Assignment:

Roles of Healthcare Professionals

This assignment will be at least 1500 words or more. Reflect on the roles of nurses, and other healthcare professionals as the roles of physicians in the healthcare system moves from one of working in silos to a more progressive value-based system. Write a paper that discusses in detail why a value-based system may improve health care in the U. S. and address the following questions:

How has current policy transformed the current practice of nurses, physicians, and other healthcare professionals?

• What      distinction can you make between physicians/healthcare providers working      in a fee-for-service system and a value-based care system?
• How do      you view shared power between physicians and nurses in your healthcare      system? How does it impact care?

Assignment Expectations

Length: 1500-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment.  Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

1. The nurse cares for a toddler diagnosed with immune thrombocytopenia purport. The child’s platelet count is 52,000/mm (52 x 10). The nurse prepares a care plan for the child. Which nursing diagnosis is most appropriate for this child?
2. Fatigue related to elevated platelet count. 
3. Risk for injury related to low platelet count. 
4. Risk for activity intolerance related to need for rest.
5. Impaired Physical mobility related to need for physical therapy.

2. The client takes heparin 12, 000 units daily by subcutaneous injection. Today’s aPTT level is  45 seconds. Which action does the nurse take first?

1. Nothing as this is a normal a PTT level
2. Notifies the health care provider to decrease the dosage.
3. Changes the route from subcutaneous to intramuscular.
4. Notifies the health care provider to increase the dosage.

3. The client is the single parent of the 2 week old baby, the firstborn child. The client had considered terminating the pregnancy but continued the pregnancy. There is little client family support. The client has a history of an editing disorder. The nurse knows which nursing diagnosis is most important for the client?

1. Risk for impaired attachment related to lack of knowledge of child care.
2. Situational Low Self-Esteem related to body changes of childbirth. 
3. Risk for ineffective coping related to postpartum depression. 
4. Disturbed sleep Pattern related to care of infant at night.

4.A nurse provides care for the newborn in the delivery area. The baby is breathing and crying well with good color. The nurse knows which priority is next?

1. Prevent cold stress.
2. Record Apgar. 
3. Initiate physical assessment.
4. Begin bonding with parents. 

5. The nurse care for the adolescent diagnosed with acquired aplastic anemia. The diagnosis is related to the practice of huffing substances with benzene. Which goal is the most important for this client during immunosuppression?

1. Will have increased production of red blood cells.
2. Will manage pain related to growth factor injections. 
3. Will cope with probability of death from disease. 
4. Will verbalize feelings about lack of bone marrow donor.

6. The nurse is preparing to insert an indwelling urinary catheter. Prioritize the order of steps..

From start to finish. All options must be used.

Unordered options

1. Lubricate tip of the catheter.
2. Drape the client 
3. Insert the catheter 
4. Put on sterile gloves
5. Cleanse the meatus 

7.The nurse assesses the position of the fetus at the beginning of labor. The nurse feels the fetal occiput toward the left side of the pregnant clients sacrum. How does the nurse interpret thus finding?

1. Right occiput anterior (ROA); fetus is currently in correct position for birth.
2. Left sacrum anterior (LSA); fetus will need to flip end to end prior to birth.
3. Left occiput transverse (LOT); fetus will turn head slightly prior to birth.
4. Left occiput posterior (LOP); fetus will need to burn head prior to birth.

8. A client diagnosed with infective endocarditis is discharged home on IV antibiotic therapy. The nurse knows the client understands the discharge treatment plan when the client makes which statement?

1. “when I get home, I can take of these compression stockings when I am walking.”
2. “I can help care for my grandchildren when they are sick and stay home from school”
3. “I can go back to my job next week and start back traveling”
4. “I will tell my dentist about this illness before having my teeth cleaned.”

9. The client sustained a right hip fracture. The client had surgery to repair the hip. The nurse prepares for the client to return from surgery to the surgical unit. Which equipment is out important for the nurse to have available?

1. Sandbags and pillows 
2. Walker and wheelchair
3. Elevated toilet seat
4. Continuous passive motion machine.

10. The nurse care for the 4 year old child. The parents report the child is irritable and has lost weight. The nurse assesses the child and discovers an irregular heart rate at 18- beats per minute and rest at 24 per min. Which does the nurse do first?

