Nursing  Case Study

Case Study:Mr. Smith, a 60 year-old man with coronary heart disease, experienced frequent bouts of angina pectoris. One day while moving a piece of heavy furniture, he experienced excruciating pain over his left chest. He began sweating heavily, became short of breath, and then collapsed. He was transferred to the emergency room at a nearby hospital. Mr. Smith’s EKG was diagnostic of myocardial infarction. A coronary angiography was performed and an occlusion was found in a in the descending branch of the left coronary artery. Intravenous drugs were administered to dissolve the clot that was causing the obstruction. His cardiologist informed him that some of his heart muscle had died as a result of the myocardial infarction.Discussion Questions:1. Discuss the risk factors for a myocardial infarction.2. As per your analysis, what type of cell injury did Mr. Smith sustain and why?3. Differentiate between reversible and non-reversible cell injury.4. Discuss the pathophysiological changes that occur during a myocardial infarction.5. Correlate the subjective and objective findings of a myocardial infarction with the diseaseRequirement is one page.Provide references and use APA format.

 
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Nursing  American Hospital Association’s Patients’ Bill of Rights

Visit http://www.aha.org/advocacy-issues/communicatingpts/pt-care-partnership.shtml and review the American Hospital Association’s Patients’ Bill of Rights. Discuss how health care professionals can ensure that patients’ rights are upheld and protected.Instructions:Word limit 500 words.Please make sure to provide citations and references (in APA format) for your work.

 
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Nursing  response

I need a response to the following peersPEEOver the past years many people have been able to obtain insurance coverage as a result of ACA, as consequence more doctors and FNPs are needed to be able to meet the growing demands brought y the health care reforms. FNP are key to reaching this goal, they are many programs created to educate and train more NPs. If effectively integrated into the healthcare delivery system, greater use of nurse practitioners could provide much-needed respite in the midst of our dire primary care physician shortage. In 2018 The Affordable Care Act (AKA Obamacare) was implemented and having a plan of care or insurance was required. Also, ACA would add a tax penalty for anyone who did not purchase a qualified health insurance plan. A lot of people took advantage of the opportunity because the government was allowing lowers cost of health insurance for all qualified individuals. Some examples of carries offering health plans at lower cost was blue Cross Blue Shield, Molina, and Ambetter. (Salmond & Echevarria, 2017).There is no doubt that nurses are poised to assume roles to advance health, improve care, and increase value. However, it will require new ways of thinking and practicing. Shifting your practice from a focus on the disease episode of care to promoting health and care across the continuum is essential. Truly partnering with patients and their families to understand their social context and engage them in care strategies to meet patient defined outcomes is essential. Gaining greater awareness of resources across the continuum and within the community is needed so that patients can be connected with the care and support needed for maximal wellness. Tracking outcomes as a measure of effectiveness and leading and participating in ongoing improvement to ensure excellence will require exquisite teamwork as excellence crosses departments, roles, and responsibilities. “Nurses can no longer take a back seat—the time has come for nursing, at the heart of patient care, to take the lead in the revolution to making healthcare more patient-centered and quality-driven” (Salmond & Echevarria, 2017).R 1 (lAU)PEER 2 (YARL)Health Care Reform and Role of Nurse PractitionerHealth care reform policies are known to promote the quality of health care by providing all the individuals with increased and safe care services at decreased cost expenditure. Nurse Practitioners (NPs) with their advanced educational knowledge and clinical training skills are known to play an excellent role in addressing the shortcomings in the healthcare system due to the lack of the proper resources in preventing diseases and improving the health of the population. They are involved in providing the patients with direct care to promote positive health outcomes among the population (Erickson, 2016).It is noted that the present primary healthcare workforce is unable to meet the emerging demands which were recently impelled by the health care reforms. This inability necessitates the federal and state governments to broaden the role of NPs in primary care settings to deliver the patients with effective and safe healthcare (Bernazzani, 2016). Reimbursement and the scope of practice requirements are the major barriers that a NP experiences with the emerging healthcare policies in the country. Hence, expanding the prime role of NPs in every primary care setting by removing all the obstacles helps in providing better and positive health outcomes in primary care settings (Bernazzani, 2016).As per the Affordable Care act (ACA), health insurance coverage is provided to everyone eligible in the country in order to benefit from the essential health benefits and claim excellent quality and affordable healthcare services (AssuredPartners of Texas, 2017). Some of the common factors that are involved in the transformation of the healthcare system include the unsustainable cost and poor-quality concerns. This leads to the need for change in the role of nurse practitioners. Change in the role of NPs is known to create a transformative role in the healthcare system by providing the population with patient-centered, cost effective and better health outcomes which in turn are known to promote the overall healthcare system of the country (Salmond & Echevarria, 2017).

