Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity.

 Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. 

REVIEW OF CURRENT HEALTHCARE ISSUES

If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption? Social Determinant such as environment/community, education, access/quality to healthcare?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.

 To Prepare:

  • Review the Resources and select one current national healthcare issue/stressor to focus on.
  • Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.

 Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affects this health issue? Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples. 

discussion 3

 

Answer the questions below based on the following case study.

A 41-year-old man presents to his PCP with feelings of hopelessness, sadness, and helplessness. He says that he cries for no reason, and has difficulty sleeping. He noticed that the problems began about 6 weeks before, and he did not feel able to shrug them off. He has been drinking more alcohol than usual and has stopped going to work. When on his own, he admitted that he had thought of driving his car into the nearest canal.

  1. Summarize the clinical case.
  2. What is the DSM 5-TR diagnosis based on the information provided in the case?
  3. Which pharmacological treatment would you prescribe including the name, dose, route and frequency of the drug in accordance with the clinical guidelines? Include the rationale for this treatment.
  4. Which non-pharmacological treatment would you prescribe according to the clinical guidelines? Include the rationale for this treatment excluding a psychotherapeutic modality.
  5. Include an assessment of the treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence to the chosen medication. Use a local pharmacy to research the cost of the medication and provide the most cost-effective choice for the patient. Use great detail when answering questions 3-5.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in the 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.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Research on Positive Impact on Nursing Diversity

How does nursing diversity lead to a positive impact on patient outcomes and healthcare quality? 

Please check the rubric ( minimum 6 pages) 

powerpoint

The group PPT should have a minimum of 20 slides and no more than 40 with speaker notes. (Including group members, outline, reference page). Reference and citations must be in APA format 6th or 7th Ed. 

The presentation should be directed to the pharmacological management of the disease. It should include the following: Drug indications, drug classification, generic name and most common brand name, mechanism of action, side effects, drug interactions, use of the drug in different populations and important pearls.

1: Title • Title: Understanding Anticoagulants 

• Subtitle: Essential Knowledge for Nurse Practitioners 

2: Introduction

• Brief overview of the importance of anticoagulants in healthcare. 

• Mention the aim of the presentation: to provide an understanding of different types of anticoagulants and their clinical applications. 

3: Blood Clotting Process 

• Explain the normal blood clotting process.

• Highlight the role of anticoagulants in preventing abnormal clot formation.

4: Types of Anticoagulants

• Detail the two main categories: Oral and Injectable anticoagulants.

• Mention common examples from each category. 

5: Oral Anticoagulants 

• Discuss commonly used oral anticoagulants like Warfarin, Apixaban, and Rivaroxaban.

• Emphasize their indications, dosages, and monitoring requirements.

6: Injectable Anticoagulants 

• Explain the use of injectable anticoagulants such as Heparin and Enoxaparin.

• Describe when and how these are administered. 

7: Novel Oral Anticoagulants (NOACs) 

• Highlight the benefits and considerations of NOACs like Apixaban and Rivaroxaban.

• Compare them to traditional anticoagulants. 

8: Monitoring and Safety 

• Discuss the importance of regular monitoring for anticoagulant therapy. 

• Address safety concerns, including bleeding risks. 

9: Reversal Agents 

• Explain the availability of reversal agents for anticoagulants. 

• Discuss their use in emergency situations. 

10: Patient Education 

• Provide key points for patient education regarding anticoagulant therapy.

• Emphasize compliance, dietary considerations, and recognizing signs of bleeding.

11: Conclusion 

• Summarize key takeaways from the presentation.

• Reiterate the importance of nurse practitioners’ role in managing anticoagulant therapy. 

12 Resources

• Provide references and recommended readings for further learning.

Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric

  

Discussion Topic

       

Topic 1: Healthy People 2030

Healthy People is an initiative of the Office of Disease Prevention and Health Promotion (ODPHP) that addresses health challenges and set projections every 10 years, with the main purpose of improving health indicators nationwide. After completing your readings select three objectives/topics (health problems) of Healthy People 2030 that you consider relevant for your community or region. Of those relevant topics define the one you consider the most crucial or concerning to you. This topic will be from now on the one that to be used for all your class discussions and assignments. It will be “your selected health problem”.

  • Describe your selected health problem. Why is the selected topic important?
  • Will this problem lead to secondary conditions or complications?
  • What criteria are used to understand the risk of developing such conditions or complications?

Healthy People 2030

Topic 2: U.S. Preventive Services Task Force (USPSTF).

