Discussion: Nurses as Health AdvocatesWhat does it take to be an effective health advocate? As a nurse, you have many opportunities t

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Discussion: Nurses as Health AdvocatesWhat does it take to be an effective health advocate? As a nurse, you have many opportunities t

                                  Discussion: Nurses as Health Advocates

What does it take to be an effective health advocate? As a nurse, you have many opportunities to advocate for patients and populations, whether formally or informally. Being an advocate involves more than knowing how to lobby or to whom to write letters. It requires passion and compassion, commitment and courage.

In this Discussion, you will consider the attributes of an effective advocate for population health and/or the nursing profession. You will analyze those attributes that help nurses be a powerful force in improving the quality of health care and in this case especially, the needs of returning veterans and their families.

                                                     To prepare:

Review the article “On Being a Good Nurse: Reflections on the Past and Preparing for the Future” and “War, its aftermath, and U.S. health policy: Toward a comprehensive health program for America’s military personnel, veterans, and their families” found in this week’s Learning Resources.

    Consider the multiple health care needs of returning veterans and their families.

Post two types of health needs returning veterans and their families might need. How might you advocate for the needs of this population. What type of advocacy skills would you need and how could you develop them. What responsibility does a nurse have to be an advocate? Give specific examples.

CITE AT LEAST 3 REFERENCES

CHECK THE DOCUMENY ATTACHED BELLOW TO COMPLETE THE DISCUSSION QUESTION

The biggest barrier to Bana’s care is her lack of understanding what exactly is going to be done to provide her adequate care in America. The linguistic barriers don’t allow Bana to appropriately

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The biggest barrier to Bana’s care is her lack of understanding what exactly is going to be done to provide her adequate care in America. The linguistic barriers don’t allow Bana to appropriately

The biggest barrier to Bana’s care is her lack of understanding what exactly is going to be done to provide her adequate care in America. The linguistic barriers don’t allow Bana to appropriately be questioned privately or ensure her understanding of interventions and follow up. If she were experiencing intimate partner violence (IPV) her husband could interpret for her which would leave her at increased risk without the knowledge of the provider. Per JAMA (2018) she is at increased risk for IPV because of her age and her recent assault which could have been perpetrated by her husband, we are unsure because she does not understand what we are asking her. What is the priority action for you to take at this time?My priority would be to get a medical interpreter and then proceed with the visit. I would question her further about her assault in Syria and if it included rape. The timing of her pregnancy is close to the time she was assaulted, and it should be explored. It could create another stressor for her and her husband that just adds to their financial issues and adjusting to life in a new country.What action is most important for you to take to ensure the health and safety of the fetus?Per the CDC (2012a) refugees should have a complete H&P with comprehensive labs that include a CBC, UA, and glucose. Diseases that are easily transmittable such as TB, malaria, lead, parasites, and HIV/AIDS should be tested for as well, but HIV/AIDS is no longer tested for everyone, but I should be done as part of Bana’s pregnancy care. She is at increased risk of transmission if she was raped during her assault (CDC, 2012a). Testing for STIs should be done as part of her pregnancy care as well. Given Bana’s financial situation, you are concerned about her and her family having adequate nutrition. Which intervention would best address this concern?Testing for anemias and deficiencies should be done. Getting a comprehensive H & P related to nutrition can help to identify long term issues from new issues with obtaining adequate nutrition. Directing Bana to local places where she can get help with food such as WIC and state aid or places where she can obtain food like local food pantries should be done (CDC, 2012b).ReferencesCenters for Disease Control and Prevention. (2012)a. Summary checklist for the domestic medical examination for newly arriving refugees. Retrieved from https://www.cdc.gov/immigrantrefugeehealth/guidelines/domestic/checklist.html Centers for Disease Control and Prevention. (2012)b. Guidelines for evaluation of the nutritional status and growth in refugee children during the domestic medical screening examination. Retrieved from https://www.cdc.gov/immigrantrefugeehealth/guidelines/domestic/nutrition-growth.html JAMA. (2018). Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults. US Preventive Services Task Force Final Recommendation Statement. Retrieved from https://jamanetwork.com/journals/jama/fullarticle/2708121 angela

Describe the categories of antimicrobial agents.

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Antimicrobial agents are essential components in the treatment of various bacterial infections as they help to kill or prevent the growth of microbes such as bacteria, fungi, and protozoans. Prior to

Antimicrobial agents are essential components in the treatment of various bacterial infections as they help to kill or prevent the growth of microbes such as bacteria, fungi, and protozoans. Prior to the discovery of antimicrobial agents, treatment options for patients with bacterial infections were limited. For many patients, treatment often resulted in the amputation of limbs or even death. Today, treatment options for bacterial infections typically have a more positive prognosis. Due to the various types of infections presented in patients, it is essential to be able to identify the underlying cause of the infection—whether bacterial or viral—before recommending drug treatments. This will help you identify whether or not an antimicrobial agent would be appropriate and which specific agent would target the infection. In this Assignment, you consider the appropriate use of antimicrobial agents for infections.

