Nursing

A 65-year-old female patient is seen in your office for an annual physical examination. The patient states that she has not seen a healthcare provider for the past 10 years because she has been feeling well. She has no past medical or surgical history. She reports no complaints. The patient is new to your practice. You completed a comprehensive history and physical examination on the patient. The patient states that she does not know her family history because she was adopted and never had a chance to meet or speak to her biological families. The history and physical exam are unremarkable.  Considering the patient age and gender, what preventive health and screenings would you consider for this patient based on the current guidelines? No plagiarism

Format: APA (no abstract required)  This paper should be five pages in length.  A. Introduction to DIABETES Topic and Community (Lowell, Massachusetts)  • Identify the purpose, aim, direction of the project. Include brief epidemiological statistics, which validate purpose and aim. Use text/HP 2020/literature to validate.  B. Assessment Data: Include data appropriate for DIABETES  Example: Windshield Survey, U.S. & State Government Statistics, Lowell Massachusetts Stats  a. Describe specific characteristics of the selected community that includes boundaries, geographical description, map, government, community services, history, organized religions, cultural background/s, significant characteristics  b. Full epidemiology review. Web of Causation should be included.  c. Develop a demographic profile which includes census information (total population, age, sex, racial/ethnic composition, marital status stats, economic characteristics, education, employment, household data, language, etc) and vital statistics (birth rate, teen birth rate, death rate, infant mortality rate, leading causes of death, violent acts)  d. Environment influences including identified pollution problems, air quality, sanitation, urban vs. rural issues, public transportation availability  e. Health care delivery systems data regarding access and adequacy (immunizations, insurance issues)  f. Assess existing programs and resources (existing interventions). C. Literature Research on Selected Health Topic  50% nursing research articles/25% research from other disciplines 25% from web based and/or textbooks (articles should be no older than 3 years unless historically significant for topic).  No Lay Press  Web based / internet sources should NOT include Wikipedia type sources  D. Diagnosis and Interventions – Be creative – Think outside the box – Include others  – Collaborative, Innovative, Realistic, Time-frames included  a. Propose realistic collaborative interventions aimed at the aggregate level related to the community selected and health topic.  b. Community (nursing) interventions involve developing a plan to promote health or reduce risks for vulnerable populations. Therefore, a problem or goal statement and objectives should be included. Describe the intervention(s)/program to meet goals and objectives. Use time periods and build upon existing resources that you have identified in your assessment. If no existing resources, state such in the write-up.  c. How will you assess your interventions are helping, useful, appropriate? Be sure to include assessment methods. E. Summary or Conclusion APA format is required. This includes margins, font, and use of tables. Attention should also be paid to spelling, grammar, logical presentation and writing style as well as adequate use of references that are applicable and support the premise of the project.

Typed 1” margins 1.5 spacing 12 point Times Roman font.  Reference list – minimum of three references must be utilized.  American Psychological Association (APA) format  Three and five pages in length (not including cover page, abstract, references, exhibits, etc.)

Identify a quality improvement opportunity in your organization or practice ( i work in a home health setting). In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal. Include the following: Provide an overview of the problem and the setting in which the problem or issue occurs. Explain why a quality improvement initiative is needed in this area and the expected outcome. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Task: The student is required to present a complex case study and undertake a critical analysis of the chosen case. You are required to: Provide details of the selected case’s relevant medical history and present status. (suggested word count 500 words) Describe the pathophysiology underlying the PRIMARY reason for the current hospital admission. (suggested word count 500 words) List the medications your chosen case has been prescribed, the rationale for these for your specific case, and the special considerations related to these medications for your chosen case. (suggested word count 500 words) Discuss relevant & current medical diagnostics/treatments has/is your chosen case had/having (you will be required to give the results of these and determine the implications of these). (suggested word count 500 words) Generate a log of daily activities in relation to the nursing care implemented for your chosen case. This log is to reflect your monitoring of your chosen case which will include observations, the rationale & evaluation of the interventions implemented. This is to be written in essay format NOT as a table. Reflect on the nursing care provided and the outcomes of that care which identifies what was done well & what was not done well based on good evidence and how the care could be improved. (suggested combined word count for last two points 2000 words)

