For any thoughts or ideas you may have on how we can improve our Nursing Programs, handbooks or curriculum, please upload here. In addition, if you have any suggestions for improvement for the Dean to consider.

Write a reflection journal (250-300 words) to outline what has been discovered about your professional practice, personal strengths and/or weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week there will be a specific focus to use in your reflection. Integrate leadership and inquiry into the current practice. Please make sure to address all areas in your writing.

For this assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.

How a Nursing-Sensitive Quality Indicator Establishes Evidence-Based Practice Guidelines for Nurses to Follow

Nurses’ and the Interdisciplinary Team’s Role in Collecting and Reporting Data Informatics and Nursing Sensitive Quality Indicators Script

Ageism and how Misconceptions and Misinformation Play a Role

Scenario
For this assessment, you may choose from the following options as the subject of a root-cause analysis and safety improvement plan:

The specific safety concern identified in your previous assessment about medication administration safety concerns.
The readings, case studies, or a personal experience in which a sentinel event occurred surrounding an issue or concern with medication administration.

Instructions

Importance of Incorporat

Globalisation and Effects of Colonialism-Belgium and the Democratic Republic of Congo

Belgium and the Democratic Republic of Congo

ing Credible Evidence into an EBP Model

Importance of Incorporating Credible Evidence into an EBP Model

As the prevention of medication errors is a collective effort of nurses, health care providers, patients, and everyone involved in the medication process, the Knowledge to Action (KTA) Framework is the most suitable EBP model in this situation. The KTA model is suitable for reducing and preventing medication errors as it facilitates the application of evidence and knowledge across various stakeholders to achieve the objectives of the inter-stakeholder goals, in this case, the reduction of medication errors. Therefore, credible evidence is required to bring together the stakeholders and guide them toward achieving their goals in the medication process.

Capstone Project Final

Background

The nursing shortage is one of the major issues that need immediate attention in the US and other parts of the world. According to Kim, Park, Han, Kim and Kim (2016), the US government employed more than 100,000 new nurses in 2002. However, the demand for nurses in the country was not affected by the move. The author argued that the government should do more to combat the problem in a move to improve patient outcome. One of the issues that were found to cause a nursing shortage in healthcare facilities is low employee satisfaction.

Since you have been in the NP program discuss a procedure (not previously discussed) that you were able to observe and/or perform. Is there a particular skill that you want to complete during this clinical rotation? Citation and reference required.
Length: A minimum of 250 words, not including references

Develop a client-centered SMART goal and 6 individualized nursing interventions with rationale (using the template on page 2 of this document) for a client with the following nursing diagnosis on the care plan:

• Risk for impaired skin integrity related to mechanical factors and impaired physical mobility.

Attending to Patients Who Present to the Facility with a Cough

Responding to E

Access, Cost, and Quality for APNs

The roles and responsibilities of advanced practice nurses (APNs) reflect their relevance in healthcare. The autonomy of APNs is dependent on the policies and regulations of the state. For instance, states that acknowledge the autonomy of nurse practitioners include Alaska, Colorado, New Mexico, Hawaii, Massachusetts, South Dakota, and Nebraska (Clarke, 2022). In this context, full autonomy means that APNs are permitted to practice fully without being supervised by physicians (Clarke, 2022).

velyn

Attending to Patients Who Present to the Facility with a Cough

Responding to Evelyn

Case Study-A 61 Year Old Male Patient with Chief Complaints of Headaches and Blurred Vision for 4 days

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Question 

This is your final week, and it is time to reflect. Discuss your clinical experience this term, as it relates to clinical practice, and some examples include situations, acquired knowledge, and experiences with your preceptor. Citation and reference required.

Purpose of the change proposal
Analysis of the need for change (why)
Annotated bibliography of 3 reputable sources (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality) that support your proposed change
Financial estimate of costs of the proposed change

The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

According to Larson, Brady, Engelmann, Perkins, and Shultz (2013), ”the development of professional identity is a continuous process that begins with admission to the nursing program and evolves throughout one’s professional career in a dynamic and fluid process where the interacting relationship of education and practice lead to self-reflection, growth, and human flourishing” (p. 138).

Public Health-Individual and Societal Rights

When considering legislation relative to public health emergencies, should the rights of the individual or the rights of society have a higher priority? Defend your opinions using ethical theories and/or principles.

Importance of Internship

Review “Why Is an Internship Important?” located in the topic Resources. Select two items from the list of benefits presented and discuss why a volunteer or internship experience would be beneficial for obtaining a position in your desired career field

How an Organization’s Work Impacts the Health and/or Safety Needs of a Local Community

Impact of Funding Sources, Policy, and Legislation on the Organization’s Provision of Services

Biological Basis of Psychotherapy

Psychotherapy is talk therapy in which the patient collaborates with the psychologist or psychiatrist to help solve mental and emotional problems. Psychotherapy can help patients overcome grief, trauma, and mental disorders such as depression and anxiety. Most research has shown that people treated with psychotherapy can get better and function in their normal lives. Many individuals have benefited from psychotherapy.

Ryan is a 12-year-old diagnosed with Oppositional Defiant Disorder (ODD). As a small child, Ryan was first diagnosed with Attention Deficit Hyperactivity Disorder. He had just started preschool and could not remain in one place for over a minute or two. His parents had already had difficulty disciplining him because he would become very upset and throw temper tantrums when he could not do as he wished. 

