Healthcare Administration
Address the primary challenge, in your opinion, of implementing a HIE within any healthcare related organization of your choosing. Address how challenges may be accomplished and who are the key participants
CAPS 401 General Education Capstone
Provide a progress report of your oral presentation by addressing the following:
What steps do you plan to take to transition your paper to a presentation?
Which key ideas will you focus on?
What questions do you have about using Kaltura for your presentation?
What recording device will you use?
Share some tips and tricks you have learned for delivering a powerful presentation.
How confident are you presenting your paper via video? Explain.
What are your strengths and weaknesses when it comes to giving video presentations?
How will you maximize your strengths?
Pain
The neurological system affects all parts and functions of the body through nerve stimulation. Nerves also control the sensation and perception of pain. While pain can be described in a variety of ways, it is essentially labeled according to its duration and source. As an advanced practice nurse evaluating a patient, you need to consider the following questions: Does the pain quickly come and go, or is it persistent and ongoing? Does the pain arise at the source of injury or in another location? In this Discussion, you compare three common types of pain—acute, chronic, and referred.
To Prepare
Review this week’s media presentation on the neurological system, as well as Chapter 14 in the Huether and McCance text.
Identify the pathophysiology of acute, chronic, and referred pain. Consider the similarities and differences between these three types of pain.
Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.
Post a description of the pathophysiology of acute, chronic, and referred pain, including similarities and differences between them. Then, explain how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.i need 3 to 4 references.
Gender roles during holidays
Welcome to Samples page
For this assignment, we will examine gender roles during the holidays. To begin, please take a look at the following article on the website Sociological Images, found at https://thesocietypages.org/socimages/2015/11/24/doing-gender-and-making-holidays/ After reading the article, reflect on your own past Thanksgiving experiences to answer the questions, below. If you do not celebrate Thanksgiving, think of another holiday you have celebrated with your family that involves cooking and eating a lot of food.
Think of the Thanksgiving celebration you had with your family this past year, paying special attention to the gender roles associated with this holiday, in your family. What do the men do during different parts of the day and evening? How do the women spend their time? And what about the children - do the boys and girls help their family members? In what ways? Take a look at the various rituals throughout the day and think about whether they differ by gender. For instance, is the turkey carved at the dinner table, and who carves it? According to your observations, did you find any kind of gender imbalance in the preparation for this holiday? Write a one paragraph summary of your observations and analysis. As mentioned above, if you don't celebrate Thanksgiving, think of another holiday you have celebrated with your family that involves cooking and eating a lot of food, and write your summary about the gender roles found there.
Entries are reflective writing in which you respond to question prompts. They should be at least 200 words long, written succinctly. Address all parts of the prompt question",######$$$$$$$$$##########
Discussion: Pain,"The neurological system affects all parts and functions of the body through nerve stimulation. Nerves also control the sensation and perception of pain. While pain can be described in a variety of ways, it is essentially labeled according to its duration and source. As an advanced practice nurse evaluating a patient, you need to consider the following questions: Does the pain quickly come and go, or is it persistent and ongoing? Does the pain arise at the source of injury or in another location? In this Discussion, you compare three common types of pain—acute, chronic, and referred.
To Prepare
Review this week’s media presentation on the neurological system, as well as Chapter 14 in the Huether and McCance text.
Identify the pathophysiology of acute, chronic, and referred pain. Consider the similarities and differences between these three types of pain.
Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.
Post a description of the pathophysiology of acute, chronic, and referred pain, including similarities and differences between them. Then, explain how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.i need 3 to 4 references
Pharmacotherapy for Cardiovascular Disorders
MODULE 2: Week 2 Assignment Open Dismiss
MODULE 2: Cardiovascular / Respiratory Systems, Week 2 Assignment
CASE STUDY 2: Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia, and ischemic heart disease.
Drugs currently prescribed include the following:
• Warfarin 5 mg po daily MWF and 2.5 mg daily T, TH, Sat, Sun
• Aspirin 81 mg po daily
• Metformin 1000 mg po bid
• Glyburide 10 mg po bid
• Atenolol 100 mg po daily
• Motrin 200 mg 1–3 tablets every 6 hours as needed for pain
o Prepare
Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
Review the case study assigned by your Instructor for this Assignment.
Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.
By Day 7 of Week 2
Write a 2- to 3-page paper that addresses the following:
Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements
PICOT Statement Paper
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
Pharmacotherapy for Cardiovascular Disorders
heart disease remains the No. 1 killer in America; nearly half of all Americans have high blood pressure, high cholesterol, or smoke—some of the leading risk factors for heart disease—Murphy et al., 2018. Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.
As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.
Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm
To Prepare
· Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
· Review the case study assigned by your Instructor for this Assignment.
· Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
· Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
· Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.
ASSIGNMENT:
CASE STUDY: Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:
• Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun
• Aspirin 81 mg daily
• Metformin 1000 mg po bid
• Glyburide 10 mg bid
• Atenolol 100 mg po daily
• Motrin 200 mg 1–3 tablets every 6 hours as needed for pain
Write a 2- to 3-page paper that addresses the following:
Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.
REQUIRED READINGS
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.
· Chapter 34, “Review of Hemodynamics” (pp. 335–340)
· Chapter 35, “Diuretics” (pp. 341–349)
· Chapter 36, “Drugs Acting on the Renin-Angiotensin-Aldosterone System” (pp. 351–362)
· Chapter 37, “Calcium Channel Blockers” (pp. 363–369)
· Chapter 38, “Vasodilators” (pp. 371–373)
· Chapter 39, “Drugs for Hypertension” (pp. 375–388)
· Chapter 40, “Drugs for Heart Failure” (pp. 389–402)
· Chapter 41, “Antidysrhythmic Drugs” (pp. 403–418)
· Chapter 42, “Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels” (pp. 419–439)
· Chapter 43, “Drugs for Angina Pectoris” (pp. 441–450)
· Chapter 44, “Anticoagulant and Antiplatelet Drugs” (pp. 451–472)
Comments
FIRST COMENT
Socioeconomic-The more premature an infant is at birth, the greater the cost to care for the infant both on the family and on the healthcare system, as these infants require longer hospital stays and more extensive testing, medications and procedures. (Bowers, 2013, p. 29) Quite often the parents or other caregivers are forced to resort to becoming full-time caregivers and leave gainful employment. This places additional stress and financial burden on the families of these ELBW babies. Maternal stress is likely to increase as the mother may feel a sense of failure having given birth to an ELBW infant, leading to higher risk of postpartum depression and additional stress on the whole family.
Ongoing care- Need for ongoing early intervention services throughout childhood also contributes to the cost of raising a child born ELBW. Prematurity and low birth weight also increases the risk of readmission early in life, raising the overall cost to the family and increasing risks of hospital-acquired infections. Payment for routine and specialized care may be a challenge if the parent who carries insurance coverage for the child is unable to work and therefore loses employer-based health coverage.
Comorbidities-ELBW babies are at increased risk of fetal and neonatal death as well as long-term complications in adulthood like obesity, hypertension, diabetes and impaired fertility. (Bowers, 2013, p. 30) Short -term risks in ELBW infants include difficulties regulating temperature and blood sugar, risk for infection, renal failure and bleeding disorders. Many infants later demonstrate delays in motor development, speech delays and hearing impairment.
Ethnic and cultural disparities related to low birth weight babies- According to Bowers (2013), Non-Hispanic Black women are more likely to have a premature/LBW baby than a Non-Hispanic White woman, and while risk factors may include social stress, ethnicity alone, infection, inflammation, and genetic factors, the one factor most indicative of preterm delivery of a LBW infant is a previous preterm delivery.