1. Assesses the Childs temperature
2. Notifies the health care provider
3. Tells the parent the child has a heart disorder
4. Asks the child if there is any chest pain

11. The nurse care for a client with as kin rash. The client scratches the rash and the skin starts to bleed. The nurse includes which nursing diagnosis in the clients plan of care?

1. Ineffective health maintenance.
2. Impaired skin integrity 
3. Impaired tissue integrity
4. Risk for bleeding 

12. A nurse in the clinic performs a pregnancy test and tells the couple they are pregnant. They are both excited and appear happy. At the next clinic visit, the client tells the nurse the partner is quiet and withdrawn although seeming initially happy at the news. Which is the best response by the nurse?

1. When the pregnancy is more obvious, the partner will feel better.
2. The changes in their life may be causing the partner anxiety 
3. The clients should be less enthusiastic around the partner
4. The partner should seek psychiatric help for depression. 

13. The Hospitalized client is scheduled for a paracentesis because of ascites. The nurse identifies which client goal related to the procedure?

1. Client will have pain reduced from 10 to 8
2. Client will ave increased peripheral perfusion
3. Client will understand reasons for the medication.
4. Client will have bowel function return to normal.

14. A client reports indigestion that is not relieved with antacids. The client appears pale and ashen and the skin is cool and clammy. Which additional assessment data does the anticipate? (Select all that apply)

1. Temperature above 102 F (38.9 C)
2. Dyspnea
3. Constipation and abdominal pain
4. Extreme thirst and hunger
5. Chest tightness 
6. Pain in the left arm and back

15. A client is 30 weeks pregnant. The delivery will be by cessarean birth due to a breech presentation. Which information does the nurse give the client regarding the delivery? (Select all that apply) 

1. Will have an IV started in the preoperative area.
2. Will plan for epidural anesthesia 
3. Wil be given medication to relax prior to surgery 
4. Will have a full bowel prep
5. Will be admitted the night before surgery
6. Will have an indwelling urinary catheter inserted 

16. The nurse obtains a specimen for arterial blood gasses from a client. Which principles guides the nurse?

1. May use peripheral IV site if no IV fluids present 
2. Continuous intra arterial monitoring is required
3. Air in the syringe will after the blood values
4. Clotted blood will reserve the blood gas values

17. The client takes rifampin and isoniazid for turberculosis. The nurse knows the client understands the teaching about rifampin when which client statement is made?

1. My urine may change color and become bluish.”
2. “Because I have kidney disease, my dose is less than my spouse’s.”
3. “I will need to have liver test done every week.”
4. “I will take my medication 1 hour before I eat.”

18. A parent brings an infant client to the emergency department after the infant fell out of the high chair. The nurse assess the infant for a head injury. Which assessment data indicates the infant needs further testing? (select all that apply)

1. Blurred vision 
2. Difficult to arouse from sleep
3. Severe headache
4. Difficulty speaking 
5. Bulging anterior fontanel
6. Right eye pupil dilated

19. A psychiatrist nurse cares several clients with personally disorders. The nurse recognizes that clients diagnosed with narcissistic personality disorder exhibit which characteristic? (Select all that apply.)

1. Exploitative habaviors 
2. Self-multilating behaviors
3. Grandiosity 
4. Preoccupation with orderliness 
5. Hypersensitivity to criticism 
6. Attention seeking behavior. 

20. The nurse presents a Program on Lyme disease. The nurse determines teaching is needed when a child makes which statement?

1. “I will make sure I get the vaccination for lyme disease this spring”
2. “if I get a tick bite, I will watch for a bullseye rash for up to 30 days”. 
3. “my dog has a new flea and tick collar, and I will check for ticks very day”. 
4. Insect repellent with DEET will help keep ticks from biting me”.

21. A client diagnosed with psoriasis is treated with etanercept. The nurse knows the client understands the disease and treatment when the client makes which statement. 

1. “I will stop the medication when I no longer have any symptoms.”
2. “I Can apply this medication will cure the psoriasis.”
3. “I am so glad this medication will cure the psoriasis”. 
4. “I will take this medication until I come to the clinic again” 

22. The Nurse cares for the 13 year old child diagnosed with vesicoureteral reflux secondary to strictures caused by repeated bladder infections. The child receives continuous low dose antibiotics. The nurse assesses the compliance of treatment. Which questions does the nurse ask the child? 

(Select all that apply)

1. “How much fluid do you drink each day”
2. Are you active in any sports?”
3. “how much sleep do you get at night?”
4. “When do you take your medications”?
5. “What foods do you like best and eat often?”
6. “How often do you void during the day?

