Analysis of a Pertinent Healthcare Issue (lack of access to healthcare)

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs 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

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 6 references per part not older than 5 years (No blogs or web pages- Only official webs: FDA, CDC…)

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

Topic: Food and drug regulation

Purpose : 

To investigate & integrate knowledge of advanced nursing practice, scholarly inquiry, & leadership by examining a policy at the level of clinical practice, health care systems, or public/social health policy. 

You must strictly follow the following scheme. You must use titles and subtitles.

Introduction (Maximum 1 pages): 

1. Generally define & describe the policy issue to be addressed. 

2. Identify the purpose of analysis, the targeted level of policy (i.e., clinical practice, health care systems, or public/social health) & significance of topic.

3. Identify questions the policy analysis is intended to address.  

Background:

1. Provide details of the issue or problem, including its nature/scope,

relevant literature & history, & the context within which the issue

exists.

2. Describe existing policy addressing the issue, if any.

3. Discuss strengths & shortcomings in existing policy.

4. Identify & describe key stakeholders (individuals & groups) that

are or will be affected by the policy & why

Analysis 

1. Identify alternative policies to achieve objectives. 

2. Establish/identify criteria that will be used for selection of “best” policy. 

3. Evaluate each alternative & its potential impact relative to the healthcare & patient outcomes. 

4. Assess the trade-offs between alternatives. 

Recommendations  

 1. Based on the analysis, identify the “best” alternative to address the current issue & policy situation. 

2. Provide rationale for selection. 

3. Describe possible strategies to implement selected alternative. 

4. Identify barriers to implementation of selected alternative. 

5. Describe methods to evaluate policy implementation.  

Discussion (1 page) 

1.  Discuss analysis & recommendations relative to the original questions identified, & the level of policy it is intended to address (i.e., clinical practice, health care systems, or public). 

2. Identify limitations of analysis. 

3. Discuss implications for practice, education, research, & policymaking.  

Conclusion ( minimum 1/2 page) 

1. Summarize findings & recommendations of analysis 

2. Identify questions to be addressed in future studies or policy analyses 

Discuss the difference between a DNP and a PhD in nursing. Discuss which of these you would choose to pursue if you decide to continue your education to the doctoral level and explain why.

Thusrday 10

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1.  Height: 68 inches; weight 134.5 kg

2.  BP: 172/98, HR 88, RR 26

3.  3+ pitting edema bilateral feet and ankles

4.  Fasting blood glucose: 146 mg/dL

5.  Total cholesterol: 250 mg/dL

6.  Triglycerides: 312 mg/dL

7.  HDL: 30 mg/dL

8.  Serum creatinine 1.8 mg/dL

9.  BUN 32 mg/dl

Critical Thinking Essay 

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1.  Describe the clinical manifestations present in Mr. C.

2.  Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.

3.  Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)

4.  Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.

5.  Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.

6.  Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Friday December 11

1) Minimum 5 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 3 pages ( Can write in the firts person)

              Part 2: minimum 1 page

              Part 3: 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 4 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

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: Nursing and aging (Course reflection)

Purpose :

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.  

Organization:

a. Introduction

b. Course Reflection 

c. Conclusion

Include (Mendatory):

1. The students will identify the physiological process of aging. 

2. The students will be able to differentiate the adaptative human response to the aging process. 

3. The student will be able to manage and care older adults and their families.  

4.. Implement holistic, patient centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health illness continuum, across the lifespan, and in all healthcare settings. 

5. Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network. 

6. Deliver compassionate, patient centered, evidence-based care that respects patient and family preferences.  

Part 2: Physiology 1

1. Describe the pathophysiology, clinical manifestations, evaluation, and treatment of tuberculosis or pneumonia.

Part 3: Physiology 1

1. Describe the stages of chronic kidney disease

2. summarize the pathophysiology, clinical manifestations, evaluation, and treatment of chronic kidney disease