Professional Development Assignment: Based on what you have learned so far this week, create an educational presentation with detailed notes and recorded audio comments for all content slides that addresses each of the following points/questions. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations (an example is located in the Resources tab) related to text size, color, images, effects, wordiness, and multimedia enhancements. Use the audio recording feature with the PowerPoint. Alternatively, you may use a smartphone or tablet to record yourself speaking, should you be unable to use the audio feature within PowerPoint.   Title Slide (1 slide) The various kinds of health professionals are educated in separate schools but with considerable overlap in curricula and training requirements. They are, however, expected to integrate their training and work together after graduation. Identify the advantages and disadvantages of this approach to professional education in terms of costs, educational efficiency, and patient care quality. (4 slides). An oversupply of physicians in many urban regions contrasts with continuing problems of access in rural and inner-city areas. Why does the mal-distribution of physicians persist in spite of the number of physicians graduated? (2-3 slides) The health care delivery system now places increased emphasis on maintaining wellness and on promoting disease avoidance through healthy behaviors and lifestyles. What challenges does this new orientation pose for our existing system of medical education and training? (2-3 slides) References (1 slide)   Assignment Expectations Length: 10-12 slides; answers must thoroughly address the questions in a clear, concise manner  Structure:      Title slide and reference slides in APA style. (at least 2 slides)    Health professionals: (4 slides)    Mal-distribution: (2-3 slides)    Healthcare delivery system: (2-3 slides) Additionally, because a good presentation has few words on the slides include a script with the verbiage you would say when presenting; script should be a minimum of 50 words per slide. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft PowerPoint document and a Word document (.pptx) and (.doc or .docx) or Open Office Impress.

Compose a focused paper that explains and describes your healthcare issue or topic from a cultural and ethical perspective of inquiry. (You will cover two perspectives in one paper.) Form and answer two levels of research questions for each inquiry to address your chosen topic. ·         Choose a “Level 1 Research Question/Writing Prompt” from both of the lists below to answer in the paper. ·         Compose a “Level 2 Research Question/Writing Prompt” for each kind of inquiry that provides detail, specificity, and focus to your inquiry, research, and writing. ·         State your research questions in your paper’s introduction. ·         Form the body of your paper by answering each research question and support your assertions with evidence (research). ·         In the conclusion of the paper, briefly review the issues, research questions, answers, and insights. Level 1 Research Questions/Writing Prompts ETHICAL Perspective of Inquiry ·         What laws govern or pertain to the issue? ·         What ethical obstacles affect how the medical community addresses the issue? ·         How do ethical theories apply to the issue? ·         How do money, power, and control matters relate to the issue and its treatment?   Level 1 Research Questions/Writing Prompts CULTURAL Perspective of Inquiry ·         Which cultural values and/or norms influence the issue? ·         How is the issue addressed differently in varying cultural contexts and situations? ·         Which cultures or societies are most affected by the issue? Why? ·         Which cultural traditions affect the treatment(s)? Your paper must be five pages in length and reference six scholarly, peer-reviewed resources. Be sure to follow current APA Style formatting standards (spacing, font, headers, titles, abstracts, page numbering, etc.) Topic is chronic pain management, While opioid therapy is important to alleviate the pain and work faster, it is doubtful whether the majority of the patients prescribed opioids will stop or use other strategies. The purpose of this paper is to explore the effects of proper pain management on the population most affected by chronic pain and ways to improve pain management. It is critical due to the increase of individuals living with chronic pain and the large number of death related to opioids overdose. Research indicates that many patients prefer the opioid treatment approach to manage chronic pain and that there has been less focus on the efficacy of non-opioid pain management approaches.

Compose a focused paper that explains and describes your healthcare issue/topic from the scientific and mathematical/analytical perspectives of inquiry. (You will cover two perspectives in one paper.) Address your general topic by forming and answering two levels of research questions for each inquiry. Choose a “Level 1 Research Question/Writing Prompt” from both of the lists below to answer in the paper. Compose a “Level 2 Research Question/Writing Prompt” for each kind of inquiry that provides detail, specificity, and focus to your inquiry, research, and writing. State your research questions in the introduction of your paper. Answer each research question and support your assertions with evidence (research) to form the body of your paper. In the conclusion of the paper, briefly review the issues, research questions, answers, and insights. Level 1 Research Questions/Writing Prompts SCIENTIFIC Perspective of Inquiry What are the anatomical, physiological, pathological, or epidemiological issues? Which body systems are affected? What happens at the cellular or genetic level? Which chemical or biological issues are most important? Level 1 Research Questions/Writing Prompts MATHEMATICAL/ANALYTICAL Perspective of Inquiry What are the economic issues involved? Which economic theories or approaches best explain the issue? What are the statistical facts related to the issue? Which statistical processes used to study the issue provide for the best explanation or understanding? Your paper must be five pages in length and reference four to six scholarly, peer-reviewed resources. Be sure to follow current APA Style (e.g., spacing, font, headers, titles, abstracts, page numbering). Refer to the rubric for evaluation details and to assist in preparing the paper.

Write a three paragraph summary of the most important changes in Nursing Home Medicare Reimbursement. this is the link to the assignment https://www.modernhealthcare.com/post-acute-care/nursing-homes-brace-new-medicare-payment-system

Describe how you spend most of your time. Is this what you expected? Why or why not? How will you rearrange these items to dedicate enough time to your schoolwork? What changes do you want to make? What professional resources are available to help with those changes?