Posts in category: Uncategorized

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

Please go to the following web address:

https://adfs.rasmussen.edu/adfs/ls?wa=wsignin1.0&wtrealm=urn%3aextranet%3aportal&wctx=https%3a%2f%2fportal.rasmussen.edu%2f_layouts%2f15%2fAuthenticate.aspx%3fSource%3d%252F&wreply=https%3a%2f%2fportal.rasmussen.edu%2f_trust%2fdefault.aspx  Please sign in with the following information:

Username: [email protected]

Password: Addie!0823

Click on Courses on the left side, and then click on Technology Today for Medical Administration, click on Module 2, then assignments. Scroll down to Module 02 Quiz. Complete that quiz.

 Instructions

Develop Essay Evaluation Title: 

Instructions

Develop: Essay

Evaluation Title: Analyze and Infer

Watch: Hold On (Negro Spiritual)

As you watch and listen to the video, consider the following:

• The unit 5 learning map material discusses a number of key musical elements. Which can you identify?
• Of the musical genres discussed in the learning map material, which does this piece belong to? Can you explain why you feel as you do?
• The learning map material says the work of the humanities involves “looking at the impact and meaning the work of art has upon the human experience.”
  • As you listen to the song, compare and contrast the impact and meaning of it for you with those that originally sang it in the 19th century.
  • How does the meaning of this song differ for you versus those that originally sang it? Alternately, how is its meaning the same?

• “Hold On” (Negro Spiritual): https://www.youtube.com/watch?list=RDTfvLZjofEXA&v=TfvLZjofEXA&feature=emb_rel_end05:38

• After listening to the video, please write a response composed of two parts. In the first part, identify key musical elements you can detect in the song, and then explain what genre you feel it belongs to. In the second part, provide a substantive analysis of the similarities and differences between the culture this song was originally a reflection of to the world that you now live in. In your response, please refer to specific aspects of the song. You may also draw from personal experience as well as from stories you have heard from your family members or others in your community.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Scientists, Scientific Methods, & Ethics

This week’s assignment is focused on the development of a PowerPoint presentation that will have two parts. The presentation is a minimum of 12 slides and maximum of 16 slides. Include a title slide and a reference slide.

Part One: Key Events and Individuals

• Develop 5-6 slides that include both an image(s) and text.
• Each slide should identify key events and individuals from Chapter 1 of the assigned text regarding the birth and development of psychology.
• Each slide should include dates, name or the individual or event, and the contribution made to the field of psychology.
• Each slide should include in-text citations.
• Each slide should include notes that support and explain the slide information. In-text citations and references should be included in the notes in APA format.

Part Two: Scientific Method and Ethics

• Develop 5-6 slides that include both an image(s) and text.
• Slides should include an explanation of the scientific method and the use of research ethics in psychology as explained in Chapter 1 of the required text.
• Each slide should include in-text citations.
• Each slide should include notes that support and explain the slide information. In-text citations should be included in the notes in APA format as well. All references should be located on the final slide of the presentation.

Assignment Expectations

Length: 12-16 slides including both images and texts. Notes for each slide that provide a full description of the slide.

Structure:  

   Title slide and reference slides in APA style. (at least 2 slides)

   Prompt 1: at least 5-6slides

   Prompt 2: at least5-6 slides

Additionally, because a good presentation has few words on the slides include a script in the notes section of the Power Point for each slide with the verbiage you would say when presenting; the script should be a minimum of 50 words per slide.

References: A minimum of one scholarly reference, other than the textbook. APA should be used for in-text citations and references.

Critique the following research article and answer the following questions: Women with Breast Cancer: Self reported distress in early survivorship.

1. Give a brief 1-2 sentence description of the article.

2, What type of statistical tool(s) was used?

3. Were these tests appropriate? Why or Why not?

4. Did the researchers accept or reject the null hypotheses in each article? How can you tell?

5. Give a brief overview of the hypothesis , intervention, and data collection used in the article in your own words.