Congressional Budget Office Assignment

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Download Options for Reducing the Deficit: 2017 to 2026 from the Congressional Budget Office website.

Read Ch. 5 of the report.

Select one of the health options listed.

Select a health care facility or service (e.g., hospital, physician practice, long-term care facility, ambulance service, pharmacy, or skilled nursing facility), and evaluate the effects that implementing the health option would have on a health care facility or service you selected. Congressional Budget Office Assignment

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Write a 350- to 525-word article about your evaluation and proposed changes to the facility or service that can help curb negative effects.

Publish the article on your own social media account (e.g., LinkedIn, Facebook, etc.), or post it on a health care message board of your choice.

Include a citation of your article in your assignment. (I WILL PUBLISH)

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality). Congressional Budget Office Assignment

attached is the grading rubic for this assignment pay attention

 

Materials

  • Options for Reducing the Deficit: 2017 to 2026 – found on internet
  • Congressional Budget Office- found on internet. Congressional Budget Office Assignment

Question on Discussion Post

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An individual is referred to your office by his parole officer.  This 19-year-old male, named Sam, was recently arrested for a “psychotic break” that caused him to throw a chair through the neighborhood drug store window.   Sam’s parents arrive and Sam agrees to have his parents present during the interview. Question on Discussion Post

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His parents state Sam recently withdrew from college after experiencing a “resounding moment” in which he changed his major from engineering to philosophy and increasingly had reduced his sleep, spending long hours engaging individuals in the commons in conversations about the nature of reality and how he is gaining an appreciation “for all life”. He had been convinced about the importance of his ideas, stating frequently that he was more learned and advanced than all his professors. He told many that “I should be the one teaching these courses, after all, I understand it much better than my professors”. Sam has also increased the number of high-risk behaviors – drinking and engaging in sexual relations in a way that was unlike his previous history.  He also has spent a considerable sum of money on “projects to help the world” – unfortunately, he has never completed a project. Question on Discussion Post

Sam’s parents also state that Sam was diagnosed previously by his PCP with MDD and GAD.  “These new behaviors are just that – new – since he went to college”.

Further discussions with Sam and his parents reveal that he has never experienced hallucinations and you believe that he currently is not experiencing any delusions.  Sam states “I am what I am”.

  1. What diagnosis do you believe may apply to this individual?
  2. What classifications of medications can be used to treat this disorder?  Which medication do you recommend and why? Question on Discussion Post

Advanced Nursing Inquiry and Evidence Based Practice

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Mixed methods research designs combine quantitative and qualitative research methods to answer research questions requiring both perspectives.

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Describe the pros and cons of a mixed method research design. Please include 400 words in your initial post with two scholarly references by Wednesday midnight. Please answer two peers by Saturday midnight with 200 words. Advanced Nursing Inquiry and Evidence Based Practice

Triage Assignment Paper

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Triage involves the rapid assessment and prioritization of patients. Compare the three-tiered system of triage to the Mass Casualty Incident (MCI) triage philosophy. Imagine that you are the Triage Nurse during an MCI. How will you categorize the following patients using the MCI triage philosophy? Explain your answer. Are there any ethical issues that should be considered? Triage Assignment Paper

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10-year-old boy with massive head injury, no spontaneous breathing, BP 60 palp
22-year-old female with a close fracture of the left arm
60-year-old male with a laceration in the leg complaining of shortness of breath
15-year-old girl with glass embedded in the eyes
52-year-old male with a pulse of 30 and a blood pressure of 70/30. Triage Assignment Paper

pn2 m2 Discussion

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Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions:

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  1. What interventions do expect to be ordered for Mr. Sweet? Why?
  2. What type of acid-base disturbance does he have?
  3. What do you think is Mr. Sweet’s Medical Diagnosis? pn2 m2 Discussion

Discussion Post- Presentation Reflection

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Please answer the questions below on regards of

Inadequate Pain Management in Postoperative Patients

  1. Regarding your presentation assignment, what did you learn about the research project?
  2. Would you have approached the assignment differently? Why or why not? Discussion Post- Presentation Reflection

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Submission Instructions:

  • Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Discussion Post- Presentation Reflection

Ethical Dilemma Assignment

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Today’s health care environment gives nurses many reasons to be conflicted. Genetic testing, abortion, and end of life care are just some of the areas in which nurses may face ethical dilemmas.  Ethical Dilemma Assignment.Consider how you feel about the following issues:

  • Respecting the wishes of a suffering client that he is permitted to die with dignity,
  • Respecting the health surrogate’s wishes regarding termination of life support,
  • Or even observing another nurse take two tablets of oxycodone as ordered but keeping one for herself.

