RUA- Capstone Evidence-Based Practice Paper Guidelines

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RUA- Capstone Evidence-Based Practice Paper Guidelines

Purpose

The student previously analyzed theirperformance on the integrated comprehensive assessments and reflected on areas of opportunity and strategies to promote NCLEX-RN success and transition into practice. The student will now apply the priority concept (topic) to evidence-based professional practice upon which nurses have the ability to resolve or have a positive impact. There is a focus on the healthcare disparitiesof the individual, as well as ethical and legal implications to professional practice. The student will discuss how an interdisciplinary approachpromotes quality improvement for the patient and evidence-based professional practice,drivingpositive outcomes.  RUA- Capstone Evidence-Based Practice Paper Guidelines

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Course outcomes:This assignment enables the student to meet the following course outcomes:

CO # 1: Synthesize knowledge from sciences, humanities, and nursing in managing the needs of humans as consumers of healthcare in a patient-centered environment.(PO#1)

CO # 2: Integrate communication and relationship skills in teamwork andcollaboration functioning effectively with health team members and consumers of care.(PO#3)

CO # 3: Utilize information technology to manage knowledge, mitigate error, andsupport decision making with health team members and consumers of care. (PO#8)

CO#4Integratecriticalthinking,clinicalreasoningskills,bestcurrentevidence,clinical expertise, and patient/family preferences/values in the implementation of the nursing process. (PO#4)

CO#5:Exploretheimpactofprofessionalstandards,legislativeissues,ethicalprinciples, and values on professional nursing, using data to monitor outcomes and improve quality and safety. (PO# 5,6)

Duedate:Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 230points RUA- Capstone Evidence-Based Practice Paper Guidelines

Preparing theassignment: Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

In this paper the student will provide a detailed description of the relationship between the category fromthe NCLEX-RN examination blueprint, the priority concept (topic) selected based on assessment performance, and professional practice.

  • Write a 4-6 pagepaper (not including the title page or reference page) using APA format
  • Include the following sections:
    1. Introduction- 20 points/8%
  • Offer a detailed description of the purpose statement for thepaper.
  • Identifythepriority concept (topic) from the Individual Student ComprehensiveAssessment Trends: Longitudinal Performance Table drawn from one (1) of the four (4)main categories of theNCLEX-RN examinationblueprint:
  • Assurance of a safe and effective careenvironment
  • Health promotion and maintenance ofhealth
  • Preservation of the patient population’s psychosocialintegrity
  • Preservation of the patient population’s physiologicalintegrity
  • Provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint and the priority concept (topic).
    1. Importance – 20 points/8%
  • Describe the importance of the priority concept (topic) to professional practice.
  • Describe the importance of the priority concept (topic) to the health status of a patient population.
  • Include the potential negative effect(s) to professional practice if the priority concept (topic) is unresolved.
  • Include the potential negative effect(s) to the patient population if the priority concept (topic) is unresolved.
    1. Healthcare Disparities, Inequalities, and Interventions- 70 points/28%
      • Identify patient populations that may be negatively influenced by the priority concept (topic) if unresolved.
      • Identify healthcare resources to support evidence-basedprofessional practice related to the priority concept (topic).
      • Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations.
      • Propose anevidence-based solution for the priority concept (topic)related to healthcare disparities.
      • Identify three (3) evidence-based practice interventions.
      • Prioritize the identified evidence-based practice interventions and provide rationale.
      • Discuss two (2) patient education considerations related to the priority concept (topic).
    2. Legal & Ethical Considerations and InterventionChallenges- 40 points/16%
      • Identify at least one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice.
      • Discuss at least one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice.
      • Discuss at least one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice.
      • Identifyone(1) anticipated challengeto the success of preventing the priority concept (topic) in professional practice.
      • Identifyone(1) anticipated challenge to the success of resolving the priority concept (topic) in professional practice.
    3. Participants and Interdisciplinary Approach – 20 points/8%
      • Identifyall the parties who will be involved in the implementation of the priority concept (topic) interventions.
      • Discuss the role of each member in theintervention implementation for the priority concept (topic).
      • Identify a minimum of two (2) members of a discipline outside of nursing.
      • Discuss the benefit of including the identifiedinterdisciplinary members from disciplinesoutside nursing to promote evidence-based professional practice.
    4. Quality Improvement– 20 points/8%
      • Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment.
      • Provide at least one (1) benefit to the nursing professionthat will result from addressing this priority concept (topic) in clinical professional practice.
      • Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment.
      • Discuss at least one (1) resource utilized to increaseprofessional nurseknowledge promotingimproved clinical professional practice.
    5. Conclusion – 20 points/8%
      • Provide a thorough recap of the purpose to promote increased evidence-basedprofessional practice knowledge related to the priority concept (topic)deficiency.
      • Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic).
      • Include a complete statement describing why addressing the priority concept (topic) matters for patient outcomes and evidence-based professional practice.
    6. APA Style and Organization– 20 points/8%
      • References are submitted with paper.
      • Uses current APA format and is free of errors.
      • Grammar and mechanics are free of errors.
      • At least three (3) scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided. Each section should have a cited source to support information provided.

For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online Chamberlain library.

 

GradingRubric

Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.

Assignment Section and

RequiredCriteria

(Points possible/% of total points available)

 HighestLevel ofPerformance High Levelof Performance SatisfactoryLevel ofPerformance Unsatisfactory Levelof Performance Section not present in paper
Introduction

(20 points/8.7%)

 20points 16points 8 points 0 points
Required criteria

1.       Offer a detailed description of the purpose statement for thepaper.

2.       Identify the priority concept (topic) from the Individual Student Comprehensive Assessment Trends: Longitudinal Performance Table drawn from one (1) of the four (4) main categories of theNCLEX-RN examinationblueprint:

a.        Assurance of a safe and effective careenvironment

b.       Health promotion and maintenance ofhealth

c.        Preservation of the patient population’s psychosocialintegrity

d.       Preservation of the patient population’s physiologicalintegrity

3.       Provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint and the priority concept (topic).

 Includes all 3 requirements for section.

 

 Includes no fewer than 2 requirements for section. Includes no fewer than 1 requirement for section. No requirements for this section presented.
Importance

(20 points/8.7%)

 20points 18 points 16points 8 points 0 points
Required criteria

1.       Describe the importance of the priority concept (topic) to professional practice

2.       Describe the importance of the priority concept (topic) to the health status of a patient population.

3.       Include the potential negative effect(s) to professional practice if the priority concept (topic) is unresolved.

4.       Include the potential negative effect(s) to the patient population if the priority concept (topic) is unresolved.

 Includes all 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no fewer than 1 requirement for section. No requirements for this section presented.
Healthcare Disparities, Inequalities, and Interventions (70 points/30.4%) 70points 63points 54points 21 points 0 points
Required criteria

1.       Identify patient populations that may be negatively influenced by the priority concept (topic) if unresolved.

2.       Identify healthcare resources to support evidence-based practice related to the priority concept (topic).

3.       Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations.

4.       Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities.

5.       Identify three (3) evidence-based practice interventions.

6.       Prioritize the identified evidence-based practice interventions and provide rationale.

7.       Discuss two (2) patient education considerations related to the priority concept (topic).

 Includes all 7 requirements for section. Includes no fewer than 5-6 requirements for section. Includes no fewer than 3-4 requirements for section. Includesno fewer than 1-2 requirements for section. No requirements for this section presented.
Legal & Ethical Considerations and Intervention Challenges

(40 points/17.4%)

 40points 36points 31points 12 points 0 points
Required criteria

1.       Identify at least one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice.

2.       Discuss at least one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice.

3.       Discuss at least one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice.

4.       Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice.

