research about the concepts of moderator and then discuss:

1-How do moderator variables affect the internal validity of an experimental design?

2-  What remedies can be done to remove or control for the effect of moderator variables on the internal validity of an experimental design?

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NR302 Health Assessment 1

 Disease Process for ” Malignant Melanoma” Presentation 

2 Powerpoint Slides

Slide 1: Complications of Malignant Melanoma

Slide 2: What are the Diagnostic studies

Ebook: Jarvis, C., Eckhardt, A., & Thomas, P. (2020). Physical examination & health assessment (8th ed.). Saunders.

APA format (7th ed.) and is free of errors       

Grammar and mechanics are free of errors free of Plagiarism   

References: Use your book, the outside source must be within the last 5 yrs, Scholarly Articles,s or Nurse journals within the last 5 yrs.     

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case study of a patient hypertension/hyperlipidemia

 

Patient  with obesity diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:

  • Atenolol 12.5 mg daily
  • Doxazosin 8 mg daily
  • Hydralazine 10 mg qid
  • Sertraline 25 mg daily
  • Simvastatin 80 mg daily

• 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. Be specific when discussing drug therapy.

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IT

 

  • Identify the goals, elements, and overall scope of an implementation plan most likely to garner leadership support.
    • What are the key factors having potential effects on outcomes?
    • What principles of effective change leadership would you apply to the development of your implementation strategy?
  • Analyze elements critical to the effective use of the proposed technology.
    • Consider the resource requirements to implement the plan.
    • Consider the influence of end users and other stakeholders on successful implementation.
    • Include any evidence you have to support your analysis.
  • Make data-driven decisions.
    • Collect appropriate and accurate data to generate evidence for nursing practice improvement.
    • Include the outcome measures that will provide evidence of successful implementation.
    • Assess the value and utility of particular evaluation tools in measuring the impact of the new or upgraded technology on outcomes.
  • Articulate steps for evaluating and resolving potential ethical and legal issues associated with technology implementation.
    • Are there clear cause-and-effect relationships among organizational functions, processes, and ethical and legal behaviors?
    • What are the ethical and legal implications of evaluating safety and quality outcomes associated with the change?
    • How can nurse leaders guide and support interprofessional care teams as ethical and legal issues arise?
  • Present a technology implementation plan to executive leaders.
    • Consider the information needs of your audience and any potential concerns they might have about the plan.
      • What questions or objections are they likely to raise?
      • How would you respond?
    • Express your key points clearly and coherently, and support your assertions and conclusions with credible evidence.
    • Apply applicable APA formatting to citations and references.
    • Proofread your slides to minimize errors that could distract the audience and make it more difficult to focus on the substance of your presentation.

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week 4 mid wk assignment Advance Nursing

Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

Download the access codes. Link is on the attachment.

Download the SOAP template to help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note and building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan.  If the information is not in the provided scenario please consider it normal for SOAP note purposes, if it is abnormal please utilize what you know about the disease process and write what you would expect in the subjective and objective areas of your note.

Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your pape should be no longer than 3-4 pages excluding the title and the references and in 12pt font.

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STANDARDIZING

 What do you see as the conflicts between customizing patient care to the needs of an individual patient and standardizing care based on research? 

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nrs 434

 

  1. Describe the contemporary issue and explain what external stressors are associated with this issue.
  2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
  3. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented

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Peer’s Response!!!

Explore a social determinant issue in your community that may be impacting quality of life or health care. Take a picture of this issue as it may be represented on a billboard, or like Dr. Riley, a bus stop. Upload that picture into the discussion.

Healthcare industry is faced with multiple healthcare challenges globally. Opioid dependence and abuse is one of the alarming progressive social determinants issue that is impacting quality of life and healthcare delivery in the society.  Opioid abuse related cases have impacted individuals, families, communities, and the society. In the United States, opioid overdose related mortality was approximately 46, 802 out of the total 67,367 death that occurred in 2016.  In Maryland state, about 90% mortality involved opioid overdose was a total of 2,087 recorded in 2018 (Center for Disease Control [CDC] and Prevention 2021; National Institute of Drug Abuse [NIDA], 2020).

Opioid Billboard  2021 09 06.jpeg

Share your perspective about the social determinant issue with your class colleagues defining what role you might play in changing this social determinant in your community.

