How should healthcare professionals proactively plan to update their knowledge and skills to respond to the major public health issues and challenges facing them and their clients?

Rationale must be provided400 words in your initialMinimum of two scholarly references in APA format within the last five years published

 
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Research

Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to

 
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ACA and Health-Care Outcomes & Costs

What components of the ACA do you think will have a positive effect on improving health care outcomes and decreasing costs?Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 
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Case Study: C.Z.

Scenario:C.Z. is a 20-year-old Caucasian male who is in his second year of college. He is seeking treatment due to persistent fears that campus security and the local police are tracking and surveilling him. He cites occasional lags in his internet speed as evidence that surveillance devices are interfering with his electronics. His intense anxiety about this has begun getting in the way of his ability to complete schoolwork, and his friends are concerned – he says they have told him, “you’re not making sense.”C.Z. occasionally laughs abruptly and inappropriately and sometimes stops speaking mid-sentence, looking off in the distance as though he sees or hears something. He expresses concern about electronics in the room (phone, computer) potentially being monitored and asks repeatedly about patient confidentiality, stating that he wants to be sure the police won’t be informed about his treatment. His beliefs are fixed, and if they are challenged, his tone becomes hostile.Questions:Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.Discuss the etiology, course, and the structural/functional abnormalities of schizophrenia.Discuss the evidence-based pharmacological and nonpharmacological treatment for this patient using the US Clinical Guidelines.Submission Instructions:at least 500 words ( 2 complete pages of content) formatted and cited in current APA style 7 ed  with support from at least 3 academic sources which need to be journal articles or books from 2018 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%.

 
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patho week 13

1 or 2 references within 5 years1 or 2 paragraphsWhen highly acidic chyme enters the duodenum, which hormone stimulates the release of pancreatic secretions that contains very high bicarbonate ion content? Explain your answer.a. Gastrinb. Secretinc. Cholecystokinind. Histamine

 
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Homework

What are potential barriers to forming an effective relationship with families?  What, if any, might be potential conflicts of interest?Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 
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Week 13-16 DQ posts

Week 13 DQ 1Describe the three types of burns: thermal, chemical, and electrical. Explain the method to determine the percentage of body mass that has been burned. Describe a patient scenario with one type of burn and discuss the obstacles you may face in treating the patient. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.Week 13 DQ 2Joanne presents to the emergency department after catching dinner on fire. According to the fire department, the house was engulfed in heavy smoke, and Joanne was rescued from the kitchen, where the fire originated. She has respiratory distress requiring 4 liters nasal cannula flow of oxygen. She has second and third degree burns over her right arm, leg, and chest/abdomen. Address the following questions:What is the percentage of body mass burned?What would her wounds look like?What other concerns alarm you regarding her care?What and why would you choose a set of orders upon admission to the hospital?Discuss a recommendation for environmental and nutritional interventions for acute and chronic conditions.Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.Week 14 DQ 1As an AGACNP, what health system measures would you put into place to assure addictive behaviors are identified and the risk of opioid dependency is mitigated? As you think of health system measures that could be employed to mitigate opiate dependency, discuss current legislations and policies, how policies and programs affect patient care, and opioid dependency when the patient requires more than the recommended dosage of an opioid. Support your answer with a minimum of two APRN peer-reviewed resources.Week 14 DQ 2What does it mean to provide “cost-effective care”? Discuss the role of accountable care organizations in ensuring cost-effective care. What outcomes do you expect for a patient when you provide cost-effective care? Describe your responsibilities as an AGACNP to ensure that patients will receive cost-effective care that also results in optimal patient outcomes. Support your answer with a minimum of two APRN peer-reviewed resources.Week 15 DQ 1As a busy AGACNP, finding sufficient time to stay current with and apply best practices can be a challenge. Share your methodology for personal evaluation, including the positives and negatives of the approach you are currently taking. Propose ways in which you could enhance your current efforts incorporating evidence-based inquiry and evaluation without adversely affecting a healthy work-life balance. What are the benefits of using current research or experiential learning to improve your practice? Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.Week 15 DQ 2Describe a clinical situation in which you have directly applied evidence-based data to produce a successful patient outcome. If you have not yet done so in practice, describe a clinical situation in which you envision this as a possibility. Explain your process. What steps in the process would you either add or eliminate if you were to encounter this particular set of circumstances again? How could your actions lead to better patient advocacy or a community action? Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.Week 16 DQ 1As the most senior staffer and only AGACNP on your team, you are tasked by a medical surgical unit supervisor with developing a 1-hour teaching module based on a disease process from one of the following: Neurology, Cardiovascular, Pulmonary, Gastroenterology, Urology, Endocrinology, Orthopedics, Dermatology, Renal, Hematology. This is intended for a small group of new-hire, newly licensed RNs on your medical-surgical unit. You have been asked to introduce them to the key principles of noninvasive hemodynamic monitoring and other concepts they will need to firmly understand to perform their jobs. In the lesson, be sure to analyze theories regarding implementation of change in clinical practice. Also include the importance of implementing the best standard of care in the acute care setting. Create and post an outline with a brief rationale of the proposed educational lesson you will deliver.You may not repeat a disease process that one of your colleagues has already completed. In your forum responses to your colleagues, select one area of focus of their proposed lesson plans and offer additional suggestions to improve or expand that area to provide a richer, more in-depth learning experience for the learners. Support your answer with a minimum of two APRN peer-reviewed resources. Cite your lesson and feedback sources in APA format.Week 16 DQ 2Discuss the role of an AGACP as an educational change agent in health care. Then select one colleague’s proposed educational lesson from DQ 1 in this topic. Do not select a lesson for which you have provided feedback. Analyze their method of disseminating evidence to other health care professionals. Provide constructive feedback to your colleague regarding the following.Additional information that should be included in the lesson plan.Structure and flow of the lesson.Other supportive ideas to assist your colleague in developing a comprehensive, effective, and relevant lesson on the chosen educational topic.Support your answer with a minimum of two APRN peer-reviewed resources.

