Discussion Apa6 3 References Less Than 5 Years Similarities Less 5

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Polypharmacy is defined as being on 5 or more medicines, and is a major concern for providers as the use of multiple medicines is common in the older population with multimorbidity, and as one or more medicines may be used to treat each condition.

  • Discuss two (2) common risk factors for polypharmacy. 
  • Give rationale for each identified risk factor.
  • Discuss two interventions you can take as a Nurse Practitioner in your clinical practice to prevent polypharmacy and its complications.

 using  at least 3 evidenced-based

 
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Discussion Big Data Risk And Rewards

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When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

  • Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
  • Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.
 
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Discussion Assisted Suicide

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Seventy-eight-year-old Mr. Harod has been a long-term resident of the retirement community. Although mentally sharp, his condition has declined in the past several months and he has been diagnosed with pancreatic cancer. He has declined treatment, stating that he understands his poor prognosis and would rather spend whatever life he has left unbothered by the stress and side effects of treatment,

Last month Mr. Harod was transferred to the nursing home section of the retirement community. You have noticed several individuals regularly visiting him and learn from another resident that these people are part of a group who support assisted suicide,

A few days later, when entering Mr. Harod’s room for morning rounds, you find him deceased. By his bed are several papers that describe who to contact and what plans to make. You are aware that the people who had been visiting had been there the night before and spent considerable time in a private meeting with Mr. Harod.

One of the residents comments that Mr. Harod “went out on his own terms,” It appears several of the residents support his choice; it was, in fact, suicide.

What should you do in this situation?

*Please note that I live in Texas and assisted suicide is illegal and prohibited in Texas.  Please research nursing responsibilities related to this scenario

APA Format and references must be within the past 5 years, no references earlier than 2015 should be used

 
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Discussion Assignment Stis

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Blow Us Away

STI’s

Usually, when instructors lecture about Sexually Transmitted Infections during an in-person course, they talk about some surprising facts about STI’s in addition to the standard facts and photos about them. For this discussion forum, I want you to look through the facts and pictures in the textbook and Learning Objects on STI’s/HIV/AIDS and find THREE facts that surprised you about any of the STI’s presented. For each of the facts you choose, I want you to do the following:

1) Describe each “surprising fact” (it doesn’t have to be surprising to anyone but you, fyi). Be sure to name the STI(s) that it might be associated with and provide a detailed description of the thing that surprised you. It doesn’t have to be an infection itself — it can be a fact, a piece of history, a trend, disturbing scientific fact, etc.

2) For each “surprising fact”, also describe the population of people that should know more about this — be specific. Demographic categories such as Gender, Age, socio-economic group, ethnicity, region, country, education level??? Why should this group of people know more about the “surprising fact” that you’ve chosen.

3) Anything else you can think of? Other thoughts??

 
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Discussion Assignment For Domestic Violence And Ipv

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  1. Navigate the website www.womenshealth.gov to review the topics in Module 9 to gain an understanding of this type of threat to women, to include:
  • Conduct a self-assessment to identify potential risk for domestic violence:

http://www.womenshealth.gov/violence-against-women/index.html?from=AtoZ

  • Recognize the health implications strongly related to IPV:

http://www.womenshealth.gov/violence-against-women/types-of-violence/domestic-intimate-partner-violence.html

  • Identify factors that may contribute to domestic violence:

http://www.cdc.gov/violenceprevention/intimatepartnerviolence/index.html

http://www.cdc.gov/violenceprevention/pdf/ipv-factsheet.pdf

http://www.consultant360.com/article/intimate-partner-violence-silent-epidemic

  • Increase awareness of the healthcare community’s efforts to address violence:

http://www.cdc.gov/cdcgrandrounds/archives/2012/june2012.htm

You are only assigned the video section presented by Debbie Lee at the CDC Grand Rounds in 2012. This video portion is located from 39:05 through 51:27 (12 minutes). She is presenting interesting topics related to prevention, impact of AFA, and the partnership between numerous agencies to reduce domestic violence.

   ASSIGNMENT FOR YOUR GROUP DISCUSSION FORUM:

  1. Select one of the initiatives presented by Debbie Lee and explore the website for the selected plan for preventing violence to summarize the purpose of the program, the target population for the program, and does Georgia participate in the initiative.
  • http://www.cdc.gov/violenceprevention/pdf/creating-statewide-prevention-plans2-a.pdf
  • http://www.cdc.gov/ViolencePrevention/DatingMatters/index.html
  • http://startstrong.futureswithoutviolence.org/
  1. Explore your local community to identify resources that provide shelter, safety, and /or long term restoration for victimized women and briefly summarize your findings.
 
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Discussion Assignment 19372251

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Click [Start a New Thread] to post to the Discussion, then click [Post] once complete. Be sure to post a response to all Discussion topics. Please review the Discussion Board Participation Grading Rubric under Course Resources. This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. Please see the Writing Center for assistance with writing, APA, and online communication.

Your patient is a 52-year-old female who presents with a complaint of epigastric pain and burning for the past 6 months. The patient states that the burning and pain improves slightly if she takes “Tums” over the counter. The patient also states that she has taken over-the-counter famotidine, however, still continues with epigastric pain on a daily basis.

