informatics

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Identify at least 3 key concepts from the selected part of the textbook and provide clear and correct explanations. Writing shows a clear logical link between those concepts. Synthesize information from multiple sources (lectures, readings, activities) and derive a conclusion in your own words. The terminology used is clearly defined. Notes: – The reflection should be 500-600 words. – A part of points will be taken off for each criterion that was not met. – A late submission will be subjected to a point reduction each day after the deadline until it runs down to zero.

discussion 4 diversity

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After studying Module 4: Lecture Materials & Resources, discuss the following:

The St. Fleur family is well respected in the Haitian community because they are religious with great moral values. They moved to the United States because of political issues in Haiti. Ronald, the youngest son of this family, is 27 years old and lives at home with his mother and father. Recently, he began having fevers and subsequently developed pneumonia. He was admitted to the hospital, where laboratory tests were HIV positive. Ronald was in shock when the doctor informed him that he was HIV positive. He confessed to the doctor that he was gay, but he could not tell his family. He said that he did not want to bring shame to the family. Because he couldn’t be in a formal relationship disowning to his family and the Haitian community’s view of homosexuality, he has been very promiscuous over the years.

  1. What are Haitians’ views of homosexuality?
  2. If Ronald’s parents were to learn of his positive HIV status, how might they react if they are religious and traditional?
  3. Identify three major culturally congruent strategies a healthcare provider can implement to address HIV prevention practices in the Haitian community?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

SOAP NOTE

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 Soap Note 1 “ADULT”  Wellness check up (10 points) 

In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making.

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 In the Module 4 Discussion, you considered how professional nurses can become involved in policy-making. A critical component of any policy design is evaluation of the results. How comfortable are you with the thought of becoming involved with such matters? 

Response

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Respond to this DB using APA and include at least 2 scholarly references.

. Competing Needs in Healthcare Policy Development: Addressing the National Healthcare Issue of Rising Costs

         The United States faces a critical challenge in the form of escalating healthcare costs, which have profound implications for care delivery and patient outcomes. Crafting effective healthcare policies to address these rising costs is a complex process influenced by various competing needs, including those of the workforce, available resources, and patients. 

                                                    Competing Needs in Healthcare Policy Development

         The development of healthcare policy is a multifaceted process that requires the careful consideration of various competing needs, primarily concerning three key stakeholders: the healthcare workforce, available resources, and patients.

The Workforce

         A primary concern in healthcare policy development is the well-being and satisfaction of the healthcare workforce. Nurses, physicians, and other healthcare professionals are essential for delivering quality care. Policies that fail to address the workforce’s needs can lead to burnout, decreased job satisfaction, and, ultimately, a shortage of healthcare providers (Milliken, 2018).

Resources

         Another critical factor in healthcare policy development is the allocation of resources. These resources encompass financial budgets, medical equipment, hospital facilities, and research funding. Competing needs emerge when policymakers must strike a balance in resource allocation between different healthcare sectors, such as primary care, specialty care, and mental health services.

Patients

        The ultimate goal of healthcare policy is to improve patient outcomes and ensure equitable access to care. Policies that do not prioritize patient needs can result in disparities in healthcare access and quality. Patients require affordable care, timely access to services, and assurance of their safety and well-being (American Nurses Association, 2015).

                                              Impacts of Competing Needs on Rising Healthcare Costs

         Rising healthcare costs pose a significant national healthcare issue that is profoundly influenced by the following competing needs discussed below.

Workforce Needs

         Healthcare professionals are indispensable for care delivery. However, addressing the workforce’s needs, such as fair compensation, manageable workloads, and a supportive work environment, often necessitates increased spending. This can directly contribute to rising healthcare costs as salaries and benefits for healthcare workers constitute a substantial portion of healthcare expenditures (Kelly & Porr, 2018). For example specialized settings like psychiatric hospitals, attracting and retaining mental health professionals is challenging due to the demanding nature of the work. To meet the workforce’s needs, policymakers may need to allocate additional funds for competitive salaries and mental health support programs.

