Cardiovascular Alterations

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At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

·         Review the scenario provided, as well as Chapter 24 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.

·         Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

·          

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

Healthcare Costs

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Healthcare Costs

“U.S. health care spending grew 3.6 percent in 2013, reaching $2.9 trillion or $9,255 per person.  As a share of the nation’s Gross Domestic Product, health spending accounted for 17.4 percent (Micah et al., 2011).

Using the above information and other information you will be directed to below, do the following:

  • Define the economic principle of opportunity cost.
  • Locate current GDP expenditures and express the percentages in a graph or a chart.  
    You will find the necessary information either on the October 16th, 2014 post of the Health Affairs Blog or on other websites that contain relevant information: Slow Health Care Spending Growth Moderates GDP Growth In The Short Term And Policy Targets Should Reflect This.
  • Explain whether spending 17.4% of GDP is too much or too little to spend on healthcare.
  • Defend your position using the concept of opportunity cost and highlight specific GDP expenditures that are impacted by healthcare expenditure (opportunity cost).

Reference:

Micah, H., Martin A. B., Benson, J., Catlin, A., & The National Health Expenditure
           Accounts Team (2011). National Health Spending In 2011: Overall Growth
           Remains Low, But Some Payers And Services Show Signs Of Acceleration.
           Health Affairs. Retrieved from http://content.healthaffairs.org/content/32/
           1/87.abstract

SECTION B

1. Provide evidence of your understanding of the steps of the drug experience, from the point of a drug’s entry into the body to an individual’s perception of that drug’s effect (making sure to discuss several different ways in which drugs can enter the body).

2. Develop an outline of current Food and Drug Administration (FDA) procedures by which nonprescription, or OTC, products are reviewed for safety and effectiveness.

Answers at least 200 words in length. Sources in APA format.

The Alzheimer’s

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Assignment #1: (20 points) USHCS Perspectives: A Structured Stakeholder Analysis

Topic: The Alzheimer’s Association http://www.alz.org/about_us_about_us_.asp

Select and investigate a stakeholder organization from the list below.  Post your selection in the Assignment #1 Discussion section so that your fellow students are aware of your choice. Only one student per Stakeholder Organization!

In this assignment students will gain expertise in identifying and analyzing the role of stakeholders in the U.S. Health Care Sector, examining the health care sector from the perspective of stakeholders, and examining the leadership and management of a stakeholder organization.

This assignment calls for a 3 page report (not including title page or reference page).  The student should address the following:

  •  Name and provide a brief overview of the stakeholder organization. Identify and describe the key health care issue the stakeholder is influencing, who is being represented by the stakeholder, the desired impact of the stakeholder on the issue and what the stakeholder’s members or constituents stand to gain if the desired outcome is achieved.
  • Identify and explain the stakeholder organization perspective: Payer (insurers, government payers, and employers); Provider (entities and individuals providing services in the health care system); Patient (consumers); or Producer (a product developer) could also be examined in this assignment.
  • Identify an organization that the stakeholder partners with OR an organization that opposes the stakeholder and describe their perspective on the same issue.
  • Identify the most senior leader of the organization. Describe his or her educational and positional background. Identify the duties and responsibilities of this leadership position and why this position is important to the stakeholder organization and healthcare as a whole. Describe the knowledge and skills this position requires, list some of the other the stakeholders this individual would work with and describe the nature of the stakeholder relationships.  Describe the impact a person in this career might have in improving the health care system.
  • As is the case with all academic papers, a well-organized paper will have a clear introduction to the topic, a body, and a conclusion or summary paragraph. In addition, a well-written paper will have minimal grammar, spelling, or sentence structure mistakes and it will fully conform to all APA formatting standards.

Analyze: Artifact of Popular Culture

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Analyze: Artifact of Popular Culture

Instructions

Analyze: Artifact of Popular Culture

Evaluation Title: The Business of Pop Culture

We have seen throughout this course how popular culture influences our attitudes, both positively and negatively. In this final paper, you will examine an artifact in pop culture to determine its message and effect.