Opioid addiction has a negative impact on patients, their respective families, healthcare professionals, the economy, and health care system at both the National and Local levels.  Opioid is the leading cause of death among college aged students. The incidence of deaths related to opioid addiction/abuse is about 3.3 million worldwide It’s the highest incidence among males leading to dysfunctional family systems (Rudd et al. 2016). Overall, the estimated healthcare cost related to opioid addiction is approximately $78.5 million in 2016 (Renstrom et al., 2017; Douglas et al., 2019).   The rate of Opioid abuse burden in the society is frightening.  As a Doctor of Nurse Practice (DNP) scholars, I have a significant role to play to change the impact of opioid addiction in my community. To prevent further increase of opioid related death, it is important to create an awareness and education for the target population about the impact of opioid to health, community, and society. Educate patients about cessation programs and provide resources to support during cessation. Healthcare providers should be properly trained on how to manage opioid patients without the fear of stigma. Government should establish policies that will prevent illegal manufacturing of opioids and synthetic opioids. Healthcare providers should be very cautious when prescribing opioid for pain management, the medical reason for prescribing opioid must be legitimated and justifiable before prescribing opioid. Healthcare providers should use alternative therapy in managing and treating chronic pain. Government should provide support to families in form of small business loam to enhance financial stability to prevent them from indulging to illegal use of opioid (Renstrom et al. 2017; Rudd et al.,2016).

Compose a 140-character Tweet that describes what you have shared with the class. Remember Twitter only allows 140 characters so you will need to be concise. Share this Tweet in the discussion.

#Create Opioid Awareness Programs. Together Opioid Burden Can Eliminated. Opioid addiction is Harmful & Expensive. Opioid dependence is Treatable%

References

Center for Disease Control and Prevention (2016). Prescription opioid overdose data.             http://www.cdc.gov//drugoverdose/data/overdose.html (Links to an external site.)

Douglas, L. L., Djibril, M.B., Edeanya- Agbese, Xueyi X., Goudong L. (2019). The economic burden of the   opioid epidemic on states: The Case of Medicaid. (25) 13. 

NIDA. (2020). Maryland: Opioid-Involved Deaths and Related Harms.  https://www.drugabuse.gov/drug-topics/opioids/opioid-summaries-by- (Links to an external site.)  state/maryland-opioid-involved-deaths-related-harms.

Renstrom, M., Ferri, M., & Mandil, A. (2017). Substance use prevention: Evidence-based  intervention. Eastern   Mediterranean Health Journal, 23(3), 199-204.

Rudd, R.A., Seith P., David, F. & Scholl, L. (2016). Increase in drug and opioid-involved overdose death-united states, 2010-2016. MMWR Morb Wkly Rep. 2016:65.144-1452.  http://dx.doi.org/10.15585/mmwr.mm655051e1.

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discussion board 3

 This discussion board forum will focus on Chapter 3 of the textbook, Resource Allocation and Priority Setting, Daniel Levitin’s TED talk, How to Stay Calm when you Know You’ll be Stressed, and the Believed podcast, How He Got Away. 

 Daniel Levitin: How to stay calm when you know you’ll be stressed | TED Talk 

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Social Determinants of Health

 

Dr. Liter and class

In the Pensacola, Florida community which has a population of 52,642 people, child poverty impacts quality and health care.  28.4% of Pensacola children live in poverty compared to 19.3% across the dashboard cities.

In 2016, over 40 million American citizens were living below the poverty line with 13.3 million being children. Children in poverty can be exposed to lead exposure, developmental and psychological delays, financial issues as well as children being unable to obtain a high school diploma. Children in poverty are more likely to become teenage parents and are more likely to suffer from medical ailments such as obesity and cancers with poor outcomes due to lack of access to healthcare and affordability of treatments (Dyjack, 2018).

As a DNP scholar, knowledge of health outcomes and social detriments of health engage nurses to be involved in the community to impact population health outcomes in a positive manner, and question care models and resources with equal opportunities to access care that involve political, social rights and opportunities. It is an ethical principle for a DNP scholar to impact changes that increase health outcomes for patients. Nurses need to be involved in the community and through multidisciplinary collaboration with physicians, stakeholders, politicians, public health, clinical care, and organizational leaders, and through networking and brainstorming there can be a positive response to helping improve an issue (Edmonson et al., 2017). Creating awareness of a community issue such as child poverty is the first step in being involved to educate the public that a problem exists. DNP scholars and nurses can also be involved in professional nursing organizations, as well as policy-making, health care reform, and advocating with organizations that are already directly helping child poverty such as the National Center for Children in Poverty (NCCP), Sponsor a Child and United Nations International Children’s Emergency Fund (UNICEF). As a DNP scholar being involved in community events, community newsletters, consumer alerts, and attending community outreaches and school board meetings increase awareness of childhood poverty and increases others to help with resources (Edmonson, 2017).

#Childpoverty. Community networking to get involved and make a change. 1 in 5 children live in poverty #StampItOut #SAYNOToChildPoverty

Reference

Dyjack, D. (2018). On Poverty. Journal of Environmental Health80 (8), 54.

Edmonson, C., McCarthy, C., Trent-Adams, S., McCain, C., & Marshall, J. (2017). Emerging global health issues: A nurse’s role. Online Journal of Issues in Nursing22(1), 2–2. https://doi.org/10.3912/OJIN.Vol22No01Man02

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEAR

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