week 12

 

Shelly is a 4-year-old preschooler who lives with her parents and younger brother. She and her brother attend a local daycare center during the week while their parents are at work. In the evenings she and her brother take a bath and then their parents read to them before bedtime at 8 PM. Shelly’s daycare class includes many children her age and she enjoys playing outside with them. Although snack times are planned, Shelly would rather play and does not always finish her beverages.

Shelly’s mother calls the clinic and tells the nurse practitioner that Shelly has been “running a fever of 101 F for the past 2 days” and although her temperature decreases to 37.2 C (99 F) with Tylenol, it returns to 38.4 C (101 F) within 4 hours of each dose. Further, her mother says that Shelly complains that “it hurts when I pee-pee”. Shelly’s mother also has noticed that her daughter seems to be in the bathroom “every hour”. She makes an appointment to see the nurse practitioner this afternoon.

The potential diagnosis is UTI.

1.  What other assessment data would be helpful for the nurse practitioner to have?

2.  What are the organisms most likely to cause an UTI?

3.  What is the pharmacological treatment for Shelly? Keep in mind safe dosing.

4.  What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?

references published within 5 years.3 Reference.

Practice Experience Discussion: Applying Measurement Tools to a Practice Problem

Read what is needs to  be included in the Discussion

Practice Problem is CLASBI in Medical Intensive Care Unit.

APA format. 3 paragraphs. Scholar authors only that are less than 5 years old only. References  Read what is needs to  be included in the Discussion

Conduct a collaboration interview with two or three key leaders in your practice setting to determine the measures for your practice problem and associated challenges impacting measurement for your practice problem (include confidentiality, anonymity, access issues, etc.). Perform an existing evidence review on your practice problem and search for evidence that demonstrates how your practice problem is measured across the country.

Discussion:

Post a description of the measures identified from the interviews, the challenges to obtaining the data that were discussed, and a summary of how this quality indicator is measured in the literature. Discuss any gaps in the data that were identified and additional sources that might be needed to obtain this data. Be sure to support your practice problem with the literature that indicates the relevance of this problem for nursing practice. Provide evidence from practice and data that is available.

References

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 3, “Measuring Performance” (pp. 35-78)
Chapter 4, “Evaluating Performance” (pp. 79-118)
 

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Chapter 23, “Managing Quality and Risk” (pp. 406-427)
Chapter 24, “Translating Research Into Practice” (pp. 427-449)
 

  

Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–51.
 

week 13

 

Mrs. Cason brings her 10-year-old child to the clinic stating my son “just isn’t breathing right, he doesn’t want to play, he just sits on my lap or lays on the couch, and this  happens all the time.” Appearance of both mother and child is disheveled. The child’s wheezing can be heard across the room. When asked if her son is better at any certain time of the day the mother responds: “It’s like this all the time and has been for the past year, we just don’t come to the doctor because we don’t have any money.”

Mrs. Cason’s son was diagnosed of asthma.

  • Discuss short and long term treatment options for this child, inhaled beta2-adrenergic agonists. Include rationale for your recommendations.
  • What is your educational plan for the child?

 All posts must be supported by peer-reviewed references within 5 years of publication. 

wk8 6050 responses

Melissa Hinkhouse

Week 8

07/20/2020 – Original Post

If I were to input word into a nursing word cloud describing a nurse, I would choose the following: Dedicated, Leader, Advocate, Empathetic, Caring, Scholar, Organized, Powerful, Smart, Decisive. My list could go on and complete this entire paper. Before this class, I will be honest; I never thought much about politics and policies from a nursing perspective. I have since joined the American Nurses Association (ANA). Upon reviewing their website, I saw many statements that encouraged me to join and become an active member. Nurses instinctively advocate for their patients, their workplaces, and their communities. Still, legislative and political advocacy is no less critical to advancing the profession and patient care (American Nurses Association, n.d.). As a Nurse, I have always stated and believed I should advocate for my patients and colleagues; I just was not sure until now how to make significant changes. Every Nurse and APRN should familiarize themselves with a Nursing association, at least spend some time looking around the webpages and learning what they do for patients and colleagues, spending some time researching the changes they advocate for and the difference made. If policies were made only by politicians, they would lack the clinical and empathetic portion. Public policy related to financing health care not only must assure access and quality but also bend the cost curve downward (Milstead & Short, 2019). Politicians are lovely at the cost curve portion, but how would they have the background to understand if the access and quality of care are being hindered? Nurses and APRNs can also choose to be involved by writing their local legislative members. You can handwrite or e-mail; sending them information, stories, or the reason you are advocating can go a long way.

I think one challenge nurses and APRN might be afraid of when they think about getting involved in politics and the making of policies is the time consumption. As it is nurses work long hours, only one state right now limits the number of hours a nurse can work; the rest are often mandated numerous overtime shifts a week, and still must have time for family and life. By becoming involved through an organization such as ANA, you are not alone. You can partake as much as you have time. Any nurse who is interested in influencing the policy process, even one with limited time and resources, can find a way to become a confident advocate (Abood, 2007). A second challenge, as mentioned previously, is a lack of knowledge on how to get involved. I think more nursing programs and APRN programs need to teach students Health policies and politics courses. Education is critical and understanding makes items less intimidating. The big world of politics is less scary if you are not going into it alone.

