Nursing  Respond to the peer post

Management of heart disease is a major focus in health care today. Treatment modalities for the various complications that occur because of heart disease are some of the more costly treatments in all of health care. One specific procedure, transcatheter aortic valve replacement (TAVR), is an effective option for CAD patients needing valve replacement and who are often too high of a surgical risk for traditional or standard surgery. According to Faroux et al., (2019), about one half of TAVR candidates have coronary artery disease (CAD). However, TAVRs are being performed in inconsistent facilities with varying levels of experience (Faroux et al, 2019). Because of this, it is essential that healthcare providers have a better understanding of the quality-of-life and cost-effectiveness of TAVRs as compared to other treatment modalities. Gialama et al., (2018), explain that valvular heart disease (VHD) is estimated to be at 2.5% currently in industrialized countries; and is markedly increased after 65 years of age. Therefore, the prevalence, and proposed treatments, need further exploration to ensure the most appropriate treatments is provided in the most cost-effective manner.To determine cost-effectiveness, a systematic review by Gialama et al., (2018) summarized 24 studies published between 2012 and 2017, which focused on the economic evaluation of transcatheter aortic valve implementation and transcatheter mitral valve repair versus standard surgical procedures. Although the conclusion of this review indicates there is cost-effectiveness, the limitations of this study, and need for further research make the outcomes questionable (Gialama et al., 2018).Does the research design answer the research question? Explain your rationale.The short answer is yes; however, more research is needed. Another point to consider is not only the cost-effectiveness of the procedures themselves, but the long-term impact. Will patients need more healthcare, or less? Determining cost-effectiveness needs to include more than just the costs of the procedures and associated costs; but the costs of needed care “down the road”. If the procedure is a “one and done” then, it is clearer, but if the procedure is only a band-aid for now, then is it really cost-effective? Additionally, limitations of the review, discussed below, continue to support the question of valid proof of cost effectiveness (Gialama et al., 2018).Were the study sample participants representative? Why or why not?No. The studies included in this review were limited (further discussed below). The criteria for this review was very specific; but may have omitted studies done in other areas, and published in other languages, which may have provided much-needed enhanced information. Exclusions included: studies in other languages, abstracts, editorials, letters, case reports, conference presentations, expert opinions, reviews, all of which could provide more data to substantiate the cost-effectiveness, or not (Gialama et al., 2018).Compare and contrast the study limitations in this study.Limitations in this review are primarily related to the exclusions. The review included 24 studies, all in the English language, and many needing further research. Based upon this information, the limitations of the study are largely excluding patient data which would be helpful in fully determining the cost-effectiveness for both the short-term and long-term effect.Based on this evidence summary, would you consider this systematic review as support for your selected practice problem? Explain your rationale.This systematic review provides a foundation for understanding of the cost-effectiveness of the TAV procedures, however, until more is known about studies conducted in more diverse settings, and a more streamlined process for evaluation in comparable institutions and experience, the results from this review are not conclusive enough to make a definitive determination of the overall cost-effectiveness of this treatment modality.ReferencesFaroux, L., Guimaraes, L., Wintzer-Wehekind, J., Junquera, L., Ferreira-Neto, A. N., Del Val, D., Muntané-Carol, G., Mohammadi, S., Paradis, J. M., & Rodés-Cabau, J. (2019). Coronary artery disease and transcatheter aortic valve replacement, Journal of the American College of Cardiology, 74(3), 362-372. doi: 10.1016/j.jacc.2019.06.012. PMID: 31319919.https://chamberlain-on-worldcat-org.chamberlainuniversity.idm.oclc.org/oclc/8181349183Gialama, F., Prezerakos, P., Apostolopoulos, V., & Maniadakis, N. (2018). Systematic review of the cost-effectiveness of transcatheter interventions for valvular heart disease. European Heart Journal, 4(2), 81-90. DOI:10.1093/ehjqcco/qcx049https://chamberlain-on-worldcat-org.chamberlainuniversity.idm.oclc.org/oclc/7541083438Permalink:Systematic Review (Links to an external site.)NR714 Wk3 Austin Johns Hopkins Individual Evidence Summary Tool.docx

 
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Nursing  nursing assigment

I need a person to work with for my Psychology class , both  assignment and  discussion

 
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Nursing  MEdical Notas

Do a Soap Note  for   an Adult  patientFollow the “Follow the rules “, “Soap Note Rubric”, and those attached as a guide.Use APA format and must include a minimum of 3 Scholarly Citations.Must use the sample templates attached and follow indications.plagiarism Maximo 15% accepted.Words 1000-1100 and well-developed Social Hx, Symptoms, HPI, ROS, objective/subjective assessment.

