Find a nursing journal article in the Keiser Library related to HIV screenings and present it for us as a reply. You might also look for some interesting information from the Murdaugh et al. (2019) text to share! 

https://www.youtube.com/watch?v=iZHJjf9oYZk&feature=youtu.be

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.
2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

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.

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.

By Day 3 of Week 7

Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

This also comes with two posts that will each need a reply and at least two references all in APA 7 format. the rubric is attached below please meet the standards.  

Discussion 1 TY

Health Policy: COVID Research Act of 2020

MAIN QUESTION POST- Health policy is essential in nursing. According to Liao (2019), “policies reflect public opinion as well as evidence-based data” (p.90). The health policy I want to discuss is the COVID Research Act of 2020 or also known as the Computing Opportunities to Vanquish Infectious Diseases Research Act of 2020 (“H.R.6599 – 116th Congress (2019-2020): COVID research Act of 2020,” 2020). This policy is to help address the issue of infectious diseases and how to prepare for them. COVID-19 has taken a toll on the health and economy throughout the world. This policy would create a group to be responsible for dealing with pandemics.  A group to prepare for pandemic outbreaks and to help create strategies to address challenges during a health crisis is essential (“H.R.6599 – 116th Congress (2019-2020): COVID research Act of 2020,” 2020). Using evidence-based research will allow this policy to help prepare for upcoming pandemics.

I believe there is no better time in society to address this policy than now. The research done by healthcare professionals can help policymakers understand essential information (Hebda, 2019). APRNs and research groups can work together to help address and improve health policies. With COVID-19 being a significant concern, this supports why this policy needs addressed. Evidence-based research is required to help create a plan of action for the current and emerging pandemics. By creating a group dedicated to this policy will help the overall health of the population. For example, there is a need for a vaccine for COVID-19. With this policy in place, they could have predicted COVID-19 and been preparing a vaccine. Research on the spread and severity could have begun before the COVID-19 pandemic and helped decrease worldwide exposure rates. There is strong evidence to support the COVID Research Act of 2020 based on the worldwide pandemic status. Throughout history, pandemics have taken a toll on the health of the country. For example, the Influenza pandemic has led to annual flu shots starting in October (the peak season).  The COVID Research Act of 2020 health policy would benefit healthcare now and in the future.

References

Hebda. T.. (2019). The impact of EHRs, big data, and evidence-informed practice. In J. A. Milstead,  & N. M. Short (Eds.), Health policy and politics: A nurse’s guide (6th ed., pp 133-150). Burlington, MA: Jones & Bartlett Learning

H.R.6599 – 116th Congress (2019-2020): COVID research Act of 2020. (2020, April 23). Congress.gov | Library of Congress. https://www.congress.gov/bill/116th-congress/house-bill/6599?q=%7B%22search%22%3A%5B%22health+policy%22%5D%7D&s=3&r=86 

Liao, C. (2019). Public policy design. In J. A. Milstead,  & N. M. Short (Eds.), Health policy and politics: A nurse’s guide (6th ed., pp 87-99). Burlington, MA: Jones & Bartlett Learning

Discussion 2 ML

Week 7 Discussion Post

            I found and reviewed the Sexual Assault Victims Protection Act of 2019 on the congress.gov. The summary includes,

“This bill requires the Department of Health and Human Services (HHS) to conduct a series of activities relating to sexual assault evidence and treatment. Among other things, HHS must establish a task force to improve forensic evidence collection related to sexual assault, maintain a website with resources and best practices related to the treatment of individuals for sexual assault, and host an annual meeting to address gaps in health care relating to sexual assault. In addition, the Centers for Medicare & Medicaid Services must require Medicare-participating hospitals, in their community call plans relating to on-call coverage, to specifically delineate coverage responsibilities with respect to screening and treatment related to sexual assault.”( Congress,2020).

As a nurse in the emergency room I find that this proposed health policy would be beneficial in the way healthcare teams are required to treat possible sexually assault victims. I know that my hospital in the past did not have any specially trained individuals to conduct the assessment and collection of forensics in these cases. With this being the case, nurses were not comfortable at doing this and things could get missed or mishandle with patient. Policy and procedures have changed for much improvement in this practice that now we have SANE nurses who conduct all assessments and collection of forensics. “Sexual Assault Nurse Examiners (SANE) are registered nurses who have completed specialized education and clinical preparation in the medical forensic care of the patient who has experienced sexual assault or abuse. “(International Association of Forensic Nurses,2014-2020). I believe that there is evidence based on the need for the policy and changes in the health care practice from personal experience. For example, I had a pediatric patient in ER that mother brought in with possible sexual abuse. I do not feel properly trained to conduct this investigation on this child and would not want to say or do the wrong thing during such a sensitive time. At that point I call the SANE nurse on call that comes in and does everything needed for that patient. Even the provider does not go see the patient before the SANE nurse arrives and collection all information and data. Having policies in place for facilities to provide access to specialty trained nurse will provide better patient care and less traumatic care.

References

Congress.gov. (2020). H.R.4758 – Sexual Assault Victims Protection Act of 2019. Retrieved on October 11, 2020 from  https://www.congress.gov/bill/116th-congress/house-bill/4758/all-info?r=5&s=7

International Association of Forensic Nurses. (2014-2020). Sexual Assault Nurse Examiners. Retrieved on October 11, 2020 from https://www.forensicnurses.org/page/aboutSANE

chronic decease