This written assignment requires the student to investigate his/her local, state and federal legislators and explore their assigned committees and legislative commitments. The student is expected to investigate current and actual legislative initiatives that have either passed or pending approval by the house, senate or Governor’s office. The student will draft a letter to a specific legislator and offer support or constructive argument against pending policy or legislation.  The letter must be supported with a minimum of 3 evidence based primary citations. (See Rubric)   

Based upon the research week one and two, you will draft a pretend letter to a specific legislator on legislation being considered, passed, or tabled and offer support or constructive argument against pending policy or legislation.  The letter must be supported with a minimum of 3 evidence-based primary citations and written in business letter format.

Do not start the letter with your name since you will be signing your name at the end. Identify the issue and why you support or do not support the issue. Thank you legislator for his/her support of your position. Closing salutation and then your name. Use business letter format. Do not mail this letter. It is a scholarly exercise only. 

Submission Details:

• Support your responses with examples.
• Cite any sources in APA format.

 

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Instructions    

Research Proposal Draft  

By the due date assigned write a 2 page paper addressing the sections below of the research proposal.  

Introduction 

•Background and Significance of the Problem 

•Statement of the Problem and Purpose of the Study  

Research Questions, Hypothesis, and Variables with Operational Definitions 

•Research Question 

•Hypothesis: Research and Null 

•Identifying and Defining Study Variables 

•Operationalize Variables

 

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Instructions

Professional Practice Paper

Based on the AP role of the person that you interviewed in W1 Project, in a 3- to 5-page paper (excluding the title page, references, and appendices) describe the role, the type of organization, and address all the interview questions, and include:

· List the type of organization. For example: Primary care office, ED, Specialty, cardiology GI etc.

· List the type of and how many clients it serves. FP would see all ages. Research in your area the number of visits in a local office per year or # of visits seen local ED, specialty office etc. 

· the professional fit for advanced nursing role. “Fit” refers to the Qualifications in order to be an AP provider at that agency/organization. What license, credentialing (accrediting agency, and other expectations NPI, CMS)?

· Include a brief job description

· Discuss board of nursing NPA or scope of practice of the state. Include what the NPA in the state allows and restrictions.

Week one project bellow:

Week one Project

Advanced nursing practice is an essential component in the overall nursing and health care fraternity. The concepts used have been changing and are still changing over time. As there was a need and passion for improving on my skills and carrier as a nurse, I saw a need to join the South University for the advanced program in which I wanted to specialize in clinical nursing. As a clinical nurse specialist, I have been struggling in adaptation to meet challenges and the changing requirements of families. Patients and physicians Professor and Director Doctor of Nursing Practice Program Sacred Heart University Fairfield Connecticut Family Nurse Practitioner St Vincent’s Medical Centre Bridgeport Connecticut Susan M Denisco & Barker,2015). I have been facing a dilemma in which ambiguity and role confusion, and inability to explain the values of CNS economically. My main work as a clinical nurse specialist revolves around patient’s well-being and treatment.

In a hospital setting, there is an assignment that needs to be dealt with by clinical nurses, and others require non –clinical persons to ensure the safety of the patients in the access of health care services. There are roles to be played by managers who are not necessarily clinical officers. The managers have a moral and legal obligation in ensuring the patient’s care is of standards, and in the case of mediocre quality, they tend to improve them. The managers are in a position to dictate and authorize systems, policies, and the climate around the institution. The role of a clinical nurse about the role of (ANP) Adult nursing practitioners is that they order and perform routine screenings and accuracy in diagnostic of diseases and other illnesses to patients. Check-Ups to patients above 12 years old. They are involved in ordering laboratory tests and also participated in the determination of the appropriate form of treatment for the various diagnosis. The role of the two helps a vital role in the promotion of the patient’s outcome and safety as ordering laboratory tests a nurse diagnoses the ailment while the action of a hospital manager is to ensure the correct and right quality of service to the patients and efficient management.

An ANP role is that they focus mainly on adults from age 12 and above. The nurses are involved in dealing with chronic and acute illnesses (To practicing nurses to qualify as an ANP, passing in NCLEX-RN examination is mandatory for a certified registered nurse, while on top of that, there is a need to have experience of around and above two years. Concepts related to accreditation by the Commission on Collegiate Nursing Education (CCNE) or ACEN. This concept applies to people seeking masters, doctoral or postgraduate program (Sarah B, Keating; EdD; MPH; RN; C-PNP; FAAN & Stephanie S. DeBoor; APRN; ACNS-BC; CCRN,2017). After earning a certificate in adult nursing practitioners, the license must be renewed every five years. Most of the concepts used in advanced nursing practitioners are almost the same as those used in nursing during the analysis of diagnosis, treatment, chemical formulas of medicines, and body reactions to certain products towards certain drugs for medication. For specialty reasons, one can take the midwife field or registered nurse. Am determined to advance in clinical nursing hence the knowledge, and many concepts I attained during my previous course are applicable even in the advanced stage

Interview for a created post

Interview to take place on 11/Nov/2019 at 1300hours.

