HCS465 University of Phoenix Administrative Healthcare Research Study Paper

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HCS465 University of Phoenix Administrative Healthcare Research Study Paper

Description

Use the University Library to locate peer-reviewed research articles related to a research study about health or health care issues, concerns, or trends.

  • The research article must describe a research study, not an editorial or brief.
  • The research study must be based in the United States from 2010 to the present.
  • It is recommended that you select health topics of interest to you or your job, with no complex statistical analyses.

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Review the Researching Articles in the University Library Tutorial for help finding articles.

Select at least 3 peer-reviewed* articles to use to complete an annotated bibliography. The 3 research articles can be based on the same or different topics. Topic ideas can include (but are not limited to):

  • Adolescent obesity (select different geographic locales: urban vs rural)
  • Infection rates among ICU patients
  • Readmission rates for congestive heart failure patients
  • Patient satisfaction or patient experience of care
  • Population health management in diabetes care
  • Care coordination or care continuum
  • Patient safety or quality management
  • Cancer screening compliance, such as mammography, colonoscopy, or Pap smear. HCS465 University of Phoenix Administrative Healthcare Research Study Paper

Complete the annotated bibliography based on the 3 articles you selected from the University Library.

Review the sample annotated bibliography provided by the University Library. Be sure to do the following for each bibliography:

  • Summarize the research study in your own words (at least 150 words).
  • Include the major areas of the research study, such as the sample, geographic location, and the outcome.
  • Bibliographies should not include any direct quotes or in-text citation.

*Note: One research article will be used in the Week 3 Learning Team assignment, Components of a Research Study.

Discuss how you determined the articles are peer reviewed.

Format your assignment according to APA guidelines. Remember to alphabetize your annotated bibliography.HCS465 University of Phoenix Administrative Healthcare Research Study Paper

Pharmacotherapy For Cardiovascular Disorders Essay Assignment

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Pharmacotherapy For Cardiovascular Disorders Essay Assignment

Heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease…

—Murphy et al., 2018

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.

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As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors. Pharmacotherapy For Cardiovascular Disorders Essay Assignment

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare

Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.

Review the case study assigned by your Instructor for this Assignment.

Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.

Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.

Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.

Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient. Pharmacotherapy For Cardiovascular Disorders Essay Assignment

By Day 7 of Week 2

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

Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.

Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.

Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

4 references not more than 5 years

Patient CB is an 88 year-old female with a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following:

  • Glipizide 10 mg po daily
  • HCTZ 25 mg daily
  • Atenolol 25 mg po daily
  • Simvastatin 80 mg daily
  • Verapamil 180 mg CD daily

Please pay attention to the case scenario. Pharmacotherapy For Cardiovascular Disorders Essay Assignment

Neuromuscular Agents Case-Assignment essay assignment

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Neuromuscular Agents Case-Assignment essay assignment

Clinical experiences are essential to your development as an advanced practice nurse, because new learning and discoveries may offer “aha” moments. These moments of insight, inspiration, or realization contribute to your professional growth and strengthen your value in an acute care setting. For this Discussion, consider an “aha” moment that you had during your clinical experience and how this moment might impact your future practice. To prepare: Reflect on your clinical experiences. Consider “aha” moments (e.g., moments of insight, inspiration, or realization) that might impact your future clinical practice.

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Post on or before Day 3 a description of three “aha” moments you experienced over the course of your clinical experiences.

Explain how these moments might impact your future clinical practice. Read a selection of your colleagues’ responses. Neuromuscular Agents Case-Assignment essay assignment

Respond on or before Day 6 to two colleagues by sharing additional insights or alternative perspectives.

Discussion Part II: Pharmacology To prepare:

Read the following articles to enhance your knowledge of commonly prescribed medications: Siân Williams, A. (2014). Pharmacology of steroids in the musculoskeletal system. Nurse Prescribing, 12(5), 237-242. Trinka, E., Höfler, J., Zerbs, A., & Brigo, F. (2014). Efficacy and safety of intravenous valproate for status epilepticus: a systematic review. CNS Drugs, 28(7), 623-639. doi:10.1007/s40263-014-0167-1

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way for you to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage. Solumedrol Dexamethazone Teriparatide vs biophosphonates Non-depolarizing blockers vs Depolarizing blockers for neuromusclular agents Succinylcholine, decamethonium, Pancuronium, vecuronium, rocuronium Anticonvulsant Barbiturates and benzodiazepines Valproates and Fosphenytoin and topiramate GABA analogs and Triazines Migraine medications. Neuromuscular Agents Case-Assignment essay assignment

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Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group. For this Discussion, address 1 of the following options. Post by day 3: Option 1: Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.

Option 2: Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3: Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Discuss a patient to whom you would prescribe this medication. Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference. Click on the Reply button below to reveal the textbox for entering your message. Neuromuscular Agents Case-Assignment essay assignment

Case Opioid : Analgesic Assignment Essay Assignment

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Case Opioid : Analgesic Assignment Essay Assignment

Question 1 A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse’s priority assessments?

