Healthcare Policy and Delivery Systems

Discussion:”Nurses often serve as frontline health care workers (HCWs), and as such are key to detection activities. (Mason et al; 2021).”How can nurses and nursing organizations engage their communities in constructive ways when public health threats are imminent?400 wordsMAKE DISCUSSION USING THIS CHAPTER OF THE BOOK THAT IS AS AN ATTACHED DOCUMENT

 
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Telehealth Medicine

What are the Pros and Cons to telehealth?How will you approach and perform a telehealth assessment?What are the limits to telehealth?What is the difference between the provider’s need for a successful telehealth visit versus the Patient’s perspective?Formatted per current APA and 2-5 pages in length, excluding the title, abstract, and references page.Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions)

 
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week 13 theoretical

Evidence suggests that patients do better when their expectations about specific benefits of nursing care are discussed and met.  Design a “comfort contract” whereby patients or their surrogates designate an expected level of postsurgical overall comfort, and also where they can specify chronic discomforts and interventions that they use at home for relief.2 referencesPLEASE free plagiarism PLEASE

 
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Professional Communication

Based on assigned readings please answer the following questions.1 a. Why should we study communication?b. Why is it important to be an assertive nurse?2. Would you see yourself an assertive nurse?  If No, what are some barriers ? if Yes, where did you learn this skill ?3. Describe and give an example from your practice of the following:a)    Assertive communicationb)    Nonassertive communicationc)     and aggressive communication4.  How do you currently manage your reactions to patient behaviors currently?Postings should be a minimum of  250 words, spellchecked, and succinct in grammar and completed by Wednesday 11:59pm with response to two peers by Sunday 11:59pm.  Discussions require a APA reference at the end of your posting unless stated in the discussion instructions for the week.

 
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Pathophysiology, Nursing role transition to practice and Biology (Due 20 hours)

Parts 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.APA format1) Minimum 8 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.The number of words in each paragraph should be similarPart 1: minimum  2 pages and one paragraph (Divide the assigned seven paragraphs for part 1 into the nine questions solicited.)Part 2: minimum  2 pagesPart 3: minimum  1 page and 2 paragraphsPart 4: minimum  1 pagePart 5: minimum  1 pageSubmit 1 document per part2)¨******APA normsThe number of words in each paragraph should be similarAll 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:  Minimum 6 references (3 references per case)  (APA format) per part not older than 5 years  (Journals, books) (No websites)Part 4 and 5:  Minimum 4 references (APA format) per part not older than 5 years  (Journals, books) (No websites)All 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 nextExample:Q 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 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 1: Pathophysiology(Divide the assigned seven paragraphs for part 1 into the nine questions solicited.)Case 1: Musculoskeletal FunctionG.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.1. Briefly explain osteoarthritisa. Explain the differences with osteoarthritis.b. Briefly explain the risk factors presented on the case that contribute to the diagnosis of osteoarthritis.2. Briefly explain two differences between osteoarthritis and rheumatoid arthritisa. Include one clinical manifestationb. Include one major characteristicc. Include one joints usually affected and diagnostic methods.3. Briefly explain the different treatment alternatives availablea. Including non-pharmacological and pharmacological appropriate for this patient and why.4. How would you handle the patient concern about osteoporosis?a.  Briefly explain the interventions and education regarding to osteoporosis case.Case 2: Neurological FunctionH.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.5.  Briefly explain two common risks factors for Alzheimer’s disease6.  Briefly explain two the similarities and two differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.7.  Briefly explain explicit and implicit memory.8.  Briefly explain  the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association9.  Briefly explain what would be the best therapeutic approach on C.J.Part 2: PathophysiologyTopic: Pancreatic ductal adenocarcinoma1. Describe the causes (One paragraph)2. Describe two research on the disease (not older than 5 years)  (One paragraph)a. Explain the findings3. Describe the associated symptoms  (One paragraph)4. How is the disease treated?   (One paragraph)a. How are symptoms relieved?5. Describe what is required to diagnose the condition  (One paragraph)a. T3stsb. Symptomsc. signs6. Describe Data/statistics currently known concerning the diseasea. Local (Miami)b.Nationalc. GlobalPart 3: Nursing role transition to practice1. Describe what business planning is (One paragraph)2. Describe the relationship between business planning and system approach. (One paragraph)3. Describe three characteristics of the process of Advanced Practice Nurse (APN) business planning from a system approach (One paragraph per characteristic: Total of three paragraphs)Parts 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 4: BiologyTopic: PhotosynthesisCheck:https://www.youtube.com/watch?v=-G64DagHuOghttps://www.youtube.com/watch?v=jXQjTokJoWk1. Discuss how plants (primary producers) and fungi (decomposers) can make life on Earth possible (One paragraph)a. Describe the connection between the two.2. Describe an example of a fungus-plant association (One paragraph)3. Describe a research pap3r that addressed fungus-plant association and explain the findings (One paragraph)Part 5: BiologyTopic: PhotosynthesisCheck:https://www.youtube.com/watch?v=-G64DagHuOghttps://www.youtube.com/watch?v=jXQjTokJoWk1. Discuss how plants (primary producers) and fungi (decomposers) can make life on Earth possible (One paragraph)a. Describe the connection between the two.2. Describe an example of a fungus-plant association (One paragraph)3. Describe a research pap3r that addressed fungus-plant association and explain the findings (One paragraph)

 
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Group Video Case Presentation

