6521 discussion wk 9

Discussion: Pharmacotherapy for Hematologic Disorders

In the 1970s, the average lifespan for patients diagnosed with sickle cell disease was 14 years. Today, the average lifespan has increased to 50 years and beyond (TriHealth, 2012). The patient prognosis for many other hematologic disorders such as hemophilia and cancer continue to improve as well. This can be attributed to advancements in medical care—specifically drug therapy and treatment. When managing drug therapies for patients, it is essential to continuously examine current treatments and evaluate the impact of patient factors on drug effectiveness. To prepare for your role as an advanced practice nurse, you must become familiar with common drug treatments for various hematologic disorders seen in clinical settings.

To prepare:
  • Select one of the following hematologic disorders: anemia, hemophilia, cancer, sickle cell anemia, thalassemia, thrombolytic disorders, or white blood cell disorders. Consider the types of drugs that would be prescribed to patients to treat symptoms associated with this disorder.
  • Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

With these thoughts in mind:

Post a description of the hematologic disorder you selected including types of drugs that would be prescribed to patients to treat associated symptoms. Then, explain how the factor you selected might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.

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Assignment

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

  1. Personal and professional accountability
  2. Career planning
  3. Personal journey disciplines
  4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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outline

Outlining an Introduction Speech

Objective

Prepare an introduction speech Outline. (Please read all directions thoroughly and email me if you are unclear.)

Assignment Overview

In this assignment, you will explore the process used to prepare a basic speech. You will select a potential speech topic and outline your topic selection.

Deliverables

A one-page (250-word) outlineSee suggested format shown below.

Step 1 Review the information involved in planning a speech.

The main steps involved in preparing any type of speech include the following and should always remember the Preacher’s Axiom that is this: First, you tell them what you are going to tell them, then you tell them, and then you tell them what you told them.  You do this by these steps:

  • Choose the Right Topic
  • Narrow Your Topic
  • Locate Supporting Material
  • Structure Your Speech
  • Prepare an Outline
  • Practice
  • Deliver Your Speech

Step 2 Prepare an introduction speech.

In a one-page (250-word) outline, you are not writing your speech, just the outline, consider the following as you prepare your speech:

  • Brainstorm what your fellow classmates might find interesting about you for this introduction speech. Consider family history, stories about your childhood, significant life events, or your accomplishments.
  • Narrow your ideas down to a specific topic, theme, or anecdote. List the specific topic or title for your speech.
  • When locating supporting materials for your introduction speech, think about any visual aids that may support your delivery.
  • Remember to think about how you will open and close your introduction speech. Include those notes in your outline.

Step 3 Save and submit your assignment.

When you have completed the assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor using the dropbox.

Here is a general method of outlining your speech that I urge you to use:

                                          Outline Format

Hook – this is the opening statement to your speech. It should be a statement that arouses interest and makes your reader/audience want to read or hear more. You pique their interest and they want to know more!

Thesis Statement (TS) – this is the main focus of your speech and I suggest it always be explicit. You want to first tell the audience what you are going to tell them and this is done in the TS. Make it explicit by listing the three points of your speech, not just by stating something like this: There are three reasons why cars are necessary, but rather like this: The three reasons cars are necessary are they are used to get people from point A to point B, they are used in emergencies, and they are useful for family transportation. See the difference between explicit and implied? Making your TS explicit is the best way to inform your audience in beginning speeches.

Support – These are the words in at least three body paragraphs that follow your TS in order of what you have listed for the three points. Use one paragraph to write about each point. Please have at least five sentences per paragraph since that can help ensure that you have enough support for that point. 

Conclusion – In the conclusion, you will want to restate your TS but not in the exact same words you used in the introduction paragraph. Just use slightly different wording to say the same thing without boring your readers/audience with the same words from the introduction. Then you will want to end your conclusion with the last statement that will leave the audience with a warm and fuzzy feeling that appeals somehow to the emotions. We suggest this technique because it is known that folks remember the first and last of speeches, most times, and you should always want to make your speech memorable, so end with a memorable statement.

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Response to peer D2 (3167)

 Please, write a response to the following discussion by using one reference from an English titled, peer reviewed NURSING journal less than 5 y/o.

When you do research you are looking for answers. The reason for this discussion is to write about what the strength of research study is. With most nursing research the patient is the main focus. Evidence-based practices (EBP) were constructed because nurses started asking questions about the standard methods of care that were originally introduced. Along with the EBP, scholars have written articles with studies that have provided others with data that has made an effect on a population. Literature has been published or shared regarding studies and their results.

From the information I gathered, the strength of a research study is the ability to documentation data that was collected upon completion of the study. With the literature that is gathered it is then available to other nurses and providers that may have questions. Research is done to solve problems and show proof with the evidence obtained (Polit & Beck, 2018). By using explanations of the methods being used to conduct the study, the people that are reading can get an in-depth understanding of what theory was used, the subjects in the study, the reason why the study was conducted, and the end results to determine if the study answered any questions that could improve the quality of care of the subjects.

