Monthly Archives: May 2023

Exercise 2.5  

Diabetes affects a growing number of Americans. You have been invited to join a collaborative of community agencies interested in tackling diabetes from a community perspective.  I reside in Maryland, in Howard county.

1) What resources will you use to identify different outcomes related to diabetes? 

2) What outcomes related to diabetes are of most interest to community members? 

3) How will you compare the outcomes you select to monitor at the local level with state and national outcomes?

The objectives for Week 1 are:

Integrate key terms of epidemiology and population health to the Advanced Practice Nurse role.

Recommend primary, secondary, and tertiary prevention strategies as related to the objectives of HP2020.

Plan for inter-professional collaborations aimed at achieving HP2020 goals and objectives.

Compare and contrast sources of epidemiological data that are used to inform levels of prevention.

The last weekly objective, #4, uses the word “sources”. This correlates to Exercise 2.5’s use of the word “resources”. By this it means, where can a provider find data that inform them regarding outcomes? What is this data, what are the outcomes? Consider morbidity, mortality, incidence, prevalence, cases, various cultural populations such as racial or socioeconomic information. 

Data sources include but are not limited to these examples: State level public health departments, state-level health, and human services or task forces, federal level agencies, CDC, HP2020, Office of Minority Health

What resources will you use to identify different outcomes related to diabetes? 

I think it is helpful, to begin with defining population health outcomes. The next piece is to clearly understand how these outcomes are different than individual outcomes. What terms are used to describe population health-based outcomes?

After clearly identifying those pieces, the next step is to know where a provider can find that information. Please respond to these questions in your reply post using the course textbook and Canvas readings to support the content.

Find an article in the library that is about population health outcomes. This can be outcomes for any health issue, diabetes, obesity, kidney disease, etc. It should be for the US. Please provide a link to the article in your reply along with a brief summary.

respond with a minimum of three (3) paragraphs each. 

You should address each bullet point in the exercise. 

Your work should have in-text citations integrating at a minimum one scholarly article from this week’s readings and course textbook. (  Curley, L. A., & Vitale, A. P. (2016). Population-based nursing: Concepts and competencies for advanced practice (2 nd Ed.). New York; NY, Springer Publishing Company).

APA format should be utilized to include a reference list. 

Correct grammar, spelling, and APA should be adhered to when writing, work should be scholarly without personalization or first-person use. 

 in addition to your textbook, Data sources include but are not limited to these examples: State level public health departments, state-level health, and human services or task forces, federal level agencies, CDC, HP2020, Office of Minority Health

Link for book: https://drive.google.com/file/d/1Lho7gBgscbBQ1CFC16v6zMPSPHm2iDDV/view

*** 20 paragraphs required*** Ariel 12 pt font

Chapter 11

Page 1: 

Discussion Question 2—Please write 4 paragraphs with each paragraph containing 50-60 words.

Page 2: 

Discussion Question 3—Please write 4 paragraphs with each paragraph containing 50-60 words.

Page 3: 

Discussion Question 4—Please write 4 paragraphs with each paragraph containing 50-60 words.

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Discussion Question 5—Please write 4 paragraphs with each paragraph containing 50-60 words.

Page 5: 

Slide 3—pick the 4 most important dimensions of diversity on which a Manager of Human Resources should focus.  Write one paragraph for each dimension, for a total of 4 paragraphs on this page.  Each paragraph should contain 50-60 words.  In each paragraph, (very briefly) describe the dimension and then explain why the dimension is considered important.

instruction is in the attached document

I need these answered in about 150 words each  

1. It is pretty much expected that a lot of information related to quality improvement or patient safety is embedded in the EHR. It is also important to remember that in the completion of your DPI project, HIPAA rules are adhered to. Can you share a little more specifically if you will access the patient’s chart in the EHR, what information you will collect in the EHR if you will access and what ethical considerations are in place to ensure you stay within regulations?

