No plagiarism, 7th ed APA style

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EVIDENCE BASE IN DESIGN

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.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

·  Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.

o  Chapter 5, “Public Policy Design” (pp. 87–95 only)

o  Chapter 8, “The Impact of EHRs, Big Data, and Evidence-Informed Practice” (pp. 137–146)

o  Chapter 9, “Interprofessional Practice” (pp. 152–160 only)

o  Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 183–191 only)

·  American Nurses Association (ANA). (n.d.). AdvocacyLinks to an external site.. Retrieved September 20, 2018, from https://www.nursingworld.org/practice-policy/advocacy/

·  Centers for Disease Control and Prevention (CDC). (n.d.). Step by step: Evaluating violence and injury prevention policies: Brief 4: Evaluating policy implementationLinks to an external site.. Retrieved from https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

·  Congress.govLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/

·  Klein, K. J., & Sorra, J. S. (1996). The challenge of innovation implementationLinks to an external site.. Academy of Management Review, 21(4), 1055–1080.

·  Sacristán, J., & Dilla, T. D. (2015). No big data without small data: Learning health care systems begin and end with the individual patientLinks to an external site.. Journal of Evaluation in Clinical Practice, 21(6), 1014–1017.

·  Tummers, L., & Bekkers, V. (2014). Policy implementation, street level bureaucracy, and the importance of discretionLinks to an external site.. Public Management Review, 16(4), 527–547.

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.

·  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.

Week 7 M see attachment.

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Chamberlain


NR599-11532

Week 7

Midweek Comprehension Questions

Discussion

Purpose

As mentioned in the lesson, for the healthcare professional to be an effective patient advocate, he or she must understand how information technology affects the patient and the subsequent delivery of care. Continue to reflect upon what does this statement means to you and your responsibilities as a future APN. Provide a brief response (100 words or less) 

HEALTHY EATING FOR A HEALTHY WEIGHT

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Write a two page paper on healthy eating for weight loss. Include information on my page. Use resource from only the CDC website

Nursing

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Hello, this work is on Advanced Pathophysiology, it must have a minimum of 300 words and a bibliographic reference. The bibliography used on the topic is McCance, K. L. & Huether, S. E. (2019). Pathophysiology: the biological basis of diseases in adults and children. But you can use another one in addition to this one.

What is a major function of the limbic system? Explain your answer.

a. Overall control of fluid balance

b. Required for logical thinking, reason, and decision-making.

c. Determines emotional responses.

d. Responsible for artistic and musical talents

Discussion

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Discussion

Purpose

The final week will focus on Global Policy Reform and its impact on patient care.  Students read the Berwick article and respond to the required discussions.  In addition, students reflect on what they have learned in NR506NP and how it is applicable to their upcoming clinical courses.

Requirements

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. 
Journal of American Medical Association, 320(13), 1317-1318. 

Read the Berwick article and reflect on the concepts and practices you have learned in NR506 on healthcare systems, politics, and health policy. Reflections should include the following: 

1. How to make informed decisions on nursing practice and patient outcomes on a global basis.  In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.   

2. Describe how one will apply content from NR506NP to the upcoming clinical courses.

Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric

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Learning Activity Content

1.

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Health Promotion in Practice

Since the time of Florence Nightingale, nurses have recognized that they address the spiritual needs of their patients, but this still remains one of the most nebulous aspects of nursing care. When asked about providing spiritual care, most nurses know that they “do it,” but they have difficulty describing what “it” is. Even though major nursing and health care organizations emphasize the importance of nurses addressing the spiritual needs of patients, assessment questions are usually limited to obtaining information about a patient’s religious affiliation. Similarly, interventions often focus on initiating referrals to chaplains or other spiritual advisors for patients who have a religious affiliation. This approach may be adequate for some patient care situations, but it does not necessarily address the need for a spiritual connectedness that all humans experience. This chapter focuses on relatively simple actions that nurses can incorporate as an integral part of usual nursing care to identify and address the spiritual needs of their patients.

It is important to become comfortable discussing spiritual needs of patients because all humans have spiritual needs even though they may not identify with a religion. 