Name of the person: Hudson James Mahmud

Credentials: A highly qualified, energetic and capable to work despite challenges

Position: A senior general nurse practitioner

Questions 

1. The health provider is conducting an assessment on a patient who is taking properly for supraventricular tachycardia. Determine the assessment finding that may indicate the patient is experiencing the side effects of the drugs?

2. While caring for a patient suffering experiencing postoperative bleeding, the nurse notes the rhythm observed on electrocardiogram (EKG) didn’t produce a pulse. What action should a nurse take to resolve the problem?

3. A nurse working in an immunization center has to supervise medical assistance during a yellow fever vaccine administration. Who should the nurse question during the immunization on the schedule of the vaccine, and why?

4. Describe the lab test and results for a patient having vitamin k deficiency.

5. A nurse conducting a public education class on stroke prevention describes what must be included in the plan of teaching and the instructions to be given.

6. A patient suffering from mild heart failure is given hydrochlorothiazide, also known as (Microzide). Describe what a nurse should determine the teaching and overall medication of a successful procedure?

7. What questions should a nurse ask a patient prescribed with amitriptyline in the effort to manage depression when assessing the side effects?

8. To a patient who has social phobia, a nurse is applying the use of implosion therapy. What intervention would the nurse include in this type of behavioral therapy?

9. There was an incident in which a patient was brought in the emergency department after ingesting Ecstasy popularly known as MDMA, what symptoms should a nurse expect or anticipate?

10. When offering care for emphysema patient, the nurse instructs the patient on positioning to assist in breathing during dyspnea, describe the positioning which is suitable for the patient. 

 

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• Discuss the adverse health effects of lead that occur at high levels of exposure in the context of a poisoning case. Review briefly a famous nonoccupational lead poisoning (plumbism) case from the past and list the health problems due to lead that this individual suffered.
• Contrast the symptoms from high lead exposure to the adverse health effects of lead that occur at lower levels of exposure.
• Describe one way in which nonoccupational exposure to lead occurs in the United States today through drinking, eating or other ingestion, or through breathing. Give an example of a typical exposure scenario for the route of exposure you choose.
• Review the key public health preventive strategies used in the United States to prevent illness from lead exposure for the route of exposure you choose. Include primary prevention (stopping the exposure from occurring) and secondary prevention (detecting lead-exposed persons, treating them when medically warranted, and preventing additional exposure in the future).

Supp

 

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Ethical Dilemna

Please reply to the following discussion with one reference.  

Professor and fellow classmates,

I viewed the documentary titled “The Invisible Patients documentary” and an ethical dilemma that was experienced by the nurse practitioner is the decision about hospice care. The patient has a right to decide how they want their life to end in regard to resuscitation, and it is one of the nurse practitioner duties to educate the patient on what a do not resuscitate (DNR) means and the  accept their terminal prognosis or to have do-not-resuscitate (DNR) order (Bhatnaga & Lagnese, 2019). Patients should be allowed to receive all the care needed until the end of their life. The nurse practitioner in the video appears to be giving her personal views and wanting to listen to the patient and his wishes. Roger verbalizes his desire to live even on a respirator and it is not the duty of the nurse practitioner to discourage the patient from the right to desire life.

The nurse practitioner in the documentary as a disruptive innovator was her desire of delivering and have more nurses in primary care because they reach patients that are in unfortunate situations and needs the help of the nurse practitioner to provide care and advocate on their behalf whether by calling doctors or coordinating care on their behalf. An awareness of personal values generates more consistent choices and behaviors; it can also assist APNs to be aware of the boundaries of their personal and professional values so that they can recognize when their own positions may be unduly influencing patient and family decision making (Hamric, 2014). The nurse practitioner should separate their personal beliefs from situations that where an ethical dilemma is involved and follow the nurses code of conduct to make appropriate decisions.

Overcoming barriers when faced with ethical dilemma is being an active listener with good communication skills. We must listen to the patients concern and wishes and communicate with them at a level that is understandable and open to answer questions with clarity.

References

Bhatnagar, M., & Lagnese, K. R. (2019). Hospice Care. In StatPearls [Internet]. StatPearls Publishing.

Hamric, A.B., Hanson, C.M., Tracy, M. F. & O’Grady, E. T. (2014). Advanced Practice Nursing:  An Integrative Approach, (5th ed.). Saunders. ISBN: 9781455739806

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