I want poster for COPD up on any previous article previous research
about any treatment or practice
it should be caparison between 2 treatment
in the poster you should follw the following :
Item for Evaluation
(1) Clinical Question using PICO Format
(2) Background and Significance
(3) Synthesis of Evidence (Literature Review)
(4) Methods of implementation of proposed practice change
(Change process)
(5) Evaluation
6- references
Consider the following quote from chapter 14 of the eText: ”The gap between the rich and poor in the United States …has been widening for some time. In recent years, the gap has been the widest since our government began to keep records on it in 1947” (eText, p.143). For example, one report states that: “Since 2009, 95% of U.S. economic gains have gone to the wealthiest 1% of the population” (“Income Inequality: Why Does the Gap Keep Widening?” The Week Feb. 7, 2014).
But not only is there a widening gap between the “Rich and the Rest of Us” (to use the title of a recent book by Tavis Smiley and Cornel West: LINK (Links to an external site.)), there is also the ever widening reach of marketing into everything or what Michael Sandel calls the marketization of society. In Sandel’s TED Talk video, he expresses this concern that America is becoming a market society, meaning a society that uses monetary rewards to motivate desired behaviors in all aspects of life (LINK (Links to an external site.)).
For our discussion, please answer the following two questions:
[1] Discuss the growing income inequality in the U.S. and the world with someone mature enough to have some perspective from experience about it. Ask them what they think about the widening gap between the rich and the rest of us in America, as our course materials speak of this problem. How has the economic trend for middle class Americans affected them? How as it affected you? [2] Two examples of the marketization of society today that Sandel discusses are cash for grades and pay for getting around long lines. What, if anything, is wrong with these practices? Beyond what Sandel discusses, think of at least one social, personal, or relational good or value that you think would be negatively affected by marketization. And explain why.Describe how epidemiological data influences changes in health practices. Provide an example and explain what data would be necessary to make a change in practice.
Role of the Family Nurse Practitioners (FNPs) consists of dealing with 45% acute health problems, 34% episodes of exacerbation of chronic conditions and 24.5% for non-illness related health promotion visits. Collaboration with supervised Physician and signed collaborative agreement must be in place. Data suggests that mid level health professionals provide counseling in 84%, where Physicians counsel in 61% of visits. Advance Care Providers not only share the patient’s load, but also ensure superior patient satisfaction by providing non-billable services before, during, and after treatment (Pickard, 2014 p.130).
Non-billable value-adding activities comprise of educating patients, monitoring treatment care, following patients from the beginning to the end, managing adverse events/reactions, coordinating referrals to other specialist and keeping communication with them, preparing for procedures and executing them, answering questions, and handling complicated cases (Yopp, Wall, & Miller, 2016, p. 749).
Nurse practitioners (NPs) are required to follow state’s regulations at their work place. Medications of schedule II, III, IV, and V are considered to be controlled substances, consequently NPs are allowed to prescribe them under the supervision of a collaborating medical doctor (MD). Floridian NPs, who undergo proper training and have appropriate experience, can receive a federal waiver to dispense buprenorphine-containing products, as long as the supervising Physician is certified, trained, or permitted to treat and manage patients with opioid use disorder (Florida Scope of Practice Policy – State Profile).
References
Florida Scope of Practice Policy – State Profile. (n.d.). Retrieved from
http://scopeofpracticepolicy.org/states/fl/2019
Pickard, T. (2014). Calculating your worth: Understanding productivity and value. Journal of the
Advanced Practitioner in Oncology, 5(2), 128–133. http://dx.doi.org/10.6004/
jadpro.2014.5.2.6
Yopp A. W., Wall H. M., & Miller K.C. (2016) Recognizing the Contributions of Advanced
Practitioners to Oncology Care: Are Current Metrics Enough? Journal Advance Practice
Oncology.7:748–754. https://doi.org/10.6004/jadpro.2016.7.7.6
Write a Short Essay of 3 to 4-pages clearly defining the stance of Muslim (exclusivism, inclusivism, pluralism) in relation to diversity of opinion about religion (and/or), spirituality (and/or), divinity. Make at least two direct quotations in reference to the Diana Eck, two direct quotations in reference to the chapter on Prophetic Religions from Haught and one direct quotation reference from each of the required chapters “Christianity,” “Judaism,” and “”Islam” from Weeks 7 & 8. Give at least one specific story example from your work as a health care practitioner (or in your life experience) where your stance was challenged, or formed, or affirmed (or some combo of challenged, formed, and affirmed).
Writing guidelines for all Short Essays:
Use parenthetical in-text citations in this format: (Peters, Ch3, p45) or (Peters, Ch3, Loc.900). If you stick with that same source for the very next citation, use this format (Ch4, p67) or (Ch4, Loc.1020). Only include a full bibliographic reference at the end of your assignment if you refer to a source not included in the required readings for this course.
