Category: Nursing

Understanding how your organization is reimbursed for services depends on several components. Assess your organization and identify its care delivery system and payer mix make up. Include percentages represented by each payer group. Identify the key people in your organization from whom you obtained your information. Perhaps it is your unit director, operational directors, financial officers, CNOs. Your direct supervisor might be able to point you in the right direction, Since the information required is often available to the public through public reports you might also access the information through online searches of internal systems or external internet searches.
NR533 Week 1: Touchpoint Reflection Experience TableLinks to an external site.
Your Name’s Healthcare Organization
Healthcare Delivery System (Type)
Payer Mix
Percentage
Medicare
Medicaid
Managed Care
HMO
PPO
IPA
Self-pay
Uninsured
Reflection
Based on this data, discuss the assumptions that could be made about the population demographics for your institution. What influence do these variables have on the types of services offered at your facility? (Please note, i work for the State of California in a Men’s Correctional Facility-CDCR/CCHCS).
Implications for the Future
What might your analysis tell you about the long-term health of your community?
What future needs might be identified?

Turnitin similarity score is less than 20% before final submission. Utilize APA 7th edition formatting.
Brightspace/Desire2Learn Dropbox
For this assignment, select a problem from the list provided that needs to be addressed. Problem chosen was Obesity! After selecting a topic of interest, one must justify that it is a problem. Is the topic a problem within a facility, among a certain population, in a geographical area, etc? Then, perform a literature review for your topic of interest to develop problem statement to include the incidence, prevalence, significance, and impact of the problem. Begin justification of the need for an evidence-based practice change by identifying pertinent data and information that support the problem.
Use internet and library databases. Use the MSUTexas library to search for credible sources. You will also want to use current statistics from the websites reviewed last week.
This assignment must be substantiated by citations from peer-reviewed journals, government websites, professional organizations, etc. You will need to include substantial literature support that there is a need for change and include significant statistical support for this problem.
Utilize the problem statement paper template for further instructions. Write a paper (no more than 3 pages) that addresses the following areas:
Introduction
Overview of the practice problem topic with substantial current data
Incidence and prevalence from the global, national, and local level
Significance and impact of the problem from nursing, health organization, patient/family perspectives
Summary

Submit your assignment to the Brightspace/Desire2Learn Dropbox on or before the due date. Ensure that the Turnitin similarity score is less than 20% before final submission. Utilize APA 7th edition formatting.

Course Objectives:
Develop a problem statement and rationale for evidence-based project.
Investigate the burden of disease at the global, national, and local levels.
Examine the role of stakeholders in change and translation science.
Critically appraise and interpret research findings to determine statistical and clinical significance of practice problem.

The term peripheral vascular disease (PVD) & peripheral artery disease (PAD) are common concerns. PAD is a type of PVD. Peripheral Vascular Disease causes problems that alter blood flow through both the arteries and veins. Peripheral artery disease causes problems only with blood flow through the arteries. Answer the following:
1. Analyze what are the signs and symptoms of peripheral artery disease (PVD) and discuss what Diagnostic Studies are utilized.
2. Develop a plan of care for patients at risk for PAD/PVD, potential complications when untreated and determine how a professional nurse would educate patients regarding health promotion and prevention.
3. Select the treatment goals for PAD/PVD and discuss & evaluate how a nurse would determine if treatment is effective.
4. Describe what physical assessment findings would be found which would determine the presence of PAD/PVD and in detail, describe what questions a nurse would ask during an assessment/admission interview to determine the presence of PAD/PVD.
5. Identify at least three different medications used to treat PAD/PVD, and describe the nursing implications and patient teaching for each of the medications.
6. Discuss the pros and cons of angioplasty, bypass surgery and thrombolytic therapy, and determine nursing care following each of these treatments.
Also, include this source, Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 12th Edition, Mariann M. Harding, Jeffrey Kwong, Debra Hagler, and Courtney Reinisch, include the page on the citation.
Other sources should have come from reliable website sources in the USA, evidence-based, reliable journals, books, websites, and searchable on the reliable database, such as EBSCOhost and ProQuest. Sources should be at least five years (2019 onwards).