Resource Allocation

         Effective resource allocation is crucial for managing rising healthcare costs. When resources are thinly spread across various healthcare sectors, inefficiencies, care delays, and increased costs can result. For instance, underinvestment in preventive care and community-based services can lead to higher costs associated with treating preventable chronic conditions for example, to address the escalating costs of psychiatric hospitals, policymakers may need to allocate resources for community mental health programs and early intervention services. This can help prevent hospitalizations and reduce the overall financial burden on the healthcare system.

Patient-Centered Care

         Policies that do not adequately prioritize patients’ needs can exacerbate healthcare costs. Patients who lack access to affordable care may delay seeking treatment, leading to more severe health issues and increased long-term costs. Furthermore, a lack of emphasis on preventive care can result in higher expenses associated with treating advanced illnesses for example, to address rising costs and ensure patient-centered care, policymakers may need to implement policies that expand access to affordable healthcare, including mental health services. This could involve subsidizing insurance premiums or increasing the availability of Medicaid programs.

                                                                   Addressing Competing Needs through Policy

         Effectively addressing the national healthcare issue of rising costs while considering the competing needs of the workforce, resources, and patients necessitates the implementation of several targeted strategies.

Workforce Support

         Policymakers should prioritize workforce needs by ensuring fair compensation, manageable workloads, and access to mental health support programs. This can help reduce turnover, enhance job satisfaction, and ultimately contribute to cost containment.

Resource Optimization

         Resource allocation should be evidence-based, maximizing efficiency and cost-effectiveness. This may involve investing in preventive care, telemedicine, and outpatient services to reduce the need for costly hospitalizations.

Patient-Centered Reforms

         Healthcare policies should prioritize patient needs, including affordability, accessibility, and safety. Expanding coverage options, implementing price transparency, and promoting preventive care can help reduce overall healthcare costs and enhance patient outcomes.

Interdisciplinary Collaboration

         Collaboration between healthcare professionals, policymakers, and healthcare administrators is essential. Interdisciplinary teams can develop and implement policies that effectively balance competing needs, drawing on diverse perspectives to find innovative solutions.

         Regular Review and Adjustment: Healthcare policies should remain dynamic and subject to regular review and adjustment. This allows policymakers to adapt to changing healthcare landscapes and emerging challenges while continuously optimizing resource allocation.

                                                                                                  Conclusion

         The development of healthcare policy is a multifaceted process influenced by competing needs, including those of the workforce, resources, and patients. Rising healthcare costs present a significant national healthcare issue, and addressing these competing needs is crucial to finding sustainable solutions. Ethical considerations, as outlined in the American Nurses Association’s Code of Ethics, play a pivotal role in ensuring that policies prioritize patient well-being, equitable access to care, and the support of healthcare professionals. By strategically balancing these competing needs and implementing targeted policy reforms, the healthcare system can work toward containing rising costs while delivering high-quality, patient-centered care.

                                                                                                   References

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. https://www.nursingworld.org/coe-Links to an external site. 

               view-only

Berwick, D. M., & Hackbarth, A. D. (2012). Eliminating waste in US health care. JAMA, 307(14), 1513-1516.     

              doi:10.1001/jama.2012.362

Cutler, D. M., & Sahni, N. R. (2013). If slow rate of health care spending growth persists, projections may be off by $770 billion.

               Health Affairs, 32(5), 841-850. doi:10.1377/hlthaff.2012.1258

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. Online   

               Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06.

Milliken, A. (2018). Ethical awareness: What it is and why it matters. Online Journal of Issues in Nursing, 23(1), Manuscript 1.

               doi:10.3912/OJIN.Vol23No01Man01.

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D.Saa Critical Care Wk 5

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MY NUMBER ASSIGNED WAS 2 WHICH IS:  Explain burn staging (1st, 2nd, 3rd, and bone). Provide info about partial and full thickness burns AND two major complications of burn injuries.

Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.  

Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based.  

Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.  

Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style. 

PART 2:

Take a few minutes and ask 2 people about their personal coping mechanisms for dealing with the stress of working in healthcare during this unique time of Covid. Stress can be physical, emotional, spiritual, or any combination of triggers. Ask a diverse variety of people, don’t forget those in other departs at different points of hierarchy. For example, ask your unit manager, environmental services, volunteers, patients, fellow nurses, etc.  Write 2-3 paragraphs on your findings and impressions while respecting the person’s identity. 

