work

why do you want to be an ARNP

 
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Health Assessment

Growth and Measurement

 
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microbiology

There are many opinions on the need and/or importance of vaccines in preventing the spread of disease. Our children are required to get vaccinations before entering school, and healthcare workers must have them when working in environments where they can come into contact with bloodborne pathogens. In healthcare facilities, human immunodeficiency virus (HIV) and Hepatitis C (HCV) are the two most prominent infectious concerns for medical staff.For your initial post, research the two diseases HIV and HCV. Based on your research, discuss whether you think that a vaccine will be developed for either of these diseases within the next ten years. Why or why not?For your reply post, expand on your peers’ ideas by sharing examples from your own experience or readings, suggesting outside resources to support the topic, and/or asking furthering questions to dig deeper into the topic.Lifesaving HIV medications (known as antiretroviral treatment or ART) are now available to more people living with HIV than ever before. As long as people living with HIV are taking HIV medication on a regular basis, they can remain healthy and avoid transferring HIV to their partners. Pre-exposure prophylaxis (PrEP) or antiretroviral therapy (ART) may also be available to those with a high risk of contracting HIV. While over 1.7 million individuals worldwide were diagnosed with HIV in 2019, 37,968 people in the United States contracted the virus last year. We need a comprehensive set of HIV prevention strategies that are widely available to anybody who could benefit from them in order to control and finally eliminate HIV worldwide.The long-term goal is to develop a safe and efficient vaccine that will prevent HIV infection in people across the world. When it comes to HIV prevention, even if vaccines only protect certain people or reduce infection rates by less than 100% protection, they can still have a major influence on transmission rates and help manage the pandemic, especially in communities at high risk of obtaining HIV. Many more people will be protected from the virus if a vaccine is only half successful in stopping new infections from spreading. Reduce the number of new infections and therefore stop the epidemic.The hepatitis C virus causes hepatitis C, a liver illness. It is possible to have hepatitis C that lasts only a few weeks, to a serious and long-lasting infection. “Acute” and “chronic” refer to hepatitis C infections, which might be fresh or long-term. Injecting drug users, or those who have injected only once in the past, even if it was many years ago HIV-infected people Maintaining hemodialysis patients with particular medical problems, such as those with chronically abnormal alanine aminotransferase (ALT) levels, and those who have ever had maintenance dialysis (an enzyme found within liver cells). Prior to July 1992, those who received blood or blood components through transfusion or organ transplantation had their hepatitis C virus infection status confirmed as a result of receiving blood from a donor who was later found to be infected with the virus.Personnel in the fields of health care, emergency medicine, and public safety who have come in contact with hepatitis C-infected blood (through needle sticks, sharps, or mucosal exposures) Children born to hepatitis C-infected moms Hepatitis C virus (HCV) vaccine development has long been regarded as a challenging problem because of the wide genetic variation in this RNA virus and because convalescent people and chimpanzees can become infected again the following reexposure to the virus.In contrast, advances in the study of antiviral immune responses in patients with viral clearance have revealed critical pathways that play a role in viral infection management. Preventative chimpanzee vaccination studies have shown that a robust immune response against several viral epitopes is essential for preventing the spread of the disease and the development of chronic infection. Inducing cross-neutralizing antibodies in a multispecific B cell response may aid in cellular responses. Chronic carriers’ immune systems are compromised, and therapeutic vaccine formulations now being tested in clinical trials need to restore T cell activities to boost their efficiency.Barouch D. H. (2008). Challenges in the development of an HIV-1 vaccine. Nature, 455(7213), 613–619. https://doi.org/10.1038/nature07352Stoll-Keller, F., Barth, H., Fafi-Kremer, S., Zeisel, M. B., & Baumert, T. F. (2009). Development of hepatitis C virus vaccines: challenges and progress. Expert review of vaccines, 8(3), 333–345. https://doi.org/10.1586/14760584.8.3.333Edited by Natasia Jackson on Apr 24, 2022, 11:51:30 AM

 
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Therapeutic diet

therapeutic diet

 
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EHR interoperability – Practicum Project # 2

