Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.

In 2010, the Affordable Care Act opens up the 45-year-old Medicare program to the biggest changes since its inception. Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.Rationale must be provided400 words in your initial post by Wednesday 23:59 pmMinimum of two scholarly references in APA format within the last five years published

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Peer response

For adult orthopedic patients scheduled for a total joint replacement in an orthopedic clinic, what is the impact of the ERAS guidelines, compared to current practice, on anxiety over eight to ten weeks?My short-term goal is to continue in leadership with my organization while going through a post-master certificate in the psych and mental health NP program at Chamberlain. I am looking to utilize both the DNP and PMHNP degrees to help impact a change within the mental health community. As a DNP, I will redesign the complexity of mental health and translate evidence into practice (Norman et al., 2021). This population is rapidly growing without any assistance. Changing the way healthcare views and treats this underserved population is needed on many levels and I plan on being a part of this change. Involving myself in policy change within the government is a way I hope to change the stigma placed on many. The stigma in itself prevents patient care, but advocacy on all levels can help conquer it (Substance Abuse and Mental Health Services Administration [SAMHSA], 2017, as cited in Falk & Taylor-Schiller, 2019).ReferencesFalk, N. L., & Taylor-Schiller, C. (2019). Influencing mental health and well-being of older adults through advocacy: Beyond the bedside. Journal of Psychosocial Nursing & Mental Health Services, 57(7), 13-15.https://doi.org/10.3928/02793695-20190612-03Links to an external site.Norman, L., Wells, B., Edwards, A. P. (2021). From policy to practice: A DNP student perspective. Nursing Forum (Hillsdale), 56(3), 630-634.https://doi:.org/10.1111/nuf.12582Links to an external site.Reply

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Examine the needs of a school-aged child between the ages of 5 and 12 years old. In a 750-1000-word discussion

Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment. Minimum of 4 peer-reviewed sources is required to complete this using APA 2007 style with incitation.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Quality Improvement Initiative

Describe a quality improvement initiative in your current or recent practice setting. What was the nurse’s role in the project? What was the outcome of the project? Has the improvement been sustained? Why or why not?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.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Systems Thinking in Long-term Care

A CASE STUDY HIGHLIGHTING SYSTEMS LEADERSHIP: SYSTEMS THINKING IN LONG-TERM CARECreated by Izabela Kanzana, DNP, RNAs an Advanced Practice Registered Nurse in a Long Term Care (LTC) facility you provide care to 10 residents on Unit A. Every time you are on that floor during lunch time the majority of residents are sitting in wheelchairs and eating their lunch at tables in the dining room. You have looked at several research studies that point to inactivity of residents as a major risk factor contributing to disability and the relationship between increased walking activity and higher functional performance and quality of life. You are curious whether those residents have severe physical limitations keeping them from walking. Your facility has a Walk to Dine program, led by the facility’s restorative nurses. How many residents are able to walk? Is it safe for them to walk? When do they walk? Who assists them with walking? How far do they walk? You are motivated to engage in a project as you have identified an important practice problem. Because the evidence is strong that physical activity is the solution, you know that a QI project to implement the evidence into the process on your unit is the right way to go. The Medical director agrees with you that walking has potential benefits even in LTC.QUESTIONS1.  Who would be on your QI team? Which members will be the most important to interview?You know that restorative nurses are in charge of Walk to Dine program for residents. You interview restorative nurses and they do not know how many residents are enrolled in Walk to Dine program. They do not know how often residents walk to meals and how far residents walk.2.  What would be helpful baseline data?3.  What might your goals be for your improvement project?Read the above Case Study: A Case Study Highlighting Systems Leadership and Systems Thinking in LTC, on page 57 in your text, Leadership and systems improvement for the DNP. Armstrong, G., Sables-Baus, S. (2019) Springer Publishing.Answer the questions (1-3) in an effort to design the QI project.Searching the LiteratureYou searched the literature and found strong evidence that walking patients in LTC leads to better outcomes. You also find in the literature search evidence of key implementation strategies that support walking in LTC residents:•  Staff education (Galik et al., 2013; Slaughter & Estabrooks, 2013)•  Monitoring (Slaughter & Estabrooks, 2013)•  Mentoring and motivating (Galik et al., 2013; Taylor et al., 2015)You contacted your colleague in a different LTC facility and they successfully implemented a walking program designed by the Vanderbilt Center for Quality Aging (Schnelle & Simmons, 2013).Context for the Improvement:You assess Unit A’s readiness for a change using the organizational readiness to change survey. To understand the causes of the low participation in the Walk to Dine program, you collect information from all the stakeholders. The following data surfaces:•  Unit A is sometimes understaffed•  CNAs turnover is high•  There is no clear workflow process of walking a resident from an activity to a meal•  There are not enough walkers for residents who can ambulate with a walker•  A third manager was hired within last 2 months and is still getting oriented•  Family members request wheelchairs for residents to take residents to meals•  Many residents have dementia and they tell you they were assisted with walking even though you are told by staff they did not walk•  Two restorative nurses are in charge of the Walk to Dine program in the entire facility (230 beds)•  CNAs think that it is restorative staff function to provide walking activity to residents•  There is no log to track who walks to meals•  No one knows which residents are able to ambulate to meals•  There is no clear process for identification of residents who want to walk to meals•  There is no monitoring in how the residents that ambulate to meals tolerate the ambulation”