23. A client had a myocardial infarction. The nurse teaches the client to seek immediate treatment for which symptoms? (select all that apply)

1. Shortness of breath with cough and nasal drainage.
2. Jaw pain with dyspnea and dizziness. 
3. Heave its photophobia 
4. Chest pain with nausea and vommiting 
5. Abdominal pain with constipation 
6. Chest heaviness with pressure 

 Write one page on whether the CCRC model will do well in your home country and why. 12-point Times New Roman font, double spaced. Due: 4 PM PST, Friday, 10.02.2020 

you have to be familiar with CCRC model  and it should be relate to China 

 Discuss a problem or issue in your clinical setting that you have encountered since the outbreak of the COVID-19 pandemic that would be appropriate for  an evidence based project(EBP) project and formulate a researchable question using the PICOT format.  Use APA format avoid the use of direct quotes 

 I work in the Emergency ROOm

Use APA format avoid the use of direct quotes.  I will only accept direct word match less than 20 words in the correct format “……..”( author, year , p#).

Initial post no less than 250 words. 1 page only

Assignment:

Social Psychology

For this assignment you will create a two-sided tri-fold brochure using the Word brochure template or Canva. You will create 6 panels. This brochure will be for used in a psychologist’s office to share information about social psychology, personality study and the sense of self.

Back left panel (cover for trifold):

• Title for Brochure & Image

Inside 3 panels:

• Explain the main applications of social psychology
• 2 & 3 The theories of personality study (Include image and color where appropriate-Images should add value to the brochure).

Back Center Panel:

• Personality & the Sense of Self

Back Right Panel:

• Types of Psychologists that would provide
• Therapy/services for social & personality psychology  
• APA references

Assignment Expectations:

Length: Trifold brochure front & back, 6 panels

Structure:

          Back left panel-   Title for brochure & image

          Inside 3 panels-   Explain the main applications of social psychology

                                       Explain the theories of personality study

                     Include image and color where appropriate- Images

  should add value to the brochure

          Back center panel- Personality & Sense of self

          Back right panel- Types of psychologists that would provide

  therapy/services for social and personality

  psychology and APA References

References: Use the appropriate APA style, in-text citations, and references, for all resources utilized to answer the questions. Include at least (3) scholarly citations to support your information.

Eating Disorders

Initial Post Due Wednesday at 11:59 pm and response due on Sunday at 11:59 pm

Please discuss all three of these questions regarding eating disorders. 

1.)  Compare and contrast the symptoms of anorexia nervosa and bulimia nervosa.  

2.)  What role does media/or society plays in the development of these disorders?  

3.)  What are some important nursing considerations regarding the treatment of a client with eating disorders during inpatient hospitalization? 

Hello! I am in nursing school and I need help. I need an essay on healthy people 2020 by Friday.. id rather someone that knows or maybe in the medical field? or someone is awesome at research. reliable resources. prefer not to use google. maybe google scholar or myhealthypeople.org? Very good research please someone help me! this also needs to be in APA format, I attached the rubric so you knows what the teacher is looking for. Thank you in advance. 

DQ1

Technology is essential for the successful implementation of many projects in health care settings. Despite the importance of health care and medical technologies for improving the quality of care delivery, reduction of health care costs, and enhancing working conditions, Veer et al (2011) found that the introduction of new technologies can actually be met with resistance, and calls for analyses of the factors that may impede or enhance the introduction of technological innovations prior to its introduction.

My evidence based project is based on the need to educate nurses and management of the effects of burnout on nurses’ and patients’ outcomes. According to Cishahayo et al (2019), burnout is highest among Intensive Care Unit and Emergency Department nurses, and that addressing working environment, nurses staffing and training needs, operational materials, and social engagements are necessary for ensuring nurse productivity, and patient safety and satisfaction. Other research demonstrates that if not properly addressed, burnout can result in negative outcomes such as reduced job performance, poor quality of care, increased medication errors, infections, and increased nurse turnover intentions (Liu et al, 2019; Dall’Ora et al, 2020).