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Then give an example of an ethical dilemma you may have confronted in your own clinical experience or workplace. How did you come to the decision you made? What feelings did you experience while coming to that choice? (If you have not yet faced an ethical dilemma, research one and comment on it, answering the same questions.) Ethical Dilemma Assignment

At least 2 pages with reference

Laboratory for Diagnosis, Symptom and Illness Management Assignment

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Soap Note 1 is based on the Case Study # 1 (10 Points)
You MUST use the Case Study #1 as the base of this SOAP NOTE #1 
Must use the sample template for your soap note, keep this template for when you start clinicals.

Templates used from another classes will not be accepted. Student must use the template provided in this class which must clearly contain the progress note (in the Assessment section) of the encounter with the patient ( this section is clearly mark in bold, highlighted  and underlined). No passing grade will be granted if this section is not completed properly.  Laboratory for Diagnosis, Symptom and Illness Management Assignment

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Late Assignment Policy

Assignments turned in late will have 1 point taken off for everyday assignment is late, after 7 days assignment will get grade of 0 (zero). No exceptions

Follow the MRU Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations. Laboratory for Diagnosis, Symptom and Illness Management Assignment

Obesity Assignment Paper

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A predominant theme in research and practice today is obesity, which is increasing at an alarming rate worldwide in all ages. As a future nurse practitioner:

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  1. How would you approach or discuss the topic of obesity and diet with your adult or geriatric patients? Obesity Assignment Paper
  2. What are the possible health consequences of obesity and what factors need to be taken into consideration when treating the obese patient who also has multiple comorbidities (e.g., hypertension, diabetes, high cholesterol)?

instructions: APA format discussion post, must have at least 3 references. a page is enough length. Obesity Assignment Paper

Discussion APRNs

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APRNs are primary care providers, pivotal in providing primary health care and preventive services in communities. Advanced practice nursing is defined by the Nurse Practice Act but governed by the Board of Nursing in different states or territories. Where the Nurse Practice Act falls short in interpretation, the Board of Registered Nursing guides the form of an opinion (American Nurses Association, n.d.). Advanced practice nurses should understand how these laws and regulations shape practice. Discussion APRNs

I am from California, and I chose Iowa for comparison. In both states, APRN nursing regulations allow advanced practice nurses to function as primary care providers with permission to certify disability pursuant to the unemployment insurance code section2708 (California Legislative Information, n.d.). Similarly, in both states, APRNs also sign POLST forms.

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APRNs in California can prescribe controlled substances after fulfilling specific requirements, including six months of physician supervision, a pharmacology course, and another specific course about schedule II-controlled drugs. Discussion APRNs. Iowa Board of Registered Nursing also allows nurse practitioners to prescribe Schedule II drugs after registering with the pharmaceutical board. Both states require the prescriber to be registered with the Drug Enforcement Agency.

Advanced Registered Nurse Practitioners in Iowa have autonomy in practice; alternately, they can collaborate with a physician or surgeon, but this is not a requirement of the Iowa Board of Nursing. APRNs in Iowa practice autonomously. California has a standardized procedure arrangement for advanced practice nurses to diagnose, treat, and prescribe. APRNs in California have career-long supervision, delegation, or team management by a physician. Largely, California regulations allow advanced nurse practitioners to approve, sign, or modify treatment plans after consultation with a physician.

California Board of Registered Nursing allows for using marijuana by nurses as long as it is not used within the workstation. The legislation makes it unlawful for an employer to eliminate hiring someone based on that person using Cannabis away from their workstation. The legislation further guides that a nurse who uses cannabis for medical purposes should also be exempted from this policy. On the contrary, recreational use of marijuana is illegal under Iowa law. A nurse may be affected even if the positive drug screen was done in another state that allows the use of marijuana. Potential employers usually forward positive marijuana screens where a nurse has a license. Discussion APRNs.

Advanced Practice Registered Nurses with full legal authority to practice at full scope will have issues practicing autonomously in California because of the restricted practice legislation. One of the objectives of the ANA is to fight barriers to nursing practice so that nurses practice to the full extent of their education and training despite being in different territories. All nurses are licensed by their state of practice or by a multistate license. The Nurse Licensure Compact provides APRNs with a multistate license that allows nurses to practice in the home state and other compact states (NCSBN. (n.d.). Not all states are compact states.

Nurses adhere to the rules through continuous education to keep up with the latest practices and technology. Many approved colleges provide the necessary certification; some are state-specific, and others can be found online. Joining Professional organizations is also useful for sources of the latest information in the medical world.

explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples. Discussion APRNs