 
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Nursing  culture

The same with different word.dont chance the reference.thanksHello  i just wanted to add that among the Iranians several factors are believed to influence health. Among these factors are the Western: I.e. the bio medical concept of disease causation. This is the commonly accepted and co-exist along with any of other attributes of illness. Balance: Similarly, to many cultures they belief that balanced diet is the main contributor of good health. Spiritual /religious: It is believed to originate from punishment from God for sins committed. Gods will (tagdir). Supernatural: These are less subscribed to young generation. Muslims think that evil spirits called “jinn” are believed to cause some illnesses associated with mental health problems, while the ‘zar’ are believed to be the cause of poor mental health. “The evil eyes” are also believed to put a curse on others by just looking at them. This mostly affect children, and it is associated with physical illness. Additionally, the western medicine is very well accepted and sometimes with the traditional medicine. Moreover, use of herb and natural cures is a tradition extending over years in Iran. Traditional specialist administers herbal potions and bone settings. Iranians also use magico-religious articles and religious rituals such as amulets and blue-glazed faience is commonly in eastern Mediterranean (Unaeze and Perrin, 2000).Jackson, k. (July, 2006) ch.2 For more information about supernatural beliefs and culture in Islam Iranian.Good morning Maria. Very good discussion, I would like to add that Iranian population health care programs in recent years have been highly successful. Malaria has been virtually eliminated, cholera and other waterborne diseases are generally under control, and family planning programs have resulted in dramatic decreases in fertility rates. The infant mortality rate remains somewhat elevated (twenty-nine per thousand) but it has declined significantly over the past twenty years. AIDS figures are suppressed. A folk belief prevalent in Iran revolves around dietary practice. This philosophy tries to maintain balance between the four humors of the body (blood, phlegm, yellow bile, and black bile) through judicious combinations of foods. Although more sophisticated Iranians use the full range of four humors in their dietary calculations, most adhere to a two-category system: hot and cold. For example, visitors quickly learn that their friends will not allow the simultaneous consumption of watermelon and yogurt (both cold foods), for fear that this combination will cause immediate death.Arjomand, Said Amir. The Shadow of God and the Hidden Imam: Religion, Political Order, and Societal Change in Shi’ite Iran from the Beginning to 1890, 1984.

 
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Nursing  discussion 550 m7

Review the Saudi Vision 2030 and pick one healthcare disparity. Address the following requirements:If you were charged with developing marketing and/or promotion to highlight this disparity and correct it in Saudi Arabia, how would you go about this?What forms of media would you use?Provide an example of what kind of message you would create and how you would get the message out.Be sure to support your statements with logic and argument, citing all sources referenced. Post your initial response early and check back often to continue the discussion.

 
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Nursing  Reply 1 and 2 ,250 words by 08/07/2020 at 6:00 pm ,please add references and citations

