Nun3

Overview    

The short paper reflects the compilation and analysis of data collected during the patient volunteer health history interview. The paper is private between the student and instructor. Within the paper, you will have the opportunity to discuss interview techniques and strategies that were utilized in the patient interview to facilitate therapeutic communication with a patient. You will also provide a brief synopsis of the health history information that was collected, describe health risks and health behaviors that were identified in the volunteer interview, and prioritize a health promotion need. Be sure to address all of the required elements outlined in the prompt. 

Prompt 

This week you completed a health history interview with your patient volunteer. Address the following prompts based on your experience: 

  1. Discuss the interviewing skills that were utilized when collecting the volunteer’s health history information. What strategies were used to develop therapeutic rapport with the patient?
     
  2. Provide a brief synopsis of the pertinent health history information that was collected.
     
  3. Analyze the collected health history. Describe potential health risks and health behaviors that were identified in the volunteer interview.
     
  4. Prioritize one health promotion need that was identified in the volunteer interview. Include rationale as to why this need was identified as a priority.
    Rubric
     

Guidelines for Submission: Use APA formatting for any references and in-text citations. Your paper should be 2 to 3 pages in length with 12-point Times New 

Roman font. Submit the assignment as a Word document. 

For additional details, please refer to the Module Three Short Paper Guidelines and Rubric document attached below

 
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Nur 550 D1r1 19354227

(minimum of 250 words with peer review reference)

You attend a local health fair organized by several health care research companies. You notice that a company is distributing a trial drug to other attendees at one of the booths. When you approach one of the researchers, you are offered a waiver to sign for participation in the trial.

What ethical or legal parameters should the researchers have considered prior to distributing the trial drug at the health fair? If you were on the translational research team, what steps would you have taken to maintain ethical and legal guidelines?

 
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Nuclear Cardiology

The Discussion Section question is:  

Add a comment pertaining to the effect of workload on coronary blood flow. Please detail our potential to image the ratio of decrease blood flow for  diagnostic value. Add to to the DICUSSION PANNEL for this unit. 

Here some example for you :

1- The effect of workload on coronary blood flow and our potential to image the ratio of decrease blood flow for diagnostic value:

According to The Journal of the American Association, coronary blood flow is determined by the rate at which blood flows out of the coronary arteries to other parts of the body. For example, during rest, the amount of blood flows through the coronary arteries is 225 ml per minute which is 4-5% of total cardiac output. During stress, the blood flow is faster and the heart muscle contracts during systole. As a result, during diastole, the cardiac muscle relaxes to allow the flow of blood through the body without any resistance. One significant effect on coronary blood flow is the workload the heart is subjected to during stress. With an increase in stress rate, the heart reacts to pump blood in a faster rate to ensure oxygen is supplied to the rest of the body. When imaging, the vasodilator stress agents are helpful in decreasing the blood flow and relaxing the heart muscle. These pharmacological agents help when measuring the supply to the heart and viewing the heart’s workload.

2- The following is regarding the effect of workload on coronary blood flow and our potential to image the ratio of decrease blood flow for diagnostic value:

The heart is a very smart organ with very smart systems. An auto-regulatory mechanism known as coronary autoregulation is constantly maintaining the interaction of pressure and resistance of coronary blood flow. Decreases in pressure are compensated for by decreases in resistance and conversely, increases in pressure by increases in resistance so that flow remains constant for a give cardiac workload. This regulatory mechanism operates within the range of physiologic arterial pressures but fails during hypotension when flows become strongly dependent on the driving pressure.

For imaging purposes, pharmacological vasodilator stress agents seek to maximally lower the vascular resistance through relaxation of the vascular smooth muscle cell at the level of the microcirculation, thereby uncoupling coronary flow (supply) and myocardial work (demand). With the help of such pharmacological agents, imaging can take place in order for diagnostic purposes.

References

Schelbert H. R. (2010). Anatomy and physiology of coronary blood flow. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 17(4), 545–554. doi:10.1007/s12350-010-9255-x

3- The effect of workload on coronary blood flow and our potential to image the ratio of decrease blood flow for diagnostic value: 

Blood flow to the heart mainly occurs during diastole, the great majority of blood flow to the left ventricle occurs during diastole. The diastolic pressure from the aorta propels blood through the coronary circulation. The more coronary blood flow to the left ventricle means the longer time that diastole will last. The right ventricle receives blood equally during both systole and diastole. Diastole lasts for about two thirds of the cardiac cycle. The coronary arties through the myocardium are compressed during ventricular contraction when fibers are thickening and are unable to fill.  The pressure within the left ventricle offers resistance to this flow. Blockage of coronary arteries can reduce coronary blood flow at rest, resulting in a buildup of a clot, and also anything that causes arteries to constrict and not allow the vasodilatation to even improve coronary blood flow.

For imaging potential of decreased blood flow, pharmacological vasodilator stress agents can be utilized to cause a lower vascular resistance through relaxation of the smooth muscles of the heart during a nuclear stress test. This can lead to measuring the supply and demand of the heart, it is which these pharmacological stress agents that when can possibly use to help increase the potential to image the ratio of decreased blood flow for diagnostic reasons and value.

 
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Nur 550 D1q2

(Minimum of 250 words with peer reference).  

