Discussion 19489345

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The practice of using herbal supplements dates back thousands of years. Today, there is a renewal in the use of herbal supplements among American consumers. However, herbal supplements are not for everyone. In fact, some herbal products may cause problems for people treatments for chronic ailments. Because they are not subject to scrutiny by the FDA or other governing agencies, the use of herbal supplements is controversial. 

Herbal supplements are products made from plants for use in the treatment and management of certain diseases and medical conditions. Many prescription drugs and over-the-counter medicines are also made from plant derivatives. These products contain only purified ingredients and, unlike herbal supplements, are closely regulated by the FDA. Herbal supplements may contain entire plants or plant parts. Herbal supplements come in all forms: dried, chopped, powdered, capsule, or liquid, and can be used in various ways. Please address the followings: 

Discuss advantages and disadvantages of dietary supplements, including adverse reactions, drug-drug interactions, drug-food interactions, and specific laboratory issues that may arise from using these products. 

Discuss the position of the FDA and other governmental agencies on over the counter herbal supplements. Support your post with at least 2 evidenced-based guidelines published within the last 5 years. 

The posts must be referenced as mentioned above and written in APA 6th edition format. 

Books: 

Teri Moser Woo & Marylou V. Robinson (4th ed.). Pharmacotherapeutics for  

Advanced Practice Nurse Prescribers. Davis   

Chapters 7, 10, 12, 13: Cultural &  

Ethnic Influences in  

Pharmacotherapeutics; Herbal &  

Nutritional Therapies;  

Pharmacoeconomics; Over-the 

Counter Medications  

Recommended reading: Adams et al.  

chapters 7,8,10,11 

 
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Discussion 19490169

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Discussion Question:

Answer both of the following questions honestly and professionally:

  1. Discuss the factors and approach you will use to develop a professional partnership with your selected site.
  2. What is the importance of collaborating with other healthcare professionals in order to establish trusting relationships to gain commitment for mobilizing health initiatives? 

Your initial posting should be 400 words in length and utilize at least one scholarly source other than the textbook. 

 
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Discussion 19490357

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 What is evidence-based practice and why is it important?

The discussion posts are assigned to encourage reflection, critical thinking, engagement and interaction within the course. There will be two discussion post to participate in. The initial reply should be 200 words and should include at least one peer-reviewed journal article reference and should reflect a good understanding and considerable thought on the assigned readings and topic. please follow the rubric. 

Participate in the following discussion:

Differentiate and discuss the difference between research, evidence-based practice and improvement processes. Discuss the role each plays in the nursing profession and provide an example of each. 

 
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Discussion 19491153

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CASE STUDY 1

HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.

Ht: 5’8” Wt: 89 kg Allergies: Penicillin (rash)

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

 
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Discussion 19495021

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Write a 1- to 2-page summary paper that addresses the following:

  • Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
  • Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
  • What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
  • Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.
 
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Discussion 2 1 19463067

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Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course readings and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations,references, and examples that demonstrates a clear connection to the readings. 

Tasks:

  1. The “theory-practice gap,” as some have called it, has prevented our profession from full utilization of its knowledge base in practice, and has impeded the view of nursing as a theoretically based discipline, to its detriment. There are distinctly different viewpoints to this argument, based on the different perspectives of academics and theoreticians on the one hand and that of practitioners on the other. Being honest about your reaction, and applying critical thinking skills to the question, where do you stand on the issue, and why?
  2. The development of the discipline of nursing has gone through many stages of philosophical debates. Justify the relevance and utility of the knowledge of theory development to your practice.
 
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Discussion 2 18734201

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This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.

To prepare:

Read: Newhouse, R.P. (2007) Diffusing confusion among evidence-based practice, quality improvement and research. JONA 37,432-535 (see attached pdf)

Read: Mazurek Melynk B., Gallagher-Ford, L., English Long, L., & Fineout-Overholt, E. (2014) The establishment of Evidence-Based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing 11(1),5-15. (see attached pdf)

We all agree that research is the highest form of reliable evidence, when implemented in an organization that provides the basis for an evidence based practice. FIND a research study published in a peer reviewed journal related to a clinical practice problem that is of interest to you, and which would ultimately contribute to an evidence based practice (See “TeamSTEPPS Improves Operating Room Efficiency and Patient Safety” attached article).

The discussion assignment:

ANSWER the following discussion questions. Include the research study in your post (attach it to the post and post it in doc sharing). See page 11 #15 in Mazurek Melynk, Gallagher Ford, English Long and Fineout-Overholt. In this assignment, you are being asked to critically appraise a single research study for its relevance to a QI practice problem.

Discussion questions:

1) Briefly summarize study findings, conclusions and recommendations. Do you agree with these?

2) As a DNP prepared nurse, would you recommend a change in nursing practice based on the study? Defend and/or justify your decision based on research evaluation principles. In other words, does the evidence generated by this research article signify a need to change nursing practice? If not, why not; if so, why?

By tomorrow Friday February 02, 2018 by 12 pm America New/York time 

 
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Discussion 2 18949599

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Post 3: In the graphic novel Maus, how does Art Spiegelman demonstrate “the depth and subtlety that we have come to expect of traditional novels and extended nonfictional texts”? (See the definition of graphic novel in this week’s Terms lecture.) Comment on Spiegelman’s success. Be sure to quote, cite, and reference from the text(s) using appropriate APA format. Your post must be at least 250 words.
 

 
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Discussion 2 18993321

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Funding of Healthcare/ Reimbursement Issues

  • Private insurance 
  • Managed care (HMOs,   PPOs, etc.)
  • Medicare/Medicaid
  • Medicare Part D (Medication coverage)

Reimbursement

https://www.aanp.org/practice/business-practice-management/reimbursement/68-articles/325-medicare-reimbursement

https://www.aanp.org/practice/business-practice-management/reimbursement/68-articles/326-medicare-update

Discussion 2

Medicare   or Medicaid – which has greater impact in your state? My state is Florida (United States of America). 

______________________________________________________

Please answer wisely and in a Master’s level writing. This has to be in APA style, minimum of three hundred word document, NO PLAGIARISM, points will be heavily deducted if plagiarism report is more than 20%. Should you have any questions, please dont hesitate to contact me.  

 
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Discussion 2 19011265

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Please, make a comment on each attached discussion.

-Use your own words.

-Post 1/2 a page for each comment(a total of 1 page).

-Include references.

 
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