Question 2 A nurse is caring for a patient who has been admitted with acute cocaine intoxication. Which of the following vital signs would the nurse expect to find initially when assessing the patient?

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Question 3 A nurse is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that

Question 4 patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.) Case Opioid : Analgesic Assignment Essay Assignment

Question 5 A middle-aged patient was diagnosed with major depression after a suicide attempt several months ago and has failed to respond appreciably to treatment with SSRIs. As a result, his psychiatrist has prescribed phenelzine. When planning this patient’s subsequent care, what nursing diagnosis should the nurse prioritize?

Question 6 Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid

Question 7 A 62-year-old woman has been prescribed a fentanyl transdermal patch for chronic cancer pain. The patient asks the nurse how long it will take for her to experience pain relief. The nurse will instruct the patient that she should feel pain relief in approximately

Question 8 A nurse is assigned to a patient who is taking lithium. Which of the following drug serum levels would indicate that the patient is at risk for adverse effects of the drug?

Question 9 A nurse who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated. Case Opioid : Analgesic Assignment Essay Assignment

PHE6203 Public Health Informatics essay assignment

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PHE6203 Public Health Informatics essay assignment

Week 3 Project

An informatician conducts data assessments of public health information. They are responsible for organizing, synthesizing, and interpreting data and transforming it into pertinent information that may be used to identify implications for public health program planning and development. PHE6203 Public Health Informatics essay assignment

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In this assignment, you will continue to use your pre-intervention asthma surveillance data set from the CDC in the Excel spreadsheet to analyze your database from a summary perspective. You will calculate various statistical means of the asthma data in your Excel spreadsheet using Pivot Table reports. You will then answer the following questions in a 3–4-page paper, and embed your pivot tables in your report to explain the summary results.

What statistical mean results do your Pivot Tables demonstrate about this grade school population of students?

Data Means Statistical Questions

  • What was the most frequent number of missed days?
  • What is the mean (average) number of missed days because of asthmatic conditions?
  • Which school had the highest average of missed days?
  • Was the school with the highest average of missed days for males the same as the school with the highest average of missed days for females?
  • Is the average number of missed days higher among those who answered yes to asthma than the overall average? PHE6203 Public Health Informatics essay assignment
  • What is the average age of the student population?

In a summary, explain how an informatician can use an outcome measurement of missed school days to monitor and evaluate population health; in this situation, asthma cases in elementary school children. Refer to the following article by Moonie, Sterling, Figgs, and Castro (2006):

Moonie, S. A., Sterling, D. A., Figgs, L., & Castro, M. (2006). Asthma status and severity affects missed school days. The Journal of School Health, 76(1), 18–24. Retrieved from

http://search.proquest.com.southuniversity.libproxy.edmc.edu/docview/215674744?accountid=87314

Submission Details:

  • Give reasons and examples in support of your responses. Cite all sources using APA format.
  • Submit a 3–4-page report in a Microsoft Word document to the Submissions Area  by the due date assigned.
  • Name your document SU_PHE6203_W3_A2_LastName_FirstInitial.doc.

Week 4 Project

In Week 4, you will continue to assume the role of the public health informatician and use your pre-intervention asthma surveillance data set from the CDC to calculate risk/odds ratios and prevalence/incidence rates. Review the data set from a population perspective and calculate various population ratios and rates for the asthma data in your Excel spreadsheet. You will then answer the following questions in a short application paper of 3–4-pages, explaining your results. You may refer to the suggested readings for this week.

Ratios and Rate Questions

[Note: School populations: Asthma elementary student count in this study is 800 for this school year. School’s population (A + B + C + D) = 7,200 students for this school year.]

  • Does one school have a higher number of students with asthma?
  • Which school has the highest number of students with wheezing?
  • How many students had both asthma and wheezing?
  • If you have asthma, what are the odds that you also have wheezing?
  • Is the odds ratio for bronchitis and RAD lower or higher than asthma and wheezing?
  • How many children with wheezing were prescribed medication? From those results, what is the risk ratio?
  • Is the risk ratio for being prescribed medication for asthma higher or lower than being prescribed medication for wheezing?
  • Are the risk ratios for asthma and wheezing higher for children under the age of 10 than they are for the survey population as a whole? PHE6203 Public Health Informatics essay assignment
  • What is the student asthma prevalence for the school district, i.e., A, B, C, D based on total student population as shown above?
  • What is the student asthma incident rate for the school district, i.e., A, B, C, D based on total student population as shown above?

In a summary, provide your interpretation of what your statistical ratio and rate calculations results demonstrate about this grade school population of students’ asthma risk and odds ratios, prevalence, and incidence rates. Explain how you may use this data in supporting the need and development of a public health asthma prevention program. You may use the prevalence resources in the links provided for your summary response.

