Shadow Health Reflection: Musculoskeletal and Neurological

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Shadow Health Reflection: Musculoskeletal and Neurological

  • Complete the ShadowHealth© Musculoskeletal and Neurological assignments

Professional Development

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  • Write a 500-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:
    • What went well in your assessment?
    • What did not go so well? What will you change for your next assessment?
    • What findings did you uncover?
    • What questions yielded the most information? Why do you think these were effective?
    • What diagnostic tests would you order based on your findings?
    • What differential diagnoses are you currently considering?
    • What patient teaching were you able to complete? What additional patient teaching is needed?
    • Would you prescribe any medications at this point? Why or why not? If so, what?
    • How did your assessment demonstrate sound critical thinking and clinical decision making?

 

Shadow Health Reflection: Musculoskeletal and Neurological

Examining Nursing Specialties Essay Discussion

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Examining Nursing Specialties Essay Discussion

The emergence of numerous specializations has made it possible for nurses to focus on a particular area of focus or patient population by meeting certain educational certification requirements and gaining work experience.  Mental health is my chosen nursing specialty within the MSN program. After fulfilling the educational and certification requirements, I will become a psychiatric mental health nurse practitioner (PMHNP)Examining Nursing Specialties Essay Discussion . According to Chapman et al. (2018), a PMHNP is a registered nurse who has received graduate training in mental health and whose practice is the same as that of a psychiatrist and includes performing diagnostic assessments, evaluating physical health conditions, and managing psychiatric disorders.

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I had difficulties choosing mental health. I was concerned that as a PMHNP, I will have a hard time working in mental health settings because many people have negative attitudes toward mentally ill people. The duty to provide and improve access to mental health services is a factor that drove my decisions.   Due to the rise of mental disorders and the unmet treatment needs of mentally ill patients, I felt that I have the opportunity and professional obligation to improve mental health of Americans. According to Finley (2020), mental illness affects around 20 percent of the United States population aged thirteen years and older annually, totaling around 467 billion dollars in indirect and direct costs per year. Overall, there is limited access to mental health care as less than half of mentally ill patients receive professional treatment Examining Nursing Specialties Essay Discussion .

Professional nursing organizations exist to support the practice of nursing, promote self-regulation, and articulate nursing values. An essential factor in the professional development of a nurse is active membership in one or more professional organizations. Membership offers networking opportunities with colleagues and peers and access to educational resources including publications, conferences, webinars, and websites (Cherry et al., 2019).  The American Psychiatric Nurses Association (APNA) is a professional organization affiliated with mental health nursing.  According to DeCapua (2017), the APNA represents psychiatric nurse practitioners and psychiatric nurses. The APNA supports psychiatric nursing and advocates for mental health care through knowledge dissemination on recovery-focused assessment and treatment of persons with substance use disorders and mental illness.   To become a member of APNA, one is required to download and complete the APNA membership application form and mail the form together with the payment.  The student membership fee is 75 dollars while regular membership fee is 135 dollars (DeCapua, M. (2017)Examining Nursing Specialties Essay Discussion .

References

Chapman, S. A., Phoenix, B. J., Hahn, T. E., & Strod, D. C. (2018). Utilization and Economic Contribution of Psychiatric Mental Health Nurse Practitioners in Public Behavioral Health Services. American Journal of Preventive Medicine, 54(6), S243-S249. https://doi.org/10.1016/j.amepre.2018.01.045

Cherry, B., Caramanica, L., Everett, L. Q., Fennimore, L., & Scott, E.  Leveraging the power of Board Leadership in Professional Nursing Organizations. JONA, 49(11), 517-519. DOI: 10.1097/NNA.0000000000000805

DeCapua, M. (2017).  Get to Know the American Psychiatric Nurses Association. https://www.healthecareers.com/articles/career/know-american-psychiatric-nurses-association

Finley, B. A. (2020). Psychiatric Mental Health Nurse Practitioners Meeting Rural Mental Health Challenges. Journal of the American Psychiatric Nurses Association, 26(1), 97-101. https://doi.org/10.1177/1078390319886357 Examining Nursing Specialties Essay Discussion

Post an explanation of your choice of a nursing specialty within the program (MY CHOICE BEING MENTAL HEALTH). Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.

Note: Unless otherwise noted, initial postings to Discussions are due on or before Day 3, and response postings are due on or before Day 6. You are required to participate in the Discussion on at least three different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting. In addition, you are expected to respond to questions directed toward your own initial posting in a timely manner.

To Prepare: Examining Nursing Specialties Essay Discussion 

Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization.

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By Day 3 of Week 10

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member Examining Nursing Specialties Essay Discussion

C4000 Case Study 2 – course point modules Community Case: Immunizations in School-Aged Children

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C4000 Case Study 2 – course point modules Community Case: Immunizations in School-Aged Children

 

Community Case: Immunizations in School-Aged Children
Case Part 1
Nancy Oswald, RN, is in the school nurse’s office at Sunshine Elementary School every morning
before classes begin to see children and teachers who have health concerns. This morning she
has seen four children who report with similar symptoms. For the past several days each child
has had a nonproductive cough, sore throat, and a runny nose and has felt slightly feverish. When
assessing the children, Ms. Oswald notes that all have redness in the eyes, white spots on a red
background inside the mouth on the inner lining of the cheek, and a skin rash made up of large,
flat blotches that often flow into one another C4000 Case Study 2 – course point modules Community Case: Immunizations in School-Aged Children. The nurse considers what her next action should be.

