Question Description

Below you can find the instruction.you need to write paper based on the article which i will provide to you.

Here is my outline but it is necessary to follow it 100%

Introduction·  Teamwork and Collaboration are the keys component in the Future nursing Core Competency·  Without it patient care fails, sentinel events occur, and the nursing profession does not strive.Safety is one fundamental aspect that nursing should guarantee to the patient.·  Safety can be achieved only when all medical staff is working in collaboration with each other·  Collaboration is the ability to work closelyTeamwork and collaboration also determine the quality of health care services. ·   Failure on one of the team members can lead to poor quality services and may put the patient’s life in dangerConclusion·  Teamwork and collaboration entail working together for the sake of improving patient services·  The health care system recognizes the need for teamwork to ensure the safety of patients who seek health services.

It needs to have 2 sources.one of them is Hood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.—-Chapter 4,p85,pp 101-106. Here is the link on the book. Please let me know if you able to see this. But the article is the first source.

Question Description

Complete Term Paper Due Week 4 (15 hours)

• Recent Health Care Legislature

(within 3 years)

• Literature review regarding issue (5

peer reviewed articles)

• Statistical data related to issue,

population impacted, and health

outcome of issue and legislature

• Nursing role in passing the legislature

• References within 5 years

• 15-Page Minimum •

APA Format

template of

Title in Upper and Lower Case

Your Name

Miami Regional College

MSN 5400: Health Care Policy and Delivery Systems

HEALTH CARE POLICY 2

Title of Paper in Upper and Lower Case (Centered, Not Bold)

Paragraph one is the introduction to the paper. It should begin with something that will grab the reader’s attention and provide a citation to support your opening sentence (Norwood, 2002). Next, support that opening sentence with discussion or explanation with one or multiple sentences which will make up the body of the introductory paragraph. The last sentence of the introduction should highlight areas to be covered in the paper. APA success requires knowledge of the format and skill in concise, clear written communication.

Literature Review

Select the information and summarize the purpose of your literature review. Explain why the literature is important to support your standpoint. Express in a few sentences here. Do not exceed more than one paragraph. Use only one or two references, none is acceptable. You will write the body of the information in detail below.

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Issue Overview

Select five scholarly peer reviewed articles that help support your concern/issue/problem. The articles cannot be textbooks or dictionaries. Select information relevant and convincing about your issue. Explain the issue or concern in lay terms. Type content of paper here. Use as many paragraphs as needed to cover the content appropriately.

Policy History

What has been done prior to this policy being built? What are prior policies or laws that affect this topic? Who wrote this policy? Why did they build it? When did they try to launch it? Was it rejected? When and why? Type content of paper here. Use as many paragraphs as needed to cover the content appropriately.

Beneficiaries / Outcomes

In order to pass a policy or a bill to become a law someone of interest must benefit. Who will benefit from this policy passing and converting into a bill? What benefits will this make on the community? On healthcare? How will this law affect the community? Type content of paper here. Use as many paragraphs as needed to cover the content appropriately. Adkjfasdojfa dfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf.

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Financial Impact

Nothing come to us for free (Personal communication, Calvo, 2017). Therefore, there must be a financial impact to this bill/policy. How much will this cost to pass? How much time will it take to pass? Does this affect the budget allotted to the implementation of the bill? How much is left in budget (usually it is public information). Type content of paper here. Use as many paragraphs as needed to cover the content appropriately. Ladkjfasdojfadfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf

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Support System

Are we alone in the fight for the cause of this bill? Who else supports the cause? What organizational group? What individuals? Are these support groups raising money? Making petitions? Do they have a vote or say in any other forum? Type content of paper here. Use as many paragraphs as needed to cover the content appropriately. Ladkjfasdojfadfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf

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Statistics

Numbers make an impact. Provide statistical findings here. Please obtain from a primary source. Example of primary sources are the Center for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services (HHS), Florida Department of Health, Board of Nursing, Commission on Social Determinants of Health, World Health Organization, Center for Economic and Social Rights Human rights advocacy, American Nurses Association, and National League of Nursing (NLN). Use as many headings as necessary to organize your paper. Short papers may only have first level headings. Longer papers may require more organizational detail. See your APA Manual page 62 for instructions on formatting multiple levels of headings.

