REPLIES WEEK 3 MSN 5550

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 Reply to these  students  posts with a reflection of their response. 

 1.The American Hospital Association’s Patients’ Bill of Rights involves several key points that healthcare professionals should guarantee in the best interest of their patients. In this discussion post, I will discuss how each of these points can be carried out by healthcare personnel.

  • High quality hospital care.

The pursuit of high quality hospital care relies on healthcare professionals adeptly merging evidence-based practice, compassion, and respect. This formulated equilibrium ensures that patients receive holistic care that caters to their physical, emotional, and psychological needs. Evidence-based practice, the foundation of modern healthcare, involves weaving research evidence, clinical expertise, and patient values into healthcare decisions, ultimately leading to enhanced patient outcomes. Compassion is essential as it nurtures trust, empathy, and overall well-being, setting healthcare apart from other fields. In addition, respect assumes a pivotal role in preserving dignity, autonomy, and ethical standards, acknowledging cultural differences and patient choices to guarantee patients feel valued and heard (Xiao et. al, 2018). 

  • A clean and safe environment.

Safeguarding a clean and secure healthcare setting relies on the thorough enactment of specialized rules and methods. These encompasses protocols for infection control, rigorous cleaning routines, accurate utilization of personal protective gear (PPE), and effective waste management. Equally essential are endeavors to enhance patient safety, emergency response strategies, and adherence to regulatory requisites. Both patients and healthcare professionals can also be educated with these topics to promote a clean and safe environment. By honoring these directives, healthcare practitioners can establish a protected environment that reduces infection risks, safety hazards, and regulatory lapses, thus ensuring the utmost care quality for patients (Greene & Samuel-Jakubos, 2021).

  • Protection of your privacy.

Protecting patient information is both a legal mandate and a moral obligation. The Health Insurance Portability and Accountability Act (HIPAA) is a law that legally upholds patient confidentiality, governing the use and disclosure of protected health information. Both physicians and nurses play vital roles in preserving patient privacy. Some methods of protecting health information include securing medical record storage, control of accessibility, and two-factor authentication. Healthcare personnel should also stay current with ongoing HIPAA training and regulations. In case of incidents, clear response and reporting procedures are paramount in order to promptly resolve flaws in the process.

  • Help with your billing claims.

To help with billing claims, healthcare professionals can ensure precise documentation of medical services, verify insurance coverage, and employ accurate coding to minimize claim denials (Xiao et. al, 2018). Prompt submission and effective communication are imperative, providing patients with clarity on billing processes. In case of disputes, professionals can guide patients through appeals and maintain contact with insurers. They also facilitate connections between patients and financial counselors for financial support. In essence, staying proactive eases the billing burden for patients.

As you can see, this transformative approach of healthcare professionals ensuring patients’ rights are protected not only benefits patients, but also enhances the overall healthcare experience.

2.  In the present discussion I was able to Examine the effect of legal and ethical practice processes on healthcare. I was also able to apply ethical guidelines to improve my Nursing practice and, in consequence, improve my patients’ outcomes.

     Healthcare, as the name suggests, means to care for our patients’ health. Our patients are human beings. Starting at this point, we must keep in mind that our patients are biological, psychological and social entities. If one of these sides fails, then the patient will loose the desired healthy balance. Many times we, as healthcare personnel, keep focusing on clinical diagnoses, management, treatment and clinical outcomes. However, the first and big step that makes a difference in those outcomes becomes establishing a good and trustable relationship with our patients. Nurses need to keep this in mind at all times, as Nurses should always advocate for their patients. Advocate means to seek for the best conditions for the patients from the beginning to the end. At this point, we need to ensure that all the patients’ rights are respected and fulfilled. The Sustained Development goals have been followed for many worldwide leaders. These goals promote same rights in all population groups. Also they promote that these groups should be treated with dignity (Kwame, A. Petrucka, P.M 2022). One of the goals specifically promotes equity in healthcare, which means, same and best possible attention quality to every person who seek health care attention, regardless race, sex, religion, culture beliefs, social level or even if the patient cannot afford the expenses in a health care facility. Every person has the right to get appropriate medical treatment and the right to know who are their healthcare givers. The patients also have the right to know everything about their health condition. In addition, the patients have the right to participate in choosing a treatment option, after learning the benefits but also the side effects of a given option. The patient has the right to stay in an environment with good hygiene quality. The patients also have the right to decide who can make decisions regarding their condition when cannot speak by themselves and even to decide/give advanced directions in these conditions. At any moment, the patients and their immediate caregivers also have the right to get patients’ education regarding treatment or therapy. Finally, the patients have the right to keep their information safe and private, which means that this information cannot be shared without consent to any person who is not in their health care team. However, the patients must collaborate with the healthcare team in order to provide all the information regarding clinical history and previous records in order to get a tailored attention and the best possible outcome.