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Questions for students:
1.What could this potential pattern of symptoms indicate?
These symptoms are indicative of Measles. Nancy notes that there are at least ten students who
have not been immunized due to their beliefs concerning immunizations.
2.What should the nurse consider as her next actions?
She should send the children home. She did well by utilizing a government website for up to date
information on the possible Measles. Due to the seemingly emerging infectious disease
epidemic, healthcare providers should start by speaking with the families and investigating the
health and travel history. The objectives of handling this situation are to identify the factors
contributing to the reemerging infectious disease. Describe the reemerging infectious disease
from a global perspective. Relate the methods of transmission of the disease to methods of
control and prevention C4000 Case Study 2 – course point modules Community Case: Immunizations in School-Aged Children

NURS4000: Community Case: Health Promotion: Workplace Wellness

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NURS4000: Community Case: Health Promotion: Workplace Wellness

Hoglund-Ward Enterprises is undertaking a new initiative related to employee health and
wellness in the upcoming year. Sharice Huff, the occupational health nurse at Hoglund-Ward, is
leading this new initiative. Although the cost of implementing the program is a major
consideration, the chief executive officer and board of directors support limited spending for new
health and wellness initiatives because they believe it will keep future health care costs down.
Several employees have been asked to participate on the health and wellness committee, and
together they have decided to conduct a needs assessment to get the employees’ feedback on
their wellness needs NURS4000: Community Case: Health Promotion: Workplace Wellness.

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Questions for students:
1. What sorts of initiatives can companies pursue to improve employee health and wellness?
a. Companies can pursue initiatives to improve employee health and wellness such
as encourage active lifestyle behaviors, addressing smoking cessation strategies,
and supporting nutritional health. Helping the employees be more active can be
initiated without buying employees gym memberships. Many of the jobs are
sedentary in nature with lots of desk work, but little changes can be initiated. This
company could have their health insurance company that they already pay for,
address some wellness programs as well as smoking cessation smoking programs.
The smoking cessation programs have been proven to be more useful if
implemented at work. It also makes it easier for employees to make healthy
choices for lunch if the cafeteria provides more nutritious options.
2. Based on what you understand about a needs assessment, what issues and topics should
be included in the needs assessment survey?
a. Ways to improve active lifestyle behaviors even when in a sedentary job should
be addressed. Smoking cessation strategies while in the workplace should be
encouraged and have been proven to be beneficial. The cafeteria in the workplace
supporting nutritional health can be exemplified in their daily options. Overall,
the public health interventions boil down to coalition building and health
teaching NURS4000: Community Case: Health Promotion: Workplace Wellness.

NURS4000: Community Case: STIs and Older Adults

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NURS4000: Community Case: STIs and Older Adults

The state health department reports that there has been a dramatic increase in sexually
transmitted infections (STIs), especially gonorrhea and HIV, in select populations within the
state. A population of particular concern with a notably increased incidence of STIs is the Sunny
Side Retirement Community, which had 15 newly diagnosed cases last month. Sunny Side offers
numerous amenities and recreation activities for more affluent retirees who chose to retire in a
warmer climate NURS4000: Community Case: STIs and Older Adults. Renee, an advanced registered nurse practitioner, is employed in the federally
qualified health center, and provides primary care services to residents. Within the past few
weeks, several women have sought care for urgency, frequency, and sometimes discomfort with
urination along with vaginal and perineal itching and drainage. Today, Luanne Barton arrives in
the office with similar symptoms.

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Questions for students:
1. What is your initial diagnosis based on the symptoms reported by Luanne Barton?
a. The initial diagnosis based on reported symptoms is an STI but cannot be
confirmed without a pelvic examination and laboratory tests. The STI sounds is
most similar to trichomoniasis NURS4000: Community Case: STIs and Older Adults. However, it could be chlamydia, gonorrhea, or
even syphilis. All of which are easily treated and cured if diagnosed early.
2. How can the nurse initiate a conversation with Luanne regarding her sexuality?
a. The nurse can complete her medical history by asking about her symptoms,
history of symptoms, and focus on her past and present sexual partners. Luanne
revealed she was sexually active during her forty-year marriage, and until her
husband passed away several years ago. Next, she admitted to being in a new
sexually active relationship for the past six weeks. Therefore, this is a warning
sign to take note of when considering these STI symptoms.
3. Describe risk factors among older individuals for being exposed to an STI.
a. The Web of Causation implies a new set of social dynamics and access to intimate
relationships, especially when living in a retirement community. The availability
of a community the same age and values, mixed with a possible lack of
knowledge about risk exposure, primary prevention, and secondary prevention
screening is a perfect storm to breed human exposure to specific STI organisms NURS4000: Community Case: STIs and Older Adults

REVIEW OF CURRENT HEALTHCARE ISSUES

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REVIEW OF CURRENT Health ISSUES

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption? Social determinants such as environment, community, education, access, and quality of healthcare? REVIEW OF CURRENT Health ISSUES

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These and many other topics are worthy of discussion. Not surprisingly, much has been said in research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

To Prepare:

  • Review the resources and select one current national healthcare issue/stressor to focus on.
  • Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affect this health issue? Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific, and provide examples.

