NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers

NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
NUR 508 Week 1 Discussion DQ 1 & DQ 2 
DQ 1
What were the major causes of U.S. mortality in the last 100 years, and what public health measures most contributed to improvements in the health of the nation? Include at least two source citations from the readings and/or additional sources to support your answer. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
DQ 2
What are the major causes of disease and death in the 21st century (e.g., chronic illnesses, communicable diseases, etc.) that continue to affect U.S. citizens in spite of the achievements in public health in the past century? What have been some of the strategies implemented to combat these illnesses on the local and national levels? Have they been successful? Include reference citations where appropriate.
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 NUR 508 Week 2 Discussion DQ 1 & DQ 2 
Select one of the United Nations’ (U.N.) Millennial Development Goals (MDGs). Visit the website and report on the UN’s progress in achieving this goal? How will meeting this goal positively impact the health of the world? What suggestions would you make to help the UN achieve this goal? NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
Select a global health issue from the World Health Organization (WHO) list of health topics available athttp://www.who.int/topics/en/How has globalization influenced this issue from a positive or negative perspective?
 NUR 508 Week 3 Discussion DQ 1 & DQ 2 
DQ 1
Debate the various social factors associated with the situation of the “underinsured.” Respond to two other classmates’ answers with solid reasoning and support your opinions with appropriate reference citations.
DQ 2
Review the Agency for Healthcare Research and Quality (AHRQ) report “Priority Populations”:
http://www.ahrq.gov/health-care-information/priority-populations/index.html
Select one of the “priority populations” and explain the disparities this population faces. What strategies have been implemented to combat these disparities on the local and national levels? Have they been successful? Include reference citations where appropriate. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
NUR 508 Week 4 Discussion DQ 1 & DQ 2 
DQ 1
Debate the efficacies of public versus private-based quality initiatives. What roles do each play in the quality of U.S. health care? How would the elimination of one aspect affect the other? Respond to two other classmates and counter their answer, citing references as appropriate.
DQ 2
After reading the Kaiser Family Foundation summary on the Patient Protection and Affordable Care Act, state why or why not you believe the act should remain in law, or which pieces should be reversed. Then describe two pieces of the act that you were unaware was part of the act and how that may affect you as a citizen. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
 NUR 508 Week 5 Discussion DQ 1 & DQ 2 
DQ 1
What are the eligibility requirements and coverage of Medicaid for the categories of low-income adults, pregnant women, and the aging/blind/disabled in the state where you live? Do you consider the eligibility requirements reasonable or restrictive? Do you consider the coverage reasonable or liberal? What are the benefits and drawbacks to keeping these populations insured through Medicaid? Consider both direct and indirect factors. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
DQ 2
Review the CMS.gov 30-Day Mortality and Readmission Data website. Review at least two local hospitals and see how they compare to state and national benchmarks. How and why may a consumer or a health care professional use this data to make decision about their next hospitalization? Will reporting this data have an impact on hospitals bottom line in addition to financial penalties from CMS? Give at least two examples of how this data may be used and what type of impact if may have if at all on the hospitals.
NUR 508 Week 6 Discussion DQ 1 & DQ 2 
DQ 1
Debate the question: “Is health care a basic right in the United States?” Answer this question through the lens of your role as RN. Support your response utilizing ethical theories and principles. Respond to two other classmates using respectful communication and solid reasoning. Support your response with appropriate references. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
DQ 2
Select an ethical dilemma related to health policy from the categories of moral values, professional regulation, health of individuals in society, or distributive justice. What are the controversies surrounding this issue? What are the opposing ethical principles? How has past or current health policy addressed this dilemma? Support your reasoning with reference citations. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
NUR 508 Week 7 Discussion DQ 1 & DQ 2 
DQ 1
How do spiritual beliefs impact political ideologies and the policy process? How have they affected the health policy reform process? Using respectful communication, debate your response with two other classmates. Give examples and support your reasoning with appropriate references.
DQ 2
What is the role of a religious ethic in public policy today? Should a religious ethic and/or theistic worldview take priority over that of others? How can religious policy decision makers remain true to their personal values while respecting the views of individuals with differing cultural and spiritual beliefs? Respond to two other classmates and cite references as appropriate.
NUR 508 Week 8 Discussion DQ 1 & DQ 2 
DQ 1
Select an advanced professional or advanced practice nursing specialty. How has past and current regulation/legislation affected the role and scope of this nursing role? What, if any, discussions are currently underway relative to the scope and role of this specialty? What resources are available to assist nurses in advocating for these roles? NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
DQ 2
Select a professional or specialty nursing association. What impact has this organization had on health care legislation in the past 2 years? Respond to two other classmates and support your answer with appropriate references and specific examples.
NUR 508  Week 2 Assignment 
The IOM Future of Nursing report calls for an increase in leadership from nurses at all levels. One way nurses demonstrate their role as a leader, is through public policy change. A leader does not always carry an official title or position, but demonstrates leadership through the work and the stance he/she takes to make a change for the good of others. Nurses have been noted by the Gallop poll year after year as the most trusted professionals.
This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, healthcare, and/or the public. Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.
Examples of public policy includes any component of the current legislation governing health care, Medicare part D, Medicaid, nursing regulation, medication technicians, etc.
In 750-1000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

  1. The policy must NOT be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.
  2. Include a specific section for the exact wording for the bill or change in wording of the law.
  3. Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.
  4. Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change? NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.

