Discussion Post-Political Issues for Nursing

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Go to the ANA home page and search for their Advocacy Policy. Read through the ANA Advocacy Policy’s web pages.

Look at issues at a federal, state, or local level for which the ANA is advocating change or new policies.

Which one are you most eager to see enacted? Why does it interest you? How will passage of such legislation affect you or your patients?

https://www.nursingworld.org/

week 1

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This discussion forum will focus on the first step in program planning: assembling the change team.

1,Review the Process of Program Planning document posted in the Week 1 module. The objective of step 1 in the program planning process is to assemble a team of leaders, staff members and possibly healthcare consumers with the authority, expertise, credibility and motivation necessary to drive a successful change program.

2.Consider your workplace, or the workplace where you will complete your capstone project. Answer the following questions in your initial post:

a. Provide a brief description of the workplace, at the level where change will be instituted (ie. unit versus hospital)

b. Which individuals would you want on a team to investigate the need for change? It is not necessary to name individuals, but rather to list their job titles. What is your rationale for selecting these individuals? Do they fulfill any of the following team roles?

–Executive Sponsor –a senior leader with enough clout to implement new approaches

–Clinical or Technical Support-has expert knowledge of the relevant clinical subject matter or of the technology used

–Champion– Staff who are supportive of a change, and willing to mentor others to make change happen

–Front-line leader– Understands the impacts of making changes on processes used in the delivery of nursing and healthcare

c. Discuss the use of interdisciplinary change teams. Are they more or less impactful than those of one discipline? Please provide a rationale explaining your answer.

In addition to your original post, be sure to provide a meaningful response to at least two of your peer’s posts. The discussion closure for each week’s discussion topic is Sunday night at 11:59pm Mountain Time. (It is the expectation of this course that each student respond to any questions asked of them in the discussion forum by Sunday at 11:59pm Mountain Time.). cite all resources per APA

Discussion

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Discussion

Purpose

The final week will focus on Global Policy Reform and its impact on patient care.  Students read the Berwick article and respond to the required discussions.  In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses.

Requirements

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. 
Journal of American Medical Association, 320(13), 1317-1318. 

Read the Berwick article and reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Reflections should include the following: 

1. How to make informed decisions on nursing practice and patient outcomes on a global basis.  In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.   

2. Describe how one will apply content from NR506NP to the upcoming clinical courses.

discussion

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  1. After studying the lesson “Nursing Leadership” in Chapter 21 of the textbook (eBook), open a discussion forum by answering the following questions:
  2. What is leadership?
  3. What is a leader?
  4. How does a nurse demonstrate leadership characteristics? Explain.
  5. Do you think Florence Nightingale was a leader in the nursing profession? Why?          Explain.
  6. Describe the following types of leadership: autocratic, democratic, and Laissez-Faire. Give an example of each one within the nursing field.
  7. This topic will be part of class discussion this week (Module 7).
  8. In addition to the eBook, you are required to use at least two more primary references.
  9. Remember APA style when use references “in-text” citation and in the References at the final of your publication.
  10. Submission Instructions:
  • Submit your discussion post by 5:59 PM Eastern on Thursday, October 5th, 2023. 
  • Your initial post should include at least 2 academic sources, formatted and cited in APA.
  • Respond to your classmates’ discussion posts by 11:59 PM Eastern on Saturday, October 7th, 2023. Ask a question, and provide a different viewpoint.

CASE STUDY 1

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Case Study #1 – Cardiac

 This case study is meant to be completed individually.  Please place questions and answers into a Word document and upload into the drop box when complete.  APA formatting is not necessary, but you must cite your work and avoid copy/pasting from any source…paraphrase!

Mr. Jones is a 52-year-old obese man with a medical history of gastric reflux and degenerative arthritis.  He arrives at the emergency department with his wife. They had been to dinner and a movie. During the movie Mr. Jones began experiencing excruciating chest pain that radiated to his jaw and left arm.  He appears short of breath and diaphoretic. He reaches the registration window when he suddenly collapses. The nurses place him on a stretcher. He has no pulse, and the monitor reveals ventricular tachycardia.  He was successfully converted to sinus rhythm after one minute of CPR and one defib/shock at 300 joules.

Mr. Jones regains consciousness after his rhythm converts.  He has a blood pressure of 130/92, a heart rate of 112, and a respiratory rate of 24.  O2 is immediately started at 3 liters/minute. Three 18 g IV’s are started, lab work is drawn (CPK-MB, Troponin, CBC, PT, PTT, type and screen & Chem 21) and a 12-lead EKG is preformed. He still complains of chest pain (8/10) and nausea. Sublingual NTG 1/150 gr is given.  The 12-lead EKG reveals sinus tachycardia, a PR interval of 0.24, and 3 mm ST-segment elevation in leads V2, V3, & V4. 

