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case study

Health Promotion 1

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D.H. is a nurse administrator at a large primary practice. His duties include maintaining the nurses’ schedules to keep within the facility’s budget; overseeing the hiring and training of nurses; ensuring that the work environment for the nurses is safe; and resolving any employment issues with the nurses that require disciplinary action, termination, or reporting adverse nursing care to the state board.

One of his primary initiatives during the nurses’ orientation is to reiterate the importance of incorporating the goals of Healthy People 2020 into the nurses’ care.

How you as a health care professional should proceed if you suspect that a client has finances concerns about being able to afford their health care.

  1. Identify the different roles and responsibilities of the nurse.
  2. Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner. How would you work to improve your weaknesses? Identify your strengths.
  3. Which patient population is most likely to experience health disparities and why?

500, APA, 2 resources

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Case study

week 3

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Legislative efforts in both the Federal and State domains serve as guidelines for all levels of health policy; from Federal regulations that impact all people in the United States, all the way down to the bedside.  Bedside nursing practice is regulated by each State via their State Nurse Practice Act (NPA) which often includes a separate Rules and Regulations document.

In this discussion, you will explore your State’s Nurse Practice act.

Find your state’s NPA using this site: NCSBN’s Find Your Nurse Practice Act webpageLinks to an external site.

In your initial discussion response, please address the following:

  1. Your state
  2. Professions included in your State’s NPA.
  3. Compare scope of LPN vs. RN vs. APRN. What are the limitations of each?
  4. Rules for the Board of Nursing
  5. Delegation as described in the NPA
  6. Continuing Education Requirements.
  7. Reflect:
    1. What is something you learned while exploring your State’s NPA?
    2. Is the scope, as stated in the NPA, for an RN adequately integrated in your nursing model of care at your institution? If yes, how? If no, what are the steps for aligning the NPA and the nursing structure at your facility?

https://www.ncsbn.org/npa

discussion

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Describe three barriers that have slowed down the progress of advanced practice nursing and strategies to help overcome these barriers. (Saunders, 2014)

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. 

Nursing BB week 3 assignment

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Bb week 3 assignment 

to compare the role of the NCSBN (National Council of State Boards of Nursing) and TBON (Texas Board of Nursing) in licensure and oversight of the practice of Nursing.

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The purpose of this work is to compare the role of the NCSBN (National Council of State Boards of Nursing) and TBON (Texas Board of Nursing) in licensure and oversight of the practice of Nursing.

Follow the guidelines on the the attached rubric (also located in the syllabus).  Pay attention to the word count. 

Nursing Bm week week 3 assignment

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Bm week 3 assignment 

Discussion

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J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.

Past Medical History (PMH):
Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.

Labs:
Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.

Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.

Case study questions:

  1. Please name the potential most common sites for metastasis on J.C and why?
  2. What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
  3. Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?
  4. Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.
  5. Describe the carcinogenesis phase when a tumor metastasizes.
  6. Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.

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

Mod.1IN. Discussion/APA STYLE/Turnitin-Plagiarism FREE/NO AI

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Topic: Nursing & Health-Care-Policy

Analyze the history, structure, and process of health-care-policy and politics in nursing and the health care delivery systems in the United States.

Read/Reference

  • Mason, D. J., Gardner, B. D., Outlaw, H. F., & O’Grady, T. E. (2016). Policy and politics: In nursing and health care. (7th ed.). Saunders. ISBN: 978-0-323-24144-1
    • Chapters 1-3, and 6
  • American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).
    • Use as a guide for writing in current APA format.

Submission Instructions:

  • Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 current academic sources within past 5 years.