Resources:

  1. Review different pieces of legislation for ideas on wording.
  2. Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.
  3. Refer to the Nursing Leadership Health Policy Presentation Rubric.
  4. Submit the assignment to the instructor by the end of Topic 2.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
NUR 508 week 5 Assignment


In a paper of 500-1,000 words, describe the relationship between health care cost and quality. Address the following:

  1. Select one public agency and one private agency and differentiate their roles and major activities in addressing cost and quality in health care. See Topic 4 Readings for sources regarding health care agencies.
  2. Analyze current and projected initiatives to improve quality while simultaneously controlling costs. Describe any unintended consequences.
  3. Synthesize implications for staff nurses and advanced practice nurses, including evidence-based practice, relative to cost and quality.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Resource 1: CLC Health Issue Analysis Overview. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
Group work has benefits and liabilities. EVERYONE assigned to a CLC is expected to equally participate in the work in terms of time and quality of effort. Each participant has strengths and it is reasonable to apportion the work to make best use of this. Some are natural leaders. Our strengths can be our greatest liabilities: No one wants to be bossed around no matter how skilled the boss is. Honest communication is critical to effective group work. The best way to avoid conflict is to set very clear expectations up front. Then, if someone does not do what is expected him/her, he/she can be referred to the original agreement rather than have the confrontation become personal.
Course instructors are able to observe the group process in the CLC forum. If the work takes place outside the forum, this information will be absent. Be certain (even if communicating via e-mail, phone, or face-to-face) to record the communication in the CLC forum. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
CLC Project Overview
The purpose of this assignment is to critically analyze a health care issue through the focus of major concepts from each Topic. There are six components to this assignment after the CLC agreement is signed and the topic is identified. It is not expected that every member of the CLC group will contribute to each assignment, but that assignments will be divided fairly and equally among the group. Each of the written components of the CLC project will be 500-1,000 words. These papers should be in APA format with a title and a reference page. An abstract is not required. An introduction is required ONLY for Part 1 and is not required in any parts thereafter. It is the intention that if one were to take the six parts of this assignment and put them together, a comprehensive and cohesive analysis would be produced. Part 1 is worth 3 points and each of the subsequent parts (2-6) are worth 4 points each.
Topic 1 (10 points)
Check into the CLC group and provide contact information and describe prior experience, if any, with health policy. Locate and read the CLC Agreement provided by the instructor, located within the Additional Resources Folder in Canyon Connect. Choose one member to transfer the document to the CLC forum. Decide upon the process needed to fill out the contract. Everyone should participate. Before filling out the agreement, it may be helpful for each student to describe the most difficult, frustrating, helpful, or beneficial apects of working on a collaborative project. Getting this type of information out in the open ahead of time may help to prevent conflict later on. Since no one is angry yet, you can comfortably list what is likely to make you angry and also what would make you satisfied.
Complete the CLC Agreement (except for the final block, which is used at the end). Select someone to submit the CLC Agreement by the end of Topic 1.
Topic 2 (10 points)
Initiate a conversation regarding potential topics of interest. This should be a health issue with national and international relevance that will be the basis for your final project. It may be helpful to identify a number of topics of interest and have individual group members do a quick survey of the literature to be sure that there is current information available. Revise the CLC Agreement with the choice of the topic identified in the title and re-submit the CLC Agreement.There is no formal writing requirement for the topic selection. It is merely a brief paragraph declaring your identified topic.
Topic 3 – Part 1 (50 points)
Research and outline the history of the health issue. Write a formal paper in APA format (500-1,000 words in length), describing the history of the issue. A title, introduction, and a reference page are required, but an abstract and conclusion are not. Include the following:
1) Influences such as determinants of health and socioeconomic status.
2) Past and present initiatives (private and public) to address the issue.
3) Outcomes that have been developed and utilized to measure progress on the issue.
4) The current status of the health issue based on measured outcomes.
Topic 4 – Part 2 (60 points)
Describe the national and international implications of the health issue. Write a formal paper (500-1,000 words in length), using APA format. Include a title page and a reference page. An abstract, introduction, and conclusion are not required. Include the following:
1) Scope and depth of the problem.
2) Countries that are faring better or worse than others.
3) How the U.S. ranks on this issue in relation to other countries.
4) Efforts of the World Health Organization and other agencies on this issue.
5) Existing disparities (include race, age, and gender, as appropriate) in relation to the issue – describe the populations that have emerged as being disadvantaged and why. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
Topic 5 – Part 3 (60 points)
Write a formal paper (500-1,000 words in length), using APA format. Include a title and a reference page. An abstract, introduction, and conclusion are not required. Include a title page and a reference page, and the following:
1) Discuss past and present funding for initiatives that address the health issue. Include both public and private sources.
2) Analyze past and present quality initiatives that address the health issue. Include both public and private sources.
3) Differentiate how being insured versus uninsured impacts health outcomes relative to this issue;
4) Compare health outcomes for the issue between the U.S. and a country with universal health coverage.
Topic 6 – Part 4 (60 points)
Write a formal paper (500-1,000 words in length), using APA format. A title page and a reference page are required, but an abstract, introduction, and conclusion are not. Include the following:
1) Examine the previously addressed aspects of health policies, finance, global/national prevention, and/or treatment initiatives related to the health issue by identifying applicable ethics principles.
2) Differentiate how application of the identified ethics principles to the health issue has resulted in population disparities.
3) Hypothesize how existing disparities might be eliminated using alternate ethics principles.
4) Critique whether the applicable ethics principles are consistent with the ANA’s Code of Ethics for Nurses.
Topic 7 – Part 5 (60 points)
Write a formal paper (500-1,000 words in length), using APA format. A title page and a reference page are required, but an abstract, introduction, and conclusion are not. Include the following:
1) Discuss cultural beliefs and influences relative to the health issue.
2) Differentiate any religious/spiritual beliefs and values relative to the issue.
3) Appraise how religious/spiritual beliefs and values have influenced progress in addressing the issue – either negatively or positively.
4) Compare differences in ideologies related to the issue across political party lines, geographic regions, and countries of the world.
Topic 8 – Part 6 (60 points)
Write a formal paper (500-1,000 words in length), using APA format. A title page, conclusion, and a reference page are required, but an abstract and introduction are not. Include the following:
1) Assess the past and present impact nurses, including advanced professional/ advanced practice nurses, have made in addressing this health issue. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers
2) Describe how nurses can become more broadly involved with influencing health policy related to this issue. Include available resources. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
3) Hypothesize how nurses can positively impact future outcomes related to the provision of care for persons affected by the health issue.
4) Synthesize all aspects of the health care issue through a summary conclusion, concisely tying up Parts 1-8 of the CLC project. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
This is a CLC assignment.

