From Grassroots to Policy
Select and describe the key characteristics of one vulnerable population from your practice or locale and discuss why this population is considered vulnerable. Include one or two health practices and beliefs of the chosen population that increases the vulnerability of the population. Describe how you, in an advanced nursing role, could be an advocate for this vulnerable population at the local, state or national level
Discussion
Consider a time when you had the opportunity to become politically involved in an issue (at work or in your community). If you pursued the opportunity, what were the results? If you did not, what were the reasons?
Many nurses avoid getting involved in political issues and, by institution policies, are banned from discussing conversations of this nature at work. Politics and religion are debate-provoking topics that several organizations would rather not hear about. I have been involved in political campaigns for senators and representatives in the State of Florida in the community. Local officials are key stakeholders for the improvement of the healthcare industry. Improving operations and having the necessary fund for the right programs can be highly beneficial to our localities.
As you reflect on this week's learning activities and your role as a practicing scholar, discuss the area of your political competency that needs further development.
The DNP scholar needs to develop an adequate communication competency (Malloch, 2017). The right attitude, words, dress code, demeanor, and tone will project an advocate image that will lobby in the highest spheres of the government. Working on effective communication and expanding my comfort level in this area is a developing trait of my DNP scholar character.
Review the Twitter feed, locate an interesting article or issue and share your thoughts on this issue with the class.
A Twitter regarding breastfeeding newborns caught my attention. I am a labor and delivery nurse, and breastfeeding is one of the essential topics discussed with mothers during their stays. Statistically, the exclusive breastfeeding cases have decreased over the years, and families tend to go by the myths instead of the science behind this beautiful natural resource (""The public health benefits of breastfeeding,"" 2017). Formula feeding has become popular and convenient for working mothers who cannot stay home for the whole year recommended breastfeeding their newborns. Some of the benefits explained in the tweet are regarding the newborn health status. Babies that breasted get sick less are less prone to chronic diseases in the future and help the mom to recover quickly from her delivery (Ross-Cowdery et al., 2016).
Compose a 140-character Tweet that shares your thoughts and opinions about the Tweet. Be mindful Twitter only allows 140 characters (be concise). Share this Tweet in the discussion.
Do you want the best for your baby? Guess what the best nutrition for a newborn in the world is? Let me give you a hint, and it is not the formula. The best food for your baby is BREASTMILK. Exclusive breastfeeding for the first six months of life has been associated with a lower risk of having asthma and allergies, fewer ear infections, diarrheas, or other trips to the doctor. If this was not enough, breastfed babies demonstrated to have higher IQ in the future, and they have a lower risk of suffering from obesity or diabetes. It is also suitable for the mother, has less chance of ovarian cancer, osteoporosis, and is easier to return to pre-pregnancy weight.
Danay Sosa.
References
Malloch, K. (2017). Leading DNP Professionals. Nursing Administration Quarterly, 41(1), 29-38. https://doi.org/10.1097/naq.0000000000000200 (Links to an external site.)
Ross-Cowdery, M., Lewis, C., Papic, M., Corbelli, J., & Schwarz, E. (2016). Counseling About the Maternal Health Benefits of Breastfeeding and Mothers’ Intentions to Breastfeed. Maternal And Child Health Journal, 21(2), 234-241. https://doi.org/10.1007/s10995-016-2130-x (Links to an external site.)
The public health benefits of breastfeeding. (2017), 137(6), 307-308. https://doi.org/10.1177/1757913917734139 (Links to an external site.)
Reply
Healthcare access
Should All Americans Have Access to Healthcare? If so, why? If not, why?
APA format, At least 3 peer reviewed references within 5 years
Advanced Pharm
Often we see a great deal of misinformation in the care of patients with diabetes, and often this misinformation is centered around the role and choice of medications. Many patients, especially newly diagnosed patients, are prescribed medications that do not fit into the scheme of the ADA / AACE guidelines / best evidence based practices - for instance, starting on Januvia (sitagliptin) or Jardiance (empagliflozin) or Byetta (exenatide) as initial monotherapy without a compelling indication or reason.
In this discussion, please talk about how patients get put on these medications and why/how they should be transitioned to more evidence based treatments.
Is it okay to start a patient on a drug (particularly an oral drug) other than metformin as an initial drug? Please cite possible circumstances where this could be reasonable.
What anti-diabetic medications have compelling evidence for use in select populations, possibly as initial therapy, and is this benefit a ""class"" effect?
(eg. SGLT2Is - Patients with type 2 diabetes and a high risk of cardiovascular disease had reduced risk of a cardiovascular death, nonfatal myocardial infarction, or nonfatal stroke relative to those randomized to receive placebo)
How can patients and practitioners be convinced to change their behavior and opt for more evidence based approach to therapy?
Now let’s consider the following case about thyroid disorders. A 69-year-old man goes to his family doctor because he has been feeling fatigued and lethargic. His doctor does a complete evaluation. This patient had a myocardial infarction and has a recurrent ventricular arrhythmia (treated with amiodarone). The patient’s TSH is elevated and his T4 is slightly decreased.
Please provide an evaluation of this patient’s condition, approach to therapy and factors you have taken into consideration
A minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required
Journal Discussion
What are the elements of role transition from RN to NP, and what are you currently experiencing in this process?
APA style 7th edition
1 page
Breast Cancer
Requirements
1- Definition of Breast Cancer
2- Statics Incidents
3- Mortality Rate
4- Risk Factors
5- Signs and symtpoms
6- Diagnostic Test
7- Treatment
8- One mayor Diagnostic, 2 differential diagnosis with ICD 10.
9- Patient Education
-NO PLAGIARISM
-15 SLIDES OF CONTENT, PLEASE DO IT CONDENSED.
-3 TO 4 REFERENCES NO MORE THAN 5 YEARS OLD
Developing Organizational Policies and Practices
To Prepare: PLEASE USE THIS TOPIC-RISE IN HEALTH CARE COST
Review the national healthcare issue/stressor you examined in your Assignment for Module 1, (PLEASE USE THIS TOPIC-RISE IN HEALTH CARE COST) review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):
Developing Organizational Policies and Practices
Add a section to the paper you submitted in Module 1. The new section should address the following:
Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.PLEASE USE THIS TOPIC-RISE IN HEALTH CARE COST)
Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.(PLEASE USE THIS TOPIC-RISE IN HEALTH CARE COST)Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
Required Readings
American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from
https://www.nursingworld.org/coe-view-only
Note: Review all, with special attention to “Provision 6” (pp. 23–26).
Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html
Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html
Standardized Terminology and Language in Informatics (Nursing)
Standardized Terminology and Language in Informatics is an important part of healthcare. Nurses and healthcare workers need to understand and be able to communicate clearly.
Please select one of the following options and discuss your understanding of the role in healthcare and its potential impact on your practice.
Usability
Integration
Interface
Interoperability
Meaningful Use
Reimbursement from Centers for Medicare and Medicaid Services (CMS) payment
NANDA
NIC/NOC
Asthma and Stepwise Management
Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.
One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.
To Prepare
Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children.
Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.
Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.
By Day 7 of Week 3
Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:
Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
Explain the stepwise approach to asthma treatment and management for your patient.
Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.
Discussion
Discuss, in your own words using 500 words or more, how virtualization may create it's own security vulnerabilities.
Use at least three sources. Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list. Example: ""words you copied"" (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs. Stand alone quotes will not count toward the 3 required quotes.
Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0.
Write in essay format not in bulleted, numbered or other list format.
Reply to two classmates' posting in a paragraph of at least five sentences by asking questions, reflecting on your own experience, challenging assumptions, pointing out something new you learned, offering suggestions. These peer responses are not 'attaboys'. You should make your initial post by Thursday evening so your classmates have an opportunity to respond before Sunday.at midnight when all three posts are due.
It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not 'nice post' or the like). Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. . I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.
Work #2:
Define the payback, net present value, internal rate of return, and profitability index methods.
Please find the two attachments.
