What is the target BP for patients with diabetes and hypertension?3. Which antihypertensive agents are recommended for patients with diabetes?

What is the target BP for patients with diabetes and hypertension?3. Which antihypertensive agents are recommended for patients with diabetes?

Just answer questions as trhoughly as possible and concentrate on the questions and dont focus on the scenario
L.N. is a 49-year-old white woman with a history of type 2 diabetes obesity hypertension and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5’4 and has always been on the large side with her weight fluctuating between 165 and 185 lb. Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with Lisinopril starting at 10 mg daily and increasing to 20 mg daily yet her BP control has fluctuated. One year ago microalbuminuria was detected on an annual urine screen with 1943 mg/dl of micro-albumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes and HTN.Subjective data reveals that she is experiencing increased exertional SOB. She expresses concern because when this happens it takes her awhile to get her breath back to normal. Denies any pain or dizziness with these episodes.Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm. Otherwise exam is unremarkable.CC: I am more short of breath when walking up stairs than I used to be.Questions1. What are the effects of controlling BP in people with diabetes?2. What is the target BP for patients with diabetes and hypertension?3. Which antihypertensive agents are recommended for patients with diabetes?4 What testing does this woman need ordered due to her change in status both SHORTNESS OF BREATH and BLOOD PRESSURE?5. What is the significance of microalbuminuria in this woman? How does this affect her cardiovascular risk?Write this case study up as a clinical note including all elements of plan of care regarding issues presented in the case.


 

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 Explain how professional and legal standards guide the effective nurse leader when making decisions.

Overview
Create 1–2 page outlines of your response plan for three intervention scenarios.
Nurse leaders need to quickly identify a strategy for evaluating a nursing leadership problem and the dynamics related to the problem, in order to orchestrate intervention efforts and put together a plan of action that leads to stakeholder cooperation.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Integrate key nursing leadership, management, and communication concepts into collaborative practice situations.
. Explain concepts of change theory and how it can be used as a tool to manage situations.
. Describe an effective leadership style to address a problem.
· Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.
. Describe how outcomes or success of the style selected for each situation could be measured.
· Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
. Explain how professional and legal standards guide the effective nurse leader when making decisions.
· Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
. Correctly format citations and references using current APA style.
Assessment Instructions
Preparation
Use the Capella library and the Internet to research change theory, leadership, and communication strategies. Use the Suggested Resources to research leadership and communication concepts and change theory.
· The challenge in this assessment is to create a response plan for several intervention scenarios.
. There are three deliverables required for this assessment.
Rationale for this assessment:
Nurse leaders solve problems or resolve conflict on a daily basis. Understanding how change theory can be applied to a situation and examining various types of interventions in advance can relieve pressure on the nurse leader and improve the workplace environment and outcomes. Rehearsing potential interventions provides a mental toolkit on which to rely during stressful times.
Your management training workshop continues:
The second day of HR’s Nursing Leadership Workshop is designed to help you identify and practice effective responses and interventions to common problems and situations. Participants are presented with three scenarios and must create a response plan for each scenario, in the form of a 1–2 page outline.
Deliverables: Submit three Response Plans to complete this assessment.
· Choose 3 of the 5 Intervention Scenarios linked in the Required Resources for this assessment.
· For each scenario you choose, develop a separate Response Plan in the form of a 1–2 page outline.
. Label each outline using the example below:
. Example: Response Plan for School Nurse.
Instructions
Analyze each Intervention Scenario and describe the leadership, communication, and management strategies you believe would be most effective for each situation.
Use the following subheadings to organize your Response Plan outline for each situation.
· Change Theory: Explain concepts of change theory and how it can be used as a tool to manage situations.
. Identify elements of change theory that fit best with the scenario.
. How can you use change theory to deal with conflict?
· Strategies and Rationale: Describe an effective leadership style you would employ to address a problem.
. Explain the rationale for choosing a leadership strategy to solve a problem.
. Identify interventions to address the problem.
· Expected Outcome: Describe how outcomes or success of the style selected for each situation could be measured.
. Describe how you could determine improved outcomes or measure success of the leadership style selected for each situation.
. What might go wrong and how would you deal with that?
· Professional Standards: Explain how professional and legal standards guide the effective nurse leader when making decisions.
Additional Requirements
· Written communication: Written communication should be free of errors that detract from the overall message.
· APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
· Length: Each outline should be 1–2 pages double-spaced.
· Font and font size: Times New Roman, 12 point.
· Number of resources: Use a minimum of three peer-reviewed resources.

 
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Formulate an evidence-based proposal and apply quality improvement strategies to the design of an evidence-based project. Formulate an evidence-based proposal and apply quality improvement strategies to the design of an evidence-based project.

