part 3 work

part 3 work

THE NURSING ROLE

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:

· 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.). 
AdvocacyLinks 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 implementationLinks 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.

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?

Bradycardia

 A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

  • What other assessment findings should you anticipate?
  • Why does this patient probably have bradycardia?
  • Does this dysrhythmia need treatment? Why or why not? What intervention would you implement first?
  • What is the drug treatment and dosage of choice for symptomatic bradycardia? How does this drug increase heart rate?

At least 2 page Apa

esw

Respond to the following prompts: 

· How has learning about the history of research ethics impacted your view of biomedical research?

· In looking at the studies you reviewed for your PICOT question, do you feel that today’s researchers adequately protect the rights of human subjects? If not, what additional measures do you recommend?

Discussion

 1) Does a person in need of an organ transplant have a moral right to obtain that transplant, supposing the availability of the needed organ?

 2) How should we choose who gets a transplant, supposing that there are not enough organs for all who need them?

 3) Please cite the textbook and any other source used in APA format.

Nursing

Instructions:

1.
Topic Selection: Select a topic that interests you and that is relevant to nursing Pediatric practice. Your topic should be broad enough to allow for an in-depth exploration but narrow enough to be manageable within the scope of a 
500-650 word research paper. You may select a topic related to patient care, nursing education, health promotion, or any other area of nursing practice that interests you. 

2.
Searching for Literature: After choosing a topic and 
obtaining my approval for the topic, use the Library page at the FNU.edu website to search for scholarly sources related to your topic. You must utilize 
at least 3 scholarly sources that have been published 
within the last 5 years. You may use databases such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library. Be sure to use appropriate keywords and to apply search filters to limit your search to 
scholarly, peer-reviewed articles.

3.
Evaluating Sources: Once you have identified potential sources, be sure to identify if they are relevant to your topic, written by credible authors, and based on rigorous research methods.

4.
Writing the Paper: Your research paper should follow 
APA 7 guidelines and include an 
introduction and 
conclusion. Be sure 
references are cited throughout the paper and included in a 
reference list at the end of your paper.

5. Please keep in mind that the paper will be checked for plagiarism, and 
similarity above 25% that is not cited will not be accepted for submission. 

6. Please refer to the evaluation rubric for evaluation criteria 

Topic: breastfeeding vs formula feeding.

Unit 3 Ion Channels. Discussion and peer response. 1300w. APA. 4 references total due 9-15-23.

Advanced Psychopharmacology and Health Promotion

Unit 3 Ion Channels. Discussion and peer response. 1300w. APA. 4 references total due 9-15-23.

Review the link. https://youtu.be/VPJG_hy72m8


Initial Response


Unit 3 discussion APA. 800W.

Instructions:

1. Compare and contrast the two different major classes of ion channels.

2. Explain the difference between full agonists, partial agonists, antagonists, inverse agonists.

3. Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.


Peer Response


section APA 500W.

Instructions:

Please read and respond to at least two of your peers' initial postings. You may want to consider the following questions in your responses to your peers:

1. Compare and contrast your initial posting with those of your peers.

2. How are they similar or how are they different?

3. What information can you add that would help support the responses of your peers?

4. Ask your peers a question for clarification about their post.

5. What most interests you about their responses?

Please be sure to validate your opinions and ideas with citations and references in APA format.

ASSESSING NEUROLOGICAL SYMPTOMS

 

A 40 year old female presents with complaint of a headache for one week. Reports a “head cold” 3 weeks ago.  Thought it was getting better, but sinus symptoms are back and even worse.

Describes the headache is located across her forehead; feels like pressure behind my eyes and unable to breathe out of nose. Also feels mucus running down the back of throat.  Pain sometimes severe (8/10) but with acetaminophen reduces to moderate (4/10) and occasionally mild (2/10).  Occasional nonproductive cough.  Feels feverish at times; noted frequent sneezing and no appetite. Bending over seems to make the headache worse.  “Acetaminophen improves my headache, but doesn’t take it away.” Taking Sudafed HCL 120 mg every 12 hours, with some relief. Symptoms are worse in the morning – awakes with a headache. Ranges from 2/10 at its best to 8/10. Difficulty with concentrating at job and feels very tired.

