Tag: Health Medical

I’m working on a health & medical discussion question and need support to help me learn.

Discussion:

• The process of enacting legislation is a way of effecting change. Use the following website to conduct research this week on a piece of healthcare legislation that has been either presented or passed in the last five years: http://www.ncsl.org/research/health.aspx (Links to an external site.). Write a summary of the new laws (or proposed laws) and how they progressed through the legal system. Did they experience any setbacks, or did they progress through the system as expected? If they experienced delays, why do you think these delays occurred?

I’m working on a health & medical question and need an explanation to help me learn.

Based on your exploration of the Sigma Theta Tau International website, provide 3

specific examples of the globalization of nursing. At least one example must include an example of an internationally written article from the most recent issue of the Journal of Nursing Scholarship

To analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.

Chapter 6, Case 1Trisha is a 28-year-old, unemployed white female. She is no stranger to therapy, having seen counselors for most of her teen and adult years. Her friends would describe her as a “wild woman” who takes no crap from anyone. She has held various part-time jobs for the last few years because she usually gets angry at her boss or coworkers and quits. While she has had a string of boyfriends over the years, she has been seeing one man for the last year or so. He too is unemployed and has both an alcohol and methamphetamine problem. She describes the relationship as “addictive and dysfunctional, yet exciting and hot.” Trisha is back in treatment at the urging of her parents, who describe her behavior as erratic and unpredictable. They also claim that she has periods where she “sleeps little and parties lots.” There were also several occasions in the last five years when she was so depressed she didn’t eat or want to leave the house. Her father also admits to periods of depression, and Trisha’s grandfather was diagnosed with manic depression, resulting in numerous hospitalizations in the 1950s and 1960s. Trisha’s only brother died in a car accident several years ago. He was drunk at the time, but she claims he had a long history of depression. Recently Trisha was arrested for disorderly conduct at a friend’s party. She had not slept for nearly 24 hours and was drunk and combative. When she was first approached by police, she solicited them for sex. They report that she was rather hyperverbal and hyperactive. They later had to investigate a complaint from local storeowners for bad checks she wrote in excess of $7,000.Questions:Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers. 

1. Summarize the clinical case.
2. Create a list of the patient’s problems and prioritize them.
3. Which pharmacological treatment would you prescribe? Include the rationale for this treatment.
4. Which non-pharmacological treatment would you prescribe? Include the rationale for this treatment.
5. Include an assessment of treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence.

There are two (2) parts to this assignment. Both parts must be completed and presented in a singular post. Creativity in communication style utilized is encouraged, provided all the required responses are easily and succinctly identified.

The first part is to go to this Hospital Compare webpage and perform a comparison of two (2) hospitals. The hospitals can be local or opportunities for your future employment. To complete the first part of this assignment, the following five (5) comparative questions must be answered:

1. What is the type of hospital (acute, rehab, etc).
2. How do the hospitals’ overall rating details? (i.e. 3/5 stars)
3. Describe at least three (3) patient survey rating responses. Identify how each response compares against the national average along with how it impacts patient care.
4. Select one (1) element under timely and effective care, such as sepsis care or heart attack care, and compare hospitals’ ratings to the national average. Locate a research or scholarly article describing this element and cite it in proper APA format.
5. Select another element under unplanned hospital visits, such as readmission of heart attacks or COPD, and compare the hospitals’ ratings against the national average. Locate a research or scholarly article describing ways to prevent the element under unplanned hospital visits and cite it in proper APA format.

The second part of this assignment is to examine the cost of a diagnosis or procedure for the same two (2) hospitals utilized in Part 1. To complete the second part of this assignment, the following three (3) tasks must be addressed.

1. Identify and describe a diagnosis or procedure, either outpatient or inpatient.
2. Compare the associated cost of the selected diagnosis or procedure at the two (2) hospitals using the following websites, or your personal insurance resources if available.
   • Texas Hospital Association
   • Texas Price Point
   • Hospital Cost Compare
   • Fair Health Consumer
3. Identify how would you utilize these webpages for patients and/or family/friends?

Discussion Questions Requirements: Main discussion post should be at least 2-3 paragraphs. Two peer responses should be at least 50 words minimum.

NUR415 Discussion post:

Step 1: The patient-centered medical home (PCMH) model, also known as a health home, is a health care delivery model designed to improve access to care, increase quality, and reduce costs. Familiarize yourself with the PCMH model. Use these websites or research them on your own.

• The Medical Home Model of Care (Links to an external site.)
• How the Affordable Care Act Will Strengthen the Nation’s Primary Care Foundation (Links to an external site.)
• Health Policy Gateway (Links to an external site.)