 
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Nursing  EI

EIThis assignment will help you to understand EI.Using the South University Online Library or the Internet, research about EI theories, communication styles, team building, and decision making. Go to the website http://greatergood.berkeley.edu/ei_quiz/ and take the quiz.Based on your research and understanding, create a white paper in a 3- to 4-page Microsoft Word document that:Describe how your EI level can either enhance or hinder effective leadership in the health care environment.Discuss the results of the EI Quiz.Support your responses with examples.On a separate references page, cite all sources using APA format.Use this APA Citation Helper as a convenient reference for properly citing resources.This handout will provide you the details of formatting your essay using APA style.You may create your essay in this APA-formatted template.

 
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Nursing  Disparity

Perform an academic search and choose an article from a peer-reviewed journal that describes adisparity of a population. Write a critique of the article that is not more than 6 pages (excludingtitle page and reference page). Use APA format. should include and abstract, introduction,critique, conclusion, and reference page.

 
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Nursing  EXECUTIVE SUMMARY

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (1000 words) to present to the board, from which the board will make its decision to fund your program or project (ON HAND HYGIENE). Include the following:1. The purpose of the quality improvement initiative.2. The target population or audience.3. The benefits of the quality improvement initiative.4. The interprofessional collaboration that would be required to implement the quality improvement initiative.5. The cost or budget justification.6. The basis upon which the quality improvement initiative will be evaluated.INCLUDE THESE TO ABOVE QUESTIONS7. Do you believe the proposal would be approved if formally proposed?8. What are some strengths and weaknesses of the proposal?

 
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Nursing  assignment

Write an 800-1,000 word essay on your personal worldview. Briefly discuss the various possible meanings of the term “spirituality,” and your understanding of the concepts of pluralism, scientism, and postmodernism. Primarily, address the following seven basic worldview questions:What is prime reality?What is the nature of the world around you?What is a human being?What happens to a person at death?Why is it possible to know anything at all?How do people know what is right or wrong?What is the meaning of human history?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.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 
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Nursing  INTERVIEW

