Category: Nursing homework help

Critique a nursing research article on evidence-based practice (ATTACHED BELOW) related to nursing practice or health assessment. The 2–3-page work (not including title and references) will follow APA format. Include the following elements in the work: a summary of the article and the research presented, a critique of the validity of the research, and an analysis of the proposed evidence-based practice based presented in the article.
Use the following guidelines to assist with writing the work: 1. Provide at least one to two paragraphs summarizing the essential content/ideas of the article and describing the research 2. Include a section describing your view of the article’s balance: Were both sides of the issue addressed? Was there bias involved and if so, slanted towards which side? What is your evidence of this bias or imbalance? 3. Include a section describing your opinion of the article’s quality and your own position: Did the writer do sufficient research? Is the article technically correct and clearly presented and supported? Are there elements of the argument that could have been enhanced with more detail or more argumentation? What would a follow-up article contain to be useful to this one? Did you agree with the article?

Answer the following questions in a 2 page summary format. Include all subjective and objective data. Conduct and summarize a pain assessment. Document ALL findings, use your textbook as a resource.
Describe the assessment techniques discussed in the textbook. Why is it important to perform the assessment techniques in order?
Describe the significant characteristics of a general survey.
Conduct a pain assessment. Make sure you include one of the pain scales that are discussed in the textbook. Document your findings.
You may conduct the pain assessment on a fellow student, friend, or family member. Remember to document their permission.

Write a 4-6 page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1.
Introduction
In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.
As a master’s-level health care practitioner, you have a valuable viewpoint and voice on policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement, as well as ensuring compliance with various health care regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes.
Instructions
Propose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions.
Requirements
The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.
Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.

What is the current benchmark for the organization and the numeric score for the underperformance?
How is the benchmark underperformance potentially affecting the provision of quality care or the operations of the organization?
What are the potential repercussions of not making any changes?

What evidence supports your conclusions?

Summarize your proposed organizational policy and practice guidelines.

Identify applicable local, state, or federal health care policy or law that prescribes relevant performance benchmarks that your policy proposal addresses.
Keep your audience in mind when creating this summary.

Analyze the potential effects of environmental factors on your recommended practice guidelines.

What regulatory considerations could affect your recommended guidelines?
What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?

Explain ethical, evidence-based practice guidelines to improve targeted benchmark performance and the impact the proposed changes will have on the targeted group.

What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
How would these strategies ensure performance improvement or compliance with applicable local, state, or federal health care policy or law?
How can you ensure that these strategies are ethical and culturally inclusive in their application?
What is the direct impact of these changes on the stakeholders’ work setting and job requirements?

Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.

Why is it important to engage these stakeholders and groups?
How can their participation produce a stronger policy and facilitate its implementation?

Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines.

What role will the stakeholder group play in implementing your proposal?
Why is the stakeholder group and their collaboration important for successful implementation?

Organize content so ideas flow logically with smooth transitions.

Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.

Use paraphrasing and summarization to represent ideas from external sources.

Be sure to apply correct APA formatting to source citations and references.

Policy Proposal Format and Length
It may be helpful to use a template or format for your proposal that is used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Internet.
Your policy should be succinct (about one paragraph). Overall, your proposal should be 4–6 pages in length.
Supporting Evidence
Cite 3–5 references to relevant research, case studies, or best practices to support your analysis and recommendations.
Portfolio Prompt: You may choose to save your policy proposal to your ePortfolio.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Analyze relevant health care laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.

Explain and interpret for stakeholders the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal health care policies or laws.

Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.

Summarize a proposed organizational policy or practice change guideline and analyze the potential effects of environmental factors on recommended practice guidelines.

Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform health care laws and policies for patients, organizations, and populations.

Explain how ethical, evidence-based practice guidelines to improve targeted benchmark performance will impact a stakeholder group needed for successful implementation of the policy or practice change.

Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.

Explain why particular stakeholders and groups must be involved in further development and implementation of a proposed policy or practice change to improve quality and outcomes.
Present strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.

Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.

