Trends in Healthcare Policy Act

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Trends in Healthcare Policy  Act

The Nurse as Advocate

In a Microsoft Word document of 5-6 pages formatted in APA style, you will describe the advocacy process. Whether nurses are advocating for their patients, health care, and/or policies that improve people’s lives, the advocacy processes have commonalities that transcend the subject of their advocacy. There are also differences, although these differences may be more nuanced than obvious.
Review the following chapters from your course textbook:

Respond to the following questions based on your readings:

  • Describe what you believe to be the drivers for each of the individual advocates.
    • What factors led the individuals to become advocates?
  • Discuss the challenges that each of the individuals identified in their writings.
  • Analyze these drivers and challenges and compare them with your own experience to date as an advocate.
  • In what ways do you believe you can expand your advocacy skills within the next five years?Trends in Healthcare Policy Act

Community As Client Assessment and Analysis

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Community As Client Assessment and Analysis
Purpose and Background Information
Nurses must be able to knowledgeably plan services for individuals, families and the community.  In order to effectively plan, it is essential that you assess the current health status of the community and its resources.
Assessment may include the following strategies:  Mining of health data bases, windshield or walking surveys, and more formal quantitative and qualitative research investigations involving community members and other stakeholders. A “windshield survey” is conducted from a car and provides a visual overview of a community (may also be done as a walking survey). Conditions and trends in the community that could affect the health of the population (social determinants) are noted. Most surveys of this type must be validated and expanded through data mining of available online and other databases of demographic and health-related statistics.  Community As Client Assessment and Analysis
Evidence collected during a formal community assessment forms the basis for planning to improve the health status of the community, which impacts individuals’ health downstream.

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Purpose and Background Information
Nurses must be able to knowledgeably plan services for individuals, families and the community.  In order to effectively plan, it is essential that you assess the current health status of the community and its resources.
Assessment may include the following strategies:  Mining of health data bases, windshield or walking surveys, and more formal quantitative and qualitative research investigations involving community members and other stakeholders. A “windshield survey” is conducted from a car and provides a visual overview of a community (may also be done as a walking survey). Conditions and trends in the community that could affect the health of the population (social determinants) are noted. Most surveys of this type must be validated and expanded through data mining of available online and other databases of demographic and health-related statistics.
Evidence collected during a formal community assessment forms the basis for planning to improve the health status of the community, which impacts individuals’ health downstream. Community As Client Assessment and Analysis

Acid Re flux and Nasal Congestion

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Acid Re flux and Nasal Congestion
Review the documented subjective and objective history in the two rooms below, Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis for each.Acid Re flux and Nasal Congestion
Room 1:
Demographics:
2-year-old male, Richie, brought to the clinic by his mother Rachel Regis for nasal congestion and tugging at his left ear.
Subjective:
Chief complaint (CC): “he has nasal congestion and he has been tugging on his left ear”
HPI: The patient presents accompanied by his mother who gives the history. Richie has had nasal congestion for the past 5 days. He has been slightly irritable but he has been eating as usual until this morning. The mother reports he woke up suddenly at 5 am crying and she was unable to console him with the usual measures. He was extremely irritable and refusing the water that the mother offered him. She noticed that he was tugging on his left ear intermittently. He felt warm as if he has a fever but the mother did not have a thermometer at home to check his temperature.
Objective:
Vitals: T-103.5, BP- 122/85, P-101, R-30
Richie is a 2-year-old male seen today with his mother. The mother is holding and rocking him on her lap. He appears to be acutely moderately distressed. He is expectedly uncooperative and resisting the physical exam. His face is flushed, his skin is warm and slightly moist. Otoscopic examination reveals the left eardrum is red, inflamed, and convex. No drainage noted.