What were your reactions to the TED talk? What services are available in your area in which you live to assist those from ethnic minorities populations, lower economic status, challenges in accessibility, members of the LGBTQ+ community, children, elderly and military personnel? Make a list of contact information as a resource to our peers.
Do an anonymous ACES assessment (located in the Power point), on yourself or other person, post your findings and the score, give basic demographic info on the person you interviewed (age, sex, race, education level, area in which they live) What health issues/diagnoses does this person have? As a health care professional or within your field of specialty, how can you use this information to assist them in better health?
Look at the Military Culture PowerPoint and read the associated articles.
What is unique about Military Culture when obtaining healthcare or not obtaining cares? What stereotypes are associated with getting treatment? What are your thoughts on females in the military and the sexual abuse? Are you or any of your family/friends involved in the Military? Please share your experiences so that your peers can be more informed.
Read the article Veteran Competencies Report and The TBI screening tool? How can we use this information to assess the needs of our military and get them services associated with their needs?
Watch the film Precious. What aspects/topics of this class are represented in this film? What could have been done as interventions for this young lady? What barriers did she come across to obtaining assistance? What do you see as possible factors in her health as she ages?
https://digitalcampus-swankmp-net.ezproxy.lib.uwm….https://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime?utm_campaign=tedspread&utm_medium=referral&utm_source=tedcomshare

Select two diverse clinical settings; for example: ED versus ICU, PeriOp versus Med-Surg, Pediatrics versus Adults, or Sports Medicine vs. Nursing Home, etc. For your two selected clinical settings, compare and contrast the content, features, need, and value of data, information, knowledge, and decision support to clinical practitioners in those settings.
Justify the clinical elements necessary for each clinical setting and create a recommendation of necessary elements for a shared clinical system.
Make sure that you include the four expanding rings of information (EMR, warehouse, regional, NHIN/PHIN) in your analysis. Describe how the differences would alter the design or features of a clinical system. Support your statements where you claim either similarities or differences between your two settings.
Construct a justification for the shared clinical system from ethical, legal, social, and public policy viewpoints. Formulate a plan for implementation and create the necessary workflow for a successful implementation. Evaluate the role of the master’s prepared informatics nurse after implementation.
Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

Part 1:In each concept write a detailed summary (2-3 sentences each):
1. Preparing to Administer Total Parenteral Nutrition (TPN)
2. Care Following a Transurethral Resection of the Prostate
3. Precautions While Taking Chemotherapy for Cancer Treatment 4. Providing Information About Diet for a Client Who Has Irritable Bowel Syndrome Part two only using my reference to answer each question by your own words:
1. While assessing a client two hours after a transurethral prostatectomy (TURP), the nurse notes the catheter drainage is bright red in color and contains many clots. Name the priority nursing intervention. Suggested Medical Surgical Learning Activity: Male Reproductive Disorders
2. A nurse teaches a client diagnosed with Parkinson’s Disease about benztropine. Identify three (3) adverse effects of benztropine
3. A 24-year-old client newly diagnosed with seizures is prescribed phenytoin. The client asks the nurse if she will still be able to take her oral contraceptive medication. How should the nurse respond?
4. A nurse is caring for a client with a central venous pressure (CVP) line. List one (1) complication associated with hemodynamic monitoring. Suggested Medical Surgical Learning Activity: Hemodynamics
5. A client with asthma is being discharged home with a new prescription for a salmeterol inhaler. What statements made by the client would indicate understanding of how to administer this medication at home? Suggested Adult Med Surg Learning Activity: Asthma
6. The nurse is teaching a client regarding a new prescription for lurasidone. List three (3) positive facts regarding the safety of lurasidone
7. A client is prescribed a cephalosporin. Identify two (2) potential adverse effects of cephalosporins the nurse should discuss with the client prior to use.
8. A nurse teaches a client diagnosed with hyperlipidemia about colesevelam. Identify four (4) adverse effects of colesevelam that should be reported to the provider.
9. The nurse is administering IV fluid replacement to a client with hypovolemia. Identify two (2) lab values the nurse will monitor and anticipates abnormal value until fluid balance is restored. Suggested Adult Med Surg Learning Activity: Fluid and Electrolytes Imbalances
10. 10.A nurse is caring for a client receiving intravenous lipid emulsion therapy. Identify four (4) characteristics of fat overload syndrome.
11. A nurse is evaluating lab results for a client receiving a continuous IV heparin infusion for a pulmonary embolus. What lab value range is monitored and what is the therapeutic level? 12. A nurse is caring for a client with COPD that has been prescribed theophylline. List two (2) signs of theophylline toxicity that should be reported to the provider immediately.
13. Describe actions that should be included when providing a bed bath. Include two (2) important assessments, two (2) actions for safety, and two (2) actions for physiological care during a bed bath.
14. A nurse is providing discharge instructions to a client with a fiberglass cast. List five (5) teaching points that need to be included. 15. A nurse is teaching a newly diagnosed diabetic client about manifestations that may be experienced with hypoglycemia. Provide three (3) manifestations of hypoglycemia.
16. Provide the definitions of the four (4) stages of pressure ulcers. 17. List three (3) actions the nurse can implement to prevent pressure ulcer formation in an immobile client.
18. The nurse is performing a focused gastrointestinal assessment on a client who complains of fever and abdominal pain for 2 days. What additional assessment findings alert the nurse to the possibility of appendicitis?Suggested Adult Med Surg Learning Activity: Appendicitis
19. A nurse is monitoring a client receiving conscious sedation for closed reduction of a shoulder dislocation that occurred during football practice. The client’s respiratory rate is irregular at 6 breaths/minute with intermittent gasping. Describe the appropriate technique to open this client’s airway.
20. A nurse is teaching a client newly diagnosed with multiple sclerosis. Describe management strategies for urinary elimination, diplopia, fatigue and safety
21. Describe the purpose and process of using hydrotherapy for wound care on a client who has a burn injury.
22. A nurse swiftly completes an assessment after hearing a high-pressure alarm on the ventilation of a client in respiratory failure. Identify three (3) potential reasons for the alarm to alert the nurse. Suggested Adult Med Surg Learning Activity: Mechanical Ventilation
23. A nurse is caring for a client immediately following a paracentesis for ascites. What is a potential complication of this procedure? What are appropriate interventions for management of this potential complication?
24. A client is experiencing disequilibrium syndrome. List three (3) manifestations associated with this presentation and three (3) associated nursing actions to manage the syndrome. Suggested Adult Med Surg Learning Activity: Dialysis
25. A nurse is caring for a post-operative client. What are five (5) clinical manifestations that are consistent with development of pneumonia?
26. List six (6) signs commonly manifested in a client diagnosed with multiple sclerosis.

