Discussion 1: Evidence Base in Design

 

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

To Prepare:

  • Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy. These are the resources provided ( congress.gov.(n.d.). Retrieved September 20, 2018,from https://www.congress.gov/

     Klein,K.J.,& Sorra, J.S. (1996). The challenge of innovation implementation. Academy of management Review, 21(4), 1055-1080.doi:10.5465/AMR.1996.9704071863

     Sacristan, J., & Dilla, T.D. (2015). No big data without small data: Learning health care systems begin and end with the individual patient. Journal of Evaluation in Clinical Practice, 21(6), 1014-1-17.

     Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating  violence and injury prevention policies: Brief 4: Evaluating policy implementation. Retrieved from https://www.cdc.gov?injury/pdfs/policy?Brief%204-a.pdf

  • Review the health policy you identified and reflect on the background and development of this health policy.

 Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples. 

( Please in discussion 1, I need at least 3 resources, APA format and 1 Page)

 

Discussion 2: The Role of the RN/APRN in Policy-Making

 

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

 

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making. Here is the resources ( American Nurses Association (ANA). (n.d.). Advocacy. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

 Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. 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 to participate in policy-making. Be specific and provide examples. 

( 1 page for Discussion 2. APA format. 3 refences within past 5 years.)

They are two different papers. 

systems levels (micro-, meso-, and macro).

 

The benefits, concerns, and challenges of a systems approach offer the practice scholar several ways to view a health problem. Select a practice problem within your unique setting and consider the following.

  • Describe the selected problem from two of the three systems levels (micro-, meso-, and macro).
  • Explain how the outcomes of one system-level effect the other level?
  • How are the systems approach beneficial in improving healthcare quality and safety?  

Instructions:

Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 year), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

pharmacology case study

1. Case Study, Chapter 43, Drugs Affecting Blood Pressure 
50 points if all questions are answered correctly
A 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 Agents
50 points if all questions are answered correctly
A 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?

Assignment: The Nurse Leader as Knowledge Worker

 Course Announcement →  NURS-6051N-37,Transforming Nursing & HC.2020 Winter Qtr 11/30-02/21-PT27Module 1: Week 2 Assignment Open Dismiss

Module 1 Assignment is due by Day 7 of Week 2.

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).

The assignment requires a 5-6 slide PowerPoint presentation with the infographic in one of these slides.

Develop a 5- to 6-slide PowerPoint presentation that addresses the following:

  • Explain the concept of a knowledge worker.
  • Define and explain nursing informatics.
  • Highlight the role of a nurse leader as a knowledge worker.
  • Develop a simple infographic to help explain these concepts.
  • Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data you could use, how the data might be accessed/collected, and what knowledge might be derived from the data.
  • Be sure to incorporate feedback received from your colleagues’ responses. 

Detailed steps are outlined in one of the Walden resources for this module – https://24slides.com/presentbetter/how-make-infographic-powerpoint/

NUR 504- Reply to ANABEL

Conditions of the Ear

Objective data is the information gathered by the physician through the use of instruments and by assessing the normal and altered physiological functions in a patient. On the other hand, subjective data is what the patient says for instance how they feel and what could be the cause of the problem (Ozkaya et al., 2020). In this discussion, the focus is on the collection of both subjective and objective data in the diagnosis of a patient.

            Another thing that the patient could explain is the time in which the pain started and how long it lasted before the drainage happened. By knowing when this pain started helps the physician to determine the extent to which the effect of the condition had gone as well as the kind of condition in which the patient is likely to suffer from. Another subjective data is the scale of the pain, on a scale of 1to 10 the patient can rate their pain so that the physician can know the kind of analgesics that the patient should be prescribed (Ozkaya et al., 2020). Another subjective data is the color and amount of the drainage from the ear so that if it was puss then they can be treated for infection, if it was blood then the physician can check for any injuries and in case of a clear fluid then there is need to assess the spinal cord integrity to determine what may be the cause of the cerebrospinal fluid flow.

            On the objective data collection, the physician should use a source of light to visualize the internal ear so that a clear vision of what is wrong can be found. The lab examinations that can be done for this diagnosis are like culture and sensitivity for the fluid drained to be sure of the kind of infection or identify the DNA of the microorganisms. Another diagnostic test that can be done is the earing and balance test. These tests often are used to check on the efficacy of the auditory nerve which is responsible for hearing and transmission of sound waves (Abdullah & Hamed, 2020). The balance issue in the ear depends on the fluid found in the ossicles that are responsible for the balance in the cerebellum. In a case where the fluid draining from the ear is blood then there is a need to do some blood tests to determine some immune problems hence finding the necessary solutions to them.

            The diagnoses that can be made based on the presentation the patient could be suffering from cerumen impaction which is defined as the accumulation of cerumen or rather ear wax in the ear preventing the assessment of the ear. Another diagnosis for this condition could be otosclerosis which is a condition in which there is abnormal bone growth around one of the small bones inside the ear(Abu-Naser,& Abu Hasanein, 2016). Another probable condition is menieres disease which a condition in which there is excess fluid in the inner ear. For our case, the patient claimed to have had drainage earlier before coming to the hospital.

For the case of cerumen impaction, the physician cannot visualize the internal ear because of the excessive ear wax. For this reason, it could be the wax that is causing the ear problem. For the case of otosclerosis, the physician claims that on trial to visualize the internal earl the bones were overgrown making it impossible to do so (Indius et al., 2018). And as for the menieres disease the patient claimed to have had a drainage that actually helped to ease the pain.

In conclusion, the ear may have several conditions depending on the presenting signs thus it is important to keenly obtain both the objective and subjective data to enhance appropriate ear problems (Indius et al., 2018).

References

Abdullah, B. A., & Hamed, G. Y. (2020). Relationship of TMJ Clicking with Ear Problems and Headache. International Journal8(5), 119-122.

Abu-Naser, S. S., & Abu Hasanein, H. A. (2016). Ear Diseases Diagnosis Expert System Using SL5 Object.

Indius, J. H., Alqaderi, S. K., Kjeldsen, A. D., & Heidemann, C. H. (2018). Middle ear disease in Danish toddlers attending nursery day-care–Applicability of OM-6, disease specific quality of life and predictors for middle ear symptoms. International Journal of Pediatric Otorhinolaryngology110, 130-134.

Ozkaya, N. K., Mert, D. G., Bitgen, M., & Cepni, M. (2020). Prospective Evaluation of Psychological Healing in Adults Who Underwent Otoplasty for Prominent Ear. AESTHETIC PLASTIC SURGERY.

A Draft literature review about topic (machine learning application in cardiovascular disease) 15 pages within 24hrs

 

I need to make A Draft literature review about topic (machine learning application in cardiovascular disease) 

Description of Assignment: 

You are to locate research articles on your pre-approved topic. You are to write not less than 15 pages  summary the general theme(s) of these articles as it pertains to your topic. A reference sheet, listing the articles should also be included (this does not count toward your page limit). This summary should serve as the background/foundation for your survey instrument.  

ASSIGNMENT BASICS

Articles ,

Theme, Background/Foundation , Research Question, Reference Sheet