5.       Identify one (1) anticipated challenge to the success of resolving the priority concept (topic) in professional practice.

 Includes all 5 requirements for section. Includes no fewer than 4 requirements for section. Includes no fewer than3 requirements for section. Includes no fewer than 1-2 requirements for section. No requirements for this section presented.
Participants and Interdisciplinary Approach

(20 points/8.7%)

 20points 18 points 16points 8 points 0 points
Required criteria

1.       Identify all the parties who will be involved in the implementation of the priority concept (topic) interventions.

2.       Discuss the role of each member in the intervention implementation for the priority concept (topic).

3.       Identify a minimum of two (2) members of a discipline outside of nursing.

4.       Discuss the benefit of including the identified interdisciplinary member from disciplines outside nursing to promote evidence-based professional practice.

 

 Includes all 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no fewer than 1 requirement for section. No requirements for this section presented.
Quality Improvement

(20 points/8.7%)

 20points 18 points 16points 8 points 0 points
Requiredcriteria

1.       Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment.

2.       Provide at least one (1) benefit to the nursing profession that will result from addressing this priority concept (topic) in clinical professional practice.

3.       Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment.

4.       Discuss at least one (1) resource utilized to increase professional nurse knowledge promoting improved clinical professional practice.

 Includes all 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no fewer than 1 requirement for section. No requirements for this section presented.
Conclusion

(20 points/8.7%)

 20points 16points 8points 0 points
Required criteria

1.       Provide a thorough recap of the purpose to promote increased evidence-based professional practice knowledge related to the priority concept (topic) deficiency.

2.       Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic).

3.       Include a complete statement describing why addressing the priority concept (topic) matters for patient outcomes and evidence-based professional practice.

 Includes all 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no fewer than 1 requirement for section. No requirements for this section presented.
APA Format, Grammar, and Punctuation

(20 points/8.7%)

 20points 18 points 16points 8 points 0 points
Required criteria

1.       References are submitted with paper.

2.       Uses current APA format and is free of errors.

3.       Grammar and mechanics are free of errors.

4.       At least three (3) scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided. Each section should have a cited source to support information provided.

 Includes all 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes no fewer than 1 requirement for section. No requirements for this section presented.
Total Points Possible= 230 points

 

Sperm migration and fertilization

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Sperm migration and fertilization

RE: 31 The Race of a lifetime: Sperm migration and fertilization: including capacitation, acrosome reaction and egg coatingCOLLAPSECOLLAPSE

Sperm migration and capacitation- Within 12 to 72 hours of ovulation, it takes about 72 hours for an egg to reach the uterus. Since only one sperm will fertilize out of 300 millions many of them will not make it. Many are destroyed by vaginal acids or drain out the vagina, other fail to penetrate the mucus of cervical canal and many destroy by leukocytes of the uterus. About 200 spermatozaa reach the egg. (Saladin,2020,p.1076).

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It takes about 30 minutes or less after ejaculation for sperm to to reach the uterine tube. While migrating they under go a process called capacitation. The capacitation makes the sperm capable of penetrating an egg. When a sperm is fresh, the plasma membrane is toughened by cholesterol. It’s job is to prevent the premature sperm to release acrosomal enzymes while sperm are still in the male. After ejaculation fluids of the woman productive tracts reach cholesterol from the plasma membrane and dilute other inhibitory factors in the semen. Because of calcuim ions the sperm head becomes more fragile and more permanent, After ejaculation the sperm remain viable up to 6 days.(Saladin,2020,p.1077).

Fertilization- When a sperm reach an egg it undergoes an acrosomal reaction. The sperm will penetrate the granulosa cells and zona pellucida that surround it. When a path has been cleared the zona pellucida, It releases enzymes digesting a pathway till it contacts the egg. Once the sperm head and middle pieces enter the egg the egg will destroys the sperm mitochondra and the mitochondra will pass through off springs. Diploid produces when fertilization combine the haploid and the sperm chromosome. Polyspermy is when 2 or more cells fertilized.( Saladin,2020.p.1078).

Before ovulation secondary oocyte begins. The fertilized egg discards one chromatid from each chromosome the egg and nucleic swells and becomes pronuclei. What pushes the sperm toward the egg is the sperm towards the egg is the sperm centrosome sprouts microbules. And once egg is fertilized it calls zygotes.(Saladin,2020,p.1078).

6 days after ovulation, after ovulation, blastocyst attached to the endometrium. This process is call implantation. The trophoblast cells separate into two layers. The trophoblast cells fuse into multinucleate mass called cytotrophoblast. The syncytiotrophoblast grows into the uterus. Endometrium reacts by growing over the blastocyst and cover it. It takes about 1 week for implantation process and completes around the time of the next menstrual period.(Saladin,2020,p.1080)

Embryo-blast undergoes embryo genesis during implantation , it arrange blastomeres into 3 primary germs layers and they are ectoderm. At the beginning of this process embryoblast slightly separate from trophoblast and creates a narrow space between them that calls amniotic cavity. The yolk sac form by some hypo-blast and close the blastocoel. The amniotic cavity on the side and the yolk sac. Around day 15 days primary streak a thick cell layered form along the midline of the epiblast with premature grove running down midline. Then gastrulation happen epiblast cells migrate medially toward the primitively groove and down it. It replaced hypoblast with endoderm (which will become the inner lining of digestive tract). A day later epiblast form a third layer. Once the three primary germs layers are form it complete the individual embryo. And that is day 16 and the embryo is about 2 mm long.(Saladin,2020,p1081).

Critical thinking

A man ejuculate about 300 million sperm and about 200 soermatoza reach the uterus.First trimester is the most dangerous because miscariage can occur to stress, drugs and alcohol and fetus may die due to chromosomal defect factor. Although many pregnacies succeed,not every pregnancy is success during implantation ectopic pregnancy can occure it is 1 out 300 pregnancies.It is when the blastocyst implants some where other than the uterus (Saladin, 2020,p.1076-1077,1081)

Words count: 655Reference 

Saladin, K. (2020). Anatomy & physiology: The unit of form and function (9th ed.). McGraw Hill Education

The benefits of breast-feeding

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The benefits of breast-feeding

#29 The benefits of breast-feeding: Including lactation reflex; describe the mechanism of milk ejection, shifting hormonal balanceCOLLAPSE

Research:

Breastfeeding has a lot of great benefits for both mom and baby. Here are few benefits of breastfeeding:

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  1. Breast milk is the best source of nutrition for most babies.
    As the baby grows, the mother’s breast milk will change to meet her baby’s nutritional needs.
  2. Breastfeeding can help protect babies against some short- and long-term illnesses and diseases.
    Breastfed babies have a lower risk of asthma, obesity, type 1 diabetes, and sudden infant death syndrome (SIDS). Breastfed babies are also less likely to have ear infections and stomach bugs.
  3. Breast milk shares antibodies from the mother with her baby.
    These antibodies help babies develop a strong immune system and protect them from illnesses.
  4. Mothers can breastfeed anytime and anywhere.
    Mothers can feed their babies on the go without worrying about having to mix formula or prepare bottles. When traveling, breastfeeding can also provide a source of comfort for babies whose normal routine is disrupted
  5. Breastfeeding can reduce the mother’s risk of breast and ovarian cancer, type 2 diabetes, and high blood pressure.
    Breastfeeding has health benefits for the mother too! Some cancers, type 2 diabetes, and high blood pressure are less common among women who breastfeed. The benefits of breast-feeding

The let-down reflex is what makes breastmilk flow. When your baby sucks at the breast, tiny nerves are stimulated. This causes two hormones – prolactin and oxytocin – to be released into your bloodstream. Prolactin helps make the milk, while oxytocin causes the breast to push out the milk. Milk is then released or let down through the nipple.

