Holistic care and treatments

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Holistic care and treatments

To prepare for this Discussion:

Review the Resources pertaining to alternative therapies.

Select one of the following areas where alternative therapies are being used:

Cancer treatment

Cancer symptom management

End-of-life care

Palliative care

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Find at least one scholarly journal article discussing alternative therapies in your chosen subtopic.

Respond to the following:

Identify at least one challenge associated with the nurse role in providing alternative therapies for patient care.

Explain how the nurse might integrate the use of Complementary and Alternative Medicine (CAM) approaches in your chosen subtopic and discuss the ethical issues nurses may face.

What are the main elements you would include in a teaching plan for nurses on the use of CAM in your chosen subtopic?

What is the shared role of the nurse and patient in developing care plans?

Holistic care and treatments

The Relationship Between Health Policy and Healthcare Delivery

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The Relationship Between Health Policy and Healthcare Delivery

For Americans to enjoy optimal health as individuals and as a population they must benefit from high-quality health care services that are effectively coordinated within a robust public health system. In considering the role of the advanced practice nurses in contributing to a healthy nation, read the materials and videos below and discuss the questions. The Relationship Between Health Policy and Healthcare Delivery

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Read:

The Changing Landscape of Primary care.pdf

A Comprehensive Policy Framework to Understand and Address Disparities and Discrimination in Health and Health Care (acponline.org) (Links to an external site.) Links to an external site.

Mandatory Videos

https://youtu.be/u39Qv4Y34dE(Links to an external site.) Links to an external site.

https://youtu.be/jz6GSVUYtsE (Links to an external site.) Links to an external site.

After reviewing the materials, respond to the following questions:

What are the significant issues in healthcare delivery as identified by the articles and videos?

Has ACA helped change the systems and processes of healthcare delivery? Explain in your own words how has this specific healthcare policy affected Healthcare delivery.  Include evidence in your arguments.

What are additional changes necessary to get closer to best practices in healthcare delivery?

In what ways do improvements in healthcare delivery allow us to achieve health equity?

How can advanced nurse practitioners contribute to improving healthcare delivery and implementing ACA or other national healthcare mandates?

The Relationship Between Health Policy and Healthcare Delivery

Promoting safety and quality

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Promoting safety and quality

Discussion Prompt

In the article Managing to Improve Quality: The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes, the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events. As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have developed core measures to guide health care providers efforts in improving patient safety and the quality of care delivered. Promoting safety and quality

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Health care organizations have developed strategic agendas to help meet these standards and reduce the incidence of Never Events. Nurses significantly influence the overall quality of health care provided and play a pivotal role in improving patient outcomes.

For this Discussion, you will consider the standards that are in place for nurses and how they can be used to improve quality of care.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To prepare for this Discussion:

Review the information at the Joint Commission and Centers for Medicare & Medicaid Services websites on the core measures and standards presented in this week resources.

 

Consider the nurse role in supporting the organization strategic agenda as it relates to improving clinical outcomes.

Conduct an Internet search for either a Never Event or a core measure and select one to address in your post.

Respond to the following:

How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? Cite your selected core measure or Never Event in your response. Promoting safety and quality

What is the impact of the nurse role in clinical outcomes for the organization?

Discuss nurse-specific challenges in influencing change in quality improvement.

How does this influence the ability of the organization to achieve its strategic agenda?

Support your response with references from the professional nursing literature.

Promoting safety and quality

Module 6: Group Discussion: BREAST LUMP ON A FEMALE PATIENT

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Module 6: Group Discussion: BREAST LUMP ON A FEMALE PATIENT

A 55-year-old menopause female presented to the nurse practitioner clinic with c/o of breast lump x 2 months. She denies a family history of breast cancer, however, her sister was recently diagnosed with ovarian cancer and currently undergoing chemotherapy. The patient states that her husband noticed the painless lump on the right side of the breast. She also describes lump as immobile.  She also reports that she smokes 1PPD and has never been pregnant. She drinks two cans of beer every night to help her sleep because of her stressful day time job.

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What risk factors including demographics should the nurse practitioner consider while making a clinical diagnosis for this patient?

What questions should the nurse practitioner ask this patient to elicit a detailed history? (At least five questions to receive full points for this section)

What diagnostic imaging would you consider for this patient?

Write a post of 2 to 4 paragraphs with (minimum 250 words with references)

Module 6: Group Discussion: BREAST LUMP ON A FEMALE PATIENT

 

Abdomen NORMAL AND ABNORMAL PHYSICAL EXAM FINDINGS

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Abdomen NORMAL AND ABNORMAL PHYSICAL EXAM FINDINGS

Review the case study noted below:

Answer the questions for each case.

Case 1: Male with Abdominal Pain

The patient is a 32-year-old male with no significant past medical history presents to the emergency department with abdominal pain. He states the pain began a few days ago in the right lower quadrant of the abdomen, and now feels as though it is spreading to the mid-abdomen. He describes the pain as coming on suddenly and sharp in nature.   Since onset, his pain started to improve until the morning of presentation to the emergency department when it acutely worsened.  He says that the pain is much worse with movement. Abdomen NORMAL AND ABNORMAL PHYSICAL EXAM FINDINGS

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The patient is concerned for a possible hernia as he does heavy lifting at work. Review of systems is negative including no anorexia, no nausea or vomiting, no testicular pain or swelling, no urinary or bowel complaints, and no fevers or chills. The patient denies prior abdominal surgeries. He does smoke a half pack of cigarettes a day, drinks alcohol socially, and denies any recreational drug use. He notes no inherited medical conditions in his family.