Determining the Credibility of Evidence and Resources

Scenario
For this assessment, you may choose from the following options as the subject of a root-cause analysis and safety improvement plan:

The specific safety concern identified in your previous assessment pertaining to medication administration safety concerns.
The readings, case studies, or a personal experience in which a sentinel event occurred surrounding an issue or concern with medication administration.
Instructions

The Use of Clinical Systems to Improve Outcomes and Efficiencies

Healthcare technologies continue to redefine care operationalizations. As modern healthcare shifts towards value-based approaches, these technologies maintain significance in improving the effectiveness and efficiency of healthcare provisions. The use of clinical systems is an area of health information technology that has gained significant recognition in global healthcare operationalizations

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Question 

American Academy of Nurse Practitioners vs American Nurses Credentialing Center

PEER RESPONSE

AANP (American Academy of Nurse Practitioners) and ANCC (American Nurses Credentialing Center) are both organizations that offer certification for nurse practitioners (NPs) in the United States. The distinction between the two lies in their focus and exam content. While ANCC focuses more on all facets of nursing, AANP focuses more on NPs in a clinical context. While the ANCC exam contains more prominent topics like ethics, informatics, and leadership, the AANP exam addresses specific topics like patient management, health promotion, and clinical decision-making (American Academy of Nurse Practitioners, 2023).
Costs for certification with AANP and ANCC vary, but AANP is generally considered less expensive, with exam fees ranging from $225 for members to $395 for non-members. ANCC exam fees are around $395 for members and $495 for non-members (ANCC, 2023). Both organizations offer similar proctoring choices and testing locations for certification tests. Computer-based exams are available at Pearson VUE testing locations across the United States.

Step 1: Answer the following prompts:

There is a “provider culture” that includes the common values, beliefs, and expectations of providers in the health care system. How would you describe the culture of nursing?
In what ways might nurses project this culture onto their patients and clients?

The Culture of Nursing

How might the culture of nursing conflict with the values and beliefs of patients? Please provide an example from your own practice.

Step 2: Read other students’ posts and respond to at least two of them by Friday at 11:59 pm MT.

Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.

Cite any sources in APA format.

See the rubric for grading details.

Describe the relationship between the family’s concept of health promotion and that of the community. Explain how the family’s concept of health promotion affects the community’s definition of health promotion.
Explain the influence of family beliefs and values on the definition of health and their relationship to health promotion.
Step 3 Read other students’ posts and respond to at least two of them by Friday 11:59 pm MT.

In your response to each of your peers, choose at least two things you agree with and explain your opinions. Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support your opinion.

Your initial post should be 2-3 paragraphs long and follow the requirements outlined in the discussion rubric. Please add to the discussion in your peer responses with informative responses instead of posts similar to “great idea! I really agree with you.” The initial post and the peer responses have different deadlines. Make sure that your discussion adheres to these deadlines.

Question 

Week 2 Discussion: The Impact of an Individual’s Health Definition on Health Promotion
No unread replies. No replies.
Step 1 In your initial post, due Wednesday at 11:59 pm Mountain Time, respond to the following questions:

What influences an individual’s definition of health?

The Impact of an Individuals Health Definition on Health Promotion

How does lifespan development influence an individual’s definition of health?
Step 2 Read other students’ posts and respond to at least two of them by Friday 11:59 pm MT.

In your response to each peer, explain how lifespan development influences an individual’s health promotion. Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.

Your initial post should be 2-3 paragraphs long and follow the requirements outlined in the discussion rubric. Please add to the discussion in your peer responses with informative responses instead of posts similar to “great idea! I really agree with you.” The initial post and the peer responses have different deadlines. Make sure that your discussion adheres to these deadlines.

APA guidelines and plagiarism prevention matter in discussion posts, just like with other scholarly assignments. Cite all references appropriately using APA format.

See the rubric for grading details.

Step 1 Respond to the following prompts using research and your personal experience. For this post, you must show research in your writing using in-text citations and format your reference using 7th ed. APA.

Patient-Centered Care in Practice

Think about your nursing practice and answer the following questions in your post:

As a nurse, consider your role as a member of an interdisciplinary team. What other members of the team have you worked with?
Research and briefly describe evidence-based practice (EBP), quality improvement (QI), and informatics.
How can they be used to improve patient-centered care? Provide specific examples.
Have you had professional experience using EBP, QI, or informatics to improve the quality of care or safety in your practice? Be specific.
How should the interdisciplinary team use EBP, QI, and informatics to improve the quality of care and safety?
Step 2 Read other students’ posts and respond to at least two. Peer responses do not require research. If you choose to put in research, your format will not be graded for APA.

Share your professional experience using EBP, QI, or informatics to improve the quality of care or safety in your practice. How does it compare with your peer’s experience?
What part of the interdisciplinary team have you worked with in the past, and did your team achieve a positive outcome?
Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.
Select Reply to join the discussion. See the rubric for grading details.

When you have completed the discussion, select Next to complete the weekly assignmen

Preparation
In this assessment, you’ll assess the effect of the health problem you’ve defined on the quality of care, patient safety, and costs to the system and individual. Plan to spend at least 2 direct practicum hours working with the same patient, family, or group. During this time, you may also choose to consult with subject matter and industry experts.

To prepare for the assessment:

Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete and how it will be assessed.
Conduct research of the scholarly and professional literature to inform your assessment and meet scholarly expectations for supporting evidence.
Review the Practicum Focus Sheet: Assessment 2 [PDF], which provides guidance for conducting this portion of your practicum.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Instructions
Complete this assessment in two parts.

Part 1
Assess the effect of the patient, family, or population problem you defined in the previous assessment on the quality of care, patient safety, and costs to the system and individual. Plan to spend at least 2 practicum hours exploring these aspects of the problem with the patient, family, or group. During this time, you may also consult with subject matter and industry experts of your choice. Document the time spent (your practicum hours) with these individuals or groups in the Capella Academic Portal Volunteer Experience Form. Use the Practicum Focus Sheet: Assessment 2 [PDF] provided for this assessment to guide your work and interpersonal interactions.

