Posts in category: Uncategorized

PLEASE ANSWER THE QUESTIONS BELOW IN APA FORMAT

INCLUDE AT LEAST 2 REFERENCES AND 2 CITATIONS

EACH ANSWER MUST HAVE AT LEAST 2-3 SENTENCES

THANK YOU

1- What is Policy?

2- Explain each of them:  Public policy—

Private policy—

Health policy—

Social policy—

Organizational policy?

3- Who was F

lorence Nightingale, and what was her contribution to the Nursing Field? 

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

6_ what is  (ICN), and what they do?

7- What is s (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and 

procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient 

as a practice acceptable for nurses to perform. Jeanne 

and some of her coworkers shared their concern over 

lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and 

other potential medical complications resulting from 

this practice. Jeanne gathered data from her state and 

many others states and noted that her hospital was 

not in compliance with her professional organization

practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the 

state board of nursing on their behalf to request a 

declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. 

Her state board’s clinical practice committee 

reviewed her request for a declaratory statement and 

gathered information from other states. A formal 

declaratory statement was drafted by the board and 

made it available on its Web site. A letter from the 

board was sent to Jeanne’s institution, informing it of 

the declaratory statement, which stated that the task 

nurses were requested to perform was beyond their 

scope of practice based on the Nurse Practice Act.

8-Which stage of the policy model does this scenario 

represent?  

 Describe a health promotion model used to initiate behavioral changes. How does this model help in teaching behavioral changes? What are some of the barriers that affect a patient’s ability to learn? How does a patient’s readiness to learn, or readiness to change, affect learning outcomes? 

250 words, please add references

Peer 1

These last two weeks have been great for me. I have learnt quite a lot as now I have gotten deeper into the community, interacting more with the local people and getting to better understand some of the major issues that are affecting them. While I am working on obesity in children, I am getting to be more exposed on other community problems that relate to the obesity. A major issues that has come up over the last two weeks has been diabetes especially in the older people. I have been interacting with those working in the health care sector and that issue is always coming up in the community. a major trend that I see is that a bigger number of those that have diabetes tend to also be struggling with weight and have been since their teenage year. Even without deep data to better make a conclusion there appears to be a link between diabetes and childhood obesity. In healthy people 2020 website, diabetes is noted to be a major health problem and among the top 10 causes of death in the country. It is also among the most expensive health problem to manage in the country with $254 billion being spent in its management in 2012 (ODPHP, n.d.). It clearly shows that my community needs to do a lot more to address the problem. Studies in the areas also appear to support the problem and calls for more action to combat it.

There are a few things that I learned. One is that the people that have a good understanding of the health issues tend to be more attentive to taking the better decisions to protect themselves and to reduce chances of making the condition worse. They are also better at managing it. Therefore, I still think a major tool that needs to be used in helping these communities to better handle their health problems remains information. From my experience, I think we should have better plans of having a more detailed health education plan up to high school level. A big number of the people in the community have studied up to the high school level. if there is more aggressive approach to health education especially in the major non-communicable diseases, then we can create a country where a large pool of people can act as the first barrier to the problem. Seeing how effective education can be at the small scale, I am convinced that if applied on the large scale then we would create a healthier nation with reduced cases of many of these diseases.

This approach also matches the framework pillars of the university and especially holism. Educating the masses on health will mean that it is not just their body that we take care when one is unwell. It promotes proactive approach in provision of the healthcare services and ensures that other aspects especially the emotional state is promoted. These people will be more comfortable in their lives knowing that they are taking the right actions to protect themselves, their families, and the communities where they belong.  

References

ODPHP. (n.d.). Diabetes | Healthy people 2020. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/diabetes

Peer 2

ln the last week I have been able to visit two women whom at the first meeting one seemed excited for the upcoming holidays. By the second time we visited she was complaining of such pain that she was unable to live her bed. Depression has become a major issue among the elderly. The isolation that has come about in relation to the COVID 19 and all the regulations for safety have in my view increased the level of  depression in an already vulnerable population. At this particular visit the lady with whom we were seeing per the primary care physician, has increased symptoms especially around the holidays. This year so far Halloween trek or treating has been cancelled in this building for the safety of the residents. Aktürk, Ü., Aktürk, S., & Erci, B. (2019), writes how depression with aging can complicate preexisting medical conditions and potentially result in increased mortality. In line with the goal of health people 2020 to improve the health , function and quality of life of  older adults , the hospice team is making Halloween baskets, and following closely with increased symptoms. The lady in this visit had her antidepressants increased . The nurse provided teaching with the caregiver for medication changes and encouraged the use of as needed medication until she starts to feel better .

