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Adolescent and Child: Hypothyroidism

July 9, 2025/in Nursing Questions /by Besttutor

Adolescent and Child: Hypothyroidism

Your case study should include all details related to 

pathophysiology,

rational drug choice,

work-up/monitoring,

and details such as socioeconomics, age, culture, and gender if appropriate.

Your answers should provide all details per your scenario. Post should be in five well-developed paragraphs (500-700 words total) , 3 to 5 nursing references within the last 5 years. 

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Healthcare Coverage Gap

July 9, 2025/in Nursing Questions /by Besttutor

Start by reading and following these instructions:

  1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.
  2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
  3. Consider the course discussions so far and any insights gained from it.
  4. Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

Assignment:

Healthcare Coverage Gap

The ACA was meant to provide quality health care coverage for all yet a coverage gap for some populations especially in states that oppose Medicaid expansion. Based on what you have learned so far in this course, create a PowerPoint presentation that addresses the coverage gap problem, who is impacted by the coverage gap, the role the ACA plays in the coverage gap, why the coverage gap should be closed, and solutions/ recommendations for closing the gap. Address the following in your PowerPoint:

  • Select one state opposed to Medicaid expansion and describe why. Then, consider your own state. What are the benefits and drawbacks to Medicaid expansion in your state?
  • Define what the coverage gap is (problem/issue)
  • Discuss how the coverage gap impact low income healthcare consumers population.
  • What role does the ACA have in widening or closing the coverage gap?
  • Why is it important to close the gap (implications for positive social change)?
  • What are some solutions to closing the coverage gap and how can healthcare equity help close the gap? Include recommendations and/or solutions.

Your PowerPoint presentation should include/address:

  • Title Slide (1 slide)
  • Objectives Slide (1 slide)
  • Medicaid expansion (1-2 slides)
  • Coverage gap – define/problem/issue (1-2 slides)
  • Coverage gap impact on low income healthcare consumers (2-3 slides)
  • Role ACA has in widening or closing the coverage gap (1-2 slides)
  • Close the gap (1-2 slides)
  • Solutions to closing the coverage gap and how can healthcare equity help close the gap? (2-3 slides)
  • Reference slide (1-2 slides).

Assignment Expectations

Length: 9-14 slides (in addition to the title slide and reference slides)

Structure: Include a title slide and reference slide in APA format.  These do not count towards the minimum slide count for this assignment.  Your presentation must include an objectives slide.  Be sure to fully explain all slides in the Speaker Notes.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.

Format: Save your assignment as a Microsoft PowerPoint document (.pptx) or a PDF document (.pdf).

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Discussion Research Method:

July 9, 2025/in Nursing Questions /by Besttutor

 Data from the participants in this study were collected using a case study approach. A case study is usually a descriptive observation qualitative research method that focuses on evaluating and or investigating a phenomenon in real-life situations (Hennink, Hutter & Bailey, 2020). In the study, data or information from the participants were collected using various tools and approaches. Primary tools of data collection were both structured and unstructured interviews. The choosing of these two tools was informed by the study design, which focuses on obtaining detailed information about a phenomenon which, in this case, was the experience of the youths who abuse drugs and substance. The sampled group reported being using cannabis and other opioids on many occasions. Therefore, the objective of this case study was to evaluate the real-life experiences of the youth when they were using drugs.

Case study research design is preferred for studying such a phenomenon because of so many reasons. First is that employees random sampling of participants to provide responses that would answer the research questions. Data from the interviews were stored or recorded in books, journals, and digital forms where video and audiotapes were used. Different forms of collected data were analyzed using different methods. Prior to analysis, data were cleaned to ensure validity and accuracy. Video and audio recordings were transcribed before the final analysis. The final analysis of data was done using descriptive statistics where the variables of research were measured in the frequency in which they occurred. Correlational analysis was used to determine the relationship between different variables in the study (Lune & Berg, 2016). Therefore, the findings of this qualitative research were presented as descriptive information detailing the experiences of the youths who use drugs and other substances.

References

Hennink, M., Hutter, I., & Bailey, A. (2020). Qualitative research methods. SAGE Publications   Limited.

Lune, H., & Berg, B. L. (2016). Qualitative research methods for the social sciences. Pearson Higher Ed.

Reply

what the professor said:
Re: RE: Role of Opioid Education for the Youth (2)You have incorrectly formulated this section. Please fix and resubmit.

——————————————————————————————–

Discussion Forum: Writing the Discussion Section

Substance use results into vast majority of life years lost due to illnesses, disability and premature deaths among those aged 15 to 24. It is arguably the most important modifiable health behavior that has impacted the youth. Due to the times we are in, youth are faced by a vast landscape of more potent products, new delivery methods, and synthetic alternatives such as electronic cigarettes, fentanyl, codeine products and potent cannabinoids. These are far more addictive than psychoactive substances that were available to teenagers in the past (Reid, Wild, & Bozarth, 2020). Marijuana, alcohol and tobacco products are more commonly used in high school students as compared to opioids abuse thus the secondary prevention that is to say, initiating treatment of other substance use way before the use of opioids ever begin as logical strategy.

