All posts by : chebby

 Write an explanation about the HAART treatment to a 17-year-old patient. Include how the drug works, why it is preferred to other treatments, how he should be taking the drug and possible risk factors. Consider your professional jargon and developmental approach. In addition, include 3 different barriers a patient with HIV/AIDS could experience in their Healthcare system and ways to address them as their nurse.

• Discussion posts must be a minimum of 250 words in length, not including citations
• Use at least 1 citation from the peer-reviewed literature other than the textbooks from our class.
• Use APA format for all citations. 

Provide a response to  attached word document.

Directions

Respond to at least two students specifying why the environmental health issues are important in global health.

1. Provide a minimum of a one to two paragraph response to a minimum of two or more classmates that directly addresses your thoughts on their post and other required information, as indicated under the discussion topic.

APA 

No Plagiarism 

One reference 

List 8  PROGRESS NOTES in SOAP format of the   Psychiatric Mental Health Nurse Practitioner Role  with  Child and Adolescents  . Describe the   activities you completed during this   time   period with patients.

NOTE: ( The progress notes has to be related with what the       Psychiatric Mental Health Nurse Practitioner do with Child and       adolescents with different psychiatric conditions). 8 different   notes     with different patients scenarios. 

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you. 

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

• Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
• Select an existing healthcare program or policy evaluation or choose one of interest to you.
• Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

• Describe the healthcare program or policy outcomes.
• How was the success of the program or policy measured?
• How many people were reached by the program or policy selected?
• How much of an impact was realized with the program or policy selected?
• At what point in program implementation was the program or policy evaluation conducted?
• What data was used to conduct the program or policy evaluation?
• What specific information on unintended consequences was identified?
• What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
• Did the program or policy meet the original intent and objectives? Why or why not?
• Would you recommend implementing this program or policy in your place of work? Why or why not?
• Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

· Due 12/6/2020 Sunday @7pm EST

· APA Format

· 3 – 4 pages

· Minimum of 2 scholarly articles or journal with a link to the FULL scholarly sources that is in English

· Submit through Turnitin and provide a report (Must be less than 10%)

All of the instructions will be given to you in a document. One document is the guidelines and the other is a sample to help guide you (and to make it a little more easier). For the background information summary, the section titled Significant assessment findings during days of care can be placed in a table. Also the medications can be placed in a table as well. I will also attach a NANDA Nursing Diagnosis to help for the “Risk for”. must be 8 pages 

       Advocacy is one of the best tools that nurses can use to advancing the nursing field. Improve the nursing field means better patient outcomes. therefore, nurses must advocate in their workplaces and particularly in actively participating in government actions that change the health platform. Those actions include healthcare reforms that look for a better quality of care, access the healthcare, and healthcare cost-effective. The American Nurse Association provide tools to nurses that allow them to integrate advocacy committee to be able to work with the legislative branch of federal level as well as the state level (ANA, n.d.). in taking advantage of the advocacy committees, nurses can take many actions to improve healthcare trough legislation at both states and federal level.
Through the political action committee provided by the American Nurse Association, nurses can present themselves as candidates to represent the healthcare professional in capitol hill and other legislative activities at the state level. In doing so, nurse leaders will have the opportunity to raise their voices in policymaking, particularly within the legislative and regulatory arenas. They will bring their concerns about the nursing workforce and health disparities, which are examples of policies established in law. Their interventions are very important because health care policy is constantly changing; and nurses must always be part of the change analyst team to advocate not only their scope of practice but also the patient right to have access to health care and to receive excellent quality of care (Schaeffer & Haebler, 2019).
Nurses may use their researches and communicate with their concerns to their local government. As an example, a bill was taken in the state of Florida that authorizes qualified providers to collect medicine that was available in hospitals and other healthcare facilities. Still, those who had the prescription could not use it. Those medicines were ordered to serve homeless and other uninsured patients who cannot afford their medicine cost. Even though the senate’s health committee introduced the bill, nurses had to analyze the proposition and look if the patient’s right was considered and the consequences on patient outcomes.
In summary, there are many ways a nurse can intervene to advocate for better quality and access to healthcare. The patient center care should be the primary concern of the health care professional. Nurses may use the Association of American Nurses’ possibilities to get to federal and state legislators to bring their voices to health committees. Their concern must be affordable health care, improve healthcare access, improve quality of care, and improve the regulation of their scope of practice. When nurses are working closer to the governments, they can advocate for patient care and establish better means for improving the health care system. Nurse leaders should always think of how to make s difference in the quality of care that all patients deserve. That is why I plan to advocate not only in searching for issues that are raised in workplaces but also those that are in the laws to make a difference in patient care outcomes.