Some women feel the let-down reflex as a tingling sensation in the breasts or a feeling of fullness, although others don’t feel anything in the breast.

Most women notice a change in their baby’s sucking pattern as the milk begins to flow, from small, shallow sucks to stronger, slower sucks.

Some women also notice, while feeding or expressing from one breast, that milk drips from the other.

Your let-down reflex needs to be established and maintained to ensure a good supply of milk. This reflex requires no thought, unless you are having problems with breastfeeding.

The let-down reflex occurs:

  • in response to your baby sucking at the breast
  • hearing, seeing or thinking about your baby
  • using a breast pump, hand expressing or touching your breasts or nipples
  • looking at a picture of your baby
  • hearing your baby (or another baby) cry

The let-down reflex generally occurs 2 or 3 times a feed. Most women only feel the first, if at all. This reflex is not always consistent, particularly early on, but after a few weeks of regular breastfeeding or expressing, it becomes an automatic response.

The let-down reflex can also occur with other stimulation of the breast, such as by your partner.

Our hormones change rapidly post-childbirth. But did you know that breastfeeding causes additional hormonal fluctuations, and can even catalyze additional hormonal imbalance symptoms? Here’s how it works: During the postpartum period, estrogen levels decline after you deliver your placenta. Your placenta is the primary source and contributor to high estrogen levels during pregnancy. On top of that, breastfeeding mimics menopause due to the production of the milk-producing hormone, prolactin, temporarily blocking estrogen production, which keeps your estrogen levels low (1). Decreased estrogen levels impact vaginal tissue, temporarily decreasing elasticity, blood flow, and thinning of the tissue. These vaginal changes cause symptoms like vaginal dryness, itching, burning, irritation, painful intercourse, urinary frequency, and urgency.

Critical Thinking:

I personally have breastfed before, I didn’t do it for long due to my son already being primarily on formula because my breastmilk supply was very low. I didn’t experience a lot of hormonal imbalance but I probably would have produced more milk if I ate better foods. Although I did not breastfeed for long, I did have leaks when my son would cry and I had not pumped yet. I also would leak after a hot shower because of the heat. It was very interesting to feel. Every mom has a different breastfeeding journey so everyone experiences something different.

Nursing homework help

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Nursing homework help

Nurse Practitioner student

 

1.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome: Nursing homework help

Analyze current scientific research for application of findings to initiate change and to improve practice. 

Post your reflection in 100 to 150 words. No references required.

 

 

2.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Create comprehensive plans of action that address the health promotion and disease prevention needs of individual, family, and community populations. 

 

 

3.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Formulate a plan for ongoing contributions to improvement of healthcare delivery and development of health policy in a cost-effective manner. 

Post your reflection in 100 to 150 words. No references required.

 

 

4.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Apply an ethical decision-making process in professional practice and an analysis of systems of healthcare. 

Post your reflection in 100 to 150 words. No references required.

 

5.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Model a professional leadership role that fosters improvement of healthcare and advocates scholarly activities to advance self and profession. 

Post your reflection in 100 to 150 words. No references required.

 

 

6.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Employ informatics and technology in various aspects of the advanced nursing leadership role. 

Post your reflection in 100 to 150 words. No references required.

 

7.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

Practice within ethical-legal guidelines, professional policies and regulations, and standards of practice associated with a specialty area of advanced nursing practice.

Post your reflection in 100 to 150 words. No references required.

 

8.This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.

Reflect and give at least two (2) examples of each on how you think you have met three (3) of your role specialization competencies or standards.

**See competencies by MSN specialization below**

Post your reflection in 150 to 200 words. No references required.

Post your reflection in 150 to 200 words. No references required.

NONPF Competencies for MSN FNP & AGPCNP:

  • Competency 1 – Scientific Foundations Competencies
  • Competency 2 – Leadership Competencies
  • Competency 3 – Quality Competencies
  • Competency 4 – Practice Inquiry Competencies
  • Competency 5 – Technology and Information Literacy Competencies
  • Competency 6 – Policy Competencies
  • Competency 7 – Health Delivery Systems Competencies
  • Competency 8 – Ethics Competencies
  • Competency 9 – Independent Practice Competencies

AONE Competencies for MSN Nursing Administration

  • Competency 1 – Communication & Relationship Building
  • Competency 2 – Knowledge of Healthcare environment
  • Competency 3 – Leadership
  • Competency 4 – Professionalism
  • Competency 5 – Business Skills

NLN Competencies for MSN Nursing Education

  • Facilitate Learning
  • Facilitate Learner Development and Socialization
  • Use Assessment and Evaluation Strategies
  • Participate in Curriculum Design and Evaluation of Program Outcomes
  • Function as a Change Agent and Leader
  • Pursue Continuous Quality Improvement in the Nurse Educator Role
  • Engage in Scholarship Function within the Educational Environment

ANA Scope and Standards of Practice for MSN Nursing Informatics

  • Standard 1. Assessment
  • Standard 2. Diagnosis, Problems, and Issues Identification
  • Standard 3. Outcomes Identification
  • Standard 4. Planning
  • Standard 5. Implementation
  • Standard 6. Evaluation
  • Standard 7. Ethics
  • Standard 8. Education
  • Standard 9. Evidence-Based Practice and Research
  • Standard 10. Quality of Practice
  • Standard 11. Communication
  • Standard 12. Leadership
  • Standard 13. Collaboration
  • Standard 14. Professional Practice Evaluation
  • Standard 15. Resource Utilization
  • Standard 16. Environmental Health

 

 

Information Technology

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Information Technology

PICOT Question:

In adult oncology patients at an infusion Center at Queens Hospital Center, does the implementation of a music therapy program compared to current practice, impact pain scores during chemotherapy over 8-10 weeks?

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Please discuss the importance of IT in the planning, implementation, and evaluation of your DNP Project. How important will IT competencies be to the role/position that you aspire to after completing your DNP degree? 

Information technology has a crucial role in improving the productivity of an organization. In the context of value-based care and globalization, organizations are focussing on innovative projects to increase productivity. Information technology is heavily used in all projects but with mixed results. IT has a significant role in project planning, coordination, and facilitating the implementation process. Big projects may require sophisticated software technologies to manage the documents and data. ( Bardhan et al., 2007).

Health information technology is highly significant in improving healthcare quality and safety( Feldman et al., 2018). The DNP student deeply felt the demand for heightened awareness, advanced skills, and knowledge to use various technology platforms to implement the project successfully. Data auditing and analyzing EHR reports are integral to any QI project. Data analysis is the key to identifying pressing issues and finding solutions. Health IT is essential for quality improvement efforts (Medpro Group Inc,2018).

The DNP student worked with a hospital financial specialist and Informatics personnel to run statistical reports to support the significance of the selected problem. Project and practicum classes, writing proposals and manuscripts necessitated advanced computer skills to complete various assignments. Getting acquainted with different online teaching technologies such as zoom and Webex also augmented the learning experience. Learned the need to be skilled in using communications platforms such as Twitter, Instagram to serve as a leader and advocate for the profession. Designed flyers and educational sheets to communicate the details of the project to the stakeholders and participants.

My foremost ambition is to teach nursing graduate students and be willing to take on challenging opportunities as a nurse leader. The position that best fits my abilities will be system coordinator for change projects /quality improvement. Whether in teaching or administrative positions, the demand for IT competency is high.