Step 2: For this discussion, select one of the health care delivery settings discussed in the assigned reading (e.g. home health/hospice, long term care, the VA system, retail/nursing clinics, community health centers) and consider ways in which the setting could incorporate aspects of the PCMH model. Specifically address access, quality, and cost. Finally, discuss the nurse’s role in advocating for these changes. If possible, share your own experiences and example of this model (or related principles).

Step 3: Read other students’ posts and respond to at least two of them.

Cite any sources in 7th. ed APA format.

Response Posts: In your responses to your classmates, contribute to the discussion with your own original opinions or interpretation of the course materials.

NUR415 Student Posts:

Student#1: A PCMH is a model of care that strengthens the clinical-patient relationship by replacing episodic care with coordinated, whole person, and long-term care (Patient-centered medical home 2011: Health care that revolves around you, 2011). The primary care clinician leads a team of clinical and community health providers who take collective responsibility for patient care. They coordinate care for the patient’s health needs and arrange for appropriate care with other qualified health services.

For my discussion I am selecting home health, I am currently working in this area of nursing and have been for 4 years now. Home health has been on the rise due to shorter hospitalization time.

Access: Access to home health is easily obtained when discharge you will be appointed a home health agency if home health is needed, or you can use your specified agency of choice. If not recently hospitalized, then the signing provider would send over a referral and other needed documents for start of care (SOC). When admitted to home health services they usually extended on call hours for patient’s convenience if anything comes up.

Quality: The quality of care received in home health is great considering all services will be provided to the patient in the home due to taxing effort to leave home. Services can include but not limited to RN/LPN, PT/PTA’s, OT/COTA’s, ST, and MSW. From my experience home health has been a great asset in the rehabilitation process for patient’s recovery and management of chronic conditions.

Cost: The company I am currently working for excepts all major insurances. The cost billed is per visit rate or per episode. The cost is reasonable considering the cost of hospitalization/SNF cost.

In home health nurses are the case manager coordinating all aspects of care. I feel like we do a great job with access and cost of care. I do always feel like there is room to improve the quality of services to always ensure we are striving for excellences when it comes to enhancing patient centered outcomes.

Student#2:Hospice care services provide clinical, social, emotional, and spiritual care and support for a patient and their immediate family members near the end of life. As part of hospice, the care team provides palliative care—designed to keep the patient as comfortable as possible with a variety of interventions to reduce and manage pain and other symptoms (BAYADA, 2019). Hospice patients benefit from home health because they can live out their remaining days in the comfort of their home. Being at home surrounded by family and friends can at times improve the quality of life.

To access hospice care, your loved one must be diagnosed by a physician with a terminal illness with less than six months to live if the illness follows its typical path. If your loved one lives beyond this six-month timeframe, they can continue to receive hospice care if a physician recertifies their eligibility (When Is It Time for Hospice? When to Call Hospice Care, n.d.). When a patient beings hospice, they receive care from a team who will support their physical, emotional, and spiritual needs. All medication, and medical supplies and equipment related to the diagnosis are provided at no additional cost to the patient or family. Nurses should always advocate for whatever will provide their patient with the best quality of life, and even more in the ending stages of life!

NUR425 Discussion Post

To create your initial post to this discussion forum, complete the following steps.

Step 1: Find an article.
Identify one peer-reviewed article from a nursing journal focused on the health needs of one of the following populations in the United States:

• Women
• Children and adolescents
• Families

Step 2: Read the article.
Critically read the article. While you read, note the audience targeted by the article, the purpose of the article, how evidence is incorporated into the nursing implications, the major ideas of the article, whether the article makes sense, whether the conclusions are logical, and so on.

Step 3: Summarize the article and propose a population-based intervention
Summarize the article, including the audience and purpose of the article, as well as the implications for population-based nursing. Based on the information in the article, propose one population-focused intervention. Make sure that you use APA format to properly cite the article.

Step 4: Post to the discussion forum.
Post the summary of your article to the discussion forum.

In addition to your original post, be sure to provide a meaningful response to at least two of your peers’ posts. Read other students’ article summaries and respond to at least two other students’ postings that focused on the health needs of two populations that were different from the one you chose. (Step 1 lists the three populations.) What else do you want to know about the health need? Comment and/or expand on the implications for population-based nursing posed for the other two populations. Give suggestions for enhancing the proposed interventions. Expand on aspects of population-based and community-based nursing as defined by others that are different from or complementary to your own ideas.

Your initial post should be 2-3 paragraphs long and follow the requirements outlined in the discussion rubric. Please add to the discussion in your peer responses with informative responses, instead of posts similar to “great idea! I really agree with you.” The initial post and the peer responses have different deadlines. Make sure that your discussion adheres to these deadlines.

APA guidelines and plagiarism prevention matter in discussion posts just like with other scholarly assignments. Cite all references appropriately using APA format.