The American academy of pediatrics has called on pediatricians to screen all young adults as well as adolescents for use of substance use and manage the whole spectrum, starting from preinitiation to SUD. Integrating SUD treatments within a pediatrics primary care, as well as engaging primary care providers in managing of substance use as they do to people with other disorders, it has the potential to radically revise as well as dramatically increasing access to SUD treatment for the youths (Drake, 2017).

Among adolescents, Opioid Use Disorder (OUD) are not as common as tobacco, marijuana and alcohol disorders although the death rate of patients with untreated OUD is high. The treatment of OUD include prescription medications, there is use of model that combines both primary care management as well as an integrated behavioral health specialists while at the same time having an expert backup which has demonstrated as being acceptable in the pediatric primary care as well as being feasible with the subspecialist support (Pfeiffer, 2019).

Reply

what the professor said

Re: Role of Opioid Education for the YouthYou need to compare the Results with your initially stated Hypothesis and interpret them.

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DNP-Patient Outcomes And Sustainable Change

July 9, 2025/in Nursing Questions /by Besttutor

Reflective Journal

Learners are required to maintain a reflective journal integrating leadership and inquiry into current practice.

Your journal will reflect on the personal knowledge and skills gained in this course and should address a variable combination of the following:

New practice approaches

Intraprofessional collaboration

Health care delivery and clinical systems

Ethical considerations in health care

Population health concerns

The role of technology in improving health care      outcomes

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Primary health Plan focused on preventive services. Obesity prevention in adolescents of my community.

July 9, 2025/in Nursing Questions /by Besttutor

Primary health Plan focused on preventive services.

Title: Obesity prevention in adolescents of my community.

APA style, 10 pages long, not including references and presentation page.

Identify a health problem in your community, in which you can develop a preventive program. (I choose Obesity prevention in adolescents of my community).

Create a clinical question using the PICOT (problem/patient/or population, intervention/indicator, comparison, outcome, and time element or type of study).

Objectives of the presentation

 

· Define preventive services commonly offered to different types of communities, using Healthy People 2020.

· Explain how to develop and write a practical policy for preventive services

· Define the steps to develop Primary Health Plan.

· Explain the evaluation criteria of a primary health plan.

· Explain the commonly used methods for evaluating a preventive health program.

· Identify a health problem in which it is important to develop a preventive health program.

 

Introduction.

Abstract

Literature that support the project

Description of the proposed solution.

Theory of change.

Problem identification, intended participant, Setting selection.

Objective and goals.

Intervention

Community involvement.

Develop materials and activities

Implementation and monitoring the intervention.

Choose one of the four overarching goals to work on the project:

 

· Attain high quality, longer lives free of preventable disease, disability, injury, and premature death.

· Achieve health equity, eliminate disparities, and improve the health of all groups.

· Create social and physical environments that promote good health for all.

· Promote quality of life, healthy development, and healthy behaviors across all life stages.

 

 

Evaluation.

Practice.

Conclusion.

References.

 

 

 

 

 

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week 7 NR 534 IP

July 9, 2025/in Nursing Questions /by Besttutor

Week 7: Attributes of a Transformational Healthcare System – Collaborative Group 3

From NR534-61667No unread replies.No replies.

What are the attributes of the learning organization and how does it align (or support) the complex adaptive healthcare system? What leadership styles are inherent in learning organizations that may not be totally supported in a traditional organizational culture? Using the cultural assessment you did a few weeks ago, how does your current organizational culture and climate align with the learning organizational attributes? What other information might you need before you could make that determination? Where would you obtain it? How does your philosophy of leadership and personal leadership profile align to the attributes of the learning organization? What is the role of the nurse leader in leading and creating a shift toward becoming a learning organization?

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Musculoskeletal

July 9, 2025/in Nursing Questions /by Besttutor

An 11-year-old boy presents to the emergency room (ER) with a 4-inch laceration on his right arm. He was with his friends doing bicycle stunts when he fell off his bike and cut his arm on a rusty nail from the ramp. In addition, his wrist is swollen, bruised, tender to touch, and warm, with limited mobility. He will most likely need stitches to close the laceration and a splint for the sprain.

In your initial post answer the following questions:

After treatment, as he prepares to leave, you give him last-minute care instructions for laceration and sprain. What would be important for this boy to know to prevent further health concerns with his injuries?

The boy concernedly asks you, “My uncle lost his foot because he got gangrene in it. Am I going to lose my arm if I get an infection in this cut?” How would you respond?

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RESPONSE #2 EBP

July 9, 2025/in Nursing Questions /by Besttutor

 Respond to your colleagues and offer alternative views on the impact of patient preferences on treatment plans or outcomes, or the potential impact of patient decision aids on situations like the one shared 

At least 2 references in each peer responses!