Aktürk, Ü., Aktürk, S., & Erci, B. (2019). The effects of depression, personal characteristics, and some habits on physical activity in the elderly. Perspectives in Psychiatric Care, 55(1), 112–118. https://doi-org.su.idm.oclc.org/10.1111/ppc.12322

Institute of medicine. Committee on the Future of Health Care Workforce for older Americans . Retooling for an aging America. Washington : National Academics Press:2008

The work is about  disorders of hormonal regulation.  The following questions need to be discussed with your classmates. APA stile 4 pages minimum 10 references  2 for each question. due next Tuesday October 6. please follow the instruction carefully.

1. A patient having renal surgery suddenly develops massive hypertension and dies during surgery. An autopsy shows the presence of a pheochromocytoma. In your own words, explain how this incident might have happened, provide ten (10) bulleted points.
2. Your favorite cousin, who is 20 years old, has just been diagnosed with type 2 diabetes. He is overweight and spends most of his time playing computer games or watching television. He asks you what he should do to take care of his diabetes. As a health professional, provide ten (10) bulleted points on the advice will you give him?
3.  Your patient has just been diagnosed with SIADH. His mother is asking you what this condition is and what she should expect next. Kindly provide ten (10) bulleted points regarding what you will tell her?
4. Your patient has been admitted to the hospital in preparation for a subtotal removal of her thyroid gland to reverse her hyperthyroidism. She suddenly develops thyroid storm. What manifestations will you find? Please list at least five (5) and what is the pathophysiologic basis of thyroid storm?

***Please follow the Guidelines when completing this essay***

1) This essay MUST be 2,000-2,500 words.

2) USE the new APA 7th Edition, Please reference this guide when completing assignments 

3) USE the RUBRIC guidelines attached

 Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

You will be taking care of a patient in a nursing home for the first time. Your assignment is to care for an older man who has heart disease. In addition, he has five other medical problems and takes 20 medications. While developing a plan of care for this patient, you can identify 8 to 10 nursing problems. You have no previous experience with nursing homes, and most of what you have heard and read about them is negative. Will you find yourself dreading the clinical day and expecting a negative experience before you even begin?

APA Style (in text citations and reference)

plagiarism FREE

Assignment Requirements 

1. Utilizing the list below, choose two research methods.  
2. Next, find two articles, one on each of the chosen methods, from the Chamberlain College library, or you may use one that is provided within the course and one you find from the library. The articles should be related to population health and infectious disease, chronic health, occupational health, global health, genomics, or environmental health: 
   • Randomized Control Trial 
   • Cohort Study 
   • Case-Control Study 
   • Cross-Sectional
   • The articles you choose should be completely in English (this includes the reference list). They should be related to population health and speak to one of the following elements from the course: Infectious disease, chronic health, occupational health, global health, genomics or environmental health.
3. Read each article and answer the following questions with detail for each article, include succinct definitions/examples or rationale as fitting to the question. Organize your answers using the number of the question you are answering (1-8). Your answers should provide more than a “yes” or “no”, your answers should provide examples, critical thinking, definitions, and examples. 
   1. Does the study design specify a question, goal, of the study? 
   2.  Why is this important? 
   3. Explain the methodology (Randomized Control Trial, Cohort Study, Case-Control Study).
   4. Describe the participant information, include recruitment. Is selection bias present? 
   5. How is data collected? 
   6. Are the variables identified? If yes, discuss. If no, how does this impact your interpretation of the study? 
   7. How was the data analyzed, what statistics are provided? What are potential errors related to the study design? 
   8. What are the weaknesses of the type of study design/method? 
   9. Discuss the outcomes and the implications for implementation. 
   10.   Your analysis should have in-text citations and utilize a scholarly voice with APA formatting. 
   11.  a minimum of two paragraphs of 4-5 sentences for each question answered. You should integrate in-text citation(s) and be formatted with APA and a scholarly voice.  
   12.  integrate course content (such as data and correctly used course terminology) related to the study method as well as an integration of in-text citations along with a scholarly voice and APA formatting. The textbook may be utilized as a resource. 

 Curley, A.L. & Vitale, P.A. (2016). Population-Based Nursing: Concepts and Competencies for Advanced Practice (2nd ed.). 

 HEALTH LAW AND ETHICS

FIND THE REGULATIONS THAT APPLY FOR EACH AND CITE THEM

1. You are a physician in a four doctor group practice. You would like the group to purchase an X-Ray machine as an ancillary diagnostic service to their medical practice. The group agrees but insists that all fees for the technical component billed to Medicare for the X-Rays should be split up based solely upon who ordered the test. (The technical component is the charge for the X-Ray itself and is not for the professional part of the radiologist or other doctor who reads or interprets the X-Ray.) Also, there is not enough space at the office building where the group practices to house the MRI machine so they want to lease space in the building next door for the MRI. What is your response to these proposals.