REVIEW OF CURRENT Health ISSUES

Creating Culturally Competent Health Care Organizations

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Creating Culturally Competent Health Care Organizations

Mrs. Li Huan, a 79-year-old Chinese American widow who lives alone in New York City’s Chinatown recently had a cerebrovascular accident (CVA) or stroke. Mrs. Li has right-sided paralysis with partial loss of voluntary movement and sensation in her right arm and leg. Mrs. Li has weak facial muscles, difficulty with speech, and drooling. She experiences numbness and tingling in her arms and legs. Mrs. Li is going to a rehabilitation center known for delivering culturally competent interprofessional care where she is cared for by a team of credentialed health care providers: Dr. Indira Patel, nurse J.J. Johnson, physical therapist Mohammad Abu Said, dietician Maria Gonzalez, and Chinese American herbalist, Chen Minzhe. Creating Culturally Competent Health Care Organizations

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(Note: In traditional Chinese culture, a person’s last name or surname is written first, followed by his/her first name. Therefore, the patient’s last name is Li and the herbalist’s last name is Chen. It is proper etiquette to call a person of Chinese background by his/her title, in this case, Mrs. Li and Mr. Chen until the individual gives you permission to use his/her first name. To further confuse matters, many acculturated Chinese Americans are likely to reverse their first and last names in the typical US or Canadian order. Therefore, it is important to ask the patient, “What is your first name? What is your last name?” Note the correct order on the patient’s chart for other members of the team.) Creating Culturally Competent Health Care Organizations

  1. How do members of the interprofessional team assess Mrs. Li’s literacy, diet, and medications, including herbal medicines being provided by her herbalist, Mr. Chen?
  2. How do the nurse and other members of the team determine if complementary or integrative treatments, such as medicinal herbs, are helpful, harmful, or neutral to Mrs. Li’s recovery?
  3. If you were seeking advice or consultation from a traditional Chinese herbalist in your community, how would you locate one?
  4. Why do patients seek treatment from alternative and integrative healers?
  5. How can credentialed health care providers work collaboratively with Mr. Chen to ensure that prescription medicines and herbs are compatible and that there are no adverse or harmful interactions between various medicines?
  6. What strategies would you recommend to promote Mrs. Li’s optimum functioning and health following her CVA? (Andrews & Boyle, Transcultural Concepts in Nursing Care, 7th Edition).

Creating Culturally Competent Health Care Organizations

Health Care Delivery Models And Nursing Practice

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Health Care Delivery Models And Nursing Practice

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

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Include the following:

  1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
  2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
  3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
  4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

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

Prepare this assignment according to the guidelines found in the APA Style Guide

Health Care Delivery Models And Nursing Practice

Nursing homework help

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Discussion Topic: The purpose of learning the ropes of policy, politics and advocacy is to influence health care or broader social agendas that influence human health.  Discuss a time where you influence health care through advocacy.

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Select one Student Learning Outcomes from the following list and provides an explanation of how the selected Student Learning Outcomes is explored or related to the Discussion Topic.

1. Point out the impact of economic, political, and legal and ethical issues on the development and evolution of health care policies.

2. Determine the effects of healthcare policy on nursing roles and healthcare delivery.

3. Promote policies that incorporate ethical principles and standards for the use of health and information technologies.

4. Advocate for patients, families, caregivers, communities, and members of the healthcare team.

Requirements

– The discussion must address the topic

– Rationale must be provided

– Use at least 500 words (no included 1st page or references in the 500 words)

– May use examples from your nursing practice

– Formatted and cited in current APA 7

– Use 3 academic sources, not older than 5 years. Not Websites are allowed.

– Plagiarism is NOT permitted. Nursing homework help

University of Westminster Wealth Maximization & Social Responsibility Discusison

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University of Westminster Wealth Maximization & Social Responsibility Discusison

Question Description

I don’t know how to handle this Business question and need guidance.

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What is the primary goal of the corporation?

  • Maximize Wealth – should be the primary goal of the financial manager. Unlike profit (earnings per share, EPS) maximization, wealth maximization considers the impact of current decisions on the long-term financial health of the firm.
  • Social Responsibility – firms should be socially responsible at the same time they earn “normal” profits; otherwise they probably will go out of business.
  • Wealth Maximization and Social Responsibility – actions that maximize the value of the firm also are beneficial to society; wealth maximization improves the standard of living.
  • also encourage external resources for your posts and please be sure to cite them properly. University of Westminster Wealth Maximization & Social Responsibility Discusison

Defend your answer and do your best to back it up with research!