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Health Policy Briefs provide succinct overviews of health policy topics. The intended audience is policymakers, journalists, and others concerned about improving health care in the United States. The briefs explore arguments made on various sides of a policy proposal. They provide guidance on available research behind each perspective. Health policy briefs are created by experts in the field through funding from public and private grants.

Select one policy brief from the Robert Wood Johnson Foundation website https://www.rwjf.org/en/library/collections/health-affairs-briefs.html

In your role (Nurse practitioner) as an advanced practice nurse, how would you advocate for or against the policy implementation?

In your paper you may take the position either for or against the policy proposal, or both.

Page length: 3-4 pages exclusive of cover page and references.

Support your paper with a minimum of three scholarly references.

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary;
• utilize spelling and grammar check to minimize errors; and
• review APA formatting and citation information found in the Academic Success Center, online, or elsewhere in the course.

PLEASE FOLLOW POST DIRECTION AND RUBRIC DIRECTIONS. NO PLAGIARISM WILL BE ACEPTED. BELLOW IS A COPY OF RUBRIC ASSIGNMENT MUST ALLIGN WITH RUBRIC AND ASSIGNMENT DETAILS. iF PLAGIARISM IS DETECTED ASSIGNMENT WILL NOT BE ACCEPTED.

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After reading Chapter 12 and reviewing the lecture powerpoint (located in lectures tab), please answer the following questions. Each question must have at least 3 paragraphs and you must use at 3 least references (APA) included in your post.

1. What is your role as a nurse in protecting patient healthcare information?

2. Describe the role of information management nursing practice.

3. Research what types of technologies and service such as free internet exist in South Florida for underserved populations. Describe what they are and how does the underserved population gain access to them.

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Anxiety disorders are common in both primary care and psychiatric practice. Clients with anxiety disorders including generalized anxiety disorders, agoraphobia, and other specific phobias will present to the PMHNP’s office with a significant level of distress. Successful recognition and treatment of anxiety disorders includes an accurate diagnostic assessment with a treatment plan that includes a combination of psychopharmacology and psychotherapy. Although psychoanalytic theories are based on the concept of anxiety, the more recent standard of care is with the cognitive-behavioral therapies.

In this Discussion, you will analyze evidence-based treatment plans for clients with anxiety disorders.

My assigned topic is: Panic Disorder

Learning Objectives

• Explain the difference between an adjustment disorder and anxiety disorder. Provide examples to illustrate your rationale.
• Explain the diagnostic criteria for your assigned anxiety disorder.
• Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned anxiety disorder.
• Support your rationale with references to the Learning Resources or other academic resource.

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Assignment Content

1. 
   
   For the next newsletter, you have been asked to write a 700- to 1,050-word article about the spectrum of health care facilities. In your article:

   • Analyze the spectrum of health care facilities that exist in the United States.
   • Analyze the purpose and goals of each of the different types of health care facilities in the United States.
   • Analyze how the different types of facilities work together.
   • Analyze who is responsible for the oversight of the facilities.
   • Analyze the similarities and differences of the health care facilities.

   Cite 3 peer-reviewed, scholarly, or similar references to support your paper.
   Format your paper according to APA guidelines.

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Purpose

This week’s graded topics relate to the following Course Outcomes (COs).

• CO 1 – Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1)
• CO 2 – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
• CO 3 – Utilize effective communication when performing a health assessment. (PO 3)

Discussion

This week you have your choice of three discussion topics! Select the one that most interests you and answer the corresponding questions completely.

Remember to reference both the book or lesson, and an outside scholarly source.

Option #1:

You are the nurse assessing an Orthodox Jewish client with peptic ulcer. The client is strictly religious and refuses to eat the food provided at the health care facility.

1. Describe how you would further assess and provide care for this client.
2. What steps could you take to increase your cultural competence, if you were not familiar with this faith?

Option #2:

You are the nurse caring for a client with Crohn’s disease. The client believes he is being punished by God. The client is spiritually distressed and cannot come to terms with the illness.

1. How would you respond to this client?
2. What are some identified risk factors for spiritual distress, and recommended interventions?

Option #3:

Describe a time in your clinical nursing practice when you have cared for a client of cultural, religious, or spiritual practices different from your own.

1. What were some of the challenges you faced caring for this client?
2. What steps did you take (or could you have taken) to ensure the patient received culturally/spiritually competent care?

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BACKGROUND INFORMATION

The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.

He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.

In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.

Client has never been on any type of psychotropic medication.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.

The PMHNP administers the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.

