MN576 Advanced Practice Nursing-Discussion Board: Pregnancy Screening Tests

MN576 Advanced Practice Nursing-Discussion Board: Pregnancy Screening Tests

No plagiarism please.
Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations.
 
Pregnancy is the period of time when a fetus develops inside a woman’s uterus and ends with the birth of the infant. There are a variety of clinical laboratory tests and diagnostics typically used prior to and throughout pregnancy. The tests and diagnostics provide useful information from the time pregnancy is first considered through the initial days of the newborn’s life.
Discussion: (use headings with answers)
Discuss the most common screening test and diagnostics used throughout pregnancy and the purpose of the tests.
When during pregnancy are tests performed?
What is the protocol when an abnormal test or diagnostic is found?

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ETHICAL ISSUES THAT GENERAL ELECTRIC (GE) HEALTHCARE FACED WHEN IMPLEMENTING ITS STRATEGY TO INTRODUCE LOW COST

Read the case study titled “GE Healthcare (B): A CSR Dilemma”

Reviewing the case study titled “GE Healthcare (A): Innovating for Emerging Markets” may be helpful in supporting your arguments.

Write a two to three (2-3) page paper in which you:

1.Determine two (2) specific ethical issues that General Electric (GE) Healthcare faced when implementing its strategy to introduce low cost diagnostic equipment to developing countries. Recommend two (2) actions that GE can take to resolve these ethical issues. 2.Analyze the concepts of professional and applied ethics and determine whether GE Healthcare breeched these concepts in the development of its low cost alternatives for diagnostic medical equipment. Provide one (1) specific example to support your rationale. 3.Determine whether GE Healthcare has any responsibility in resolving the issue of a preference for male children in cultures where its diagnostic ultrasound products are sold. Recommend one (1) strategy that would enable GE Healthcare to balance its responsibility of continued growth and development with any ethical or moral concerns investors and human rights groups might have regarding the use of its equipment in controlling the birth rates of male children in some cultures. Your assignment must follow these formatting requirements:

•Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. •Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are:

•Analyze the roles of and the relationships among organizational mission, vision, values, and strategic goals, and why they are called directional strategies. •Apply analytic skills to define strategic problems, generate and evaluate strategic alternatives, and develop implementation tactics. •Use technology and information resources to research issues in the strategic management of health care organizations. •Write clearly and concisely about strategic management of health care organizations using proper writing mechanics.

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Nervous and Mental Disease

Discussion
Imagine that you are a nurse in a large hospital. You have heard that there is new doctor in the psychiatry department but you have not met him. One day, you receive a call from Dr. Smith (the new doctor) telling you that he wants you to give Ms. Ruben, a patient, a dose of Astroten before he comes to examine her. He asks if you have it in stock and waits for your answer. You check the medicine shelf and find that you do have it and it clearly shows that the maximum dose should be 10 milligrams. He then orders you to give her 20 milligrams. Would you comply?
This was an actual field experiment under real world circumstances by Hofling, et al. (1966). Would it surprise you to know that 95% of the nurses who were called complied with the doctors order? This was true even though the dosage was clearly excessive and it was against hospital rules to take medication orders over the telephone.
Using what you have learned in this unit, can you explain the behavior of the nurses in this situation? Why did they obey the doctor even though they were breaking the rules and putting the patient at risk? Be sure to support your answer with information from the textbook or other appropriate psychology-specific sources. What implication does this have for hospital practices given the estimated 7700 deaths per year in the U.S. caused by medication errors in hospitals?
Reference:
Hofling, C., Brotzman, E., Dalrymple, S., Graves, N., & Pierce, C. (1966). An experimental study in nurse-physician relations.Journal of Nervous and Mental Disease, 143, 171–: 180.
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EVALUATE THE IMPORTANCE OF AN INTERNAL ENVIRONMENTAL ANALYSIS FOR A HEALTHCARE ORGANIZATION

  1. Evaluate the importance of an internal environmental analysis for a healthcare organization. Determine three specific reasons why an internal analysis has become an important activity for healthcare organizations.
  2. Imagine that you are the manager of a healthcare clinic. Recommend three tactics to increase the value of the services offered that would boost the company’s competitive advantage.