For this assignment, select an artifact that, in your opinion, unfairly creates a negative bias or promotes a negative stereotype about one population of society. The pop-culture artifact can be a media source (song, movie, television program), a product, or other tangible associated with pop culture.  Provide a link to this artifact (or an image). Explain why you have selected this artifact and why you feel that this creates a negative bias. Describe how you would re-design or re-write the script of this artifact to change how others view this population. Analyze: Artifact of Popular Culture

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In your paper:

  • Provide a specific link to the pop culture artifact used for this paper or an image of the artifact.
  • Discuss the artifact in depth.  Explain the stereotypes or biases that you see being perpetuated in the artifact.
  • Discuss the role of popular culture in communicating harmful or incorrect stereotypes or biases.  Using the concepts, terminology, and ideas within Units 1-7, recommendations for how people can identify and correct views that are incorrect or harmful.
  • Re-design or re-write this artifact to change the way others could view this population without the negative bias.  Be sure to support this revised artifact with factual examples of the culture. Analyze: Artifact of Popular Culture

Specifications: 

Submit a 1200-1500 word essay addressing the questions above.

In your essay:

  • Be sure to structure your essay with an introduction paragraph that includes a thesis statement, well-organized supporting paragraphs, and a conclusion that reiterates the main points of your argument.
  • Your argument should be supported by reputable research cited in APA format both in the body of the paper and in your references section.

Helpful Resources:

  • Herzing University’s Tutoring and Writing Center
  • Grammar checker and writing help: https://www.grammarly.com/ (Links to an external site.) 
  • Use the Herzing LIbrary to search for scholarly research sources Analyze: Artifact of Popular Culture

AGING EFFECTS

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  Research Topic:Urinary Incontinence and AgingPart 1Locate 10 recent articles, book chapters, and/or Web sites on the topic, and create a reference list using APA format.        Sources must have been published in the last five years.        Library databases recommended for this assignment include CINHAHL (Nursing and Allied Health Literature) and AgeLine.       No more than two websites may be used, and they must be evaluated for trustworthiness         APA guides: APA Manual, Purdue OWL online website, Owl APA Format Guide   Submit your list of 10 references in alphabetical order  Part 2

 Write an annotated bibliography. Each of the 10 in your reference list should be followed by a brief (usually about 150 word) descriptive and evaluative paragraph explaining how this source will help to develop your paper. For more information on creating an annotated bibliography, visit: http://www.library.cornell.edu/olinuris/ref/research/skill28.htm . 

Part 3

 Formulate a thesis statement and an outline for your paper. Create a paper outline using the following format:Research Paper Title I. Introduction: Grab attention, relate importance to health and aging, and present a focused thesis statement.  II. Body: Main points and articles you will use to support your point. A.    Main point 1 (reference 1: author’s name, year; reference 2: author’s name, year;…)B.    Main point 2 (reference 1: author’s name, year; reference 2: author’s name, year;…)C.    Main point 3 (reference 1: author’s name, year; reference 2: author’s name, year;…)D.    Etc. III. Conclusion: Wrap up your paper with a summary of your main points.  Part 4 
Write a 6-8 page first draft of your paper, including the following:       Title page: Provide the title of the paper, your name, and the course and section       Introduction: Grab attention, relate importance to health and aging, and present a focused thesis statement       Body: Identify and develop each main point in an organized, clear manner, using in-text citations. Discuss possible solutions to the issue.       Conclusion: Wrap up your paper with a summary of your main points.       Reference list: Incorporate revisions from Step 1 

Curriculum Models In Nursing Education

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Curriculum Models In Nursing Education

There are many established and emerging curriculum design models. In a 10-15 slide PowerPoint presentation, address the following:

  1. Describe three curriculum design models.
  2. Identify the level of nursing education for which each model would be most appropriate.
  3. Describe advantages and disadvantages of each model for the learner.
  4. Describe advantages and disadvantages of each model for the educator Curriculum Models In Nursing Education.

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Present your findings in a professional PowerPoint presentation that would be helpful to a nursing school curriculum committee in revising their curriculum model.

Each slide should include speaker notes.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion Curriculum Models In Nursing Education.

Professional Nursing Paper

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Professional Nursing Paper

APA 7th edition. Running head and abstract not required. Use appropriate level APA headings.

The four domains of nursing are the person, environment, health, and nursing.