Assessment/InterviewSelect a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community.1Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”2Interview a community health and public health provider regarding that person’s role and experiences within the community.Interview GuidelinesInterviews can take place in-person, by phone, or by Skype. Complete the “Provider Interview Acknowledgement Form” and submit with the group presentation.Develop one set of interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.Compile key findings from the interview, including the interview questions used, and submit with the group presentation.When submitting this assignment, include the interview questions, the interview findings, completed “Provider Interview Acknowledgement Form,” and the community assessment PPT presentation.Note by me: I need the interview to a hispanic community provider. I wrote all the instructions above and I am gonna put the Functional Health Pattern Community assessment form.Functional Health Patterns Community Assessment GuideFunctional Health Pattern (FHP) Template Directions:This FHP template is to be used for organizing community assessment data in preparation for completion of your collaborative learning community (CLC) assignment. Address every bulleted statement in each section with data or rationale for deferral. You may also add additional bullet points if applicable to your community.Value/Belief PatternPredominant ethnic and cultural groups along with beliefs related to health.Predominant spiritual beliefs in the community that may influence health.Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc.).Do the community members value health promotion measures? What is the evidence that they do or do not (e.g., involvement in education, fundraising events, etc.)?What does the community value? How is this evident?On what do the community members spend their money? Are funds adequate?Health Perception/ManagementPredominant health problems: Compare at least one health problem to a credible statistic (CDC, county, or state).Immunization rates (age appropriate).Appropriate death rates and causes, if applicable.Prevention programs (dental, fire, fitness, safety, etc.): Does the community think these are sufficient?Available health professionals, health resources within the community, and usage.Common referrals to outside agencies.Nutrition/MetabolicIndicators of nutrient deficiencies.Obesity rates or percentages: Compare to CDC statistics.Affordability of food/available discounts or food programs and usage (e.g., WIC, food boxes, soup kitchens, meals-on-wheels, food stamps, senior discounts, employee discounts, etc.).Availability of water (e.g., number and quality of drinking fountains).Fast food and junk food accessibility (vending machines).Evidence of healthy food consumption or unhealthy food consumption (trash, long lines, observations, etc.).Provisions for special diets, if applicable.For schools (in addition to above):Nutritional content of food in cafeteria and vending machines: Compare to ARS 15-242/The Arizona Nutrition Standards (or other state standards based on residence)Amount of free or reduced lunchElimination (Environmental Health Concerns)Common air contaminants’ impact on the community.Noise.Waste disposal.Pest control: Is the community notified of pesticides usage?Hygiene practices (laundry services, hand washing, etc.).Bathrooms: Number of bathrooms; inspect for cleanliness, supplies, if possible.Universal precaution practices of health providers, teachers, members (if applicable).Temperature controls (e.g., within buildings, outside shade structures).Safety (committee, security guards, crossing guards, badges, locked campuses).Activity/ExerciseCommunity fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.).Recreational facilities and usage (gym, playgrounds, bike paths, hiking trails, courts, pools, etc.).Safety programs (rules and regulations, safety training, incentives, athletic trainers, etc.).Injury statistics or most common injuries.Evidence of sedentary leisure activities (amount of time watching TV, videos, and computer).Means of transportation.Sleep/RestSleep routines/hours of your community: Compare with sleep hour standards (from National Institutes of Health [NIH]).Indicators of general “restedness” and energy levels.Factors affecting sleep:Shift work prevalence of community membersEnvironment (noise, lights, crowding, etc.)Consumption of caffeine, nicotine, alcohol, and drugsHomework/Extracurricular activitiesHealth issuesCognitive/PerceptualPrimary language: Is this a communication barrier?Educational levels: For geopolitical communities, use http://www.census.gov and compare the city in which your community belongs with the national statistics.Opportunities/Programs:Educational offerings (in-services, continuing education, GED, etc.)Educational mandates (yearly in-services, continuing education, English learners, etc.)Special education programs (e.g., learning disabled, emotionally disabled, physically disabled, and gifted)Library or computer/Internet resources and usage.Funding resources (tuition reimbursement, scholarships, etc.).Self-Perception/Self-ConceptAge levels.Programs and activities related to community building (strengthening the community).Community history.Pride indicators: Self-esteem or caring behaviors.Published description (pamphlets, Web sites, etc.).Role/RelationshipInteraction of community members (e.g., friendliness, openness, bullying, prejudices, etc.).Vulnerable populations:Why are they vulnerable?How does this impact health?Power groups (church council, student council, administration, PTA, and gangs):How do they hold power?Positive or negative influence on community?Harassment policies/discrimination policies.Relationship with broader community:PoliceFire/EMS (response time)Other (food drives, blood drives, missions, etc.)Sexuality/ReproductiveRelationships and behavior among community members.Educational offerings/programs (e.g., growth and development, STD/AIDS education, contraception, abstinence, etc.).Access to birth control.Birth rates, abortions, and miscarriages (if applicable).Access to maternal child health programs and services (crisis pregnancy center, support groups, prenatal care, maternity leave, etc.).Coping/StressDelinquency/violence issues.Crime issues/indicators.Poverty issues/indicators.CPS or APS abuse referrals: Compare with previous years.Drug abuse rates, alcohol use, and abuse: Compare with previous years.Stressors.Stress management resources (e.g., hotlines, support groups, etc.).Prevalent mental health issues/concerns:How does the community deal with mental health issuesMental health professionals within community and usageDisaster planning:Past disastersDrills (what, how often)Planning committee (members, roles)PoliciesCrisis intervention plan

