Discuss 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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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:

1. Describe      the work of the Robert Wood Foundation Committee Initiative that led to the      IOM report, “Future of Nursing: Leading Change, Advancing      Health.”
2. 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.
3. 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.”
4. 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.
5. 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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HOMEWORK :

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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Topic 1

To access the South University Online Library, go to Course Home > Academic Resources > Library > Launch Library. Search the database to identify a nursing research study that could make a difference in patient care. Present the study and discuss the potential impact on nursing practice and/or patient care.

Topic 2

Identify the three phases of the nurse-patient relationship and discuss how the phases can be helpful in communicating effectively to patients, patients’ families, and other healthcare professionals. Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

By the end of the week, comment on at least two of your peers’ responses. You can ask questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. All comments should be posted to the Discussion Area.

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For this assignment, imagine that you are conducting research for paper you are writing on “growth mindset.” In your research, you found an article from the New York Times and another one from the CHI ’14 Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. Both articles are linked in the Resources list below. Note: These articles were chosen to provide examples of scholarly and non-scholarly articles and may not be in your field of study.

• Read Rae-Dupree’s 2008 newspaper article, “If You’re Open to Growth, You Tend to Grow” from the New York Times.
• Skim O’Rourke, Haimovitz, Ballweber, Dweck, and  Popovic’s 2014 article, “Brain Points: A Growth Mindset Incentive Structure Boosts Persistence in an Educational Game” from the CHI ’14 Proceedings of the SIGCHI Conference on Human Factors in Computing Systems.
• Open the Writing and Research Worksheet in the Resources. Using the Writing and Research Worksheet, write two paragraphs answering the following questions: What type of information is included in the scholarly article but not in the newspaper article that provides you with a deeper understanding of the topic? How could the scholarly article be more helpful to you when supporting the arguments?
• Using APA style, cite each article at least once in your response and include a reference citation for the New York Times article at the end. Note: The resources located in [u01s2] Unit 1 Study 2 will help you complete this assignment.

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