  1. Check into your respective Collaborative Learning Community and provide contact information. Describe your prior experience with health policy.
  2. Read “CLC Health Issue Analysis Overview.”
  3. Read “CLC Group Project Agreement.”
  4. Transfer “CLC Group Project Agreement” to your CLC team space, come to a consensus on team responsibilities, and complete one copy of the form.

APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to Turnitin.
NUR 508 CLC Group Project Agreement
Grading Criteria
CLC Course Information

Course Name/Section Number:
Instructor’s Name:
Start Date of the Course:

CLC Member Contact Information 

(Who is in our group?)

CLC Member Name Primary E-mail Address Secondary E-mail Address Other Contact Information

CLC Group Values]

(What do we need to do to ensure our team’s success?)

What Each Team Member Agrees to Do Why This Is Important to the Team
Check into the CLC regularly to review progress on the assignment.
Contribute ideas and feedback to the group from initial discussions throughout project completion.
Communicate with all CLC members as soon as a problem or issue arises.
Maintain respectful communications with all team members.
Complete assigned tasks by the deadlines set by the CLC members.
Take a leadership role in CLC assignments.
Make sure to cite and reference all sources of information used in completing tasks.
Other:
Other:

Project Management Specifics 

(What needs to be undertaken to complete the CLC project?)

CLC Group Member’s Name Task to be Completed by This Team Member
(This section will change for each CLC Project.)		 Due Date for Completing the Task for the CLC to Review
Contributing one or more ideas for how the project should be completed.
Outlining the CLC project.
Assigning tasks to CLC members.
Performing research on assigned topics and writing it up for CLC members to review.
Making sure everyone meets their assigned deadlines for tasks.
Proofreading and editing the paper.
Submitting the paper via the Assignments feature by the due date deadline.
Other:
Other:

CLC Group Interaction Guidelines

(How can we anticipate and deal with group conflict when it arises?)

What Could Happen To Impede Our Teamwork? What We Will Do if This Happens?
A CLC member doesn’t provide project ideas or feedback to other team members.
A CLC member doesn’t complete his/her task at all.
A CLC member completes his/her task, but turns it in after the agreed-upon due date.
Other:
Other:

CLC Group Review Process

(What makes a CLC effective?)

What did Our CLC Do Well This Time?
(This section will change for each CLC Project.)		 What Can We Do to be a More Effective CLC Next Time?
(This section will change for each CLC Project.)