What IT skills do you need to develop? Share your plan for professional development to develop these skills.

I am pleased that this online DNP program provided an excellent opportunity to become familiar with many different technologies that I had never used or known before. I need to develop technical skills in managing more extensive and more complex data, digital marketing/advertisement and looking forward to learning more about publishing articles and writing blogs.

Provide your instructor and student colleagues with an update on your implementation plans for your DNP Project. Share any successes, challenges, or barriers you experienced this week.

I meet with involved stakeholders and preceptors closely to plan the implementation process. I visited the unit and reassessed the resources. Scheduled meetings with registered nurses and informed the plan for the educational session at the beginning of the implementation phase.

References

Bardhan, I., Krishnan, V. V., & Lin, S. (2007). Project Performance and the Enabling Role of Information Technology: An Exploratory Study on the Role of Alignment. Manufacturing & Service Operations Management, 9(4), 579–595. https://doi.org/10.1287/msom.1070.0163Links to an external site.

Feldman, S.S., Buchalter, S., & Hayes, L.W. (2018). Health information technology in healthcare quality and patient safety: A literature reviewLinks to an external site..JMIR Med Inform, 6(2)e10264. https://doi.org/10.2196/10264Links to an external site.

I NEED A COMMENT WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS

Medpro Group Inc. (2018). Guideline: Using an EHR system as a quality improvement tool in your healthcare practiceLinks to an external site..https://www.medpro.com/documents/10502/2837997/Guideline_Using+an+EHR+as+a+Quality+Improvement+Tool.pdf

Nursing homework help

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Nursing homework help

Nursing homework help

Episodic/Focused SOAP Note Exemplar

Focused SOAP Note for a patient with chest pain

S.
CC: “Chest pain” 

HPI: The patient is a 65 year old AA male who developed sudden onset of chest pain, which began early this morning.  The pain is described as “crushing” and is rated nine out of 10 in terms of intensity. The pain is located in the middle of the chest and is accompanied by shortness of breath. The patient reports feeling nauseous. The patient tried an antacid with minimal relief of his symptoms.

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Medications: Lisinopril 10mg, Omeprazole 20mg, Norvasc 5mg

PMH: Positive history of GERD and hypertension is controlled

FH: Mother died at 78 of breast cancer; Father at 75 of CVA.  No history of premature cardiovascular disease in first degree relatives.

SH : Negative for tobacco abuse, currently or previously; consumes moderate alcohol; married for 39 years 

 

Allergies: PCN-rash; food-none; environmental- none

 

Immunizations: UTD on immunizations, covid vaccine #1 1/23/2021 Moderna; Covid vaccine #2 2/23/2021 Moderna

Nursing homework help

ROS   
General–Negative for fevers, chills, fatigue
Cardiovascular–Negative for orthopnea, PND, positive for intermittent lower extremity edema 
Gastrointestinal–Positive for nausea without vomiting; negative for diarrhea, abdominal pain
Pulmonary–Positive for intermittent dyspnea on exertion, negative for cough or hemoptysis  

O.

VS: BP 186/102; P 94; R 22; T 97.8; 02 96% Wt 235lbs; Ht 70”

 

General–Pt appears diaphoretic and anxious

Cardiovascular–PMI is in the 5th inter-costal space at the mid clavicular line. A grade 2/6 systolic decrescendo murmur is heard best at the

second right inter-costal space which radiates to the neck.

A third heard sound is heard at the apex. No fourth heart sound or rub are heard. No cyanosis, clubbing, noted, positive for bilateral 2+ LE edema is noted.

Gastrointestinal–The abdomen is symmetrical without distention; bowel

sounds are normal in quality and intensity in all areas; a

bruit is heard in the right para-umbilical area. No masses or

splenomegaly are noted. Positive for mid-epigastric tenderness with deep palpation.

Pulmonary— Lungs are clear to auscultation and percussion bilaterally

 

Diagnostic results: EKG, CXR, CK-MB (support with evidenced and guidelines)

 

 

 

 

 

A.

Differential Diagnosis:

1) Myocardial Infarction (provide supportive documentation with evidence based guidelines).

2) Angina (provide supportive documentation with evidence based guidelines).

3) Costochondritis (provide supportive documentation with evidence based guidelines).

 

Primary Diagnosis/Presumptive Diagnosis: Myocardial Infarction

 

 

 

 

A.

Differential Diagnosis:

1) Myocardial Infarction (provide supportive documentation with evidence based guidelines).

2) Angina (provide supportive documentation with evidence based guidelines).

3) Costochondritis (provide supportive documentation with evidence based guidelines).

 

Primary Diagnosis/Presumptive Diagnosis: Myocardial Infarction

 

 

 

  1. This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

 

 

 

Episodic/Focused SOAP Note Template

 

Patient Information:

Initials, Age, Sex, Race

S.

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”.

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed

Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL:  Denies weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes: Denies visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  Denies hearing loss, sneezing, congestion, runny nose or sore throat.

SKIN:  Denies rash or itching.

CARDIOVASCULAR:  Denies chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  Denies shortness of breath, cough or sputum.

GASTROINTESTINAL:  Denies anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  Denies headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  Denies muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  Denies anemia, bleeding or bruising.

LYMPHATICS:  Denies enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  Denies history of depression or anxiety.

ENDOCRINOLOGIC:  Denies reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  Denies history of asthma, hives, eczema or rhinitis.

O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)

A.

Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.

 

Nursing homework help

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Nursing homework help

Big Data has been a growing part of the healthcare field, which has its challenges and benefits.  While allowing easier and more accessible data collection, monitoring, and treatment; Big Data has certainly made its impact in healthcare.  With the potential to grow, even more, it is important to understand the challenges that also come with it.

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            While medical technology is advancing every day, with robots assisting our surgeons in the OR and connecting patients’ heart monitors to nurses’ smartphones (Glassman, 2017), new technology has also been developed to help protect the general population as well.  Studies have found that one in five Americans wear a smartwatch/fitness tracker every day (Vogels, 2020).   With Americans utilizing these products, technology has been created to add even more health benefits.   A provider may be able to avoid having a patient experiencing tachycardia come into the office or hospital if they can use a personal device to monitor their heart rate.  Apple watches now come with a fall detection feature that utilizes gyroscope technology to detect when someone experiences an accidental fall (Wang et al, 2020).  When the fall occurs, the smartwatch will notify EMS and can also notify the individual’s emergency contacts.  This technology has the potential to save lives and also has the capabilities to detect heart attacks through EKG and heart rate detection features.  I have a personal connection to this type of technology as a colleague of mine was notified while at work that her father was experiencing a heart attack while on a run.  The technology notified EMS of his exact location and he was picked up within minutes.  Sadly, he passed away, but she was able to see him before he did because of the notification feature, allowing her to get to the hospital as quickly as possible.  Technology like this is already in practice for all to use, not just in the clinical setting.  With advances like this, healthcare can be more accessible and less expensive to all.  Nursing homework help

An increase in technology use does come with concerns.  With data available to patients, varying from healthcare system apps to personal devices, privacy may be breached.  Healthcare facilities that utilize Big Data must ensure that they are enforcing privacy regulations and requirements before uploading any data.  Wang et al (2018) states: “Particularly in healthcare industry, it is essential to implement rigorous data rules and control mechanisms for highly sensitive clinical data to prevent security breaches and protect patient privacy. By adopting suitable policies, standards, and compliance requirements to restrict users’ permissions will ensure the new system satisfies healthcare regulations and creates a safe environment for the proper use of patient information”.  To ensure that our data is protected, healthcare facilities will need to take these appropriate measures before the big data implementation has started.  Lastly, educating patients on how to protect their personal data will also be important.  I have personally worked with a number of patients who have required assistance with accessing their electronic health record.  By ensuring that our patients are equipped with the knowledge of how to protect their EHR, privacy will be maintained.

