Daily Holistic Assessment Tool (DHAT) form using the patient profile below:-

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Please Complete the Attached Daily Holistic Assessment Tool (DHAT) form using the patient profile below:-

Report from day shift nurse:

Situation: Christopher Parrish is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. I placed an 8-Fr, 42-inch feeding tube in his right nares about an hour ago, and x-ray just called and confirmed placement in the stomach. The pump is in his room. He is up to the bathroom prn; otherwise bed rest.

Background: Christopher was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dormitory. Chris’s mom was here earlier, but she is a single parent and has two younger boys, so she had to go home.

Assessment: Christopher is awake and alert. His heart rate and rhythm are regular at 80-85/min. Breath sounds are fine with a respiratory rate at 18/min. His color is a bit pale. Blood pressure is 118/78 mm Hg. He reports no pain and states he’s not had much appetite the past few weeks. His belly is flat and nontender. Bowel sounds are normoactive.

Recommendation: Christopher is due for vital signs and assessment. The tube feeding just arrived, and you will need to start it on the pump. He needs 720 kilocalories over 8 hours overnight. His regular diet is high calorie, high fat, but he wasn’t too hungry this evening; just had a bit of his chocolate shake. You will need to give his pancreatic enzymes orally before you start the tube feeding. You should also assess his diet and reinforce patient education on nutrition.

Role Development

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Topic: Role Development

Role transitionfrom Registered Nurse to an advanced nursing practice role occurs through acquiring the educational component of role acquisition and the occupational or work component of role implementation. These two factors contribute to your transition from BSN-prepared nurse to MSN-prepared nurse. Discuss three strategies for enhancing the nursing advanced practice role development.

What do you think of vitamin and mineral supplements? What about fat burning miracle supplements like carnitine? Do you take any supplements at all?

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1. What do you think of vitamin and mineral supplements? What about fat burning miracle supplements like carnitine? Do you take any supplements at all? If so, why? Find an article or YouTube on the pros/cons and /or safety/dangers of taking vitamin/mineral supplements and discuss.

2. The debate topic in chapter 8 is about pre-menstrual syndrome and vitamin B-6…what do you think? Discuss.

B vitamins are also marketed as “stress relievers” and “energy enhancers”… your opinions on this?

Back up your discussions with evidence.

3. Hypertension and the roles of sodium are also discussed, as are the roles of potassium, magnesium and calcium (DASH diet- Dietary Approaches to Stop Hypertension) for both prevention and treatment of high blood pressure.  If you were to follow the DASH diet for one day…… how would you incorporate the 8-10 servings of fruits and vegetables into your diet? Make a plan…… also plan for inclusion of foods rich in magnesium and calcium….

List other dietary and activity ideas so as to lower risk of hypertension (not looking at meds here). Also, find an article and or YouTube on this topic, include the link and discuss.

Community Assessment and Analysis Presentation:

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Community Assessment and Analysis Presentation:

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview:

Select a community of interest in your region. (ANY IS OK YOUR CHOICE) Perform a physical assessment of the community.

Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.” (A FORM I WILL PROVIDE WITH QUESTIONS)

Interview a community health and public health provider regarding that person’s role and experiences within the community. (NOT IN RL)

Interview Guidelines:

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation:

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.

Summary of community assessment: (a) funding sources and (b) partnerships.

Summary of interview with community health/public health provider.

Identification of an issue that is lacking or an opportunity for health promotion.

A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

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HPA using one of the following scenarios.

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Assignment:Public health officials in state offices usually participate in the analysis of proposed legislation but may have different names for the format or process that is used in that state. For this purposes of this assignment, the term Health Policy Analysis (HPA) will be used with the following format. The student is to create an HPA using one of the following scenarios.Scenario One:The nurse consultant in the state office has been assigned to complete the HPA for this bill.Complete the HPA in clear succinct sentences. At least three references should be cited using the APA style is required.House Bill No. 240 has been introduced in the state General Assembly by a patron and has been referred to the “Health Committee.” The bill is as follows:That the code of this state is amended by adding a section to the ɠ 32.1-134 regarding hospital practice to read: Every hospital providing maternity care shall, prior to releasing each maternity patient, make available to such patient and her husband information about postpartum depression and a list of available treatment options available in the state. This information shall be discussed with the maternity patient with her physician and documented in the patient’s medical record.Complete a health policy analysis using the following questions: Summarize the proposed legislation. Use your own words to describe the intent of the legislation. Describe the problem the proposed legislation is intended to address. Use secondary data to further describe the problem as is known from the literature. Identify the stakeholders and project the expected opinion. Indicate who would be in support of the legislation and why. Indicate who would not support the legislation and why? Examine the risks and benefits of the proposed legislation. If this bill is passed, what would be the expected outcomes and would that have a positive or negative impact on the public health? If this bill is not passed, what would be the positive or negative outcomes? Provide discussion as to the projected costs of this legislation if any. What would be the recommendation to the Governor? Should the Governor strongly support the bill and make a statement that he would sign if passed by the legislature? Should the Governor support the bill but express concerns or reservations? If so, what are those concerns? Can the proposed legislation be improved? If so, suggest the amendment/s. Should the Governor not support and state that he would veto if it passed the legislature? Give the reasons why the bill should not be supported and vetoed. The assignment should be presented in APA format in a scholarly essay of 1500 to 2000 words. At least two scholarly sources, other than the textbook and provided materials should be utilized.