Submission Details:

  • Give reasons and examples in support of your responses. Cite all sources using APA format.
  • Submit a 3–4-page paper in a Microsoft Word document to the Submissions Area by the due date assigned. PHE6203 Public Health Informatics essay assignment

HCS465 Administrative Health Care essay assignment

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HCS465 Administrative Health Care essay assignment

Description

Use the University Library to locate peer-reviewed research articles related to a research study about health or health care issues, concerns, or trends.

  • The research article must describe a research study, not an editorial or brief.
  • The research study must be based in the United States from 2010 to the present.
  • It is recommended that you select health topics of interest to you or your job, with no complex statistical analyses. HCS465 Administrative Health Care essay assignment

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Review the Researching Articles in the University Library Tutorial for help finding articles.

Select at least 3 peer-reviewed articles to use to complete an annotated bibliography. The 3 research articles can be based on the same or different topics. Topic ideas can include (but not limited to):

  • Adolescent obesity (select different geographic locales: urban vs rural)
  • Infection rates among ICU patients
  • Readmission rates for congestive heart failure patients
  • Patient satisfaction or patient experience of care
  • Population health management in diabetes care
  • Care coordination or care continuum
  • Patient safety or quality management
  • Cancer screening compliance, such as mammography, colonoscopy, or Pap smear

Complete the annotated bibliography based on the 3 articles you selected from the University Library.

Review the sample annotated bibliography provided by the University Library. Include the following for each bibliography:

  • Summarize the research study in your own words (150 words)
  • Include the major areas of the research study, such as the sample, geographic location, and the outcome.
  • Bibliographies should not include any direct quotes or in-text citation.

Note: One of the research articles you select will be used in the Week Three Learning Team assignment, Components of a Research Study.

Format your assignment according to APA guidelines. Remember to alphabetize your annotated bibliography. Include a title page at the beginning of your bibliography. HCS465 Administrative Health Care essay assignment

Case Study: Management Plan Essay Assignment

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Case Study: Management Plan Essay Assignment

Patient Complaint

Tired all the time; heavy menses

History

Susan is a 44-year-old white female who presents with a complaint of being tired and having low energy. She is a G3P3 mother of a 15-year-old, a 13-year-old, and a 10-year- old. She is 5 feet tall and weighs 145 pounds. Her blood pressure is 116/78 mm Hg and her heart rate is 82. Past medical history is unremarkable except for a history of heavy menses, which Susan reports seem to be getting heavier. Her menses are regular and last 5 or 6 days. Her husband of 18 years had a vasectomy, so she does not use any hormonal birth control. Screening for depression is negative. Case Study: Management Plan Essay Assignment

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Susan gets regular exercise, mostly walking. She walks every weekend with her friends, usually a 6-to-8-mile walk. Susan is concerned because she is noticing that she is short of breath going up even small hills and needs to rest after she gets back from her walks.

Susan considers her diet well rounded. She has been trying to lose weight, so she has cut back on high-fat foods such as meat. She eats mostly fish and chicken for her protein.

She drinks two glasses of skim milk a day and eats a lot of salad to fill her up. Her salads are made with iceberg lettuce and tomatoes. She does not take any medications. She does not take a multivitamin.

Assessment

Complete blood count (CBC) indicates a white blood cell (WBC) count of 9.6, red blood cell count (RBC) of 4.6, hemoglobin (Hgb) 11.1, hematocrit (Hct) 34%, mean corpuscular volume (MCV) 84, mean corpuscular hemoglobin concentration (MCHC) 31, and red blood cell distribution width (RDW) 14.5%, and platelets and WBC differential are unremarkable. Ferritin level is 13. Thyroid studies are within normal limits.

Briefly what would be your initial management plan?

Briefly what follow-up laboratory would you draw? Case Study: Management Plan Essay Assignment

Hypertension case scenario: Critical thinking

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Hypertension case scenario: Critical thinking

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

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Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is so exhausted she cannot eat or drink by herself.
Objective Data

Height 175 cm; Weight 95.5 kg
Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin
Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

Tags: nursing hypertension respiratory cardiovascular nursing intervention chronic heart failure Pulmonary crackles

Case Study 1

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Case Study 1

Case Study 1 Case Study 1 Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the

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current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.” Laboratory values are as follows: Hemoglobin = 8 g/dl Hematocrit = 32% Erythrocyte count = 3.1 x 10/mm RBC smear showed microcytic and hypochromic cells Reticulocyte count = 1.5% Other laboratory values were within normal limits. Question Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale. © 2013. Grand Canyon University. All Rights Reserved.
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GCU CHF or congestive heart failure Case Study

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GCU CHF or congestive heart failure Case Study

Case Study 2 Case Study 2 Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him. Question Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following: • • • • Describe your approach to care. Recommend a treatment plan. Describe a method for providing both the patient and family with education and explain your rationale. Provide a teaching plan (avoid using terminology that the patient and family may not understand). © 2013. Grand Canyon University. All Rights Reserved.
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