NUR 508 Week 7 Assignment 
Write a paper of 750-1,000 words examining your personal values and beliefs. Include the following:

  1. Describe your personal values and spiritual beliefs.
  2. Using the elements of cost, quality, and social issues to frame your description, differentiate your beliefs and opinions about health care policy. Give examples of relevant ethical principles, supported by your values.
  3. Analyze how factors such as your upbringing, spiritual or religious beliefs/doctrine, personal and professional experiences, and political ideology affect your current perspective on health care policy.
  4. Examine any inconsistencies you discovered relative to the alignment of your personal values and beliefs with those concerning health policy. Discuss what insights this has given you.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment. NUR 508 (Ethics, Policy, and Finance in the Health Care System) Essay Assignment Papers

/by

Phil W7 Assg2- Evaluating Resources

Phil W7 Assg2- Evaluating Resources
  • The completed assignment should be approximately 750 words (3-4 pages).
  • View the video “A Consumer’s Guide to Sourcing in News Reports” from The News Literacy Project at
  •  https://www.youtube.com/watch?v=W1A46_Zd_wk
  • Research the Internet to obtain 5 online sources that support your position on an issue.
  • Apply each the 7 Key Points outlined in the video to each of the 5 sources.
  • Based on these 7 key points, indicate whether or not each of the 5 sources is a credible resource on the issue and explain your rationale.

The assignment should follow guidelines for clear and organized writing:
·  Address main ideas in body paragraphs with a topic sentence and supporting sentences.
·  Include an introductory paragraph and concluding paragraph.
·  Adhere to standard rules of English grammar, punctuation, mechanics, and spelling.
This course requires use of Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
The assignments should follow these formatting and citation requirements:
·  Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
·  In-text citations and the References page must follow Strayer Writing Standards (SWS) format.
·  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.

/by

Assessing and Treating Clients with With Bipolar Disorder

plagiarism must be less than 15% . i need the assignment is 11 hours.

Assignment: Assessing and Treating Clients with With Bipolar Disorder

Bipolar disorder is a unique disorder that causes shifts in mood and energy, which results in depression and mania for clients. Proper diagnosis of this disorder is often a challenge for two reasons: 1) clients often present as depressive or manic, but may have both; and 2) many symptoms of bipolar disorder are similar to other disorders. Misdiagnosis is common, making it essential for you to have a deep understanding of the disorder’s pathophysiology. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with bipolar disorder.

Learning Objectives

Students will:
  • Assess client factors and history to develop personalized plans of bipolar therapy for clients
  • Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring bipolar therapy
  • Evaluate efficacy of treatment plans
  • Analyze ethical and legal implications related to prescribing bipolar therapy to clients across the lifespan ..

 
The Assignment
Examine Case Study: An Asian American Woman With Bipolar Disorder. 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?
    •  you can use my sample/ edit or do a new assignment.

