A guide to clinical and preventive service

 

Discussing the clinical preventive service and the role of NP  on disease prevention.

A valuable website to review the screening prevention recommendations based on the latest evidence based practice :

https://www.uspreventiveservicestaskforce.org/Page/Name/home

 

answer the following questions:

1.) What is the U.S. Preventive Task Force (USPTF)?

2. ) Select a disease for example colon cancer and discuss the screening age recommendations and the screening tools recommended for early prevention?

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Chapter 10 dq8

Read Chapter 10

1. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system?

2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome?

3. How does technology improve patient outcomes and the health-care system?

4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside?

2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •

What does the organization/agency do that supports the hallmarks of quality? •

What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •

How has the organization/agency affected facilities where you are practicing and your own professional practice?

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APRN Interview

I need to complete all these questions for my course work. It consists on an APRN interview. 

1.   Tell me about yourself; please include years of experience as a nurse and   your previous work history.( Registered Nurse, BSN, 5 years of experience. I have been working as a physician in my native country. )

2.   Where do you see yourself in 5 years? Please describe plans for education and   career advancement in the near future

(My own office)

3.   What are your career aspirations? (To continue my career to reach my Doctor Degree)

4.   How do you handle stress in the healthcare setting? 

5.   What clinical skills do you possess that will be most beneficial to this   clinical practice? ( Assessment, evaluation and diagnosis), Nurse skills. etc

6.   What are your strengths and weaknesses?   

7.   Describe how you handled a difficult situation that has involved a patient,   physician or family member? 

8.   How do you get along with your staff at your current position? 

9.   Why should we hire you? 

10.   What salary are you seeking? 

Also I need to answer the following questions:

A. What is proper etiquette for a job interview?

B.  What’s “good behavior” in a behavioral job interview?

Cover page and Reference page required.

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DQ12

Re: Topic 1 DQ 2  Great post also in 2010 the Institute of Medicine(IOM) issued the Future  of Nursing leading  changes in Advancing Health (Institute of Medicine, 2010a)The report not  only informs and highlightes the needs for changes in nursing education  to meet the  changing face fo healthcare but also recommends  the nursing profession increase  the number of registered nurses (RNs) with bachelors degree in nursing (BSN) to 80% by the year 2020(IOM,2010a).The increase in complexity of care is one of the many reasons  driving the IOM recommendation.(NursingLicense.org,2016)with facilities believing that the associate  degree nurses are well trained to manage the day -to -day task  but healthcare today requires more than what is  taught in ADN program. Need APA RERENCE AND INTEX CITATION FOR THIS RESPONSE 

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NUR550-D4Q1R3

Minimum of 250 words with peer review reference.

 

How does epidemiology helps in researching and addressing population health challenges? Provide a specific contemporary example.

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week 6.1 NR531

Respond

 

It is crucial that this decision, and the communications surrounding it, be handled in a well-planned and systematic fashion.  Just today, our manager walked into the office that five of us share and stated that a sixth person would be joining us.  I have learned that change is constant in our department, and people are shuffled all over as space permits; however, one of my office-mates angrily said, “he really could have told us before bringing in the sixth person and announcing that she would be joining us”.  It was a good example of how staff feel about poor communication.

Moreland and Apker (2016) note that nurses feel excluded when leaders inconsistently communicate policies and don’t invite feedback or input into decision-making.  Therefore, as the nurse administrator, I would prepare a plan to communicate the difficult decision to eliminate tuition reimbursement benefits.

First, I would explore the reasons why the decision was made.  Was it cost-prohibitive to maintain?  Did staff obtain tuition reimbursements, only to leave as soon as they received their BSN or MSN?  Did it engender annoyance from staff who already had their degrees and could not take advantage of the benefit?  I believe that transparency is best when communicating a change in policy.

Next, I would do my best to inform all direct reports at the same time, perhaps in a meeting.  There are few things worse in an organization than for the information to get “leaked” by a few people, and then turn into a rumor with untruths.

Before I tell the direct reports, I would have an email/text/snail mail document prepared, so that all staff could receive it before the rumor mill starts.  Having a written form of communication allows me to control the message and get all the pertinent points noted.  The document would end with an invitation for all staff to contact me if they have any questions or comments.  Being accessible to staff would, I hope, create some good feelings to offset the loss of tuition reimbursement. 

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Order 1156910: Quality Improvement: Research and Consumer Satisfaction

   Type of paper Essay (Any Type)
  Subject Healthcare
  Number of pages 2
  Format of citation APA
  Number of cited resources  2
  Type of service  Writing
 

Patient-centered  care, patient satisfaction, and improved patient outcomes are becoming  increasingly important in the delivery of healthcare. Based on your  research of patient-centered care and patient satisfaction, discuss at  least three specific actions that you believe play a major role in  determining patient outcomes (i.e., policies, communication, staff  education, organizational culture, patient advocacy, etc.). Support your  answers.

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6501 Assignment 1

  

As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell.  Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

· Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.

· Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.

· Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

· Review the Application Assignment Rubric found under Course Information

To Complete

Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:

· For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes.  You are required to discuss all three scenarios within the paper component of this assignment.

· Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

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Educational Brochure

Assignment Details

MN551-3: Examine the pathophysiological factors that influence the incidence and manifestations of acute, episodic, and chronic diseases in populations across the lifespan.

Topic: Educational Brochure

Design a trifold educational brochure, that will be used to educate the community, about one of the following topics: hypertension hypercholesterolemia heart failure artherosclerosis pathophysiological factors that influence the incidence and manifestations of acute, episodic, and chronic diseases in populations across the lifespan

Brochure Contents Two evidenced-based web sites or journal articles as a reference Risk factors Possible consequences Prevention strategies Treatment modalities

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. follow the conventions of Standard American English (correct grammar, punctuation, etc.) be well ordered, logical, and unified, as well as original and insightful display superior content, organization, style, and mechanics use APA 6th Edition format.

To see your assignment instructions and grading rubric, go to Course Resources / Grading Rubrics.

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Lab Assignment: Evaluate a Website

Pick one disease, disorder, or condition, find two medical-based websites that describe it, and compare them. Download the Evaluate a Health Website Worksheet and enter your comparison into it

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