2. You make a good point that an intervention over an 8-week period might be more effective than one over a 4 week period as well as the discussion of Internet based technology interventions. For your project looking at the nurse led education intervention, how are you specifically going to use technology? Will you do these education interventions via an Internet based technology like zoom? what if a patient does not have Internet access? will you exclude those patients? One would argue that the folks who may not have Internet access are ones experiencing socio-economic difficulties which place them at an increased risk of health complications and so would be the ones needing your intervention the most. There have been many systematic reviews looking social determinants of health and their impact on health outcomes including glycemic control in type 2 diabetics and there is a clear correlation there ( Walker et al, 2014)

3. What technology will you use to gather your data and analyze it? What statistical tests will you run if any? What specific data analysis will complete once you have your data? For example, will only look at descriptive data? what specific descriptive data? will you do a t test?…using what software? If you are unsure, this might be a good time to revisit your statistics material or reach out to a statistician to review

1.  Identify and discuss the incidence and prevalence of intimate partner violence (IVP).

2.  Explains the effects of IPV in adults and children.

3.  How do you think the values of different skate-holders such as the alcohol industry, local communities, local law enforcement, public health organizations, nurse researchers, nurse clinician in alcohol treatment facilities, and college students would affect the identification of “social harms” associated with alcohol abuse and misuse?

4.  Do you think the general public’s perception of the social harms associated with alcohol, tobacco, ad cannabis has changed?  Why?

 APA format word document (references and In text citation please)

 A minimum of 3 evidence-based references no older than 5 years must be used. 

 A minimum of 800 words not to exceed 1,000 are required.

Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article.

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

1. “About the Affordable Care Act”
2. “Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

Assessing and Treating Clients with Bipolar Disorder

Introduction

Bipolar disorder is attributed to the instability in the emotions of a person and may occur as a result of the genes of the patient. Stahl et al. (2019) record that other than the genetic possibility, the occurrence of a bipolar disorder may be blamed on the neurons or biological operation of the organs of the patient. Typically, bipolar disorder arises in the changes in the moods of patients frequently. A patient with bipolar disorder could be difficult to get the best diagnosis since the patient may have varying depressive moods and the diagnosis may be made wrongly to be other health conditions such as depression. A patient with bipolar disorder may, therefore, be seen to have symptoms similar to other health issues. This paper seeks to discuss the treatment for a patient who is diagnosed with bipolar disorder.

Decision Point 1

The three options that are there for selection to help in treating the patient are Begin Lithium 300 mg orally Bid, Begin Risperdal 1 mg orally, or Begin Seroquel XR 10o mg orally at HS. The choice that is selected for the patient to use to treat the health concern is Begin Lithium 300 mg orally Bid.

Decision Rationale

Begin Lithium 300 mg orally Bid is selected for use by the patient for the management of the change in moods. The patient is reported to have swings in his moods and the use of this medication will help in the management of the frequent changes in his moods. This medication is therefore selected with the need for the treatment of the patient by handling the symptoms that are recorded due to bipolar disorder (Landersdorfer et al., 2017). The medication is expected to help in the management of the change in moods since it acts on the neurotransmitters and hence allowing for management of the moods that a patient may have.

Desired Treatment Goals

 The manic symptoms that are recorded are as well expected to be reduced by the use of this medication. As such, this medication is selected to ensure that the exaggerated moods of the patient are managed. Gozutok et al. (2019) add that the use of this medication is as well important for treating issues of anxiety and issues of having loud speaking.

Outcomes of the decision

After four weeks the patient is brought back to the healthcare facility for follow up and is found that the patient has not fully been compliant with the use of the medication since there are instances that he used the medication and in other instances did not use the medication. The patient is reported to have had no change in his condition.

Decision Point 2

The selected option for this case is the use of Begin Seroquel XR 100 mg orally at HS. The patient should have had an increase in the dose for the medication but there must be a change of medication. Other than the increase in the dosage, the patient must be educated on the importance of compliance with the use of the medication

Decision Rationale

The use of this medication is because it will help in the process of determination of the easy ways of management of mood changes in the health setting. Thus, there is an ease in the process of patient care to ensure that one can eliminate the process of change. These efforts that are taken into account are expected to help in ensuring that cases of mood changes are managed effectively as opined by Garriga et al. (2017). This medication is as well of importance in the process of management of the working of the neurotransmitters.

Desired Treatment Goals

Outcomes

The outcomes that are attained with the use of this medication are seen after four months when the patient makes a visit to the healthcare facility and it found that the patient has had an addition of weight. The patient as well points out that he has had an incidence of dry mouth and instance of constipation. The positive response found in this case is that there is an improvement in the mania condition since there is a reduction in the occurrences. The patient indicates that there has been a rise in instances where he has a good mood. The complaint presented by the patient is that the medication has had an extensive case of side effects. There is a need therefore for handling the side effect that is seen in the use of this medication to ensure that it does not affect the quality of well-being of the patient. There is a need as well for handling the issues of education of the patient on the healthcare measures that should be put into an account at all times for the best aspect of health that should be taken into account. The education as well should be in line with the need for having a better understanding of the challenges that are faced in the process of decision making and the need for compliance to the use of the medication.