you can edit or use my sample with same medication therapy.
Walden University .. 6630n
2 Assessing and Treatment for Bipolar Disorder Patient Introduction Bipolar disorder is not an uncommon illness. It is a very chronic and severe mental disorder, affecting approximately 1-2% of the adult population. The signs and symptoms of bipolar disorder are different depending on the type of episode (i.e., manic or depressive). Each episode marks a critical change from the way a person usually acts and their typical mood, and can be characterized by a sudden change in the general attitude of the patient, the way the patient thinks and the behavior. 1 The changes will be sudden that it will be noticed by people around (Robert et al., 2017). This dangerous demonstrative unpredictability mood disorder can be found in all area of life, that is, from the poor to the rich, this disorder affects millions of people in all facets of life (Robert et al., 2017). Bipolar disorder can be seen mostly in the age starting at 25years or older, but it is not totally absent in the teenage age. It shows that about 2.6 percent of the population are diagnosed as bipolar. 3 (National Alliance on Mental Illness, 2017).
If not well treated ,Bipolar disorder can be critical; 1 early identification of symptoms with an appropriate treatment plan may include psychotherapy, medications, a healthy lifestyle and a regular schedule will keep the patient healthy (National Alliance on Mental Illness. (2017). 1 The NP should have a good understand of this disorder to be able to take care of this the patient because of its long-term management and how it affects the health in totality (National Alliance on Mental Illness. (2017). 1 My focus of this paper will look into an Asian American Woman with a bipolar disorder, symptoms management, diagnosing the symptom, and the complete treatment. The paper will consider the most safe and appropriate options of treatment and the outcome as the treatment, and care.
Decision Selected My patient is an Asian American woman age 39 years with 4 children and 3 ground children. The husband notices that sometimes she will be singing loud to the top of her voice and dancing not to the music she sang. In another time she will just fill like not doing anything and nothing will interest her, and she will lay on the bed for hours without going to the business she spent her years building and love so much.Patient is withdrawn and non-interactive. 4 She is diagnosed Bipolar disorder.
1 Decision # 1 Reason Selected My best treatment of choice for this disorder will be to begin Risperdal 2 mg orally twice a day. Risperdal is the best choice to treat bipolar disorder. (Lee et al., 2011). Risperdal called risperidone is in the chemical class benzisoxazole derivatives which are antipsychotic. It is an effective medication for bipolar disorder (Lee et al., 2011). The reasons of choosing Risperdal is because it is used to treat schizophrenia and the risperidone works with the brain to stabilize the brain (Lee et al., 2011). Risperidone rebalances dopamine and serotonin to improve thinking, mood, and behavior. Risperidone belongs to a class of drugs called atypical antipsychotics approved by U.S. Food and Drug Administration (FDA) The drug is also used to treat symptoms of bipolar disorder and irritability (NAMI, 2017).
Expected Results We will need to have some subjective and objective changes. 1Patient should be able to verbalize changes within the first month of the treatment.
During the next visit with the patient after one month, she is expected to express changes in the clarity of her brain. The freedom from indistinctness or ambiguity because of the medicine will help her to balance certain natural substances in her brain.She should also notice a change in her ability to concentrate on her activities (Lee et al., 2011). No side effects.
Differences between Expected outcome and Actual outcome Patient came back after a month (4 WEEKS) and report that she experiences some improvement in the symptom including some improvement with concentration. My patient reported some drowsiness. 1 Drowsiness is one of the side effect of high dose of Risperdal. The genetic testing, reveals that she is positive for CYP2D6. Asians are more likely to have decreased CYP2D6 activity compared to Caucasians (Lee et al., 2011). I will reduce the dosage of this medication. 1 A positive outcome should be that there was a little bit of improvement in symptoms, patient able to sleep, more concentration. Patient and family report drowsiness during the day time which is one the side effect of high dose Risperdal.
Decision Point Two Reason Selected The next best option is not to discontinue Risperdal, but to lower dose to Risperdal 1 mg orally at hours of sleep (HS) since expected outcome was not achieved based on decision one. My patient and , her family reported that patient has been drowsy during the day because of Risperdal 2mg. I will continue on Risperdal because the patient confirm improvement on the symptoms and the side effect observed was a regular adverse reaction because of her descendant background (American Psychiatric Association, 2017). The reduction to Risperdal 1mg BID to Risperdal 1 mg will be closely monitor.
Expected Results Risperdal 1mg orally at bedtime is a reduced dosage from the 2mg which is expected to eliminate the drowsiness and toxicity in the patient Stahl, (2013).The patient is expected to continue to have decrease in the bipolar symptom. The effect of the medication should be observable and notice by the family member as a testimony (American Psychiatric Association, 2017).
Differences between Expected outcome and Actual outcome During the patient four weeks follow up examination shows that the bipolar disorder symptom dissipated to noticeable level. This indicate a therapeutic effect of Risperdal 1mg at night brought about the therapeutic effect on the patient and patient is tolerating and adjusting to the medication in a positive way (Dean, 2017). The patient did not experience the drowsiness and there was no toxicity, therefore the expected result and the actual result were the same. Risperdal therapy will continue with this medication and the dosage, and a close monitoring will still be needed until the next four weeks appointment (Dean, 2017).
Decision Point Three Decision Selected Risperdal 1mg orally at HS will be continued Reason for Selection The decision to continue with the medication was because the desire result, and the actual result are in pari-passu. To change the current medication or tamper with the dosage may offset the patient and thereby destabilize the rate of her healing (Dean, 2017). The patient is still under assessment and close monitoring continue until the next appointment date.
Expected Results It is expected that the patient will increase in good mental stability and continue to maintain reduction in bipolar disorder symptom with the dosage of Risperdal 1mg at night (Robert et al., 2017). The patient is anticipated to having good sleep at night and well improve in her interaction with relatives and friends, with ability to concentrate on matters that concern her and carrier (Robert et al., 2017).
Differences between Expected outcome and Actual outcome The therapeutic decision is working in this patient in accordance to the expectation. The treatment agrees with the standard way of treatment of an Asian descendant, the starting procedural treatment for bipolar disorder to the maintaining of such patient that are been positive for CYP2D6.The side effect of drowsiness in the day and toxicity is agreement with Asian descent (Robert et al., 2017). The patient will have to be place on the same medication till the next visit for examination. The actual result is that the medication is achieving the therapeutic effect that is needed by the patient (Dean, 2017).
Ethical Considerations for Treatment plan Ethics demand that a patient should agree to treatment before it could be administering unto the patient. The law concerning patient’s preferences for treatment are overlook when the patient is in jeopardy of life threatening or severe psychiatric illness. Psychiatric advance directives are employing to make decision on the patient (Srivastava, 2011). When a practitioner treating a patient with bipolar is confronted with ethical conflicts of helping the patient to attain best result or their autonomy. The autonomy will be the choice of the practitioner (Srivastava, 2011). The law clearly stipulate that practitioners should always carefully consider what moral weight should be given to the values of doing well and avoiding harm (U.S. Food and Drug Administration, 2017).
2 Conclusion Psychiatric nurses should assess the function of the client not only during admission even during remission period and plan for rehabilitation services since functioning is a complex and demanding task. However, it is very important to bring back the client to his fullest possible level to normal life by planning effective psychoeducation about illness, communication training and teaching problem solving skills to client and family. 1 Many drugs are available for the treatment of bipolar disorder, but the professional will have to carefully select a medication that will be the best treatment for the patient. It is worth knowing that genetics influences the absorption of drugs, metabolism, excretion, and distribution. In the case study the Asian woman with positive CYP2D6 will exhibit a certain side effect which will not be in a patient with negative CYP2D6 (Dean, 2017). Therefore, the dosage and frequent of dispensing of drugs be based on the genetic testing (National Alliance on Mental Illness, 2017). The treatment of bipolar disorders in Asian descent must be handled carefully and in accordance with the Food and Drug Administration set guidelines (U.S. Food and Drug Administration, 2017). In conclusion the safety of the patient and the life of family and friends should be the paramount concern of the practitioners.
References American Psychiatric Association. (2017). 1 Treatment of Patients with Bipolar Disorder.
Retrieved from: 1http://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bipolar.pdf Dean, L. (2017). 1 Risperidone Therapy and CYP2D6 Genotype. Retrieved from:
1 https://www.ncbi.nlm.nih.gov/books/NBK425795/ Lee, S. Y., Martins, S. S., Keyes, K. M., & Lee, H. B. (2011). 1 Mental Health Service Use by Persons of Asian Ancestry With DSM-IV Mental Disorders in the United States. Psychiatric Services (Washington, D.C.), 62(10), 1180–1186.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3698479/ Nami National Alliance on Mental Illness. (2017). 1 What Is Risperdal and What Does It Treat?
Retrieved from: 1 https://www.nami.org/learn-more/treatment/mental-health-medications/risperidone (Risperdal).
Robert, M., Keck, P., & David Solomon, D. (2017). 1 Bipolar disorder in adults:Choosing maintenance treatment. Retrieved from: 1https://www.uptodate.org/contents/bipolar-isorder-in-adults-choosing-maintenance-treatment Srivastava, S. (2011). Ethics Commentary: Bipolar Disorder: 1 Ethical Considerations in the Treatment of Bipolar Disorder. Retrieved from:
1 https://focus.psychiatryonline.org/doi/abs/10.1176/foc.9.4.foc461?journalCode=foc Stahl, S. M. (2013). 1 Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.
U.S. 1 Food and Drug Administration. (2017). 1 The Facts on Bipolar Disorder and FDA- Approved Treatments. Retrieved from: 1https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm530107.htm

