Advocacy letter

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Preparation for writing the Advocacy Letter

1. Choose a topic that interests you.

2. If you are unsure what to advocate for or against, look at professional organizations for inspiration:

a.
APHA

b.
ANA

c.
Maryland Public Health Association

3. Look for advocacy groups that are working on the issue. We don't have to recreate the wheel.  See what strategies the advocacy groups are supporting. For example: Brady and Gifford non-profits focus on gun policy. 

4. Decide if you want to make change within an agency, at the local, state or federal level. Find the decision maker appropriate to that level. Click here to
find your elected official.

5. If you are writing to a legislator, look at that person’s website to see their position on the issue. Please do not ‘preach to the choir’—that is, if they already support the issue, it does no good to throw more facts at them.

6. If you are addressing a national issue, and your legislator aligns with your proposed action, consider looking at the committee that would hear a bill about your issue.

a. If there is a proposed bill that has not been active, you can ask the chair of the committee to bring it back up in committee.

b. Click here to
check for federal bills.

7. If you are addressing a state issue, the Maryland General Assembly meets January- April of each year.

a. You can see if state bill on your issue was unsuccessful in 2018, and ask your legislator to re-introduce it in 2019.

b. Click here to
check for state bills.

8. For evidence to support your proposed action, use the One Search through HS/HSL for the broadest results. If you are still having trouble finding articles, the premier journal for public health research is called The Nation's Health.

9. Reminders from the rubric:

a. Include your ‘Ask’ clearly and concisely in the first paragraph. In busy offices, staff may not read the entire letter.

b. In the same vein, keep the letter one page. References can be on a second page.

c. Include your credentials. All of you are BSN Candidates (and add whatever other credentials you have). This adds a professional weight to your voice.

10. As always, please let me know of any questions.
KGR

Nutritional Principles in Nursing

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NU117/NUR1172 Section 03 Nutritional Principles in Nursing (11 Weeks) – Online Plus – 2023 Fall Quarter

Module 01 Discussion – Dietary Likes and Dislikes Awareness

Discussion Topic

Activity Time:

2 hours

Directions:

Our nutrition and eating patterns are shaped by our perceptions of food; what we have learned to like and dislike, what we feel is healthful, and it is even formed by our family, cultural, and religious beliefs.

For this discussion, list five foods/liquids you like and five foods/liquids you don't like and/or avoid. For each you like, describe why you like them. For example, you might say I like to eat chocolate chip cookies because they remind me of my grandmother.

For the five you do not like to eat/avoid, explain why. For example, you might say I don't eat lima beans because they taste too mushy in my mouth or I don't drink milk because I am lactose intolerant, or I don't eat beef because of religious beliefs.

In addition to explaining why you don't like the five foods/liquids, also include what it would take (if possible) for you to overcome your dislike of the food/liquid.

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials, be sure to provide proper attribution and/or citation.

NR324/NR329 Nancy Gilbert simulations

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1. You are the nurse caring for a patient with a tracheostomy. What communication strategies can you
promote with your patient in order to effectively interact and communicate?
2. You are the nurse caring for a patient with methicillin-resistant staphylococcus aureus (MRSA).
a) What is MRSA?
b) Describe the precautions required when providing care to this patient.
c) List topics to include in the patient and family education.
3. Describe the assessment cues and nursing interventions for infiltration and extravasation of an
intravenous (IV) catheter

See attached

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Write a grant proposal requesting funding to conduct research for the research question of “Is there a significant difference in the clinical outcomes, including mortality rates, reinfarction rates, and long-term quality of life, between patients treated with fibrinolytic therapy and those treated with percutaneous coronary intervention for acute myocardial infarction?”

Please use the template below to organize the grant proposal

· Executive Summary

· Statement of Need

· Project Description

· Conclusion 

· References  (6 references, I have provided some below)

Armstrong, P. W., Gershlick, A. H., Goldstein, P., Wilcox, R., Danays, T., Lambert, Y., Sulimov, V., Rosell Ortiz, F., Ostojic, M., Welsh, R. C., Carvalho, A. C., Nanas, J., Arntz, H. R., Halvorsen, S., Huber, K., Grajek, S., Fresco, C., Bluhmki, E., Regelin, A., Vandenberghe, K., … STREAM Investigative Team (2013). Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction. The New England journal of medicine, 368(15), 1379–1387.
https://doi.org/10.1056/NEJMoa1301092

