the dependent measure When an interaction effect is present the

Nursing 2023 Please Follow Instructions. Answer Every Question. Al Least 260 Worlds In APA Format. Research From (2013 -2018) Academic References Need.SUBTANTIVE POST Please. Thanks

comment1 Interaction effects represent the combined effects of factors on the dependent measure When an interaction effect is present the 2023 Assignment

comment1

Interaction effects represent the combined effects of factors on the dependent measure. When an interaction effect is present, the impact of one factor depends on the level of the other factor. For example, imagine a study that tests the effects of a treatment on an outcome measure.  The treatment variable is composed of two groups, treatment and control. The results are that the mean for the treatment group is higher than the mean for the control group. But what if the researcher is also interested in whether the treatment is equally effective for females and males. That is, is there a difference in treatment depending on gender group? This is a question of interaction (Stevens, 1999).

I spent a lot of time trying to find an example that I can use to give me a better idea of variables from a work, social, or academic population, and even though I can put forth a definition, I still have a hard time wrapping my head around it.  I found this YouTube video on main effects and interaction of sleep deprivation and caffeine that helped a little.

https://www.youtube.com/watch?v=OE46w0RqmQA

comment2

Statistical interaction can be described as the effect of one of the independent variable that may depend on the importance level of another independent variable.  For there
to be a statistical interaction there must be a factorial design consisting of two or more independent variables become crossed with each other so that there may be observations at every level of the two or more independents.

In my current position we perform many Mini Mental exams every day to our geriatric inpatient mental health patients. We admit patients with various mental health conditions ranging from depression and being alert and oriented times four, to a stoke or traumatic brain injury who are confused and disoriented.  I am going to use the
example of performing research on patients who are alert and oriented times four and staff (if there are not enough participants) in the effects of practice and stress level with the memory task performance using the Mini Mental Exam. The researcher will provide a variety of words to each participant for them to remember and will ask for a recall in a non stressful atmosphere where the participants are told the recall number of words in not important. Later, the researcher will provide the variety of words to be recalled in a
high stressful atmosphere and the researcher stress the importance and expectation of the words to be recalled. The dependent variable in this example should be the words recalled for the list provided by the researcher.

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2023 The use of encryption can have adverse effects on incident response and incident investigations

Nursing 2023 encryption

The use of encryption can have adverse effects on incident response and incident investigations 2023 Assignment

 The use of encryption can have adverse effects on incident response and incident investigations; however, from a security standpoint, encryption is a major component in network confidentiality.  Present your argument for or against an “universal key” which would allow investigators the ability to decrypt data for an investigation.  State your position and back-up your stance with 5 or 6 sentences supporting your stance from information you found in related cases or arguments made in online publications. No plagiarism 

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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