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Provide nursing care to patients and their families in critical and emergent care settings based on theories and principles of nursing and related disciplines.

THIS PURPOSE OF THIS ASSIGNMENT IS FOR THE STUDENT TO PRESENT A COMPLETE PICTURE OF NURSING CARE OF…

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PURPOSE
This purpose of this assignment is for the student to present a complete picture of nursing care of a critically-ill
individual encountered during the course. The student will demonstrate clinical reasoning skills and will discuss
interdisciplinary care that had been incorporated and/or anticipated during the care of the critically-ill individual.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes:
CO 1: Provide nursing care to patients and their families in critical and emergent care settings based on theories and
principles of nursing and related disciplines.
CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical-care and emergent care
settings.
CO 3: Demonstrate effective therapeutic communication and relationship skills in providing care to patients and
families in critical-care and emergent care settings.
CO 4: Demonstrate effective clinical decision-making based on critical thinking skills and legal, ethical and
professional standards and principles when caring for patients and families in critical care and emergent care
settings.
CO 5: Implement a plan of for continued personal, professional, and educational development related to nursing
practice within critical-care and emergent care settings.
CO 7: Use evidence including research findings from nursing and related disciplines to answer clinical questions
related to nursing care of patients in critical care and emergent care settings
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Human Anatomy and Physiology