Since 2019, the world has been dealing with the COVID-19 pandemic. Many efforts have been made to contain the spread and impact of the coronavirus. According to the World Health Organization (WHO) (2023), there have been over 761,401,518 confirmed COVID-19 cases and 6,886,987 COVID-19-related deaths globally to date. In addition, as of March 2023, the United States has had 102,697,566 confirmed cases and 1,117,504 deaths directly related to the virus. There have been notable differences in how individuals across various demographics experience illnesses related to COVID-19 and the outcomes of COVID-19 infections

Since 2019, the world has been dealing with the COVID-19 pandemic. Many efforts have been made to contain the spread and impact of the coronavirus. According to the World Health Organization (WHO) (2023), there have been over 761,401,518 confirmed COVID-19 cases and 6,886,987 COVID-19-related deaths globally to date. In addition, as of March 2023, the United States has had 102,697,566 confirmed cases and 1,117,504 deaths directly related to the virus. There have been notable differences in how individuals across various demographics experience illnesses related to COVID-19 and the outcomes of COVID-19 infections

Post a clinically relevant research question using the PICOT format. How did you arrive at this topic and question? Why is it important?

PICOT Question-Overweight Diabetic Patients with Hypertension

Expectations

Initial Post:

Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA format from within the last 5 years

Post a clinically relevant research question using the PICOT format. How did you arrive at this topic and question? Why is it important?

PICOT Question-Overweight Diabetic Patients with Hypertension

Expectations

Initial Post:

Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA format from within the last 5 years

Physical, Psychosocial, and Cultural Considerations for High Blood Pressure Care Coordination Plan

Designing a care coordination plan for HBP requires making the patient the focus of the care delivered. Evidence shows that applying the element of patient-centered care in managing HBP patients influences care practices with significant impacts on the outcome of care (Buawangpong et al., 2020). Patient-centered care considers the patient’s physical, mental, and psychological status, as well as their culture, beliefs, and other world views.

Physical Considerations

Coordinating care for HBP patients must consider the physical well-being of the patient. This includes both body weight, physical and mental abilities, ability to read and write, and other aspects of the individual, such as daily activity levels. These are essential for deciding on medications, dosage, and designing the care plan and the level of need required to take the right medication, doses, and at the right time.

Psychosocial Considerations

The care coordination plan for HBP considers the patient’s mental health, living conditions, region, emotional state, and available support. These are essential to model the care plan to further meet the patient’s psychosocial needs to best manage their HBP status as well as improve their access to needed care.

Cultural Considerations

Cultural considerations are critical facilitators for a patient-centered care plan (Kwame & Petrucka, 2021). When coordinating care for HBP patients, one must understand and appreciate the cultural values and beliefs of the patients and how they influence their participation in the care plan. This helps deliver care the patient can easily relate to and adhere to the plan.

Community Resources for a Safe and Effective Continuum of Care

The available community resources for a safe and effective continuum of care for HBP include:

1. Locally accessible health clinics and community health centers.
2. Online support groups across the U.S. focused on improving HBP awareness.
3. Online educational resources provided by reputable organizations, such as the CDC and the American Heart Association
4. Emergency health and lifestyle coaches accessible via video call services
5. Home health services that support the delivery of patient-centered HBP care (Pourat et al., 2019).

Conclusion

HBP is a healthcare issue of concern due to its adverse effects on the health and quality of life of affected persons as well as its risk for developing chronic health conditions. However, HBP is manageable and reversible. Conclusively, a patient-centered coordination care plan can help achieve or improve patient and health outcomes and ensure a safe and effective continuum of care for HBP patients.

References

American Heart Association. (n.d.). Understanding Blood Pressure Readings. Retrieved May 11, 2023, from https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings

Buawangpong, N., Pinyopornpanish, K., Jiraporncharoen, W., Dejkriengkraikul, N., Sagulkoo, P., Pateekhum, C., & Angkurawaranon, C. (2020). Incorporating the patient-centered approach into clinical practice helps improve quality of care in cases of hypertension: A retrospective cohort study. BMC Family Practice, 21(1), 1–8. https://doi.org/10.1186/S12875-020-01183-0/TABLES/5

Fuchs, F. D., & Whelton, P. K. (2020). High Blood Pressure and Cardiovascular Disease. Hypertension, 75(2), 285–292. https://doi.org/10.1161/HYPERTENSIONAHA.119.14240

Policy evaluation is important when assessing the impact and effectiveness of healthcare policies and programs. Clear points of view and more knowledge from professionals like Registered Nurses and Advanced Practice Registered Nurses can positively impact the assessment of these policies. Nurses can participate in policy assessment by advocating for the patients and developing evidence-based policies that address inequality in healthcare (Mergoni et al., 2022). It will bring out better outcomes for the patients. This write-up shows how maternal health concerns are evaluated in the health care program while reflecting on health-social determinants.

Beginning the research proposal- Does Childhood Traumatic Experiences Contribute to Psychiatric Disorders in Adulthood?

There are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in individual, group, and family settings, consider the challenges of using this approach with groups you may lead, as well as strategies for overcoming those challenges.
Post an explanation of how the use of CBT in groups compares to its use in family or individual settings. Explain at least two challenges PMHNPs might encounter when using CBT in one of these settings. Support your response with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly and attach the PDFs of your sources.
• Beck Institute for Cognitive Behavior Therapy. (2018, June 7). CBT for couplesLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=JZH196rOGsc
• MedCircle. (2019, December 13). What a cognitive behavioral therapy (CBT) session looks like links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=8-2WQF3SWwo
• PsychExamReview. (2019, April 30). Cognitive therapy, CBT, & group approaches (intro psych tutorial #241)Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=A2_NN1Q7Rfg

Optional Resources
• Beck, A. (1994). Aaron Beck on cognitive therapy links to an external site. [Video file]. Mill Valley, CA: Psychotherapy.net.
• Eysenck, H. (n.d.). Hans Eysenck’s theory on behavior therapy links to an external site. [Video file]. Mill Valley, CA: Psychotherapy.net.
• Psychotherapy.net. (Producer). (2009). Rational emotive behavior therapy for addictionsLinks to an external site. [Video file]. Psychotherapy.net: Author.
• Sommers-Flanagan, J., & Sommers-Flanagan, R. (2013). Counseling and psychotherapy theories in context and practiceLinks to an external site. [Video]. https://waldenu.kanopy.com/video/counseling-and-psychotherapy-theories-contex
• CBT (starts at 2 hours 27 minutes)

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.
• Download the Comprehensive Psychiatric Evaluation Note Template and review the requirements of the documentation. There is also an example provided with detailed guidance and examples.
• View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.