Discussion 2

Achieving a Competitive Advantage”

  1. From the e-Activity, determine two specific resources and two specific competencies that give the organization that you researched a competitive advantage.
  2. From the e-Activity, propose two strategies that the selected organization should consider in order to maintain its competitive advantage. Justify your recommendations.

½- 1 page each discussion, double-spaced; 12 point, Times New Roman font; following APA requirements

References should be on a separate reference page, appropriately double-spaced, and organized alphabetically.

This is a required resource, however supplemental resources can be added.

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Research the different nursing care facilities in your community

Research the different nursing care facilities in your community. Discuss the pros and cons of the facility in terms of what they offer. Provide a brief report with the following questions:

• What is the basic rate for room, board, and services (it’s a good idea to get this information in writing)?
• What services are covered by this rate?
• Are there other services available and how much do they cost?
• What are the payment policies?
• What is the refund policy if someone leaves before the end of a month?
• What is the policy for rate increases?
• How long has the current administration been in place?
• Is there enough staff available to meet my needs?
• Is there frequent staff turnover?
• Is some level of nursing care provided (RN, LPN, Nursing
• Assistant)? How often is it available?
• Who will help me with medications if I need it (e.g. reminding me to take them, opening the bottle)?
• Can someone administer medications to me if I can’t take them myself (e.g. applying medication to my skin, putting a pill in my mouth)?
• Can someone help me if I need special care (e.g. caring for a wound)?
• What happens if I have an emergency? Can I get help right away?
• Are staffs suitably dressed, personable, and outgoing?
• Do the staff members treat residents with respect and dignity?
• Do staff members treat each other in a professional manner?
• What language does most of the staff speak?
• What type of help with personal care is available (e.g. bathing, dressing)?
• How flexible is the schedule for receiving help with personal care?
• What, if any, transportation services are available? (e.g. medical appointments, shopping, religious services).
• Will staff arrange for activities (e.g. hair appointment, concert)?
• How does the home support and accommodate personal hobbies?
• Are there regularly planned activities that I will enjoy?
• Will I be able to attend religious services of my choice?
• Can I bring my pet with me when I move?
• When can I have visitors?
• Are there shops, a library, a park, or other amenities within walking distance?
• Is the home close to activities I enjoy?
• Is the home on a bus line?
• Is there an outside area to sit, walk, or garden?
• Are there shops, a library, a park, or other amenities within walking distance?
• Is the home close to activities I enjoy?
• Is the home on a bus line?
• Is there an outside area to sit, walk, or garden?
• Is the floor plan easy to follow?
• Are doorways, hallways, and rooms accommodating to wheelchairs and walkers?
• Are there hand rails to help with walking and in the bathroom?
• Are cupboards and shelves easy to reach?
• Are there nonskid floors and firm carpets to assist walking?
• Does the home have good natural and artificial lighting?
• Is the home clean, free of odors, and well heated and cooled?
• Does the home meet my standards of cleanliness?
• Is the home free from obvious environmental hazards?
• Are the home’s rooms clean, safe, and adequate for my needs?
• Will I have free use of common areas, such as the kitchen, activity rooms, toilet facilities, dining room, or grounds?
• Can I smoke in my room or in common areas?
• What furniture is provided?
• Can I bring along some of my furniture or other personal items?
• Can I adjust the temperature of my room?
• Is there a sit-down shower?
• Can I have my own personal phone line or internet connection?
• Are emergency procedures clearly posted?
• Am I able to lock my room and/or are there locked areas in each room for personal valuables?
• Is the food pleasing, nutritious, adequate, and attractively served?
• What if I don’t like what is being served?
• Can I cook in my room?
• Are snacks available?
• Are there specific meal times or are they flexible?
• Is there a refrigerator available to store my personal food?
• Will the home meet my dietary or cultural food preferences?
• Can I request special foods?
• Do other residents socialize with each other and appear happy and comfortable?
• Do residents speak favorably of the facility?
• Do the residents look like people I want to live with?
• How are room changes and roommate concerns addressed?
• Is there a resident group that meets?
• Do any of the other residents have a history of violent or other problem behaviors? How are these situations handled by staff?