(I suggest looking to the fraud and abuse regulations to find support for your answers i.e. Stark and the Anti-Kickback Act. First, determine whether the laws apply and then see if there is a Stark exception or Anti-Kickback safe harbor that addresses this ancillary service and if the proposals are compliant with those exceptions or safe harbors. If not, why not?)

1. You are the compliance officer of a Medicare certified hospice. In reviewing this month’s claims submitted for payment to Medicare you discover that of the 15 new hospice admissions, for the first 90 days of hospice coverage, the medical records contain 10 written certifications of terminal illness signed by the hospice medical director within 48 hours of the initiation of service; 2 were written and signed but only after 5 days from the initiation of service and 3 have no written certifications at all, however, your staff confirms that for those last three, each of the patient’s attending physician verbally certified the terminal illness. All of the written certifications state the time frame for life expectancy for the newly admitted patients, however, the staff forgot to verify the time frame of life expectancy in their verbal conversations with the 2 attending physicians who gave verbal certificates. You decide to call the two attending physicians. What time frame of life expectancy do you need to confirm? Also, of these 15 new claims, how many do you think could be denied for payment by Medicare and why?

(This problem requires a careful analysis of the Medicare reimbursement coverage issues).

1. You sister would like to start a new personal care attendant healthcare business. A personal care attendant (“PCA”) business is licensed by the State of Louisiana as part of the Home and Community Based Service Providers. Essentially, a PCA company provides direct service workers to go to people’s homes who have disabilities to help them with Activities of Daily Living, and some very basic medication management. Your sister has asked you to help her with some licensing questions, as follows:
2. Is it OK to base the company out of her home until she makes enough money to rent an office?
3. She can secure financing from her bank through a line of credit but only for $50,000, is that enough?
4. Your sister would like for her boyfriend to be a co-owner, he has a prior misdemeanor conviction for possession of marijuana. Would that prohibit him from being an owner?
5. Once the PCA company starts making money and she moves it into a new office, she would like to sell her home and establish residency in Bay St. Louis, Mississippi, just across the border. She doesn’t mind the commute and plans to continue to serve as the PCA company’s administrator. She has a college degree and use to work for five years for the Council for the Aged in Slidell providing service to the elderly. Is that OK?

(I suggest looking to licensing regulations to find support for your answers).

1. You are the hospital administrator of one of three large hospitals in Metropolis, Louisiana. You would like to institute a new policy to help the city’s ambulance company by replenishing the ambulances that transport patients to your hospital’s emergency room with drugs, linens and other supplies that the ambulance EMT crew may have used in stabilizing the patient prior to transfer. You need to establish a policy that is compliant with the Anti-Kickback Act to avoid having a problem with Medicare should the other hospitals complain that you are giving the ambulance company a kickback to steer patients to your emergency room. Draft a policy to replenish the ambulances that is compliant with the Anti-Kickback Act.

(This is obviously a Federal Healthcare Program Anti-Kickback problem. Is there an applicable safe harbor?)

1. You are psychologist. Your last patient just left your office. She had just been fired from her position as a school counsellor and she was extremely bitter. During the therapy session she said that she wanted to “get even” with the school administration and “make them pay” for firing her which she believes was completely unjustified. You were unable to get any more details regarding her feelings about being fired. Can you disclose what she said and if so, to whom?

(Consult the Privacy Rules under HIPAA, and determine what one must do under the law in a case like this).

CHI is devoted to informatics from the perspectives of general consumers and patients. The focus is on empowering consumers and patients to manage their own health information through health information, PHR, and Internet-based tools and resources.

Tasks:

Using the South University Online Library, research CHI based on your readings and understanding, create a 5- to 6-page Microsoft Word report using at least five references that provides the answer to the following tasks.

• Compare and contrast the goal and functionality of PHR and EHR.
• Differentiate the role of other applications Social Networking, Home Telemedicine, and Smart Phone Technology in CHI from that of PHR.
• Describe and explain the challenges Consumer Informatics face in regard to health literacy.
• Critique the role of health professionals and healthcare organizations in CHI.
• Construct three recommendations for future development of CHI.

1.  Discuss the process implemented in the investigation of the outbreak of a communicable disease.

2.  Discuss the difference between infectious and communicable diseases. Give one example of each one. 

3.  Identify the factors that influence the emerging and reemerging of infectious diseases

4.  Identify and describe a recent emerging and reemerging infectious diseases from the global perspective.  (I know every is going to describe COVID 19 for the emerging).

As stated in the syllabus present your assignment in an APA format word document. 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 without counting the first and last page.