Nurse Practitioner Role

This section is for you to describe and explain why nurses and or NPs care about this issue. To inform Viewpoint readers about the most pressing legislative topics of interest to nurses. Describe how nurses’ influence on policy making and the legislative process takes place or how you plan or foresee this taking place. Why has this topic sparked nurses’ interest in the legislative process? Demonstrate the importance of nurses’ collective voice. Explain what nurses need to know about legislation and this bill. Illustrate why this knowledge is important to nurses.

Show how (and when) nurses can get involved in the legislative process to help support you.

Type content of paper here. Use as many paragraphs as needed to cover the content appropriately. Ladkjfasdojfadfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf

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Conclusion

Most papers should end with a conclusion or summary, which consists a short description of the key points of the paper. It should be concise and contain little or no detail. No matter how much space is left on the page, the References are always on the next page.

References (centered, not bold)

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

You next reference.

CHAPTER 2017-54

Committee Substitute for Committee Substitute for House Bill No. 249

An act relating to drug overdoses; providing legislative findings and intent; creating s. 401.253, F.S.; permitting certain entities to report controlled substance overdoses to the Department of Health; defining the term “overdose”; providing requirements for such reports; providing immunity for persons who make reports in good faith; providing that a failure to report is not a basis for licensure discipline; requiring sharing of data with specified entities; providing for use of such data; amending s. 395.1041, F.S.; requiring a hospital with an emergency department to develop a best practices policy to promote the prevention of unintentional drug over- doses; authorizing the policy to include certain processes, guidelines, and protocols; providing an effective date.

Be It Enacted by the Legislature of the State of Florida:

Section 1. (1) The Legislature finds that substance abuse and drug overdose is a major health problem that affects the lives of many people, multiple service systems, and leads to such profoundly disturbing con- sequences as permanent injury or death. Heroin, opiates, illegal drug, and accidental overdoses are a crisis and stress the financial, health care, and public safety resources because there are no central databases that can quickly help address this problem. Quick data collection will allow all agencies to focus on specific age groups, areas, criminal behavior, and needed public education and prevention with the maximum utilization of resources. Further, it is the intent of the Legislature to require the collaboration of local, regional, and state agencies, service systems, and program offices to address the needs of the public; to establish a comprehensive system addressing the problems associated with drug overdoses; and to reduce duplicative requirements across local, county, state, and health care agencies.

(2) It is the goal of the Legislature in this act to:

(a) Discourage substance abuse and accidental or intentional overdoses by quickly identifying the type of drug involved, whether prescription or illegal, the age of the individual involved, and the areas where drug overdoses pose a potential risk to the public, schools, workplaces, and communities.

(b) Provide a central data point so that data can be shared between the health care community and municipal, county, and state agencies to quickly identify needs and provide short and long-term solutions while protecting and respecting the rights of individuals.

(3) It is the intent of the Legislature in this act to maximize:

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Ch. 2017-54 LAWS OF FLORIDA Ch. 2017-54

(a) The efficiency of financial, public education, health professional, and public safety resources so that these resources may be concentrated on areas and groups in need.

(b) The utilization of funding programs for the dissemination of available federal, state, and private funds through contractual agreements with licensed basic life support service providers, advanced life support service providers, community-based organizations, or units of state or local government that deliver local substance abuse services in accordance with the intent of this act and s. 397.321(4), Florida Statutes.

Section 2. Section 401.253, Florida Statutes, is created to read:

401.253 Reporting of controlled substance overdoses.—

(1)(a) A basic life support service or advanced life support service which treats and releases, or transports to a medical facility, in response to an emergency call for a suspected or actual overdose of a controlled substance may report such incidents to the department. Such reports must be made using the Emergency Medical Service Tracking and Reporting System or other appropriate method with secure access, including, but not limited to, the Washington/Baltimore High Intensity Drug Trafficking Overdose Detection Mapping Application Program or other program identified by the department in rule. If a basic life support service or advanced life support service reports such incidents, it shall make its best efforts to make the report to the department within 120 hours after it responds to the incident.

