1-Gordon’s 11 functional health patterns theory appears to be the most helpful and effective in evaluating families. This theory focuses on 11 health patterns in the family and is used to find out risk factors based on the answers within the current developmental stages of the family and its members.

1-Gordon’s 11 functional health patterns theory appears to be the most helpful and effective in evaluating families. This theory focuses on 11 health patterns in the family and is used to find out risk factors based on the answers within the current developmental stages of the family and its members.  It utilizes the technique of establishing patterns from the provided information and focuses on reducing risk based on the patterns.  “The presence of risk factors predicts potential dysfunction. Developmental risk and risk arising from dysfunctional health patterns increase whole family risk.” (Edelman & Mandle, 2010) 
I find this theory to be the most helpful as it focuses on the whole family with attention to the developmental stage each family member is currently in.  With focus on risk that may affect one member of the family it works to improve the family as a whole based on the fact that one family member can affect the whole family based on their actions.

2-Dr. Murray Bowen introduced The Family Systems Theory that suggests that individuals can not be understood in isolation from one another, but rather as a part of their family.  Furthermore, families are systems of interconnected and interdependent individuals, none of whom can be understand in isolation from the system. 
Bowen states that a family is made of members that play a role and rules to respect. Although, maintaining the same pattern of behaviors within a family may lead to balance in a family, but it could led to dysfunction. For example, if a mother experiences depression and can not get it together, the husband may need to take up more responsibilities. This change could create stability or led the family to a different equilibrium. 

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Are there sufficient evidence-based findings for the RN to have an informed conversation with a patient and their family about the risks versus benefits of e-Cigarettes? Why or why not?

Cigarette smoking contributes to the development and severity of coronary artery disease. Educating patients and families regarding risk reduction related to the cardiovascular system is an essential component of patient centered care.

Read the following articles:

Initial Discussion Post:

Are there sufficient evidence-based findings for the RN to have an informed conversation with a patient and their family about the risks versus benefits of e-Cigarettes? Why or why not?

Based on your reply to the risks versus benefits of e- cigarettes, develop a teaching plan that addresses stopping or limiting the use of e-cigarettes.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

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You as the advanced practice nurse are working in a community mental health center. Your next patient is Mrs. Richards, a 39 year-old Caucasian female, presenting to the clinic with depression and complaints of anxiety and fatigue.

WEEK 11

You as the advanced practice nurse are working in a community mental health center. Your next patient is Mrs. Richards,  a 39 year-old Caucasian female, presenting to the clinic with depression and complaints of anxiety and fatigue. During the initial interview, it is revealed that her husband and two children were killed in a traffic accident 8 months ago. Based on your knowledge of the self-transcendence theory, discusstwo specific measures and/or  interventions that you can implement for this patient to help facilitate self-transcendence. Also, list one scholarly, practice-based resource (article and/or clinical guideline) that supports the use of  this theory in clinical practice.

*As a reminder, all questions must be answered to receive full credit for this discussion. please include your name in the title bar of the discussion. Also, make sure to use scholarly sources to support your discussion.**

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EVALUATE THE CULTURAL IMPLICATIONS OF ADDRESSING AND TREATING MENTAL HEALTH ISSUES IN STANDARDIZED SCHOOL SETTINGS.

Prior to beginning work on this discussion, read the webpage for the Behavior Analyst Certification Board (BACB), the Harvey, Luiselli, & Wong, (2009) article, and review the APA’s Ethical principles of psychologists and code of conduct required for this week.

In your initial post:

Applied behavior analysis is a rapidly growing area of learning psychology. Based on the information in the required web page and article, describe what you think it would be like to be an applied behavior analyst is a school setting. Analyze and describe how the APA’s Ethical principles of psychologists and code of conduct might affect the implementation of behavior modification principles. Examine the behavioral analysis approach to personality psychology and discuss whether personality shapes behavior or behavior shapes personality. Use evidence from the resources to support your statements. Evaluate the cultural implications of addressing and treating mental health issues in standardized school settings. Describe the benefits this type of approach might have for students.

Q2

Resources: Assignment Form, Health Care Finance: Basic Tools for Nonfinancial Managers (3rd ed.)

Complete the table by defining the five methods of computing book depreciation.

Write an explanation for why it is important for a health care facility or physician practice to pay attention to depreciation more than a computer software business.

Format your assignment according to APA guidelines.

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Describe how you would use each process (e.g. EBP, QI, and research) to address the selected quality indicator in Ambulatory Care.


1.       Evidence-Based Practice  [provide definitions for a) evidence-based practice, b) quality improvement, and c) research.  Please include references using APA format.]

Describe how you would use each process (e.g. EBP, QI, and research) to address the selected quality indicator in Ambulatory Care. 