Reply 1Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age.Child abuse can occur from infancy to age 18. Child abuse in the school-age child is important for caregivers, friends, teachers, or others to report as soon as possible. Four types of common abuse mechanisms include physical, sexual, emotional, and neglect. (CDC Centers for Disease Control and Prevention, 2020) The first is physical abuse, “this occurs when someone such as a child parents or day care provider hits or otherwise hurts a child.” (The Whole Child, 2018 ) The second is sexual, “this happens when someone performs a sexual act on the child or forces a child to perform one on them. (The Whole Child, 2018 ) Emotional abuse, “this occurs when a parent treats a child in ways that make the child feel unwanted, or like a bad person so much that the child’s normal development, learning or behavior suffers.” (The Whole Child, 2018 ) Lastly, neglect, “is the failure to meet a child’s basic physical and emotional needs. These needs include housing, food, clothing, education, and access to medical care.” (CDC Centers for Disease Control and Prevention, 2020)Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse.Warning signs for abuse include disturbance in sleep patterns, extreme fears, mood swings, fear of being left alone with certain people, sexual activities with toys, loss of appetite, and pain in stomach or genital area. (The Whole Child, 2018 ) Physical symptoms such as unexplained bruises, bleeding, or redness on the child’s body and/or genital area are all signs of abuse. (The Whole Child, 2018 )Discuss cultural variations of health practices that can be misidentified as child abuse.There are many cultural health practices that can be misidentified as abuse and here are a few. “Coining or caogio, is an example of an ancient healing practice still being practiced, today. This dermabrasion therapy, which involves intense rubbing of the skin, is used by Vietnamese, Cambodians, and Laotians to treat a variety of illnesses.” (Killion, 2017) Another type of health practice similar to coining is cupping, which many ethnic groups use to “remove toxins.” (Killion, 2017)Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.Any person can report child abuse but some are mandated to report abuse. I live in the state of Wisconsin and the Wisconsin Department of Children and Families has all the guidelines on reporting child abuse. Any person can contact their local Child Protective Services (CPS) agency. Mandated reporters are bound by the law to report suspected child abuse. “ Wisconsin law (48.981(2)) requires that any mandated reporter who has reasonable cause to suspect that a child seen by the person in the course of professional duties has been abused or neglected, or who has reason to believe that a child seen by the person in the course of professional duties has been threatened with abuse or neglect and that abuse or neglect of the child will occur, make a report to county CPS or law enforcement.” (Wisconin Department of Children and Families, n.d.) The list of mandated professional is long and nurses are included in this list. The nurse would report the suspected abuse to the county in which the child resides. The nurse is immune from criminal or civil liability if making the report in good faith, the nurse will be informed by the county what action was taken, and the nurse that intentionally fails to report child abuse could be fined up to $1000 or imprisoned no more than six months or both. (Wisconin Department of Children and Families, n.d.) As nurses, we must be diligent in our assessments and reporting of suspected issues.ReferencesCDC Centers for Disease Control and Prevention. (2020, March 5). Retrieved from Child Abuse and Neglect Prevention: https://www.cdc.gov/violenceprevention/childabuseandneglect/index.htmlKillion, C. M. (2017, August 21). Cultural Healing Practices that Mimic Child Abuse. Cleveland , Ohio, USA.The Whole Child. (2018 , November 24). Retrieved from How to Identify Child Abuse Ages 6-12: https://www.thewholechild.org/parent-resources/age-6-12/how-to-identify-child-abuse-ages-6-12/Wisconin Department of Children and Families. (n.d.). Retrieved August 2, 2020, from Mandated Child Abuse and Neglect Reporters: https://dcf.wisconsin.gov/cps/reportabuseReply 2Child abuse can occur at any age in a child’s life and it is important for one to be observant to take note of it. It could happen to anyone even without the caregiver knowing that the child is abused at that point in time. it is a pattern of behavior involving regular physical attacks or acts of deprivation or molestation. Child abuse in the toddler 0-5years is serious because of their vulnerability and dependence on others and the processes involved in neurocognitive and psychosocial development at this age and the type of abuse experienced are physical, sexual, emotional, neglect and shaken baby syndrome.According to (The whole child 2018) physical abuse “occurs when someone such as a child parents or day care provider hits or otherwise hurts a child.” sexual abuse “occurs when someone performs a sexual act on the child or forces a child to perform one on them, emotional abuse, occurs when a parent treats a child in ways that make the child feel unwanted, or speaks harshly to them causing the child’s normal development, learning or behavior to suffers.”. The need for housing, food, clothing, education, and good medical care is important, if not met leads to deprivation (Centers for Disease Control and Prevention, 2020).Common signs are unexplained bruises, black eyes, or broken bones, drastic changes in their normal behavior, or appearing to be frightened around certain people, withdraw from situations, imitating sexual behaviors with toys, or refusing to talk about a “secret” with another adult, also underwear stained with blood or has abnormal walking step.cultural healing practice done in Africa, a child with nail puncture, mum immediately uses some herbal leave juice on site after washing, puts stone on burning fire after which it is applied to the site when red hot. This leaves a big scar, but it works, aim is to prevent tetanus in the child.Reports of Abuse, Neglect and Exploitation of an Adult or Child may be made to the Kansas Protection Report Center by calling 1-800-922-5330. As nurses, we must be diligent in our assessments and reporting of suspected issues I would have to report it to my charge nurse, house coordinator, nurse manager, physician assistance. I would also have to fill out a detailed incident report within 12hours of admission and the police on site would be called to make an investigation.ReferencesCDC Centers for Disease Control and Prevention. (2020, March 5). Retrieved from Child Abuse and Neglect Prevention: https://www.cdc.gov/violenceprevention/childabuseandneglect/index.htmlKansas department for children and families(n.d.). Prevention and protection services. Retrieved fromhttp://www.dcf.ks.gov/services/pps/pages/reportchildabuseandneglect.aspxThe Whole Child. (2018, November 24). Retrieved from How to Identify Child Abuse Ages 0-https://www.thewholechild.org/parent-resources/age-0-5/how-to-identify-child-abuse-ages-0-5/

 
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Nursing  Wk 6 – Self-Reflection

