Critical Thinking 2

Use this LINK!! 

https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=34518&ver=16&DocID=L34518&bc=AAAAAAIAAAAA&

(1)Describe the medical service covered.(2)Identify the CPT® code(s) needed to report the service.(3)Describe any limitations discussed.(4)Your report must be 500 words, 12 pt. Times Roman, double-spaced.(6)Remember to cite the article chosen. 

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Workplace Environment Assessment

 Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

  • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
  • Review the Work Environment Assessment Template.
  • Select and review one or more of the following articles found in the Resources:
    • Clark, Olender, Cardoni, and Kenski (2011)
    • Clark (2018)
    • Clark (2015)
    • Griffin and Clark (2014)

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

  • Review the Work Environment Assessment Template you completed for this Module’s Discussion.
  • Describe the results of the Work Environment Assessment you completed in your workplace.
  • Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.
  • Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

  • Briefly describe the theory or concept presented in the article(s) you selected.
  • Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.
  • Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

  • Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
  • Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

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What is your Implicit Bias

Implicit bias involves associations outside conscious awareness that leads to a negative evaluation of a person on the basis of irrelevant characteristics such as race, age or gender.  The assignment is to take any one of the Implicit Association Tests (IAT) to measure attitudes and beliefs you may not know about consciously.  The IAT may be especially interesting if it shows that you have an implicit bias attitude that you did not know about.  For example, you may believe that women and men should be equally associated with science, but your automatic associations could show that you (like many others) associate men with science more than you associate women with science 

1.Log on to the Implicit Project:

https://implicit.harvard.edu/implicit/takeatest.html

2.  Follow the directions and take an IAT on a topic of your choice

3.  What did you discover about yourself?

4.  Were you aware of the implicit bias you had toward the characteristic you selected?

5.  How will you use this information to guide your nursing practice?

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a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

 

  • Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
  • Review the health policy you identified and reflect on the background and development of this health policy.

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DISCUSSION 2

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Every student must post just once during the time frame Discussion Forum is Open.

APA 6TH EDITION

2-3 REFERENCES NO OLDER THAN 5 YEARS

NO PLAGIARISM

350 WORD AT LEAST

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Virtuous Person, Virtuous Citizen

writing a discussion on a moral dilemma

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Community And Nursing (Due 24 Hours)

 

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 4, 5, and 6 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

In thinking of five social determinants of health as identified in Healthy People 2020

1. List and identify (Define) the social determinants specifically that may be barriers to home care and case or care management services. Explain your answer with examples.

Part 2: Ethical and nursing

 

Case Study, Chapter 13, The Use of Social Media in Nursing: Pitfalls and Opportunities

Two registered professional nurses are attending a meeting where the focus is examining teaching methods that enable them to share information with newly diagnosed diabetic patients. One nurse initiates a discussion on the use of social media in teaching patients and the use of social media for all health care providers.

1. Discuss actions the nurse should take before using social media as a teaching tool.

2. What types of social media could benefit health care providers and patients?

3. What are the pitfalls to utilizing social media for both patients and health care providers? 

Part 3:  Nursing and the Aging Family

  

1.      Describe at least three possible reasons that reimbursement is provided for medical procedures for pain relief rather than for comforting strategies that nurses could provide.

2.     Describe two safety risks that could result from the following health problems: hypertension, arthritis, right-sided weakness, and Alzheimer’s disease.

 

Part 4:

1. Reflect on the role that the electoral process and government plays in one’s daily work and family life. 

As nurses, health policy can influence both arenas of our lives. 

1. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? 

3. What strategies might nurses use to have their voices heard? 

Check:

The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 

Part 5:

 

1. Reflect on the role that the electoral process and government plays in one’s daily work and family life. 

As nurses, health policy can influence both arenas of our lives. 

1. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? 

3. What strategies might nurses use to have their voices heard? 

Check:

The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 

Part 6:

 

1. Reflect on the role that the electoral process and government plays in one’s daily work and family life. 

As nurses, health policy can influence both arenas of our lives. 

1. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? 

3. What strategies might nurses use to have their voices heard? 

Check:

The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 

Part 7:

 

Compare vulnerable populations. 

1. Describe an example of one of these groups in the United States or from another country. 

2. Explain why the population is designated as “vulnerable.” 

      a. Include the number of individuals belonging to this group and the specific challenges or issues involved. 

3. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.  

Part 8:

 

1. How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? 

2. How should the nurse address these concepts to ensure health promotion activities are culturally competent? 

3. Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. 

4. Include an evidence-based article that address the cultural issue. 

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NURS-6050N-66/NURS-6050C-66-Policy & Advocacy

”  (IT IS REPLY TO A DISCUSSION-ONE PAGE ,THREE REFERENCES PLEASE”)……………..

