4DB family practicum 1

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discussion board Elder abuse /end of life planning -hospice discussion-advanced directives -proxy designation- life sustaining treatment approach

 Discussions are 

not just opinion to obtain full points; postings must be based on supported fact, not 

simply opinion. Posting should be a minimum of one short paragraph and a 

maximum of two paragraphs.  Word totals for each post should be in the 100-200 

words range.  Whether you agree or disagree, explain why with supporting 

evidence and concepts from the readings or related experience.  Include a 

reference, link, or citation when appropriate. APA 6th edition format for 

references as well as in-text citations is expected.

rubric(applied  for all DB during this semester )

-Utilizes appropriate (pertinent to FNP practice) and evidence-based citations to support postings.   

-Postings are informative and concise, serving to deepen understanding and inquiry.  

  -Participation Postings are timely and pertinent     Postings are thoughtful and analyze the content or question asked.    Postings Make connections to the course content and other experiences.     Postings are written in a respectful manner.      Grammar, Syntax, and APA    

– APA format, grammar, spelling, and punctuation are accurate, or with zero to one error.  

 

Discussion Post 500 words APA

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Complete a library search for a peer-reviewed journal article that integrates nursing theory and nursing management.Present the article and discuss the nursing theory used, the benefits of nursing theory in management and any weaknesses you identify in the article.Responses should be at least 500 words, integrate key concepts from the weekly readings and include specific examples of how the concepts can be applied to your work environment.Attach a copy of the article. Be sure to supplement your discussion with personal and professional experiences.Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.Please be sure to validate your opinions and ideas with citations and references in APA format.  

45 d

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Discussion: Healthcare Trends and Financial Management

What is your background as a nurse in healthcare and how do you expect to apply the information that you learn in this course?

Then, research news and other sources of information about healthcare trends in the United States. Describe one trend and at least three implications the trend could have for financial planning and decision-making within a healthcare organization, such as a hospital or clinic. Your post should include why you think the trend will have those implications.

assessment 2 class 5

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see attached

Culture Awareness CA1

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Required Reading

Iwelunmor, J., Newsome, V., & Airhihenbuwa, C.O. (2014). Framing  the impact of culture on health: a systematic review of the PEN-3  cultural model and its application in public health research and  interventions. Ethnicity & Health, 19(1), 20-46. doi: 10.1080/13557858.2013.857768

NOTE: In the following document, just read the Intro, review the Key Concepts, and then view the Lecture: 

U.S. Department of Health & Human Services, Maternal Child Health Bureau (2009). Core concepts in cultural competence. Accessed from http://support.mchtraining.net/national_ccce/case0/home.html

U.S. Department of Health and Human Services, Office of Minority Health (2017). The national standards for Culturally and Linguistically Appropriate Services in Health and Health Care (CLAS). Retrieved from https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53

Optional Reading

Airhihenbuwa, C. & Webster, J. D. (2004) Culture and African contexts of HIV/AIDS prevention, care and support. Journal of Social Aspects of HIV/AIDS Research Alliance, 1(1), 4-14. Retrieved from http://www.ajol.info/index.php/saharaj/article/viewFile/30064/22717

Yick, A. & Oomen-Early, J. (2009). Using the PEN-3 model to plan  culturally competent domestic violence intervention and prevention  services in Chinese-American and immigrant communities. Health Education, 109(2), 125-139. (search under ProQuest)

Optional Resources

Purdue Online Writing Lab. (2018). General format. Retrieved from https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html

Purdue Online Writing Lab. (2018). In-text citations: The basics. Retrieved from https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/in_text_citations_the_basics.html

Purdue Online Writing Lab. (2018). Reference list: Basic rules. Retrieved from https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_basic_rules.html

Homework Assignment:

For this assignment, you will learn about Lanesha Johnson, whose case story is available at http://support.mchtraining.net/national_ccce/case1/home.html

Listen to the Lecture and review the Learning Activity #1

Write a paper that addresses the following:

>From a cultural perspective, is it unusual that Grandmother Marietta is the primary caregiver? >Discuss the ways in which Lanesha, Grandma Marietta, and Hannah  Healthcare approach this situation from totally different perspectives. >How does Lanesha’s temperament affect the situation? >What responsibilities do health care providers have in this situation?

Length:  2-3 pages, excluding the cover page and the reference list.

NURSING STATE STRATEGIES

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 State Strategies 

The purpose of this assignment is to familiarize students with health reform strategies adopted by states. Students will select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. Students should summarize their findings in a 1-2 page, single-spaced memo. A few examples of state innovations include Vermont’s single payer system, Massachusetts’ health reforms and Kentucky’s Medicaid healthcare program. 

Assignment Grading Criteria 

Rationale/Adoption 30 points 

Funding Structure 30 points 

Impact on Healthcare 30 points 

APA Format 10 points 

Public Healath Administration SWOT analysis

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thsi is a 5 Qs Assignm, please address ALL the points required in the Assignm. Instrcutions.

I have attached all Resources and Instruct.

Franc

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What are some of the barrier a nurse can face when teaching to a patient’s family member? Please use a source to support your statement.

