FIRST PAPER
IOM Future of Nursing Report and Nursing
Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.
Include the following:
- Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
- Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
- Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
- Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
- Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
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.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
SECOND PAPER
Case Study: Mrs. J.
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of two 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.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
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1 Discussion For Dollar5
/in Uncategorized /by developerAfter reading Chapter 7 and the required resources for this week, consider the following scenario:
HIV Help-Inc., a non-profit organization focusing on the prevention of HIV/AIDS just received a $10 million grant to fund several projects. The organization is currently located in an older building that needs extensive repairs. The organization is using outdated office equipment In addition, one additional staff member is needed in order to keep up with incoming phone calls and requests for presentations and community outreach activities. A portion of the grant – $2 million – is allotted for business improvements which can address one of these three areas: repairs to building, outdated office equipment, and more staff. The remaining $8 million is to be used to further enhance the continuum of care level to provide access to preventive health services.
Note: Your work must include Steps 1-4, as outlined in section 7.2 of your course text.
The organization currently serves the community and clientele with community education classes at schools and community centers, as well as the distribution of condoms and educational materials. They wish to expand their current services to reach the neighboring community (4,000 residents), add social media advertising and messaging to reach the younger population, distribute educational material and condoms to homeless shelters in the area, and add HIV testing to at-risk individuals. Select two of the potential services and determine how the money can be best spent to have the greatest outcome for the HIV+ population in the community.
Note: Your work must address the costs as well as the anticipated benefits, as outlined in section 7.2 of your course text
Your initial contribution should be 250 to 300 words in length. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center
Guided Response: Review several of your classmates’ posts. Provide a substantive response (minimum of 100 words) to at least two of your peers. Imagine you are a client or resident within one of the communities served by this organization. Do you feel the grant funding has been spent wisely based on your peers’ selections for services and outcome of calculations? Make recommendations on at least one other service that could be included should the original option identified in your peer’s post be impossible to fulfill.
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1 Diswk9
/in Uncategorized /by developerPlease respond to the following: “Marketing Strategy and Planning Tools”
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1 Fallow Instructions
/in Uncategorized /by developerDissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Identify one professional journal and one nursing or health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge.
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1 I Need A Comment 150 Words No Plagio Citation And References
/in Uncategorized /by developerThere are many professional nursing organizations that support and advocate for nursing practice. Being a part of a professional organization allows nurses to have a voice and make an impact in policymaking decisions and legislation that can ultimately affect patient care. Being part of a professional organization also allows nurses to come together and be a powerful voice for the nursing profession. The main goal is to provide evidence-based, safe, quality care and coming together to improve healthcare is a huge way to make an impact.
According to RN.com, “Nursing organizations promote and encourage the use of evidence-based practice to its members. Nurses who are certified in their specialty will find that their nursing professional organization will offer continuing education that is pertinent to their practice. Many nursing organizations hold annual nursing conferences. These conferences bring nurses together from across the country, and oftentimes worldwide, to share education and best practices. They also offer the opportunity to network with nursing colleagues from around the globe” (Schneider, 2015).
One such organization is the ANA. This organization acts as an advocate for the nurse and for patients. The ANA raises awareness to the public, and legislation at the state and federal level when certain problems arise in healthcare or improvements are necessary. Raising awareness contributes to making changes in order to provide patient’s safe quality care. “ANA offers the information, tools, and resources that nurses need to become effective advocates” (ANA, n.d.).
References:
American Nurses Association. (n.d.). Practice and advocacy. Retrieved from https://www.nursingworld.org/practice-policy/advocacy/
Schneider, A (2015). Nursing organizations: The role they play in professional development. Retrieved from https://www.rn.com/nursing-organizations-the-role-they-play-in-professional-development/
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1 I Need A Comment Of This 150 Words No Plagio References And Citation
/in Uncategorized /by developerNursing organizations are the backbone of the profession. They advocate, and lobby to political leaders for change in policies and push for financial resources to carry out various plans and research. Most nursing organizations are specialized to a specific field, but they all have the common goal of promotion of wellness and providing healthcare to those in need when they need it. Speaking to my current role of a Medical Surgical nurse the organization of Academy of Medical surgical Nurses primary goal is to “focus on workplace advocacy; evidence-based practice, research and knowledge; professional development; national leadership and influence; and organizational health.” (AMSN Overview, 2019) Their vision is to have Medical-surgical nurses use their powerful voice and focused action to continuously improve patient care, and believe patients receive better care when medical-surgical nurses engage in ongoing professional development, use evidence-based practices, speak with a unified voice, serve as leaders on healthcare teams, have the necessary resources to deliver excellent care, and practice in a healthy practice environment. (AMSN Overview, 2019)
Nursing organizations have evolved to extensive levels of membership and with more than 3 million nurses these organizations have a massive resource for initiating change, with the largest organization being the American Nurses Association. “These organizations provide the opportunity for nursing as a profession to influence nursing practice, nursing education, health policy, and healthcare standards.” (Halstead, 2018) All nursing organizations advocate for patient care safety, continued education for nurses, allocating resources for those in need, and research with development of new policy.
