G.K. is a family nurse practitioner in the health department of a large city. She is responsible for following up with infants and children who have been referred to the health department. Most of her referrals come from the hospital upon discharge of an infant going home to a potentially high-risk environment.G.K. follows up with each child to ensure he or she is in a safe environment and is growing and developing adequately. She provides education and support to the parents so they can anticipate and respond appropriately to the challenges of raising children.Define and describe the following influences that can affect individual’s potential for growth:• genetic factors• prenatal and postnatal exposures• nutritional factors• environmental factors• life style• health care practices. Answer the specific question above. Then, continue to discuss the 2 topics listed below for your case:Describe the relationship between culture and growth and development. Assess whether all growth and development milestones should be applied to all children regardless of cultural background.Design a teaching plan for parents regarding injury prevention during infancy. In your teaching plan you must include the home of an infant injury proof.Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
Q1: Select two initiatives or landmark report that moved the nursing profession from one focused on training to one focused on competency based profession. Explain why each was important. Discuss how the impact to nursing practice or nursing education was measured. What was the impact of each on nursing program accreditation and nursing program quality
Develop your vision of the ideal health care system.1- List some of the characteristics that constitute such a system. What would be the goal or goals of your ideal system?2-Think about how you would go about implementing your ideal system.3-Consider some of the problems you are likely to encounter.4-Must address all of the topics.·150-word /250-word maximum without the references· Minimum of two references (the course textbook can be one of the references, as well as the organizational website) in APA format. If additional articles chosen, they must have been published within last 3-5 years.
Discussion Question #1 For this questions, please read the following case study and then respond to the questions noted below. Mr. EBR is a 74-year-old retired Hispanic gentleman with known coronary artery disease (CAD), who presents to your clinic with substernal chest pain for the past 3 months. It is not positional; it reliably occurs with exertion, approximately one to two times daily, and is relieved with rest, or one or two sublingual nitroglycerin (NTG) tabs. It is similar in quality, but is much less severe, than the chest pain that occurred with his previous inferior myocardial infarction (MI) 3 years ago. Until the past 3 months, he has felt well.The chest pain is accompanied by diaphoresis and nausea, but no shortness of breath (SOB) or palpitations. He does not vomit. He denies orthopnea, paroxysmal nocturnal dyspnea (PND), syncope, presyncope, dizziness, lightheadedness, and symptoms of stroke or transient ischemic attack (TIA). An echocardiogram done after his MI demonstrated a preserved left ventricular ejection fraction (LVEF). Other medical problems include well-controlled type 2 diabetes mellitus (DM), well-controlled hypertension (HTN), and hyperlipidemia, with low-density lipoprotein (LDL) at goal. He also has stage 3 chronic kidney disease (CKD) and diabetic neuropathy. He no longer smokes and does not use alcohol or recreational drugs. His daily medications include: Atenolol 25 mg PO bid, Lisinopril 20 mg PO bid, aspirin 81 mg PO daily, Simvastatin 80 mg PO each evening, and metformin 500 mg PO bid.Mr. EBR’s physical examination includes the following: height 68 inches, weight 185 lb, Blood pressure (BP) 126/78, heart rate (HR) 64, Respiratory rate (RR) 16, and temperature 98.6°F orally. He is alert and oriented, and in no apparent distress (NAD). His neck is without jugular venous distention (JVD) or carotid bruits. Lungs are clear to auscultation bilaterally. Cardiovascular: normal S1 & S2, RRR, without rubs, murmurs or gallops. Abdomen has active bowel tones and is soft, nontender, and nondistended (NTND). Extremities are without clubbing, cyanosis, or edema. Distal pedal pulses are 2+ bilaterallyWhat would you add to the current treatment plan? Why?Would you discontinue any of the currently prescribed medication? Why or why not?How does the diagnosis stage 3 chronic kidney disease affect your choices?Why is the patient prescribed more than one antihypertensive?What is the benefit of the aspirin therapy in this patient?Discussion Question #2List three classes of drugs affecting the Hematopoietic System. List the mechanism of action for each class of drug. Choose one medication from the three classes and discuss what disorder the drug is used to treat? How often the medication is given? What labs should get monitored while the patient is taking this medication? Your response should be at least 350 words.
NOTE: 300 words with 3 resources. Kindly read instruction below.When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.To Prepare:· Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs. (Source: Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleaders.com/nursing/big-data-means-big-potential-challenges-nurse-execs)· Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.AssignmentPost a description of two potential benefits of using big data as part of a clinical system and explain why. Then, describe two potential challenges or risks of using big data as part of a clinical system and explain why. Propose two strategies you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.