References

Glassman, K.S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45-47.

Vogels, E. A. (2020, August 14). About one-in-five Americans use a smartwatch or fitness tracker. Pew Research Center.

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3-13.

Wang, Z., Ramamoorthy, V., Gal, U., & Guez, A. (2020, July 19). Possible life saver: A review on Human Fall Detection Technology. MDPI.

Nursing homework help

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Nursing homework help

Big data is the vast collection of multiple data outlets combined into a singular, massive storage space of data (Thew, 2016). As part of a clinical system, big data is beneficial for many reasons, but the largest—and most important reason—may simply be the benefit of improving patient care. Specifically, big data can improve patient care through pattern recognition after thorough analysis of all data collected (Wang, Kung, & Byrd, 2018). The reason that this would be beneficial to improve patient care is because if patterns are recognized based off data collection, this can then aid in targeting the necessary changes needed to be made to medications, treatment, or other decisions of care. An example would be with cancer patients because, being that cancer is a disease specific to the cellular level within patients, the attainment of multiple data outlets and synthesis of it all could result in a uniquely developed treatment plan for each patient (Pastorino et al., 2019). Nursing homework help

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However, an issue with big data in general is that it is typically difficult to track everything accurately and effectively synthesize it all into the most necessary information. It’s very difficult and time consuming to efficiently analyze vast quantities of data, especially if you are trying to access them all from multiple outlets (Pastorino et al., 2019). One strategy I have observed is through the utilization of all the technology within hospitals and clinics these days. The use of technology greatly diminishes the challenge of trying to accurately gather big data because it simplifies the acquisition and storage of data electronically. An example would be with electronic, portable devices. Nurses often have smart phones given to them by their employer to help track and store the data of their patients (Glassman, 2017). This smartphone technology can often be linked to other electronic devices and maintains the nurses more easily connected to their patients’ progress.

Another example is the usage of technology worn by patients—such as monitors for diabetics. These are often connected to smartphone technology to monitor blood glucose levels remotely. The collection of all this data—from the constant fluctuations of glucose levels to the carbohydrate and insulin intakes, to everything else in between—is all able to easily be tracked and accurately documented via the same shared electronic devices. This easily facilitates the process and makes data collection, analyzation, and pattern recognition all much more achievable. Thus, the ultimate goal of improved patient care is more attainable because you are being able to create more accurate and quality results from the data collected.

References

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf

Pastorino, R., De Vito, C., Migliara, G., Glocker, K., Binenbaum, I., Ricciardi, W., & Boccia, S. (2019). Benefits and challenges of Big Data in healthcare: an overview of the European initiatives. European journal of public health, 29(Supplement_3), 23–27. https://doi.org/10.1093/eurpub/ckz168

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13.

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Before prescribing an OCP regiment, it would be important to conduct cardiovascular examination. This is because the risk of cardiovascular disease increases with the use of contraception in women. Since the patient’s father had two heart attacks, with the second one that killed him, it would be important to assess for heart disease (Abarbanell et al., 2019). This would include blood test for lipids, as well as echocardiogram, and stress test.  Nursing homework help

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Some contraceptive regimens that could be chosen for the patient would include levonorgesterol, which prevents 95% of the pregnancies when it is taken within twenty-four hours of intercourse. This is available in pharmacies without any prescriptions. Other than that, Yuzpe regimen can also be used, which is 77% effective (Matyanga&Dzingirai, 2018). A third regimen would be combined hormonal contraceptives.

Some of the side effects that would be expected would include vomiting, nausea, stomach cramps, diarrhea, constipation, as well as increased weight (Leelakanok&Methaneethorn, 2020). Some of the side effects for which J.L. should seek immediate medical care would include severe headache, severe vomiting, speech problems, dizziness or faintness, weakness or numbness of an arm or leg, and crushing chest pain or chest heaviness, as that could be indicative of heart problems.  Nursing homework help

 

References

Abarbanell, G., Tepper, N. K., & Farr, S. L. (2019). Safety of contraceptive use among

women with congenital heart disease: a systematic review. Congenital heart disease, 14(3), 331-340.

Leelakanok, N., &Methaneethorn, J. (2020). A systematic review and meta-analysis of

the adverse effects of levonorgestrel emergency oral contraceptive. Clinical Drug Investigation, 40(5), 395-420.

Matyanga, C. M., &Dzingirai, B. (2018). Clinical pharmacology of hormonal emergency

contraceptive pills. International journal of reproductive medicine, 2018.

 

 

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Laura Rosa Alonso Salido

17 hours ago, at 5:52 AM

 

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The female’s health history and a blood pressure test are the most fundamental prerequisites prior to the prescription of Oral Contraceptive Pills. Most OCPs contain estrogen, which may raise the patient’s blood pressure, increasing the risk of cardiovascular complications (Guillebaud, 2019). Because the health history of J.L. is already known, a blood pressure test is required prior to the prescription of OCPs. To be sure she’s not pregnant, she’ll need to take a pregnancy test.

A combination tablet, progestin, and prolonged/continuous usage are three of the regimens accessible for this patient. Estrogen and progestin hormones are packaged in 21- or 28-day packets in a combo tablet. In a 28-day pack, progestin contains just the hormone progesterone, but the continuous pill contains only the active hormones estrogen and progestin and is taken over a lengthy period of time, generally three months. All three forms of OCP are highly successful in preventing pregnancy and have no impact on sexual intercourse. However, because a combination tablet minimizes heavy menstruation, it is preferable to a progestogen-only pill.

The three birth control alternatives each have their own set of adverse effects. Bleeding between periods, intense period pain, large flows, and a significant risk of ectopic pregnancy if the IUD fails by accident are all negative effects of IUD insertions (NallN, 2018). Minipill is also linked to irregular menstruation, acne, and a lack of sexual desire. Barrier measures such as diaphragms, sponges, and vaginal caps may cause vaginal burning and irritation as a result of spermicide usage. Allergic responses to diaphragms and vaginal caps can cause intense vaginal scents. The use of these barrier measures may potentially raise the risk of UTIs.

 

References

Cooper, D. B., Patel, P., &Mahdy, H. (2022). Oral contraceptive pills. In StatPearls. StatPearlsPublishing.https://www.ncbi.nlm.nih.gov/books/NBK430882/

NallN, R. (2018). IUD side effects: What they are and how to manage them. Retrieved from https://www.medicalnewstoday.com/articles/322655

Guillebaud, J. (2019). Contraception today. CRC Press.

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Vianet Blanco

3/29/22, 10:57 AM

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Advance Pharmacology

  1. Before prescribing an OCP regimen, what tests or examinations would you like to perform?

It’s critical to assess J. L’s blood pressure as well as medical records before recommending the Oral Contraceptive Pills (OCP) regimen. In addition to familiarizing with the patient’s sex life and sexual history, doing a pelvic examination is essential. As J.L.’s caregiver, I would seek data on the birth control methods she previously employed. A Pap test is used to perform the pelvic exam, which is only necessary for teenagers but is not always required when giving an OCP regimen. In addition, as J. L’s caregiver, I would find out if she ever experienced blood clots and ask her if she smokes anything currently (Turrini, 2021). When recommending an OCP regimen, significant risk factors like hypertension, smoking, and blood clots must be considered.

  1. Identify three different contraceptive regimens that could be chosen for J.L. Note their differences and why you chose them.