To Prepare:· Reflect on your practicum experiences as a “Nursing Informatics”.· Think about the evidence, concepts, and/or theories learned throughout this program and your specialization.· Analyze a problem, issue, or situation that you have observed during your practicum experience.· Using a minimum offour peer-reviewedsources of evidence, consider what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from the scholarly literature.· Determine the degree to which the problem, situation, or issue was addressed in a manner that is consistent with the theory, concepts, and principles detailed in the evidence.· Given the various evidence-based approaches that can be used in handling the observed problem, situation, or issue, think about a plan for approaching the matter differently.Assignment Details:Please utilize the following objectives related to the practicum project in this assignment:Practicum Professional Development Objectives1: By June 24th, 2022, learn the Electronic Health Record (EHR) upgrade project implementation process and training requirements.2: Taking new responsibilities and performing tasks and activities for the HER upgrade project within the scope of a Nursing Informatics student by July 8th, 2022.3: Able to execute the leadership roles of correspondent, EHR system intellectual, and decision-maker within the organization by July 15th, 2022.Electronic Health Record (EHR) Project Objectives1. Show ways to reduce the barriers preventing medical professionals from securely exchanging patient data between EHR systems.2. Provide an understanding of the requirements for EHR interoperability and what it means for EHR adoption.3. To develop and deploy an interoperable e-health EMR system that serves as a secure, HIPAA-compliant repository for a patient’s electronically-stored health information.4. To understand the EHR’s purpose and determine the best ways to communicate EHR information to the end-user.=========================================================================******* Write a2 – pageassignment in which you do the following:1) Describe a problem, issue, or situation that you have observed during your practicum experience (no more than a half-page).2) Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your informatics specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature.3) Explain the degree to which the problem, situation, or issue was handled in a manner that is consistent with the theory, concepts, and principles detailed in the evidence.4) Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently.===================================================================Possible References:Jasper, M., Rosser, M., & Mooney, G. P. (2013). Professional development, reflection, and decision-making in nursing and healthcare. John Wiley and Sons.· Chapter 6, “Moving from Clinical Supervision to      Person-centered Development: A Paradigm Change” (pp. 168–203)Matthews, J. H. (2012). Role of professional organizations in advocating for the nursing profession. Online Journal of Issues in Nursing, 17(1). http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Professional-Organizations-and-Advocating.htmlJobs.net. (n.d.). 6 ways professional healthcare associations advance your career. http://www.jobs.net/Article/CB-4-Talent-Network-Healthcare-6-Ways-Professional-Healthcare-Associations-Advance-Your-CareerEchevarria, I. M. (2018). Make connections by joining a professional nursing organization. Nursing, 48(12), 35–38.Professional Organization LinksAmerican Medical Informatics Association. (n.d.-a) About AMIA. https://www.amia.org/about-amiaAmerican Nursing Informatics Association. (n.d.-a). ANIA. https://www.ania.orgHealthcare Information and Management Systems Society. (n.d.-b). HIMSS. https://www.himss.orgHealthcare Information and Management Systems Society. (n.d.-a). Certifications. https://www.himss.org/membership/get-involved/committees/nursing-informatics

 
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125 words positive response with reference due October 16 at 2:00 pm est

The ideal composition of a healthy community is one that has an overall physical, mental, and social well-being.  An example of where this has broken down is in Puerto Rico after Hurricane Maria.  Viewers see on television that communities are without power and even access to clean drinking water. This natural disaster has affected every community on every level and they will need months of recovery before achieving a healthy state again.  According to the CDC (2014), a strong community is one that establishes and improves both its physical and social environments, helps people support one another in conditions of daily life, and enhances their fullest potential.  Some examples of a healthy community include being clean and safe for all citizens.  There should be access to food, water, shelter, income, and recreation in the community.  Availability to access health care services that are culturally competent is vital.  There should be opportunities for a large amount of the population in decision-making and where there is peace, equality, and justice for all.  As communities grow, emphasis needs to be on a safe environment where people have breathable air and no toxic exposures.  Healthy places have in common the fact that they are designed and built to better the quality of life for all the citizens who live, work, worship, learn, and play within their borders. This also includes low crime rates, excellent schools, a hearty economy, transportation, housing, civic involvement, good weather, recreation, and reasonable taxes. (Maurer & Smith, 2013).Nurses must first begin by researching and studying the community by reading newspapers and statistical facts.  One goal of providing care would be to empower the people, families, organizations in the community, and other healthcare professionals to contribute to creating a healthy community. Often community/public health nurses can offer insight about health care that others may not think is possible.  “Nurses can educate and speak about visions of health and specific commitments that can increase the likelihood of particular health possibilities.” (Maurer & Smith, 2013). They have unique commitments to community/public health including:1. Ensuring an equitable distribution of health care2. Ensuring a basic standard of living that supports the health and well-being of all persons3. Ensuring a healthful physical environment (Maurer & Smith, 2013)No matter the community, the goal of public health is the well-being and health of the entire population which includes formulating goals, care of individuals in nonhospital settings, support of development, promotion of mutual caring, self-responsibility, safety, and reduction of health disparities. (Maurer & Smith, 2013).  It is important for nurses to understand that all visions for the community whether it matches expectations or not may take time and they must be patient and persistent with goals to avoid burnout and disconnectedness.  Remembering what we are working for in the community helps empower us and make a difference.ReferenceCenters for Disease Control and Prevention. (2014). About healthy places.  Retrieved from https://www.cdc.gov/healthyplaces/about.htmMaurer, F.A. & Smith, C.M.  (2013). Community/public health nursing practice (5th ed.). St. Louis, MO: Elseveir Saunders.

 
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follow up

1. As you are working towards introducing simulations into your desired change environment, what aspects of bringing simulation to participants who may have not had these experiences before?  Additionally, what steps or actions will you take to support the education and training the nursing students will need to meet expectations of performance in the simulation lab?  Are you using an established simulation lab and is there a sim lab coordinator that will be supporting your needs?2.  I may have asked you a similar question in the other course discussion, but what learning curve is there for nursing students for how to manage, participate, and cope with utilizing the simulation lab.  This is a very different type of environment and I have seen some students very uncomfortable with this type of process.  It takes some getting used to, and can be an added stress to interactive learning.  Thoughts?