Using the GCU Library (notably the GCU Library: Nursing and Health Sciences Research Guide), find a database, journal, or other collection of resources that focuses on translational research. Select a population health problem or issue of interest from the available studies. What type of translational research is used for the study? Provide rationale as to why this is the best type of translational research is best for the study, and explain why translational research is the most appropriate approach for this problem or population.

 
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Nuclear Cardiology Images

Write an APA style (min 600 work) APA style essay detailing “The technologist’s role in acheiving Safe and the highest of Quality, Nuclear Cardiology images”.

here is an example for you 

 

Technologist’s Role in Safe and High-Quality Nuclear Cardiology Images

We as technologists play a very crucial role in safe and high-quality nuclear cardiology images because we are the experts. We are performing tests and images on the heart, which is a very vital and complex muscle within the human body so it only makes sense that our job is to safely perform nuclear cardiology tests on patients while providing accurate and good quality images. Patient safety should always come before quality images, because the patient care should be the technologist’s top priority always. As technologists it is important to focus on the ALARA (as low as reasonably achievable) philosophy and monitoring patient dose. With the combination of both principles there should be a balance between dose and image quality (Watson & Odle, 2013). Therefore, you are considering the patient’s safety in the amount of radiation that they are receiving while also being mindful of what dose will also better serve for a good enough image quality. While maintaining the ALARA philosophy for both the technologist and patient, it is important to explain the entire procedure to the patient and ask them if they have any questions to ensure they fully understood what scan they are about to be taken in for(Watson & Odle, 2013). It is crucial that the technologists inform the patient that their heart will be put under a lot of stress, but there are precautions that are considered beforehand to ensure the risks outweigh the benefits. It is also important to inform them that they have the chance of crashing, but there will always be a crash cart near by and monitored the entire time during the whole study. 

Another thing to keep in mind as a technologist for patient safety is to constantly meet their needs. A lot of patients coming into the cardiology department do not have good hearts, and that is why we perform our studies to further gather more information on their heart related problems. If a patient does not want to have the study done, the technologist can not force the patient to undergo the study. However, it is strongly encouraged to ensure the patient that the study would be in their best interest in the long run to enable an accurate diagnosis and possible treatment due to the images that were taken. Once safety concerns are addressed, it is important to ensure good imaging protocols to ensure the best diagnosis. To ensure the most accurate protocol is performed, it is important to have close communication between the referring physician and all technologists who are performing the test (DiPuey et al., 2012). All tests are patient specific, so obtaining and understanding the patient’s medical history can be important when deciding what is best for the patient. For example, and exercise stress test is preferred rather than administering a pharmacological stressor but sometimes a patient is physically unable to perform exercise. However, it has been found that pharmacological stressors can enhance nuclear cardiology by providing a more flexible and broader accessibility for SPECT procedures. With the pharmacological stress agents, it is important to know the contraindications of all also, as we the technologist are responsible for that. It is clearly indicative that a patient centered approach will improve the overall diagnostic and prognostic performance of MPI (DePuey et al., 2012). It is super important to understand what the patient is experiencing to ensure they receive the correct protocol that is given or considered. Through good radiation safety practice, strong communication, and a good understanding of medical history the technologist should always be pristine all the way around when it comes to patient safety. Quality patient care leads to quality images because it is all patient specific when dealing with the heart, and within nuclear cardiology. 

References

DePuey, G., Mahmarian, J., Miller, T., Einstein, A., Hansen, C., Holly , T., . . . Wann, S. (2012).  Patient-Centered Imaging. ASNC Practice Statement, 1-31.

Watson , L., & Odle, T. (2013). Patient Safety and Quality in Medical Imaging: The Radiologic    Technologist’s Role. Retrieved from American Society of Radiologic Technologists :  https://www.asrt.org/docs/default  source/research/whitepapers/asrt13_patientsafetyqltywhitepaper.pdf?sfvrsn=a119f22f_12

 
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Nur 550 D1q1

(Minimum of 250 words with  peer review reference ) 

I am a nurse working in the emergency room)

In your own words, define translational research and how it connects to your role, either individually or in collective practice. Describe how you might use it in your current or anticipated future setting.

 
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Nuclear Cardiology 19301431

1000 word APA style essay on “Nuclear Cardiology”

 
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Nur 530 D8e4

Field of study:  Nursing

 

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

  1. Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it?
  2. To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?
  3. Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide

 
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Ntegrate Evidence Into Clinically Relevant Interprofessional Practice

see below attachment for assignment details

 
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Nur 530 D3r1

Minimum of 250 words with peer review reference.

 

Discuss how evidence-based practice is defined as translational research. Describe the framework that supports that definition. Identify a population health issue you are interested in researching and discuss the issue using that framework. As you select an issue, remember you will be building upon your research in this course for your evidence-based practice project in the next course. Think about how you can focus your research now to help you complete your EBP project. 

Note: While you will only be proposing a solution and implementation plan in your EBP project, keep in mind EBP projects lay a foundation for doctoral research, since doctoral candidates have the opportunity to actually implement their projects. If you are interested in pursuing doctoral education, it is a good idea to choose an issue you would be interested in pursuing in greater depth. The research and work you complete on your EBP project now can be used if you choose to move forward into doctoral education.

 
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