 

In my experience patient centeredness has always been an important aspect of healthcare. Melnyk and fineout-overholt (2018) define patient centeredness as the required integration of patient preferences and values into evidence-based decision making. With the modern technology available today, patients are more informed than ever and more capable than ever to be involved in the decision-making process. One experience that I recently encountered was a patient making decisions about end of life care. The patient was suffering from ALS, and initially elected to have life extending procedures performed. The patient stated a desire to see his daughter get married and wanted to live several more months in order to be present at the wedding. This was important to him, and to abide by the patients wishes, the patient was trached, placed on a ventilator, and received a PEG tube. After educating the family and setting up a home healthcare plan the patient was sent home. Several months later, the patient returned, and as previously indicated, wanted all care discontinued. Personally, I have been involved in multiple end of life scenarios where treatment is withdrawn, but this situation was different from most. The patient was to the point in his disease process where he had severe physical limitation, but was fully alert and able to communicate. It was a foregone conclusion that as soon as the ventilator was removed, the patient would not have the strength to take an effective breath, but the patient and family were clear they did not want to continue care given the patients quality of life. This was a difficult case to be a part of, but looking back, I believe all the correct decisions were made.

Effect of Patients Values

This scenario created multiple questions, that depending on individual values, had different answers. The first question is the appropriateness of artificially extending life in a disease that leads to such a poor quality of life. Second, many were uncomfortable on removing the source of oxygen on a patient whose life could be extended by keeping the ventilator. In the Ottawa Hospital decision aid tool (2019), one of the primary questions that it recommends the patient answer, is the consideration of personal goals still wanted to achieve. In this case the patient made it clear, he wanted to attend his daughter’s wedding that was several months away, and as the decision aid tool recommends, this is a good reason to extend one’s life. Everyone has different things they prioritize as important, and this was the most important event left for the patient to do. To accommodate the patient’s wishes, the treatment plan was modified to ensure the patient could accomplish this final goal.

Value of the Patient Decision Aid

Evidence based medicine combined with shared decision making are critical factors in the overall quality of the healthcare system (Hoffmann, Montori, & Mar, 2014). To provide quality care the patient must be informed of all options, as well as the risk and benefit of decision making. The decision aid tool is very effective in walking the patient through all considerations to making decisions. The tool also provides the necessary education to make an informed decision. This tool would be an excellent tool to prepare a patient for a discussion about plan of care. When a patient is not informed about their disease process, the patient has little opportunity to ask the right questions, or make an informed decision. Often, agreeing with the treating physicians plan of care is the only option the patient feels like they have.

Personal Use of Tool

Prior to this course I wasn’t aware that tools were available in the patient decision making process. Going forward, I would recommend this tool to anyone who is facing a new plan of care. A patient should be informed of treatment options prior to making the final decision. This ensures tool ensures that a patient understands the process, all the options, and the right questions to ask. Ultimately, this will help the patient make a fully informed decision about personal healthcare.

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JOURNAL Assignment 2

July 9, 2025/in Nursing Questions /by Besttutor

Practicum Journal

Continue documenting your Practicum Experiences in your Practicum Journal. Reflect on your Practicum Experiences and relate them to your Professional Goals and Self-Assessment of Clinical Skills that you identified in Week 1.

WRITE ON THIS DIAGNOSIS BELOW AND ELABORATE:

Heart Diseases: I have noticed that most patients presenting with heart diseases are African Americans

Use at least 2 references (From 2015 and UP)

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Critical thinking

July 9, 2025/in Nursing Questions /by Besttutor

Following the reading of this assigned chapter 3, answer the questions below as a discussion post.  Question and/or sub questions must be numbered and stated first, followed by the appropriate answer. Each answer must have a minimum of 6 sentences, unless specified otherwise.

Student must incorporate the “Standards of Critical Thinking” (Clarity, Accuracy, Precision, Relevance, Depth, Breadth, Logic, Significance, and Fairness as a guide to clear, complete, in-depth writing.

1. Describe the steps that you utilized in your previous nursing course to master the course content, compared to each strategy listed on pages 59-60, under “Strategies to Process, and Remember Information”, and “critical Thinking and Memorization”.  (Must address each strategy individually,minimum 4 sentences per response)

 

 

2. Evidence based practice (EBP) is the careful use of current best evidence in making decisions about patient care.   Discuss how nurses can contribute to the development of new knowledge for current practices. (6 sentences)

 

3. Discuss the relationship between the concept of “Teaching Ourselves: Grab the Spoon”, and the ‘Intellectual Traits’ of the Critical Thinking model of Paul and Elder. (6 sentences)

 

 

4. Describe two academic situations in which you feel you were “spoon-fed”

(6 sentences for each situation)

 

5. Read “Teaching Ourselves: Grab the Spoon” page #56-57.  Utilizing the comparing and contrast approach, provide two examples of how you personally used or did not use these strategies and the outcome from it. (6 sentences)

 

6. Survey the assigned chapter to get an overview. Based on your survey, what do you anticipate the reading to be about? (4 sentences).

 

7. As you were reading this chapter, what questions did you raise? (4 sentences)

 

 

8. Elaborate in your own words and in more depth or greater detail what the chapter is addressing in (14) sentences. You can begin your elaboration by saying, “In other words…”

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