Decision Point 3

The decision that is made in this case concerning the need for having a better direction of care that allows for the patients to be well informed of the best healthcare direction needed. There is a need as well for ensuring that the healthcare providers can reach out to the patients to ensure that the side effects of the medication are is handled. As such, the decision will be useful for the determination of the option that is attained concerning the side effects and the healing and making a comparison of the best option to be made. The choice, in this case, is to discontinue Seroquel and go back to Lithium.  

Decision Rationale

The reasons for discontinuing the use of Seroquel and go back to Lithium is because the use of Seroquel has resulted in side effects that may not be preferable and can be avoided. As alluded by Yatham and Kesavan (2017), the use of lithium 300 mg orally daily allows for the patients to have effective management of the issue of bipolar disorder and has fewer side effects as compared to the use of Seroquel.

Desired Treatment Goals

The use of this medication will be of importance in that it allows for the reduction of issues of noncompliance with the effective education of patients. The patient will have to receive education on the issues of compliance with the use of medication and the necessary options that should be handled concerning the process of care for patients. The patient as well should be informed of the expectation with the adherence to the use of the medication. This will be a motivation for the patient to adhere to the medication and get the best health standards.

Patient Outcome

The expectation for the use of this medication was to have a better health standard for the patient. When the patient comes to the healthcare facility for follow up after four weeks, it is found that the patient has a change in mood and that the condition of the patient has become better and that the quality of life of the patient has improved. The process ensured that there is an improvement in the quality of health and that the issue of manic moods is managed.

Ethical and Legal Consideration

In the process of provision of care and the treatment plan for patients, one must consider the ethical standards. First, the process of care mustn’t be affected by the condition that is in place and that the use of the medication should not affect the health of the patient. The healthcare providers as well should act in a way to ensure that the process of care for patients is genuine and that there is the avoidance of any issues of poor health. This includes the kind of medication that is to be used and the dosage that is to be given to the patient. It is the importance that they are in linewith the require protocols of management of issues of bipolar disorder.

1) Minimum 7  full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 4 pages

              Part 2: minimum 3 pages

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 5 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

Transgender patients face an extreme amount of resistance and discrimination within the community daily. Unfortunately, the health care arena is no exception. 

1. What challenges do transgender patients face within healthcare? 

2. How does discrimination from healthcare providers impact the transgender community? 

3. What can be done to change or alleviate this issue–what program, system, or process can be created to help the transgender patient and the healthcare provider. 

4. How would you ensure that transgender patients don’t experience discrimination or ambivalence when seeking healthcare?

Part 2:  Health Choice Illinois Reform (Illinois Medicaid Reform) (See sample)

The purpose of this assignment is to familiarize students with health reform strategies adopted by states. Students will select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact 

Include (Mandatory):

1.   Rationale 

2.   Adoption of the Reform

3.  Funding Plan

4.   Impacts

 Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

· Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

· Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (10 slide PowerPoint presentation)

Develop a  10-slide PowerPoint Presentation that addresses the following:

· Describe the differences between a board of nursing and a professional nurse association.

· Describe the board for your specific region/area.

o Who is on the board?

o How does one become a member of the board?

· Describe at least one state regulation related to general nurse scope of practice.

o How does this regulation influence the nurse’s role?

o How does this regulation influence delivery, cost, and access to healthcare?

· Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

o How does this regulation influence the nurse’s role?

o How does this regulation influence delivery, cost, and access to healthcare?

· Include Speaker Notes on Each Slide (except on the title page and reference page)

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 4, “Government Response: Regulation” (pp.      57–84)

American Nurses Association. (n.d.). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002

Note: You will access this article from the Walden Library databases.

Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001

Note: You will access this article from the Walden Library databases.

Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349

Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author.

Written assignment

 – Covid19 Pandemic Topics to include: 

-History of outbreak s/s of illness

 -Transmission of infection 

-Prevention 

-Testing Effects on your community

 -Effects globally

– Compare to another pandemic such as the 1918 H1N1 Pandemic (Spanish Flu) 

-how it was treated, interventions to stop it, etc

 Summary Please use APA format. Include AT LEAST three sources. Websites must only be .gov, .org, or .edu. 

 Separate the topics by paragraph with headings. Paragraphs must be at least 5 sentences and no more than ¾ a page each.

ATTACHED IS THE RUBRIC AND SAMPLE TEMPLATE OF THIS ASSIGNMENT