Category: Nursing homework help

Research a health care organization or network that spans several states with in the United States (United Healthcare, Vanguard, Banner Health, etc.). Assess the readiness of the health care organization or network you chose in regard to meeting the health care needs of citizens in the next decade.
Prepare a 1,000-1,250 word paper that presents your assessment and proposes a strategic plan to ensure readiness. Include the following:
Describe the health care organization or network.
Describe the organization’s overall readiness based on your findings.
Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.
Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.
Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite.

Topic: Clinical Epidemiology: Risk
Read the required reading. Epidemiological studies can evaluate risks of disease and protection from disease.
Discuss risks and how epidemiological studies impact interventions to reduce risks. Include some types of studies and specific risk examples in your response. How does this apply to evidence-based medicine?
Unit 2 Reading Assignments:
In Clinical Epidemiology, read:
· Chapter 4: “Diagnosis”
· Chapter 5: “Risk: Basic Principles”
· Chapter 6: “Risk: Exposure to Disease”
· Chapter 7: “Risk: From Disease to Exposure”
Centers for Disease Control and Prevention. (2011). Lesson 3: Measures of risk. In Principles of epidemiology in public health practice: An introduction to applied epidemiology and biostatistics (3rd. ed.). https://www.cdc.gov/csels/dsepd/ss1978/lesson3/index.html
Centers for Disease Control and Prevention. (n.d.). National Center for Health Statistics. https://www.cdc.gov/nchs/

To Prepare:
Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources.
Begin searching for a peer-reviewed article that pertains to your practice area and interests you.
Question:
Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not.
Here’s the peer review article I selected: Sleep regularity in healthy adolescents: Associations with sleep duration, sleep quality, and mental health.
Citation:
Castiglione, F. C. E. G., Schaufler, S., Wild, S., Hamann, C., Kaess, M., & Tarokh, L. (2023). Sleep regularity in healthy adolescents: Associations with sleep duration, sleep quality, and mental health. Journal of Sleep Research. https://doi.org/10.1111/jsr.13865

Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
Think about a personalized plan of care based on these influencing factors and patient history with GAD.
BY DAY 3 OF WEEK 8
Post a discussion of pharmacokinetics and pharmacodynamics related to anxiolytic medications used to treat GAD. In your discussion, utilizing the discussion highlights, compare and contrast different treatment options that can be used

For this assignment, you will identify the process for decision-making regarding technology. You will also discuss the nurse’s role in identifying appropriate technology for practice.
This week you will create a mind map of information technologies and social media you would utilize in your role as a nurse. Submit the mind map as a URL or PDF.

Submission Instructions:
Submit a URL or PDF of your mind map.

Healthcare reform is a constantly discussed topic in the U.S. healthcare system. Various influences, including political, societal, and real-time events (think COVID-19) all help to shape the discussion surrounding reform as it relates to the U.S. healthcare system. This link contains a tracker of all pending or introduced reform legislation currently.
Among the biggest talking points relating to the healthcare reform discussion over the past decade has been the Affordable Care Act (ACA) and whether it should remain as it is, be improved upon, or be dismantled and a new system put in its place. Review the most current attempt at modifications to the ACA in this link.
Do you feel that the ACA should be left alone as it is, be kept in place and improved upon, or be removed completely and a new set of legislation put in its place?
Discuss your reasoning for your conclusion, and why or how it can be accomplished.

ANSWER
The Affordable Care Act (ACA), also known as Obamacare, has been a significant force in shaping the U.S. healthcare system since its enactment in 2010. While it has been met with both praise and criticism, there is no doubt that it has had a profound impact on millions of Americans.

Arguments for Maintaining and Improving the ACA

Proponents of the ACA argue that it has made significant strides in expanding access to affordable healthcare. Prior to the ACA, millions of Americans were uninsured or underinsured, often due to preexisting conditions or high costs. The ACA has addressed these issues by expanding Medicaid eligibility, providing subsidies for marketplace plans, and prohibiting insurance companies from denying coverage based on preexisting conditions.

In addition to expanding access, the ACA has also introduced a number of consumer protections, such as the requirement for insurance companies to cover essential health benefits and the prohibition of annual and lifetime coverage limits. These protections have helped to ensure that Americans have access to the care they need without facing exorbitant costs or arbitrary denials of coverage.

While the ACA has made significant progress, there is still room for improvement. Critics point to the fact that the ACA has not been able to fully address the high cost of healthcare in the United States. Additionally, some argue that the ACA’s complex regulations have created administrative burdens for both consumers and healthcare providers.

Despite these challenges, the ACA has been a valuable step forward in improving the U.S. healthcare system. It has expanded access to affordable coverage, introduced important consumer protections, and laid the groundwork for future reforms.

Arguments for Repealing and Replacing the ACA

Opponents of the ACA argue that it has not done enough to address the high cost of healthcare. They point to the fact that premiums have continued to rise since the ACA’s enactment, and that the law has created a new layer of bureaucracy that has made it more difficult for Americans to access care.

In addition, opponents of the ACA argue that the law’s individual mandate, which requires most Americans to have health insurance, is an unconstitutional infringement on individual liberty. They also argue that the ACA’s subsidies for marketplace plans have created incentives for people to stay uninsured, as they can receive free or low-cost coverage if they do not work or have low incomes.

While there are valid concerns about the ACA’s impact on costs and individual liberty, it is important to note that the law has also had many positive effects. It has expanded access to coverage, introduced important consumer protections, and laid the groundwork for future reforms.