After being admitted to the CCU Mr. Jones complains of chest pain continuing at 8/10. Mr. Jones is given IV morphine 4mg and a nitroglycerin gtt.  This drip was started 10 mcg/min and titrated up every 3-5 minutes until the pain was relieved at 50 mcg/min.  His blood pressure drops to 84/40.  He is pale and diaphoretic.  He is prepared for a percutaneous coronary intervention (PCI) and taken to the cardiac cath lab.

Questions

  1. What classic signs and symptoms did Mr. Jones experience which would indicate myocardial infarction (MI)? What are the specific pathophysiological reasons for each of these signs and symptoms?
  2. What ECG changes indicate myocardial injury? According to the ECG, which coronary arteries were experiencing occlusion and subsequently what area of the heart was being affected? (List the type of change and the coronary artery most often associated with changes in V2, V3, and V4.
  3. What are three things the nurse can do to speed up the time between admission and intervention? 
  4. How is a heparin drip calculated and what is the nurses’ role in maintaining this medication?
  5. If the blood pressure drops while the patient is receiving nitroglycerin, should the nitro be shut off completely?
  6. Why is morphine the drug of choice for cardiac pain?
  7. With this type of MI, an intra-aortic balloon pump may be inserted.  What are the two main functions of the IABP?
  8. What are three differences between CKMB’s and Troponin blood tests?
  9. After the angioplasty and stent placement, Mr. Jones is admitted to the CCU for monitoring.  What are the nursing considerations and assessment priorities for a patient with an arterial sheathe in place?
  10. Once admitted to the CCU, what nursing diagnosis would be the top priority? (The diagnosis must include the “related to” and “as evidenced by”). 
  11. After angioplasty, the patient begins experiencing frequent PVC’s.  What does this indicate and what should be done about it?
  12. If the patient begins to experience chest pain post angioplasty, what is the first thing the nurse should do?
  13. Patient teaching should consist of education about risk factors and lifestyle modifications.  What are three things the nurse could teach Mr. Jones about prior to discharge?
  14. Mr. Jones is going to be discharged on Plavix, Lopressor, Zocor, and Aspirin.  List one teaching point for each of these medications.
  15. Discuss the American Association of Critical Care Nurses (AACN) Synergy Model and how this concept would be important in this patient’s care.

DIABETES AND DRUG TREATMENTS

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Each year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.

For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

To Prepare:

  • Review the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.
  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.

 Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples. 

PMHNP

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Research the 3 highest priority Differential Diagnoses, the proposed interventions with rationale and respond to the case.  

BHA415 Module 1 Case SLP Module 1

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10/9/23, 8:16 AM SLP – BHA415 Topics in Health Care Policy (2023OCT09FT-1)

https://tlc.trident.edu/d2l/le/content/202602/viewContent/5126056/View 1/1

Privacy Policy | Contact

Module 1 – SLP

POLICYMAKING IN THE GOVERNMENT AND THE PRIVATE
SECTOR

Explain the difference between regulatory health policies and allocative health
policies.

What are determinants of health? How are they related to the determinants of
health policy?

SLP Assignment Expectations

1. Conduct additional research to gather sufficient information to justify/support your
analysis.

2. Limit your response to a maximum of 3 pages.

3. Support your paper with a minimum of 3 reliable sources. The course textbook
counts as one, and at least one of the others should be a peer-reviewed article.
Use How to Recognize Peer-Reviewed (Refereed)
Journals – http://www.angelo.edu/services/library/handouts/peerrev.php

4. Please use Evaluating Internet Resources for evaluating information found on the
internet to ensure that you are using reliable sources:
https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-
content

5. You may use Purdue OWL to assist in formatting your assignment:
https://owl.english.purdue.edu/owl/resource/560/01/.

Listen

Nursing

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Omaha System Case Study for Home Visiting Rubric.html

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Omaha System Case Study for Home Visiting Rubric

Criterion

(Questions should be answered specifically for the chosen case study)

 Points

1. What key criteria will the PHN need to consider for a successful first visit with this client? 

2

2. How will the PHN establish professional boundaries with this client?

2

3. How will the PHN communicate confidentiality with the client?

2

4. What may some ethical challenges be during this home visit with the client? 

2

5. How does the ANA Scope and Standards of Public Health (2013) nursing practice guide the responsibilities of the public health nurse in this case study? Cite this resource within your answer.

2

6. Identify key communication skills to assure respectful interaction with this client.

1

7. Describe the components of the nursing process in the planned home visit with this client. 

1

8. Identify priority problems for this individual/family.

1

9. Identify plan and nursing interventions for this individual/family. Expand on what was written in the case study.

1

10. Identify plan to evaluate problem outcome.

.5

11. Professionally written using APA formatting and writing mechanics.

.5

Total Points

15 points