(b) The data collected by the department shall be made available within 120 hours to law enforcement, public health, fire rescue, and emergency medical service agencies in each county.

(c) For purposes of this section, the term “overdose” means a condition, including, but not limited to, extreme physical illness, decreased level of consciousness, respiratory depression, coma, or death resulting from the consumption or use of any controlled substance that requires medical attention, assistance or treatment, and clinical suspicion for drug overdose, such as respiratory depression, unconsciousness, or altered mental status, without other conditions to explain the clinical condition.

(2)(a) A report of an overdose of a controlled substance under this section shall include:

1. The date and time of overdose.

2. The approximate address of where the person was picked up or where

the overdose took place.

3. Whether an emergency opioid antagonist, as defined in s. 381.887, was administered.

4. Whether the overdose was fatal or nonfatal.

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Ch. 2017-54 LAWS OF FLORIDA Ch. 2017-54

(b) A report of an overdose of a controlled substance under this section shall also include, if the reporting mechanism permits:

1. The gender and approximate age of the person receiving attention or treatment.

2. The suspected controlled substance involved in the overdose.

(3) A basic life support service or advanced life support service that reports information to or from the department pursuant to this section in good faith is not subject to civil or criminal liability for making the report.

(4) Failure to report an overdose under this section is not grounds for disciplinary action or penalties pursuant to s. 401.411(1)(a).

(5) The department shall produce a quarterly report to the Statewide Drug Policy Advisory Council, the Department of Children and Families, and the Florida FUSION Center summarizing the raw data received pursuant to this section. Such reports shall also be made immediately available to the county-level agencies described in paragraph (1)(b). The Statewide Drug Policy Advisory Council, the Department of Children and Families, and the department may use these reports to maximize the utilization of funding programs for licensed basic life support service providers or advanced life support service providers, and for the dissemina- tion of available federal, state, and private funds for local substance abuse services in accordance with s. 397.321(4).

Section 3. Subsection (6) of section 395.1041, Florida Statutes, is amended to read:

395.1041 Access to emergency services and care.—

(6) RIGHTS OF PERSONS BEING TREATED.—

(a) A hospital providing emergency services and care to a person who is being involuntarily examined under the provisions of s. 394.463 shall adhere to the rights of patients specified in part I of chapter 394 and the involuntary examination procedures provided in s. 394.463, regardless of whether the hospital, or any part thereof, is designated as a receiving or treatment facility under part I of chapter 394 and regardless of whether the person is admitted to the hospital.

(b) Each hospital with an emergency department shall develop a best practices policy to promote the prevention of unintentional drug overdoses. The policy may include, but is not limited to:

1. A process to obtain the patient’s consent to notify the patient’s next of kin, and each physician or health care practitioner who prescribed a controlled substance to the patient, regarding the patient’s overdose, her or his location, and the nature of the substance or controlled substance involved in the overdose.

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Ch. 2017-54 LAWS OF FLORIDA Ch. 2017-54

2. A process for providing the patient or the patient’s next of kin with information about licensed substance abuse treatment services, voluntary admission procedures under part IV of chapter 397, involuntary admission procedures under part V of chapter 397, and involuntary commitment procedures under chapter 394.

3. Guidelines for emergency department health care practitioners authorized to prescribe controlled substances to reduce the risk of opioid use, misuse, and addiction.

4. The use of licensed or certified behavioral health professionals or peer specialists in the emergency department to encourage the patient to seek substance abuse treatment.

5. The use of Screening, Brief Intervention, and Referral to Treatment protocols in the emergency department.

6. This paragraph may not be construed as creating a cause of action by any party.

Section 4. This act shall take effect October 1, 2017. Approved by the Governor June 2, 2017.

Filed in Office Secretary of State June 2, 2017.

Question Description

At times, patient self-determination (autonomy) is in conflict with the values and beliefs of healthcare providers. Paternalism is no longer accepted as the basis for patient care decisions. 

In this assignment, you will examine the ethical decision making process along with legal and political issues involved in the decision making process.

Tasks:

Consider the components of patient autonomy and empowerment in determining healthcare outcomes.