Let us consider the following scenario: 

You are a nurse manager working in a Catholic hospital, and you have been told by some of your nurses that the 'new hire RN' feels uncomfortable discussing religion with their patient because they do not have any religious affiliation. 

Discuss how you would, as the MANAGER of the unit, address their discomfort, and ensure they still feel a part of the team even if their religious affiliations are not the same as that of the institution. 

Key points to remember in your discussion are that many spiritual practices individuals engage in can be adopted to multiple scenarios and it is important to develop an inquisitive and open-minded approach when you listen to patients and colleagues talk about their religious practices.

Please remember for discussion posts: the initial post must be uploaded by the WEDNESDAY of the week and two replies to your peers by Saturday at 2359.

Please note the grading rubric for the discussion board.

As a reminder, all discussion posts must be a minimum of 250 words, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.

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w8 87

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Discuss the five essential qualities of leadership “will” and at least five strategies the nursing leader can implement to foster willingness and hope among team members.

Expectations

Initial Post:

cite at least 2 US sources in apa format

  • Length: 150 – 250 Words

ARE

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Patient Data for NR226 RUA Patient:

Patient History:

Ben Smith is a 75-year-old retired farmer from Southern Illinois. He is widowed and has 3 adult children who live
out of state. He is in an LTC for rehab following hospitalization. He has a 60-year history of smoking 2 PPD of
cigarettes. He fell 3 months prior to his hospitalization but did not sustain any injuries.

He was admitted to the hospital for an acute exacerbation of COPD. He also has a history of COVID in 2020,
HTN, and anxiety.

Medications:

• Acetaminophen 325mg PO Q6 hours PRN
• Albuterol inhaler, 2 puffs once daily
• Ipratropium bromide nebulizer Q8 hours PRN
• Lorazepam 5mg PO Q12 hours
• Nicotine patch, change every 72 hours
• Prednisone 30mg PO BID
• Multivitamin daily

Labs:

• Sputum culture and sensitivity- results showed no infection
• UA/UC- WNL
• CMP- WNL, except for potassium of 3.4 mEq/L
• CBC- WNL, except for platelets of 140k/mL

Imaging:

• Chest x-ray: shows focal consolidation in right lower lobe, suggestive of pneumonia
• Hyperinflation of lungs with flattened diaphragm consistent with long-standing COPD
• EKG: normal sinus rhythm with rate of 90 bpm

Assessment Data:

• Please be sure to fill in each system, including normal findings
• I will allow you to “make up” data that you would think would be abnormal in a patient like this, think of

findings especially in the following systems:
o Respiratory, cardiac, musculoskeletal, neuro

• Vital signs:
o Temp: 100.6 F, PO
o RR: 22 breaths/min, shallow
o HR: 90 bpm, regular
o BP: 145/90
o O2: 91% on 2L NC
o Pain: 7/10, intermittent, chest and upper back

Miscellaneous:

• The patient states that he hates hospitals and doesn’t belong in a nursing home. He says he needs to
get back to his farm

• He is impulsive and has tried to get out of bed numerous times, even though he is a stand by assist with
a history of falls

• He is non-compliant with medications and has felt nauseated. He does not want to take any meds and
“does not need that dang breathing thingy- it’s stupid!” (The nebulizer)

• He states he “will not quit smoking, I’ve been smoking since I was 15 and it hasn’t killed me yet!”

OFF-LABEL DRUG USE IN PEDIATRICS

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The unapproved use of approved drugs, also called off-label use, with children is quite common. This is because pediatric dosage guidelines are typically unavailable, since very few drugs have been specifically researched and tested with children.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

 To Prepare:

  • Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
  • Reflect on situations in which children should be prescribed drugs for off-label use.
  • Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.

Write a 1-page narrative in APA format that addresses the following:

  • Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
  • Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.
  • Walden University, LLC. (Producer). (2019i). Therapy for pediatric clients with mood disordersLinks to an external site. [Interactive media file]. Baltimore, MD: Author.

Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.

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Health Po. Discussion W4 

 In 2010, the Affordable Care Act opens up the 45-year-old Medicare program to the biggest changes since its inception. Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs. 

The discussion must address the topic.

Rationale must be provided

500 words in your initial post by Wednesday 23:59 pm

Minimum of two scholarly references in APA format within the last five years published