OCP had a 91 percent success rate and OCP has non-contraceptive advantages such as dysmenorrhea, menorrhagia therapy. Because J.L has menstruation-related difficulties, such as menorrhagia, the extended-cycle or continuous OCP regimens are a good fit for her. Taking into account J. L’s family medical background of cardiovascular illness, the best OCP regimens to administer will be progestin-only regimens that help sustain normal blood pressure (Monterrosa-Castro et al., 2021). In addition, given J.L.’s multivitamins and calcium carbonate 500mg, it that means injectable medroxyprogesterone acetate is not a suitable technique because its adverse effects result in decreased bone mineral density.

  1. Identify the potential side effects that need to be relayed to J.L. Note especially those side effects for which J.L. should seek immediate medical care.

Some common adverse effects of OCP regimens include irregular and frequent bleeding produced by progestin-only tablets. Nonetheless, vomiting and nausea have been identified as typical side effects in patients using OCPs with high estrogen levels (Cooper et al., 2022). Other adverse effects include breast soreness, headaches, bloating, and mood swings. If J.L. experiences abrupt menstrual bleeding accompanied by dizziness and stomach pain, she should seek medical attention because this indicates a serious health problem requiring instant medical assistance.

 

 

 

References

Cooper, D. B., Patel, P., &Mahdy, H. (2022). Oral Contraceptive Pills. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430882/

Monterrosa-Castro, A., Redondo-Mendoza, V., &Monterrosa-Blanco, A. (2021). Current Knowledge of Progestin-Only Pills. Electronic Journal of General Medicine, 18(6).

Turrini, M., &Bourgain, C. (2021). Appraising screening, making risk in/visible. The medical debate over Non‐Rare Thrombophilia (NRT) testing before prescribing the pill. Sociology of Health & Illness, 43(7), 1627-1642.

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JEAN OMEGA FLEURGIN

3/29/22, 4:35 AM

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Student :Jean omega Fleurgin

 

1-. Before prescribing an OCP regimen, what tests or examinations would you like to perform?

Before getting birth control pills, patient may have done a pelvic exam with a Pap test. Patient should get a complete medical history before giving a prescription for birth control pills.

Based on the patient age and health history. Patient should have pelvic exams and Pap tests. But Patient does not need an exam or Pap test just to get a prescription for birth control pills.

Before getting birth control pills, patient should always have done a basic medical exam and:

  • Check blood pressure.
  • Ask if ever had blood clots history.
  • Ask if smoking.

2– Identify three different contraceptive regimens that could be chosen for J.L. Note their differences and why you chose them.

The Oral Contraceptive Pill

It’s the little tablet taken once a day. The oral contraceptive pill is the most commonly reported method of contraception used by Australian women. There are a few different types of pill to choose from, so it’s about finding the one that’s right for you. The combined pill contains estrogen and progestin and mini pill contains only one hormone, a progestin. The pill can have many benefits, however remembering to take it on time is a must.

Intrauterine Device (IUD)

This small, T-shaped device is made from made of material containing progesterone hormone or plastic and copper and is fitted inside a woman’s uterus by a trained healthcare provider. It’s a long-acting and reversible method of contraception, which can stay in place for three to 10 years, depending on the type.

Some IUDs contain hormones that are gradually released to prevent pregnancy. The IUD can also be an effective emergency contraception if fitted by a healthcare professional within five days (120 hours) of having unprotected sex.

IUDs containing coppers are 99% effective and the ones containing hormones are 99.8% effective, so you’re about as protected as you possibly can be by a contraceptive method.

The Contraceptive Implant

In this method, a small, flexible rod is placed under the skin in a woman’s upper arm, releasing a form of the hormone progesterone. The hormone stops the ovary releasing the egg and thickens the cervical mucus making it difficult for sperm to enter the womb. The implant requires a small procedure using local anesthetic to fit and remove the rod and needs to be replaced after three years.

3- Identify the potential side effects that need to be relayed to J.L. Note especially those side effects for which J.L. should seek immediate medical care.

OCP may cause dizziness, headache, lightheadedness, stomach upset, bloating, or nausea. If these effects persist or worsen, contact your doctor. Notify doctor if experience: severe depression, groin or calf pain, sudden severe headache, chest pain shortness of breath, lumps in the breast, weakness or tingling in the arms or legs, yellowing of the eyes or skin. If you notice other effects not listed above, contact your doctor or pharmacist.

 

Reference

Curtis KM, Tepper NK, Jatlaoui TC, et al. U.S. medical eligibility criteria for contraceptive use, 2016. MMWR Recomm Rep 2016;65(No. RR-3).

 

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Dania Morejon Torres

3/28/22, 6:22 PM

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Test before OCP Regimens Prescription

The basic requirements prior to prescription of Oral Contraceptive Pills are the female’s health history and blood pressure test. Most OCPs contain estrogen, which could increase the patient’s blood pressure resulting in further risk factors such as stroke and myocardial infarction (Guillebaud, 2019). According to the J.L’s case, her health history is already known, a blood pressure test is, therefore, necessary before OCPs prescription. A pregnancy test is also necessary to ascertain that she is not pregnant.

Alternative Contraception Regimens

Majority of contraception methods have associated risks either from their chemical compositions, method of use, or depending on the female’s body compatibility to the method. Considering myocardial infarction is significant in J.L’s family health history, it is safer to opt for a non-hormonal method that will not attract the risk of a heart attack in the future. Therefore, she could opt to use an IUD, especially a hormone-free copper. She could also choose OCPs that do not contain estrogen, such as the minipill, to lower the risk of high blood pressure. The minipill is a safer choice as it only contains progestin (Glisic et. al., 2018). Additionally, barrier methods such as insertion devices like a diaphragm, sponge, or cervical cap used alongside a spermicide could be viable options for J.L.

Potential Side Effects

Certain side effects are associated with the three birth control options. The side effects associated with IUD insertions are bleeding in between periods, severe period pain, heavy flows, and high chances of ectopic pregnancy if the IUD fails by any chance (NallN, 2018). Minipill is also associated with irregular menstruation, acne, and reduced sex drive. In using barrier methods, diaphragms, sponges, and vaginal caps could bring about vaginal burning and irritation resulting from the use of spermicides. Diaphragms and vaginal caps may also result in allergic reactions causing strong vaginal odors. Using these barrier methods may also increase the chances of contracting UTIs.

 References

Glisic, M., Shahzad, S., Tsoli, S., Chadni, M., Asllanaj, E., Rojas, L. Z., … & Franco, O. H. (2018). Association between progestin-only contraceptive use and cardiometabolic outcomes: a systematic review and meta-analysis. European journal of preventive cardiology, 25(10), 1042-1052.

Guillebaud, J. (2019). Contraception today. CRC Press.

Henly Rojas

3/28/22, 5:33 PM

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Tests and Examinations

 

When it comes to prescribing an OCP regimen for such a patient, the most important tests, and exams to consider are the Pap smear and the pelvic exam. The Pap smear is done as a routine test to screen for precancers or abnormal cell changes in the cervix so that early interventions can be made. The pelvic exam is highly regarded in determining the patient’s overall sexual and reproductive health. It also helps determine the presence or absence of life-threatening conditions, such as infections and cancers. It is vitally important to maintain control of blood pressure and the presence of blood clots in this patient based on the family history of cardiovascular disease. It is vitally important to keep in mind that birth control pills are not a good option for patients with risk factors for cardiovascular disease.