In a 6- to 8-page essay, post your response to the following case: 

Ann is a seventy-seven-year-old grandmother. She has one daughter and three grandchildren. Two years ago, she was diagnosed with moderately advanced Alzheimer’s disease, which causes her to have periods of confusion, frustration, anger, and obsessive thinking. When speaking, she is uncertain and her speech patterns are choppy. Before her mental deterioration, Ann was a woman of love, intelligence, and patience. Realizing they were getting older, she and her husband, Frank, discussed their wishes should anything happen to them. She told Frank that if there was no chance of survival, she would not want to be hooked to a breathing machine. They never got around to filing any papers.

Frank is a sweet and sensitive man. His wife’s state frightens him. Ann’s love for him has been the focus of his life for sixty years. His urgent desire for the best care for Ann shows his devotion and love. Their daughter, Sarah, is a businesswoman. She is a hard worker and a good mother. She is forty-five, successful, and intelligent. Although she loves her parents dearly, she lives ten hours away. She regrets not seeing much of them, especially recently. Frank feels his role is to take care of Ann. He has spent the past year with her, watching after her, cooking for her, cleaning the home, and witnessing her deterioration. Finally, Ann is unable to walk alone safely and he finds he must have her admitted to a long-term care facility. He calls Sarah to come and help with the arrangements. After having Ann admitted to a local nursing home, both Frank and Sarah remember the pleading look in Ann’s eyes as they walk away.

After three weeks in the nursing home, Ann starts to cough and run a fever. She is seen by doctors and diagnosed as having pneumonia. She is transferred to a local hospital, where she is given intravenous antibiotics. Although the progress of her pneumonia is halted by the antibiotics, she stops talking and refuses to eat. The physician calls Frank to insert a feeding tube. Frank calls Sarah to ask what to do. They wonder, Is a feeding tube equivalent to a breathing machine? Would it be possible to allow Ann to lie there and die of starvation? Is that murder? What would she want? What is the right thing to do? (Burkhardt & Nathaniel, 2008).

Respond to the following:

• How do your values influence your interpretation of an ethical dilemma?
• Using the ethical decision making process, describe each step of the process the nurse would use to help the family work through this ethical issue.
• Are there any legal and/or political issues involved in this issue?
• Identify two journal articles in which the same ethical issue was addressed. How was the issue resolved?

Support your findings with examples and scholarly references. Apply APA standards to citation of sources

Question Description

APA FORMAT PLEASE ASSIGNMENT, TWO PAGES PLEASE

Assignment: 
Asthma and Stepwise Management

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To prepare:

• Consider drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients including adults and children.
• Review Chapter 25 of the Arcangelo and Peterson text. Reflect on using the stepwise approach to asthma treatment and management.
• Consider how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

BY DAY 7

Write a 2- page paper that addresses the following:

• Describe long-term control and quick relief treatment options for asthma patients, as well as the impact these drugs might have on patients.
• Explain the stepwise approach to asthma treatment and management.
• Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Week 4: Respiratory System

In the United States, 12 million people suffer from chronic obstructive pulmonary disease (National Heart Lung and Blood Institute, n.d.), and about 25 million people suffer from asthma (CDC, 2011). Since various symptoms are associated with chronic obstructive pulmonary disease, asthma, and other common respiratory disorders, a single patient might be prescribed multiple drugs for treatment. Consider an 8-year-old asthmatic patient who frequently presents with acute asthma exacerbations that are triggered by seasonal allergies. As a result of his disorder, he might be prescribed albuterol to treat asthma attacks and Clarinex to treat allergic reactions. This requires you, as the advanced practice nurse, to be aware of risks of polypharmacy and patient factors that impact the effects of drugs.

This week you examine types of drugs prescribed to patients with respiratory disorders, as well as the impact of patient factors on the effects of drugs. You also explore ways to improve patient treatment plans including suggested drug therapies. Finally, you examine asthma treatment and management.

Learning Objectives

By the end of this week, students will:

• Analyze types of drugs prescribed to treat respiratory disorders
• Evaluate the impact of patient factors on the effects of prescribed drugs for respiratory disorders
• Evaluate drug therapy plans for respiratory disorders
• Assess the impact of asthma treatments on patients
• Analyze the stepwise approach to asthma treatment and management
• Understand and apply key terms, concepts, and principles related to prescribing drugs to treat respiratory disorders

Photo Credit: lovleah/iStock/Getty Images Plus/Getty Images

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Learning Resources

This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources. To access select media resources, please use the media player below.