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Room 2
Room 2: 47yo Roy Regis reports history of itching and irritation around his right eye.Acid Re flux and Nasal Congestion
HPI: 47yo Roy Regis reports history of itching and irritation around his right eye. Symptoms began 2 days prior during a wood chopping event and reports discharge, turning crusty when he wakes. Right eye “glued shut” in mornings, itching. No sick contacts. No eye trauma. Pt rates pain to right eye 6/10.
PE: T-98.4; BP 131/78; P 78; RR-17.
Eye trauma is when the eye receives a direct or close blunt to the eye. When the eye receives a blow, it can cause blood to collect underneath the hit area, which leads to many of the mutual symptoms of eye trauma. (Bausch, Lomb,2020) Some of these symptoms can be itching, pain irritation, as well as redness. (Bausch and Lomb,2020) Every single eye trauma incident could present differently but with similar signs and symptoms. The initial approach to eye injury, must involve careful triage. (Uptodate,2020) Eye injuries are extremely fragile, and it is imperative emergent eye injuries are recognized at a glance and evaluated. Questions regarding the injury will be beneficial to complete the assessment. How the injury happened? How long ago did the injury occur. When did the pain start in the eye? Management of an injured eye requires meticulous history taking, evaluation of vision that measures the acuity and if there is a relative pupillary defect as well as careful inspection of the eyes, under anesthetic if necessary. (Scott,2011) The moment life-threatening injuries eliminated treated, the emergency clinician should identify threats to vision using a focused history and an organized approach. (Gardiner,2020) Acid Re flux and Nasal Congestion
 

Aspects of Cultural Diversity Discussion

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Aspects of Cultural Diversity Discussion
Case Study Questions
50 points possible (see grading rubric below). Make sure to include your reference(s) for your information.

  1. A home health nurse received an angry call from a Mexican- American woman after visiting her house the day before. Her infant had been crying and was feverish the next morning and the woman recalled the nurse had remarked the child was adorable.
  • Why might the woman be upset with the nurse for calling her baby adorable?
  1. A 27-year-old Vietnamese woman in the delivery room with very strong and closely spaced contractions. The baby was positioned a little high and there was some discussion of a possible c- section. Despite her difficulties, she cooperates with the doctor’s instructions and labors in silence. The only signs of pain or discomfort were her look of concentration and her white knuckles. Aspects of Cultural Diversity Discussion
  1. When the nurse entered the room of her Iranian patient, she found the patient huddled on the floor, mumbling. At first, she thought the patient had fallen out of bed, but when she tried to help her up the patient became visibly upset. She spoke no English and the nurse had no idea what the problem was.
  • Why do you think the patient became upset with the nurse?
  1. An African-American female was the primary nurse for two African-American teenagers. When one got out of line, she would simply say, “Boy, keep your mouth shut and go somewhere and sit down.” They usually complied.
    One day, it was time for one of them to go to physical therapy, but he was giving the European-American nurse a hard time. Finally, she tried the primary nurses’ tactic and said “Come on boy, I’m not kidding with you. You have to go to therapy.” The young man flew into a rage and started swearing at the nurse.
  • Why may the patient have reacted the way he did with the European-American nurse and not the African-American nurse?
  1. A nurse was caring for a deaf woman who had a new baby.  She had a translator who signed to the patient what the nurses said and then told the nursing staff what the patient said. As she spoke she kept talking to the interpreter and directed all of her communications to the interpreter.
  • What might the nurse have done differently with this patient and why?Aspects of Cultural Diversity Discussion

Academic Success and Professional Development

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Academic Success and Professional Development

Paper details

To Prepare:

  • Reflect on the strategies presented in the Resources for this week in support of academic style, integrity, and scholarly ethics.
  • Also reflect on the connection between academic and professional integrity.