Formulate an evidence-based proposal and apply quality improvement strategies to the design of an evidence-based project. Formulate an evidence-based proposal and apply quality improvement strategies to the design of an evidence-based project.

PICOT Evidence-Based and Action Plan Assignment: Formulate an evidence-based proposal and apply quality improvement strategies to the design of an evidence-based project. Nursing Papers
Evidence-Based Template

Statement of problem/issue:
.

Scope of the problem/issue (is it local or universal; does it affect nursing only, or other disciplines?):
What are the PICO Components?

P-(Patient, Population or Problem)

I- (Intervention)

C-(Comparison with other treatments)

O-(Outcome(s

T- (Timeframe)

Does the problem/issue require:
X Change in Practice?
Describe

X Education?
Describe:

X Referral to Quality Team?
Describe:

X Addition/Change to Procedure Manual?
Describe:

X Addition/Change to Documentation?
Describe:

What is the evidence/research that supports problem identification? ( See Individual Evidence Summary week 4)

Action Plan
Based on what is required as stated above create an action plan for the change in practice, education needed, changes to documentation and a suggested outcome metric for each item . Please include the timeline and person(s) responsible for each step.

Follow-Up and Evaluation PlCOT
Review the QI example and Action Plan and Implementing Change sections of Dearholt and complete the Template for EBP to begin your plan for translating a study or practice change into an evidence-based project. As part of the project;
a) Create an actionplan with specific measurable items, a timelinefor completions and person responsible.
b) Implement the change and define timeline
c) Evaluate outcomes. List at least 3 ways to measure outcomes and what measures should be used to evaluate this data.
Answered the following questions regarding the feasibility of your recommendation.
a) Would this changeimprove clinical outcomes?
b) Would this change improve patient or nurse satisfaction?
c) Would this change reduce the cost of care for patients?
d) Would this change improve unit operations?

Order: Formulate an evidence-based proposal and apply quality improvement strategies to the design of an evidence-based project. The proposal and action plan are going to be directed to solve the workplace violence for the staff of a rehab center using new clinical education approach

The post PICOT Evidence-Based and Action Plan Nursing Papers Assignment: Formulate an evidence-based proposal and apply quality improvement strategies to the design of an evidence-based project. appeared first on Precision Essays


 

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Age in Place

Age in Place


Question descriptionAge in Place

The paper should be 10-15 Pages

The first step in completing your project is, of course, to pick a topic! Your topic should examine how a program or a service is helping present and future elders to Age in Place.

Use course material and additional references to develop a proposal for a specific program for older adults and/or their families. Assume that your budget is flexible but consider real world limitations to implementing the program.

·  What is your theoretical and research informed rationale for the program you propose?

·  Who will be targeted to participate? Who will staff the program; what will their qualifications be?

·  What pre-service and in-service training will they receive?

·  What obstacles do you anticipate encountering with the development and implementation of the program?

·  How will you determine the effectiveness of the program?

·  How will you market the program (advertising, a logo, the name of the program, etc.)?

·  How will you meet the needs of diverse constituents served by the program?

Please include the following:

ü  Goals of Program

ü  Factors to consider (market considerations, laws and regulations, financing)

ü  To what extent will your program promote aging in place?

ü  Coordinate services?

ü  Provide new services?

ü  Target? Integrate with other agencies/programs?

ü  How will you finance?

ü  Who benefits?

ü  Who will perform the tasks, and what do tasks entail?

ü  Research literature and other sources: Retrieve and read at least 10 recent peer-reviewed journal articles, government websites (not more than 3 websites) and/or book chapters on your topic.

ü  Sources should be from 2002 to present. Recommended databases include: PsycInfo, CINAHL (Nursing and Allied Health Literature), AgeLine, Social Work Abstracts.

ü  Project  should be 10-15 double spaced pages, not including the title or reference page. Include page numbers. Written assignments may include exhibits or other attachments, but these will not be considered part of the page requirements.

The paper should include the following:

ØTitle Page: Include title of paper, student’s name, course and section, due date

ØIntroduction: Introduce your topic, state its importance to older adults and the gerontology community, and briefly mention the main concepts or ideas your paper will address

ØBody: Identify and develop each of your main points in an organized, clear manner using in-text citations. Do not include pictures, graphs or lists in the body of the paper. If needed to support facts provided, place them at the end of the paper as an addendum. Reference them in the body of the paper. They will not count towards paper length.

ØConclusion: Briefly summarize the main points of your paper and directions for future research, policy, or programs to support the well-being of older adults

ØReference list: Should contain a comprehensive Reference list of all sources actually used in preparing the project, according to the APA style.