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National Institute of Drug Abuse

Reply to 1 & 2 Each reply must be 125 words.
#1 Lindsay Morris Week 7
The National Institute of Drug Abuse states that peers and school can be a strong influence of the use of illicit substances. Young people often experience peer pressure throughout their school years, and some more than others. Drugs, sex, and other activities that can have unhealthy compenents can possibly peek a curious mind. Peer pressure has an even stronger influence when a person’s close friends are the ones doing the influencing. Without risk factors being in place, peer pressure alone can be reason enough for a person to experiment with substances. A person’s social standing in and outside of school also play a role in the young person’s susceptibility to using drugs. Being unsuccessful academically as well as having a hard time socially can cause an individual to feel more destructive than his peers who have not struggled academically or socially.
The National Institute of Drug Abuse discusses a range of research based prevention programs. Selective and Indicated programs can be used for teens and young adults who may are in need of a specific type of prevention or treatment for that age group and their current social setting.
#2 Emily Jackson Addiction
Addition to anything can become harmful. The Bible speaks about during everything in moderation. One of the harmful additions is drugs and alcohol.  Addition to AOD can become problematic to a person life, living hood, and family.  The population I work with is teenage girls with substance abuse problems. I see firsthand everyday how drugs and alcohol impact people lives. One of the risk factors is lack of parental supervision. The article entitled “Drugs, Brains, and Behavior: The Science of Addiction” on the National Institute on Drug Abuse website that the home environment is important. If parents or house hold members used drugs or alcohol then that increase the chances of the youth growing up in that environment. A lot of my clients in my program started using drugs with their parents and have seen their parents overdosed. Even if the children never witness their parents abuse drugs if it is lack of supervision in the house hold then it increase the risk of being influence by outside sources. The parents is the first example and majority wishes to be like their parents. A protective factor according to the website is positive relationships. Relationships is a power source for change. A lack of guidance in the house hold can be replaced by a positive relationship in the community. One positive relationship can deter a person from participating in harmful acts.  The reason I believe Americans used so many legal drugs is to eliminate stress and to fill a void. The article entitled “Addictive Behaviors” on Indiana University website that people participate in behaviors to obtain a feeling and if it continues then it becomes an addictive cycle.
References
Addictive behaviors – sex, shopping, eating disorders, etc. (n.d.). Retrieved July 6, 2018, from http://www.indiana.edu/~engs/rbook/readabd.htm
National Institute on Drug Abuse. (2014, July). Drug Abuse and Addiction. Retrieved July 6, 2018, from https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/drug-abuse-addiction

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Clinical Standard of Practice Presentation

1. Clinical Standard of Practice Presentation (10% of Grade)
Students are expected to expand their use of resources for evidence-based practice beyond the required text, and explore nursing and related literature to improve their understanding and application of advanced interventions. Each student will present a Clinical Practice Presentation. The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. Presentations will be evaluated related to the criteria listed. Presentations must be 8 slides in a PowerPoint format with a Reference List in APA format, will be no more than 15 minutes in length. Topic will be Current treatment recommendations for Asthma.
Grading Criteria .Criteria Points
 
1- Presents   the case including CC(chief complaint) ,  HPI(history of present illness), Hx(medical history), ROS(review of system) and PE findings concisely .10
 
2- List possible differential diagnosis with   supporting/excluding criteria. 10
 
3- What   labs or tests are typically ordered in relation to this condition? What   results should the NP   expects to see with this diagnosis? 20
 
4- What   medications are typically prescribed for this condition? List specific drugs,   starting doses, dose ranges, precautions to keep in mind when prescribing   these drugs. 20
 
5- What are   the outcomes expected or unexpected for this specific condition? And What   patient outcomes will trigger a referral?. 20
 