Joy, E. R., Kurian, J., & Gale, C. P. (2016). Comparative effectiveness of primary PCI versus fibrinolytic therapy for ST-elevation myocardial infarction: a review of the literature.
Journal of comparative effectiveness research,
5(2), 217–226. https://doi.org/10.2217/cer-2015-0011

Karha, J., & Topol, E. J. (2006). Primary percutaneous coronary intervention vs. fibrinolytic therapy for acute ST-elevation myocardial infarction in the elderly.
The American journal of geriatric cardiology,
15(1), 19–21. https://doi.org/10.1111/j.1076-7460.2006.05290.x

Krittanawong, C., Hahn, J., Kayani, W., & Jneid, H. (2021). Fibrinolytic Therapy in Patients with Acute ST-elevation Myocardial Infarction.
Interventional cardiology clinics,
10(3), 381–390.
https://doi.org/10.1016/j.iccl.2021.03.011

McClelland, A. J., Owens, C. G., Walsh, S. J., McCarty, D., Mathew, T., Stevenson, M., Gracey, H., Khan, M. M., & Adgey, A. A. (2005). Percutaneous coronary intervention and 1 year survival in patients treated with fibrinolytic therapy for acute ST-elevation myocardial infarction. European heart journal, 26(6), 544–548.
https://doi.org/10.1093/eurheartj/ehi149

Note: You do not need to provide research budgets/financials and organizational information which is covered in the tutorial.

Nursing concept analysis

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This assignment is designed for the student to examine the antecedents, attributes, and consequences of a selected concept. The student will explore a concept, and then analyze the concept using Steps from Wilson’s Concept Analysis Walker & Avant, 2019, p.170.

PN10

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Your patient is a 52-year-old male with a history of smoking and alcohol abuse. He presents to the ED with complaints of “my skin looks yellow, my stomach hurts, and I feel nauseous”. He is taken to CT and a tumor near the pancreas is observed. It appears to be blocking the common bile duct. Develop a plan of care for the patient. Use the attached concept map.

DISCUSSION REPLIES

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Respond to the four colleagues in the attachment file by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination. Please include AT LEAST 2 REFERENCES EACH

Nursing Assignment

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Assignment Orientation Presentation


Access the Webex RecordingLinks to an external site.

Purpose

The purpose of this assignment is to have students research the measurement tools of NP performance. Through the use of quality patient outcomes, students will list and discuss three different patient interventions and how they would specifically measure the outcomes, and how these primary care interventions result in improved patient outcomes and cost savings for the practice. In addition, students will discuss how these interventions result in improved patient ratings.

Preparing the Assignment

The National Committee for Quality Assurance (NCQA) was formed to ensure the quality of patient care and measurement of patient outcomes with set standards.

Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:

· Effectiveness of Care

· Access/Availability of Care

· Experience of Care

· Utilization and Risk Adjusted Utilization

· Health Plan Descriptive Information

· Measures Collected Using Electronic Clinical Data Systems

You may access the 6 domains of care by clicking this link:

(NCQA, n.d. 

https://www.ncqa.org/hedis/Links to an external site.
)

As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients, and has a method of measuring the quality of care.

Write a formal paper in APA format with a title page, introduction, the three required elements below, conclusion, and reference page.

You are now employed as an NP in primary care. 
Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal, and Postpartum care, etc.

Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.

How would these primary care interventions result in improved patient outcomes and healthcare cost savings?

How can these interventions result in improved NP patient ratings?

Health Policy: The purpose of learning the ropes of policy, politics and advocacy is to influence health care or broader social agendas that influence human health. Discuss a time where you influence health care through advocacy.

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Discussion 2The purpose of learning the ropes of policy, politics and advocacy is to influence health care or broader social agendas that influence human health.  Discuss a time where you influence health care through advocacy.  

The discussion must address the topic.

From week #2 and on, you are expected to post 500 words, with at least 2 references of less than 5 years old.

CRITICAL CARE WK 5

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MY NUMBER ASSIGNED WAS 1 WHICH IS:  **What is the nurse’s responsibility with a perspective organ donation?  What are some absolute contraindications for donation, and what is the difference between organ and tissue donation?

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:

 

Part 2:

Interview:You will 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 departments 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.