The Assignment:
Part 3, Section 1: Writing Sample: The Connection Between Academic and Professional Integrity
Using the Academic and Professional Success Development Template you began in Week 1 and continued working on in Week 2, write a 2- 3-paragraph analysis that includes the following:Academic Success and Professional Development

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  • Clearly and accurately explains in detail the relationship between academic integrity and writing.
  • Clearly and accurately explains in detail the relationship between professional practices and scholarly ethics.
  • Accurately cite at least 2 resources that fully support your arguments, being sure to use proper APA formatting.
  • Use Grammarly and SafeAssign to improve the product.y

Clearly and accurately describe in detail how Grammarly, SafeAssign, and paraphrasing contributes to academic integrity. Include sufficient evidence that Grammarly and SafeAssign were utilized to improve responses.
Part 3, Section 2: Strategies for Maintaining Integrity of Work
Expand on your thoughts from Section 1 by:

  • Clearly identifying and accurately describing strategies you intend to pursue to maintain integrity and ethics of your 1) academic work while a student of the MSN program, and 2) professional work as a nurse throughout your career.
  • Include a clearly developed review of resources and approaches you propose to use as a student and a professional.Academic Success and Professional Development

Note: Add your work for this Assignment to the original document you began in the Week 1 Assignment, which was built off the Academic Success and Professional Development Plan 
References
American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000

  • Chapter 6, “The Mechanics of Style”
  • Chapter 8, “Works Credited in the Text”
    • Section 8.2, “Plagiarism”
    • Section 8.3, “Self-Plagiarism”
    • Paraphrases and Quotations
  • Chapter 10, “Reference Examples”

Glasper A. Does cheating by students undermine the integrity of the nursing profession? British Journal of Nursing. 2016;25(16):932-933. doi:10.12968/bjon.2016.25.16.932

Academic Success and Professional Development

Quality Improvement Initiative Evaluation

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Quality Improvement Initiative Evaluation

Paper details

Deliver a 5–7-page analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to specific disease, condition, or public health issue of personal or professional interest to you.
Too often, discussions about quality health care, care costs, and outcome measures take place in isolation—each group talking among themselves about results and enhancements. Because nurses are critical to the delivery of high-quality, efficient health care, it is essential that they develop the proficiency to review, evaluate performance reports, and be able to effectively communicate outcome measures related to quality initiatives. The nursing staff\’s perspective and the need to collaborate on quality care initiatives are fundamental to patient safety and positive institutional health care outcomes.Quality Improvement Initiative Evaluation

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SHOW LESS
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
    • Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.
  • Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
    • Analyze a current quality improvement initiative in a health care setting.
    • Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.
  • Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality
    • Incorporate interprofessional perspectives related to initiative functionality and outcomes.
  • Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
    • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Quality Improvement Initiative Evaluation
 

Dermatology Case Study

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Dermatology Case Study

DERMATOLOGY CASE STUDY

Chief complaint:  “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”.

HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief. She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin AF cream and it did not help relief her symptoms. She has not tried other remedies. Denies associated symptoms of fever and chills. Dermatology Case Study

PMH:

Diabetes Mellitus, type 2.

Surgeries: None

Allergies: Augmentin

Medication: Metformin 500mg PO BID.

Vaccination History: Immunization is up to date and she received her flu shot this year.

Social history:

College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN.

ROS:

Constitutional: Negative for fever. Negative for chills.

Respiratory: No Shortness of breath. No Orthopnea

Cardiovascular: Regular rhythm.

Skin: Right great toe swollen, itchy, painful and discolored.

Psychiatric: No anxiety. No depression.

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Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.

HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally.

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.Dermatology Case Study

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.

MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.

SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit.

PSYCH: Normal affect. Cooperative.

Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Proximal subungual onychomycosis

Differential Diagnosis:  Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis

Special Lab: Fungal culture confirms fungal infection.