Organize content so ideas flow logically with smooth transitions.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.
Ht: 5’8” Wt: 89 kg
Allergies: Penicillin (rash)
To Prepare
Review the Resources for this module and reflect on the different health needs and body systems presented.
Your Instructor will assign you a complex case study to focus on for this Discussion.
Consider how you will practice critical decision-making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.
Consider how you will practice critical decision making for prescribing appropriate drugs and treatment to address the complex patient health needs in the patient case study you selected.
BY DAY 3 OF WEEK 9
Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

Purpose of Assignment
This assignment will help to identify the normal growth and development by topic for each age group. In the final column of the assignment, you need to observe a child and apply the information you gathered and document your findings in comparison by the particular age of that child.
Competency
Compare principles of growth and development when caring for pediatric clients.
Instructions
Using the template linked below:
Explain the topics in the worksheet by age. Identify one milestone and one expected norm for each category by age group.
After you fill out the milestones and expected norms for each category by age group, observe a child of any age for 30 minutes to an hour, and apply the knowledge that you learned to the child you are observing and record this information in the purple Observation Data column.

To prepare: Review the AACN DNP Essentials linked below and reflect on how the completion of the Doctoral Project and the completion of a Practicum/Field experience may align to these Essentials.
Select at least 3 AACN DNP Essentials to focus on for this Assignment.
https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf
The assingment: 2-3 pages, APA format, 3 references, template of the assingment is attachedDescribe the 3 AACN DNP Essentials that most align to the completion of a Doctoral Project. Note: This is in general terms, not in relation to a particular quality improvement or organizational goal. And Explain how the AACN DNP Essentials will relate to the completion of a Practicum/Field Experience. Be specific.

Anxiety and depression are the most common disorders among old people, later in life depression often hits as one thinks about their past and remember things that used to be, and the prognosis is usually long-term and can be chronic with higher relapses than with younger people (Afshari et al., 2019). The risks are higher for older people to have depression if they are isolated, have a chronic illness, and are lonely, those that have high family support, as well as income stability, often are less of a risk.
When it comes to younger adults there are other factors that can be used to help determine risk, such as biological and psychological factors, this too can be used for older adults as it would be age-related. Younger people can also feel depressed with loneliness, and they are at the most risk.
When comparing depression between elderly and younger people, it seems that depression is mainly caused by the mitigating factors of one’s life. Older adults tend to have symptoms of agitation, hypochondriasis, gastrointestinal issues, reduced guilt, and loss of sexual interest; research studies with elderly and younger people using information from RDC, ICD-9, ICD-10, DSM-III, DSM-III-R or DSM-IV criteria, on average older people often had more severe depression and when it came to psychotic depression both age groups were affected severely, younger people had more guilt (Hegeman et al., 2018).
When research studies used the Duke Depression Evaluation Schedule for the Elderly and Montgomery-Åsberg Depression Rating Scale there was found to be similar phenomenology in depression for those over 60 years of age versus those less than that age, but overall research suggests that older adults are depressed more often than that of their younger counterparts (Hegeman et al., 2018).
When a person drives, they need to be able to react quickly to avoid a situation such as an accident. Someone that has dementia may not be able to react quickly enough which causes accidents where people are hurt or in some cases die. Dementia is a severe neurocognitive disorder it affects about 50 million people globally the most common disorder is Alzheimer’s disease (AD), which is neurodegenerative dementia; cognitive functions that are needed for driving are decreased when a person has dementia, and one must pay attention when driving and when someone has dementia these functions are impaired (Falkenstein et al., 2020).
So anyone that has dementia or AD should not be driving. They should lose their license and their right to drive.
References
Afshari, A., Rezai, R., & Dadras, F. (2019). The Effectiveness of structured reminiscence on anxiety and depression in the elderly. Aging Psychology, 5(3), 201-215. 10.22126/JAP.2019.4704.1368
Falkenstein, M., Karthaus, M., & Brüne-Cohrs, U. (2020). Age-Related diseases and driving safety. Geriatrics, 5(4), 80. https://doi.org/10.3390/geriatrics5040080
Hegeman, J. M., Kok, R. M., van der Mast, R. C., & Giltay, E. J. (2018). Phenomenology of depression in older compared with younger adults: Meta-analysis. British Journal of Psychiatry, 200(4), 275–281. https://doi.org/10.1192/bjp.bp.111.095950

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.
In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.
Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Which social determinant most affects this policy? Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.
To Prepare:
Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
Review the health policy you identified and reflect on the background and development of this health policy.