The U.S. Preventive Services Task Force (USPSTF) is an independent organization of experts in health promotion that recommends strategies to improve health indicators. Review this source at https://www.uspreventiveservicestaskforce.org/uspstf/ and determine the recommendations and expectations for your selected health problem.

  • Describe your findings and discuss the strengths or benefits of this source. Would you modify something about it, particularly the information concerning to your selected health problem?

Please note the grading rubric for the discussion board.

As a reminder, all discussion posts must be a minimum of 250 words, references must be cited in APA format 7th Edition and must include a minimum of 2 scholarly resources published within the past 5 years.

developing clinical partnerships. week 3

 

you will focus on developing clinical partnerships.

In your text, Teaching in Nursing and the Role of the Nurse Educator, the authors examine several different types of clinical partnerships and models of clinical education.  Clinical partnerships must meet the needs of the educational institution and the clinical agency.  Colleges of nursing often compete for the same clinical slots and are dependent on effective clinical partnerships.  Sustaining good relationships are critical to providing optimal learning experiences for students. There is typically a clinical coordinator at the college and another at the clinical agency.  The nurses in these leadership positions have the primary responsibility for negotiating partnerships and determining clinical placement.

Put yourself in the place of one of these two individuals (academic or agency coordinator), whichever you prefer. Conduct research to better learn the roles, responsibilities, and challenges of the position.  In addition to the book, which is fairly theoretical, find articles that might direct you in a more practical way as you negotiated clinical partnerships from either position.  

Sources: You can use any of the posted articles and your books as references. Find at least two additional peer-reviewed nursing journal articles that relate to your area of focus. 

Nursing grand rounds part 1


Hello, this assignment will continue in week 5, the participant could be a nurse that work in my unit (Med surgical), , and you can pick: (anemia, gastritis, diverticulitis) as a medical diagnosis or something else, just make sure to follow the instructions.


Assignment Overview:
 

The Week 3 Assignment is part of a scaffolded assignment and serves as the basis for creation of the Week 5 Assignment.  

For the Week 3 Assignment: Nursing Grand Rounds Presentation Part 1: Holistic Assessment, you will meet with and assess a selected participant and complete the accompanying Holistic Assessment Form.  In Week 5, you will complete the Nursing Grand Rounds Part 2: Presentation, which is a teaching presentation.

For the Week 5 Assignment, you will use the data collected in the Week 3 Assignment to create a PowerPoint presentation designed to educate your selected participant about an identified medical condition they are experiencing. The Week 3 Assignment data will be used as a foundation for creating the patient-centered teaching presentation due in Week 5.


Assignment Directions: 

· Identify an participant known to you who has a current medical health condition. The participant must be 18 years or older and legally capable of consenting to participate in this activity. The participant 
CANNOT be a family member or a client you have cared for in your professional nursing practice. Using a client or patient who was assigned to receive care from you by an employer, agency, facility, or any organization will result in earning a score of zero (0) points for the assignment.

· Be sure the participant is diagnosed with a medical health condition that meets the assignment requirements. The participant’s medical health condition cannot be congenital (i.e., present at birth). Instead, the medical health condition must have a pathophysiology. The medical condition also must be a primary health alteration (e.g., cyclic vomiting syndrome), and not simply a sign or symptom that is a manifestation of a primary medical disorder (e.g., hyponatremia, dehydration, nausea, vomiting, etc.).

· Complete the 

Holistic Assessment Form
 for the selected participant, then upload the completed form to the Dropbox by the end of Week 3. The form should be typed. The course faculty will review and grade the form for completion and accuracy and will approve the participant/medical condition you have selected as the focus for the Week 5 Assignment. 
Be sure you have approval from course faculty before you begin working on the Week 5 Assignment: Nursing Grand Rounds Part 2: Presentation. 

· After successfully completing the Week 3 Assignment and obtaining faculty approval of the selected participant/medical condition, follow the instructions for completing the Week 5 Assignment: Nursing Grand Rounds Part 2: Presentation.

discussion replies-theory course

Respond to the four colleagues by suggesting other theories, strategies, ideas, and/or best practices for addressing the challenges and barriers they identify. Also agree or disagree with their view of the DNP’s professional role in creating a culture that enables translation of evidence and support your reasoning, including with other actions that promote a culture that embraces translation of evidence. Cite sources to support your posts and to recommend to colleagues. provide at least two references each

week 7 discussion answers

Please respond to each discussion post with 4 to 5 sentences with apa references for each