300 words

1128W1H2C

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I need a 2 or 3 sentence comment on each paragraph

Paragraph 1

A health promotion model that can initiate behavioral changes is the family systems theory. This theory looks at the family rather than everyone within the unit. This theory looks at how each individual member affects the whole family as one. Behavioral changes come when a new member is added like a birth, when a loss has happened such as a death or when a member becomes sick and other members must pick up and carry forward with the daily duties. This model helps teach and promote health and behavioral changes by allowing the whole family to make the changes as one instead of individuals. From personal experience some barriers I have seen in the short time I have practiced being a nurse is cultural barriers, hearing or seeing impairments and the inability to read or understand what is being taught. Another big barrier is that as nurses we typically explain or give written instructions and do not use the patients learning preference when teaching important topics that these patients need to know to initiate behavioral changes. A patient’s or even a persons readiness and willingness I feel highly affect the learning outcomes because people will not learn if they do not feel the need or want to learn what is being taught and this will just make the nurse and patient both frustrated and eventually just give up all together.

Paragraph 2

In all cases, nurses should teach and advise patients by promoting behavioral changes in their current lifestyles and encouraging them to reduce behaviors that could put them at risk and could cause illness or worsen chronic conditions. Nursing and other healthcare Together professionals can influence rising healthcare costs by promoting positive behavioral changes in patients and reduce dependence on the healthcare system (Edelman, Kudzma and & Mandle, 2014)”. First, we have to assess the condition that the learning needs of the patient, and any barriers to learning that might exist. The barriers that affect a patient’s ability to learn is a variety of complex factors such as culture, environment, language, education level, age, mental attitude regarding health status, cultural beliefs, and knowledge of current health status. According to the learning needs and abilities of different patients who have tailored teaching plan can be formulated. For example, the people who have diabetes, we need to provide diabetes knowledge to patients to understand the dangers of complications and prevention. Explain the occurrence and development of diabetes, inform the complications of diabetes caused by an uncontrolled diet and exercise. Adjust the diet, exercise, and insulin or oral medicinal dosage according to the doctors’ concerns for the patient’s situation. Recognize the normal range of glucose, and regularly check the amount of glucose tolerance whether it is effectively controlled. Prevent hypoglycemia and carry sugar with patients when they go out. Pay attention to the harm and prevention of diabetes complications. At the same time, it is necessary to allow the patient to give feedback information, and it has been determined that the patient has indeed absorbed what has been learned so that the expected goal of learning can be achieved. As nurses, we should work with other health care providers. Develop a plan that lists measurable learning goals to identify expected behavioral changes that will be measured based on the learning process. Goals should be stated behaviorally, specifying the desired outcomes and incorporating them into the care plan. A behavioral goal is to describe the actions that a patient will learn to promote healthy behavioral changes.

Post- Logan

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Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who were assigned a different patient case study, and provide recommendations for alternative drug treatments to address the patient’s pathophysiology. Be specific and provide examples.

Main Post

Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders

Patients today are much sicker than they used to be. The advanced practice nurse needs to manage all comorbidities in the plan of care. In this post, I will discuss the patient’s health care needs and a recommended treatment plan, including pharmacotherapeutic choices. Also, I will present an education strategy to assist the patient in managing their disease conditions. The patient has a history of hypertension, myocardial infarction, hyperlipidemia angina, and diabetes type two. Her needs center around the management of these comorbidities. Also, I noticed that her serum creatinine is on the high end of the range if not outside of it. This fact is not surprising considering her diabetes. The case reports that she was doing well until about a month ago. It was tempting to consider adding another medication to the regimen. However, I believe that either the metoprolol is not high enough to manage her current disease state or she has been missing doses, and I am leaning toward the latter. If withdrawn suddenly, the drug can increase the incidence and intensity of anginal attacks. Metoprolol is the first-line drug for stable angina and should be working (Rosenthal & Burchum, 2018).  

A review of her current drug therapy appears appropriate. Aspirin, simvastatin, and metformin are competent choices, and the doses are adequate. My plan would include an assessment of how she takes medication at home and manages them before making any changes. If this were in order, I would increase the metoprolol to 75 mg twice a day and set a follow-up appointment in two weeks. I prefer to increase the dose of metoprolol first before adding any new drug because of polypharmacy considerations, and the drug does not require renal adjustment (Epocrates, 2019). This fact is beneficial to consider because she has diabetes. Assuming that the patient has missed doses over the last month, the priority is to determine why. Costa et al. (2015) recommend explaining how to take medication, discussing reluctance to take drugs, and a conversation about the patient’s beliefs and knowledge about their health and treatment. I believe that this is a great strategy to use with the patient. Medication adherence is troubling and particularly so with the elderly who have multiple medications and conditions. I think it is essential for the patient and provider to be partners in the plan of care. The patient must agree to it and fully understand their conditions and the purpose of each medication. 

                                          

                                                References

Costa, E., Giardini, A., Savin, M., Menditto, E., Lehane, E., Laosa, O., … Marengoni, A. (2015). Interventional tools to improve          medication adherence: review of literature. Patient Preference And Adherence, 9, 1303–1314. doi:10.2147/PPA.S87551Epocrates. (2019). Metoprolol Tartrate Adult Dosing. Retrieved from https://online.epocrates.com/drugs/25501/metoprolol-        tartrate/Adult-DosingRosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO:        Elsevier.