Document the following for the family in the video, using the Comprehensive Evaluation Note Template:

• Chief complaint
• History of present illness
• Past psychiatric history
• Substance use history
• Family psychiatric/substance use history
• Psychosocial history/Developmental history
• Medical history
• Review of systems (ROS)
• Physical assessment (if applicable)
• Mental status exam

Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria

Case formulation and treatment plan

Include a psychotherapy genogram for the family.

Note: For any item you are unable to address from the video, explain how you would gather this information and why it is important for diagnosis and treatment planning. 

 Abstract Case study

An interview with an Iranian immigrant mother and her 23-year-old daughter highlights the difference that their cultural lenses create in their mutual expectations. Very typical of children becoming Americanized, the daughter wants to fit into the social scene with her friends while the mother wants her to respect the cultural norms of her generation from Iran. The way she dresses, the fact that she doesn’t live with her mother even though she is unmarried, and the amount of time devoted to her family are all issues in this session. Their therapist, who is also an Iranian woman is present at the consultation. How do we assist families in this predicament? In an epilogue to the program, Gonzalo makes his session transparent and provides afterthoughts about the work.

Group therapy can alleviate feelings of isolation and foster a supportive and collaborative environment for sharing difficult feelings in order to facilitate healing. For many people, being part of a group that has a shared understanding of a struggle provides a unique opportunity to gain an understanding of their own experiences.
As you examine one of the group therapy demonstrations from this week’s Learning Resources, consider the role and efficacy of the leader and the reasons that specific therapeutic techniques were selected.
TO PREPARE:
• Select one of the group therapy video demonstrations from this week’s required media Learning Resources.
THE ASSIGNMENT
In a 3- to 4-page paper, identify the video you selected and address the following:

• What group therapy techniques were demonstrated? How well do you believe these techniques were demonstrated?
• What evidence from the literature supports the techniques demonstrated?
• What did you notice that the therapist did well?
• Explain something that you would have handled differently.
• What insight did you gain from watching the therapist handle the group therapy?
• Now imagine you are leading your own group session. How would you go about handling a difficult situation with a disruptive group member? How would you elicit participation in your group? What would you anticipate finding in the different phases of group therapy? What do you see as the benefits and challenges of group therapy?
• Support your reasoning with at least three peer-reviewed, evidence-based sources, and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

Each Article’s Applicability to the Body of  Scientific Nursing Knowledge and Evidence-Based Practice

Non-Experimental Design

Experimental Designs 

The article “Evidence-based Nursing Education for undergraduate students” has a lot to do with the body of nursing knowledge based on science and evidence. This study offers a preliminary experimental investigation into the efficiency of undergraduate students’ evidence-based nursing education. The study’s findings advance the scientific understanding of nursing by providing empirical proof of the efficiency of evidence-based education strategies in enhancing students’ knowledge (Oh & Yang, 2019). The results of this study can influence the development and application of evidence-based nursing curricula and teaching methods, which will support evidence-based practice.

Quasi-Experimental Designs 

The article “Types of Nursing Intervention to Reduce Impact of Bullying and Aggression on Nurses in the Workplace” is highly pertinent to evidence-based practice and scientific nursing knowledge. This study examines various nursing tactics that aim to decrease the negative impacts of bullying and aggression on nurses at work. By shedding light on evidence-based strategies that can aid in creating a secure and encouraging work environment for nurses, the research advances scientific nursing knowledge (Yosef et al., 2022). The findings of this study have immediate implications for evidence-based practice because they help healthcare organizations and nursing leaders design and implement specific interventions to protect nurses’ well-being and job satisfaction. Ultimately, this research promotes a healthy work environment, improves nurse retention, and enhances the overall quality of patient care.

References

Kim, J. Y., & Kim, M.-E. (2023). Can online learning be a reliable alternative to nursing students’ learning during a pandemic? – A systematic review and meta-analysis. Nurse Education Today, 122, 105710. https://doi.org/10.1016/j.nedt.2023.105710

Oh, E. G., & Yang, Y. L. (2019). Evidence-based nursing education for undergraduate students: A preliminary experimental study. Nurse Education in Practice, 38, 45–51. https://doi.org/10.1016/j.nepr.2019.05.010

Evidence-Based Nursing Practice

Contributions of Non-Experimental, Experimental, and Quasi-Experimental Research to the Body of Scientific Knowledge in Nursing 

Case Study- Multimorbidity in Older Adults

Multimorbidity among older adults is an issue of healthcare concern in primary care settings (Gontijo Guerra et al., 2019). A majority of morbid health conditions in older adults have related symptoms that create confusion over the source of the symptoms hence complicating diagnosis (Corbett & Bridges, 2019). Adequate and targeting questioning is required as a part of the medical history. The case study of focus involves a 75-year-old man who presented himself to the office with a major complaint of persistent dry hacking cough that does not improve with over-the-counter treatment with antitussives and allergy medications.

Case Study- Multimorbidity in Older Adults

Multimorbidity among older adults is an issue of healthcare concern in primary care settings (Gontijo Guerra et al., 2019). A majority of morbid health conditions in older adults have related symptoms that create confusion over the source of the symptoms hence complicating diagnosis (Corbett & Bridges, 2019). Adequate and targeting questioning is required as a part of the medical history. The case study of focus involves a 75-year-old man who presented himself to the office with a major complaint of persistent dry hacking cough that does not improve with over-the-counter treatment with antitussives and allergy medications.