A.     Description of Clinical Problem/Situation: Nursing Turnover within the Ambulatory Care (ACS) Setting

B.     PICO Question

The following PICO question has been devised to guide this exploration of the scientific literature and other essential forms of evidence.

PICO Question Components:

      P:  [patient, population, or problem] Nurse Retention within the Ambulatory Care Setting

      I: [intervention or treatment] Factors that may positively influence retention rate

      C:  [comparison with other treatments, when warranted] Factors that may negatively influence retention rate

      O:  [outcome]  ?

Question:  What factors may positively (I) or negatively (C) impact nursing retention within the Ambulatory Care Nursing setting (P), (O)?

C.     Sources of Evidence & References [types of evidence – published, expert opions, patient preferences, etc.]

Article 1 –

Article 2 –

D.     Critical Appraisal of the Evidence [briefly describe how this was done – used the Johns Hopkins Nursing EBP criteria, provider an evidence rating for each article/evidence source used [e.g. 1A, 3C etc.]

[ex:  Each article was critically appraised using the Johns Hopkins Nursing Evidenced-based Practice Research criteria.  As an example, the article ……

Questions to consider – should we implement the practice recommendations? Would this change improve nurse retention outcomes? Would it improve overall unit/pavilion operations e.g. costs, workload, culture? Can the evidence be translated inn other ways e.g. policy/procedure development?

E.     Translation [would you put the evidence you appraised into practice? How would that be done? Should we implement the practice recommendations? Would this change improve our nurse retention outcomes? Would it improve overall unit/pavilion operations (e.g. costs, workload, and culture)? Can the evidence be translated in other ways (e.g. policy/procedure development)?

F.     Dissemination

The information obtained from the EBP research project can be disseminated via a variety of mechanisms, including:

1.  Internal:  ACS COP monthly meetings, staff meetings, INSPIRE News

2.  External:  American Nurses Association, American Academy of Ambulatory Care Nursing, peer –reviewed article published in the Journal of Ambulatory Care,  Management, podium/poster presentations, Clinical Inquiry Review Panel (CIRP) ** This information does not need revision

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certifications and continuing education that would be appropriate for a professional role in a hospital or other applicable health care setting.

Select one of the following options to complete this assignment:

1. Your current role in a hospital setting

2. A professional role, such as an administrator, nurse, respiratory therapist, health information specialist, physical therapist, or radiology technologist

Write a 700 word paper that summarizes certifications and continuing education that would be appropriate for a professional role in a hospital or other applicable health care setting.

Identify a professional organization that would provide professional development opportunities for the role you selected.
Describe professional development and other opportunities the professional organization would provide to you as a member.
Explain the importance of being a member in a professional organization.
Include the link to this organization.

Cite 2 peer-reviewed, scholarly, or similar references to support your assignment.
Format your assignment according to APA guidelines.

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Current and Future Economic Issues Impacting Healthcare Sector

Write on Current and Future Issues Impacting Healthcare Sector

Current and Future Economic Issues Impacting Healthcare Sector

Use the Internet or academic online databases to research five (5) of what you believe to be the most important and pressing economic issues that confront the United States healthcare industry today and will continue to do so into the next decade.

Provide a review of these issues in a ten to twelve (10-12) page paper in which you:

  1. Provide a detailed description of the issues that you have researched.
  2. Analyze the most significant economic effects of the researched issues on healthcare industry. Provide at least two (2) examples of these issues to support your response.
  3. Suggest specific strategies that relevant entities / stakeholders may use to address the selected issues from an economic perspective. Justify your response.
  4. Determine the strategic manner in which the United States can apply best economic best practices from other countries in addressing these issues.
  5. Assess the likelihood of government and or private sector effectively addressing the issues.
  6. Use at least ten (10) current references. Five (5) of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives.

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 factors that are influencing the demand and supply of health care services in the U.S.
  • Compare and contrast the U.S. health care system with the health care system of other countries.
  • Use technology and information resources to research issues in health economics.
  • Write clearly and concisely about health economics using proper writing mechanics.
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    Asthma and Stepwise Management

    Question Description

    APA FORMAT PLEASE ASSIGNMENT, TWO PAGES PLEASE

    Assignment: 
    Asthma and Stepwise Management

    Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening symptoms. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

    To prepare:
    • Consider drugs used to treat asthmatic patients including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients including adults and children.
    • Review Chapter 25 of the Arcangelo and Peterson text. Reflect on using the stepwise approach to asthma treatment and management.
    • Consider how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

    BY DAY 7

    Write a 2- page paper that addresses the following:

    • Describe long-term control and quick relief treatment options for asthma patients, as well as the impact these drugs might have on patients.
    • Explain the stepwise approach to asthma treatment and management.
    • Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

    Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

    Week 4: Respiratory System

    In the United States, 12 million people suffer from chronic obstructive pulmonary disease (National Heart Lung and Blood Institute, n.d.), and about 25 million people suffer from asthma (CDC, 2011). Since various symptoms are associated with chronic obstructive pulmonary disease, asthma, and other common respiratory disorders, a single patient might be prescribed multiple drugs for treatment. Consider an 8-year-old asthmatic patient who frequently presents with acute asthma exacerbations that are triggered by seasonal allergies. As a result of his disorder, he might be prescribed albuterol to treat asthma attacks and Clarinex to treat allergic reactions. This requires you, as the advanced practice nurse, to be aware of risks of polypharmacy and patient factors that impact the effects of drugs.