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Adult development & aging

Discuss the various socioeconomic life transitions that the older adult will face inrelation to: Declining function Shrinking social world Widowhood Late-Stage Divorce Late-Stage remarriage Grand parenting Reduced income Retirement, including the phases of retirement Role changes Awareness o

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Nonverbal Communication, Decision Making and Nursing Leadership (Due 24 hours)

Parts  1 and 2 have the same questions. However, you must answer different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Parts  3, 4 and 5  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Parts  6, 7 and 8  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.APA format1) Minimum 9 pages  (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per pageYou must strictly comply with the number of paragraphs requested per page.Part 1: minimum  1 page and one paragraphPart 2: minimum  1 page and one paragraphPart 3: minimum  1 pagePart 4: minimum  1 pagePart 5: minimum  1 pagePart 6: minimum  1 pagePart 7: minimum  1 pagePart 8: minimum  1 pageSubmit 1 document per part2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphThe writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.Bulleted responses are not acceptedDon’t write in the first personDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)Part 1:  Do not require references or in-text citations. However, it must be 100% original as it will be verified with SafeAssign and TurnitinPart 2:  Do not require references or in-text citations. However, it must be 100% original as it will be verified with SafeAssign and TurnitinAll references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextQ 1. Nursing is XXXXXQ 2. Health is XXXXQ3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.doc__________________________________________________________________________________Parts  1 and 2 have the same questions. However, you must answer different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 1: Nonverbal Communication1. Abstract (One paragraph)2. What are nonverbal codes?  (One paragraph)3. How to interact with the nonverbal codes and manage the identity  (One paragraph)4. What nonverbal codes do you use to manage your identity? (write in the first person- One paragraph)Part 2: Nonverbal Communication1. Abstract (One paragraph)2. What are nonverbal codes?  (One paragraph)3. How to interact with the nonverbal codes and manage the identity  (One paragraph)4. What nonverbal codes do you use to manage your identity? (write in the first person- One paragraph)Parts  3, 4 and 5  have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 3: Decision MakingFive paragraphs per pageWatch another nurse in practice for 5 minutes. Take a snapshot in your mind and walk through the 5 Ws (Who, What, Where, Why, When (and How)?) using the questions earlier and discuss your findings.1. What does this tell you about values?2. What does it tell you about relating?a. What is the purposeb. What goals are being pursuedc. Whose interests are in the foreground?3. What is happening simultaneously? For example, is the nurse relating effectively while also doing care tasks?4. Does this serve as a model for your own relational practice? In what ways?5. In what ways would you have acted differently to promote health and well-being?Part 4:  Decision MakingFive paragraphs per pageWatch another nurse in practice for 5 minutes. Take a snapshot in your mind and walk through the 5 Ws (Who, What, Where, Why, When (and How)?) using the questions earlier and discuss your findings.1. What does this tell you about values?2. What does it tell you about relating?a. What is the purposeb. What goals are being pursuedc. Whose interests are in the foreground?3. What is happening simultaneously? For example, is the nurse relating effectively while also doing care tasks?4. Does this serve as a model for your own relational practice? In what ways?5. In what ways would you have acted differently to promote health and well-being?Part 5: Decision MakingFive paragraphs per pageWatch another nurse in practice for 5 minutes. Take a snapshot in your mind and walk through the 5 Ws (Who, What, Where, Why, When (and How)?) using the questions earlier and discuss your findings1. What does this tell you about values?2. What does it tell you about relating?a. What is the purposeb. What goals are being pursuedc. Whose interests are in the foreground?3. What is happening simultaneously? For example, is the nurse relating effectively while also doing care tasks?4. Does this serve as a model for your own relational practice? In what ways?5. In what ways would you have acted differently to promote health and well-being?Parts  6, 7 and 8 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.Part 6: Nursing LeadershipMany people have problems with changes. Nurses need to deal with changes every day.1. How do you deal with changes? (Two paragraphs)2. Tell me three good reasons for changes? (one paragraph)Part 7: Nursing LeadershipMany people have problems with changes. Nurses need to deal with changes every day.1. How do you deal with changes? (Two paragraphs)2. Tell me three good reasons for changes? (one paragraph)Part 8: Nursing LeadershipMany people have problems with changes. Nurses need to deal with changes every day.1. How do you deal with changes? (Two paragraphs)2. Tell me three good reasons for changes? (one paragraph)