AHIP Final Exam Test 250 Questions and Answers (2022-2023)! Rated A+ Answers

Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him?correct answersHe may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start.
Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and offers employer-sponsored healthcare coverage. Juan is a naturalized citizen and has contributed to the Medicare system for over 20 years. Juan asks you if he will be entitled to Medicare and if he enrolls how that will impact his employer-sponsored healthcare coverage. How would you respond? correct answers Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls Medicare would become the primary payor of his healthcare claims and Smallcap does not have to continue to offer him coverage comparable to those under age 65 under its employer-sponsored group health plan.
Mr. Moy’s wife has a Medicare Advantage plan, but he wants to understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife’s needs. What could you tell Mr. Moy? correct answers Medicare Supplemental Insurance would help cover his Part A and Part B deductibles or coinsurance in Original Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does not cover.
Mrs. Peňa is 66 years old, has coverage under an employer plan, and will retire next year. She heard she must enroll in Part B at the beginning of the year to ensure no gap in coverage. What can you tell her?correct answersShe may enroll at any time while she is covered under her employer plan, but she will have a special eight-month enrollment period after the last month on her employer plan that differs from the standard general enrollment period, during which she may enroll in Medicare Part B.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire period. She is concerned that she will not qualify for coverage under part A because she was not born in the United States. What should you tell her?correct answersMost individuals who are citizens and age 65 or over are covered under Part A by virtue of having paid Medicare taxes while working, though some may be covered as a result of paying monthly premiums.
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it provides no drug coverage. She would like to keep the coverage she has but replace her existing Medigap plan with one that provides drug coverage. What should you tell her?correct answersMrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could keep her Medigap policy and enroll in a Part D prescription drug plan.
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through massage therapy. She is concerned about whether or not Medicare will cover these items and services. What should you tell her?correct answersMedicare does not cover massage therapy, or, in general, glasses or dentures.
Mr. Patel is in good health and is preparing a budget in anticipation of his retirement when he turns 66. He wants to understand the health care costs he might be exposed to under Medicare if he were to require hospitalization as a result of an illness. In general terms, what could you tell him about his costs for inpatient hospital services under Original Medicare?correct answersUnder Original Medicare, there is a single deductible amount due for the first 60 days of any inpatient hospital stay, after which it converts into a per-day coinsurance amount through day 90. After day 90, he would pay a daily amount up to 60 days over his lifetime, after which he would be responsible for all costs.
Ms. Henderson believes that she will qualify for Medicare Coverage when she turns 65, without paying any premiums, because she has been working for 40 years and paying Medicare taxes. What should you tell her?correct answersTo obtain Part B coverage, she must pay a standard monthly premium, though it is higher for individuals with higher incomes.
Mr. Alonso receives some help paying for his two generic prescription drugs from his employer’s retiree coverage, but he wants to compare it to a Part D prescription drug plan. He asks you what costs he would generally expect to encounter when enrolling into a standard MedicarePart D prescription drug plan. What should you tell him?correct answersHe generally would pay a monthly premium, annual deductible, and per- prescription cost-sharing.
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern?correct answersMedicare is a program for people age 65 or older and those under age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig’s disease so she will be eligible for Medicare.
Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided under Original Medicare. What should you tell Mr. Xi that best describes the health coverage provided to Medicare beneficiaries?correct answersBeneficiaries under Original Medicare have no cost-sharing for most preventive services which include immunizations such as annual flu shots.

homework help
references:

McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

Chapter 25, “The Art of Caring in Technology-Laden Environments” (pp. 595–607)
Chapter 26, “Our Expanding Realities” (pp. 611–624)

Mosier, S., Roberts, W. D., & Englebright, J. (2019). A Systems-Level Method for Developing Nursing Informatics Solutions: The Role of Executive LeadershipLinks to an external site.. JONA: The Journal of Nursing Administration, 49(11), 543-548.
Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of Mobile Health Applications in Health Information Technology InitiativesLinks to an external site.: Expanding Opportunities for Nurse Participation in Population Health. CIN: Computers, Informatics, Nursing, 36(5), 209-213.
Sipes, C. (2016). Project management: Essential skill of nurse informaticistsLinks to an external site.. Studies in Health Technology and Informatics, 225, 252-256.