Background Research and Analysis

Research information on the selected issue including at least 5 scholarly references(. Your research should focus on the selected issue in the context of management principles and concepts that relate to decision-making and resource management in the healthcare environment (SLO1). Provide critical analysis of the conceptual and theoretical challenges related to the selected healthcare issue in a wider global context using theories, tools and methods from healthcare management and other fields of study. Consider the political, social, environmental and economic factors contributing to the issue (SLO2).NB; This topic will be focused on two issues 1st; The issue will be the shortage of same-day appointments and how to increase the utilization of same-day appointments and balance the provider schedule to raise the same-day appointment and 2nd, the issue of no-shows and how to minimize No-shows)

 
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DNP-820A: TRANSLATIONAL RESEARCH & EVIDENCE-BASED PRACTICE

Please see Assignment Description & Instruction Details in the Attachments

 
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discussion

J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.Past Medical History (PMH):Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.Labs:Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.Diagnostic test:Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.Case study questions:Please name the potential most common sites for metastasis on J.C and why?What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.Describe the carcinogenesis phase when a tumor metastasizes.Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.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. Your initial post is worth 8 points.You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)All replies must be constructive and use literature where possible.Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

 
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PICOT QUESTIONS

Cervical cancerSamplePatientInterventioncomparisonOutcomeTime frame

 
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Module 7 Discussion Future Vision of Informatics

Future Vision of InformaticsWhat is your vision for the future of informatics in nursing practice?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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Health Care Inequalities

Based on viewing the Johnson & Johnson video, what are your thoughts about health care inequalities and the need for continuing reform? (Share at least 2 points of view.)500 words, formatted and cited in current APA style with support from at least 2 academic sources.Why Racial Disparities in healthcare make COVID-19’s impact worse for minorities (1:58) https://youtu.be/CXNkDDWxGxk

 
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Emotional Intelligence

Take the EI assessment and review your appraisal.  In the text submission box, reflect on your highest and lowest skill score and analyze why or why not you agree with it.  Provide examples to support your reasoning.  Next, choose an evidence-based article on emotional intelligence and nursing, healthcare, leadership, or any combination of the three. Using the article, provide additional narrative insight into the importance of EI in nursing.  The narrative reflection should be approximately 350 words.  Provide a one-drive link to the article in the  reference page.

 
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homework

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.Incorporate the following into your responses in the template: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 the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).NRNP_PRAC_6635_ComprehensivePsychiatricEvaluationExemplar_rev.4.2022.docxNRNPPRAC6635ComprehensivePsychiatricEvaluationTemplate.docx

 
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disscussion

Choose a state and review the scope of practice for the advanced practice nurse. How does it compare to Florida?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. Your initial post is worth 8 points.You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)All replies must be constructive and use literature where possible.Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

 
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module 5 final

Please see attach document

 
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