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POWER POINT   I want talk about HYPERTENSION

component of the presentation   

1-introduction

 2- identification of the problem and the population

3-  project question,(IN PROJECT QUESTION WE CAN USE PICOT)

  P = patient population

I = intervention or question of interest

C = comparison of interest

O = result

T = time frame

4-description of the proposed solution,

5-literature that supports the project,

6-implementation of the plan (step by step),

7-theory of change to use,

8-plan evaluation,

9-practical recommendations,

10-conclusions,

11-references.

Attention Wizard Kim week 7 Discussion & Assignment. 

Week 7 Discussion on Optimization in Health Services, 2 pages. 

Week 7 Assignment on Optimization Using Health Care Examples 

Rubrics 

m-evaluation

This case study documents an ongoing interaction between a wife and her husband who live in a spacious home in a gated community.

When Dan (now 80) and Jane (now 65) began dating more than 15 years ago, both were emotionally charged to begin their lives anew. Well-educated and financially secure, they had a lot in common. Dan was a protestant minister, and Jane’s deceased husband had been a protestant minister. Both had lost their spouses. Jane’s first husband had suffered a catastrophic cerebral aneurysm 2 years earlier. Dan had conducted the funeral service for Jane’s husband. Dan’s wife had died of terminal cancer a little over a year earlier. Dan’s first wife had been a school counselor; Jane was a school teacher. Both had children in college. They shared a love for travel. Dan was retired but continued part-time employment, and Jane planned to continue teaching to qualify for retirement. Both were in great health and had more than adequate health benefits. Within the year they were married. Summer vacations were spent snorkeling in Hawaii, mountain climbing in national parks, and boating with family. After 7 years, Dan experienced major health problems: a quadruple cardiac bypass surgery, followed by surgery for pancreatic cancer. Jane’s plans to continue working were dropped so she could assist Dan to recover and then continue to travel with him and enjoy their remaining time together. Dan did recover—only to begin to exhibit the early signs and symptoms of Alzheimer’s disease. One of the early signs appeared the previous Christmas as they were hanging outdoor lights. To Jane’s dismay, she noted that Dan could not follow the sequential directions she gave him. As time passed, other signs appeared, such as some memory loss and confusion, frequent repeating of favorite phrases, sudden outbursts of anger, and decreased social involvement. Assessments resulted in the diagnosis of early Alzheimer’s disease. Dan was prescribed Aricept, and Jane began to prepare herself to face this new stage of their married life. She read literature about Alzheimer’s disease avidly and organized their home for physical and psychological safety. A kitchen blackboard displayed phone numbers and the daily schedule. Car keys were appropriately stowed. It was noted that she began to savor her time with Dan. Just sitting together with him on the sofa brought gentle expressions to her face. They continued to attend church services and functions but stopped their regular swims at their exercise facility when Dan left the dressing room naked one day. Within the year, Jane’s retired sister and brother-in-law relocated to a home a short walk from Jane’s. Their intent was to be on call to assist Jane in caring for Dan. Dan and Jane’s children did not live nearby so could only assist occasionally. As Dan’s symptoms intensified, a neighbor friend, Helen, began to relieve Jane for a few hours each week. At this time, Jane is still the primary dependent-care agent. She prides herself in mastering a dual shower; she showers Dan in his shower chair first, and then, while she showers, he sits on the nearby toilet seat drying himself. Her girlfriends suggested that this was material for an entertaining home video! Although Jane is cautious in her care for Dan, she often drives a short distance to her neighborhood tennis court for brief games with friends or spends time tending the lovely gardens she and Dan planted. During these times, she locks the house doors and leaves Dan seated in front of the television with a glass of juice. She watches the time and returns home midway through the hour to check on Dan. On one occasion when she forgot to lock the door while she was gardening, Dan made his way to the street, lost his balance, reclined face-first in the flower bed, and was discovered by a neighbor. Jane has given up evenings out and increased her favorite pastime of reading. Her days are filled with assisting Dan in all of his activities of daily living. And, often, her sleep is interrupted by Dan’s wandering throughout their home. At times, when the phone rings, Dan answers and tells callers Jane is not there. Jane, only in the next room, informs him “Dan, I am Jane.” Friends are saddened by Dan’s decline and concerned with the burdens and limitations Jane has assumed as a result of Dan’s dependency.

Critical thinking activities

1. Examine this case study through the dependency cycle model (Fig. 14.3). The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?

2. Using the basic dependent-care system model (Fig. 14.4), assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.

Health Policy Brief -Assignment

 Below is the link for the Health Policy:

 https://www.govtrack.us/congress/bills/116/s3821/text 

Purpose: This assignment is for you to prepare a policy brief. The assignment engages you in learning about an issue and to accurately – and in a non-biased fashion — identify the policy and political issues that are central to that topic.

Guidelines:

· You will select a current healthcare related bill

· Review the resources provided regarding preparing a one-page policy brief.