     In conclusion, the Healthcare team needs to advocate for their patients, making sure that the best quality attention is provided regardless their social condition. The points exposed above are different ways we can advocate for our patients, developing a strong and trustable relationship with them, which is one of the main foundations for obtaining the best possible outcomes.

Dimensions of Nursing Practice

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Activity Time:

1 hour

Additional Time for Study, Research, and Reflection:

1 hour

Directions:

In this discussion, emphasis is on awareness of client quality and safety and in particular what is a “culture of safety.”

Based on the review of the following websites at the Institute of Healthcare Improvement and Agency for Healthcare Research and Quality answer the following questions.

What values ensure a culture of safety?

How can healthcare facilities establish a culture of safety?

What is the nurse's role in maintaining a culture of safety?

Please make your initial post by midweek, and respond to at least two other student's post by the end of the week. Please check the Course Calendar for specific due dates.

life-span development

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For this assessment, you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.

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For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.

The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.

Using the Interdisciplinary Plan Proposal Template [DOCX] Download Interdisciplinary Plan Proposal Template [DOCX]will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

  • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
  • Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
  • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
  • Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.
  • Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
  • Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2–4 pages in length. Be sure to include a reference page at the end of the plan.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
  • APA formatting: Make sure that in-text citations and reference list follow current APA style.

maternal m2 diss

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Case Study: A 16-year-old arrived at a local family planning clinic with pregnancy concerns due to unprotected intercourse. This encounter occurred two nights prior, and she believes she may be fertile but wants information regarding the “morning-after pill”.

  • What additional information should the nurse obtain during the assessment?
  • What educational information should the nurse provide to the patient regarding emergency contraception treatment and the side effects?

Nursing

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Instructions:

1.
Topic Selection: Select a topic that interests you and that is relevant to nursing Pediatric practice. Your topic should be broad enough to allow for an in-depth exploration but narrow enough to be manageable within the scope of a 
500-650 word research paper. You may select a topic related to patient care, nursing education, health promotion, or any other area of nursing practice that interests you. 

2.
Searching for Literature: After choosing a topic and 
obtaining my approval for the topic, use the Library page at the FNU.edu website to search for scholarly sources related to your topic. You must utilize 
at least 3 scholarly sources that have been published 
within the last 5 years. You may use databases such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library. Be sure to use appropriate keywords and to apply search filters to limit your search to 
scholarly, peer-reviewed articles.

3.
Evaluating Sources: Once you have identified potential sources, be sure to identify if they are relevant to your topic, written by credible authors, and based on rigorous research methods.

4.
Writing the Paper: Your research paper should follow 
APA 7 guidelines and include an 
introduction and 
conclusion. Be sure 
references are cited throughout the paper and included in a 
reference list at the end of your paper.

5. Please keep in mind that the paper will be checked for plagiarism, and 
similarity above 25% that is not cited will not be accepted for submission. 

6. Please refer to the evaluation rubric for evaluation criteria 

Topic: breastfeeding vs formula feeding.

Please reply to Two Videos post

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Please see the attachment for instructions

Critical reflection

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I attached assignment task description 

And module 1 
Rest module 2-8 I will combine and send you 1 file. 
As there is 4 part of assignment to reflect which student have to pick from module. It will be good if you pick Mildred video to reflect on it in module 6 I have put link in document. 
For the 1 st critical reflection is from module 1 personal leadership philosophy. 
For the 2nd it is related to standard 
For the 3 reflection it is good to pick Mildred video module 6
For the 4th, you can pick any reading in the modules which you feel good to do critical reflection as a nurse leader not as organisation leader. 

Intro to nursing reaearch

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 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss how addressing the problem through nursing research can improve patient outcomes. Provide rationale and support for your answer. 

w9answer2II

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respond to the topic,(Pregnant women and bipolar depresion) say I agree with what you said for this and for this. and add information that deals with the same thing but is not mentioned in that work, the answers that have an argument…

at least 3 references

Pregnant Women and Bipolar Depression

 

     In this discussion post, I will explain pregnancy in women diagnosed with bipolar disorder (BD), classified as high-risk due to various clinical and pharmacotherapeutic factors.  When giving psychiatric drugs to a pregnant woman, it is very important to carefully weigh the possible effects of psychotropic drug exposure on the unborn fetus against the chance of a bipolar disorder relapse. If bipolar disorder is not treated, it can have detrimental effects on the health of both the mother and the unborn child in the case of a relapse. Access to comprehensive and up-to-date information regarding the safety of preventive medications for bipolar disorder is essential for making informed choices (Singh & Deep, 2022).

