Minimum of 300 words with at least 2 peer review reference in 6th edition apa style.
We know that nephrolithiasis has the potential to obstruct the ureter that is downstream from where the stone forms. That is why the patient has pain — the peristaltic movement of the ureter compressing on the stone. What is the process that leads to the stone formation? What education do we need to provide to patients because of that process once they have been identified as having a stone?
Respond to this post with a positive response :
Ask a probing question, substantiated with additional background information, evidence or research.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Use at least 3 references
The Stigma of Mental Illness
As a society, how do we view mental illness? Often with disdain, discomfort, or fear. Often we ridicule people with mental health disorders. Our culture fosters negative views of mental illness by using terms such as “crazy”, “nuts”, “psycho”, and the media perpetuates these concepts by depicting people with mental illness as scary, silly, stupid, or defective.
The policy issue that most affects my professional, as well as, personal life is Disability. I am a psychiatric nurse who also happens to have a mental health issues. Mental illness discrimination and access to healthcare are protections meant to be provided under the law. According to the Americans with Disabilities Act (ADA), it is illegal to revoke licensure or otherwise prevent a healthcare provider from working due to mental disorders. The conditions included are illnesses such as depression, bipolar disorder, and schizophrenia. Another form of discrimination the ADA protects is “employment tests or other selection criteria that screen out or tend to screen out an individual with a disability or a class of individuals with disabilities” (Samuel, L, 2017). However, professional licensing boards still actively engage in discriminatory actions every single day. “Boards’ hands are often tied in terms of what state legislatures will let them do” (Dyrbye, 2017). According, to Dyrbye, at the state level, the quandary is between protecting the public from impaired healthcare workers and the provider’s right to make a living. New studies have shown that nearly 40% of physicians and an even higher percentage of nurses reported that they would be reluctant to seek formal medical care for treatment of a mental health condition because of concerns about repercussions to their licensure.
In the Kingdon’s Model the problem is having special protections under the American Disabilities Act (ADA) to prevent increased discrimination for licensed professional healthcare workers suffering from mental illness who are far more susceptible to bias related to the nature of their professions as providers of patient care.
A policy stream can easily be defined as a think tank. The primary objective is to collaborate to refine the problem to best address the proposed policy. In the case of disabilities related to mental illness in healthcare professionals this may be difficult because it is a narrowly defined subset of both the mentally ill and the disabled populations. However, because the subset can pull from two communities for support it may be easier gain support. Ultimately, the goal is to put policy into law that forces all healthcare licensure boards and healthcare employers from gathering mental health information and that employers will face serious penalties for discrimination and/or wrongful termination. The burden of proof is then on the employer rather than the employee to prove rational for separation.
Engaging members from all facets of the healthcare community, as well as, the American Psychiatric Association (ADA) to serve as experts is paramount in generating political support. Having political connections foster influence from organizations such as NAMI, MHA, Congressman LaHood from IL, Representative Tim Murphy from PA, Linda Rosenberg, CEO of the National Council for Behavioral Health, Executive Director of Mental Illness Policy Org DJ Jaffe, ANA, AMA, and EEOC. Finally, identifying successful lobbyists to push policy forward is fundamentally crucial if any bill is to become law. Eliciting the support of a successful lobbyist can help to identify windows of opportunity and to approach legislators at the right time and under the best circumstance to have a bill well received.
Reference
Dyrbye, L., West C., Synsky, C., goders, L., Satele, D., Shanafelt, T. (2017). Medical Licensure Questions and Physician Reluctance to Seek Care for Mental Health Conditions. Mayo Clinic Proceedings. 92, 10, p1463-1604, e133-e153. DOI: https://doi.org/10.1016/j.mayocp.2017.06.020
Farmer, J., (2011, May 16). Disclosing a Mental Health Problem to an Employer. The Guardian. Retrieved by https://www.theguardian.com/careers/careers-blog/mental-health-at-work
John Kingdon, Agendas, Alternatives, and Public Politics, 2nd ed. (New York: Harper Collins, 1995). p. 19.
Samuel, L; (2017, October 16). Stat. Doctors Fear Mental Health Disclosure Could Jeopardize Their Licenses. Retrieved from https://www.statnews.com/2017/10/16/doctors-mental-health-licenses/
Advanced practice nurses should be able to critique, evaluate, and use theory. They should be able to integrate and apply a wide range of theories from nursing and other sciences into a comprehensive and holistic approach to care.
After reflecting on the readings, discussions, and the concepts you have learned in this course address the following:Discuss three concepts that you learned during this course.How can you apply these concepts to your existing or future practice?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.
More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions. Half page APA format
********* See Upload For Scenario Guideline *********
Review the following scenarios.
Scenario 1: Medical coding in a physician’s practice
Imagine you work in a high-pressure cardiology physician’s office and you are one of two medical coders. Your supervisor is very focused on the greatest reimbursement to satisfy revenue projections for the practice. As a result, you are asked to “up-code” billing. How can the pressure of acquiring the maximum repayment for services lead to manipulating or falsifying documentation?
Scenario 2: Administration of patient medications in the hospital setting
Imagine you are a new graduate nurse working nights on a busy medical unit. You just received a new patient who needs to be admitted to your unit and you just finished medicating a patient with a narcotic injection with a dose greater than ordered. Clearly understanding medication errors may lead to patient injury and even death, explain why a clinician may choose not to report the incident.
Scenario 3: Not hiring a qualified individual because of discrimination
Imagine you are a new human resources director in a nonprofit organization and have been pressured not to hire Middle Eastern candidates by the organization’s CEO. In the United States, discrimination against people based on their ethnicity, race, or cultural orientation is strictly forbidden under federal and state laws. Ethical discrimination may result in the breeding of ill feelings at work, as well as reduced productivity. To eliminate these ramifications, organizations need to put forth increased effort in curbing ethical discrimination in the employment sector. What are some interventions organizations can put in place to prevent discrimination?
Write a 200-word response for each ethical scenario addressing the items on the worksheet.
Format your assignment according to APA guidelines.
Select a global health issue affecting the international health community. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments). Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues.
Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.
THIS IS NOT DOCTORATE..PLEASE MAKE IT UNDERSTANDABLE! ;)I ATTACHED ALL REFERENCES FOR THIS MODULE. IF USING OTHER REFERENCES PLEASE LAST 5 YEARS. -Draft a 3- to 4 page paper analyzing areas where there is 1.) good performance and 2) areas of opportunity from the sample Dashboard (ATTACHED). Analyze the data provided in the Dashboard(ATTACHED) and select an area of performance that needs improvement (YOU CHOOSE 1 AREA NEEDING IMPROVEMENT). Include information on why this area was chosen. Develop a nursing plan that includes suggestions on how to improve performance on the selected indicator. Be sure to provide at least three (3) best practices from the evidenced-based literature to support your suggested nursing plan.
I ATTACHED THE SAMPLE DASHBOARD AND REFERENCES FOR THIS WEEK. YOU CAN USE OTHERS IF YOU WANT BUT MUST BE WITHIN LAST 5 YEARS
see attached
What are the experiences of breast cancer patient and the side effects of chemotherapy?
Discuss two areas of difficulty you encountered or two new nursing interventions you learned this week at your clinical site as Case Manager .
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