reflect on whether you oppose or support the Affordable Care Act (ACA).

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Use the learning materials and additional resource readings from this week and reflect on whether you oppose or support the Affordable Care Act (ACA). Consider the nursing professional’s position as a caregiver and/or the healthcare leader as an administrator. Explore two significant components of the ACA that could potentially impact specific populations unjustly. Appraise the current political climate as it relates to repealing and replacing the ACA. For this weeks’ discussion, identify at least two reasons for keeping the ACA and at least two reasons that it should be repealed, replaced, or revised. Provide rationale for each.

the role of the registered nurse in patient advocacy.

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Discussion Prompt #1

  • Specifically define the role of the registered nurse in patient advocacy. Describe situations in which nursing advocacy can assist patients within the healthcare environment. Defend why nurses are, or are not, adequately prepared, in prelicensure education, to act as patient advocates.

Discussion Prompt #2

  • The ANA Code of Ethics currently emphasizes the word “patient” instead of the word “client” in referring to nursing care recipients. Do you agree with this change? Why or why not? Review the ANA Code of Ethics for Nurses with Interpretive Statements found in Appendix B of your Butts text.
  • 1 page each

causes of hyperpituitarism and hypopituitarism with consideration of the populations at highest risk for the development of the disorders

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For this assignment, you will produce a 4–7 minute audio–video presentation on your chosen topic.

In your presentation, include the following:

  • Include at least one type of visual aid in your presentation such as PowerPoint slides, diagrams, white board use, etc.
  • You are expected to explain the processes or concepts in your own words using references to support your explanations. Include a reference list at the end and cite references verbally or with on screen citations.
  • Use appropriate master’s level terminology.
  • Include all necessary physiology and/or pathophysiology in your explanation.
  • Use detailed explanations to teach or explain. Your classmates and professional colleagues are your audience .
  • Reference a minimum of two sources; you may cite your etext as a source. Use APA format to style your visual aids and cite your sources. Include a reference page in your video.
  • Your presentation must include both audio and visual components and be professional in nature.

TOPIC

Discuss the causes of hyperpituitarism and hypopituitarism with consideration of the populations at highest risk for the development of the disorders

focus on therapeutic approaches for an older adult presented in a case study.

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Discussion: Therapy with Older AdultsClients who are older have often times been dealing with their mental health disorder their entire lives, whiles other disorders may be brought on through the aging process or the trauma of losing a lifelong partner. Treatment can be challenging for both the client and the therapist. For this Discussion, you will focus on therapeutic approaches for an older adult presented in a case study.Learning ObjectivesStudents will: Assess clients presenting with depression Analyze therapeutic approaches for treating clients presenting with depression Evaluate outcomes for clients presenting with depressionTo prepare:· Download and review the Week 10: Case Study from this week’s Learning Resources. Review this week’s Learning Resources and reflect on the insights they provide.Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking Submit!By Day 3Posta treatment plan for the older adult client in the Week 10: Case Study found in this week’s Learning Resources. Be sure to address the following in your post: Which diagnosis should be considered? What is the DSM-V Coding for the diagnosis you are considering? What is your rationale for the diagnosis? Be sure and link the client’s signs and symptoms to the DSM-V diagnostic criteria to support your diagnosis. What tests or tools should be considered to help identify the correct diagnosis? What differential diagnosis should be considered? What Treatment Strategy would you recommend? What treatment would you prescribe and what is the rationale? Safety Psychopharmacology Diagnostic Tests Psychotherapy Psychoeducation What standard guidelines would you use to treat or assess this patient? Clinical Note: Is depression a normal part of aging?Support your approach with evidence-based literature

Research the teen pregnancy rates for the last 10 years for your state (California)and community (Los Angeles). Has this rate increased or decreased

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Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research
Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state (California)and community (Los Angeles). Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

Pharmacologic Interventions of Pulmonary embolism using Heparin Drips

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Instructions

TOPIC:Instructions

TOPIC: Pharmacologic Interventions of Pulmonary embolism using Heparin Drips

This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.

  1. Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’
    • Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.
  2. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted
  3. The presentation must identify t

This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.

  1. Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’
    • Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.
  2. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted
  3. The presentation must identify t

Changing social norms at the state level

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Research and select an issue from one of the following categories that has or may have an influence on U.S. health care policies:

  • Changing social norms at the state level
  • Shifting health care priorities in the United States
  • Impacts of global health care U.S. policy
  • Effects of health care on our environment

Write a 525- to 700-word paper that discusses the impact that the issue selected can have on changing health care policy.

  • Describe the issue selected.
  • Identify people or groups of people the issue impacts.
  • Describe the impact the issue has at the state and federal level.
  • Describe how likely it is the issue selected may change health care policy.

Cite at least 2 reputable references. Reputable references include trade or industry publications, government or agency websites, scholarly works, a textbook, or other sources of similar quality.

SUPPORT MANDATORY VACCINATION FOR CHILDREN

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Topic: SUPPORT MANDATORY VACCINATION FOR CHILDRENOnce you receive your topic and position, prepare to create a video that will be due in Week 5. The video should be 4-5 minutes long and address the topic and viewpoint you were assigned. You may not be personally in support or opposition of the topic, however it is your job to convince your peers of your position. Include evidence that supports the viewpoint. Include an introduction to the issue, your stance, the rationale for the stance, the ethical principals involved, theories and evidence supporting your position, and your proposed resolution. Review the rubric in this forum for complete grading criteria. Your video should include both audio and visual components such a graphics or charts. You can choose to do a PowerPoint, yourself on video with a poster or visual aids, or anything that supports and convinces your peers of your stance. Get creative! Be succinct but convincing. If you go over the time limit, you will only be graded on the first 5 minutes. You may create the video using any tool of your choice, however it must be uploaded using theKalturatool. Click on Getting Started with Kaltura, on the left menu, for directions. Once you receive your topic and position, prepare to create a video that will be due in Week 5. The video should be 4-5 minutes long and address the topic and viewpoint you were assigned. You may not be personally in support or opposition of the topic, however it is your job to convince your peers of your position. Include evidence that supports the viewpoint. Include an introduction to the issue, your stance, the rationale for the stance, the ethical principals involved, theories and evidence supporting your position, and your proposed resolution. Review the rubric in this forum for complete grading criteria. Your video should include both audio and visual components such a graphics or charts. You can choose to do a PowerPoint, yourself on video with a poster or visual aids, or anything that supports and convinces your peers of your stance. Get creative! Be succinct but convincing. If you go over the time limit, you will only be graded on the first 5 minutes. You may create the video using any tool of your choice, however it must be uploaded using theKalturatool. Click on Getting Started with Kaltura, on the left menu, for directions.

state or federal law or regulation related to patient safety that has been implemented within the last five years requiring hospitals or any other health care organizations to change the way they manage the delivery of care

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Select a state or federal law or regulation related to patient safety that has been implemented within the last five years requiring hospitals or any other health care organizations to change the way they manage the delivery of care. Discuss the changes that have occurred because of this law or regulation.

Additionally, discuss the technology associated with either your selected law/regulation or a similar one. Are there ethical dilemmas that have resulted from technology changes when delivering care to patients or patient safety? Explain the dilemmas and how they might be resolved.

strategies for disseminating EBP within your organization, community, or industry.

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As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

Reflect on which type of dissemination strategy you might use to communicate EBP.

By Day 3 of Week 10

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies, you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 10, “The Role of Outcomes on Evidence-based Quality Improvement and enhancing and Evaluating Practice Changes” (pp. 293–312)

Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 328–343)

Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 378–427)

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54–60. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspx

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f

Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188

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