The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?
Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.
In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.
Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.
To Prepare:
The Assignment:
Scenario
You are the director of community affairs for the health lobby organization, Pathways to a Healthy America. In 2010, President Barack Obama signed the Affordable Care Act into law. As a result, millions of Americans who were previously uninsured gained access to the healthcare system. One of the initial provisions of the Act required individual states to expand the eligibility criteria for Medicaid. The program’s costs would be absorbed by the federal government at a rate of 100% for the first three years of program participation which would decrease to 90% after 2020, still, considerably higher than previous funding by the federal government. However, in 2012, the Supreme Court ruled the mandate unconstitutional allowing individual states to voluntarily “opt” out of the Medicaid expansion program. As a result of the various states’ decision to “opt” out of the ACA’s Medicaid expansion, millions of adults fell into the critical coverage gap. Your organization represents a state which has decided to forego participation in the ACA expansion program. The decision was met with both praise and criticism.
It has now been a few years since the decision and your organization has gathered information on the impact of the decision in order to advocate for Medicaid reform during the next state legislative session.
You are required to write an advocacy report to state lawmakers in which you advocate for either participating in the original expansion program or participating with conditions (waivers) to address the critical gap in coverage for vulnerable adults in your state. Waivers such as Section 1115 enable for alternative implementation of Medicaid expansion and allow states to impose restrictions which may result in a denial of Medicaid eligibility for individuals who do not meet those restrictions, i.e., work requirements.
State: Texas
Research the Medicaid expansion program offered through the Affordable Care Act (ACA) as well as Medicaid reform initiatives using waivers to increase access to Medicaid. Determine, based on your state’s profile, which process (the ACA’s expansion program or the use of waivers) is most beneficial to your state. Include a comprehensive, well-supported recommendation for participation in Medicaid reform using either the ACA’s program or a modified reform process using waivers.
Your advocacy report should describe your state’s (Texas) current Medicaid program including its eligibility criteria, demographics, Medicaid spending and savings since the ACA’s implementation, and comprehensive details of current or pending waivers. You should also include a discussion (benchmark) on another state’s success with Medicaid reform using your recommended strategy (the ACA’s expansion program or the use of the specific types of waivers for which you propose).
Fluid, Electrolyte, and Acid-Base Balance
1. You are a nurse who frequently cares for post-surgical patients in your hospital unit. Most of the medical-surgical patients have IV fluids infusing during their admission. Due to the frequent use of IV fluids on your floor, understanding fluid balance and electrolyte function is primary to your nursing practice.
a. What conditions might lead to the development of hypovolemia?
b. How would the amount of patient fluid loss be determined?
c. Describe how hypovolemia and third-space fluid shifts correlate.
d. Outline the major difference between hypovolemia and third-space fluid shift.
e. Which conditions can result in third-space fluid shift?
2. You are a nurse in a nonsurgical cardiac unit caring for a 92-year-old patient who has two sons, 15 grandchildren, and 49 great-grandchildren. She lives in assisted living and has a history of congestive heart failure (CHF). She consistently struggles with balancing her fluids and electrolytes and has an affinity for dill pickles and sauerkraut. While hospitalized, she remains on a fluid restriction—much to her chagrin, as she loves ice cream.
a. What within her history would indicate she was at risk for hypervolemia?
b. How would dill pickles and sauerkraut impact her fluid volume?
c. What body areas offer observational evidence of excessive interstitial extracellular fluid (ECF)?
d. Why would your patient be on a strict fluid restriction while hospitalized?
e. Outline nursing interventions used while a patient is on fluid restriction.
PLEASE follow the instructions. Answer each question in the order it appears and separately. This is the bibliography to guide you:
1.Potter, P.A., &Perry, A. G. (2017). Fundamentals of Nursing: Concepts, Process, and Practice (9th ed.). St. Louis: MO: Mosby. ISBN: 9780323327404.
There has been a lot in the news lately when it comes to the health care system here in the United States. The system has grown exponentially over the past decade. In 2006, “health care expenditures reached $2.2 trillion, which translates to $7,421 per person or 16.2 percent of the nation’s Gross Domestic Product. The health-spending share of GDP reached 16.2 percent, up from 16.0 percent in 2006” (Centers for Medicare & Medicaid Services, 2009, para. 1). With these figures along, you can understand the urgency behind containing cost, making accessible, and ensuring quality is important in health care. Making this also more beneficial for vulnerable populations. Are the difficulties inherent in the present U.S. health system caused by the private insurance companies or by too much government involvement? Explain your answe
Part I: Choose ONE of the following options.