2. Review the definition of nursing developed by the American Nurses Association (ANA), “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (2004, p. 7). ANA Definition (Links to an external site.)Professional Nursing Paper.

3. Formulating your philosophy of nursing. Use the questions below to help you develop a philosophy. The following are ideas to reflect on in the process of defining your own personal beliefs. You shouldn’t list and answer each one in your paper . Instead use your responses to the questions to devise a nursing philosophy. What is your central belief about the individual person? What makes up a person, who they are and how they got to where they are? Professional Nursing Paper

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What constitutes the environment? Does it include elements both external and internal? Give examples. Find out what internal/external environments are and how the person interacts with them. A good source for this information is Chitty and Black “Professional Nursing Concepts and Challenges” 6th edition, or Google search should give you direction on this

How do the individual and the environment interact? Think about how you view health. Your Finkelman textbook mentioned above will give you a basic understanding but you will need to expand upon this.

What is your view of health? What is health and how is illness related to health? Is health a continuum with absolutes at either end, is it a dichotomy: either good or bad? Is it a state that includes illness? Note that disease and illness is not the same thing. One can have a disease and not be ill, and one can be ill and not have a disease.

What is the central reason for the existence of nursing? Why are we, as nurses, here? Don’t think of this as a task based definition. Why do you get up every day and go to work? How do we do what we do every day? Professional Nursing Paper

Spend a little bit of time thinking about the questions provided and you will do fine!
Don’t look for a “right” answer, this is your personal philosophy/thought.

 

Content:

Introduction with thesis statement; core competencies of nursing; professional characteristics of nursing; conscious caring; definition of nursing, personal philosophy of nursing and summary

Assignment rubic:

Introduction:Introduce paper by telling the reader what you will be writing about. Be sure to include a thesis statement (3-4 sentences)

Core Competencies:Describe the core competencies for all healthcare professionals: delivering patient-centered care, working in interdisciplinary teams, utilizing evidence-based practice, apply quality improvement, and use of informatics( 1/2 page)

Professional Characteristics of Nursing:Describe professional characteristics of nursing as described by American Nurses Association: autonomy, responsibility, and accountability (1/2 page)

Definition of Nursing:Discuss the meaning of terms (choose only 3) found in the definition of nursing developed by the American Nurses Association.

Choose any 3 of the following terms (these can be 2nd level headings per APA in paper): promotion of health, optimization of health, prevention of illness and injury, alleviation of suffering, human response, and advocacy.

Consider the following questions for your discussion: What does the term mean to you personally as a nurse? What does the term mean for your patients and families? Could the term have a different meaning for various cultural groups? (1 page) Professional Nursing Paper

Conscious Caring: Describe five actions that demonstrate conscious caring and provide one example from your own nursing practice. (1/2 page)

Personal Philosophy of Nursing: Reflect on the four domains of a nursing philosophy and develop your own personal philosophy of nursing. (1/2 page)

Summary: Provide a summary of main ideas from your paper. Begin the paragraph by using the words, “In summary or In conclusion”. Do not provide any new information in this section. (4-5 sentences)

APA Format: Follows APA 7th edition format (no abstract or running head required), correct grammar and spelling, uses correct headings, minimum of 3 scholarly references (textbook can be 1 reference), and maximum of 2 direct quotations.

Total 6 pages. No plagiarism, APA style 7th edition. reference page must be included. Due February 25th @ 5pm. Professional Nursing Paper

DRUG ABUSE

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Discussion 1
Describe the major causes for concern regarding cocaine use and compare them with various causes for concern regarding amphetamine use, showing evidence of your understanding of their similarities and dissimilarities.

Discussion 2
Explain the basic rationale and theoretical foundations for the extensive use of amphetamine in the treatment of ADHD (attention-deficit hyperactivity disorder).

Discussion 3
Discuss the feasibility of controlled drinking as a realistic goal for those who are dependent on alcohol, citing evidence of support for as well as of opposition to this controversial concept of treatment.

Discussion 4
Discuss the rationales for and against viewing alcohol dependence as a disease.

Discussion 5
Present the pharmacology of opioids, including chemical changes and mechanism of action.