· You will prepare a one-page health policy brief, often referred to as a one-page leave behind. 

· Your design format does not have to be exactly like any of the samples provided but must contain the same information.

· For the purposes of this assignment, you will assume the role of a group of registered nurses (should you decide that this is important to include in your brief).

· Your audience will be your senator and local delegate that you will be meeting with (hypothetically) soon.

· The sections must be divided by headings, as you will see in the examples.

· You may single-space.

· The brief should be visually pleasing and easy to read.

· You may want to Include bullets instead of lengthy paragraphs.

· Try to stick to only one or two references. There are to be in APA format (you may single-space.

*This is a sample layout. You can decide on your own design and even headings, as long as this information is provided.

Title: Name and number of Bill

Summary

· Statement of the Issue/Problem (aka introduction). This should be a brief (2-3 sentence) describing the issue. 

· Begin with a brief overview of the policy issue and state the

problem you hope to solve or the objective you hope to achieve.

· Map where your argument will take the reader and explicitly

outline your thesis/key point.

Background & Evidence 

· An explanation of the problem and its significance. 

· Briefly explain the history of the policy issue.

· Persuasively outline why your policy recommendation(s) will solve the problem or achieve the objective you highlighted in your introduction.

· Use evidence from research studies, case studies, legislative experiences of other jurisdictions, reputable polling/surveys and other sources to support your perspectives and advance your credibility.

Recommendation

· List recommendations about what you want your senator and delegate to do.

Reference(s) (of your information)

NOTE: See attachments for sample and rubric.

1. Case Study, Chapter 43, Drugs Affecting Blood Pressure 50 points if all questions are answered correctlyA staff nurse has to administer medications for blood pressure to several patients in the coronary care unit. The medications include captopril, diltiazem, and nitroprusside. The medications have to be administered to three older adults. a.  What are the indications for captopril?b.  What are the therapeutic actions for diltiazem?c.  What are the most common adverse reactions for nitroprusside?d.  What are the lifespan considerations in the older adult for the use of drugs that affect blood pressure?e.  What are the nursing implementation considerations for a patient receiving nitroprusside for blood pressure?2. Case Study, Chapter 46, Antianginal Agents50 points if all questions are answered correctlyA student nurse is preparing a paper on coronary artery disease, including the risk factors and the clinical presentation. The paper must include a review of common antianginal agents: nitrates, beta-blockers, and calcium channel blockers. a.  What are the therapeutic actions, indications, and pharmacokinetics for nitroglycerin?b.  What are the indications and pharmacokinetics for metoprolol?c.  What are the therapeutic actions for diltiazem?d.  What are the considerations for the older adult for the use of antianginal agents?e.  What are the important teaching points for patients receiving antianginal nitrates?

Choose one of the following discussion question options and answer all questions related to it. 

Option 1: Describe the relationship between stress and health. Describe a stressful situation that you have experienced at work or personally. Provide one approach that would work best in that situation to reduce incidence of experiencing the stress, one psychological conditioning strategy to increase resistance to stress, and at least one way in which to manage stress overall.

Option 2: Read the following case scenario below and answer the following questions:

Mary is a 53-year-old female, recently divorced. The couple had one daughter together who now lives in another state. Most of her social network was related to her ex-husband’s family and friends. She lives in a rural area of Kentucky and has been feeling sad and isolated and presents to the clinic for an annual check-up.

Explain how social support affects mental and physical health.

How might this scenario affect Mary’s mental and physical health?

What screening tool might be utilized here? 

How might you respond to Mary and her situation to guide her in self-management of her health?

Review each case study and answer all questions with a scholarly response using APA style and include 2 scholarly references. ALL answers must be scholarly and be 3-4 sentences in length with rationale and explanation. 

All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study.

SEPARATE EACH CASE STUDY. 

Mental Health in the Community

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

• Go to the Healthy People 2020 website and search for Mental Health and Mental Disorders. After reading the Overview section in Healthy People 2020 under Mental Health and Mental Disorders, pick and note the number and name of 2 objectives/goals from the list that you feel affect your community and explain why these were chosen. As a nurse, what can you do to help the community move towards this goal?
• Explain how physical health and mental health are correlated. What impact does each have on the other? Give at least one detailed example of how either a specific physical ailment leads to a breakdown in mental health or how a specific mental health disorder can lead to physical issues.
• Explain Trauma Informed Care in detail. How you can use Trauma Informed Care to assist a child who has been impacted by trauma?

Assignment Expectations:

Length: 1000-1500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) outside scholarly sources are required.

• What are the two depreciation conventions that apply to tangible personal property under MACRS? Explain why Congress provides two methods.
• Explain the two limitations placed on the Sec 179 deduction. How are they similar? How are they different?

Please post what you view as the appropriate responses to the above prompts. Your initial post should be 250-300 words. Please provide response with a clear, well-formulated thesis; sentence structure, grammar, punctuation, and spelling count. Support ALL posts with appropriate rationale and citations from readings; document sources using APA format.