Using Natural Medicine To Treat Cirrhosis

For this project, you will take the role of a nurse practitioner treating a patient with a chronic condition( CIRRHOSIS). Your patient is not completely satisfied with the treatments you’ve tried and asks about a specific alternative therapy (**natural medicine to treat cirrhosis). Unfamiliar with these sorts of therapies, you decide to do some research before making recommendation. Your objective is to determine whether or not you would recommend regular treatment( which one as per CDC’S guideline recommendations)  either alone or in combination with alternative treatment. The paper should be 4 pages excluding the title page and references. Is required a professional APA format , with scholarly journals  citations no older than 5 years.  Paper will be checked in turnitin for similarity ,more than 15 percent will be consider plagiarism.

EBI Paper Grading Criteria Rubric .Criteria Points  Grade

– Description   of the Chronic condition (*including pathophysiology and etiology). 10

–  Definition   of the specific treatment options including EBP guidelines and first-line   pharmacotherapy. 20

– Summary   of the current research in the specific alternative therapy. This area should include specific research   studies, the population description, size (n =) and the results NEED EVIDENCE BASED PRACTICE. 20

 

– After   reading the evidence. What are some   non-pharmacological treatment options that you would recommend? 20

– What did   I learn doing this paper? 20

– On time, APA format, correct   grammar and spelling. 10

Total :100

Promoting Health Care Quality

Project 1: Promoting Health Care Quality

In this course, you develop a comprehensive Course Project: Promoting Health Care Quality.

To initiate this project, this week you examine the systems and structures of an organization with which you are familiar.

Organizational Systems and Structures Evaluation

When a problem related to health care quality and patient safety arises, there can be an inclination to focus on a specific event rather than to examine the larger context surrounding it. Analyzing the systems and structures within an organization provides a foundation for generating a fuller understanding of how and why the event occurred and for developing strategies to address the underlying issues. Perhaps more importantly, such an analysis can be used to proactively identify potential challenges and improve organizational systems and structures in order to promote positive outcomes. In the first section of your Course Project, you analyze the systems and structures of a health care organization with which you are familiar.

To prepare:  Identify a health care organization with which you are familiar; one that you will be able to sufficiently analyze to complete the full scope of the Course Project.

Select two or more of the following frameworks: o Learning organizations o Complex adaptive systems (CAS) o Clinical microsystems o Good to great o

The 5 Ps You may use the same frameworks that you addressed in this week’s Discussion. 

With these frameworks in mind, analyze the systems and structures of the organization. Be sure to research and consider: o Mission, vision, and values o Strategic plan, goals, and objectives, if possible o Key operational processes and patterns o Information technology use o Organizational priorities and investments, as indicated by financial data.

Section 1: Organizational Systems and Structures Evaluation  As you continue your evaluation of a health care organization, it is essential to pay attention to culture. Organizational culture provides the context in which all interactions and processes occur, and is therefore central to any effort to enact change.  To prepare: •Continue to analyze your selected organization, as indicated in Week 3 (Section 1 of the Course Project). •In addition, consider the ideas and information exchanged in this week’s Discussion. Continue to analyze essential elements of organizational culture and evaluate the influence of culture on the ability to achieve goals within your selected organization.

 To complete:  Write a 4- to 5-page paper in which you: 

•Provide a description of the organization you selected 

•Present your analysis of the organization with attention to: 

•Its mission, vision, values 

•Strategic plan, goals, and objectives 

•Key operational processes and patterns 

•Information technology use 

•Organizational priorities and investments, as indicated by financial data 

•The essential elements of the organization’s culture 

•The influence of culture on meeting organizational goals.

Required Readings

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.  •Chapter 10, “Evaluation of Patient Care Standards, Guidelines, and Protocols” (pp. 207-226)

•Chapter 12, “Evaluating Populations and Population Health” (pp. 265-280) Chapter 10 reviews methods for using national, local, and organizational standards to evaluate the quality of health care practices. Chapter 12 examines strategies for identifying quality issues through the evaluation of populations.   Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.

•Chapter 3, “General Concepts in Quality” (pp. 45–82) See the six aims for quality

proposed by the Institute of Medicine (IOM).   Bellot, J. (2011). Defining and assessing organizational culture. Nursing Forum, 46(1), 29–37.

Insurance Appeal Letters

 Your office has received a series of claim denials from one particular insurance carrier and you do not agree with the decision.  You should consider appealing the denial. Go back and review the patient’s insurance card and verification form  for coverage information. The explanation of benefits (EOB) letter from the health plan is the key to payment or denial status. If the coverage language supports payment, write an appeal letter describing the disorder and its medical nature, and reference the coverage policy paragraph that shows how your treatment fits coverage criteria.  You may have to investigate coverage on the insurance website.