One segment of our text pointed out that some cultures or ethnicities have varying views on infant death or death at any age, so the approach to care may differ greatly in those cultures and not have a direct association with the economic status of the family or culture or resources available to care for the ELBW infant. (Bowers, 2013, p. 29)
Support service from my community & Link and its effectiveness-
“WIC promotes the birth of healthy infants by preventing low birth weight, the leading cause of infant death and disability. The program provides prescribed supplemental foods, nutrition education and counseling, and referral to health care and other needed services for persons at nutritional risk. Eligibility includes: pregnant and nursing women and infants and children up to age 5.” (""Maternal and child health services | Schenectady County,"" 2019)
https://www.fns.usda.gov/wic
Effectiveness- I chose to highlight the WIC program because it aims at prevention. A big part of addressing ELBW means looking at prenatal factors that may contribute to the risk of a low birth weight infant. Pregnant women are provided with appropriate nutrition through payment vouchers, while meeting with peer counselors and staff to learn about proper nutrition, prenatal care, breastfeeding preparation and many other services. Once a mother delivers her baby, the support continues through supplemental nutrition for the mother and child, help purchasing formula or breastfeeding support including breast pumps and peer counseling. The WIC program may be effective at reducing the risk of ELBW babies if the cause of low birth weight was related to the availability of proper nutrition for the mother while pregnant, or due to the lack of proper regular prenatal care. Once an ELBW infant is born, WIC may be effective at assisting the family already facing financial challenges with obtaining proper nutrition for the infant (then child up to age 5) as needed to ensure adequate growth and development.
References
Bowers, B. (2013). Prenatal, intrapartal, and postpartal risk factors. In C. Kenner & J. Lott (Eds.), Comprehensive neonatal nursing care (5th ed., pp. 28-30). Retrieved from https://ebookcentral-proquest-com.lopes.idm.oclc.org
Maternal and child health services | Schenectady County. (2019). Retrieved from https://www.schenectadycounty.com/node/413
SECOND COMMENT
It is very unfortunate that low birth babies affect the family and community. Personally, as a nurse, infants, and babies are my weakness, not my focus of study, and something I do not enjoy. Not to sound harsh, but we all have our preferences as individuals. There are many short and long term impacts, socioeconomic implications, and of course the need for ongoing care. The more premature an infant is at birth will determine the costliness to care for them. Medications, special treatments, and the amount of time spent in the hospital alone can deter the entire family's road to recovery and the happiness which should be shared when having a newborn. These infants need ongoing care and many times family members end up being their caretakers full time and not working anymore and money can become sparse and the child can then be looked at as a burden. Several comorbidities include hypertension, diabetes mellitus, and increased risk of obesity. (Bowers, 2013) The at-risk group includes black women due to lifestyle and economic factors. The ethnic group opposite of that are Hispanic women. These 2 groups I am very familiar with, however, when it comes to children, I am uneducated. Hopefully, this course will make me more aware.
I am using FAN as my community resource. FAN is committed to providing free (which is of utmost importance) high-quality resources for supporting parents and the family. There is actually a woman who is part of the Family Advisory Staff who give here email. [email protected] This website is so important and easy for all to access, get educated, donate, sponsor, and be a part of this wonderful organization.
(nationalperinatal.org)
Effectiveness is very well received. You can become a member of this group, make donations for families in need, and there are many more ways to simply get involved. You can actually become a sponsor to help other families see and feel what you went through and help all along the way.
REFERENCE:
Bowers, B. (2013). Prenatal, intrapartal, and postpartal risk factors
research survey
Source and research an article that answers those questions on the attached word document use the rubric below to write a short note on each instruction, rather than a video write a short note.
Anatomy
Compose 400 words or more discussion to respond the following:
How many pairs of spinal nerves are there? Can you name them?
What is a plexus? Name the four major pairs of plexuses.
What is a dermatome? A myotome?
List the names and numbers of the 12 pairs of cranial nerves.
Mention the primary function of each pair cranial nerves.
Distinguish among a motor nerve, sensory nerve and mixed nerve.
What is the principle of autonomic antagonism? Give an example.
Which division of the Autonomic Nervous System (ANS) is the dominant controller of autonomic effectors when the body is at rest?
Name the two major types of cholinergic receptors and the two major types of adrenergic receptors.
What is the difference between a cholinergic fiber and an adrenergic fiber? Between a cholinergic receptor and an adrenergic receptor?