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Student answer 2 pharm

Description of the patient case:The patient is a 26-year-old Male, who presented to our ER for worsening right elbow bursitis. The patient was seen in the ER 2 days prior for the same issue, underwent a drainage procedure with documented removal of only 1cc, and was started on PO Keflex. Fluid was also sent for culture. Since the last time in the ER, the patient reported worsening pain and spreading redness around the elbow. The patient also reported some intermittent numbness and tingling in the fingers of the right hand.  The patient decided to come back in due to concerns about a possible worsening infection.  The patient denied any fevers/chills or other systemic symptoms.  The patient denied tobacco or alcohol use.Factors that might have influenced the pharmacokinetic and pharmacodynamic processes of the patientThe patient was not responding to the trial of oral antibiotics.  Keflex 500mg PO QID instructed to take one tablet by mouth four times a day for 5 days.  Once inpatient, the patient was started on IV vancomycin.  Following the initial dose of Vancomycin 1.5gm IV loading dose, he had a mild vancomycin infusion reaction with a pruritic rash on the abdomen that resolved with PO Benadryl dose.  Following doses of vancomycin were tolerated better with Benadryl pre-treatment and slowing infusion rate.One factor to consider in this case was the rate of the IV infusion.  “Red Man Syndrome” is used to describe the adverse effect of vancomycin infusion.  This anaphylactoid reaction is caused by vancomycin degranulation of mast cells and basophils resulting in histamine release independent of IgE (Rivera & Ryan, 2022).  Another factor that may be worth noting is gender.  According to Alvarez-Arango et al. (2021), White patients were found more likely to experience Red Man Syndrome than non-White patients.  Red Man Syndrome was also identified as more likely to affect male rather than female patients (Alvarez-Arango et al., 2021).A personalized plan of careAccording to Rosenthal & Burchum (2021), one patient may experience adverse effects from a medication, while others may not.  Asking the patient to report symptoms during and after the initiation of medication can help with identifying adverse reactions and implementing a plan to treat symptoms.  In assessing the risk-to-benefit ratio of medication, one must consider the severity of the side effects (Rosenthal & Burchum, 2021).  In this case, vancomycin 1gm IV q12hrs (15mg/kg dosing) was continued.  The infusion rate was extended to 120 minutes.  The patient was also pretreated with Benadryl 50mg by mouth to prevent infusion reaction.References:Alvarez-Arango, S., Michelle, O. S., Sequist, T. D., & Burk, C. M. (2021). Vancomycin infusion reaction — moving beyond “Red man syndrome”. The New England Journal of Medicine, 384(14), 1283-1286. doi:https://doi.org/10.1056/NEJMp2031891Rivera, C. G., & Ryan, K. L. (2022). Call to Pharmacists: End Use of “Red Man Syndrome.” Annals of Pharmacotherapy, 56(1), 102–103.https://doi.org/10.1177/10600280211021417Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

WEEK 7 – FOCUSED SOAP NOTE -Personality and Paraphilic Disorders

THE ASSIGNMENT: FOCUSED SOAP NOTEPersonality and Paraphilic DisordersTo prepare:Select a child/adolescent      patientfrom      your clinical experience that presents with a significant concern. Create      a focused SOAP note for this patient using the template in the      Resources.Your presentation should      include objectives for your audience, at least three possible discussion      questions/prompts for your classmates to respond to, and at least five      scholarly resources from 2018-2022 to support your diagnostic      reasoning and treatment plan.Be succinct in your presentation,      and specifically address the following for the patient, using your SOAP      note as a guide.Subjective: What details did the       patient provide regarding their chief complaint and symptomology to       derive your differential diagnosis? What is the duration and severity of       their symptoms? How are their symptoms impacting their functioning in       life?Objective: What observations did you       make during the psychiatric assessment?Assessment: Discuss their mental       status examination results. What were your differential diagnoses?       Provide a minimum of three possible diagnoses and why you chose them.       List them from highest priority to lowest priority. What was your primary       diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic       criteria and is supported by the patient’s symptoms.Plan: What was your plan       for psychotherapy (include one health promotion activity and patient       education)? What was your plan for treatment and management, including       alternative therapies? Include pharmacologic and nonpharmacologic       treatments, alternative therapies, and follow-up parameters, as well as a       rationale for this treatment and management plan.  Discuss an       identified social determinate of health impacting this patient’s mental       health status and provide your recommendation for a referral to assist       this patient in meeting this identified need (students will need to       conduct research on this topic both in the literature and for community       resources).Reflection notes: What would you do       differently with this patient if you could conduct the session       again? If you are able to follow up with your patient, explain       whether these interventions were successful and why or why not. If you were       not able to conduct a follow-up, discuss what your next intervention       would be.Case FormulationREQUIRED LEARNING RESOURCESCarlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.Chapters      31, “Assessing Personality Disorders”Chapter      32, “How to Educate Your Patient”https://health.gov/healthypeople/priority-areas/social-determinants-healthhttps://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bpd.pdfhttps://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bpd-watch.pdfhttps://www.youtube.com/watch?v=YOV61lKxqxYhttps://www.youtube.com/watch?v=0TtryBLokZc

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.

Family Health assessment

I need assistance with conducting an interview related to family health promotion r/t family structures for nursing

 
Do you need a similar assignment done for you from scratch? We have qualified writers to help you. We assure you an A+ quality paper that is free from plagiarism. Order now for an Amazing Discount!
Use Discount Code "Newclient" for a 15% Discount!

NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.