Assessment

Her examination shows mild abdominal bloating. Her vital signs are a BP of 110/74, Pulse of 72, Respirations of 18 and Temperature of 98.2. As the provider you ordered an H. Pylori breath test which was positive.

Part 1:

  1. What medications would you prescribe to treat the H. Pylori and why did you choose this treatment plan?
  2. How long would have the patient remain on the treatment prescribed?
  3. What are the possible side effects of the medications prescribed?
  4. What education would you provide to the patient regarding both H. Pylori and the treatment plan?

Part 2:

  1. If the patients H. Pylori breath test had been negative, how would the treatment plan have been different, had the patient been diagnosed with GERD?
 
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Discussion Board 19088915

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Week 1: Integration of Nursing Informatics Skills and Competencies

66 unread replies.66 replies.

Reflect on your own practice. Discuss how informatics is used in your practice. What is your primary area where you would use informatics? From completing the Pre-TANIC TIGER assessment for this week, what do you plan to achieve in this course? How did you feel your competency level was compared to the assessment?

please just answer these two question  Discuss how informatics is used in your practice. What is your primary area where you would use informatics? 

 
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Discussion Board 19056201

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 How have insurance agencies and businesses begun holding health care consumers accountable for their life style decisions? Is this fair?  

 
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Discussion Board 19026289

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In continuing from last week’s discussion about reluctance to complain about care, discuss your thoughts on the following (pick three to discuss):

*deficient care

*inadequate staffing to meet your needs

*what would be considered a “timely response”

*”unsafe conditions”

*loss of your personal items or valuables while hospitalized

*a fatal mistake in your family member’s care

*your perception of how sick you are versus your doctor’s perception of how sick you are

*an incorrect blood transfusion administered to you

How would you know these things occurred and what would you be concerned about?

 
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Discussion Board 18690647

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discussion board due Thursday only 250 words use citation correct in assignment

_______________________________________________________________________________

With the amazing advances in health care in recent decades, one question that continues to stir debate within the political arena and from a personal perspective is: “How to pay for health care” Health care managers must be good stewards of their resources to allow the funds available to do the greatest good for the largest number of people. Health care finance information is critical to assessing the financial condition of an organization, as well as accessing whether the resources being spent are achieving the goals of the organization.

To prepare for this Discussion, select a recent (within 5 years) relevant article from the Walden University library and current information from Centers for Medicare & Medicaid Services, U.S. Department of Health & Human Services, and the Healthcare Financial Management Association, Knowledge Center, that addresses the importance of health care finance information in decision making within the health care setting.

Post a comprehensive response to the following:

How do health care managers depicted in the article and website information you selected apply the principles of financial management to decisions, to the assessment of the financial condition of an entity or stewardship, or to the assessment of the efficiency, effectiveness, and compliance with organization directives?

_______________________________________________________________

RESOURCES

 

Chapter 8, “Budgets and Cost Control”

Managing the financial resources of a health care organization requires careful budgeting. This chapter will introduce the concepts and elements of budgeting for health care managers.

Book: Cleverley, W., Song, P., & Cleverley, J. (2011). Essentials of health care finance (7th ed.). Sudbury, MA: Jones & Bartlett.
Cleverly, W., Song, P., & Cleverly, J. (2011). Essentials of Health Care Finance, 7e. Copyright 2011 by Jones & Bartlett Learning. Used by permission.

Chapter 1, “Financial Information and the Decision-Making Process”

The authors of this chapter discuss the importance of financial information in healthcare organizations. They identify the use, users and function of financial information in health care.

Book: Cleverley, W., Song, P., & Cleverley, J. (2011). Essentials of health care finance (7th ed.). Sudbury, MA: Jones & Bartlett.
Cleverly, W., Song, P., & Cleverly, J. (2011). Essentials of Health Care Finance, 7e. Copyright 2011 by Jones & Bartlett Learning. Used by permission.

Chapter 3, “Financial Environment of Healthcare Organizations”

This chapter describes the factors that influence the financial viability of a health care organization. It includes information about major reimbursement methods, including Medicare, that influences organizational resource management.

Article: Glaser, J., Markell, P., & Stone, J. (2010). The strategic importance of data. Healthcare Financial Management: Journal of the Healthcare Financial Management Association, 64(2), 46-52. Retrieved from http://auth.waldenulibrary.org/ezpws.exe?url=http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=20178239&site=ehost-live&scope=site

Health care finance is dependent on accurate data to ensure that revenue is appropriately accounted for. This article highlights the importance of data in strategic health care decisions.

Centers for Medicare & Medicaid Services, U.S. Department of Health & Human Services

Medicare and Medicaid programs were signed into law in 1965. The Centers for Medicare & Medicaid Services website provides up-to-date information on health care coverage and information about payments to health care organizations.

Healthcare Financial Management Association, Knowledge Center

The Healthcare Financial Management Association website contains a knowledge center with information about accounting and financial reporting, finance and business strategy, legal and regulatory compliance, payment, reimbursement and managed care, revenue cycles, and technology.

Optional Resources

Article: For the sake of others: New Year’s resolutions of healthcare finance executives. (2008). Healthcare Financial Management: Journal of the Healthcare Financial Management Association, 62(1), 70-71. Retrieved from http://auth.waldenulibrary.org/ezpws.exe?url=http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=18351255&site=ehost-live&scope=site

 
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