Goal: Develop a video presentation and submit a PowerPoint presentation on a common mental health disorder (YOU ONLY ELABORATE THE POWERPOINT , I will take care of the voice over component).Content Requirements:The presentation must provide information:Introduce a fictitious patient case study diagnosed with BIPOLAR DISORDER TYPE 2. (called Bipolar Disorder II).Must specifically address the disease present on the ADULT POPULATION GROUP.PowerPoint Must INCLUDE:Definition of the disease or disorderEpidemiology of the disease or disorderIncidencePrevalencePathogenesisPathophysiology of the disease/disorder to the cellular level.Including genetics/genomics, neurotransmitters, and neurobiology of this specific disorder.SPECIFIC ABOUT OUR FICTITIOUS PATIENT:Clinical features of the disease or disorder on the ficticious patient, INCLUDING A DIRECT QUOTE FROM THE PT ABOUT PRESENTING PROBLEMSDemographics(  Begins with patient initials, age, race, ethnicity, and gender (5 demographics)History of the patient’s problems :  Includes the presenting problem and the 8 dimensions of the problem (Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity).Includes NKA (NOT KNOWN ALLERGY) (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)Physical findings, and Psychiatric findings :  Includes a minimum of 3 assessments for each body system, assesses at least 9 body systems directed to chief complaint, AND uses the words “admits” and “denies”Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)Includes a list of the labs, diagnostic tools or screening tools reviewed at the visit, values of lab results or screening tools, and highlights abnormal values, OR acknowledges no labs/diagnostic tools were reviewed.Includes a list of all of the patient reported psychiatric and medical medications and the diagnosis for the medication (including name, dose, route, frequency)Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current .Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including addiction treatment), and year of diagnosis.Includes a list of at least 6 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder and history of suicidal attemptsIncludes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation.Includes all 10 components of the mental status check (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with detailed descriptions for each areaIncludes a clear outline of the accurate principal diagnosis based on DSM5 or DSM5-TR criteria AND lists the remaining diagnoses addressed at the visit (in descending priority).Includes at least 2 differential diagnoses for the principal diagnosisIncludes appropriate diagnostic/lab testing or screening tool 100% of the time OR acknowledges “no diagnostic testing or screening tool clinically required at this time”Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non-pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives.Provides a detailed list of medical and other interdisciplinary referrals or documents NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments.RecommendationsTreatment recommendations according to the US clinical guidelines.Patient education for management and anticipatory guidance.Non-pharmaceutical, cultural, and spiritual considerations must be addressed.Format Requirements:Powerpoint presentations with 14 slides (excluding references and tittle page) need to be clear and easy to read with no less than 16-point font. Speaker notes expanded upon and clarified content on the slides.Incorporate a minimum of 5 current (published from 2018 up to now) scholarly journal articles, books(including the exact page number for books) or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style 7 ed.NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%. WILL BE CHECKED by Instructor.

 
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Discussion reply 1

A 32-year-old female presents for an evaluation of a lump in her right breast that she found on breast self-examination. The lump is found to be 2cm in size, firm, and mobile. No Adenopothy noted.What are two questions you would ask this patient?When did you first notice this lump and is it painful to the touch?Has there been any trauma to the area or any associated symptoms.What are two risk factors would you want to assess for?I would ask about history of birth control use or any other estrogen intake. According to Daly (2022) The primary risk factor for developing breast cancer is excess exposure to estrogens.Is there a family history of breast lumps or any type of cancer in the family? If so, were they diagnosed prior to the age of 50 yrs of age? Family history would be one of the key risk factors for breast cancer, particularly if family members were young (>50) at the age of diagnosis (2022).What are the levels of prevention for this patient?A primary level of prevention would be to educate the patient on modifiable risk factors. These modifiable risk factors, according to the Pan American Health Association, consist of obesity, physical inactivity and reduced alcohol consumption can reduce breast cancer incidence and improve overall health (2014).A secondary level of prevention would be performing additional screening to identify the possible possibility of breast cancer in its earliest stages. With the patient being 32 y/o, I would utilize sonography to further assess and identify the mass. With being under the age of 35 y/o the breast tissue tends to be denser. This dense tissue impedes the accuracy of mammography and makes it more challenging to detect microcalcifications (2022).

 
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Discussion: Disc Personality Profile

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Nightingale Case Study – 1000 words

Case Study: Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy.   Mrs. Adams apartment is located in a low-income area of the city where crime is prevalent.  Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her clothes appeared unchanged and she had no food in the apartment.  The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.Using Nightingale’s Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components?What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan?Apply Nightingale’s Environmental Theory to an area of  nursing practice?  What patient-population would benefit from this approach?  Support this practice change with at least one evidenced-based article.

 
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Health Promotion

Topic 1:Healthy People 2030Healthy People is an initiative of the Office of Disease Prevention and Health Promotion (ODPHP) that addresses health challenges and set projections every 10 years, with the main purpose of improving health indicators nationwide. After completing your readings select three objectives/topics (health problems) of Healthy People 2030 that you consider relevant for your community or region. Of those relevant topics define the one you consider the most crucial or concerning to you. This topic will be from now on the one that will be used for all your class discussions and assignments. It will be “your selected health problem”.Describe your selected health problem. Why is the selected topic important?Will this problem lead to secondary conditions or complications?What criteria are used to understand the risk of developing such conditions or complications?Topic 2:U.S. Preventive Services Task Force (USPSTF).The U.S. Preventive Services Task Force (USPSTF) is an independent organization of experts in health promotion that recommends strategies to improve health indicators. Review this source athttps://www.uspreventiveservicestaskforce.org/uspstf/and determine the recommendations and expectations for your selected health problem.Describe your findings and discuss the strengths or benefits of this source. Would you modify something about it, particularly the information concerning to your selected health problem?

 
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