It is crucial for healthcare providers to have discussions with patients about psychiatric drugs, including their advantages and disadvantages, both before and during pregnancy, as well as postpartum; however, we will concentrate on pharmacological interventions during pregnancy in general. Even if the patient decides not to pursue pharmacotherapy, this choice is still considered a therapeutic option. Most mental health conditions, including postpartum depression, anxiety, bipolar disorder, and schizophrenia, require therapeutic drug management during pregnancy (Creeley & Denton, 2019).

The discontinuation of antipsychotic medication in patients is well documented to increase the likelihood of return of dipolar episodes. This is a significant problem, leading to a higher risk of inadequate peripartum care, suboptimal mother and fetal nutrition, difficulties throughout pregnancy, and postpartum depression. Furthermore, there is a hypothesis suggesting that the dysregulation of the hypothalamic-pituitary-adrenal system, which is linked to untreated depression, may have detrimental impacts on the fetus's health and the child's development (Creeley & Denton, 2019). Another significant concern is that no two expectant mothers with bipolar 1 depression are identical. For example, one patient has a documented record of multiple suicide attempts, while the other has been stable. The patient with a history of suicidal attempts would undoubtedly benefit from psychotropic medication at this juncture.

There is no documented approved FDA first-line drug therapy for pregnant women who are bipolar. However, atypical antipsychotics are used off-label, according to Betcher et al. (2019). Lurasidone is deemed a preferable option for antipsychotic treatment during pregnancy due to its categorization as a Category B medication in the previous pregnant drug classification system. This classification indicates that animal tests did not indicate birth defects.   Regrettably, there is a lack of empirical data regarding the safety or potential hazards of lurasidone in human subjects during pregnancy or lactation (Betcher et al., 2019). Several clinical investigations indicate that lurasidone is tolerable, demonstrating a favorable combination of effectiveness and safety. These antipsychotics are regarded as metabolically favorable. It does not affect weight gain, lipids, or glucose levels. Additionally, it is the only atypical antipsychotic proven not to induce Qtc prolongation and one of the few atypicals that do not have a Qtc warning (Stahl's, 2021).

One thing to keep in mind with pregnant and non-pregnant patients is the metabolic issues that arise from the use of antipsychotics. The physiologic changes that occur during pregnancy, like increased metabolism and a subsequent drop in antipsychotic serum levels, are both physiological effects of pregnancy. The amount of medicine in the body decreases during pregnancy because the uridine diphosphate glucuronosyltransferase (UGT) isoenzymes and the cytochrome P450 isoenzymes CYP3A4, CYP2D6, and CYP2C9 become more active. Gaining or losing weight, increasing or decreasing plasma volume, and altering renal clearance affect medication concentrations (Betcher et al., 2019).

The non-pharmacological treatment options for bipolar disorder (BD) in pregnant women include family-focused treatment (FFT), interpersonal and social rhythm therapy, and cognitive behavioral therapy (CBT). These intense psychotherapies have substantial evidence supporting their effectiveness in treating bipolar illness (Chiang & Miklowitz, 2023).  The Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) study and other psychotherapy studies highlight the significance of psychoeducation as a crucial element in treating bipolar depression. Group treatment that focuses on four clinical issues provides strong evidence for the effectiveness of psychoeducation. These issues include increasing awareness of the condition, promoting adherence to treatment, detecting prodromal symptoms and recurrence early, and encouraging a consistent lifestyle. After 5 years, individuals who underwent structured group psychoeducation experienced a reduction of 75% in the duration of their depressive episodes compared to those who participated in an unstructured support group (Chiang & Miklowitz, 2023).

The presence of bipolar disorder in pregnant and lactating women poses significant hazards to both the mother and the child, necessitating the need for comprehensive management (Graham et al., 2018).  Several guidelines emphasize the importance of carefully weighing the danger of bipolar relapse against the potential harms of psychotropic drugs to the newborn when making decisions about psychotropic therapy for women with bipolar disorder throughout this period.   Still, the study showed that there was not a lot of agreement among the guidelines about how dangerous these drugs might be. This made clinical recommendations and prescribing methods less effective (Graham et al., 2018).

Lastly, the risks and outcomes linked with untreated maternal disorder are as follows if a bipolar-depressive pregnant patient chooses not to use medications: Factors such as low birth weight, small size at birth, preterm birth, and an increased risk of cesarean birth can contribute to various health complications. These complications include small head circumference, hypoglycemia, and an increased risk for long-term neurocognitive, behavioral, and social deficits. Additionally, there is a high postpartum risk for first-onset and recurrent bipolar episodes, hospitalization due to substance use, poor prenatal care, and maternal suicide (Creeley & Denton, 2019). Some antipsychotic medications have harmful effects on pregnant women. For example, Clomipramine can lead to malformations in the fetal cardiovascular system; Valproates can cause birth defects; Carbamazepine can result in spina bifida; and Lithium can be teratogenic and increase the risk of miscarriage (Gruszczyńska-Sińczak et al., 2023).