Diagnosis: Generalized anxiety disorder

RESOURCES

§ Hamilton, M. (1959). Hamilton Anxiety Rating Scale. Psyctests, doi:10.1037/t02824-0

Decision Point One

Select what the PMHNP should do:

Begin Zoloft 50mg Po daily

Begin Imipramine 25mg Po BID

Begin Buspirone 10mg PO BID
Begin Zoloft 50 mg po daily

Begin Imipramine 25 mg po BID

Begin Buspirone 10 mg po BID

Decision Point One

Begin Zoloft 50 mg orally daily

RESULTS OF DECISION POINT ONE

• Client returns to clinic in four weeks
• Client informs you that he has no tightness in chest, or shortness of breath
• Client states that he noticed decreased worries about work over the past 4 or 5 days
• HAM-A score has decreased to 18 (partial response)

• Decision Point Two
  

  Select what the PMHNP should do next:

  • Increase dose to 75mg daily

  Increase dose to 100mg orally daily

  • No change in any drug dose at this time
    Increase dose to 75 mg orally dailyRESULTS OF DECISION POINT TWO
    • Client returns to clinic in four weeks
    • Client reports an even further reduction in his symptoms
    • HAM-A score has now decreased to 10. At this point- continue current dose (61% reduction in symptoms)

    Decision Point Three

    Select what the PMHNP should do next:

    Maintain current dose

  • Increase current dose of medication to 100mg orally dailyAdd augmentation agent such as Buspar buspirone
    Maintain current doseIncrease current dose of medication to 100 mg orally dailyAdd augmentation agent such as BuSpar (buspirone)
  • Decision Point Three
    Maintain current dose
    Maintain current dose
    

    Guidance to Student
    At this point, it may be appropriate to continue client at the current dose. It is clear that the client is having a good response (as evidenced by greater than a 50% reduction in symptoms) and the client is currently not experiencing any side effects, the current dose can be maintained for 12 weeks to evaluate full effect of drug. Increasing drug at this point may yield a further decrease in symptoms, but may also increase the risk of side effects. This is a decision that the PMHNP should discuss with the client. Nothing in the client’s case tells us that we should consider adding an augmentation agent at this point as the client is demonstrating response to the drug. Avoid polypharmacy unless symptoms cannot be managed by a single drug.

The Assignment

Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

• Decision #1
  • Which decision did you select?
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
• Decision #2
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
• Decision #3
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

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I want someone to edit it the PPT to what my professor said. This is what my professor said:

The assignment was clearly stated in the syllabus. You were supposed to provide an:

Overview of the keys to a successful healthcare emergency management program. What does it mean to be successful in healthcare emergency management? Include examples of successful programs and why they’re successful.

You did not do that. You provided an overview of overview of Emergency Department (Healthcare). You missed the mark.

To clarify, you are to research a successful hospital or healthcare system emergency management program. Some of this research may already be completed as part of your final case study. Why is a particular hospital successful? Additionally, I want you to tell me what YOU think it means to have a successful emergency management program. Imagine yourself and Emergency Preparedness Manager for a hospital. How do you quantify success in your program?

Tips for a good PowerPoint presentation: There is an example/tutorial in how to create an effective PowerPoint presentation that can be found under the Course Documents tab in BB. This will be particularly useful to students who have not had experience with these presentations in the past, but may also help others refine their skills. You will be graded not only on the content but also the visual appeal and general effectiveness of your presentation in conveying the content.

Slides should have no more than 4-6 lines of text per slide, and 1-3 ideas per slide max. Text should be in bullet format, not paragraph/prose format. Information should be conveyed in a concise but comprehensible manner. Do not write too much, as this creates a crowded slide which is visually overwhelming. Your meaning will get lost in the slide and your audience will lose interest. Do not write too little as this makes it difficult to understand your intended meaning. You may receive a lower grade because it will not be clear that you understood the concepts. Use photos and diagrams thoughtfully to supplement and advance your presentations, not just as meaningless filler.

Each presentation should have a title slide, an objectives slide and one or more reference slides. The title slide should contain the title of your presentation, your full name, the date and DMM-649. The objectives slide should outline the main bullet points that your presentation will cover. These should be analogous to lessons you expect your intended target audience to learn from your presentations. Your target audience has a basic disaster management background equivalent to your own. Students will complete two PowerPoint Presentations of 15-20 slides.

This is the Power Point that I did need to edit:

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Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.

Complete an article analysis for each using the “Article Analysis: Part 2” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.

Documentation of sources should be presented using APA formatting guidelines.

Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

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Module 2 Assignment

Describe the processes that take place during a typical hospitalization, or emergency department visit for a consumer under the ACA. From admission to discharge, including aftercare, rehab, and acquisition of medications; address the differences, with the same experience from before the ACA was passed into law?

Assignment Expectations: How will students be successful?

• Length:
  • 1500-2000 words (6-8 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style
• References:
  • Two scholarly references are required; you should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions

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Topic: Nurse Fatigue

Please select one of the topics below and write a narrative of at least 200 words on the topic as it relates to nursing. It is a good practice to write your post in Word and then copy/paste into Canvas so you can spell-check. You must include 2 scholarly references in your initial post. Your scholarly reference must be from a current (last 5 years) peer-reviewed, nursing or medical journal. You may use textbooks and websites as additional references only. Everything must be cited in APA format. Check the rubric to be sure you earn all points for the assignment.