WEEK 3 Discussion Prompt 2 PHARMACOLOGY

 Discuss medications to treat congestive heart failure (CHF). What medications are used to treat CHF? What specifically should patients be taught about CHF medications to prevent adverse side effects? 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

WEEK 3 Discussion 1 Clinical Concepts

 Discuss the role, responsibility, competencies, and value of the nurse informaticist in the development, application, and integration of healthcare technology. 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Research healthcare issues that have been identified in your local community.

  

Developing Health Policy Analysis presentation assignment.

Developing Health Policy Analysis presentation assignment. So, this assignment focuses on developing a health policy analysis presentation that includes a problem statement, background, landscape, options and recommendations from the week’s readings.

Developing Health Policy Analysis presentation assignment.

Purpose, firstly, this assignment focuses on developing a health policy analysis presentation that includes a problem statement, background, landscape, options and recommendations from the week’s readings. The health policy analysis presentation is based upon an identified healthcare issue in one’s local community. Activity Learning Outcomes. So, through this assignment, the student will demonstrate the ability to:.. Employ strategies to impact the development, implementation, and consequences of holistic healthcare policies using evidence-based practice principles (CO1). Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2). Analyze social, historical, ethical and political contexts of healthcare policies and advanced practice leadership (CO4).

Developing Health Policy Analysis presentation assignment.

Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO5) Requirements: ⦁ Research healthcare issues that have been identified in your local community. Develop a power point presentation offline. Structure a health policy analysis presentation that addresses the following topics particular to your health problem. ⦁ Problem Statement ⦁ Background ⦁ Landscape ⦁ Options. Recommendations ASSIGNMENT CONTENT Category Points % Description Structure a health policy analysis presentation that addresses the following topics particular to your health problem. Problem Statement ⦁ Background ⦁ Landscape ⦁ Options. Recommendations 150 Research healthcare issues that are present in one’s local community.

Developing Health Policy Analysis presentation assignment.

Research healthcare issues that have been identified in your local community. Develop a power point presentation offline. Structure a health policy analysis presentation that addresses the following topics particular to your health problem. 

Problem Statement 

Background 

Landscape 

Options 

Recommendations

22 slides not including the reference page. Be evidence-based, including cited, scholarly sources on each slide

Include reference list slide, should be interesting to the audience

Be sure your speaker notes or slide transitions do not appear as you present your slides. Only the slides and your speaker window should appear.

PLEASE DO NOT WRITE ON OPIODS CRISIS THANK YOU.

Reference: Essentials of health policy and law.by Joel B. Teitelbaum

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

6053 Discussion 3

  

In your own workplace, you may find yourself wondering, who should I turn to when I have a practice dilemma? or Where can I go to learn more about this issue? These questions speak to the intricacies of formal and informal organizational structure and leadership.

To prepare:

· Review the information presented in Chapter 12 of the course text. Focus on the information about formal versus informal structure as well as the types of organizational structures.

· Consider the overall structure or hierarchy of your organization or one with which you are familiar. Which organizational structure best describes your organization—line (or bureaucratic), ad hoc, matrix, service line, or flat? Note: It is possible to have a combination of structures in one organization. Is decision making centralized or decentralized in this organization?

· What is the role of committees, task forces, and councils in the organization, and who is invited to join? Consider how this relates to formal and informal leadership.

· Reflect on how decisions are made within a specific department or unit. Which stakeholders provide input or influence the decision-making process? Assess this in terms of formal and informal leadership.

· To support your analysis, consider your own experiences and investigate these matters by speaking with others at the organization and reviewing available documents. Be sure to consider how the concepts of formal and informal structure and leadership relate to one another and are demonstrated in the organization and in the particular department or unit.

Post a depiction of your organization’s formal structure, indicating whether it is best described as line, ad hoc, matrix, service line, flat, or a combination. Describe how decisions are made within the organization and within one department or unit in particular, noting relevant attributes of centralized/decentralized decision making. Explain the influence of formal and informal leadership on decision making within this department or unit.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

DQ

Principalism, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the lecture and topic readings in your response.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

DQ2

  

Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP project. Why? Has your mentor used either theory, and to what result?

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Discussion 1 : Advance Primary Care of Family Practicum II

Week 1 assignment

Prepare a brief response to: 

What role enhancing experiences have you experienced thus far as (in the nursing profession)? 

What additional experiences are essential for further development? 

What is your hope for this course (Advance Primary Care of Family Practicum II)? 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

“Family Nurse Practitioner”

 Email me an essay (goal statement) of 1-2 pages (typed, double spaced) explaining your career goals, reasons for your choice of specialization, and why you want to pursue an advanced degree in nursing. I attached an example for you to review (APA 6th Addition). Please make sure you add “Family Nurse Practitioner” in the body of your essay. 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

DQ

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5 kg
  2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
  5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Comment

COMMENT1

Heart failure is a clinical syndrome caused by structural and functional defects in the myocardium which results in the impaired ventricular filling and the ejection of blood (Inamdar &Inamdar,2016). Based on the functional status of the heart, heart failure can be classified as heart failure with preserved ejection fraction (HFpEF) and heart failure with reduced ejection fraction (HFrEF). 

Based on the cardiac output, HF can also be classified as a high-output failure and low-output failure (Inamdar &Inamdar,2016). High-output failure can be caused by anemia, vascular shunting, hyperthyroidism and vitamin B1 deficiency. Low-output heart failure is characterized by insufficient forward cardiac output and is much more common than the high-output heart failure. Mrs. J has clinical symptoms of biventricular heart failure which is characterized by poor cardiac output-forward failure, and congestion of the blood behind the pumping chamber-backward failure (Copstead-Kirkhorn,& Banasik, 2014). 

COMMENT2

The patient is very anxious at this time based on the kind of questions that she is asking, and her oxygen saturation level at 82% is increasing the workload of the heart. Supplemental oxygen therapy should be started to compensate by decreasing the heart’s workload, increase oxygen delivery to the body tissues to prevent serious damage to the brain and other vital organs. Patient need to be reassured that the medical team is making every effort necessary to take care of her symptoms. This first interventions will help reduce her anxiety and get her mind focused on getting better. This should be followed with continuous monitoring of her vital signs, paying close attention to ECG readings, heart rate and rhythm, blood pressure,  intake and output, further lab works and results as ordered and following other prescribed therapies as ordered. (Amakali, 2015).

The patient’s smoking issue need to be addressed as well starting from admission. Patient admits to smoking 40 cigarettes a day. She need to know that she may not be allowed to smoke while admitted in the hospital.Tthe doctor may order alternative to smoking such as nicotine patch to provide some support for the patient and start the process of smoking cessation.The dangerous effects of her smoking would need to be explained to her through a comprehensive teaching program prepared while in the hospital and prior to discharge.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now