6- Provide   patient teaching materials specific to their condition. 20
 
Total 100
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Reprogramming Energy Metabolism

Discussion
In this discussion, we are going to focus on Hallmark 9: Reprogramming Energy Metabolism. This Hallmark is one of the two new emerging hallmarks published in the updated Hallmarks of Cancer publication. Uncontrolled and chronic cellular proliferation would naturally require more energy than what would be typically required for a normal cell. Otto Warburg (Warburg effect – aerobic glycolysis) was the first to observe abnormal energy metabolism in cancer cells. Recently, a new publication has highlighted the importance of altered energy metabolism in cancer and has crafted a separate set of hallmarks specific to cancer metabolism (The Emerging Hallmarks of Cancer Metabolism).
1. Provide an overview of the Warburg effect and what makes this form of metabolism so different compared to what we would expect to happen in the normal cell.
2. Select a topic of interest related to cancer metabolism. You can discuss one of the new emerging hallmarks of cancer metabolism or tie in normal metabolism and some aspect of abnormal metabolism utilized by cancer (e.g. amino acid metabolism, nadh, metabolites).
Make sure your post is substantial and addresses both topics and be sure to include complete and properly formatted references in order to receive credit for this post.
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Academic and Professional Integrity

 Fortunately, there are strategies and tools that can help ensure integrity in academic and professional work. This Assignments asks you to consider these and how you might apply them to your own work.

To Prepare:

  • In support of academic style, integrity, and scholarly ethics.
  • Also reflect on the connection between academic and professional integrity.

Section 1: Writing Sample: The Connection Between Academic and Professional Integrity

Write a 2- 3-paragraph analysis that includes the following:

  • Clearly and accurately explains in detail the relationship between academic integrity and writing.
  • Clearly and accurately explains in detail the relationship between professional practices and scholarly ethics.
  • Accurately cite at least 3 resources that fully support your arguments, being sure to use proper APA formatting.
  • Use Grammarly and SafeAssign to improve the product.y

Clearly and accurately describe in detail how Grammarly, SafeAssign, and paraphrasing contributes to academic integrity. Include sufficient evidence that Grammarly and SafeAssign were utilized to improve responses.

Part 3, Section 2: Strategies for Maintaining Integrity of Work

Expand on your thoughts from Section 1 by:

  • Clearly identifying and accurately describing strategies you intend to pursue to maintain integrity and ethics of your 1) academic work while a student of the MSN program, and 2) professional work as a nurse throughout your career.
  • Include a clearly developed review of resources and approaches you propose to use as a student and a professional.

 Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph. 

Assignment: Academic Success and Professional Development Plan
Part 3: Strategies to Promote Academic Integrity and Professional Ethic

Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and ultimately help in the care of patients. Work that lacks integrity is subject to quickly erode…or worse.

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Demonstrate an understanding of the problems associated with the effects of the environment on public health.

Unit outcomes addressed in this activity: · Demonstrate an understanding of the problems associated with the effects of the environment on public health. · Identify the importance of occupational safety and industrial hygiene in the workplace. · Explain the most important challenges faced in environmental and public health. Course outcome HS415-5: Describe the risk-assessment and risk-management process. GEL-1.1: Demonstrate college-level communication through the composition of original materials in Standard American English GEL-2.2: Interpret various data formats Instructions: Go to the EPA website, http://www.epa.gov/osw/wyl/regional.htmFrom the map choose the region where you live, then on to your region. Or Go to the EPA NPL list,http://www.epa.gov/superfund/sites/npl/ and choose your state. Choose a site The site you choose needs to be approved by your instructor. Post your proposed site in the third Discussion topic or send your instructor an e-mail detailing your proposed site. Once approved, write a 7–10 page paper (not including title page and references) that gives the background of your hazardous waste site, what agencies were involved, what pollutants have been found there, the extent of contamination, the number of people harmed and with what diseases, what studies were done on the site and people, and what the clean-up consisted of. References: The document should also include the references that you used (at least 3 other than your book).

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