     The policy that I chose is H.R. 701 – Expressing support for policies that maintain a robust, fully funded, and staffed Veterans Health Administration of the Department of Veterans Affairs and do not jeopardize care for the Veterans by moving essential resources to the for-profit private sector. This policy was introduced to the house on November 14, 2019.

     I chose this policy because our nation has a moral obligation to provide the best quality care to those who put their lives on the line to defend us. It includes caring for the hundreds and thousands of veterans with multiple amputations, loss of eyesight, or Post-traumatic stress disorder.  I believe our veterans deserve the best healthcare in the world.  That means minimal wait times and a technologically advanced Veterans Administration (VA).  It means having the best physicians and health care personnel caring for them. It means having one entry point that is run by the VA and on-the-spot claim submission with far more reasonable timeliness for adjudication than today. It means assisting our veterans with alternative form of treatment. 

     The VA has been plagued with problems for years, it has been faced with reports of excessive and contradictory spending, allegations of inadequate healthcare, and massive backlog of benefits claims (Gordon, 2017).  We are all aware of the scandal in 2014 where hundreds of veterans died while awaiting health care at VA hospitals.  It should not be so for our veterans, I strongly believe that VA hospital and clinics should be fully funded to provide the best health care that the veterans deserve even though health care is fraught with a multitude of factors that are difficult to identify and control (Milstead & Short, 2019).

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NURS-6050N-66/NURS-6050C-66-Policy & Advocacy

  

Discussion 2: The Role of the RN/APRN in Policy-Making

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:

  • Revisit the      Congress.gov website provided in the Resources and consider the role of      RNs and APRNs in policy-making.
  • Reflect on      potential opportunities that may exist for RNs and APRNs to participate in      the policy-making process.W

ONE PAGE ,THREE REFERENCES PLEASE

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Nursing G P (Due 24 hours)

 

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

 

Parts 6, 7, and 8 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

Based on how you will evaluate your EBP project ( See file 1), 

1. Which independent and dependent variables do you need to collect? Why?

Part 2:

Not all EBP projects result in statistically significant results. 

1. Define clinical significance, and explain the difference between clinical and statistical significance. 

2. How can you use clinical significance to support positive outcomes in your project? (See File 1).

Part 3:

 A 49-year-old female is discussing age-related changes with the nurse practitioner. She states that she is having irregular periods and “hot flashes.”

1. What other assessment data would substantiate the diagnosis of menopause?

2. What type of therapy would you expect this patient to receive? Why?

Part 4:

Margo is a 49-year-old divorced woman who works as a bank teller. She tells her primary care provider (PCP) that she feels tired all the time and that she is gaining weight because she has no interest in her usual exercise activities, and that she has been overeating, even though she is often not really hungry. She notices that she has difficulty falling asleep at night and awakens around 4 a.m. most mornings, without her alarm, and cannot go back to sleep even though she still feels tired. She finds little joy in her life but cannot pinpoint any particular concern or event causing this problem. The PCP asks Angela to fill out a Beck’s Depression Scale, which indicates she has moderate depression.

1. Choose a pharmacologic intervention for Margo and explain its effects.

2. Provide Margo with written education regarding her prescription. (Include what she should expect when first taking the drug, appropriate activity warnings, when to expect improvement, side effects she may experience, and anything she should report to the provider).

Part 5:

A 35-year-old comes to the clinic. He states, “It’s getting close to allergy season and I need something to keep me from getting sick. Last year the doc gave me a shot, a spray, some pills, and an inhaler. They worked really well but I don’t remember what they were. Can I have those things again? I just can’t afford to miss work.”

Please answer the following questions in a narrative format: 

1. Discuss the epidemiology of allergies.

2. What are your treatment options (consider pharmacoeconomic)? 

3. Compare first and second-generation antihistamines.

4. What education will you provide to the patient?

Part 6:

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Part 7:

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

Part 8:

The U.S. Department of Health & Human Services released a comprehensive Clinical Practice Guideline for Treating Tobacco Use and Dependence–2008 Update 

https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/update/index.html 

The goal of these recommendations is that clinicians strongly recommend the use of effective tobacco dependence counseling and medication treatments to their patients who use tobacco, and that health systems, insurers, and purchasers assist clinicians in making such effective treatments available. 

After reading these recommendations answer the following questions.

1. what are the clinical interventions for patients unwilling to quit cigarette smoking?

2. According to the best practices what are the best strategies to help your clients quit smoking?

3. are there any specific smoking cessation recommendations for especial populations such as teenagers or the elderly?

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