Discussion 6
Describe the potential adverse effects and possible health risks associated with anabolic steroid use by males and females, including psychological manifestations of use that have been observed in many athletes who have used these substances indiscriminately.

Discussion 7
Describe the acute behavioral and acute physiological effects of marijuana. What are the behavioral or physiological effects of long-term marijuana use?

Discussion 8
Summarize the major causes for concern associated with the effects of THC and/or marijuana use.

Discussion 9
List and briefly describe the major characteristics of the following treatments for substance dependence: total abstinence (Alcoholics Anonymous), motivational enhancement therapy, contingency management, relapse prevention, and the detoxification and maintenance phase of pharmacotherapies, making certain to explain the differentiating features of each.

Discussion 10
Develop an outline of your own suggestions for a multifaceted, comprehensive approach to drug abuse prevention in your community or local school district. 

DRUG ABUSE

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Discussion 1
Describe the major causes for concern regarding cocaine use and compare them with various causes for concern regarding amphetamine use, showing evidence of your understanding of their similarities and dissimilarities.

Discussion 2
Explain the basic rationale and theoretical foundations for the extensive use of amphetamine in the treatment of ADHD (attention-deficit hyperactivity disorder).

Discussion 3
Discuss the feasibility of controlled drinking as a realistic goal for those who are dependent on alcohol, citing evidence of support for as well as of opposition to this controversial concept of treatment.

Discussion 4
Discuss the rationales for and against viewing alcohol dependence as a disease.

Discussion 5
Present the pharmacology of opioids, including chemical changes and mechanism of action.

Discussion 6
Describe the potential adverse effects and possible health risks associated with anabolic steroid use by males and females, including psychological manifestations of use that have been observed in many athletes who have used these substances indiscriminately.

Discussion 7
Describe the acute behavioral and acute physiological effects of marijuana. What are the behavioral or physiological effects of long-term marijuana use?

Discussion 8
Summarize the major causes for concern associated with the effects of THC and/or marijuana use.

Discussion 9
List and briefly describe the major characteristics of the following treatments for substance dependence: total abstinence (Alcoholics Anonymous), motivational enhancement therapy, contingency management, relapse prevention, and the detoxification and maintenance phase of pharmacotherapies, making certain to explain the differentiating features of each.

Discussion 10
Develop an outline of your own suggestions for a multifaceted, comprehensive approach to drug abuse prevention in your community or local school district. 

DEVELOPMENTS THAT AFFECTS ORGANIZATIONS SUCCESS

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Imagine that you are an administrator in a health services organization, and the CEO of your organization asks you to assess and report on developments that are likely to affect the organization’s success. What will you discover as you investigate changes in your community and the broader health care landscape?

In preparation for this Assignment, review your completed Module 3 Assignment, including any feedback you received from your Instructor. Select one organization from that Assignment on which to focus for this Assignment (i.e., imagine that this organization is the one in which you work).

Use the Learning Resources provided in this module, as well as previous modules, and locate additional sources through the Walden Library and credible websites to conduct your research. Use the following questions to guide your investigation:

  • What are the prevalent health concerns in this community?
  • What are the key issues related to cost, quality, and access that affect the organization and the people this organization serves?
  • Which organizations in this area are business competitors and/or which organizations use highly effective practices or strategies that this organization may learn from or adopt?
  • How will demographics and health reform likely impact the organization, as well as the broader community, in the next 5 years?

Next, review the information on business writing included in the Learning Resources. Consider what the central point of your memo should be. For instance, is there a critical challenge the organization is likely to encounter? Does the information you have gathered suggest the need for a particular course of action or a new business direction? If so, use this memo to inform and influence the CEO. If not, share the findings of your research with the assumption that the CEO will use this information as a launching point for future discussions.

The Assignment

Write a 2- to 3-page business memo in which you address:

  • Prevalent health concerns in the community
  • Issues related to cost, quality, and access that affect the organization and the people it serves
  • Organizations in the community that are business competitors and/or from which you can learn highly effective practices or strategies
  • Ways in which changing demographics and health reform will likely affect your organization and the broader community in the next 5 years
Your Assignment must be written in standard edited English. Be sure to support your work with specific citations from this module’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct. See the rubric for additional requirements related to research and scholarly writing.