  • attachment

    InsuranceVerification-MichaelWest.docx
  • attachment

    ExplanationofBenefits-MichaelWest.docx
  • attachment

    InsuranceVerification-ElizabethHill.doc
  • attachment

    InsuranceVerification_GuillermoG.doc
  • attachment

    ExplanationofBenefits-ElizabethHill.docx
  • attachment

    AetaSampleCards1.docx
  • attachment

    ExplanationofBenefits-Guillermo.docx

Evidence Based Practice Essay

My Topic:

High rate of fall during night shift in the ward for patient with dementia (700words)

For each article that you will be using need to have a checklist from  https://casp-uk.net/casp-tools-checklists/ (I’ve downloaded and attached the file below PLEASE USE IT)

DOWNLOAD ALL THE FILES AND READ THEM BEFORE ATTEMPTING THE ESSAY.

  • attachment

    Assignment.pptx
  • attachment

    Searchingforevidence.pptx
  • attachment

    CASP-Randomised-Controlled-Trial-Checklist1.pdf
  • attachment

    Rubrics.docx

Please Follow Instructions. Follow Rubric. Write 750 -1000 Words. Follow RUBRIC Please.

Write a 750-1000 word analysis of “Case Study: Fetal Abnormality.” Be sure to address the following questions:

  1. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain.
  2. How does the theory determine or influence each of their recommendation for action?
  3. What theory do you agree with? How would that theory determine or influence the recommendation for action?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 Turnitin. Please refer to the directions in the Student Success Center.

RUBRIC:

Determination of Moral Status

Theory/Theories are identified that determine the moral status of the fetus for all of the people listed in the case study, including a detailed explanation.

Recommendation for Action

Recommendation for action is present, with detailed explanation that shows a deep understanding of the subject.

Personal Response to Case Study

Personal response to case study includes if you agree or disagree and a detailed explanation that shows a deep understanding of the subject including how the theory determines or influences the recommendation for action.

Thesis Development and Purpose

Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

  • attachment

    PHI-413V-RS-T2CaseStudy.docx

Implementation Plan

You are now in Phase 6 of your Capstone project. You have developed a comprehensive care plan for the aggregate. Over the next two weeks, you will develop an implementation plan for your aggregate.  The first step to effective implementation is planning. As you go about this task, answer the following questions: •What small group would you select (for example, three families with young children, a group of five AIDS patients, and so on)? What made you select this particular group? •What portion of the plan would you like to implement in the small group? •What health risk do you expect to tackle by implementing this intervention? •What results do you expect? •How do you plan to implement this intervention? Do you have any specific strategy in mind? What resources will you need? •How long do you think it will take for the results to be seen? •What resources do you need?  By the due date assigned, prepare a 1-2 page Microsoft Word document with your responses to the questions above and submit it to the Submissions Area.

Effective Communication

1. Is this essentially saying that genetics matter more than experience, or that family communication or shared experience is not one of its defining features?

2. Do you believe that a person should stay in a family with and violent parent? Or can the bonds of blood and genetics be broken if a parent mistreats other family members?

Chapter Summary

Read

chapter 16. Personal Health Record Managing Personal Health: in the course textbook: Bau, M.J., Hannah, K.J. Newbold, S.R., and Douglas, J.V. (2011). Nursing Informatics: When Caring and Technology Meet. 4th ed. Springer.

Write a two page summary of your findings regarding electronic medical records, electronic health records and other similar computerized records, and the role they have in the quality of care.

Notes: Specific examples from your own experience are welcome.

  • attachment

    chap16.265.jpg
  • attachment

    chap16.279.jpg
  • attachment

    chap16.274.jpg
  • attachment

    chap16.282.jpg
  • attachment

    chap16.271.jpg
  • attachment

    chap16.281.jpg
  • attachment

    chap16.277.jpg
  • attachment

    chap16.269.jpg
  • attachment

    chap16.275.jpg
  • attachment

    chap16.273.jpg
  • attachment

    chap16.283.jpg
  • attachment

    chap16.266.jpg
  • attachment

    chap16.268.jpg
  • attachment

    chap16.280.jpg
  • attachment

    chap16.270.jpg
  • attachment

    chap16.267.jpg
  • attachment

    chap16.276.jpg
  • attachment

    chap16.272.jpg
  • attachment

    chap16.278.jpg
  • attachment

    chap16.284.jpg

My Health Issue Is Pre-Diabetes, Please Do Early On Due Date, This Is Not An Essay, Discussion

n Week 1 Project, you selected a particular health issue or health disease (for example, heart disease, cancer, or obesity) to act as a main theme or topic in this course. In this assignment, you will continue your analysis of your selected health issue or health disease topic by collecting both qualitative and quantitative data. Be sure to collect your information from a reliable online source, such as the CDC database surveillance website, the National Immunization Survey, or the Behavioral Risk Factor Surveillance System.

Analyze and synthesize this information as if you were going make a presentation to state public health officials and solicit funding to address the problem.

Respond to the following:

  • Explain why the health issue or health disease you have chosen is a problem in your community.
  • Explain how you might address this health problem in your community. Illustrate how you would develop a framework for your needs assessment and what instrument you would use to collect qualitative information.
  • Prioritize the steps that you might take to define the health problem. Explain in detail with a minimum of four examples and supportive evidence.

Write a 1–2-paragraph response. Comment on the postings of at least two peers with scholarly information.

Issues With Prescriptive Authority Of Controlled Substances For Nurse Practitioner.

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? use APA style and appropriate references.