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”  (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

The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response that addresses the following:

1. What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?
2. What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.
3. What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 My subject is Corneal and Retinal disorders. Research paper and PowerPoint presentation

Assignment Objective

This project or assignment will assist the student to examine evidence and challenge assumptions to improve the quality care for patients, families and communities. This assignment should evaluate, analyzes, and reflect on the professional nurse values in practice. In addition, identify legal and ethical standards in practice The Student will identify your patients’ learning need, then create and implement a teaching plan to correct the area(s) of weakness.

Assignment Directions Instructions for completion: Based on information gathered through a thorough assessment, identify a learning need in an assigned topic. Student will complete an APA paper and an oral presentation based on the criteria below.

Assignment criteria:

• Introduction
• List learning objectives & learning activities
• Describe the disease pathophysiology
• Complication, signs, and symptoms of disease process
• Treatment for disease process
• Identify nursing care activities and interventions
• Identify prevention, health promotion, and research related to the assigned topic
• Identified learning need for disease process
• Identify cultural/diversity issues to consider
• Evaluate, analyzes, and reflect on the professional nurse values in practice
•  Identify legal and ethical standards in practice
• Handouts, brochures, printed materials to be given to client
• Conclusion
• References

• Prepare a job description, 4–6 interview questions, and a 2–3-page narrative overview.
  Note: Complete the assessments in this course in the order in which they are presented.
  Communities and organizations are in need of care coordination experts who can lead interprofessional team efforts across a region and for multiple populations. Organizations and communities need to be able to define and assess the best fit for these highly important roles. An expert who is capable of this type of role should have comprehensive knowledge related to the scope and standard of practice for care coordination and how they are applied in practical ways to achieve best practice outcomes for care coordination. Having a toolkit as a guide can help organizations to understand and achieve the selection of the best candidate for this type of critical position.
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• Toggle DrawerQuestions to Consider
• Toggle DrawerResources
• Assessment InstructionsNote: Complete the assessments in this course in the order in which they are presented.
  Preparation
  For this assessment, you will create a toolkit that includes a brief job description, interview questions, and a narrative overview in the form of a scholarly document.
  Review the Resources for this assessment and conduct your own library research to develop and support your ideas.
  Note: Remember that you can submit all, or a portion of, your draft care plan to Smarthinking for feedback, before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.
  Requirements
  Prepare a job description, 4–6 interview questions, and a 2–3- page narrative overview.
  Toolkit Format
  Use APA format. Create headings based on the scoring guide criteria. Your faculty may provide a template.
  Supporting Evidence
  Cite 5–7 sources of credible, scholarly, or professional evidence to support your claims and solutions.
  Directions
  Your community is in need of a new care coordination role to assist with care in an organization or on larger scope in the region. For this assessment, you, as a care coordination leader, design the role of a care coordinator by creating a job description and describing the attributes that you are looking for in a candidate to fill this position.
  Following these instructions will help ensure you meet the scoring guide criteria:
  • Describe the care coordinator role need specific to your chosen community or region. This description should include the attributes you deem essential to the role, related to standards of practice.
  • Provide 4–6 interview questions that demonstrate the qualities of an effective, ethical, and culturally aware nurse leader. Think about the standards of practice for care coordination and transition management, leading the interprofessional team in collaborative change, and the candidate’s ability to be a visionary for change in the organization or community.
  • Analyze the ideal candidate’s knowledge related to legal and ethical considerations, stakeholder and interprofessional teams, cultural competence, and data use to improve care coordination in a 2–3-page narrative. In other words, explain what knowledge and skills a care coordinator should demonstrate for this role. such as knowledge of legal and ethical considerations as well as stakeholder and interprofessional team collaboration, being culturally competent, and knowing how to assess and use data to enhance care.
  • The result will be a toolkit to assist the interview team in understanding how to choose the best candidate.
    Scoring Guide Criteria
    Your assessment should meet the following scoring guide criteria:
  1. Create a job description and interview questions for a care coordination leadership position.
  2. Analyze the candidate’s knowledge related to ethical guidelines and practices to improve care coordination.
  3. Analyze the candidate’s knowledge of laws and policies within care coordination.
  4. Analyzes the candidate’s knowledge related to stakeholder and interprofessional teams to implement care coordination.
  5. Analyze the candidate’s knowledge related to data outcomes use to enhance care.
  6. Communicate effectively in an appropriate form and style, consistent with applicable professional and scholarly standards.
  7. Additional Requirements
     Your assessment should also meet the following requirements:
  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Your paper should demonstrate current APA style and formatting.
  • Number of resources: Include 5–7 resources, appropriately cited throughout your paper and in your reference list.
  • Length: 2–3 pages, typed and double-spaced, not including the title page and reference list.
  • Font and font size: Times New Roman, 12 point.

Document your clinical practice hours using the Lopes Activity Tracker (LAT) in your student portal. Once you have opened the app, click on the link for your class to record your hours. Clinical practice hours should be documented and submitted within 48 hours of the clinical experience. After the hours have been submitted, the preceptor will verify the hours, which are then reviewed by the faculty.

Download the electronic summary of your practicum experience from the Lopes Activity Tracker. Save the file and submit it through the assignment dropbox for faculty approval.

This report is to be submitted in every topic.