Monthly Archives: May 2023

Based on the readings, viewing on the page, and your own experience, what strategies would you recommend encouraging culturally competent care of African Americans?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters?

Some nurses may be hesitant to get involved with policy evaluation. The preference may be to focus on the care and well-being of their patients; some nurses may feel ill-equipped to enter the realm of policy and political activities. However, as you have examined previously, who better to advocate for patients and effective programs and polices than nurses? Already patient advocates in interactions with doctors and leadership, why not with government and regulatory agencies?

In this Discussion, you will reflect on the role of professional nurses in policy evaluation.

To Prepare:

• In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.
• Review the Resources and reflect on the role of professional nurses in policy evaluation.

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

4pages APA format

i need someone who can fix my cv

”  (IT IS REPLY TO A DISCUSSION-ONE PAGE ,THREE REFERENCES PLEASE”)……………..

     The policy that I chose is H.R. 701 – Expressing support for policies that maintain a robust, fully funded, and staffed Veterans Health Administration of the Department of Veterans Affairs and do not jeopardize care for the Veterans by moving essential resources to the for-profit private sector. This policy was introduced to the house on November 14, 2019.

     I chose this policy because our nation has a moral obligation to provide the best quality care to those who put their lives on the line to defend us. It includes caring for the hundreds and thousands of veterans with multiple amputations, loss of eyesight, or Post-traumatic stress disorder.  I believe our veterans deserve the best healthcare in the world.  That means minimal wait times and a technologically advanced Veterans Administration (VA).  It means having the best physicians and health care personnel caring for them. It means having one entry point that is run by the VA and on-the-spot claim submission with far more reasonable timeliness for adjudication than today. It means assisting our veterans with alternative form of treatment. 

     The VA has been plagued with problems for years, it has been faced with reports of excessive and contradictory spending, allegations of inadequate healthcare, and massive backlog of benefits claims (Gordon, 2017).  We are all aware of the scandal in 2014 where hundreds of veterans died while awaiting health care at VA hospitals.  It should not be so for our veterans, I strongly believe that VA hospital and clinics should be fully funded to provide the best health care that the veterans deserve even though health care is fraught with a multitude of factors that are difficult to identify and control (Milstead & Short, 2019).

Write a 2- to 3-page paper that addresses the following:

• Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
• Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
• Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

List 8  PROGRESS NOTES in SOAP format of the   Psychiatric Mental Health Nurse Practitioner Role  with  Adult and Older Adult . Describe the   activities you completed during this   time   period with patients.

NOTE: ( The progress notes has to be related with what the         Psychiatric Mental Health Nurse Practitioner do with Adult and Older adult  with different psychiatric conditions). 8 different     notes     with different patients scenarios. 

Healthcare Quality Improvement Trends in Saudi Arabia (110 points)

For this assignment, you will research trends in healthcare quality improvement in Saudi Arabia. Identify any two contemporary trends (last 3 years) that focus on improving quality.

Prepare a PowerPoint presentation detailing the following:

• Detail two quality improvement trends in KSA healthcare including their origins and aims
• Discuss the healthcare sectors are most impacted by these trends
• Evaluate the key barriers to implementation
• Explain how do these trends impact your organization and its quality improvement efforts

Your PowerPoint presentation should meet the following requirements:

• Include 7-8 slides, not including your title and reference slides.
• Each slide must provide detailed speakers notes, with a minimum of 100 words per slide. Notes must draw from and cite relevant reference materials.
• Provide support for your statements with citations from a minimum of six scholarly articles. These citations should be stated in the Notes section of the slide in which they appear. Two of these sources may be from the class readings, textbook, or lectures, but four must be external.
• Formatted per Saudi Arabia Electronic University and APA formatting guidelines.
• Utilize headings to organize the content of your work.
• Professional design and transitions.

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be 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.

MY TOPIC IS PATIENT FALL IN HOSPITAL 

 I NEED A RESPONSE FOR THIS ASSIGNMENT

2 REFERENCES

Great video post.  Alcohol is a leading cause of liver disease worldwide. However, the most crucial therapeutic goal is for your client to abstain from alcohol, to improve outcomes of his disease.  In addition to abstinence psychosocial and behavioral therapies integrated with medical care could prove beneficial to enhancing clinical outcomes.  Cognitive-behavioral therapy would be appropriate for this client.  Cognitive-behavioral therapy focuses on identifying triggers and maladaptive behaviors that cause a relapse. The approach encourages coping mechanisms to allow the replacement of compulsive use of alcohol with alcohol-free circumstances. There are pharmacotherapies such as acamprosate, disulfiram, and naltrexone that are approved by the US Food and Drug Administration (FDA) for the treatment of alcohol use disorder. Studies support the efficacy of naltrexone and acamprosate, but not disulfiram, for alcohol use disorder. There are also other pharmacotherapies such as baclofen, gabapentin, ondansetron, topiramate, and varenicline which are FDA approved for other disorders and show promise for alcohol disorder use (Leggio & Lee, 2017).  The aim is to focus on patient-centered care to manage his alcohol use disorder and liver disease. To provide holistic care because this client’s addiction has impacted many aspects of his life, therefore you must address all of his needs to be successful this includes his medical care, mental, social, employment, and legal issues in the treatment plan (Crowley, 2015).  The PMHNP should continue to use motivational strategies to convey their confidence that the client can accomplish goals and support his optimism, self-confidence, and self-efficacy.  The clinician should also promote hope and positive expectations by looking for opportunities to convey their belief in the client and their ability to succeed in their aspirations.  Research has shown the therapeutic alliance can influence the client’s outcomes (Barry & Wheeler, 2018). 

References

Barry, P. D., & Wheeler, K. (2018). Interpersonal psychotherapy. In Psychotherapy for the advanced practice psychiatric nurse. Springer Publishing Company. https://doi.org/10.1891/9780826110084.0009

Crowley, P. (2015). Long-term drug treatment of patients with alcohol dependence. Australian Prescriber, 38(2), 41–43. https://doi.org/10.18773/austprescr.2015.015

Leggio, L., & Lee, M. R. (2017). Treatment of alcohol use disorder in patients with alcoholic liver disease. The American Journal of Medicine, 130(2), 124–134. https://doi.org/10.1016/j.amjmed.2016.10.004