In your initial post to this discussion forum, respond to the following prompts. Include personal and practice-related experiences or observations as examples that support your response.Propose a new community health program that could address a population-level health need. Include the following points:A description of the health needAn explanation of the program, including the community health agency that would administer itHypothesize potential health benefits for the population if the program was implemented. Support your opinion with evidence (impact of similar programs or other evidence)
B.R is a 11-year-old Caucasian male , brought to the clinic by his mother because he has a nosebleed from left nare. Denies pain or discomfort.Onset 1 hour ago. Bleeding has persisted with applying pressure by pinching nares. He has no past medical history for nosebleeds. He also has no other significant medical history. He has no known drug allergies. He is on no medications. The patient and his mother deny trauma or exciting events to the nose.He says he just “woke up with a nosebleed and it won’t stop.”Question Please write he plans and treatment for this patient. Pharmacological treatmentEducationHealth PromotionDisease preventionFollow upConclusion
The Agency for Healthcare Research and Quality (AHRQ) is a federal agency whose focus is to increase the quality and safety of the U.S. health care system. In this assignment, you will become familiar with the organization’s mission, programs, and resources.Step 1: Address the following questions using clear paragraph headersProvide a brief overview of the agency’s mission, programs, and resources.Describe at least 3 ways in which nurses can utilize the organization’s programs and resources.What is the STEPPS program?Describe a situation in your place of employment where the STEPPS program could be useful.
A mother brings in her 11 year old son, Branch, because he has had a nosebleed. She is concerned about it because they have been applying pressure by pinching it and the nosebleed won’t stop. He has no history of nosebleeds. He has no significant medical history and no known allergies. He is on no medications. Mom and Branch deny trauma to the nose. He says he just woke up with a nosebleed and it won’t stop. He tells you that the left side is the side that is bleeding.Vital signs: BP 110/70 P 84 R 14 T 97.8 oral Pulse ox 99%You recognize that simple pressure is not going to stop the nosebleed so you know that you will not have to intervene. 1.Prior to any type of procedure, you have the mother sign an informed consent for a procedure. What are the three major areas you must discuss when doing any type of procedure?2. Nosebleeds can be divided into three groups. What are they? 3. 90% of nosebleeds fall into which group? 4.Name 4 indications for intervention by a provider for a nosebleed. 5. You place Branch on the exam table at approximately 45 degrees. You drape him appropriately. You have him blow his nose gently to remove clots. You then inspect the right side to familiarize yourself with his anatomy. You then inspect the left side using a nasal speculum. 5.When using the nasal speculum, it is important to use it ______________ (HORIZONTALLY/VERTICALLY).6. Why is it important to use the nasal speculum a certain way?7.You note that the bleeding is coming from an area on the septum. You know that the next step is to apply a vasconstrictive solution to the nose. What are two ways you can deliver the vasoconstrictive solution? 8. You note that the area that is the source of the bleeding is about 3 mm in diameter. You make the decision to use a silver nitrate stick. How long should you apply pressure with the stick?9.Why it is it important not to use the silver nitrate for over that time frame? 10.After hemostasis is obtained, what are three types of treatment methods that can be used to protect the cauterization site? 11.If that had not stopped the bleeding and you had to make the decision to use a nasal sponge or nasal tampon, the sponge/tampon should be coated in _____________ and left in place for __________ hours. 12.After putting in the nasal sponge/tampon, approximately 2 ml of ________ or _______ should be dripped onto the tip to help the sponge expand. 13.After placing the nasal sponge/tampon, the patient should be closely monitored for 3-5 minutes. Why is that?14.After the close monitoring, the patient should be kept in observation status for ______ minutes. 15. If it is necessary to pack the nose, it may be advisable to give the patient a narcotic or sedative medication (unless a contraindication exists). Why? 16.Name 5 complications of the above procedures. 17.After the procedure, you tell the pt and his mother that he can take acetaminophen for any pain/discomfort. Why is it important not to have him take ibuprofen? 18.What is the leading cause of nosebleeds in adolescents? 19.What CPT code would you use for the above procedure? 20.What is the definition of the above code?
After reading the Quality Chasm Summary from the link provided list two or three areas that the report suggests will involve information technologies. Relate these areas to the ways in which health care informatics education will need to change to prepare informaticians. Minimum 300 word count. No APA format required. https://www.ncbi.nlm.nih.gov/books/NBK222271/
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