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First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

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First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care PolicyIn a Microsoft Word document of 4-5 pages formatted in APA style, you will imagine you are going to make a visit to your representative in Congress. There are two parts to this assignment.Address the following topics: Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit. This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred. This “leave behind” should have 1 inch margins and utilize 14-point font throughout. If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit. Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles. Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following: Was your member in support or in opposition to the AHCA? State three points that you would cover in support or opposition to your representative’s position. How does your nursing experience influence the advocacy position that you take on the AHCA? You may find it necessary to search for answers to the questions outside of the assigned reading.On a separate reference page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

describe the information collected about a person with a chronic illness.

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InstructionsIn a Microsoft Word document of 4-5 pages formatted in APA style, describe the information collected about a person with a chronic illness. Please note that the title and reference pages should not be included in the total page count of your paper.Using the information from the interview you conducted in Week 2: List the support needs of your participant beginning with the highest priority and then in descending order. Provide examples of appropriate interventions of the professional caregiver, for example, the nurse. Discuss how to implement objectives of Healthy People 2020 to increase wellness. Discuss nursing’s role as an advocate for participant acceptance of diagnosis and treatment. Discuss the impact of the environment on patient’s health. Include social determinants that impact care. Support your responses with examples and information from library resources, textbook and lectures.

Negative Effects of Smoking Marijuana on Mental Health and on Lungs

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Subject of the paper: Negative Effects of Smoking Marijuana on Mental Health and on Lungs

Requirement: I require from you 3 files which will be based on the topic provided above:

·  A draft of the research essay (this should not be the final research essay)

·  A research Essay (the outline for it is provided in the other information section)

·  A survey ( I need a survey of five questions that will be used in the research paper and minimum 25 responds, survey either use survey monkey or google docs/form, I need the link at the end please) – I don’t care if you submit the response yourself multiple types as long as you provide different answers and it looks original

Other information: It is a research paper that acts like an argumentative essay with five paragraphs.It should contain the following

-An Introduction

-First Paragraph about the mental health effects of marijuana

-Second Paragraph about the effect on the lungs of marijuana

-Third Paragraph is a refutation and my opposite side refers to the fact that smoking marijuana can be efficient for some medical conditionsand I provide facts to support this statement

-The Conclusion

All the needed info are in the files below, and my name is Reem AlGhamdi because it is needed to be cited in the paragraphs as shown below

Attached Documents: The following represents the materials which I provided so you can have a better idea of the work:

·  Conducting A Survey

·  Sample Research

·  Outline Research

·  Guideline (the full request)

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health-illness continuum and its relevance to patient care

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Requirement: Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

1.    Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.

2.    Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.

3.    Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.

4.    Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Other information: 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assesses the following competency:

RN-BSN

5.1. Understand the human experience across the health-illness continuum.

Choose a health care treatment option that is controversial and may be costly.

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Part 1:

1. Choose a health care treatment option that is controversial and may be costly.

2. Describe three positive benefits and three negative effects from the treatment.

3. Identify five strategies would you use to advocate for a legislative change in your state (Florida) to influence insurance coverage for this treatment.

Part 2:

Purpose: In this Assignment, you will discuss how your state (Florida) is enacting the Affordable Care Act (ACA).

1. Assess the strengths and weaknesses of your state’s approach to the ACA (Florida).

2. Discuss the impact of the state approach to ACA on all stakeholders, both providers and consumers.

Part 3:

1. Differentiate between genetics and genomics.

2. From the perspective of your specialty area, articulate how nurses can be involved in policy making in the field of genomics.

3. How can research in the field be tied to practice?

4. Identify organizations that are open to nurses in the field of genomics.

Part 4:

Pupose: Synthesize the effect healthcare reform has on stakeholders

Directions

For this Assignment, you will examine the stakeholders impacted by the implementation of the Affordable Care Act (ACA). Your paper must

include the following topics:

1. Differentiate between at least three groups of stakeholders impacted by the ACA.

2. Examine the financial impact of the ACA on each group of stakeholders.

3. Summarize benefits of the ACA on each group of stakeholders.

4. Summarize drawbacks of the ACA on each group of stakeholders.

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