 
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WK 9 discussion post

Please see attachment for instructions.

 
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word document abouth Allergic Rhinitis

APA formatMinimun 800 words, excluding citation and referencespathophysiology, differential diagnosis (minimum of three with rationale), and treatment.Safe assign 22 %

 
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Case Study of Harris

APA formatCase study of HarrisHarris: Spinal Cord Injury at T3, CompleteHarris is a 20-year-old African American male with a diagnosis of complete spinal cord injury at T3 and resultant paraplegia. Harris also has a diagnosis of a fractured right tibia and fibula and right proximal radial and ulna fractures. Harris was admitted to the rehabilitation hospital from the acute-care hospital where he stayed for 2k weeks after his accident.Harris was in an automobile accident that resulted in his injuries. He was a passenger in the car and was struck from the right side by another car. Harris was pinned in the car for a short period of time and reports having no feeling in his legs immediately after the two cars collided. His friend, who was driving the car, was not seriously injured.Harris lives with his fiancée, Marsha, on the 15th floor of a new apartment complex in the city, It is a small one-bedroom apartment, They intend to be married next spring. Harris is also planning on completing his baccalaureate degrec in computer science and has one semester left to finish,   Harris works full-time for his brother’s plumbing business as a bookkeeper. During the little free time he has, he likes to travel with Marsha and golf with his friends. Harris had no funcional deficits before the accident.Harris’ family is extremely supportive and visits daily. His brother Jeff calls frequent|y and his mother makes all his favorite meals, which she brings in for the nurses as well as Harris. Harris’ father is not well and cannot visit as often due to respiratory distress, but teleshones his son regularly. Marsha, who is a dental hygienist, has taken time off work to be with Harris every day at the hospital.Harris is admitted to the rehabilitation hospital with the goal of returning home. He is eager to get started and tells the admission nurse “he more therapy, the better.” Harris will be evaluated by PT, OT, nursing, social work, and the physiatrist.Occupational Therapy EvaluationUpon evaluation, Harris is talkative and motivated. He is in a wheelchair with lateral supports. His right LE is in a full-arm cast and his right LE is in a cast from the toes distal to the knee. Harris says he is right-handed. When asked how he has been feeling since the accident, his reply is “fine.” When the question is rephrased as to his emotional state, his response is the same.Harris has no cognitive, perceptual, visual, or hearing deficits. He has no sensation in either LE and reports no sensation in his buttocks as well., His LE sensation is intact, as is the sensation in his superior trunk region. His sensation is impaired in his inferior trunk region. Harris’ low back area cannot be assessed during the evaluation due to his position in the chair.Harris has no AROM in the LEs. His motion is intact in the left UE and cervical area. His right LE cannot be fully assessed due to the cast. Motion in his right digits is normal given the limitations of the cast. His left UE has normal strength, right UE is not fully assessed, but Harris can lift the cast up over his head.Harris has no complaints of pain except for stiffness in his neck. He has some light edema in the right digits at the MCP to DIP joints but no cyanosis. He has multiple bruises and abrasions over his body that nursing is monitoring.Harris’ sitting balance is poor to fair, and he is unable to sit up independently without minimal assistance. He does attempt to correct himself when leaning but lacks the strength to maintain upright posture without external assistance. He is independent in sitting with the lateral supports in the wheelchair.Harris uses a sliding board with moderate assistance to transfer from surface to surface. He is non-ambulatory and is non-weight-bearing on the right leg. Harris requires ocasional assistance to propel himself in a wheelchair because of his inability to use his right arm. He performs bathing tasks ably and can wash his face, hands, chest, and peri-area independently. He requires total assistance for back, buttocks, and legs. He requires maximum assistance for dressing himself.  Harris reports feeding himself without help although “it’s messy sometimes.” Harris has a catheter for urination and had been incontinent of bowel since the accident. His admission Functional Independence Measure (FIM) scores were in the 3 to 4 range for UE tables and 1l range for LE tables.Assignment Objectives:· The student will identify and demonstrate (as applicable) role and participation in the Occupational Therapy process (referral, screening, evaluation, treatment planning, intervention, reevaluation and discharge planning)· The student will determine and select the model of practice/frame of reference that would best guide the treatment of the identified impairments.· The student will demonstrate proficiency in applying OT treatment techniques and practices to a case study that will be assigned to them.· The student will create a problem list, list of strengths, long-term goals, and short-term goals.· The student will demonstrate treatment session which will be described in an intervention note.· After the treatment session, the student will identify opportunities to recommend to the occupational therapist the need for referring client for reevaluation, discharge planning and additional evaluation for other services and/or professional(s).Procedure:· The student will be assigned a case study with an array of physical dysfunctions.· Student will complete an analysis based on a structure and guideline that requires information in regards to: Problems, strengths of the client, long-term and short-term goals for treatment.· Student will develop two treatment sessions applying techniques, strategies and practices· Student will demonstrate by role play, one treatment session.· Student will write an intervention/treatment note accordingly.

 
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