Question 

A 68-year-old male presents to your clinic today. He complains of a cough for the last two (2) months that will not go away. He also complains of frequent urination for the last four (4) months. Past medical history only includes hypertension diagnosed five years ago, treated with hydrochlorothiazide. He does not know his family history since he was adopted. He has smoked ½ pack of cigarettes daily for the last 40 years.

Chronic Illness- 68-Year-Old Male

1. What are your differentials and final diagnoses?
2. What will be your plan of care for your patient?
3. Include any diagnostic tests and medications.
al least 2 high-level scholarly references in APA from within the l

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Domestic violence towards children is usually perpetrated by someone close to the child. The fact that the act is called domestic means that the person committing the violence is either a family member, a close relative, and sometimes even close family friends. In most cases, children exposed to domestic violence tend to experience emotional, mental, and social damages, which can potentially affect their growth and development stage

 Operational Analysis and Quality Improvement 

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Today, companies, including healthcare organizations, use quality improvement in order to enhance practices and outcomes within each organizational setting. With a constant increase in the public health demands across the U.S, the implementation of quality improvement approaches has been crucial in providing support to the public health system in relation to promoting positive outcomes. This is one of the major reasons public health practitioners, including leaders in other industries, see fit to develop strategies applied in the healthcare setting. In the article “Quality Improvement in Public Health: Lessons learned from the Multi-State Learning Collaborative,” it is important to note that the researchers look deeper into the impacts of quality improvement on the public healthcare systems around the U.S through a case study of two states.

Some of the concepts in “Quality Improvement in Public Health: Lessons learned from the Multi-State Learning Collaborative” include incubators for quality improvement as well as quality improvement strategies such as upholding accreditation in the case of local state health departments. In the two case studies, Minnesota and South Carolina, some of the positive outcomes in relation to the implementation of quality improvement in their health departments include a holistic improvement of practice within the public health sector. For instance, in both states, quality improvement changes were made to suit each state’s needs, bearing in mind the relevant strategies for implementing these changes. For example, they became keen on accreditation as the stakeholders gained knowledge on quality improvement activities they can engage in to enhance both practice and outcomes within their respective healthcare settings.

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Quality improvement in the public health system is a vital approach in enhancing the outcomes within the system. For example, it is important to engage primary care practices in quality improvement activities in order to achieve a triple aim in the improvement of the health of a particular population while reducing the cost of healthcare per capita as well as improving patient outcomes and experiences. According to Riley et al. (2009), quality improvement programs could be used in public health systems to improve population health by first educating the public healthcare professionals through effective training that will provide an understanding of the various ways to better the needs of the population at hand. Additionally, the main goal of quality improvement in any industry is to improve outcomes. Therefore, in order to systematically implement quality improvement programs, it is important to consider the outcomes of the program as well as every value attached to the attainment of the particular change, such as empathy and compassion to the population within which the programs are being implemented (De Groot et al., 2018).

Current research and findings in healthcare play a vital role in the future implementation of quality improvement programs as they promote the transition into the initial goals of the QI programs. Therefore, to ensure that the findings are implemented successfully in future public health policies, a specific model or tool, or strategy relevant to the population should be applied. For example, lean or six-sigma can enhance positive outcomes and reduce healthcare costs per capita. However, an ongoing evaluation of the preferred strategy must be done (El-jardali and Fadlallah, 2017) in order to improve performance continually while regularly seeking patient and staff feedback as well as revisiting the effectiveness of the interventions within the particular setting.

References

De Groot, J.J.A., Timmermans, M., Maessen, J.M.C. et al. (2018). Quality improvement strategies for organizational change: a multiphase observational study to increase insight into nonparticipating organizations. BMC Health Serv Res 18, 1011.

El-Jardali, F., Fadlallah, R. (2017). A review of national policies and strategies to improve quality of health care and patient safety: a case study from Lebanon and Jordan. BMC Health Serv Res 17, 568.

Riley, W., Parsons, H., McCoy, K., Burns, D., Anderson, D., Lee, S., & Sainfort, F. (2009). Introducing quality improvement methods into local public health departments: structured evaluation of a statewide pilot project. Health services research,

 Operational Analysis and Quality Improvement 

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Today, companies, including healthcare organizations, use quality improvement in order to enhance practices and outcomes within each organizational setting. With a constant increase in the public health demands across the U.S, the implementation of quality improvement approaches has been crucial in providing support to the public health system in relation to promoting positive outcomes. This is one of the major reasons public health practitioners, including leaders in other industries, see fit to develop strategies applied in the healthcare setting. In the article “Quality Improvement in Public Health: Lessons learned from the Multi-State Learning Collaborative,” it is important to note that the researchers look deeper into the impacts of quality improvement on the public healthcare systems around the U.S through a case study of two states.

Some of the concepts in “Quality Improvement in Public Health: Lessons learned from the Multi-State Learning Collaborative” include incubators for quality improvement as well as quality improvement strategies such as upholding accreditation in the case of local state health departments. In the two case studies, Minnesota and South Carolina, some of the positive outcomes in relation to the implementation of quality improvement in their health departments include a holistic improvement of practice within the public health sector. For instance, in both states, quality improvement changes were made to suit each state’s needs, bearing in mind the relevant strategies for implementing these changes. For example, they became keen on accreditation as the stakeholders gained knowledge on quality improvement activities they can engage in to enhance both practice and outcomes within their respective healthcare settings.

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Quality improvement in the public health system is a vital approach in enhancing the outcomes within the system. For example, it is important to engage primary care practices in quality improvement activities in order to achieve a triple aim in the improvement of the health of a particular population while reducing the cost of healthcare per capita as well as improving patient outcomes and experiences. According to Riley et al. (2009), quality improvement programs could be used in public health systems to improve population health by first educating the public healthcare professionals through effective training that will provide an understanding of the various ways to better the needs of the population at hand. Additionally, the main goal of quality improvement in any industry is to improve outcomes. Therefore, in order to systematically implement quality improvement programs, it is important to consider the outcomes of the program as well as every value attached to the attainment of the particular change, such as empathy and compassion to the population within which the programs are being implemented (De Groot et al., 2018).