 
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Nursing  Week 3 Assignment: Healthcare Policy (graded) Submit Assignment

DirectionsPlease review the infographic as way to guide you in getting started with your assignment:Developing an Assignment with Integrity (Links to an external site.)View a short tutorial with tips for completing this assignment:Healthcare Policy Assignment Tutorial (Links to an external site.)(Links to an external site.)This assignment will be in the format of a PowerPoint presentation (Bullet points may be used).You are educating your peers through this presentation regarding a federal bill you believe may be of interest to nurses.Go tohttps://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)Choose a health-related federal bill of interest. Read through the bill and develop a summary in your own words. Include the bill number and name.Here is a link to our U.S. legislative process (bill to law) for review, if needed:https://www.congress.gov/legislative-process (Links to an external site.)For those not familiar with the development of a PowerPoint slideshow, the following link to theMicrosoft Office 365 Training (Links to an external site.)may be helpful.Include the following information in your presentationTitle slide (Your name, NR451, session, Healthcare Policy assignment)Bill name and number (indicate either H.B. or S.B.)Bill summary (in your own words)Address how this bill might impact professional nursing practice standards if passed? If not passed?How might the bill impact your own nursing practice?How might you communicate your concerns about or support for this bill based on nursing practice, standards, or patient outcomes?How might this bill impact your community?References slide to include the Bill source in APA format.No more than 12 slidesTemplateThere is no required form or template for this assignment. Please use PowerPoint best practices throughout your presentation.Best PracticesThe following are best practices in preparing this presentation.Review directions and rubric thoroughly prior to beginning assignment.Watch the short video tutorials on tips for completing the assignment and on developing a PowerPoint. Incorporate graphics, clip art, or photographs to increase interest.Make slides easy to read with short bullet points and large font.Please see the grading criteria and rubrics on this page.Please use your browser’s File setting to save or print this page.Scholarly Sources and CitationsCite all sources on the appropriate slides with (author, year) as well as on the Reference slide.Spell check for spelling and grammar errors prior to final submission.**Academic Integrity**Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

 
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Nursing  Mod 1 Discussion Cross-Cultural Health Perspectives

Culture and HealthYour comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.” Before delving into your response to the Discussion question, I would like us to continue to get to know each other through an icebreaker.You will be seeing these icebreakers at the beginning of each module’s Discussion. The icebreaker for this Discussion is as follows:I want you to fill-in-the-blank to the following statement. People would be surprised to know that ____________ (share something interesting/unique about yourself that people would be surprised to know).After answering the icebreaker question, please answer the following question in your Discussion response:To what extent do you think cultural beliefs, values, and traditions may impact health education efforts? To what extent do you think cultural beliefs, values, and traditions may enhance health education efforts?Please answer both questions in your response and draw on specific examples from the Worlds Apart video clips that you watched in this module:Worlds Apart: A Series on Cross-Cultural Health Care; Part 1  http://www.youtube.com/watch?v=K5d_iPaUrWw Worlds Apart: A Series on Cross-Cultural Health Care; Part 2  http://www.youtube.com/watch?v=p8u0fx7sa-QWorlds Apart: A Series on Cross-Cultural Health Care; Part 3  http://www.youtube.com/watch?v=-MkOiWJdoTI Worlds Apart: A Series on Cross-Cultural Health Care; Part 4  http://www.youtube.com/watch?v=JlXd2ictsmY

 
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