Reference

Abood, S. (2007, January). Influencing health care in the legislative arena. OJIN: The Online

Journal of Issues in Nursing. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No1Jan07/tpc32_216091.aspx

American Nurses Association (ANA). (n.d.). Advocacy. Retrieved September 20, 2018, from

https://www.nursingworld.org/practice-policy/advocacy/

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

Burlington, MA: Jones & Bartlett Learning.

ost

Ashley Novak RE: Discussion – Week 8COLLAPSE

Week 8 – Main Post

There are many opportunities that exist for RN's and APRN's to actively participate in policy-making. The first opportunity I found was for APRN's to write their state or federal legislators regarding a health policy bill that they are passionate about. Since we are on the front-lines with the patient's we can share personal stories that might influence the legislators. Another opportunity would be to join nursing organizations that lobby on behalf of patients, such as the AANP. Nurses are able to join health policy committees within some of these organizations and offer personal experiences to support a bill (Chilton, 2015).

Some of the challenges I could see would be that many legislators don't have any experience in healthcare and they might have a hard time understanding where the nurse is coming from. I think this is a good opportunity for nurses to continue to educate. “Nurses are articulate experts who can address both the rational shaping of policy and the emotional aspects of the process (Milstead, 2016, p. 15).

Some other barriers for nurses include lack of involvement and negative image of nursing. Strategies that can help is for nurses to gain confidence and experience in nursing policy and legislation. The more we know, the more we can become confident to legislators. The other strategy is to encourage more nursing to gain this knowledge and confidence (Shariff, 2014). There is always power in numbers and I have realized in this course how important it will be to be involved in nursing policy.

References

Chilton, L. (2015). Nurse practitioners have an essential role in health policy. The Journal for Nurse Practitioners11(2), A19. https://doi.org/10.1016/j.nurpra.2014.10.009

Milstead, J. A. (2016). Health policy and politics: A nurse's guide (health policy and politics) (5th ed.). Jones & Bartlett Learning.

Shariff, N. (2014). Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development. BMC Nursing, 13(1). https://doi.org/10.1186/1472-6955-13-20

USE TWO SOURCES ON EACH DISCUSSION

Child and Adolescent Health

 

Read chapter 16 of the class textbook and review the attached PowerPoint presentation.  Once done, answer the following questions.

  1. Identify and discuss the major indicators of child and adolescent health status.
  2. Describe and discuss the social determinants of child and adolescent health.
  3. Mention and discuss at least 2 public programs and prevention strategies targeted to children's health.

4.  Mention and discuss the individual and societal costs of poor child health status.

As stated in the syllabus present your assignment in an APA format word document, APA required font attached to the forum in the discussion tab of the blackboard titled “Week 12 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement.  A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used.  You must post two replies on different dates to any of your peers sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. The replies cannot be posted on the same day, I must see different dates in the replies.   A minimum of 800 words is required and not exceeding 1,000 words (excluding the first and reference page).  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

Technology in Health Care: Opportunities, Limitations, and Challenges

 

Technology has already dramatically transformed health care, shaping both consumer and provider expectations. With advances in technology, however, have come new opportunities, limitations, and challenges. Technology can cut costs, improve patient outcomes, streamline workflow, and improve information accessibility. It can also be costly, require almost limitless ongoing training, and continually bring about new ethical dilemmas, including the need to assure the “human element” is not lost in patient care. Determining what technology should be developed and how it should be used in an era of limited resources, with vulnerable populations, raises multiple ethical questions. 

Faculty at a college of nursing present a seminar for their students on the use of technology in today’s health care system.

1.  Describe technology advances that are used in health care today. 

2.  The nursing faculty concludes the presentation by stating that decisions should be made about what technology can best be used in each individual setting and how it should be used. Describe some points to consider in implementing technology in health care.

Need help completing a research paper

I started the paper but I have not been able to finish it. I'm uploading the template and the 10 references. 

Please let me know.

Thank you!

Topic 4 DQ1

Discuss how nurse leaders serve as advocates for their employees. Describe how advocacy for employees affects patient care and outcomes.APA style,  150 words

Topic 4 DQ2

Discuss barriers caused by an organizational culture that can be encountered by nursing leaders that can make them feel powerless. APA style, 150 words

Nursing Statistics

 

Assignment:

Before beginning this assignment be sure to watch the Scales of Measurement video. Observational experience to identify data based on people, events, and behaviors that represent a specific population. Go to a coffee shop in your neighborhood, spend a minimum of two hours. Upon arrive gather observations about the environment,

  • Noise
  • Perceptions related to people’s behaviors
  • Number of people present
  • Number of staff
  • Facial expressions on customers
  • Facial expressions on staff
  • Number of laptops and tablets
  • Number of perceived business meetings
  • Sitting along vs 2 or more

Create a chart with of the above-named categories and fill in the numbers upon arrival, and every 15 minutes for a total of eight observations. Using this data set, calculate the mean, mode, and median along with the percent of change that occurs every 15 minutes per observation. Notate if the data being measured is nominal, ordinal, interval, or ratio.

Write a 500-750-word paper, based on your observation, identify three things you learned about data and statistics. How might this newly acquired skill translate into patient care?

Assignment Expectations

Length: 500-750 words; answers must thoroughly address the questions in a clear, concise manner. Be sure to include the chart, your findings, and the write up.

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment.

References: Use at least one APA style in-text citations and references fo