References
American Nurses Association. (n.d.). Advocacy, retrieved from https://www.nursingworld.org/practice-policy/advocacy/
Schaeffer, R., Haebler, J. (2019) Nurse Leaders: extending your policy influence. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S1541461219301491

 1 page 1 sentence for each question

1. What are the mechanisms that result in dyspnea?
2. Paroxysmal nocturnal dyspnea (PND) is a result of: what disorder?
3. _____ is generally relieved by sitting up in a forward-leaning position.
4. Kussmaul respirations may be characterized which respiratory pattern?
5. What is the pathophysiologic mechanism of Cheyne-Stokes respirations?
6. Cyanosis generally develops when _______ g/dL of hemoglobin is desaturated, regardless of hemoglobin concentration.
7. What do hypoventilation and hyperventilation do to PaCO2 levels?
8. What is clubbing?
9. How do high altitudes produce hypoxemia?
10. How do pulmonary edema and pulmonary fibrosis cause hypoxemia?
11. Alveolar dead space is a result of which disorder?
12. Which pleural abnormality involves a site of pleural rupture that act as a one-way valve, permitting air to enter on inspiration but preventing its escape by closing during expiration?
13. In _____ pleural effusion, the fluid is watery and diffuses out of the capillaries as a result of increased blood pressure or decreased capillary oncotic pressure.
14. What the causes of chest wall restriction?
15. _____ atelectasis is the collapse of lung tissue caused from the lack of collateral ventilation through the pores of Kohn.
16. In _____ bronchiectasis, both constrictions and dilations deform the bronchi.
17. What are some similarities between silicosis and asbestosis?
18. _____ is a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury.
19. What are the causes of pulmonary edema?
20. Pulmonary edema usually begins at a pulmonary capillary wedge pressure or left atrial pressure of _____ mm Hg.
21. In ARDS, inflammatory mediators such as proteolytic enzymes, oxygen free radicals, prostaglandins, leukotrienes, and platelet-activating factor are released by which cells?
22. What is the cause of pulmonary edema in ARDS?
23. In ARDS, what causes the alveoli and respiratory bronchioles to fill with fluid?
24. Which type of pulmonary disease requires more force to expire a volume of air?
25. Which immunoglobulin may contribute to the pathophysiology of asthma?
26. Which inflammatory mediators are produced in asthma?
27. _______ increases in asthma because of the effect of inflammatory cytokines, tumor necrosis factor-alpha (TNF-a), and IL-1.
28. What are the clinical manifestations of asthma?
29. The most successful treatment for chronic asthma begins with _______.
30. Which bacteria become embedded in the airway secretions in chronic bronchitis?
31. What are the clinical manifestations of chronic bronchitis?
32. _____ involves an abnormally enlarged gas-exchanged system and the destruction of alveolar walls.
33. What is the best way to delayed the progression of chronic bronchitis?
34. How does smoking contributes to emphysema?
35. What are the clinical manifestations of emphysema?
36. What is the most common route of lower respiratory tract infection?
37. What are the clinical manifestations of pneumonia?
38. In tuberculosis, what is activated to attack the bacilli?
39. What is a circumscribed area of suppuration and destruction of lung parenchyma called?
40. Pulmonary hypertension results from which alteration?
41. What are the clinical manifestations of pulmonary hypertension?

Chapter 37: Alterations of Pulmonary Function in Children

1. How does chest wall compliance in infants compare to adults?
2. Why is nasal congestion a serious threat to young infants?
3. The risk for respiratory distress syndrome (RDS) decreases for premature infants when they are born after _____ weeks of gestation.
4. Which type of croup is most common?
5. What are the clinical manifestations of croup?
6. What is the chief predisposing factor for respiratory distress syndrome (RDS) of the newborn?
7. What is the primary cause of RDS of the newborn?
8. What is the primary problem in RDS of the newborn?
9. What is the sequence of events after atelectasis develops in respiratory distress syndrome of the newborn?
10. Bronchiolitis tends to occur during the first years of life and is most often caused by which infection?
11. What are the clinical manifestations of bacterial pneumonia in children?
12. Which immunoglobulin is present in childhood asthma?
13. Which T lymphocyte phenotype is the key determinant of childhood asthma?
14. Which cytokines activated in childhood asthma produce an allergic response?
15. Write a description of childhood asthma.
16. Write a description of acute respiratory distress syndrome (ARDS).
17. What do fibroblast growth factors cause in ARDS?
18. In ARDS, how does a diffuse pulmonary thrombosis contribute to pulmonary edema?
19. Write a description of cystic fibrosis.
20. What is the cause of cystic fibrosis (CF)?
21. What are the abnormalities in cytokines found in children with cystic fibrosis?
22. Sudden infant death syndrome (SIDS) occurs most often between _____ and _____ months of age.

Discussion: Diversity and Health Assessments

May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).

Photo Credit: Getty Images

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.

To prepare:

·  Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.

·  By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.

·  Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.

·  Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop FIVE targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

·  Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

By Day of Week 2

1-Post an Explanation of the Specific Socioeconomic, Spiritual, Lifestyle, and other cultural factors associated with the patient you were assigned.

2- Explain the Issues that you would need to be Sensitive to When interacting with the patient, and WHY.

3- Provide at least Five Targeted Questions you would ask the patient to build his or her health history and to assess his or her health risks.

“CASE STUDY #1”

MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help himself too. He tells you he is afraid that he will not get into heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.

Note: REMEMBER AT LEAST THREE REFERENCES AND APA FORMAT.

For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

example of final care coordination plan