Nutritional Principles in Nursing

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Reflection

Module 05 Content

In a Word® document answer the following questions.

In Module 01 Written Assignment – Reflection you were asked to give yourself a rating from 1 to 5, with 5 representing the healthiest eater. What number would you give yourself now?

Did your rating change? If so, in what direction and in what way? What adjustments to your diet, if any, did you make?

Are your eating patterns based on family traditions or cultural or religious reasons? If so, do these support or promote healthy eating?

What two important nutritional principles or concepts have you learned and will always remember? What is their impact on your delivery of quality safe nursing care?


Gas Exchange

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Complete the Gas Exchange Exemplar comparison table.

Fundamental M6

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Complete the ATI Systems Disorder template for your assigned infection topic. Every box on the template must be completed, a citation is needed for every box, and your reference list must be included (APA). 

Case Study 3

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 Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition Adolescent With Diabetes Mellitus (DM) Case Studies The patient, a 16-year-old high-school football player, was brought to the emergency room in a coma. His mother said that during the past month he had lost 12 pounds and experienced excessive thirst associated with voluminous urination that often required voiding several times during the night. There was a strong family history of diabetes mellitus (DM). The results of physical examination were essentially negative except for sinus tachycardia and Kussmaul respirations. Studies Results Serum glucose test (on admission), p. 227 1100 mg/dL (normal: 60–120 mg/dL) Arterial blood gases (ABGs) test (on admission), p. 98 pH 7.23 (normal: 7.35–7.45) PCO2 30 mm Hg (normal: 35–45 mm Hg) HCO2 12 mEq/L (normal: 22–26 mEq/L) Serum osmolality test, p. 339 440 mOsm/kg (normal: 275–300 mOsm/kg) Serum glucose test, p. 227 250 mg/dL (normal: 70–115 mg/dL) 2-hour postprandial glucose test (2-hour PPG), p. 230 500 mg/dL (normal: <140 mg/dL) Glucose tolerance test (GTT), p. 234 Fasting blood glucose 150 mg/dL (normal: 70–115 mg/dL) 30 minutes 300 mg/dL (normal: <200 mg/dL) 1 hour 325 mg/dL (normal: <200 mg/dL) 2 hours 390 mg/dL (normal: <140 mg/dL) 3 hours 300 mg/dL (normal: 70–115 mg/dL) 4 hours 260 mg/dL (normal: 70–115 mg/dL) Glycosylated hemoglobin, p. 238 9% (normal: <7%) Diabetes mellitus autoantibody panel, p. 186 insulin autoantibody Positive titer >1/80 islet cell antibody Positive titer >1/120 glutamic acid decarboxylase antibody Positive titer >1/60 Microalbumin, p. 872 <20 mg/L Diagnostic Analysis The patient’s symptoms and diagnostic studies were classic for hyperglycemic ketoacidosis associated with DM. The glycosylated hemoglobin showed that he had been hyperglycemic over the last several months. The results of his arterial blood gases (ABGs) test on admission indicated metabolic acidosis with some respiratory compensation. He was treated in the Case Studies Copyright © 2018 by Elsevier Inc. All rights reserved. 2 emergency room with IV regular insulin and IV fluids; however, before he received any insulin levels, insulin antibodies were obtained and were positive, indicating a degree of insulin resistance. His microalbumin was normal, indicating no evidence of diabetic renal disease, often a late complication of diabetes. During the first 72 hours of hospitalization, the patient was monitored with frequent serum glucose determinations. Insulin was administered according to the results of these studies. His condition was eventually stabilized on 40 units of Humulin N insulin daily. He was converted to an insulin pump and did very well with that. Comprehensive patient instruction regarding selfblood glucose monitoring, insulin administration, diet, exercise, foot care, and recognition of the signs and symptoms of hyperglycemia and hypoglycemia was given. Critical Thinking Questions 1. Why was this patient in metabolic acidosis? 2. Do you think the patient will eventually be switched to an oral hypoglycemic agent? 3. How would you anticipate this life changing diagnosis is going to affect your patient according to his age and sex? 4. The parents of your patient seem to be confused and not knowing what to do with this diagnoses. What would you recommend to them?