To prepare:

  • Review this week’s media presentation on principles of antimicrobial therapy, as well as Chapter 8 of the Arcangelo and Peterson text.
  • Consider the categories of antimicrobial agents.
  • Think about differences between viral and bacterial infections.
  • Reflect on why proper identification of the infection is key to selecting the proper antimicrobial agent.

Write a 2- to 3- page paper that addresses the following:

  • Describe the categories of antimicrobial agents.
  • Describe differences between viral and bacterial infections.
  • Explain why proper identification of viral and bacterial infections is key to selecting the proper antimicrobial agent.

While HIV/AIDS is still currently incurable, the prognosis for patients with this infectious disease has improved due to advancements in drug treatments. Consider the case of Kristy Aney. Kristy was d

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While HIV/AIDS is still currently incurable, the prognosis for patients with this infectious disease has improved due to advancements in drug treatments. Consider the case of Kristy Aney. Kristy was d

While HIV/AIDS is still currently incurable, the prognosis for patients with this infectious disease has improved due to advancements in drug treatments. Consider the case of Kristy Aney. Kristy was diagnosed with HIV in 1992 and was told she would survive, at most, 10 more years. Despite unfavorable odds, Kristy is still alive 20 years later. Since her diagnosis, she has witnessed tremendous improvements in HIV/AIDS treatments which have helped patients live longer with fewer side effects. While she acknowledges that these drug treatments have kept her alive, she fears that improvements in drug therapy have led to more people becoming complacent about the disease (Idaho Statesmen, 2012). In fact, the number of people living with HIV/AIDS in the United States is higher than it has ever been (CDC, 2012). This poses the question: Is there a relationship between drug advancements, societal complacency, and infection?

To prepare:

  • Review Chapter 49 of the Arcangelo and Peterson text, as well as the Montaner et al (2014) articles in the Learning Resources.
  • Reflect on whether or not the prevalence of HIV cases might be attributed to increased complacency due to more advanced drug treatment options for HIV/AIDS.
  • Consider how health care professionals can help to change perceptions and make people more aware of the realities of the disease.
  • Think about strategies to educate HIV positive patients on medication adherence, as well as safe practices to reduce the risk of infecting others.

With these thoughts in mind:

Post an explanation of whether or not you think the prevalence of HIV cases might be attributed to increased complacency due to more advanced drug treatment options.Then, explain how health care professionals can help to change perceptions and increase awareness of the realities of the disease. Finally, describe strategies to educate HIV positive patients on medication adherence, as well as safe practices to reduce the risk of infecting others.

Discuss a clinical problem or issue in your area of practice that would be appropriate for an EBP project and formulate a researchable question using PICOT format. The discussion should not be too long about 2-3 paragraphs.

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Discuss a clinical problem or issue in your area of practice that would be appropriate for an EBP project and formulate a researchable question using PICOT format. The discussion should not be too lon

Discuss a clinical problem or issue in your area of practice that would be appropriate for an EBP project and formulate a researchable question using PICOT format. The discussion should not be too long about 2-3 paragraphs.

The initial posting (IP) and the response to peer  posting each (RTP) require one reference from an English titled, peer reviewed NURSING journal less than 5 y/o. The references must be from different journal articles.

IMPORTANT: The articles posted in each unit are to facilitate your understanding of the topic and help you meet the identified learning objectives. They are not to be used as references for any of your course work. 

However, FOR THIS WEEK ONLY:  I want you to use the articles in Unit 1 as your sources.

*The initial posting also requires a reference from the course textbook.

Professional, governmental, or educational organizations (.org, .gov, or .edu) 

may be used as supplemental references.

*The maximum number of references:  IP = 2, RTP = 2.

Postings with more than the maximum number of will be returned to the student.

APA format required. See grading criteria and rubric for discussion postings.

Please see the attached articles 

Please also use the following textbook:

Polit, D. E & Beck, C. T. (2018). Essentials of nursing research: Appraising    evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer

ISBN: 978-1-4963-5129-6

Discuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( children ,elderly, veterans)

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Application of Health Literacy & Motivational Interviewing Concepts to Promote WellnessHealth literacy is not simply the ability to read health information. The National Institutes of Health defines h

Application of Health Literacy & Motivational Interviewing Concepts to Promote Wellness

Health literacy is not simply the ability to read health information. The National Institutes of Health defines health literacy as the ability to read, comprehend, and analyze information; decode instructions, symbols, charts, and diagrams; weigh risks and benefits; and ultimately make decisions and take action.

