SOAP note asthma

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SOAP note asthma attack

Discussion

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Home-Based Telemental Health Care Act of 2023

The role of policy in health is inseparable. Politics significantly dictate an array of interventions in healthcare. The government incorporates the population’s power bestowed upon them to produce policies that influence public health interventions to safeguard a community’s health and welfare. Most recently, on 30th March 2023, the Senate introduced the Home-Based Telemental Health Care Act of 2023 (Congress.gov, n.d.). The bill aims to protect and improve the mental wellness of underserved individuals in the suburban regions who depend on income from farming, fishing, and forestry. This bill establishes grants to support the development of mental health and substance use services within rural regions. According to Mongelli et al. (2020), underserved individuals in the United States face various challenges to access mental health services, including social stigma, unavailable mental health units and services, inaccessible hospitals, unaffordable services, lack of medical insurance, and delays in treatment. Mental health and wellness are a basic need and a public health concern globally. Therefore, necessary efforts toward ensuring healthcare for all and reducing disparities in access are crucial.

The significant social determinants of health impacting the populations in the proposed Home-Based Telemental Health Care Act bill are economic instability, lack of education, lack of support system, and inefficient healthcare services. People living in rural areas are likely to have inadequate healthcare services owing to the limited number of clinicians willing to provide services to the region and low socioeconomic status (Coombs et al., 2021). Thus, in the event of sickness, they are predisposed to delays in accessing health services due to limited funds, lack of health insurance, long travel costs, and hours in search of appropriate care facilities.

Telehealth adoption in healthcare is extensive to narrow the barriers to access. Research by McBain et al. (2023) found that telehealth significantly improved access to specialized health services and mental health treatment in the United States during the COVID-19 pandemic, where in-person services were unavailable. Results in this study demonstrate that the intergration of telehealth to promote rural healthcare areas can result in a marked expansion of mental health and substance use services, bypassing the avoidable travel and expensive treatment costs and time wastage. Hence, supporting the Home-Based Telemental Health Care Act will significantly impact the health outcomes of individuals living in rural areas with blue-collar jobs.

 Respond to this by either supporting or respectfully challenging this explanation on whether there is an evidence base to support the proposed health policy they described. 

Stakeholder Analysis

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Identify the stakeholder’s role/position in your organization.

Lessons

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Please complete all of the lessons and send the certificates. There should be a total of 5 lessons with the link provided. Please send the certificates when finished. After each lesson there are a few questions based on the reading.



https://www.hhs.gov/ohrp/education-and-outreach/human-research-protection-training/human-research-protection-foundational-training/index.htmlLinks to an external site.
 

MSN 5550 CASE STUDY

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 Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed.  

Please check for  plagiarism and AI(artificial intelligence).The work must be in your own words.The last case study my score was too low due to high percent in AI.

Attached you can find the case study.

Nursing Homework

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Aron Ralston, an avid outdoorsman, was hiking in a narrow canyon in Southern Utah when he upset a large boulder that rolled down the canyon after him. As it fell, the boulder relodged itself between the narrow canyon walls and in the process pinned Aron’s right wrist between the boulder and the canyon wall. Aron was alone and was unable to free himself from the situation. After being trapped for five days, with no help arriving, Aron eventually made the decision to free himself by breaking the bones in his forearm with the weight of his body and amputating his hand with a dull pocketknife. After freeing himself, he hiked an additional seven miles before the search and rescue crews found him. His arm required further surgery to repair it. After the surgery, the nurses would ask Aron, “On a scale of 0-10, what is your pain level with 0 being no pain and 10 being the most pain you have ever experienced?”. Aron would reply, “0.25”. When asked about giving such an odd answer, he stated that even though he was in pain after the surgery, it was minimal compared to the pain he experienced when he cut through his ulnar nerve to free himself from being trapped by the boulder.

1. As you reflect on this story, how does it help you understand that pain is a subjective experience for your client? What types of questions will you ask your client to adequately assess their pain level?

2. Why is it important to understand that not all clients experience pain the same?

3. What objective data may be noted when a client is in pain?

4. How might pain be manifested in vital sign measurements?

5. What effects might chronic pain have on the general health of a client?

Video Discussion Wk 4

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·Given her medical history, what other psychotropic medications would you recommend for the client? Answer This Question Only

Provide a response to 1 of the 3 discussions prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.

Responses exhibit synthesis, critical thinking, and application to practice settings…. Responses provide clear, concise opinions and ideas that are supported by at least two scholarly sources…. Responses demonstrate synthesis and understanding of Learning Objectives…. Communication is professional and respectful to colleagues…. Presenters’ prompts/questions posed in the case presentations are thoroughly addressed…. Responses are effectively written in standard, edited English.

Affordable Care Act

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Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.

mental health

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NURS-6050N

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ADVOCATING FOR THE NURSING ROLE IN PROGRAM DESIGN AND IMPLEMENTATION

As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 



WEEKLY RESOURCES

To Prepare:

· Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.

· Select a healthcare program within your practice and consider the design and implementation of this program.

· Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

·
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?

·
Who is your target population?

·
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?

·
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

·
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

·
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

BY DAY 7 OF WEEK 8

LEARNING RESOURCES


Required Readings

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 5, “Public Policy Design” (pp. 87–95 only)

· Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)

· Chapter 9, “Interprofessional Practice” (pp. 152–160 only)

· Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)

· American Nurses Association (ANA). (n.d.). 


Advocacy

Links to an external site.
. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/

· Centers for Disease Control and Prevention (CDC). (n.d.). 


Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementation

Links to an external site.
. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

·

Congress.govLinks to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

· Klein, K. J., & Sorra, J. S. (1996). 

The challenge of innovation implementationLinks to an external site.
. 
Academy of Management Review, 21(4), 1055–1080.

· Sacristán, J., & Dilla, T. D. (2015). 

No big data without small data: Learning health care systems begin and end with the individual patientLinks to an external site.
. 
Journal of Evaluation in Clinical Practice, 21(6), 1014–1017.

· Tummers, L., & Bekkers, V. (2014). 

Policy implementation, street level bureaucracy, and the importance of discretionLinks to an external site.
. 
Public Management Review, 16(4), 527–547.

SUBMISSION INFORMATION

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1. To submit your completed assignment, save your Assignment as 
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