Through research many ideas can be made. With any information collected through studies, that can help providers comes up with care plans to have the patient have better outcomes. The goals of research is to focus on getting the best outcomes and results possible. Research studies are read by peers and later published by nursing databases like CINAHL. That database can help nurses that may want to start a research study by providing articles written done be other nurse researchers. If nurses plan to get into research there are programs that can help you with the resources to gather your information and start documenting about findings to help the future nurses. They even provide a research mentor (Walton, Sankey, & Jensen, 2017).

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DQ

Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?

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contraceptives db

 

t is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (6th Ed.).

Classroom Participation

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.

Discussion Prompt [Due Wednesday]

Select ONE of the questions listed below and provide a substantive posting by Wednesday. Please include the question number you selected in the title of your post (e.g. Question 1 Contraceptives). Respond to a classmate who initially posted to the opposite question. 

  1. What are the clinical criteria for selection of contraceptives, including emergency contraception? What resources would you utilize in your decision-making? Include the domains of the gynecologic and obstetric history in your response. Identify two evidence-based interventions which increase compliance and successful utilization of contraceptives?
  2. What are the clinical, ethical, social, and economic consequences of unintended pregnancy? Why is it important for advance practice nurses to remain cognizant of this information? 

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Dn

Need help to write 17 Pages of introduction & literature review 

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Please follow the instructions below ,at least 250 words please

How often do you engage with or witness death in your work? How has this experience or the lack of it shaped your view of death? Has it gotten easier or harder for you to accept the fact of death? As you explain, include your clinical specialty.

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Expert tuttor DB phylososphy question

how do you think your own philosophy reflects on making you a better nurse now transitioning into a master’s level prepared nurse? Please support your statement. 

Is based on the answer that i did post in the DB 

 

250 words APA style 

Work Link 

https://www.homeworkmarket.com/questions/expert-tuttor-phylosophy-discussion

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Legal and Ethical Issues

 

Assignment #1: Management Tools for Health Care Organizations to Comply with Patient’s Legal Rights (12.5 points)

Hide Assignment Information Instructions

From the list below, choose one topic and identify two specific legal obligations that a specific health service organization has to its patients and then write a paper discussing all the areas listed in the outline following this subject list.  Include a cover page and a list of references at the end of the paper.  Paper will be double spaced and be approximately 4-5 pages in 12 point New Times Roman font.

  • The Genetic Information Nondiscrimination Act (GINA)
  • Elder abuse Mandatory Reporting
  • Child abuse Mandatory Reporting
  • HIV Mandatory Reporting
  • The False Claims Act- the civil penalties
  • TB Mandatory Reporting
  • Proper treatment of environmental hazards.
  • Medical error-Critical Incident
  • False credentials of health care personnel
  • Medical Charting violations
  • Violation of HIPAA – confidentiality
  • Failure to treat patients in a timely manner
  • Failure to maintain required Staffing ratios
  • Patient Choice and treatment consent

Note: Outline:  Must use the headings from the outline below in your paper and the paper must be in narrative form not outline or bullet format. A penalty will be deducted from paper if underlined headings not used in your paper. 

1. Official Title of the Law or Laws:  

State the official title of the federal and/or state law, the statute and section number.  Must be either a federal statute or state statute and you must cite both if applicable. Thus if there is both a federal and state law that covers your subject picked then you must cite both. Do not assume that there is just a federal and or state law. In most cases there is both a federal and state law. You must use the laws cited in this section throughout the rest of the paper.

  1. Health Care Organization’s Obligations to meet Patients’ Legal Rights: 

Describe in detail two specific legal obligations, required by the federal and or state law, that a health care organization owes to its patients.  Include the specific law citation that describes the patient’s rights.  Use in-text citations for all statistical references. 

  1. Consequences for Non-Compliance

First, discuss in general the civil and criminal consequences from either the federal and or state law. List the two legal obligations from the previous section, then discuss two (2) specific consequences from the federal and or state law, one consequence for each legal obligation, for the organizations’ non-compliance. Then for each consequence you must research and discuss one relevant real life case. In other words, you must discuss one (1) consequence for each legal obligation and have one real life researched case for each consequence. See outline below. Cases must be found via the internet or print media or from personal real life experiences.  In other words, what would happen if the organization neglected to meet its obligations to its patients? Be specific. Provide the specific Federal and or state law citations to back up your claim of the consequences.   Provide link to source of information. 

1)     Legal obligation 1 

  • One specific consequence  
  • One real life case

2)     Legal obligation 2 

  • One specific consequence  
  • One real life case
  1. Health Service Organization Management Actions to meet Legal Obligations for Patients’ Rights:

Describe in detail three (3) specific management actions, within your control as a health care manager that you would institute, to ensure the health care organization complies with its obligations to protect the patients’ rights. Be specific as to each management action you would personally institute and why. No general comments.  These actions may include specific uses of technology, procedures, human resource training, and other management tools. 

  1. Conclusion: Summary of your findings above.
  2. Reference List [APA Format] 

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