DUE REAL 2

Name: Cara Jett
Age: 34 years
Provider: R. Mcbride NP
Allergies: NKA
Admit weight: 102 Ibs (46.3kg)
BMI: 17.5
Code status: full code

I just can’t eat. Every time I do, I have horrible pain in my stomach. My family keeps
accusing me of having an eating disorder. It’s not that I don't want to eat. It's that I can’t
without pain and diarrhea!

4/12
1345

Nursing Note: Client presents for ongoing stomach pain after eating. Current BMI of
17.5. Last recorded BMI from 3 years ago was 22.2. States pain has been ongoing for
several years, more severe as of late yesterday. Client skipped lunch today. Current
abdominal pain is 2/10. States that she has tried using over-the-counter pain relievers to
help with the abdominal pain, but this has not been successful. Rates 2/10 RLQ
abdominal pain.

4/12
1355

Neuro/Cognitive: Alert and oriented x4.

Cardiovascular: Regular heartbeat with S1 and S2 heard. No edema present. Capillary
refill <3 seconds. Bilateral pedal and radial pulses +3.

Respiratory: Lungs clear bilaterally.

Gastrointestinal: Abdomen flat, firm, hyperactive bowel sounds x 4 quadrants. Tender
in RLQ. Denies nausea. Last bowel movement was 1045 today. Loose, brown, mucous
looking – per client. Three loose stools today so far.

Genitourinary: Continent. No pain or burning when urinating

Musculoskeletal: Muscle atrophy present. +5 strengths for all extremities. Tenting
present on arm and collarbone.

Psychosocial: Anxious. Becomes tearful several times during visit. States her family is
accusing her of having an eating disorder.

5/7
1435

Nursing Note: Follow-Up Appointment with Gastrointestinal Specialist

Diagnosis: New Crohn’s disease.

Follow-up appointment after colonoscopy and upper GI procedure. Had a CT scan of the
abdomen completed after the procedure. Rates 4/10 abdominal pain. Client is taking
prednisone and metronidazole as prescribed by primary care provider for Crohn's
disease.

Date Temp HR RR BP SpO2 O2

4/12 1345 96.8 °F

(36.0 °C)

78 18 102/54 100% RA

5/1 0945 97.2 °F

(36.2 °C)

64 12 94/45 89% RA

5/1 1000 97.2 °F

(36.2 °C)

69 12 104/50 92% RA

5/1 1015 97.2 °F

(36.2 °C)

72 14 110/52 94% RA

5/7 1430 98.6 °F

(37.0 °C)

88 18 138/78 99% RA

Date Diagnostic Test Findings

5/1
1015

Upper GI
Colonoscopy

No abnormal findings.

Small ulcer found in the transverse portion of the large intestine with
evidence of more in the small intestine. Further testing, including an
MRI, is highly suggested.

5/5
1500

CT Scan of
Abdomen

Impression: Thickening of the wall of the small intestine present.
Three small abscesses noted by entrance to the colon correlating with
recent gastric studies. No fistula apparent.

5/1
0945

Endoscopy Center Nursing Note:

Client has completed an upper GI study and a colonoscopy with no noticeable
complications. Vitals stable. Drowsy but easily woken. Oriented x4.

5/1
1000

Endoscopy Center Nursing Note:

Vitals remain stable. Client drank 60mL of clear soda and two bites of graham cracker.
Swallow and gag reflex present. Mild 2/10 throat discomfort present. Driver present and
atbedside.

5/1
1015

Endoscopy Center Nursing Note:

Client discharged to home in care of mother, Nancy. Follow-up appointment made.

Cardiovascular Table

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Comparison of Cardiovascular Exemplars

Angina

Acute Myocardial Infarction

Pathophysiology

Etiology

Assessment Findings (including Diagnostics)

Nursing Diagnosis

Interventions (including meds and Surgical interventions)

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