Current research and findings in healthcare play a vital role in the future implementation of quality improvement programs as they promote the transition into the initial goals of the QI programs. Therefore, to ensure that the findings are implemented successfully in future public health policies, a specific model or tool, or strategy relevant to the population should be applied. For example, lean or six-sigma can enhance positive outcomes and reduce healthcare costs per capita. However, an ongoing evaluation of the preferred strategy must be done (El-jardali and Fadlallah, 2017) in order to improve performance continually while regularly seeking patient and staff feedback as well as revisiting the effectiveness of the interventions within the particular setting.

References

De Groot, J.J.A., Timmermans, M., Maessen, J.M.C. et al. (2018). Quality improvement strategies for organizational change: a multiphase observational study to increase insight into nonparticipating organizations. BMC Health Serv Res 18, 1011.

El-Jardali, F., Fadlallah, R. (2017). A review of national policies and strategies to improve quality of health care and patient safety: a case study from Lebanon and Jordan. BMC Health Serv Res 17, 568.

Riley, W., Parsons, H., McCoy, K., Burns, D., Anderson, D., Lee, S., & Sainfort, F. (2009). Introducing quality improvement methods into local public health departments: structured evaluation of a statewide pilot project. Health services research,

The COVID 19 pandemic is a respiratory disorder that was first detected in Wuhan, China. Due to its rapid spread, the infection was declared a global pandemic. Besides, as the coronavirus cases increase, hospital workers are subjected to a more workload, increasing their chances of facing the adverse effects of the pandemic. Several studies reveal that hospital workers, especially those working in coronavirus designated hospitals, have higher chances of contracting the virus and are prone to psychological challenges. According to Lee et al., the more close and frequent hospital workers are to the coronavirus patients

Part 3: Opioid Epidemic Fact Sheet

Opioid misuse and overdose are an epidemic in the USA. It has caused numerous deaths over the past years. Studies have revealed that opioids accounted for more than 70% of drug overdose deaths reported in 2019 (HHS, 2019). More than 48,000 deaths resulted from an overdose of synthetic opioids, while more than 14,000 deaths were caused by heroin overdose (HHS, 2019). Also, about 1.6 million Americans reported having an opioid use disorder in 2019. More than 740,000 were reported to have used heroin in 2019. Fifty thousand heroin users reported using the new users of the drug (HHS, 2019). Statistics reveal that about 10 million misused opioid prescriptions in 2019, and approximately five hundred thousand people are reported to have died from an opioid overdose between 1999 and 2019. The main culprits in these deaths include heroin, other illegal synthetic opioids, and prescribed opioids (US Food and Drug Administration, 2018). Accordingly, these statistics are alarming and demonstrate the importance of this issue; therefore, stringent measures should be set to avert future opioid overdose-related mortalities. Consequently, this will put the matter on the presidential agenda. The healthcare issue will stay on the presidential agenda until favorable statistics are obtained.

Post your answers to the 6 questions corresponding to this week’s primary care medication management content. Provide your responses and rationales. Support your rationales with high-level evidence.

A 70-year-old woman is in your office complaining of recently having trouble maintaining her balance after taking diazepam (valium). She occasionally takes diazepam when she feels anxious and has trouble sleeping. She has a 15-year history of taking diazepam.

Evaluating Balance Issues in a 70-Year-Old Patient Taking Diazepam

Q1. Explain the cause of this patient’s difficulty in maintaining her balance.

Q2. Diazepam experiences a significant first-pass effect. What is the first-pass effect, and how can first-pass metabolism be circumvented?

A 75-year-old woman develops symptoms of a cold and buys an over-the-counter cold medication at the grocery store. The medication contains diphenhydramine, acetaminophen, and phenylephrine. She takes the recommended adult dose but soon after taking the medication she becomes very confused and disoriented.

Q3. What is likely causing the signs of confusion?

Policy Paper Draft- Health Policy

Having access to quality health care is a basic human right. An individual’s immigration status should not determine if they can receive care. Growing up, I was part of a family that immigrated to the United States. My family immigrated to “Los Estados Unidos,” the United States, from Colombia in the 70s, searching for the American Dream. The move did come at a cost to our health and many other issues. Fortunately, unlike some of my cousins, I was born in the United States. Therefore, I had access to all the care I needed as a child, so I did not understand my family’s barriers when receiving care growing up. Consequently, formulating a health policy regarding access to health care for undocumented immigrants is of great significance.

The current population of the United States is different from thirty years ago. The patient population is diverse, representing people from different demographics, cultural backgrounds, and age groups (Kaihlanen et al., 2019). Other patients are also not proficient in English since it is not their first language. Accordingly, cultural diversities require nurse educators to adjust their teaching styles to accommodate all individuals. The intended audience for this teaching is hospitalized patients with chronic conditions such as diabetes. The learning will focus on lifestyle modification to reduce hospital readmissions. The nurse educator will identify the teaching topic, evaluate the learning environment, determine the audience’s learning needs, and develop a teaching theory that will most impact the audience. Our assignment writing help is at affordable prices to students of all academic levels and disciplines.

Learning Outcomes

After completing this course, the following learning outcomes will be achieved:

The audience will identify the signs and symptoms, risk factors, complications, and management of type 2 diabetes.

The audience will implement healthy lifestyle choices to control their blood sugar levels.

The audience will understand the importance of medication adherence in reducing diabetes complications.

