Pathophysiology

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Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematologic disorders?

Reply to your classmate

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The United States Supreme Court is the highest federal judicial system with ultimate appellate jurisdiction over federal court cases. Once the supreme court makes its final judgment, no other body can overturn it. The number of cases taken to the Supreme Court is limited because it deals with the most sensitive matters (Greenberg et al., 2020). Dobbs v. Jackson Women’s Health Organization is among the recent cases handled by the Supreme Court. Supreme Court rejected the previous court decision and gave states the power to regulate abortion after arguing that there is no federal right to abortion in the American Constitution (Lambert et al., 2023). This case was appealed severally before it reached the Supreme Court. Supreme Court judges revised the decisions made before by lower courts. This law presented national implications since the American states were given the power to enact their regulations regarding the same since abortion rights are not protected by the federal constitution. After the Supreme Court decision, many states have established new laws prohibiting abortion.

As a medical professional, I do not support this decision because I believe it was influenced by the political environment rather than findings from clinical studies and scientific facts. Once a supreme court decides, the likelihood of overturning the decision is minimal. Women can seek medical abortion due to many personal matters, and as we respect the patient’s autonomy, women’s decisions should be respected. Our constitution protects the right to privacy under the 14th Amendment. Thus, any woman's decision to seek an abortion should be treated like a privacy right and not be exposed without consent or permission. Therefore, it would be better if the supreme court revised and reversed this decision.

 

 

 

References

Greenberg, E.S., Page, B.I., Doherty, D. Minkoff, S.L., & Ryan, J. M. (2020). 
The struggle for democracy. (2018 elections and updates ed.). Pearson.

Lambert, S. J., Horvath, S. K., & Casas, R. S. (2023). Impact of the Dobbs decision on medical education and training in abortion care. 
Women's Health Issues.

 

Assigment .Apa seven . All instructions attached.

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rt 2 Writing Assignment Week 7

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Health Promotion Proposal, Part 2 Content

1.

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Health Promotion Proposal, Part 2

This is a continuation of the health promotion program proposal, part one, which you submitted previously. 

Please approach this assignment as an opportunity to integrate instructor feedback from part I and expand on ideas adhering to the components of the MAP-IT strategy. Include necessary levels of detail you feel appropriate to assure stakeholder buy-in.

 

Directions 

You have already completed the steps 1-4. 
Do not resubmit part 1. Make sure you revise this initial submission according to your instructor’s comments. 

To assist in maintaining harmony between Part I and 2 here you have a reminder of the previous paper outline:

· 1. Describe the health problem. Using data and statistics support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable. 

· 2. Describe the vulnerable population and setting. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. 

· 3. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, you will write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search. 

· 4. Select an appropriate health promotion/disease prevention theoretical framework or conceptual model that would best serve as the framework guiding the proposal. Provide rationale for your selection which includes discussion of the concepts of the selected model 

 

For this assignment develop criteria 5-8 as detailed below: 

You will submit just this section 5-8 as essay. Please do not resubmit Part 1. 

Use a presentation page. Start the body of content with topic 5.

· 5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. 

· Be certain to include a timeline. (2 to 4 paragraphs- you may use bullets if appropriate). 

· 6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. 
The SMART goal statement should be no more than one sentence (1 paragraph). 

· 7. Provide a detailed plan for evaluation for each outcome. (1 paragraph). 

· 8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph). 

· Finish the paper with a conclusion paragraph (1 paragraph) without typing the word “conclusion” before the paragraph. 

Paper Requirements 

Your assignment should be up to 3-5 pages (excluding title page and references). 

Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion. 

Finish the essay with a your reference page.

Please review the Grading Rubric for this Assignment.

 

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Applying nursing theory to research and advance practice

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How to apply theory to practice for better outcomes?

informatics

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Read pages 460-461 of your textbook to learn more about the challenges of long-term care. Based on what you have learned so far (1) Why is important and challenging to offer insurance for long-term care? (2) What kind of solution you can think of to increase value and/or reduce costs in long-term care? (3) Are there any type of organizations (think ACOs, etc) be able to offer these services at a low cost that would allow insurers to participate in this market?

NUR 435 Week 1 Discussion: Exploring Your Management Style

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Step 1 Read and respond to the scenario.

You are interviewing for an assistant nurse manager position with the nurse manager of your unit. She asks you to answer the following questions:

  • Explain a time you had to take charge, formally or informally, on your clinical unit (be specific).
  • Describe the management style you used and the type of power you had.
  • Discuss whether your management style was effective and what you would have done differently.
  • Would you use a different management style in the future in the same situation? If so, which one and why?
  • Which management style would you choose to use going forward, and why

Disscusion Boards week 7 and 8

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Week 7

Discussion 1

Discuss the elements of informed consent. Provide a clinical example about what can happen when some elements are not adhered to.

Compose at least 2-3 paragraphs all in APA format with proper references.

Discussion 2

Describe an organizational environment that would facilitate the ethical practice of nurses caring for chronically ill patients. As you read about patients' rights, describe one patient right that is often not fully implemented in the patient care environment. Identify specific strategies to help ensure that this right is supported within the patient care environment. Explain how the registered nurse can assist in protecting patient rights.

Compose at least 2-3 paragraphs all in APA format with proper references.

Week 8

Discussion 1

Describe a clinical situation in which a registered nurse may encounter moral distress. Answer the AACN’s Four A’s and further explain the situation and the possible mitigation strategies.

Compose at least 2-3 paragraphs all in APA format with proper references.

Discussion 2

Describe different ways that social media use can violate ethical nursing practices. How can ethical social media use be beneficial to health care professionals and their patients?

Compose at least 2-3 paragraphs all in APA format with proper references.

Discussion

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Preparing the Discussion

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. 

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. 

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members: 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? 

3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.

safety

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please redo this policy as its wrong 

discussion post 3 diversity

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After studying Module 3: Lecture Materials & Resources, discuss the following:

Mary and Elmer’s fifth child, Melvin, was born 6 weeks prematurely and is 1-month old. Sarah, age 13, Martin, age 12, and Wayne, age 8, attend the Amish elementary school located 1 mile from their home. Lucille, age 4, is staying with Mary’s sister and her family for a week because baby Melvin has been having respiratory problems, and their physician told the family he will need to be hospitalized if he does not get better within 2 days.

  1. Choose two or three areas of prenatal care that you would want to discuss with Mary, and then write brief notes about what you know and/or need to learn about Amish values to discuss perinatal care in a way that is culturally congruent.
  2. Discuss three Amish values, beliefs, or practices to consider when preparing to do prenatal education classes with Amish patients.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.