ØFormat: (margins, bibliography, references, etc.) APA format. For details on APA formatting and online database citation

ØOriginal work: Do not cut and paste from the Internet. This is plagiarism. Always read first, and then paraphrase using a citation to give credit to the original source.

 
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The Frivolity of Evil

You will write a 1000-1500 word response to your chosen paper topic from the list below. See Course Outline for the due date. 

This assignment is worth 300 points, or 30% of your grade. 

DO NOT USE ANY SOURCES OTHER THAN THE DALRYMPLE ARTICLE AND YOUR TEXTBOOK.

YOU WILL ATTACH A FILE IN THE BOX AT THE BOTTOM OF THIS PAGE.

Learning Objectives:

Students will demonstrate their ability to construct arguments about issues of both personal and universal significance. Their writing should demonstrate that they can construct cogent, concise, and logically coherent arguments.

Assessment:

Students should demonstrate that they can distinguish the relevant points that form a logically coherent argument. They should also be able to construct criticisms which effectively undermine, through the use of appropriate counter-examples, some premise of that argument.

Your assignment is to read any ONE of the following four articles:

The Frivolity of Evil

How and How Not to Love Mankind

What We Have to Lose

Roads to Serfdom

Then, FOR THE ARTICLE YOU CHOOSE TO WRITE ON, you will type a 1000-1500 word response in which you address EACH of the following points IN YOUR OWN WORDS: 1) What is the author’s main argument? 2) How does he support his main argument (evidence, ancillary arguments, etc.)? 3) Do you agree or disagree with him? 4) Why or why not? 5) Apply the insights of at least two of the readings we have studied in this course (in chapters 1-9) to your analysis. Make sure to give a substantive explanation of how the philosophers’ insights are relevant to the topic you are discussing.

A WORD OF WARNING: These articles are rather long and complex. The author likes to make extensive use of his rather copious vocabulary, so I strongly urge you to have dictionary.com handy as you work your way through your chosen article. The purpose of this essay assignment is for you to demonstrate your ability to discuss, analyze, and evaluate complex philosophic arguments. I am confident that the reading assignments, tests, and discussion boards will have prepared you for this final, and no doubt challenging, essay assignment.

Note: I only allow one attempt on this assignment. Students who do not fully address all of the components of the assignment as stated in the instructions as well as the grading rubric below will have to be content with the grade they earned. 

 
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Code of Ethics from both the American Association of Christian Counselors, and the American Counseling Association.

Prior to answering this discussion question, please download and read the Code of Ethics from both the American Association of Christian Counselors, and the American Counseling Association. These resources are located in your Course Materials for this week.
The ACA code of ethics must always be followed by professional counselors. If a counselor decides to specifically become a Christian counselor, must they abide by both sets of codes (American Counseling Association and American Association of Christian Counselors)? What are some considerations for counselors in this scenario? In general, what is the major role of the counselor when working with other mental health professionals?
The DQ response must be 150-200 words and have at least one citation and one reference in APA format.
Please take time to review the National Board for Certified Counselors (NBCC) website to be able to respond to this discussion question. Website link: http://nbcc.org/
What would be the major licensure difference between the state and national level according to the NBCC? In addition, could a counselor practice in their state with only a national certification? What is the purpose of a national certification?
The DQ response must be 150-200 words and have at least one citation and one reference in APA format.   My state is North Carolina
 
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Discuss how you feel nurses can positively impact the Healthy People 2020 goals.

Discuss how you feel nurses can positively impact the Healthy People 2020 goals.
As nurses, I think that we can impact the Healthy People 2020 goals by carrying them out. It’s very important that what we do it’s always thinking on the safety, improvement, healthy lifestyle, prevention of illness of every patient we come across. With this, we also as we discussed in week 4, must keep in mind the well-being of lesbian, gay, bisexual and transgender (LGBT) individuals. Research suggests that LGBT individuals face health disparities linked to societal stigma, discrimination, and denial of their civil and human rights. There is a need for more research to document, understand, and address the environmental factors that contribute to health disparities in the LGBT community (AMN Healthcare, 2015).
Nurses can impact community health positively by committing, serving as leaders, contributing and reinforcing health equity to achieve optimal health for all populations. Realizing the vision of healthy people in healthy communities is possible only if the community, in its full cultural, social, and economic diversity, is an authentic partner in changing the conditions for health.(Institute of Medicine, 2012).

 
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NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers

NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers

Course Description

This course utilizes health care policy as a framework to analyze how health is defined and health care is designed and delivered in the United States and around the world. Emphasis is placed on issues of cost, quality, access, disparities, and finance. The various roles of the master’s prepared nurse in the health care system are explored. Prerequisite: NUR-504.

NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers

NUR-508 Week 7 Health Policy Values

 

Ethics, Policy, and Finance in the Health Care System – Values and Spirituality Within Health Care Policy

Grand Canyon University

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Write a paper of 750-1,000 words examining your personal values and beliefs. Include the following:

1. Describe your personal values and spiritual beliefs.

2. Using the elements of cost, quality, and social issues to frame your description, differentiate your beliefs and opinions about health care policy. Give examples of relevant ethical principles, supported by your values.

3. Analyze how factors such as your upbringing, spiritual, or religious beliefs/doctrine, personal and professional experiences, and political ideology affect your current perspective on health care policy. NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers.

4. Examine any inconsistencies you discovered relative to the alignment of your personal values and beliefs with those concerning health policy. Discuss what insights this has given you.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers.

NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers

NUR-508 Week 2 Benchmark: Nursing Leadership Health Policy Paper

 

NUR-508 Week 2 Benchmark: Nursing Leadership Health Policy Paper

Ethics, Policy, and Finance in the Health Care System – Health Care Issues in the World

Grand Canyon University

The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change.  A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance he/she takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals. NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers

This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, healthcare, and/or the public.  Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare part D, Medicaid, nursing regulation, medication technicians, etc.

In 750-1000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

1. The policy must NOT be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan. NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers

2. Include a specific section for the exact wording for the bill or change in wording of the law.

3. Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.

4. Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change? NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers

Resources:

1. Review different pieces of legislation for ideas on wording.

2. Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.

3. Refer to the Nursing Leadership Health Policy Presentation Rubric.

4. Submit the assignment to the instructor by the end of Topic 2. NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers

NUR-508 Week 6 CLC Health Issue Analysis: Part 4 – Asthma

Ethics, Policy, and Finance in the Health Care System – Ethics in Health Care
Grand Canyon UniversityThis is a CLC assignment.
In your Collaborative Learning Community, write a formal paper of 500-1,000 words that examines the previously addressed aspects of health policies, finance, global/ national prevention, and/or treatment initiatives related to the health issue by identifying applicable ethics principles.
1. Differentiate how application of the identified ethics principles to the health issue has resulted in population disparities.
2. Hypothesize how existing disparities might be eliminated using alternate ethics principles. NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers
3. Critique whether the applicable ethics principles are consistent with the ANA’s Code of Ethics for Nurses.
Refer to “CLC Health Issue Analysis Overview.”
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract, introduction, and conclusion are not required. NUR-508: Ethics, Policy, and Finance in the Health Care System Essay Assignment papers

 
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nalyze this particular disorder as it relates to our society's preoccupation of having to look a certain way.

 
Analyze this particular disorder as it relates to our society’s preoccupation of having to look a certain way.
Body Dysmorphic Disorder (BDD), a distressing and impairing preoccupation with an imagined or slight defect in appearance, is an “OCD-spectrum disorder” that appears to be relatively common. BDD often goes unrecognized and undiagnosed, however, due to patients’ reluctance to divulge their symptoms because of secrecy and shame. Any body part can be the focus of concern (most often, the skin, hair, and nose), and most patients engage in compulsive behaviors, such as mirror checking, camouflaging, excessive grooming, and skin picking. Approximately half are delusional, and a majority experience ideas or delusions of reference. Nearly all patients suffer some impairment in functioning as a result of their symptoms, some to a debilitating degree.
Define social psychology (great place to use an in-text citation)
 Define your assigned psychological phenomenon. (Use in-text citations).
 What is the historical background of your psychological phenomenon?
 Give real-life examples or experiences with your psychological phenomenon.
 What do experts say about the psychological phenomenon you researched?
 Has your psychological phenomenon been in the news lately?
 Conclusion-What did you learn from your research?nalyze this particular disorder as it relates to our society’s preoccupation of having to look a certain way.

 
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Describe the metric that is currently used to measure the soundness of the workflow

Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analy

Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.

In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.

To prepare:

· Identify a common, simple event that frequently occurs in your organization that you would like to evaluate.

· Consider how you would design a flowchart to represent the current workflow.

· Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.

To complete:

Write a 3- to 5-page paper which includes the following:

· Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week’s Learning Resources for an example.)

· Next, in your paper:

o Explain the process you have diagrammed.

o For each step or decision point in the process, identify the following:

§ Who does this step? (It can be several people.)

§ What technology is used?

§ What policies and rules are involved in determining how, when, why, or where the step is executed?

§ What information is needed for the execution of this step?

o Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?

o Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.

o Summarize why it is important to be aware of the flow of an activity.

· Remember to include a cover page, introduction, and summary for your paper.

 
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