All posts by : chebby

 Watch the following video, then complete the required assignment. Review the document in Course Resources for instructions on accessing the videos. Lab 1 OSCE Clinical Skills Headache 26:08 Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan? How to Submit Submit your SOAP notes to the unit Dropbox before midnight on the last day of the unit. Please submit your Lab directly into the text submission tool located in the Unit Lab Dropbox. 

 Adult History Paper & Description of the Interview  

Discussion Question:

What biological, psychological, environmental, socio-cultural, behavioral, and health system factors might be contributing to the failure of LGBT to use health care services? What population health nursing interventions might promote more effective use of services?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook

The Health Care Delivery System
1. You are a home health care nurse scheduled for a home visit to your patient, a retired account payable clerk who is 7 days postsurgical with a new colostomy. Your patient lives with her husband who is involved in her care; they compile a list of questions between visits to ask upon your arrival at their home. During this visit, the patient has questions regarding her colostomy equipment and stoma care; her husband has questions regarding his current medication regimen. Both of them express concerns over recent changes in their health care coverage. 
a. What data in the scenario are pertinent?
b. Outline your nursing care responsibilities, as the home health care nurse, in this scenario. Compare and contrast these responsibilities with those found in the acute care setting.
c. What would be your recommendation for the husband’s medication questions?
d. What is the home health care nurse’s role and responsibilities related to the challenges of health care reform?
2. You are a nursing student attending clinical at a large, urban university hospital where you engage in direct patient care with clinical instructor supervision. At the nurses’ station, you overhear various nurses addressing patient care needs, including an RN requesting consults with a physical therapist, a respiratory therapist, a dietitian, and a social worker. Another nurse discusses the potential
need for palliative or hospice care consults for a patient. You observe a physician assistant approach the nurse with a list of written orders. 
a. Outline the roles of the various licensed health care workers mentioned in this scenario.
b. Compare and contrast palliative and hospice care. What is the major difference between the two?
c. As a nurse, what is your responsibility regarding physician assistant (PA) orders?

Please this is the bibliography
1.Potter, P.A., &Perry, A. G. (2017). Fundamentals of Nursing: Concepts, Process, and Practice (9th ed.). St. Louis: MO:  Mosby. ISBN: 9780323327404 

 1-Do you think it is important for nurses to be involved in their professional organizations? Why or why not?

2. The Affordable Care Act (“ObamaCare”) has been both praised and vilified. Debate the pros and cons of this legislation and of health-care reform in general. 

3. What is your vision of nursing’s future? How will you contribute to shaping it? 

4. Interview a nurse educated in a diploma program at least 20 years ago.

a-How did that nurse’s education differ from your education today? 

5. Locate the website of a professional organization related to nursing. Bring a copy of the organization’s mission, membership criteria, and standards of practice. 

6. Ask five people of different ages and gender who do not work in the health-care field what they think most nurses do. Compile their answers with the answers your classmates collected and summarize them. Compare the summary to what you know nurses actually do.

a-Were the answers realistic? 

b-Did they over- or underestimate the responsibilities most nurses have?

c-Did they recognize the wide variety of things nurses do?

d-Was there a difference by age or gender of the person answering the question?

e-What do the results tell you about the public’s image of nursing? 

f-What do you think influences their image the most? Explain your answer.

7. Describe the nurse of the future.

a-What does he or she do?

b-Do you think nursing will become a more powerful force in health care?

c-Why or why not?

250 words or more

3 references APA citation

Note: My topic is weight loss and weight management.

My client is an African woman who is obese. Because of her culture, she is not really a believer in exercise and it is hard for her to exercise and lose weight because of her cultural diet. 

For my teaching plan, I want to talk about steps to lose weight and how to maintain it.

My learning objectives:

1. Identify risk factors and diseases associated with overweight/obesity.
 

2.Identify genetic, biologic, and environmental contributors to weight status.

YOU WILL BE DOING PART A AND B

Review the feedback on the change proposal professional presentation and make required adjustments to the presentation. Present your evidence-based intervention and change proposal to an interprofessional audience of leaders and stakeholders. Be prepared to answer questions and accept feedback.

After presenting your capstone project change proposal, write a 250-350 word summary of the presentation. Include a description of the changes that were suggested by your preceptor before your presentation and how you incorporated that feedback. Describe how this interprofessional collaboration improved the effectiveness of your presentation. Include a description of the feedback and questions from your audience after your presentation, and how this experience will affect your professional practice in the future.

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

 clinical significance 

  To Prepare

• Review the resources related to Medicare Access and      CHIP Reauthorization Act of 2015 (MACRA) and meaningful use objectives.
• Review the Criteria for Attestation.
• Consider your current workplace or a former workplace      and reflect on how EHR implementation slows your work, including staffing      issues, medication barcoding, or any other issues that you might      encounter.
• Identify policy mandates and requirements and reflect      on how informatics and EHR implementation affect your ability to meet      those policy mandates and requirements. 
• Identify other mandates (e.g., quality, safety,      requirement of reporting) and reflect on how they may affect issues you      identified.

By Day 3 of Week 10

Post a response that analyzes how policy mandates and requirements you experience might affect the issues you encounter as a practicing nurse informaticist. Be specific and provide examples. Next, analyze how evolving policies that may be implemented might affect issues you encounter in nursing practice, and explain why.

McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.
Chapter 1, “Introduction to Health Information Technology in a Policy and Regulatory Environment” (pp. 2–17)
Chapter 12, “National Standards for Health Information Technology” (pp. 272–295)

Centers for Disease Control. (2017, January 18). Meaningful use. Retrieved from https://www.cdc.gov/ehrmeaningfuluse/introduction.html 

Lye, C. T., Forman, H. P., Daniel, J. G., & Krumholz, H. M. (2018). The 21st Century Cures Act and electronic health records one year later: Will patients see the benefits? Journal of the American Medical Informatics Association, 25(9), 1218–1220. 

Office of the National Coordinator for Health Information Technology. (2017, May 15). Standard nursing terminologies: A landscape analysis. Washington, DC: Author. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf

Office of the National Coordinator for Health Information Technology. (2019, February 20). Meaningful use and MACRA. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

Federal Register: The Daily Journal of the United States Government. (2016, May 5). Medicaid and Children’s Health Insurance Program (CHIP) programs; Medicaid managed care, CHIP delivered in managed care, and revisions related to third party liability. Retrieved from https://www.federalregister.gov/documents/2016/05/06/2016-09581/medicaid-and-childrens-health-insurance-program-chip-programs-medicaid-managed-care-chip-delivered

eCQI Resource Center. (2019a, May 10). eCQMs. Retrieved from https://ecqi.healthit.gov/ecqms

eCQI Resource Center. (2019b, May 10). Eligible hospital/critical access hospital eCQMs. Retrieved from  https://ecqi.healthit.gov/eligible-hospital/critical-access-hospital-ecqms

Leapfrog Hospital Safety Grade. (2019, April 25). Leapfrog hospital safety grade: Scoring methodology. Retrieved from https://www.hospitalsafetygrade.org/media/file/HospitalSafetyGrade_ScoringMethodology_Spring2019_FINAL.pdf
 

Apply information from the Aquifer Case Study to answer the following discussion questions:

• Discuss the Mr. Rodriquez’s history that would be pertinent to his gastrointestinal problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.
• Describe the physical exam and diagnostic tools to be used for Mr. Rodriguez. Are there any additional you would have liked to be included that were not? 
• Please list 3 differential diagnoses for Mr. Rodriguez and explain why you chose them.  What was your final diagnosis and how did you make the determination?
• What plan of care will Mr. Rodriquez be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?