Ethical and Spiritual decision making in healthcare

The Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism within health care

One difference is that humanistic-existential therapy delves into an understanding of oneself and the aptitudes for individually tackling significant mental healthcare issues. Through this approach, the care professional can aid the patient to conform to their underlying needs and desires (Pristipino et al., 2019). The context is through helping the patients ascertain the functional alongside dysfunctional way of living. Conversely, cognitive-behavioral therapy is founded on looking into the patient’s in-depth cognitive-based, affective-based, behavioral and motivational elements (McGuire & Storch, 2019). Psychotherapists can oversee their scope of practice through this foundation by highlighting the specific elements presented

In medical and legal fields, brain death is unequivocally acknowledged as the irreversible cessation of all brain activity, making the possibility of recuperation a nullity. However, the stark clarity of this diagnosis often becomes muddied when juxtaposed against deeply ingrained cultural, personal, or religious beliefs, a conflict that becomes especially poignant in cases involving minors. This essay explores the multifaceted ethical quandary of whether a teenage girl, once medically determined as brain dead, should be detached from life-supporting systems in defiance of her parents’ ardent desire to prolong her physiological existence.

Is Death Penalty a Justifiable Approach to Justice?

Thesis statement: Individuals with severe mental illness should not be subject to the death penalty. Many countries in the world have continued to execute people with mental and intellectual disabilities, which is a violation of international standards. Countries such USA, Pakistan, and Japan urgently need to reform their criminal justice system because they expose many other individuals at risk. The international standards concerning the mentally handicapped are essential safeguards for vulnerable people in society (LaPrade & Worrall, 2020). The death penalty for the mentally disabled should be

A statewide group is working to abolish capital punishment and replace it with a more equitable justice system. They call themselves the North Carolina Coalition for Alternatives to the Death Penalty. They claim to support fair options that facilitate recovery and boost community security. Family members of murder victims, those now on or formerly associated with death row, and their relatives are prominently featured. North Carolinians who feel similarly about the death sentence banded together to establish the Coalition

Is the Death Penalty Effective for or Against?

Death penalty is a form of punishment imposed by the government on an offender sentenced to death after persuasion by a court of law of a criminal offense. It is usually practiced as a form of punishment for crimes not tolerated within the state to reduce their occurrence. Although it is viewed as the ultimate punishment our society can give for one’s action, it is also considered a violation of human rights that promotes violence in our community. By referring to historical records, this practice is regarded as the cornerstone in developing justice and providing peace within the state because of its various benefits. It is a way of removing dangerous elements within the country. This essay aims to support the argumentation for practicing the death penalty within the state.

Vulnerability #2: Employee Mistake Resulting in Unauthorized PHI Disclosure

Introduction

Criminals always leave behind traces of evidence. It is the work of forensic scientists to go back to the crime scene, collect any traces left behind, and try to make sense of it. Blood spatter analysis is one of the most common ways these investigators try to collect evidence that could help in a criminal investigation. Blood spatter analysis is an experiment where scientists study the characteristics of bloodstain to determine the events that could help explain its origin. This analysis answers the question of whether the height from which a drop of blood drops affects the way it lands on the surface. Forensic scientists utilize this experiment to determine the shape, size, distribution, and location of the bloodstain. However, in this case, we use the experiment to determine the diameter of the bloodstain after dropping from different heights. Instead of using human blood,

As the world population grows and the climate changes, feeding global citizens has become a major challenge for humanity. Researchers and stakeholders in the food industry have been forced to propose innovative yet effective ways to tackle this problem with varying degrees of success. Gene editing and genetically modified organisms (GMOs) have been proposed to solve the current challenge. Gene editing allows scientists to alter the genetic makeup of organisms and introduce desired traits such as disease resistance, drought-withstanding capabilities,

Research Paper: The Epidemic of Childhood Obesity

Introduction

Ensuring equilibrium in biological systems necessitates incorporating positive and negative feedback mechanisms. Nonetheless, these processes have different impacts and methods of operation (Calabrese & Kozumbo, 2021). The objective of this essay is to explore how various mechanisms operate using controlled variables subjected to negative feedback and a process regulated by positive feedback. It will examine examples that demonstrate these mechanisms in action.

Although managed care has some advantages, there are several negative features regarding the utilization of behavioral health practices. A significant problem is the limited availability of providers. Most managed care networks are guided by their provider-specific network and individuals do not have wide choices when opting for behavioral health providers (Stanek, 2020). On the other hand, limited options may influence the therapeutic relationship between client and provider; both in terms of failing to address certain personal preferences or lack of compatibility with specific providers.

Introduction

The Amazon rainforest fires in 2021 remained an excellent illustration of how people could harm nature. Relating to the selected environmental catastrophe in some more detail, this essay concentrates on causes and results alon

Heart disease was one of the health risks identified for my aggregate community. In this discussion, I will explain primary and secondary health promotion methods to help prevent and curb the increasing number of heart diseases in Miami, Florida. There is a need to promote primary health for heart diseases in Miami, Florida, by practices and modifications that seek to prevent cardiovascular conditions. Heart health promotion opportunities in Miami are unique due to the diverse population, warm climate, and many active lifestyle options. Nurses and the healthcare community should engage in community education and awareness of heart disease.

g with moral implications lying within it

discuss the pathophysiology of RSV and bronchitis, clinical symptoms used to identify this condition or its related symptoms, diagnosis procedures available to diagnose this disorder among people suffering from it, and treatment options preferred when such illness appears.

The Impact of Environmental Sustainability on the Market Values of Residential Property in Abuja, Nigeria.

Environmental Impact of Carbon Emissions, and Strategies and Technologies for Carbon Reduction.

Evaluating the Potential of Incorporating Pharmacists in the Identification and Management of Early-Onset Dementia. A Systematic Review of the Current Evidence Base for Dementia Awareness in Healthcare.

Abstract

Dementia is a primary world health concern, and early onset types impose an enormous burden on Health institutions and carers. This systematic review, however, focuses on assessing the role of pharmacists in the detection and treatment of early-onset dementia, underlining their significant position that enables medication management as well as enhances efficiency towards earlier detection. Using a PRISMA-guided comprehensive search across databases like PubMed and MEDLINE, eleven studies representing the pharmacist’s ability to manage medication in deprescribing to minimize dementia risks were identified. Nevertheless, the results show significant inconsistencies in pharmacists’ training and education concerning dementia coupled with difficulties related to early-onset dementia diagnosis along with polypharmacy management.