Please see below:

Now that you have identified the treatment for onychomycosis and labs for baseline and follow up therapy. For Week 6, please address the following:

  1. Specify when to refer the patient after therapy and why? Provide rationale.
  2. According to the recommended guidelines, what are the non-pharmacological approaches to Onychomycosis?
  3. Provide patient education. Keep in mind the past medical history of this patient. Dermatology Case Study

Case Study Examples Dermatology

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Case Study Examples Dermatology
Chief complaint:  “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow. I can’t wear closed shoes and I was fine until I started going to the gym”.
HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation, and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the gym. She did not pay much attention. About two weeks after the itching became intense and she applied Benadryl cream with only some relief. She continued going to the gym and noticed that the itching got worse and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned completely yellow 2 weeks ago. She applied lotrimin AF cream and it did not help relief her symptoms. She has not tried other remedies. Denies associated symptoms of fever and chills. Case Study Examples Dermatology

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PMH:
Diabetes Mellitus, type 2.
Surgeries: None
Allergies: Augmentin
Medication: Metformin 500mg PO BID.
Vaccination History: Immunization is up to date and she received her flu shot this year.
Social history:
College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a former smoker and quit 6 years ago.
Family history:
Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, HTN.
ROS:
Constitutional: Negative for fever. Negative for chills.
Respiratory: No Shortness of breath. No Orthopnea
Cardiovascular: Regular rhythm.
Skin: Right great toe swollen, itchy, painful and discolored.
Psychiatric: No anxiety. No depression.
Physical examination:
Vital Signs
Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 130/70 T 98.0, P 88 R 22, non-labored
HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.
NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.
LUNGS: No Crackles. Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress.
HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. 1+ pitting edema ankle bilaterally.
ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.
GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.
MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.
SKIN: Right great toe with yellow-brown discoloration in the proximal nail plate. Marked periungual inflammation. + dryness. No pus. No neuro deficit.Case Study Examples Dermatology
PSYCH: Normal affect. Cooperative.
Labs: Hgb 13.2, Hct 38%, K+ 4.2, Na+138, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.
A:
Primary Diagnosis: Proximal subungual onychomycosis
Differential Diagnosis:  Irritant Contact Dermatitis, Lichen Planus, Nail Psoriasis
Special Lab: Fungal culture confirms fungal infection.
Please see below:
Now that you have identified the treatment for onychomycosis and labs for baseline and follow up therapy. For Week 6, please address the following:

  1. Specify when to refer the patient after therapy and why? Provide rationale.
  2. According to the recommended guidelines, what are the non-pharmacological approaches to Onychomycosis?
  3. Provide patient education. Keep in mind the past medical history of this patient.Case Study Examples Dermatology

 
 

5 Nursing Care plan for Josephine Morrow

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5 Nursing Care plan for Josephine Morrow

(A). Develop 3 care plan for the patient name Josephine Morrow

Follow the NANDA Nursing Diagnosis List attach

2 physical problem

1 psychological problem

Write 2 expected outcome with a time set for example

within in two weeks patient will……………………

within a month patient will…………………

(B). Develop 3 care plan for the patient Christopher Parrish

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 Follow the NANDA Nursing Diagnosis List Attach

2 physical problem

1 psychological problem

Write 2 expected outcome with a time set for example

within in two weeks patient will……………………

within a month patient will…………………

NANDANursingDiagnosisList18-204

5 Nursing Care plan for Josephine Morrow

Covid 19 and Pregnancy Discu6 Code

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Covid 19 and Pregnancy Discu6 Code

Discuss the current Coronavirus pandemic , the effects on pregnant women  and how they can protect themselves from the virus. In addition, please answer the following questions listed below. You may use any reliable source. However, please make sure to visit the CDC website which has the most up to date, accurate information.

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1. Can they pass the virus to the baby while they’re pregnant?

2.Is breastfeeding safe if you have COVID-19?

3. What is the treatment of COVID-19 in pregnant women?

 

**This discussion response must be a minimum of 250 words,  requires double spacing,  12 pt Time New Roman font. PLEASE CHECK WORK FOR GRAMMATICAL ERRORS. THIS DISCUSSION DOES NOT NEED TO BE IN APA FORMAT. Covid 19 and Pregnancy Discu6 Code