Considering the need to decrease nurse burnout, easing nurses’ workloads during shifts is very important; and one way to do so is to decrease the burden of documentation by introducing the electronic nursing documentation and the electronic health record. Documenting and retrieving patients’ health care records can be tasking and time consuming; however, with the introduction of e-documentation and health care record technology, the nursing staff at PowerBack Acute Center will no longer have to waste time and energy consulting with one another, trying to decipher someone’s dreadful handwriting, and fewer errors related to misinterpreted orders should follow. Nurses also like being able to find information about previous episodes of care (hospitalizations or visits) easily and having all information about a patient integrated in a single place. To a greater extent, this technology can go a long way in reducing nurse fatigue and stress, and by extension impact positively on nurses’ and patients’ outcomes.

                                                                                         References

Cishahayo, E. U., Tuyisenge, M. J., Mwiseneza, M. J., Sego, R., Bhengu, B. R. (2019). Perceived effects of burnout on patients and its management among nurses in the intensive care unit and emergency department of a Rwandan university teaching hospital. Rwandan Journal of Medicine and Health Sciences, 2(2). https://dx.doi.org/10.4314/rjmhs.v2i2.10

Dall’Ora, C., Ball, J., Reinius, M. et al. Burnout in nursing: a theoretical review. Human Resources for Health, 18(41). https://doi.org/10.1186/s12960-020-00469-9

de Veer, A. J., Fleuren, M. A., Bekkema, N. Francke, A. L. (2011). Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. BMC Medical Informatics and Decision Making, 11(67). https://doi.org/10.1186/1472-6947-11-67

Liu, J., Zheng, J., Liu, K., Liu, X., Wu, Y., Wang, J., & You, L. (2019). Workplace violence against nurses, job satisfaction, burnout, and patient safety in Chinese hospitals.Nursing Outlook, 67(5), pp. 558-566. https://doi.org/10.1016/j.outlook.2019.04.006

DQ2

Technology helps to improve education and engagement of asthma reduction. In the school setting nurses have access to a program called ASHR, this system allows any health care provider to see children health records and its continuity through case management and follow-ups. Nurses are not the only ones with ability to chart in a child’s health record, in the school setting there are physicians, social workers, speech and occupational therapist that can provide information relevant to a child’s health and progress. A major concern in helping children learn and maintain healthy regimens are for those children who are learning remote. Time must be set aside to implement asthma education for those with diagnosis, who may have forgotten to keep up with their asthma care plan since being in the home. As nurses we advocate for all children, and part of that requires inquiring of the causes of the lack of adherence (for those it applies). As well as coming up with or reinforcing new and improved systems, apps, and resources that can help parents and children make asthma more manageable in the home. To begin, make sure that all students have computers provided to them and access to the Internet to facilitate education. Usage of links or apps that can be accessible through cellular phones, where they can access pictures and videos is one way to deliver education an information. Technologies that could assist families with asthma self-management and care are remote monitoring technologies that help with managing asthma in the home. These monitoring techs are Propeller Health, Cohero Health, and Adherium (Sundar and Costanzo, 2019). These have the potential to help explain and reduce differences in asthma outcomes. Propeller Health – helps users monitor their asthma and stick to a plan by becoming aware of triggers, it works by allowing users to connect their inhaler medication, as the student uses the inhalers it will store data use and frequency to the phone is connected to (Propeller, 2020). Cohero Health, like Propeller health, helps user keep track of asthma health and medication usage but in addition, provides a Bluetooth enabled medication inhaler tracker with a sensor. This tracker is designed for both control and rescue medications and fit most metered dose inhalers and Diskus inhalers (Cohero Health, 2019). I also like that it automatically tracks the use of the medication, and measures lung function over time, with a Bluetooth mobile spirometer. Then there is Adherium, an international respiratory electronic health company which focused on patient adherence, remote monitoring and data management solutions for patients, physicians, payers, and providers (Adherium, 2020). These are great tools to implement in my change proposal and consider presenting to help increase management of asthma in the home, school, and the community. Barriers that I would see here, are for those who are not tech savvy, and may not have the tools necessary.

References

Adherium. (2020). About Adherium. https://www.adherium.com/about

Cohero Health. (2019). Smart technology and smart design. https://coherohealth.com/products/

Propeller. (2020). About. How it works. https://www.propellerhealth.com/how-it-works/

Sundar, K. & Costanzo, S. (2019, October 16). The role of health technology and incentives in improving asthma care for high-risk children. Children’s Hospital of Philadelphia. Research Institute. Policy Lab. https://policylab.chop.edu/blog/role-health-technology-and-incentives-improving-asthma-care-high-risk-children

two separate answers. two papers

Why students shouldn’t have guns on College campuses.