How will you conduct a focused assessment of this patient?  What systems would you examine during this focused assessment? Do not forget that your exam has to be done in a systematic way. Think Inspection, Palpation, Percussion, and Auscultation  (if indicated) when submitting

What initial tests need to be conducted and why?

Abdomen NORMAL AND ABNORMAL PHYSICAL EXAM FINDINGS

Benchmark – Evidence-Based Practice Project: PICOT Paper

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Benchmark – Evidence-Based Practice Project: PICOT Paper

Benchmark

Requires Lopes write

Assessment Description

Refer to the PICOT you developed for your evidence-based practice project proposal in the Evidence-Based Practice Project Proposal: PICOT assignment in Topic 3. If your PICOT required revision, include those revisions in this assignment. You will use your PICOT paper for all subsequent assignments you develop as part of your evidence-based practice project proposal in this course and in NUR-590, during which you will synthesize all of the sections into a final written paper detailing your evidence-based practice project proposal. Benchmark – Evidence-Based Practice Project: PICOT Paper

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Write a 750-1,000-word paper that describes your PICOT. Include the following:

Describe the population’s demographics and health concerns.

Describe the proposed evidence-based intervention and explain how your proposed intervention incorporates health policies and goals that support health care equity for the population of focus.

Compare your intervention to previous practice or research.

Explain what the expected outcome is for the intervention.

Describe the time for implementing the intervention and evaluating the outcome.

Explain how nursing science, social determinants of health, and epidemiologic, genomic, and genetic data are applied or synthesized to support population health management for the selected population.

Create an appendix for your paper and attach the PICOT. Be sure to review feedback from your previous submission and revise your PICOT accordingly.

Complete the “APA Writing Checklist,” located in Class Resources, to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as the final appendix at the end of your paper. Benchmark – Evidence-Based Practice Project: PICOT Paper

Refer to “Evidence-Based Practice Project Proposal Assignment Overview,” located in Class Resources, for an overview of the evidence-based practice project proposal assignments.

You are required to cite four to six peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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

You are required to submit this assignment to Lopes Write. A link to the Lopes Write technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

Benchmark – Evidence-Based Practice Project: PICOT Paper

 

Health Organization Evaluation: HCA Healthcare

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Health Organization Evaluation: HCA Healthcare

Research a health care organization or network that spans several states within the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade. Health Organization Evaluation: HCA Healthcare

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Prepare a 1,000-1,250-word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:

  1. Describe the health care organization or network.
  2. Describe the organization’s overall readiness based on your findings.
  3. Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
  4. Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
  5. Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Noting APA 7 style is required, I would suggest you organize your final paper with an introductory paragraph and then level 1 headings as follows:

·        Health Organization Description

·        Organizational Readiness

·        Strategic Plan (you might include level 2 headings under this section for network growth, nurse staffing, resource management, and patient satisfaction – refer to your APA guidance for this as necessary)

·        Culture and Impact

·        Theory/Model Supporting Plan

You are required to cite a minimum of three sources to complete this assignment. Sources must be within 5 years, appropriate for the assignment, and relevant to nursing practice.

Health Organization Evaluation: HCA Healthcare

 

 

Major Depressive Disorder

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Major Depressive Disorder

You were called as a PMNHP to evaluate and treat a 34-year-old female hospitalized in the local mental health facility.  The client has a long history of depressed mood and anhedonia, but has never been on a psychiatric medication. You diagnosed the client with a major depressive disorder and decided to start the client on a medication for stabilization.

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In a 2-3-page paper,

Discuss what would guide your decision in selecting a drug for this client?

Describe the medication you would prescribe, provide the rationale.

Discuss medication education on the medication selected, including pharmacological actions, therapeutic indications, precautions/side effects, dosage and clinical guideline, and any laboratory interferences

Major Depressive Disorder

New Technology in Healthcare

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New Technology in Healthcare

New technology and the application of existing technology only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking. New Technology in Healthcare

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In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as the use of personal health records or portals to support patients newly diagnosed with diabetes.

Identify and select 4 peer-reviewed research articles from your research.

For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

Include an introduction explaining the purpose of the paper.

Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

Use APA format and include a title page.

New Technology in Healthcare

COMPARING AND CONTRASTING PHARMACOLOGIC OPTIONS FOR THE TREATMENT OF GENERALIZED ANXIETY DISORDER

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COMPARING AND CONTRASTING PHARMACOLOGIC OPTIONS FOR THE TREATMENT OF GENERALIZED ANXIETY DISORDER

Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

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Generalized Anxiety Disorder is a psychological condition that affects 6.1 million Americans, or 3.1% of the US Population. Despite several treatment options, only 43.2% of those suffering from GAD receive treatment. This week you will review several different classes of medication used in the treatment of Generalized Anxiety Disorder. You will examine potential impacts of pharmacotherapeutics used in the treatment of GAD. Please focus your assignment on FDA approved indications when referring to different medication classes used in the treatment of GAD.

Post a discussion of pharmacokinetics and pharmacodynamics related to anxiolytic medications used to treat GAD. In your discussion, utilizing the discussion highlights, compare and contrast different treatment options that can be used.

COMPARING AND CONTRASTING PHARMACOLOGIC OPTIONS FOR THE TREATMENT OF GENERALIZED ANXIETY DISORDER