Assignment ContentReflect on your experience in the course.Synthesize the following:Finding Your True North: A Personal Guide“Complexity Leadership: Enabling People and Organizations for Adaptability”Your newly-emerged insights on authentic leadership and teamingWrite a 525- to 700-word article that addresses the following:Who am I as a leader?What is my leadership purpose?How can I remain authentic?What insights from the course will you use immediately, and what strategies will you have to work on?Cite 2 reputable references to support your article (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

 
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Nursing  leadership project

Assignment ContentChange management is key to ensuring that an organization remains adept in providing state-of-the-art health care. As the world changes and communities evolve, patient and personnel needs require fresh and effective ways to meet them. Operating as a reactionary wears heavily on organizations and leaders. Planning for innovation and its diffusion breathes new life into the world of care and of work. Day-to-day operations can be a garden for growth when leadership is skilled at change management.This Leadership Project assessment requires you to create a change project implementation plan designed for making an impact in your organization. You will create a Microsoft PowerPoint® presentation incorporating the details of your change project and daily leadership plan.Create a 15- to 20-slide PowerPoint® presentation that includes the following:Leadership Change ProjectLeaders seek out change opportunities regularly. Innovation, critical thinking, and decision making are key to making an impact on an organization through change management. This assessment is designed to help you look at aspects of your own clinical practice and become a change agent in your organization. Use your current or past experience to identify a change project to implement.Step 1: Select a topic for a change project.Review the following resources for a potential change topic or process ideas:Institute for Healthcare Improvement:Transforming Care at the BedsideInstitute for Healthcare Improvement:Hospital Inpatient Waste Identification ToolFor process change resources:TeamSTEPPS® Pocket GuideStep 2: Identify the context for your change.Describe the setting where the change will take place (e.g., clinical, insurance, home health, or public and community).Explain who is affected (e.g., patients, nurses, leadership, and other stakeholders in the organization)Step 3: Review the literature to find possible solutions and evidence to address your topic.Research sources that guide evidence-based practice to improve outcomes related to your selected topic.Find a minimum of three peer-reviewed articles directly related to addressing your change topic.Step 4: Create a draft implementation plan.Summarize each article to explain how the evidence you gathered will help address your change topic.Explain how you could use the information in the research to carry out the change in your identified setting.Identify 10 ways to include leadership in your daily activities.Include an APA-formatted reference page.Cite a minimum of 3 APA formatted sources.Format your PowerPoint® presentation to ensure the slides only contain essential information and as little text as possible. Do not design a slide made up of long bullet points. Include detailed speaker notes for each slide of your presentation. Your speaker notes convey the details you would give if you were presenting.ReviewCreate Speaker Notespage on Microsoft® for more help.Submit your assessment.ResourcesCenter for Writing ExcellenceReference and Citation GeneratorGrammar AssistanceCopyright 2021 by University of Phoenix. All rights reserved.

 
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Nursing  nursing

Personal Philosophy of NursingIn a 6- to 7-page paper in APA format describe your personal approach to professional nursing practice. Be sure to address the following:Which philosophy/conceptual framework/theory/middle-range theory describes nursing in the way you think about it? Discuss how you could utilize the philosophy/conceptual framework/theory/middle-range theory to organize your thoughts for critical thinking and decision making in nursing practice.Formulate and discuss your personal definition of nursing, person, health, and environment.Discuss a minimum of two beliefs and/or values about nursing that guide your own practice.Analyze your communication style using one of the tools presented in the course. In your paper, discuss the strengths and weaknesses associated with your style of communication and the impact on your ability to collaborate as part of an interdisciplinary team.On a separate references page, cite all sources using APA format.

 
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Nursing  policy implementation

write 300–500 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.For this Discussion Board, please complete the following:As a new healthcare leader you have been tasked with developing policy for local lawmakers, politicians, and business owners with regard to the Centers for Disease Control and Prevention (CDC) guidelines for COVID-19. For this discussion, you will Explore the Covid Data Tracker and the Covid-19 Policy Tracker for a better understanding of what your local policymakers are doing relative to national infection/virus rates and policy recommendations.COVID Data TrackerCOVID-19 Policy TrackerFocus your discussion on the following:Based on the data related to infection rate trends (past/current) in your area, and the current policy recommendations at the state/local level, discuss what you believe should be the top 2 healthcare policy concerns for lawmakers and healthcare leaders in your local area relative to the COVID-19 pandemic.If state/local recommendations/policies differ from the CDC policy recommendations related to the Covid-19 Pandemic guidelines (e.g. mask guidelines, quarantine, vaccination requirements in the workplace, etc.) describe what steps you would take and what data you would use to convince local lawmakers to change the polices in the community.

 
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