Understanding Reasons for Organ Donation Refusals

Article “The Implementation of an Emergency Nursing Framework (Hiraid) Reduces Patient Deterioration: A Multi-Centre Quasi-Experimental Study”

Interview I initiated the interview by delving into some background information. It commenced with inquiries regarding the understanding of sport psychology. Often, when I mention my degree in sport psychology, individuals appear bewildered as they lack familiarity with the discipline. How do you, or would you, elucidate sport psychology to others? Subsequently, in your candid assessment, what is the primary objective of sport psychology?

Application of Nursing Theory: Nola Pender’s Health Promotion Model(HPM) Sample paper

Healthcare Policy Issue

The solution: Sample answer for Application of Nursing Theory: Nola Pender’s Health Promotion Model(HPM)

Introduction

It is a well-known fact that the Quran outlines the ethical and practical principles that were designed to be followed in 7th-century Arabia. At the same time, Islam as a global religion aims to translate a universally applicable worldview that, at least theoretically, should work in every situation and age. This fact produces an obvious issue of the 7th-century concepts and the scientific knowledge of the later ages, especially since the two may come in conflict. The issue of abortion in Islam is certainly an example of such a contrast. Although the Quran unequivocally forbids infanticide, the later scholarly interpretations of the issue have highlighted the difference between varying schools in terms of when a fetus may be considered a person. While the Maliki school posits that the fetus is destined for ensoulment from the moment of conception and, thus, cannot be violated, the Hanafi school generally allows abortion prior to 120 days of pregnancy. While each side roots their arguments in a long and esteemed tradition of Islamic thought, the modern scientific data on fetal brain development makes the Hanafi approach more applicable in contemporary society.

Huge numbers of the U.S. military men and women frequently suffer from post-deployment depression, post-traumatic stress disorders and drug abuse related disorders after returning home from the warzones. Research has indicated that the ability to provide quality care for veterans experiencing mental disorders especially in rural areas is faced with significant challenges (Driscoll et al., 2018).  In the U.S., most military recruits are drawn from rural areas thus increasing the prevalence of mental health challenge in the rural setting.

Before becoming a nurse educator, one must have a Bachelor’s of Science in Nursing (BSN) degree. The NCLEX-RN (National Council Licensure Examination) must be done after one earns a BSN degree. The passing of the NCLEX-RN exam qualifies individuals for licensure as RN (Registered Nurse). After all these qualifications, an RN should obtain an advanced degree to qualify as a nurse educator (Registered Nurse.org, n.d).  An advanced degree assumes various forms, including a Doctor of Nursing Philosophy (Ph.D.), Master’ s of Science in Nursing degree(MSN), or a Doctor of Nursing Practice (DNP). 

Introduction

The percentage of cigarette smokers in the US is increasing at an alarming rate. In 2019, statistics showed that almost 14 individuals in every 100 adults aged 18 years and over are smokers. The statistics imply that approximately 14 percent or 34.1 million adults in the US are cigarette smokers. Besides, more than 16 million Americans live with smoking-related illnesses (Cole et al., 2020).  These cigarette smoking-related diseases have cost the US more than $300 billion every year, incorporating almost $170 billion for primary medical care for adults. Moreover, cigarette smoking has resulted in more than $156 billion in lost productivity, incorporating $5.6 billion in lost productivity because of secondhand smoke exposure (Cole et al., 2020). Besides, cigarette smoking is associated with a wide range of adverse health effects that substantially diminishes the health status of smokers. Most importantly, cigarette smoking causes heart diseases, cancer, lung diseases, diabetes, stroke, and chronic obstructive pulmonary disease (COPD) (Helms, King, & Ashley, 2017). This paper proposes a policy to address the health needs of persons with cigarette smoking addiction, thus enhancing their health outcomes

MSN-FP6016: Da

Quality Improvement of Interprofessional Care

Introduction 

Every health care entity aims at increasing value proposition to its clients and stakeholders through continuous improvements. This implies that for a health care entity to be competitive in the long run there is need for continuous quality improvement. One of the fundamental aspects of quality improvements initiatives is the ability to enhance patient’s safety and avert negative health consequences such as comorbidities or fatalities (Coles et al., 2017). The scope of quality improvement incorporate evidence based perspective where changes are made based on collected data. Therefore, data collection and analysis form a key ingredient to successful quality improvement. In this aspect, it’s possible to measure collected data and quantify needs arising from such evidence. The importance of undertaking quality improvements based on data is to facilitate effective changes that will bring about quality improvements. In most cases, data analysis is done by documenting available hospital evidence and comparing the outcomes with national benchmark averages. Such comparison enables a healthcare entity to assess its performance in meeting quality improvement goals. Besides, dash board metric analysis enables understanding the available gaps and how to take corrective actions to improve such undertaking. The scope of this paper is to analyze data from Villa Health’s dashboard metric on adverse event reporting in the hospice unit. This aspect will enable for recommendations on quality improvement initiative at the health care entity. 

ta Analysis and Quality Improvement Initiative Proposal

when implemented by parents. Health professionals suggest that providers should refer parents of children under 12 years for behavior therapy training. Through this training, parents learn skills and strategies to assist their child with ADHD in succeeding at school, at home, and in social settings (Nazarova et al., 2022). Certain school-based management strategies are effective for students with ADHD, including behavioral classroom management and organizational training. Additionally, cognitive training interventions such as cognitive enhancement, working memory training, attention enhancement, and neurofeedback may also be advantageous referrals (Nazarova et al., 2022).

Numerous studies have evaluated the effectiveness of different treatments and interventions designed to alleviate symptoms of ADHD, including inattention, hyperactivity, and impulsivity. These approaches range from medication and behavioral treatments to neurofeedback (Cueli et al., 2019).