Conclusion

The ACA is a complex and multifaceted law that has had a significant impact on the U.S. healthcare system. While it has its flaws, it has also made important strides in expanding access to affordable coverage and introducing consumer protections. The debate over the ACA is likely to continue for many years to come, as policymakers grapple with the difficult task of balancing the need for affordable healthcare with individual liberty and fiscal responsibility.

In my opinion, the ACA should be kept in place and improved upon. The law has made significant progress in expanding access to affordable healthcare, and it would be a mistake to dismantle it completely. However, there are areas where the ACA can be improved, such as by finding ways to lower costs and reduce administrative burdens.

Cardiovascular/Pulmonary PowerPoint Presentation
Goal: Develop a PowerPoint presentation on a cardiovascular/pulmonary disorder/disease discussed in the Dlugasch & Story textbook.
The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder at the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific to this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly. Topics are to be assigned by your professor in Week 3.
Format Requirements:
Presentation is original work and logically organized.
Followed APA format including citation of references.
PowerPoint presentation with 10-15 slides was clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).
A Voice-Over PowerPoint presentation is required.
Content Requirements:
Cardiovascular/pulmonary conditions are selected by your instructor. See the list of conditions and presenters below.
Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder at the cellular level.
Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific to this disorder.
Provide patient education for management, cultural, and spiritual considerations for care must also be addressed.
Must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly.

Consider the following scenario:
The radiologist at your hospital reports to the administrator that 30 patients have been diagnosed with brain tumors during the past 2 months. The administrator requests a report detailing the number of patients diagnosed with brain tumors during the past 6 months. However, the radiology department uses a free-text entry for their diagnoses, and their system does not communicate with the larger electronic health record (EHR) system installed at the hospital. You recognize an opportunity to address challenges with the EHR system in your hospital and decide to also write a proposal for a solution to improve your hospital’s EHR system.
· Based on this scenario, analyze each of the challenges described below that the hospital may need to address:
o Vocabulary standards
o Interoperability
o Workarounds
o Patient safety
o Patient privacy and security when pulling reports
· Reflect on potential solutions to each of the challenges described.
· Research change theories in the Walden Library (or other academic sources) that might assist in your convincing the institution to implement potential solutions.
· The Walden Library recommends the following resources:
o SAGE Knowledge Links to an external site.: a collection of specialized encyclopedias in several subject areas that includes many types of theories.
o Computers and Applied Sciences Complete Links to an external site.: journals covering engineering, computer theory and systems, new technologies, and social and professional contexts.
· Reflect on how an electronic health record system analytic API could help interpret the data found in the scenario.
THE ASSIGNMENT
Write a proposal for how the hospital in the scenario might overcome each of the following challenges related to the scenario:
Vocabulary standards
Interoperability
Workarounds
Patient safety
Patient privacy and security when pulling reports
Recommend a change theory that might assist in your convincing the hospital administration to implement the EHR solution and improvements you propose. Be specific and provide examples.
Support your proposal by explaining how the EHR solution might benefit data analysis for the promotion of improved health outcomes.
Note: The title page, introduction, summary, and references are in addition to the required page count.
Required Readings
McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.
Chapter 12, “National Standards for Health Information Technology” (pp. 272–295)
Chapter 14, “Privacy and Security in a Ubiquitous Health Information Technology World” (pp. 332–353)
Chapter 20, “Health Information Technology and Implications for Patient Safety” (pp. 486–517)
Chapter 21, “Quality-Improvement Strategies and Essential Tools” (pp. 518–531)
Note: Chapters 12, 14, and 20, which were assigned in the previous week, may be applicable to the Module Assignment and are listed here for review purposes.
Barrett, A. K., & Stephens, K. K. (2017). Making electronic health records (EHRs) work: Informal talk and workarounds in healthcare organizations Links to an external site.. Health Communication, 32(8), 1004–1013.
Fry, E., & Shulte, F. (2019, March 18). Death by a thousand clicks Links to an external site.: Where electronic health records went wrong. Fortune. Retrieved from http://fortune.com/longform/medical-records/
Kroning, M. (2017). 59 clicks in the EHR Links to an external site.. Nursing, 47(12), 1–3.
Vazirani, A. A., O’Donoghue, O., Brindley, D., & Meinert, E. (2019). Implementing blockchains for efficient health care: Systematic review Links to an external site.. Journal of Medical Internet Research, 21(2), e12439.

As a new nurse, you have had clients with Myasthenia Gravis (MG) and are concerned about their level of understanding of the disease process. You have taken on the task of developing a teaching pamphlet to provide clear discharge instructions including information on the disease, support resources, medication teaching, and signs and symptoms of Myasthenic Crisis. You will include the following information in the pamphlet.
Describe the disease process for MG.
List (2) local community resources available that can provide support such as:
Nutrition.
Transportation.
Psychosocial needs such as support groups.
Include medication administration instructions and the importance of timing of medication delivery.
Include signs of symptoms of Myasthenic Crisis and when to notify health care provider.

Part 2: How Am I Doing?
Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.
The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.
Review the results of your quality of life assessment.
In a () (not including the title page or reference page), include the following information:
Describe how the results may have or have not changed.
Discuss progress or lack of progress toward your SMART goals.
Describe any new or modified strategies and SMART goals.
Accurate grammar, spelling and APA format.
Resource:
What is the SMART method? How do I set realistic goals?