Nursing  Nursing Discussion

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Discussion:Angela is a 54-year-old married woman with three adult children. She has been the officemanager of a small law firm for 20 years and has enjoyed her work until this past year. She hasrheumatoid arthritis with minimal impairment that has been managed well with NSAIDs. She hasbeen taking conjugated estrogens for 8 years and decided to stop taking them because of herconcern of their risks without sufficient medical benefit. She has tolerated the discontinuationwithout difficulty.Assessment:At her annual medical checkup appointment, she told her primary care provider that she seemedto be tired all the time, and she was gaining weight because she had no interest in her usualexercise activities and had been overeating, not from appetite but out of boredom. She deniedthat she and her husband have had marital difficulties beyond the ordinary and she was pleasedwith the achievements of her children. She noticed that she has difficulty falling asleep at nightand awakens around 4 a.m. most mornings without her alarm and cannot go back to sleep eventhough she still feels tired. She finds little joy in her life but cannot pinpoint any particularconcern. Although she denies suicidal feelings, she does not feel that there is meaning to her life:“My husband and kids would go on fine if I died and probably wouldn’t miss me that much.”The primary care provider asks Angela to fill out a Beck’s Depression Scale, whichindicated she has moderate depression.1. What medication would you first prescribe to this patient?2. She comes back in 2 weeks and states she has not noticed and change in her mood since starting on the medication. What would be your response?3. What are the possible problems with the medication you prescribed?4. How long should you continue the treatment regimen?

 
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Nursing  reply to this comment

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Topic 1 DQ 1Compliance suggests that the patient is just following recommendations from authority, rather than following a treatment plan based on a collaboration and communication (Osterberg & Blaschke, 2005). In this scenario the patient could be labeled as “uncooperative” or “difficult.”. Open communication allows for the health care professional to realize that the patient is putting up barriers to hide how she really feels. To break the barriers the health care professional can ask several questions. Does the patient have control of their medical condition? Does the patient accept that the illness will require lifestyle change? Has the patient been educated about their illness? These questions will reveal problems the patient is experiencing with their medical condition. Help the patient feel comfortable and demonstrating a genuine interest in positive outcomes.The approach I would use to help Alma Faulkenberger would begin with apologizing for mispronouncing her name and treat her with respect. Utilizing good communication and listening skills to develop a relationship with the patient. Once a rapport is established the health care professional is able to assess the patient and realizing that she may be nervous about her procedure and nervousness can cause someone to not act as themselves. Good communication and a relationship will aid in recommendation adherence. The term compliance denotes a power differential between patient and health professional (Falvo, 2011). Instead of compliance the health care professional should aim for adherence to recommendations that are patient-centered. A relationship built on communication, respect, and active participation will help promote healthy outcomes for Alma Faulkenberger.Osterberg, L., & Blaschke, T. (2005). Adherence to medication. New England journal of medicine, 353(5), 487-497.Falvo, D. (2011). Effective Patient Education: A Guide to Increased Adherence. (4 ed.). Retrieved from: https://viewer.gcu.edu/RQBKXWHow To Facilitate Better Patient Compliance? (2

 
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Nursing  Evidence-Based Practice Discussion Board assignment,

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NURSING SAMPLE REQUIRED BEFORE PLACING THE ORDER BIDDER ABOVE 4.8 ONLYI am submitting the Part I assignment order now and Part II in a few days later.I have attached detailed directions for the Evidence-Based Practice (EBP) Discussion Board (DB) assignment, grading rubrics, and one of my peer’s post as an example.   Please follow my professors’ direction and grading rubrics very closely so that I can receive the best grade possible.NURSING SAMPLE REQUIRED BEFORE PLACING THE ORDER BIDDER ABOVE 4.8 ONLYI am also attaching the four patients I have cared for on 7/14/20, 7/15/20, 7/20/20, and 7/21/20. These are for your references only should you choose to use one of my patients to guide in finding the article for this assignment. Or you can choose your own that would be OK as long as it meets the professor’s directions and grading rubrics criteria.Could you let me know BEFORE writing this assignment so that I know what kind of patient/article you have chosen to complete this assignment?Thank you in advance.NURSING SAMPLE REQUIRED BEFORE PLACING THE ORDER BIDDER ABOVE 4.8 ONLY

 
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Nursing  Nursing Technology information management

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Telenursing and TelemedicineThe discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.By the due date assigned, post a response to the discussion topic below, using information from the lectures, reading assignments, library resources, and Internet resources. All responses should be posted to the Discussion Area.To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in the APA format.Task:Telenursing and telemedicine will only be successful if patients engage in the program. You have been asked by your manager to pilot a program aimed at improving transitions of care using the new telemedicine system recently implemented at your hospital. What are some of the ways that you can encourage both patient and provider engagement to ensure the pilot program success?Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA style website through the APA icon below.By the due date assigned, comment on at least two of your peers’ responses. You can ask questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. All comments should be posted to the Discussion Area.

 
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Nursing  escribe the central features of the Tuskegee Study. Assess the morality of the Tuskegee Study in light of the moral precepts outlined in the Nuremberg Code.

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(Minimum Word Count: 500)

 
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Nursing  Revisiting Tarasoff case study

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Use the RESOLVEDD method  to analyze and reach a decision about the best course of action in one of the following Tarasoff cases.Make sure you consider the case in light of some of the moral theories and principles we have discussed in the class. In that case in particular, there is more than one issue involved, so you will need to decide which one you want to make your main focus.How much you write about each step in the method is up to you, but you should write a minimum of 500 words in total. Type up your analysis, with each step clearly numbered, and submit it via Canvas by 11:59 PM on Tuesday, September 28.

 
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Nursing  Module 4 SLP

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Please Ensure you open the attachment and follow all guidelines provided. No outside resources, only use what information is provided.HOMEWORK ASSIGNMENT:The overall goal of the Session Long Project is to examine health care delivery in the United States. Read the article “Remaking the American health care system: A positive reflection on the Affordable Care Act with emphasis on mental health care” by Ogundipe, Alam, Gazula, Olagbemiro, Osiezagha, Rahn, and Richie (2015). After reading the article and conducting your own research, please respond to the following questions.1. What is the intended purpose of the PPACA that was signed into law in 2010? Will it meet its intended purpose based on what you’ve read in this article and from your own research on the topic?2. Has PPACA met its intended purpose based on what you’ve read in this article and from your own research on the topic?3. What do the authors state are the issues with the quality of care being provided?4. Identify and discuss the four mechanisms that have been implemented by the PPACA.Length: Submit a 3-page paper, not including the cover page and the reference list.

 
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Nursing  Nursing 304

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GREETINGS TEAM, NEEDING HELP WITH WEEK ONE ASSIGNMENT. ASSIGNMENT MUST BE AT LEAST 750 WORDS AS TO HOW WOULD YOU ASSES THE HEALTH OF A 95 YEAR OLD MAN WITH THE COVID19 VIRUS. NO PLAGIARISM PLEASE. THANKS.

 
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Nursing  Managing Change

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Step 1 Consider a change in practice that took place at your workplace.Step 2 Answer the Prompts:·         What was the involvement of team members in the change process? Did “rank and file” members of the team participate on the team planning for change?·         What steps were taken to prepare for change?·         How were the goals and outcomes communicated to team members? Was the communication clear or could it have been improved?·         What was the outcome of the change?·         In your opinion, what elements are required in order to have a culture that is open to change?

 
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Nursing  Nursing

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Do you believe that Nurses should belong to professional organizations. Why or why not?Describe what the ideal health care system of the future looks like.How do you plan to contribute to the future of Nursing Practice.

 
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