    This week you examine types of drugs prescribed to patients with respiratory disorders, as well as the impact of patient factors on the effects of drugs. You also explore ways to improve patient treatment plans including suggested drug therapies. Finally, you examine asthma treatment and management.

    Learning Objectives

    By the end of this week, students will:
    • Analyze types of drugs prescribed to treat respiratory disorders
    • Evaluate the impact of patient factors on the effects of prescribed drugs for respiratory disorders
    • Evaluate drug therapy plans for respiratory disorders
    • Assess the impact of asthma treatments on patients
    • Analyze the stepwise approach to asthma treatment and management
    • Understand and apply key terms, concepts, and principles related to prescribing drugs to treat respiratory disorders

    Photo Credit: lovleah/iStock/Getty Images Plus/Getty Images

    Learning Resources

    This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources. To access select media resources, please use the media player below.

    REQUIRED READINGS

    Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

    • Chapter 18, “Otitis Media and Otitis Externa” (pp. 243-252) 
      This chapter compares the causes and pathophysiology of two common ear infections—otitis media and otitis externa. It also identifies types of drugs used to treat these ear infections.
    • Chapter 24, “Upper Respiratory Infections” (pp. 259-374) 
      This chapter explores the causes, pathophysiology, and diagnostic criteria of two upper respiratory infections—the common cold and sinusitis—as well as drug therapy for both infections. It also covers monitoring patient response and patient education of drug therapy for these infections.
    • Chapter 25, “Asthma” (pp. 377-392) 
      This chapter examines the causes, pathophysiology, pharmacogenomics, and diagnostic criteria of asthma. It also outlines suggested drug therapy plans for asthmatic patients.
    • Chapter 26, “Chronic Obstructive Pulmonary Disease” (pp. 395-406) 
      This chapter explains the causes and pathophysiology of chronic obstructive pulmonary disease (COPD). It also examines the process of selecting, administering, and managing drug therapy for COPD patients.
    • Chapter 27, “Bronchitis and Pneumonia” (pp. 407-424) 
      This chapter begins by examining the causes, pathophysiology, and diagnostic criteria of acute bronchitis, chronic bronchitis, and community-acquired pneumonia. It then explores the process of selecting, administering, and managing drug therapy for patients with bronchitis and pneumonia.

    National Heart Lung and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdl…
    This website presents guidelines for diagnosing and managing asthma and outlines treatment recommendations for specific age groups.

    OPTIONAL RESOURCES

    Refer to the Optional Resources listed in Week 1.

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    Diagnosis

    this course prepares the student to identify common symptoms for the diagnosis and management of common health issues. The criteria for diagnosis, including diagnostic studies, will be discussed. This course will place an emphasis on health promotion, disease prevention, and health screenings across the lifespan, and providing culturally competent care.  Professional, ethical, and legal issues are addressed.

    L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.  Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.  Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.  One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm.   Questions  1.What are the effects of controlling BP in people with diabetes?   2.What is the target BP for patients with diabetes and hypertension?   3.Which antihypertensive agents are recommended for patients with diabetes?

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    Describe the chosen theory, research, and practice guideline or standard. Provide citations for theory and practice guidelines.

    Question Description

    Fundamentals of Nursing Models, Theories, and Practice discusses the theory-practice gap in detail in many chapters. As you’ve read throughout the course, there is ongoing discussion about the connection between theory and practice, and the application in day-to-day nursing activities. This assignment is designed to illustrate that although there may be a gap, other factors play an important role in decision-making and each aspect of theory, research, and practice experience are integral to well-rounded patient care.

    Click the Paper tab for a link to Fundamentals of Nursing Models, Theories, and Practice and review Figure 1.4 Correlation: education, science and practice.

    Think of a scenario in which theory, research, and practice interact to create good patient outcomes.

    Write a minimum of 750- to 1000-word narrative explanation:

    • Describe the chosen theory, research, and practice guideline or standard. Provide citations for theory and practice guidelines.
    • Explain the relationship between the three (theory, research and practice) and discuss the role each plays in quality patient care in the scenario.
    • Explain any gaps, such as a lack of research, no practice standard, or no useable theory.
    • Determine the best course of action for making decisions in the absence of one aspect.

    A minimum of two peer reviewed references is required.

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