 
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discussion 5

Trisha is a 28-year-old, unemployed white female. She is no stranger to therapy, having seen counselors for most of her teen and adult years. Her friends would describe her as a “wild woman” who takes no crap from anyone. She has held various part-time jobs for the last few years because she usually gets angry at her boss or coworkers and quits. While she has had a string of boyfriends over the years, she has been seeing one man for the last year or so. He too is unemployed and has both an alcohol and methamphetamine problem. She describes the relationship as “addictive and dysfunctional, yet exciting and hot.” Trisha is back in treatment at the urging of her parents, who describe her behavior as erratic and unpredictable. They also claim that she has periods where she “sleeps little and parties lots.” There were also several occasions in the last five years when she was so depressed she didn’t eat or want to leave the house. Her father also admits to periods of depression, and Trisha’s grandfather was diagnosed with manic depression, resulting in numerous hospitalizations in the 1950s and 1960s. Trisha’s only brother died in a car accident several years ago. He was drunk at the time, but she claims he had a long history of depression. Recently Trisha was arrested for disorderly conduct at a friend’s party. She had not slept for nearly 24 hours and was drunk and combative. When she was first approached by police, she solicited them for sex. They report that she was rather hyperverbal and hyperactive. They later had to investigate a complaint from local storeowners for bad checks she wrote in excess of $7,000.Questions:Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.Summarize the clinical case.What is the DSM5 diagnosis?  Identify the rationale for your diagnosis using the DSM5 diagnostic criteria.According to the clinical guidelines, which one pharmacological treatment is most appropriate to prescribe? Include the medication name, dose, frequency and rationale for this treatment.According to the clinical guidelines, which one non-pharmacological treatment would you prescribe? (exclude psychotherapy modalities)  Include the risk and benefits of the chosen rationale for this treatment.Include an assessment of medication’s appropriateness, cost, effectiveness, safety, and potential for patient adherence.Use a local pharmacy to research the cost of the medication. Use great detail when answering questions 3-5.

 
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homework

Create a study guide for your assigned psychotropic medication agents. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards.

 
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RH incompatibility

Step 2- Compose an 800-1000-word summary of your chosen topic. At minimum,address the following:1. Definition2. Etiology3. Clinical manifestation4. Symptoms5. Diagnostics6. Appropriate outpatient or inpatient management7. Potential complications8. Nursing Interventions and Care9. Expected medical management10. Patient TeachingGrading Criteria: This required assignment will count as your writing across the curriculum for this semester. Thisalso constitutes a portion of your clinical assignment/hours. Any student not completing will receive a clinicalincomplete for this course.Learning Outcomes assessed:Evidence based practice: Use best current evidence, expert opinion, and clinical expertise as a basis for nursingpractice and clinical judgment.Patient education: Develop and implement health related education to patients that will facilitate their acquisitionand reinforcement of knowledge and skills, adoption of new behaviors, and modification of attitudes.Due Dates: See class schedule this will be your ticket into class that day, have ready and be prepared todiscuss in front of class(Sign up provided per google doc link on first day of class)

 
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