REQUIRED READINGS

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

• Chapter 18, “Otitis Media and Otitis Externa” (pp. 243-252) 
  This chapter compares the causes and pathophysiology of two common ear infections—otitis media and otitis externa. It also identifies types of drugs used to treat these ear infections.
• Chapter 24, “Upper Respiratory Infections” (pp. 259-374) 
  This chapter explores the causes, pathophysiology, and diagnostic criteria of two upper respiratory infections—the common cold and sinusitis—as well as drug therapy for both infections. It also covers monitoring patient response and patient education of drug therapy for these infections.
• Chapter 25, “Asthma” (pp. 377-392) 
  This chapter examines the causes, pathophysiology, pharmacogenomics, and diagnostic criteria of asthma. It also outlines suggested drug therapy plans for asthmatic patients.
• Chapter 26, “Chronic Obstructive Pulmonary Disease” (pp. 395-406) 
  This chapter explains the causes and pathophysiology of chronic obstructive pulmonary disease (COPD). It also examines the process of selecting, administering, and managing drug therapy for COPD patients.
• Chapter 27, “Bronchitis and Pneumonia” (pp. 407-424) 
  This chapter begins by examining the causes, pathophysiology, and diagnostic criteria of acute bronchitis, chronic bronchitis, and community-acquired pneumonia. It then explores the process of selecting, administering, and managing drug therapy for patients with bronchitis and pneumonia.

National Heart Lung and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdl…
This website presents guidelines for diagnosing and managing asthma and outlines treatment recommendations for specific age groups.

OPTIONAL RESOURCES

Refer to the Optional Resources listed in Week 1.

Question Description

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

References:

Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

• Response posts: Minimum 100 words excluding references.

Discussion 2

We are looking at the differences between research and evidence-based practice. According to (LoBiondo -Wood & Haber, 2014, p. 6), the term research involves systematic, scientific approaches whereas the goal is to answer specific questions about nursing developments. Research further breaks down into two major categories which are qualitative research and quantitative research. (LoBiondo -Wood & Haber, 2014, p. 8)

An example of a research study would be to sit down face to face and interview 20 adults who tested positive for Influenza A, 10 who took Tamiflu and 10 who did not. The research question would be, “What is the relationship between those adults who were diagnosed with pneumonia after testing positive for Influenza A, amongst those who took Tamiflu and those who did not?”

Evidence-based practice is best described by (Stevens, 2013, para. 3) as combining our current knowledge on a particular subject and adding that to our plan of care to improve the outcomes of our patients. In other words, the knowledge and research now exists, we just have to translate the information into our daily practice and possibly keep patients from going through something we can predict may happen, based on what we have already learned.

An example of evidence-based practice would be to find your source, and as (Hoyka & Heese, 2006, p. 348) states, it can be books and journals, among several other materials. As we have been told since day one of writing research papers, not all sources are correct and it is our job to know how to locate reputable ones. To implement evidence-based practice, for example, a patient’s mother may want to know the correlation between her 12 month old child receiving the Measles, Mumps, Rubella (MMR) vaccine. For the clinical question, I would ask, “In 12 month old children, does receiving the MMR vaccine increase the risk of developing autism?”

To summarize, there are differences between research in nursing and evidence-based practice in nursing. There are times throughout our career that we will use one or both practices to gain knowledge and apply that to our plans of care.

References

(2010). Publication Manual of the American Psychological Association (6th ed.). Washington, DC: American Psychological Association.

Hoyka, L., & Heese, D. (2006). Finding and evaluating sources. Upper Saddle River, NJ: Pearson Prentice Hall.

LoBiondo -Wood, G., & Haber, J. (2014). Nursing Research Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier.

Stevens, K. R. (2013, May 31). The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. OJIN, 18. https://doi.org/10.3912/OJIN.Vol18No02Man04

LoBiondo-Wood, G., & Haber, J. (2014). Nursing research: Methods and critical appraisal for evidence-based practice. St. Louis, MO: Elsevier.