NUR425 Student Posts:

Student#1: I read an article from the American Journal of Nursing that addresses the use of alcohol in women who are pregnant. Alcohol consumption during pregnancy can influence fetal development, causing lifelong behavioral, intellectual, and physical impairments known as fetal alcohol spectrum disorders. (FASD’s) No amount or type of alcohol is considered safe to consume during pregnancy. High and sustained levels of alcohol use during pregnancy increase the likelihood of FASDs in children exposed prenatally. Because of alcohol’s potential teratogenic effects, abstinence from alcohol is recommended for pregnant women. (Mitchell, A. 2020).

However, despite the warnings on harming an unborn baby, alcohol use in pregnancy is still common. A recent analysis of 2015-2017 Behavioral Risk Factor Surveillance System (BRFSS) data found that an estimated 11.5% of pregnant women 1 in 9, reported alcohol use and 3.9% reported binge drinking in the past 30 days. 10.2% of pregnant women reporting current drinking and 3.1% reporting binge drinking. The U.S. Preventive Services Task Force (USPSTF) recommends screening for unhealthy alcohol use as a population-wide clinical preventive service that includes doing the screening on pregnant women. This tool provides moms engaged in drinking with brief behavioral counseling interventions. (Mitchell, A. 2020).

Based on the information in the article, a community health nurse would focus on prenatal education and maintaining the health of the mother and child during pregnancy. Advocating for maternal health and wellness in ways such as teaching about healthy foods, prenatal vitamins, staying active safely, and abstaining from hazardous teratogenic substances that may harm their unborn child. Addressing all issues that bring danger to the child they are holding safe in utero would be a priority. Engaging in discussion groups, encouraging peer counseling, providing resources that help mothers not only sustain from alcohol but any substance such as nicotine or narcotic medications that are toxic to the fetus.

Student #2:I read an article about the effects of screentime on the health and well-being of children and adolescents. The purpose of this article was to show evidence that screen time for children and adolescents can have multiple health issues. The audience of this article is children and adolescents. There are many side effects of having too much screen time for our children.

It was found to have moderately strong evidence for associations between screentime and more significant obesity and higher depressive symptoms; moderate evidence for an association between screentime and higher energy intake, less healthy diet quality, and more inferior quality of life (Stiglic & Viner, 2019). There was weak evidence for associations of screentime with behavior problems, anxiety, hyperactivity and inattention, poorer self-esteem, poorer well-being and poorer psychosocial health, metabolic syndrome, poorer cardiorespiratory fitness, poorer cognitive development, and lower educational attainments and poor sleep outcomes (Stiglic & Viner, 2019). There was no or insufficient evidence for an association of screentime with eating disorders or suicidal ideation, individual cardiovascular risk factors, asthma prevalence, or pain (Stiglic & Viner, 2019).

I think a proposed intervention would be to get our children engaged in more physical activities. Sometimes parents are left to blame as well; we use screen time as a babysitter. We as parents need to be involved in our children’s lives and spend time with them by throwing a ball, swimming, riding bikes, anything to help promote physical activity. We are supposed to lead by example, and when our children see us on the phones all the time, then that is what our children want to do as well.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.
2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
3. Consider the course discussions so far and any insights gained from it.
4. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

Assignment:

Roy and Neuman

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least one (1) source and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Create a PowerPoint Presentation to discuss the following…

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

• How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
• Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
• From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
• Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Assignment Expectations:

Length: 10-15 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.
2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
3. Consider the course discussions so far and any insights gained from it.
4. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

Assignment:

Roy and Neuman

Create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least one (1) source and the textbook using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Create a PowerPoint Presentation to discuss the following…

Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad that he had been able to come back to his own home town for outpatient treatment. It took an hour to get here but at least he could see his girl almost every day. Sure he had moved back in with his mom but it was easier to have someone to help him get around and cook for him. It was a bummer that he couldn’t work right now. He guessed it didn’t matter much since he really didn’t have a job to go back to. He had been replaced at the plant. They said they would find something for him to do once he could get around more easily. Eddie sure hoped the doc would take the pins out of his leg today and give him a clearance to work.

• How would the use of the Roy Adaptation Model assist the nurse in planning the continuation of care for Sgt. Johns?
• Describe the influence of Roy’s Theory in guiding the nurse’s actions in promoting Sgt. Johns adjusted self-concept.
• From the perspective of the Roy Adaptation Model, why is it important for the nurse to listen to Sgt. Johns’ “story” in his own words and not just base her interactions on information from the chart, fellow colleagues, or his family?
• Based on Neuman System’s Model, identify at least 4 stressors from the case study. Create a plan of care based on Neuman Systems Model for Sgt. Johns.

Assignment Expectations:

Length: 10-15 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) outside scholarly sources and the textbook are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft PPT document (.pptx) or a PDF document (.pdf)

I don’t understand this Nursing question and need help to study.

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.

I need help with a Nursing question. All explanations and answers will be used to help me learn.

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue.