Nursing  DB 5

Please read the articles concerning effectiveness of national vaccination plans and recent parental refusals. Please also take a look at the global health websites in our learning resources folders and at the 10 essential public health services provided by our own Federal government.  Please review the global websites and also review the issues concerning the national vaccination plan and parental refusals. Come to our discussion board and discuss a health issue of your choice, the policy or policies designed to deal with those issues and the effectiveness or lack of effectiveness of the policy.

 
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Nursing  Chapter 29, Management of Patients With Complications From Heart Disease

Case Study, Chapter 29, Management of Patients With Complications From Heart Disease1. George Brown, 72 years of age, is a male patient who is admitted with the diagnosis of acute pulmonary edema secondary to acute left ventricular heart failure. The patient has a history of coronary artery disease that has been treated medically. The patient is anxious, pale, cold, clammy, and dyspneic. The vital signs are: blood pressure 88/50 mm Hg, heart rate 110 bpm, respiratory rate 32 breaths/min, and temperature 97°F. There are bubbling crackles and wheezing throughout the lung fields and the patient is raising frothy blood-tinged clear sputum. The patient’s admission weight is 100 kg.What first actions should the nurse take and what are the rationales for these actions?The physician ordered furosemide (Lasix) 40 mg IVP STAT.What are the actions of furosemide that will help the patient?What nursing actions should be implemented when administering a diuretic?2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this disease. Today he presents to the emergency department with fatigue, generalized weakness, and feelings of “skipping” heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV is inserted. He currently denies chest pain, but is experiencing some shortness of breath, and is placed on 2 L of oxygen via nasal cannula.Which of his medications might be contributing to his symptoms of generalized weakness and heart irregularities?For what clinical manifestations should you assess to correlate to his left-sided heart failure?How do his medications treat his congestive heart failure?How does the hypokalemia affect the effects of Digitalis?

 
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Nursing  4414 Discussion Board 7.1: Legal and Ethical Issues

Step 1: Respond to the followingThere are six ethical principles that arise frequently for the nurses. Briefly describe how you provide patient care using each.1. Respect for persons (autonomy and self-determination)2. Beneficence (doing good)3. Non maleficence (avoiding harm)4. Justice (fairness, equitability, truthfulness)5. Veracity (telling the truth)6. Fidelity (remaining faithful to one’s commitment)(A sentence or two for each ethical principal)

 
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Nursing  REBT and CBT

In a 1- to 2-page paper, address the following in APA format, 3 reference within 5 years.Briefly describe how cognitive behavioral therapy (CBT) and rational emotive behavioral therapy (REBT) are similar.Explain at least three differences between CBT and REBT. Include how these differences might impact your practice as a mental health counselor.Explain which version of cognitive behavioral therapy you might use with clients and why. Support your approach with evidence-based literature.

 
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Nursing  Reflections

Topic 1: ReflectionPlease share what you have learned throughout this course by answering the following question:Have course Activities (written Assignments, audio/videos, PowerPoint presentations, Shadow Health Activities and Assignments, assigned Reading, and Discussions) met course outcomes/expectations?

 
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Nursing  paper

What is your definition of spiritual care? How does it differ or accord with the description given in the topic readings? Explain. 1 referenceWhen it comes to facilitating spiritual care for patients with worldviews different from your own, what are your strengths and weaknesses? If you were the patient, who would have the final say in terms of ethical decision-making and intervention in the event of a difficult situation? 1 reference

 
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Nursing  Module 2 Discussion BHA415

ACA and the Incremental Nature of Policy ChangeYour comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.”“Democracies change their policies almost entirely through incremental adjustment. Policy does not move in leaps and bounds,” thereby ensuring the stability of government (Miyakawa, 1999, p. 298).In light of this classic quote, what incremental gains have been made by passage and implementation of the ACA?What additional reforms will be necessary to move further toward health care access for all?Should a single-payer system be the ultimate goal for health care in the United States?Be sure to explain your answers and cite reliable sources to support them.Reference: Miyakawa, T. (1999). The science of public policy: Essential readings in policy sciences I. New York: Taylor & Francis.

 
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Nursing  End-of-Life Care (including advanced directives, palliation)

End-of-Life Care (including advanced directives, palliation) Nurses roles and responsibilities Providing care and support at end of life.3-4 paragraph. APA style. 3 References APA style.(Master program Nurse Practicioner. )

 
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Nursing  Week 7 Discussion 1: Health Initiatives

Due: In an effort to facilitate scholarly discourse, create your initial post by Thursday, and reply to at least two of your classmates, on two separate days, by Saturday.Initial PostWatch the video clip below:https://www.boston25news.com/news/health/overcoming-barriers-mental-health-care-stigma-communities-color/A4H7ANGT2BBT3ATRO7IQ754LIA#/Video TranscriptOvercoming barriers to mental health care and stigma in communities of colorOn-camera announcer: Boston 25 News is launching a new edition called Boston 25 Gets Real. In this series, we’re digging into issues impacting members of our community. And introducing you to the people who are working to create change.Boston 25 Gets Real About Mental Health. This reporter, Crystal Haynes, reveals the impact of the mental health crisis on communities of color.Crystal Haynes: From socioeconomic barriers to racial bias in healthcare and wellness fields, to stigma. Access to mental health in communities of color is a critical issue. We started working on this before the pandemic and we began with the issue of stigma. And the story behind the Roxbury non-profit, DeeDee’s Cry.Toy Burton (on camera): I went into the bathroom and just took everything under the bathroom sink, Comet, bleach, whatever; just mixed it all and drank it. And then, after a while I was like, “Wait a minute.” I’m like, “I don’t, I don’t wanna do this.”Crystal Haynes (VoiceOver): Where Toy Burton failed, her 23-year-old sister, DeeDee, unfortunately succeeded years prior. DeeDee’s suicide changed Toy’s life forever.On-screen caption: TOY BURTON Founder of DeeDee’s CryToy Burton: I was in total denial. ‘Cause I was like, “No, like, she was better, she was happy; she had just moved; you know, she had a two-year-old son.” So it hit me pretty hard because she was my big sister. And she was the person who made ME feel special, you know, made ME feel spot. And I wanted to be like her.Crystal Haynes (VO): Toy says DeeDee’s death sent her into a depression. Nineteen at the time, she says she started drinking and then moved to drugs. She got clean in 1986, but says it didn’t make the pain she felt go away.Toy Burton: And so they fixed my physical but they didn’t do nothing for my mental. So I went home with the same thoughts and the same me and the same hurt. And eventually, like, within the years, I just started to cut myself.Dr. Christine Crawford, Psychiatrist (on camera): Because there’s so much stigma around mental illness, there’s a tremendous amount of barriers for folks to access mental health services. And insurance not viewing mental health conditions on par with medical conditions.Crystal Haynes (VO): According to Mental Health America, in 2018, more than 58 percent of African American adults with serious mental illness did not receive treatment. Nearly 90% of Black and African-American people over the age of 12 with substance abuse disorder did not receive treatment.Dr. Christine Crawford is a psychiatrist at Boston Medical Center. She tells me mistrust of doctors and long-held stereotypes in the Black community are serious barriers to treatment.Dr. Crawford: Seeking out mental health treatment is something for the worried well. That is a luxury to be able to meet with someone once a week to talk about the emotional struggles that you’re going through.Crystal Haynes (VO): Dr. Crawford says lack of representation in the mental health field also plays a role. Only 4% of therapists in the U.S. are African-American.Dr. Crawford: When I told my family that I was going to pursue a career in psychiatry, my mother said to me, “Oh, well, I thought you were going to be a real doctor.” And so I made it my mission to go out into the community and de-stigmatize mental illness, to de-stigmatize my profession as a whole, so we can get more people into care.Crystal Haynes (VO): Toy has dedicated her life to fighting against the stigma in her community.Toy Burton: I was looking for resources. Resources about mental health and suicide prevention, and what I noticed is that they really didn’t do things in the Roxbury-Dorchester-Mattapan area to me, communities of color.Crystal Haynes (VO): Her non-profit, DeeDee’s Cry creates spaces where people can share their stories.Toy Burton: And someone had asked the question, like, “How did you get 150 people to register for a mental health event?” And I was like, “Because this is where the pain is at.”Crystal Haynes (on camera): The mind-body connection is also crucial to this conversation. Nearly half of all African-Americans have high blood pressure and high cholesterol and obesity. But few registered dieticians are people of color. Yet another barrier to access. I’m Crystal Haynes, Boston 25 News.Briefly describe the availability of and access to mental health care in your community and geographical area.How has the Covid-19 Pandemic revealed equity issues in certain communities?What do you see as the greatest barrier to access and how do you feel this would be best addressed? Be specific in regard to addressing this issue in your “community” or geographical area. Do you believe that private or public entities are best suited to address this? How do other countries address these issues?RepliesReply to at least two of your classmates. Your reply posts should build on the original post and demonstrate substantive reflection.

 
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Nursing  Nursing

How lobg will it takes

 
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