Page 1“Bad Fish: Human Anatomy and Physiology Edition” by James A. Hewlett
NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE
by James A. Hewlett Science and Technology Department Finger Lakes Community College
Bad Fish: Human Anatomy and Physiology Edition
Part I – Poisoned! One evening during a recent trip to Indonesia, Dr. Marshall Westwood from the Montana Technical Institute sat down to a meal of puff erfi sh and rice. Within an hour of returning to his hotel room, Dr. Westwood felt numbness in his lips and tongue, which quickly spread to his face and neck. Before he could call the front desk, he began to feel pains in his stomach and throat, which produced feelings of nausea and eventually severe vomiting.
Fearing that he had eaten some “bad fi sh” for dinner, Dr. Westwood called a local hospital to describe his condition. Th e numbness in his lips and face made it almost impossible for him to communicate, but the hospital staff managed to at least understand the address he gave them and they sent an ambulance in response. As Dr. Westwood was rushed to the hospital, his breathing became increasingly diffi cult.
Doctor’s Notes Th e patient presented in the ED with severe headache, diaphoresis, motor dysfunction, paresthesias, nausea, and an ascending paralysis that spread to the upper body, arms, face, and head. Th e patient was cyanotic and was hypoventilating. Within 30 minutes of presenting in the ED, Dr. Westwood developed bradycardia with a BP of 90/50. Atropine was administered in response to the bradycardia. IV hydration, gastric lavage, and activated charcoal followed a presumptive diagnosis of tetrodotoxin poisoning based on the clinical presentation in the ED. Five hours after intervention, the following vitals were noted:
• BP 125/79 • HR 78bpm • Oxygen saturation: 97% on room air
Follow-up Within a few hours, Dr. Westwood’s condition improved and he was on his way to a full recovery. After discussing his case with his physician, he learned that he had probably been the victim of a puff erfi sh poisoning. Th e active toxin in the tissues of this fi sh is a chemical called tetrodotoxin. Tetrodotoxin is in a class of chemicals known as neurotoxins due to the fact that it has its eff ects on nerve cells (neurons). Specifi cally, tetrodotoxin blocks voltage-gated sodium ion channels on neurons.
Questions 1. Present the “Doctor’s Notes” portion of the case with a description of the following terms or concepts:
• diaphoresis • motor dysfunction
NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE
Page 2“Bad Fish: Human Anatomy and Physiology Edition” by James A. Hewlett
• paresthesias • cyanotic • hypoventilating • bradycardia • gastric lavage • oxygen saturation
2. How many diff erent elements are contained in a molecule of tetrodotoxin? What are the names of these elements?
3. What type of chemical bonds are found in this molecule? Describe the structure of those bonds. 4. As mentioned in the case description, tetrodotoxin is a molecule that blocks voltage-gated sodium ion channels.
Describe the structure of a sodium ion. 5. What is a voltage-gated sodium ion channel? What is it made of? What is its function? 6. Why do sodium ions need channels in order to move into and out of cells? 7. Describe the process involved in the movement of ions through these channels. 8. When nerve cells are at rest, there is an unequal amount of positive and negative charges on either side of a
nerve cell membrane. Th is charge diff erence is called an electrical potential. Describe this “potential” when the neuron is at rest (resting potential).
9. What is happening to the electrical potential of a neuron when it generates an action potential? What is the function of the action potential in neurons?
10. Describe the role of sodium ions and sodium channels in the action potential. 11. What would happen to a neuron if it were exposed to tetrodotoxin? Be specifi c regarding its eff ect on the ability
of a neuron to communicate. 12. Now that you have addressed some of the basic biology of this case, explain why Dr. Westwood experienced
numbness after eating the puff erfi sh meal. 13. Paralysis is a term used to describe the loss of function of muscle. If tetrodotoxin’s eff ect is on neurons, why did
Dr. Westwood experience paralysis? 14. Explain how tetrodotoxin is involved in the development of hypotension and hypoventilation. 15. Briefl y describe the role of the autonomic nervous system in human physiology. What are the two divisions of
this system? 16. Atropine was administered in the ED as part of Dr. Westwood’s care. What eff ect did it have on his vitals after
it was administered? Atropine acts as an antagonist within the central nervous system, which means it acts as a blocker of specifi c cellular functions. What part of the autonomic nervous system does atropine block to produce its eff ect on Dr. Westwood?
NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE
Page 3“Bad Fish: Human Anatomy and Physiology Edition” by James A. Hewlett
Part II – Oh No! Not Again After recovering from his TTX poisoning, Dr. Marshall Westwood decided to take a vacation. An avid birder, he decided to go to Papua New Guinea with Bill Whitlatch, an ornithologist friend of his from Montana Technical Institute.
Th ree days into their trip, Bill netted bird with an orange body and black wings and head for closer study. Dr Westwood was very curious and asked Bill if he could have a closer look at the bird. After handling the bird and then later wiping his mouth with his hand, Dr. Westwood noticed that his fi ngers and lips were going numb. His mind immediately fl ashed back to the disastrous trip to Indonesia and he began to panic. Luckily, the symptoms faded before they progressed into anything more serious.
His friend Bill used a key to identify the animal as a pitohui. Th e pitohui are small, social songbirds that live in Papua New Guinea. Th ey are generally about 23 centimeters long with strong legs and a powerful beak. Th eir encounter was the fi rst time anyone had scientifi cally realized the birds’ toxicity.
Before releasing the bird, Dr. Westwood collected feather and tissue samples to bring back to the lab. After returning to Montana, he set out to isolate the toxic compound that he believed was being produced by the pitohui. It appeared that the active ingredient was a homobatrachotoxin. Homobatrachotoxin is a steroidal alkaloid that is similar to batrachotoxin, the toxic principle of the Central American poison arrow frog Phyllobates aurotaenia. Batrachotoxin and homobatrachotoxin are both known to act on the voltage-sensitive sodium channels in excitable tissues.
You and your colleagues received a call from Dr. Westwood asking if you could help elucidate the mechanism of action of this toxic compound. One of the hypotheses is that this toxin acts similarly to TTX.
Questions 17. In your fi rst experiment, you generated action potentials in axons of large neurons obtained from squid in the
presence of this new toxin. You found that after depolarizing, the membrane potential remained positive for an extended length of time, and the repolarization was often extremely delayed. Draw a graph (membrane potential in mV vs. time) to illustrate this eff ect.
18. As you continued to experiment with higher concentrations of the toxin, you found cases when the cell could not repolarize at all, or if it began to repolarize, it would immediately depolarize again. Using this description and the description in the previous question, describe how this toxin acts on voltage-gated sodium ion channels.
NATIONAL CENTER FOR CASE STUDY TEACHING IN SCIENCE
Page 4“Bad Fish: Human Anatomy and Physiology Edition” by James A. Hewlett
Image credits: Photograph on page 1, Arothron meleagris, © John E. Randall. Used with permission. Photograph on page 3, Hooded Pitohui, Jack Dumbacher. Courtesy of the Smithsonian National Museum of Natural History.
Case copyright held by the National Center for Case Study Teaching in Science, University at Buff alo, State University of New York. Originally published April 13, 2003. Please see our usage guidelines, which outline our policy concerning permissible reproduction of this work.
Part III – Pharmacology In this section, you (or your group) will become a small pharmaceutical company that is trying to develop a drug that can be used in the ED to treat tetrodotoxin poisoning. Th ere is no antidote to tetrodotoxin poisoning. Th erefore, it is extremely important that your company is successful in this endeavor. In your report, you need to include the following:
• Your Company Name: o What do you want to call your company? Be creative!
• Name of Your Drug: • Treatment of:
o What does your drug treat? o What other diseases, problems etc. might it be useful for?
• Mechanism of Action: o Describe how your drug will work. o Be sure to provide details regarding its action. You are now familiar with the activity of this toxin at the
level of molecules and cells, so your description should contain details of how your drug works at that level.
• Dosage Form: o How will it be administered to patients?
• Side Eff ects: o What type of side eff ects might your drug have?
Some of your information will come from your understanding of what tetrodotoxin does to neurons. Th ere is no right or wrong answer to how your drug will work because there currently is no drug to treat this problem.
After you decide how your drug might work, you should consider if its mechanism would lead to side eff ects. In addition, your drug may be useful for other problems related to nerve function. You may want to do some research on drugs that have actions at neurons (specifi cally sodium ion channels) and diseases that involve sodium ion channels. Th is will help you develop your drug.