 

Contraceptive Regimen

 

Among the regimens available for this patient, there are three that are a combined pill, progestin and prolonged/continuous use. A combination pill comprises estrogen and progestin hormones contained in 21- or 28-day packs. Progestin is made up of the hormone progesterone only in a 28-day pack, while the continuous pill consists of the active hormones estrogen and progestin only that is taken over a long period of time, usually 3 months. All three types of OCP do not affect sexual intercourse and are very effective in preventing pregnancy. However, keep in mind that a combined pill is better than the progestogen-only pill because it reduces heavy menstruation.

Potential Side Effects

 

Combined pill and progestin contraceptives have few complications that such a patient should consider. Such side effects include irregular and heavy bleeding, breast tenderness, headaches, nausea, and high blood pressure. The patient should be aware of any side effects and report episodes of irregular bleeding and high blood pressure, as these can become life-threatening in a short period of time. It is of vital importance that the patient immediately informs the doctor of any type of incident mentioned above.

 

 

 

 

 

 

References

 

Cooper, D. B., Patel, P., &Mahdy, H. (2022). Oral contraceptive pills. In StatPearls. StatPearlsPublishing.https://www.ncbi.nlm.nih.gov/books/NBK430882/

 

Elwan, D., &Raidoo, S. (2020). Reproductive autonomy and choice of contraceptive method. Fertility and Sterility, 114(3), e174. https://doi.org/10.1016/j.fertnstert.2020.08.496

 

Farley, N. R. (2018). Combined oral contraceptives, smoking, and cardiovascular risk. Journal of Epidemiology and Community Health, 52(12), 775–785.

 

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AnilemysPaneca

3/28/22, 4:23 PM

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Nursing homework help

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Nursing homework help

Maria Lazarte

Private and public organizations can work together with the purpose of achieving mutual interest in healthcare via forming collaborative private-public partnerships. Given the limited nature of resources, collaborative private-public partnerships provide a way in which both private and public organizations can work together and achieve their targeted common goal. The roles of public health organizations are evolving from simply direct provision of care services to the need for forming partnerships that would enable involved organizations to improve community health via proper planning and actions of community health programs (Howard et al., 2018).

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In addition, public and private organizations are working together by expanding their links with community organizations and other health agencies. Such efforts have seen to it that there has been the formation of alliances that share common interests such as a health promotion program or interventions targeting to prevent a certain disease in a targeted community (Marković&Brković, 2020). The establishment of delivery networks and the formation of local coalitions are crucial to ensuring that targeted shared goals are achieved and a joint forum is created where the health needs of a given community can be assessed and all stakeholders held accountable.

Public and private organizations can also work together on the formation of a collaborative agreement. Such an agreement specifies the nature of collaboration and the roles of each partner (Marana et al., 2018). The dimensions of the collaborative activities are clearly defined. This enables both organizations to understand the resources they will be bringing to the table in terms of finance, technology, and people. It also enables assessing risks and clarifying how will bear the risks and to what extent the risks will be shared. The formation of collaborative teams between the organizations can also help the organizations work together in achieving mutual interests in healthcare. Nursing homework help

References

Howard, S. C., Zaidi, A., Cao, X., Weil, O., Bey, P., Patte, C., Samudio, A., Haddad, L., Lam, C. G., Moreira, C., Pereira, A., Harif, M., Hessissen, L., Choudhury, S., Fu, L., Caniza, M. A., Lecciones, J., Traore, F., Ribeiro, R. C., &Gagnepain-Lacheteau, A. (2018). The My Child Matters programme: effect of public–private partnerships on paediatric cancer care in low-income and middle-income countries. The Lancet Oncology, 19(5), e252–e266. https://doi.org/10.1016/s1470-2045(18)30123-2

Marana, P., Labaka, L., &Sarriegi, J. M. (2018). A framework for public-private-people partnerships in the city resilience-building process. Safety Science, 110, 39–50. https://doi.org/10.1016/j.ssci.2017.12.011

Marković, V., &Brković, R. (2020). PUBLIC-PRIVATE PARTNERSHIP IN FIELD OF HEALTHCARE IN THE REPUBLIC OF SERBIA. CULTURE of POLIS – Journal for Nurturing of Democratic Political Culture, 17(41), 637–652. https://kpolisa.com/index.php/kp/article/view/151

 

Mayelin Ruiz

 

The healthcare sector is served by both public and private organizations, all of which must work together to achieve better outcomes. The public health sector, for example, has a goal of ensuring that customer satisfaction is attained in the long run by serving the patients well. However, the delivery of services depends on the ability of the patients to pay for the said services. The insurance companies are examples of the private sector that can work together to ensure better outcomes for the stakeholders (Javed et al., 2019). In a middle-income economy, the employees remit money to the insurance company. The healthcare organization requires the insurance companies to remit money to the hospitals for the patients to be treated effectively. There are some cases where the insurance company cannot afford the care provided by the hospital, which will require the patient to take care of part of the bill or relocate to hospitals where they can afford the care.

When the money remitted in the healthcare insurance is not enough to cover the patient’s needs, both the insurance company and the hospital fail to fulfill their goals of customer satisfaction (Akopova et al., 2020). The two groups should therefore work together to determine what is required to maintain the patient’s health status. When the patients are about to register for health insurance, the determination of the amount of remittance depends on the risk factors. If a patient with a higher risk takes a different insurance cover and remits a tiny amount, the money remitted may not cover the healthcare benefit. Before the insurance company determines the amount of money to be remitted for the insurance cover, they must consult a medical practitioner to check the patient’s age and the risk factors associated with the disease for a better outcome in the long run (World Health Organization. 2021). The healthcare personnel will determine the health status and the person’s age and advise the insurance company on the premiums to charge the patient. Nursing homework help

References

Akopova, E. S., Borzenko, K. V., Przhedetsky, Y. V., &Przhedetskaya, N. V. (2020). Marketing of healthcare organizations: technologies of public-private partnership. IAP.

Javed, S. A., Liu, S., Mahmoudi, A., & Nawaz, M. (2019). Patients’ satisfaction and public and private sectors’ health care service quality in Pakistan: Application of grey decision analysis approach. The International Journal of health planning and management, 34(1), e168-e182. https://doi.org/10.1002/hpm.2629

World Health Organization. (2021). More robust collaboration for an equitable and resilient recovery towards the health-related sustainable development goals: 2021 progress report on the global action plan for healthy lives and well-being for all. https://apps.who.int/iris/handle/10665/341411

 

Yanet Garrido

an hour ago, at 9:27 PM

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Cultural diversity is a problem for community nurses, and it can cause a slew of issues in terms of providing high-quality nursing care and achieving optimal health and wellness outcomes. Seven enabling concepts are recognized, along with their application to various groups. These include willingness to acknowledge professional family members’ skills and knowledge, acknowledging one’s own and other nurses’ stamina and weaknesses, requiring time to develop rapport and acceptance, assessing influences on health and health care, providing culturally appropriate treatment, developing culturally experienced methods, and supporting CLD appropriate resources and know-how (Chatterji, Joo, &Lahiri, 2019).

 

Cultural competency, as well as race, gendered, and ethnic differences, are constant problems in today’s medical care model. Many factors outside of traditional health treatment play a role in determining one’s well-being (Like, 2018). These social components of health and wellness (SDH) include, but are not limited to, education and learning, high-quality real estate, and access to nutritious foods. It has even been suggested that racial and ethnic minorities have low SDH, which relates to their lack of access to healthcare. Furthermore, when compared to White women, African American, Hispanic, and also Eastern women are less likely to get breast cosmetic surgery following a mastectomy (Like, 2018). Cultural, sex, and ethnic diversity are underrepresented in the healthcare field, both in terms of training and management. To meet the needs of a diverse population, the healthcare system must take steps to improve social proficiency as well as racial and ethnic diversity.

