Nursing  Nurses roles and responsibilities Providing care and support at end of life.

Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management.Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.Practice1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.Education1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.Research1. Increase the integration of evidence-based care across the dimensions of end-of-life care.2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.Administration1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.4. Support the development and integration of palliative care services for all in- and outpatients and their families.Topics to review: Article: Nurses roles and responsibilities Providing care and support at end of life. https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics /endoflife-positionstatement.pdfAPA format. At least two references.

 
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Nursing  Wk 1 Individual: Continuous Quality Improvement Timeline Worksheet

HelpContinuous Quality Improvement Timelineworksheet to create a timeline in which you explain the evolution of continuous quality improvement in health care.

 
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Nursing  nursing post continuation

Continuation of last discussion postLets say that 2 years later, John develops heart failure and is started on digoxin.  Which diabetic medication class can decrease digoxin concentrations and should be avoided in patients taking digoxin? What are some examples of drugs in this class?apa format, use references from last five yearshalf to one page paper

 
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Nursing  4 replies

apa a reply to each

 
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Nursing  Global Trends in nursing practice

Human Trafficking: Please view the following Ted Talk and answer  the question that follow.Thrupkaew, N. (2015). Human Trafficking is All Around You. This is How it Works [TED2015]. Retrieved fromhttps://www.ted.com/talks/noy_thrupkaew_human_trafficking_is_all_around_you_this_is_how_it_worksAre there places in the world where slavery is more prevalent? What are the drivers of higher prevalence in different parts of the world?ReferencesJacobsen, K.H. (2019). Introduction to global health (3 rd ed.). Jones & Bartlett Learning. ISBN 97812844123890American Nurses Association (ANA) Essentials Bundle (2015, Nursing: Scope and Standards of Practice, Guide to Nursing’s Social Policy Statement, and the Guide to the Code of Ethics for Nurses with Interpretive Statements). ISBN: PUB# FNDN2015 NUR4107American Psychological Association. (2020). Publication manual of the American Psychological Association (7 th ed.). ISBN: 9781433832161

 
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Nursing  Group Assignment

A common task in healthcare involves a team assessing how changing regulations, mandates, or market conditions will impact an organization.  At times, the very survival of the entity depends on this analysis.  Each student will be assigned to a team and tasked with working together to develop a presentation on the following topic:Since the 2016 presidential election, there have been multiple changes to the Patient Protection and Affordable Care Act (ACA).  What are they and how have they impacted healthcare access, cost, and quality?Questions to be addressed in your research include:·                  What is the status of those who were newly covered?·                  What are exchanges and how are different States approaching them?·                  What does the Medicaid program have to do with the ACA?·                  How have health insurance premiums been affected?·                  What variables are in play in the political debate over the impact of the ACA on cost, access, and quality of care?·                  What are some of the key challenges facing state and national policymakers given the current status?·                  On balance, has the ACA been a good or bad law?  Provide a clear, fact-based, non-emotional justification for your conclusion.On balance, is the ACA a good or bad law? Provide a clear, fact-based, non-emotional justification for your conclusion.

 
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Nursing  Contraceptives Table

Fill in the table and include references

 
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Nursing  research

use this article attached and instruction is also attached

 
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Nursing  Advance Prof Role discussion 8

The AHRQ Clinical Guidelines are no longer available due to funding. Please go to the following website at the National Centers for Complementary and Integrative Health and review a guideline of a disease commonly seen in your practice area. Provide an overview of the recommendations in this guideline. Include in your discussion how your practice follows this guideline.                            https://nccih.nih.gov/health/providers/clinicalpractice.htm Please post your initial response and Respond to one student. All responses must be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references, other than your text, is required.

 
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Nursing  follow up discussion

one paragraph with intext citation and reference follow up discussion for the above discussion.Further the dialogue by providing more information and clarification. Provide feedback on whether you agree or disagree with their criticism. Explain why. Build on their posts by providing additional insight of your ownDiscuss what the nurse should have done to effectively control this situation and limit the risks of wrongful delegation? Give a detailed response and reference 2 evidenced based resources.According to American Nurses Association (2017), the RN is accountable for confirming that the delegated task to the CNA meets all 5 rights of delegation. After watching the video, It has come to my realization that nurses must be careful when delegating. Rules must be followed in other not to get into trouble. Even thought some organizations train UAPs to do higher level abilities, the nurse must make sure that the UAP is certified and qualified to accomplish any skills preceding to delegation. Instead of permitting the CNA to insert GI tube the RN should have given directions the UAP to take the patient to the ER and not to reinsert the tube on her own.  The delegated task must be within the delegator’s scope. Again, the UAP must receive task based on their proficiency level.  Patients protection is very vital and should have been the RN priority which she did not. The nurse should have also evaluated the right to delegation prior to delegation (Nurse Services Organization, 2019).2 )Identify 3 to 4 risk control recommendations that were learned from the required video that could have been utilized in this case.a) Nurses must refer to their state’s nurse practice acts, which has the rules on what to do not what not to do when it comes to delegation or any task the RN wants to delegate to any one to help him or her with. If this is done it will help reduce errors in the medical field and increase patients safety.b) If the nurse chooses to assign any task to the UAP, she should confirm that the UAP have being appropriately qualified and competent for such task. Once allowing the UAP do the task, the RN should supervise to safeguard the task was appropriately and correctly done and can not lead to injury of the patientc) Evaluating the CNA’s capabilities and skills when it comes to delegation help the nurse to improve care given to patient and also reduced death and law suit from patients family to nurses (Marquis & Huston, 2020)ReferencesAmerican Nurse Association, & National Council of State Board of Nursing. (2017). Joint statement on delegation.Nurse Services Organization. (2019). Defending your license: Strategies for nursing professionals.Marquis, B. L., & Huston, C. (2020). Leadership Roles and Management Functions in Nursing: Theory and Application (10th ed.). Wolters Kluwer.

 
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