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Search Journal of Nursing Care Quality

SEARCH JOURNAL OF NURSING CARE QUALITY FIND AN ARTICLE OF INTEREST (RELATING TO EBP)

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Search Journal of Nursing Care Quality
Find an article of interest (relating to EBP), current within the last 5 years.
Summarize what you learned
Post the article in the requested format: author (year) short version of title
Journal/article link:
https://ovidsp-tx-ovid-com.db22.linccweb.org/sp-3.27.2b/ovidweb.cgi?WebLinkFrameset=1&S=OPPOFPNCEMDDMIEKNCFKABGCLAFLAA00&returnUrl=ovidweb.cgi%3f%26Full%2bText%3dL%257cS.sh.22.23.26.31%257c0%257c00001786-201801000-00004%26S%3dOPPOFPNCEMDDMIEKNCFKABGCLAFLAA00&directlink=https%3a%2f%2fovidsp.tx.ovid.com%2fovftpdfs%2fFPDDNCGCABEKEM00%2ffs047%2fovft%2flive%2fgv024%2f00001786%2f00001786-201801000-00004.pdf&filename=Multilevel+Factors+Associated+With+Injurious+Falls+in+Acute+Care+Hospitals.&link_from=S.sh.22.23.26%7c4&pdf_key=FPDDNCGCABEKEM00&pdf_index=/fs047/ovft/live/gv024/00001786/00001786-201801000-00004&D=ovft
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Describe the methods used to socialize new employees or members into the organizational culture

Psychology homework help
 

Assignment 1: Characteristics of Organizational Culture

Every organization has a culture; however, organizational culture differs from one business to the next. The organizations may have different essential values. In addition, some essential values may be stronger or more pervasive than others, some may create barriers, and some may be more positive than others.
For this assignment, select an organization you know well or research an organization that interests you. Using the Argosy University online library resources, the readings for this module, and the Internet, respond to the following:

  • Describe in brief the organization you selected.
  • Examine the characteristics of the organization’s culture.
  • Provide examples of how the culture manifests itself in the organization.
  • Examine the most functional and dysfunctional aspects of the organization’s culture.
  • Describe the methods used to socialize new employees or members into the organizational culture.

Support your statements with appropriate examples and/or scholarly references.
Write your initial response in approximately 400 words. Apply APA standards to citation of sources.

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Antepartal testing and perfect child essay

Antepartal testing and perfect child essay
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Address this question: Should antepartal testing be used for reason other than the assessment of fetal health and well-being (e.g., select the “perfect child” on the basis of characteristics, gender, and absence of genetic health problems of any kind)?
Support your answers in an APA formatted summary! Antepartal testing and perfect child essay.

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concepts of epidemiology and nursing research to a communicable disease

Concepts of epidemiology and nursing research to a communicable disease

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.
Communicable Disease Selection
Choose one communicable disease from the following list:
Chickenpox
Tuberculosis
Influenza
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Mononucleosis
Hepatitis B
HIV
Epidemiology Paper Requirements
Include the following in your assignment:
Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).
Describe the determinants of health and explain how those factors contribute to the development of this disease.
Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle).
Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).
Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.
A minimum of three references is required.
Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

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IDENTIFY TWO AREAS OF NURSING PRACTICE WHICH EVIDENCE-BASED PRACTICE

IDENTIFY TWO AREAS OF NURSING PRACTICE WHICH EVIDENCE-BASED PRACTICE

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Identify two areas of nursing practice which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles.
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