All posts by : chebby

 1-Which level of measurement would you prefer to utilize for quantitative research? Defend your answer. 

2- APA style

3- 3 paragraphs of 3 sentences each

4- 2 references

if you need reduce information feel free to do it.

SOAP Note Case , I uploaded an example, you can create your own case, with a person older than 21 years but , NOT TO YOUNG PLEASE . Including patient name initials , date of birth and all the examples of personal and medical history provided in the example uploaded. I need all the information wrote  in the example, No require references, PLEASE everything must be related because is the same case. 

PLEASE DON’T USE THE FOLLOWING DIAGNOSIS :

NO HYPERTENSION

NO CERVICITIS

NO TUBERCULOSIS EXACERBATION

NO ASTHMA EXACERBATION

NO ACUTE PERICARDITIS

Prepare 8-9 slides of comprehensive plan to implement the change you propose.

• An executive summary of the issues that are currently affecting your organization/workplace.
• A description of the change being proposed
• Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
• Details about the type and scope of the proposed change
• Identification of the stakeholders impacted by the change
• Identification of a change management team (by title/role)
• A plan for communicating the change you propose
• A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

Regarding Alma I would first plan my approach to make her feel important in her care and respected. I would make eye contact, smile, introduce myself and clearly explain to the patient all my actions before doing them to attempt to build a rapport. I would assess the patient’s beliefs, daily activities, current behaviors, treatments and environment. All keeping in mind that this patient may take time to accept me as someone she wants to trust. Issues and experiences are going to be very important to analyze to get to underlying reasons the patient acted like this. I also would make sure to assess patient understanding of medical history, and current medicatons. I would speak clearly, slowly, and in normal tone repeating as necessary to the patient as needed. However, I would aim for patient centered care and involvement, since the reading says the patients that are complaint are just following instruction rather than making a choice I would much rather follow strategies that empower the patient to be active in health care. Collaboration is between the patient, physician, nurses, pharmacist, dietician and any other provider that is part of the care team. Effective communication and collaboration between health professional and patient, guided by factual information and experience of the health professional, allows patients to make informed choices about an agreed upon recommendation (Falvo, 2011). Outcomes are more favorable when patient centered care and collaboration are applied.

Research suggests strategies that can be rememebered by the pneumonic “SIMPLE”

S= Simplifying regimen characteristics such as adjusting medications (time, dosage, frequency), matching the patient with activities of daily living, using reminders of changes in routine (medication reminders, excercise ot routine reminders, medication boxes with daily routine planned out)

Imparting knowledge= distributing written pamphlets, or handouts. Discussing with care team (nurse, physician, pharmacist). Analyzing patient knowledge and

M= Modifying patient beliefs- Assessing perceived susceptibility, severity, benefit, and barriers. Rewarding, tailoring, and contingency contracting

P= Patient and family- providing patient with clear messages and active listening. Including the patient in decisions regarding care. Sending reminders or follow up via email, phone, call or mail.

L= Leave the bias- Tailoring the education to patients’ level of understanding

E-Evaluate adherence- Patient self reporting is most common. Pill counting or logging of activities.

“Clinicians can optimize behavior change by ensuring that the patients (1) perceive themselves to be at risk due to lack of adoption of healthy behavior (perceived susceptibility), (2) perceive their medical conditions to be serious (perceived severity), (3) believe in the positive effects of the suggested treatment (perceived benefits), (4) have channels to address their fears and concerns (perceived barriers), and (5) perceive themselves as having the requisite skills to perform the healthy behavior (Atrja, Bellam, &Levy, 2005).”

Reference:

Atreja, A., Bellam, N., & Levy, S. R. (2005). Strategies to enhance patient adherence: making it simple. MedGenMed : Medscape general medicine, 7(1), 4.

Falvo, D. (2011). Effective Patient Education: A Guide to Increased Adherence. Retrieved from https://www.gcumedia.com/digital-resources/jones-and-bartlett/2010/effective-patient-education_a-guide-to-increased-adherence_ebook_4e.php

REPLY2

There are many different efforts that could be taken in order to use collaboration to assist in compliance with a patient as difficult as Alma.The first effort could be integrating the family member, significant other or caretaker in with the patient education and treatment plan.This would give Alma someone that she trusts involvement in her care, which would be supplemental support in ensuring Alma remained compliant in her care, especially post-procedurally when Alma will need to follow after care instructions to avoid complications.Another source of collaboration is a multi-disciplinary approach.This type of care would require the collaboration and coordination among healthcare professionals involved in Alma’s care such as the general practitioner, pharmacists, health insurers and other practitioners involved in her care.Not only would all of her healthcare providers be aligned in her care, it alleviates some risk of polypharmacy and any conflict of interests between providers.Having a health insurer involved in the collaboration can reduce dispersion in care that could result in higher costs, which would ultimately decrease the cost strain on the patient.Finally, it would be of most importance to ensure Alma was part of the collaboration so that she felt empowered in her decision-making and was an active participant in her treatment plan.Combining all factors of this collaboration would help ensure that Alma was compliant in her procedure and post-procedural medications.

References:

Costa, E., Giardini, A., Savin, M., Menditto, E., Lehane, E., Laosa, O., . . . Marengoni, A. (2015, September 14). Interventional tools to improve medication adherence: Review of literature. Retrieved October 06, 2020, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4576894/

 Student Course Self-Reflection (Guided Essay)Learners must complete a final applied self-reflection essay on their performance of the course based on the documents and artifacts provided in the performance portfolio. This essay must include at least 5 paragraphs and be limited to a maximum of 2 pages.

1.What have you learned in the course that will help you continue to grow as a professional in your chosen career?

2.Which specific assignment for this course was your best work? Name one. What makes it your best work? What did you learn by creating it? What does it say about you as a student inregards to your degree concentration? How do you plan to use it in your field?

3.In which area(s) will you likely continue to strengthen your knowledge or competencies?

4.Which strategies did you use to learn the material in this course?,Which were the most effective? Why?

5.How did your communication skills improved with this course? Discuss new vocabulary, the style of the profession (writing and oral), others 

Write a 1 page reflection analyzing the COVID situation. 

– Include an introduction.

– Include a section called “Your Thoughts” explaining the history of the virus in our country, what caused the situation and out country’s response. How have different points of view included factual reports, inductive inferences, and evaluative judgement. Define these terms. 

– Include a conclusion explaining how perceptions and beliefs of others influence awareness of our “lenses”. 

APA style

Identify and discuss the following:

• dependent variable(s) and the instrument(s) used to measure them.
• how the data for the dependent variable(s) were collected.
• use the article attached

Choose one Healthy People 2020 (HP2020) topic or Leading Health Indicator (LHI) of interest to you and one that can be addressed in your community. Review the overview, objectives, interventions and resources, and national snapshots (data).

Then, present and answer the following:

1. Summarize the topic or LHI you chose including a minimum of 2 specific objectives.

2. How is the nation doing with the objectives you chose (look at the data and spotlight on disparities)?

3. What programs or initiatives are addressing the Topic/LHI/objectives in your community?

4. How can you specifically get involved and advocate to help communities meet the goal?

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.

Include the following:

1. Discuss your options in the job market based on your educational level.
2. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.
3. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.
4. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.
5. Discuss whether continuing nursing education should be mandatory. Provide support for your response.

You are required to cite to a minimum of three 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.