References
AMSN Overview. (2019). Retrieved November 25, 2019, from Academy of Madical Surgical Nurses: https://www.amsn.org/about-amsn/amsn-overview
Halstead, J. A. (2018). Professional Nursing Associations. In G. Roux, & J. A. Halstead, Issues and Trends in Nursing (p. 12).
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1 I Need Answer Of This 250 Words No Plagio References And Citation The References Within The Las 5 Years
/in Uncategorized /by developerDiscuss how professional nursing organizations support the field of nursing and how they advocate for nursing practice. Explain the value professional nursing organizations have in advocacy and activism related to patient care.
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1 Identify And Discuss At Least Two Potential Ethical Issues That Could Be Of Concern For Nurses With Telehealth Delivered Care
/in Uncategorized /by developer1 Identify and discuss at least two potential ethical issues that could be of concern for nurses with telehealth delivered care.
Submission Instructions:
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1 Iom Future Of Nursing Report And Nursing 2 Case Study Mrs J
/in Uncategorized /by developerFIRST PAPER
IOM Future of Nursing Report and Nursing
Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.
Include the following:
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.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
SECOND PAPER
Case Study: Mrs. J.
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of two 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.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
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1 Module Healthcare Case
/in Uncategorized /by developerRequired Reading
Blendon, R. J. & Benson, J. M. (2017). Public opinion about the future of the Affordable Care Act. The New England Journal of Medicine, 377(9). Available in the Trident Online Library.
Gallen, T. S., & Mulligan, C. B. (2018). Wedges, labor market behavior, and health insurance coverage under the Affordable Care Act. National Tax Journal, 71(1), 75-6. Available in the Trident Online Library.
McCarthy, M. (2017). Trump demands republicans continue effort to repeal Affordable Care Act. British Medical Journal (BMJ), 358. Online. Available in the Trident Online Library.
Mendoza, R. L. (2017). Information asymmetries and risk management in healthcare markets: The U.S. Affordable Care Act in retrospect. Journal of Economic Issues, 51(2), 520. doi:10.1080/00213624.2017.1321451
Pollina, L. D., Guessous, I., Petoud, V., Combescure, C., Buchs, B., Schaller, P., . . . Jean-Michel Gaspoz. (2017). Integrated care at home reduces unnecessary hospitalizations of community-dwelling frail older adults: A prospective controlled trial. BMC Geriatrics, 17. Available in the Trident Online Library.
Stuck, A. R., Crowley, C., Killeen, J., & Castillo, E. M. (2017). National survey of emergency physicians concerning home-based care options as alternatives to emergency department-based hospital admissions. Journal of Emergency Medicine, 53(5), 623-628.
Zsilinszka, R., Mentz, R. J., DeVore, A. D., Eapen, Z. J., Pang, P. S., & Hernandez, A. F. (2017). Acute heart failure: alternatives to hospitalization. JACC: Heart Failure, 5(5), 329-336.
Optional Reading
Website Resources (may be used through the entire course)
The Dartmouth Atlas of Health Care. (2016). Home Page. Retrieved from http://www.dartmouthatlas.org/.
U.S. Department of Labor. (2017). COBRA continuation coverage. Retrieved from https://www.dol.gov/agencies/ebsa/laws-and-regulations/laws/cobra
U.S. Department of Labor. (2016). Frequently asked questions about portability of health coverage and HIPAA. Retrieved from http://www.dol.gov/ebsa/faqs/faq_consumer_hipaa.html
HOMEWORK ASSIGNMENT:
Please view the following videos in preparation for this assignment:
Girard, K. (2013). Health care delivery systems and occupations. Retrieved from https://www.youtube.com/watch?v=T1WpakHcjRs
Scott, R. (Reporter). (2013, August 14). Outpatient services . Retrieved from https://www.youtube.com/watch?v=fWKoMJoFI2I
Having completed the required readings and viewed the videos, you should now have a basic understanding of the characteristics and components of the United States health care delivery system. Health care delivery is no longer confined to the hospital setting. Over the past few years we have witnessed the emergence of outpatient surgery centers, home health, hospice, etc.
For this assignment, conduct additional research as needed to address the following questions:
1.What factors have led to care being offered outside of the hospital setting?
2.What are the advantages and disadvantages of these settings? Who benefits the most: consumers or organizations?
3.How has the Affordable Care Act (ACA) impacted this trend? Has it encouraged more alternative settings or put care back into the hospital setting? Explain.
Length: Submit a 3-page paper, not including the cover page and the reference list.
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1 Module Slp Healthcare
/in Uncategorized /by developerHOMEWORK :
The overall goal of the Session Long Project is to examine health care delivery in the United States from a strategic perspective.
The Patient Protection and Affordable Care Act, or in short Affordable Care Act, changed the landscape of the health care industry. For this assignment, read the article “Information asymmetries and risk management in healthcare markets: The U.S. Affordable Care Act (ACA) in retrospect” by Mendoza, and write a paper to respond to the following questions:
1. Discuss the “moral theory” contained in this article.
2. Explain whether you agree or disagree with the author that the ACA was an answer to health care accessibility.
3. Explain whether you believe or do not believe that ACA will improve patient care.
4. Discuss what you think President Trump should do with the ACA.
5. Discuss what strategies you would recommend to deal with economic realities of health care based on your own research.
Length: Submit a 3-page paper, not including the cover page and the reference list.
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