Assignment Content
1. Complete the
ATI Systems Disorder template for your assigned respiratory topic. Every box on the template must be completed, a citation is needed for every box, and your reference list must be included (APA).
Compare hypotension, hypertension, and hypotensive shock in the following areas: clinical manifestations, risk factors, differentials, diagnosis, and management/treatment recommendations. Next answer these questions:
What are the transmission and pathophysiology of the conditions?
What are the primary medical concerns for patients with these conditions?
What might be the primary psychosocial concerns for patients with these conditions?
What are the implications of these conditions for critical care and advanced practice nurses?
300-400 words. APA format.
Read the following article and view the video on the same case. How can this example be used as an illustration of maintaining patient safety and providing safe, effective care? Identify some of the possible barriers that nurses face when acting on what they believe to be the morally correct action in this particular case.
https://www.cpr.org/2015/02/17/for-colorado-mom-story-of-daughters-hospital-death-is-key-to-others-safety/
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Presidential Agendas
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Presidential Agendas
When the presidents come into office several health issues are a priority to them. Likewise, when deciding on the topic of discussion many issues were considered. However, the selected topic is on mental health which has been an issue of concern and has been regarded as a priority health issue among presidents. Mental health is a concern that is attributed to many other factors, which include health factors like the coronavirus pandemic, and economic, social, and contextual factors. There have been significant milestones in mental health treatment among different administrations.
One of the significant progress made in mental health was made during the reign of President Obama. During his reign, Obama expanded mental health care by introducing health coverage under the Affordable Care Act. The ACA was responsible for eliminating the discrimination that existed when offering care to patients with mental health and substance abuse problems. Additionally, the president embarked on building health and behavioral care centers by investing millions of dollars from ACA (National Archives n.d). The services emphasized the importance of promoting mental health access among the police and other personnel involved in the protection of the citizens and their families.
President Trump was not left behind in making positive changes in the provision of mental health care among the citizens. However, Trump's strategy was marred with controversy regarding the eradication of ACA and Medicaid, which reduced the insurance coverage among those who used that program to access mental health services (Courtemanche et al., 2020). This means such strategies hurt low-income earners by denying them to access crucial mental health services. However, the president further implemented an executive order that saw increased access to mental health services among those with the condition, especially during the pandemic. Such services were aimed at prevention of related suicide, reduction of substance use, and improvement of overall mental health. However, the adoption of COVID-19 management measures such as lockdowns, unemployment, and isolation of people from others increased stress and mental health instances among the people.
These two presidents had excellent strategies for addressing the mental health menace that affected the American population. These strategies have been needed for a long time though they have not been put into practice until recently. However, I would focus on improving mental health training among caregivers as a strategy for ensuring everyone has access to mental health services including healthcare providers. It is prudent to ensure even healthcare providers have access to care because they equally share the experiences of dealing with hopeless patients that could potentially affect their emotional and psychological well-being. Availing such services could help caregivers deal with related trauma whenever it occurs.
References
Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2020). The impact of the Affordable Care Act on healthcare access and self‐assessed health in the Trump Era (2017‐2018).
Health services research,
55, 841-850.
National Archives.
Addressing Mental Health: Progress in Research, Prevention, Coverage, Recovery and Quality.
https://obamawhitehouse.archives.gov/sites/default/files/docs/mental_health_report_final.pdf
Develop a 4-page quality/performance improvement framework for your doctoral project.
Quality/performance improvement (QI/PI) frameworks are used to establish and evaluate processes in practice. The most common models for such a framework are Plan-Do-Study-Act (PDSA) and Six Sigma Define, Measure, Analyze, Improve, Control (DMAIC). The purpose of this assessment is to use key information from your project charter to develop a QI/PI framework from which you will begin developing a project implementation plan and logic model in the next assessment.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Align the project charter with a continuous improvement model.
1. Describe the current practice needing improvement.
1. Explain how QI/PI data will be collected and analyzed.
1. Describe the proposed QI/PI changes and expected outcomes.
1. Explain how changes in quality or performance will be evaluated.
1. Apply APA style and formatting to scholarly writing.
Is about reducing falls in a primary care clinic with the implementation of a fall risk management protocol, now the clinic doesn’t use any protocol.
Develop a quality/performance improvement (QI/PI) framework for your project, aligned with your project charter. Choose a model for your framework, using the PDCA or DMAIC model, a model used in your organization, or another familiar reputable model that is suitable for your project. PDCA or DMAIC model information and examples are included in Resources.
Provide a succinct, scholarly narrative that reflects the content of your model and addresses the key points outlined below:
Each of the main tasks corresponds to scoring guide criteria. Read the performance-level descriptions in the scoring guide for each criterion to see how your work will be assessed.
· Describe the current practice needing improvement.
1. What is the problem and its root cause?
1. What is the gap between what is and what should be?
1. What evidence supports your assertions and conclusions?
· Describes a QI/QP framework that will support and guide the project.
2. What do you need to accomplish to meet the project objectives and outcomes?
2. What formative assessments will help you ensure that the project is on course?
2. Which framework will assist you in guiding the entire project?
· Explain how QI/PI data will be collected and analyzed.
3. What data is needed?
3. How will you record and organize collected data?
3. What are appropriate data analysis methods for the type of data you will be collecting?
· Describe proposed QI/PI changes and expected outcomes.
4. What are appropriate measures for determining actual improvement?
4. How feasible are the proposed changes and what are the relevant contextual factors that can affect expected outcomes?
· Explain how changes in quality or performance will be evaluated.
5. What evaluation tools or methods will you use?
5. What criteria will you use to evaluate outcomes?
· Write clearly and concisely in a logically coherent and appropriate form and style.
6. Write with a specific purpose and audience in mind.
6. Adhere to scholarly and disciplinary writing standards.
6. Proofread your writing to minimize errors that could distract readers and make it difficult for them to focus on the substance of your introduction.
· Apply APA style and formatting to scholarly writing.
What are the benefits of evaluating the role of outcomes in practice change through research? Discuss how you would evaluate the roles of outcomes through a change proposed from research findings.
Expectations
Initial Post:
keep all posts you win on bids in US sources
Peer Responses:
follow all directions
Resources to Use
To Prepare:
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:
Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.
In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.
1.What are the benefits and the challenges of offering group psychotherapy services within both inpatient and outpatient clinical environments?
2.Discuss key components of group process that occur during all phases of group development, giving examples of patient-focused activity that occurs during each phase.
3.Describe how various theoretical orientations could be used when leading short-term group psychotherapy. What patient populations or clinical presentations would be best served by each theoretical framework.
4.Discuss the benefits and challenges of using one or two group therapists during a psychotherapeutic intervention.
5.Discuss the importance of identifying ground rules, especially in relation to confidentiality for group psychotherapy services.
6.Describe how group psychotherapy differs from individual psychotherapy and describe the types of patients who might be better served by group psychotherapy.
7.Identify a specific group you would like to lead in your practice and discuss the purpose, your target population, how you would screen and recruit participants, establishing a fee schedule, the time frame (open or closed), number of participants, theoretical orientation for the group, selection of a co-therapist or why you do not want a co-therapist, marketing and advertising, and length of each session.
To reflect, write one or two paragraphs with a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of two references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section. (For this week, a peer response is not required).
