DR.NURS

 

1.Describe the approved topic and associated population your group has selected. Discuss how this topic adversely affects the population. How does health disparity affect this population?

2.Explain evidence-based approaches that can optimize health for this population. How do these approaches minimize health disparity among affected populations?

3.Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population. Ensure your proposal is based on evidence-based practice.

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how a bill becomes a law

 

As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.

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Academic Success and Professional Development Plan

  Identify and describe at least three academic resources or strategies that can be applied to the MSN program Identify and describe at least three professional resources that can be applied to success in the nursing practice in general or your specialty in particular Explain how you intend to use these resources, and how they might benefit you academically and professionally.

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Short paper ????

See attachment 

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People and the process of change, Essentials of Nursing Leadership & Management 6th Edition chapter 9

 

1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.

a-Will you have to leave earlier to be in class on time?

b-Will you meet different people on your way to class?

c-See different sights?

d-Would you change your route to class on the day of the final exam?

e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change.

2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death.

a-How did you react to the change?

b-Would you have reacted differently if you had had more information?

c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome.

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Stimulation

Reflection/ ovarian Cancer  

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Module 02 Written Assignment – Pay for Performance

As the team lead for your department, you have been asked to create a policy outline that details how pay for performance bonuses will be paid.

Include in your policy the following information: 2 page minimum  Title of the organization (use a company of your choice) Policy number Effective date Next review date  Policy approver Name of the policy List the department, product and function Summary of the policy structure

Gather your research from at least 2 sources, other than your textbook. Cite your sources using APA guidelines. All submitted work should be free of grammatical errors.

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Order 1536977: Nursing Careers

  Type of paperResearch Paper SubjectHealthcare Number of pages3 Format of citationMLA Number of cited resources5 Type of serviceWriting

I want to be an Emergency Room/ ICU traveling nurse

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1-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

  

1-Ischemic ulcer or arterial ulcer occurs when the artery is blocked (Anthony, 2018). Arteries carry oxygenated blood to the tissue and If this artery is blocked, then the supply of oxygen and nutrients to that body part or tissue will be deprived. Finally, this tissue dies and develop to an ulcer. Some potential causes of the arterial ulcer are diabetes, smoking and atherosclerosis whereas venous ulcer is caused by damage to the vein and when a vein is damaged there is deficiency blood flow to the heart and this can result in accumulation of blood in one body part and results in fluid shift to cause edema (Caprini, Partsch, & Simman, 2013). Then this edema halts circulation and eventually the tissue dies to cause an ulcer. Some potential causes are varicose veins, DVT.

Another difference is based on their symptoms. Arterial ulcer has a symptom of pain at night, feeling cold to touch due to poor circulation, deep wound where, as venous ulcer has a sign of swelling, aching or flaking sensation on the body part. Most of the time both tend to affect the extremity but are not restricted to any part of the body (Anthony, 2018).

Reference

Caprini, J. A., Partsch, H., & Simman, R. (2013). Venous Ulcers. The journal of the American College of Clinical Wound Specialists, 4(3), 54-60. Doi: 10.1016/j.jccw.2013.11.001

Anthony K. (2018) Arterial and Venous Ulcers: What’s the Difference? Retrieved [online] from: https://www.healthline.com/health/arterial-vs-venous-ulcers

 
 

2-Ms. G. will definitely need outpatient wound care. For healthy people wounds will heal relatively quickly with treatment. Ms. G. has many risk factors to delay the healing process as previously noted with her obesity, sedentary lifestyle, diabetes and poor nutrition. I worked as a homecare nurse for about 5 years and did a lot of wound care and teaching during those years. I worked with a physical therapist who was also certified in wound care. He would provide consultations and recommendations for treatment. These wounds can take weeks to months sometimes to heal or become chronic in nature. Ms. G. would likely need aquacel on the wound base to help debride the wound and absorb the drainage. These dressings don’t need to be changed daily which is nice. We still see people coming out of the hospital with daily dressings or BID dressings and we usually can change that around pretty quickly. I am now in Hospice care and so the goals of care are comfort, but we still care for the wounds even though they aren’t likely to heal for most of our patients.

 
 

3-There are various differences between venous and arterial ulcers. Venous ulcers can vary in size, they are generally irregularly shaped, shallow, and seen on lower extremities. Some risk factors for venous ulcers are lack of mobility, malnutrition, heart failure, and obesity. Arterial ulcers have smoother edges. The skin around them tends to be pale and shiny. They have less drainage than venous ulcers. Some risk factors for arterial ulcers are uncontrolled diabetes, poor footwear, vascular insufficiency, and foot structure defects (London Health Sciences Centre, 2018). The area surrounding arterial ulcers is generally cool in temperature. Treatment for both ulcers includes restoring blood flow and oxygenation to the affected area. For arterial ulcers this sometimes requires angioplasty. In order to promote healing, arterial ulcers should be kept clean and dry. For treatment of venous ulcers, dressing changes and compression would likely be indicated (Anthony, 2018).

References:

Anthony, K. (2018, February). Arterial and venous ulcers: What’s the difference? Retrieved from https://www.healthline.com/health/arterial-vs-venous-ulcers#causes

London Health Sciences Centre. (2018). Venous stasis & arterial ulcer comparison. Retrieved from https://www.lhsc.on.ca/wound-care-management/venous-stasis-arterial-ulcer-comparison

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Irritable Bowel Syndrome

 

Jordan is a 35-year-old woman who presents with intermittent diarrhea with cramping that is relieved by defecation. The diarrhea is not bloody or accompanied by nausea and vomiting. Review of past medical history includes some childhood “stomach issues”, HTN, and a recent cholecystectomy. She works in the environmental department of a large hotel. . She denies alcohol and cigarette.

Diagnosis: Irritable Bowel Syndrome (IBS)

I.      Discuss the epidemiology of IBS?

II.     What is your treatment goals for this patient?

III.    Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information.

  Using APA 6th ed. Work must be supported by peer-reviewed article published within 5 years. 

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