Avril, age 27, is a single mother of two who was recently diagnosed with multiple sclerosis. In some ways she was relieved by the diagnosis because it explained why she was having so many strange symptoms and provided ways to address them, but it was still shocking. Avril has a support system—several close friends, including a long-term boyfriend who lives with her—but her children’s father is not in the picture at all and does not even pay court-ordered child support regularly. Avril works as a security guard, and her boyfriend is also employed and contributes financially. Despite the current stability in her life, Avril is understandably concerned about what her future might hold, especially with regard to her ability to raise and provide for her children. She has sought counseling at a local mental health center.
Imagine that you are Avril’s counselor, and you practice interpersonal therapy. How would you conceptualize her situation?
What would you anticipate the initial stage of treatment to be like? What goals would you set, and how would you achieve them?
What about the middle and termination phases? What strategies would you use and why?

Utilizing Healthy People 2030, review the section on maternal and child care, and identify two goals and approaches that you think would help in addressing and eliminating the health disparities among birthing women.3 apa citations

You are a team leader and have been asked to teach a short lesson to new employees during an orientation meeting concerning the value of continuous quality improvement (CQI).
Develop a 3-page (double-spaced) lesson plan that outlines the application of CQI practices to a safety issue that a medical facility is currently experiencing. Address the following:
Identify the safety issue and surrounding issue(s).
Determine the cause of the issue.
Apply CQI to solve the issue.
Identify the proposed outcome.
Provide an evaluation plan of the process.
Use APA format.

Discussion Question:
For your required weekly discussion posting, reflect upon your clinical experiences, and relate them to the topics presented in the module:
Standard 12 – Education
Standard 13 – Evidence-Based Practice and Research
Standard 14 – Quality of Practice
Standard 15 – Professional Practice Evaluation
Standard 16 – Resource Utilization
Standard 17 – Environmental Health
Some other suggestions for the weekly postings include:
Describe observations made during clinical practicum
Evaluate decision – making skills of management
Identify critical incidents encountered in clinical practicum
Observe all research projects currently underway
Document impact on your career development
They area that I’ve done my clinical hours is at a dialysis center and I have met over 60 hours