After the reading the following HRSA guideline 

https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/twelfthreport.pdf

Discuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( children ,elderly, veterans)

Discussions are not just opinion to obtain full points, postings must be based on supported fact, not simply opinion. Posting should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals for each post should be in the 100-200 words range.  Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience.  Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected.

According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

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Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:Under the Christian narrative and Christian vision, what s

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

  1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
  2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
  3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
  4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Use the questions from Box 3-2 on page 111 of your textbook as a guide as you write your personal philosophy of nursing. The essay is to be typewritten and double-spaced (1,000 words) and should include the following:

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Personal Philosophy of Nursing Essay Use the questions from Box 3-2 on page 111 of your textbook as a guide as you write your personal philosophy of nursing. The essay is to be typewritten and double

Personal Philosophy of Nursing Essay 

Use the questions from Box 3-2 on page 111 of your textbook as a guide as you write your personal philosophy of nursing. The essay is to be typewritten and double-spaced (1,000 words) and should include the following: 

1. Introduction that includes who you are and where you practice nursing 

2. Definition of nursing 

3. Assumptions or underlying beliefs 

4. Definitions and examples of the major domains of nursing 

5. Summary that includes answers to the following questions: a. How are the domains connected? b. What is your vision of nursing for the future? c. What are the challenges that you will face as a nurse? d. What are your goals for professional development? 

Personal Philosophy of Nursing Essay 

Use the questions from Box 3-2 on page 111 of your textbook as a guide as you write your personal philosophy of nursing. The essay is to be typewritten and double-spaced (1,000 words) and should include the following: 

1. Introduction that includes who you are and where you practice nursing 

2. Definition of nursing 

3. Assumptions or underlying beliefs 

4. Definitions and examples of the major domains of nursing 

5. Summary that includes answers to the following questions: a. How are the domains connected? b. What is your vision of nursing for the future? c. What are the challenges that you will face as a nurse? d. What are your goals for professional development? 

Grading Criteria for the Philosophy of Nursing Essay: 

Introduction  10% 

Definition of nursing    20% 

Assumptions or underlying beliefs  20% 

Definitions of major domains of nursing   25% 

Summary  10%

Organization, focus, grammar, spelling, 

punctuation, and usage (writing rubric)   10% 

APA   5% 

Total    

One of the reasons that the cost of drug prices are higher in the United States, is that the U.S. allows drug companies to set their own price for medications. In other countries, a delegated body n

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One of the reasons that the cost of drug prices are higher in the United States, is that the U.S. allows drug companies to set their own price for medications.  In other countries, a delegated body n

One of the reasons that the cost of drug prices are higher in the United States, is that the U.S. allows drug companies to set their own price for medications.  In other countries, a delegated body negotiates the price, and it is loosely based upon the benefit of the drug to the patient (Kesselheim, Avorn, & Sarpatwari, 2016).

With the prevalence of chronic diseases, the Centers for Medicare and Medicaid Services (CMS) cite part of the reasoning for high drug prices is due partially to specialty drugs (Abramowitz & Cobaugh, 2016).  Do you feel that with the high number of baby boomers approaching the age of needing more medical needs, big pharma companies see a supply and demand-type situation to raise the cost of drugs?

References

Abramowitz, P. W., & Cobaugh, D. J. (2016). The costs of prescription drugs in the United States: the pharmacists’ voices must be heard. American Journal of Health-System Pharmacy. http://dx.doi.org/10.2146/ajhp160156

Kesselheim, A. S., Avorn, J., & Sarpatwari, A. (2016, August 30). The high cost of prescription drugs in the United States origins and prospects for reform. JAMA, 316(8), 858-871. http://dx.doi.org/10.1001/jama.2016.11237

Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?

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Poor Patient OutcomeRelying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions

Poor Patient Outcome

Relying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.

Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient’s symptoms and signs — is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.

This case portrays a poor patient outcome after a misdiagnosis.

Case scenario

A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.

On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.

The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.

Written Assignment:

Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning.

  1. As an NP in primary care what would you have done differently?
  2. Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?

If a serious diagnosis comes to mind based on a patient’s symptoms:

  • Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral?
  • Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario?
  • Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?
  • What other diagnosis could it be? How might the treatment to date have altered the patient outcome?
  • What other diagnostic and laboratory or imaging was needed in order to make a complete differential list?  What support tools would you consider using in helping to create a differential diagnosis list?
  • Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?
  • 5 pages