 

Cultural competency is the capacity to work well with people from other cultures, and it improves both healthcare experiences and outcomes. Steps to promote cultural competency and ethnic diversity will aid in reducing healthcare disparities and improving health care outcomes for these client communities. Efforts to draw certified minorities and females to the area must begin early in the pipeline (Horvat, et al., 2018). The writers are not advocating for diversity for the sake of diversity at the expense of benefit or qualification; rather, these programs must evolve not only to attract, but also to retain and promote highly motivated and skilled women and minorities.

 

References

Chatterji, P., Joo, H., &Lahiri, K. (2019). Beware of being unaware: racial/ethnic disparities in chronic illness in the USA. Health Economics, 21(9), 1040-1060.

 

Like, R. C. (2018). Educating clinicians about cultural competence and disparities in health and health care. Journal of Continuing Education in the Health Professions, 31(3), 196-206.

 

Maria Lazarte

4 hours ago, at 6:35 PM

 

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One of the major challenges in implementing a health promotion strategy in multicultural communities is the language barrier. With the language barrier comes communication challenges (Gao & Lee, 2019). Communication affects the health promotional messages developed and how multicultural communities will receive the health promotional messages. The existence of a language barrier implies that communities won’t be able to understand the message hence might not benefit from the health promotional strategy. A second challenge is keeping such communities motivated enough to be receptive to the health promotion strategy. Lack of motivation implies the communities won’t be receptive to the health promotional strategies implemented (O’Reilly et al., 2018). This is more of a problem especially in multicultural communities as such communities have different beliefs, cultures, values, and needs which necessitated different levels of motivation.

In addressing the communication challenge it is crucial to use appropriate communication methods. This may involve the use of multiple languages and channels to ensure that the community understands targeted health promotion strategies. This may necessitate assessing the community prior to the implementation to fully understand the dynamics of the targeted population their language preference and the best mode of communication before moving forward. In keeping the community motivated it would crucial to conduct an education and outreach program in order to improve awareness about the problem and motivate community members to try and achieve better health outcomes(O’Reilly et al., 2018).

Addressing cultural characteristics necessitates developing cultural competencies in order to avoid cultural misfits (Walters et al., 2018). Examining the history of a given community enables an individual to obtain enough background information and families with the beliefs and values of a given community. Addressing history can be achieved by conducting an investigation of the history of the community. Specific needs can be addressed by first conducting a community needs assessment to identify the specific needs of the community.

References

Gao, Z., & Lee, J. E. (2019). Emerging Technology in Promoting Physical Activity and Health: Challenges and Opportunities. Journal of Clinical Medicine, 8(11), 1830. https://doi.org/10.3390/jcm8111830

O’Reilly, M., Svirydzenka, N., Adams, S., & Dogra, N. (2018). Review of mental health promotion interventions in schools. Social Psychiatry and Psychiatric Epidemiology, 53(7), 647–662. https://doi.org/10.1007/s00127-018-1530-1

Walters, K. L., Johnson-Jennings, M., Stroud, S., Rasmus, S., Charles, B., John, S., Allen, J., Kaholokula, J. K., Look, M. A., de

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Manuel Garcia Periu

 

Public and private organizations can partner to promote mutual interests through contracts. Al-Hanawi et al. (2020) state that public institutions can subcontract their private counterparts to offer some services on their behalf at a negotiated fee. The implication is that there can be friendly and business relations between public and private hospitals. Through these exchanges, the former lacks the appropriate capacity, for example, technology and human resources. It can outsource from the private entities, for example, through contracts for some specialized services, such as complicated health tests. Furthermore, private hospitals that may lack technology that is available in public hospitals can outsource some necessary services, such as referring patients or requesting human resource support. Through these relationships, healthcare organizations in both sectors can help each other address the challenges relating to resource constraints. Therefore, both parties would promote mutual benefits from such exchanges as it would be easy to overcome the related constraints.

The private and public sectors can also cooperate to assist each other with relevant technology and skills. Nash et al. (2015) state that benchmarking is an important aspect that can help an organization enhance its services by learning from its peers. Despite the notion that private hospitals are always the best, this might not be the case. Therefore, for both public and private institutions to enhance their efficiency, they need to learn from each other. An example can be through benchmarking visits and exchanging staff so that both parties can learn what they are not doing best, thus promoting ways of making improvements. Besides, the two parties can also host joint workshops to educate each other on the best practices and deliberate on navigating through the various issues that hinder their effective operations. With such efforts in place, private and public organizations can effectively work together by uplifting each other.

References 

Al-Hanawi, M.K., Almubark, S., Qattan, A.M.N., et al. (2020). Barriers to the implementation of public-private partnerships in the healthcare sector in the Kingdom of Saudi Arabia. PLoS ONE 15(6): e0233802. https://doi.org/10.1371/journal.pone.0233802

Nash, D., Skoufalos, A., Fabius, R., et al. (2015). Population health: Creating a culture of wellness. Burlington, MA: Jones and Bartlett Learning.

 

 

 

 

 

 

 

 

 

 

 

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Maria Lazarte

Private and public organizations can work together with the purpose of achieving mutual interest in healthcare via forming collaborative private-public partnerships. Given the limited nature of resources, collaborative private-public partnerships provide a way in which both private and public organizations can work together and achieve their targeted common goal. The roles of public health organizations are evolving from simply direct provision of care services to the need for forming partnerships that would enable involved organizations to improve community health via proper planning and actions of community health programs (Howard et al., 2018).

In addition, public and private organizations are working together by expanding their links with community organizations and other health agencies. Such efforts have seen to it that there has been the formation of alliances that share common interests such as a health promotion program or interventions targeting to prevent a certain disease in a targeted community (Marković&Brković, 2020). The establishment of delivery networks and the formation of local coalitions are crucial to ensuring that targeted shared goals are achieved and a joint forum is created where the health needs of a given community can be assessed and all stakeholders held accountable.

Public and private organizations can also work together on the formation of a collaborative agreement. Such an agreement specifies the nature of collaboration and the roles of each partner (Marana et al., 2018). The dimensions of the collaborative activities are clearly defined. This enables both organizations to understand the resources they will be bringing to the table in terms of finance, technology, and people. It also enables assessing risks and clarifying how will bear the risks and to what extent the risks will be shared. The formation of collaborative teams between the organizations can also help the organizations work together in achieving mutual interests in healthcare.

References

Howard, S. C., Zaidi, A., Cao, X., Weil, O., Bey, P., Patte, C., Samudio, A., Haddad, L., Lam, C. G., Moreira, C., Pereira, A., Harif, M., Hessissen, L., Choudhury, S., Fu, L., Caniza, M. A., Lecciones, J., Traore, F., Ribeiro, R. C., &Gagnepain-Lacheteau, A. (2018). The My Child Matters programme: effect of public–private partnerships on paediatric cancer care in low-income and middle-income countries. The Lancet Oncology, 19(5), e252–e266. https://doi.org/10.1016/s1470-2045(18)30123-2

Marana, P., Labaka, L., &Sarriegi, J. M. (2018). A framework for public-private-people partnerships in the city resilience-building process. Safety Science, 110, 39–50. https://doi.org/10.1016/j.ssci.2017.12.011

Marković, V., &Brković, R. (2020). PUBLIC-PRIVATE PARTNERSHIP IN FIELD OF HEALTHCARE IN THE REPUBLIC OF SERBIA. CULTURE of POLIS – Journal for Nurturing of Democratic Political Culture, 17(41), 637–652. https://kpolisa.com/index.php/kp/article/view/151

 

 

 

 

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