MSN5400 REPLIES 2

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 Reply these words with 200 words each one and reference

Title: Influencing Healthcare Through Advocacy: A Personal Journey and how to 

create effective interdisciplinary organizational and systems leadership in the care of clients in diverse care settings.

Introduction

Learning the ropes of policy, politics, and advocacy is a transformative endeavor with the ultimate goal of influencing healthcare and broader social agendas that profoundly impact human health. In this discussion, I become an advocate to effect change in healthcare, reflecting the purpose of mastering these skills.

Advocacy for Universal Healthcare Access

My journey into healthcare advocacy began when I witnessed the struggles of a close friend, Emily, who was burdened by exorbitant medical bills due to a chronic illness. Fueled by empathy and a desire for equitable healthcare, I embarked on a path to advocate for universal healthcare access.

            1.         Policy Analysis and Research: I started by immersing myself in healthcare policy analysis and research (Smith et al., 2018). This included studying existing healthcare systems worldwide to understand their strengths and weaknesses. Through this, I gained the knowledge needed to advocate for an inclusive healthcare system.

            2.         Community Engagement: Recognizing that community support is crucial for advocacy, I organized town hall meetings, awareness campaigns, and grassroots movements to engage citizens in discussions about healthcare access (Gitterman, 2017). By fostering a sense of shared responsibility, we encouraged individuals to join the cause.

            3.         Legislative Advocacy: I proactively engaged with lawmakers, presenting data and personal stories to advocate for policy changes aimed at expanding healthcare access. Collaborating with like-minded organizations and lobbying for healthcare reform became integral to my advocacy efforts (Berkowitz & Wolff, 2020).

            4.         Patient-Centered Advocacy: To amplify the voices of patients like Emily, I encouraged them to share their experiences and struggles. These personal stories resonated with policymakers and underscored the urgent need for healthcare reform (Travis, 2019).

            5.         Building Coalitions: Recognizing the power of partnerships, I formed coalitions with healthcare professionals, advocacy groups, and community leaders. These alliances strengthened our advocacy efforts and allowed us to pool resources and expertise (Berkowitz & Wolff, 2020).

Conclusion

My journey in healthcare advocacy reflects the purpose of mastering policy, politics, and advocacy skills – to influence healthcare and broader social agendas. Through policy analysis, community engagement, legislative advocacy, patient-centered efforts, and strategic partnerships, I worked towards the vision of universal healthcare access.  This it highlights the profound impact advocacy can have in shaping the future of healthcare and improving human health on a broader scale.

2. I have learned to value the crucial part that politics, lobbying, and policy play in determining the healthcare landscape throughout my work as a nurse. One specific instance stands out as proof of the effectiveness of advocacy in changing health care and more general societal goals.

I recently came across a critical problem involving patient safety and drug delivery while working as a clinical nurse in a big urban hospital. It became clear that our current system had a history of mistakes, especially when it came to high-risk drugs. This finding is confirmed by Pozzi’s (2023) study. Concerns over near-miss occurrences and sporadic medication mistakes had been raised among the nursing team, and it was obvious that something needed to be done to safeguard the safety of our patients.

Seeing the gravity of the situation, I started an advocacy journey to deal with it. The first step was acquiring information and proof to support my claims. I carefully recorded incidences and reviewed the available research on the best medication administration methods. I used this knowledge to report my findings to the hospital’s quality improvement committee.

Gaining support for the suggested improvements required active participation from stakeholders, as evidenced in the study by Beaudry et al. (2019). I formed a multidisciplinary task force with other nurses, pharmacists, and doctors to enhance pharmaceutical safety. We held regular meetings to discuss solutions, examine policies, and implement actual initiatives.

The adoption of a barcode scanning technology for medicine administration was one of the main campaign initiatives. I thought this technology had a lot of promise for our hospital because it had successfully reduced prescription errors in other healthcare settings. I did a ton of study on the advantages and affordability of this approach, and I made a strong argument to hospital executives.

The practice of advocacy went beyond hospital boundaries. I spoke with representatives from pharmaceutical companies, went to patient safety seminars, and connected with industry experts. I was able to present creative solutions by keeping up with developments in medicine administration technologies and best practices.

I worked with the hospital’s nursing leadership to write a policy proposal describing the implementation strategy for the barcode scanning technology as the advocacy efforts picked up steam. This comprised a thorough rollout schedule, workflow modifications, and employee training. I made sure that frontline nurses’ involvement was included in the policy because their viewpoints were crucial for forming its actual implementation.

The conclusion of these campaign efforts was the effective introduction of barcode scanning technology for drug administration. The new approach greatly decreased prescription errors and near-miss instances, improving patient safety and boosting nursing staff trust.

This example demonstrated the significant influence lobbying may have on medical outcomes. I was able to have an impact on an important component of patient care by identifying a problem, obtaining data, enlisting stakeholders, and promoting creative solutions. It strengthened my resolve to be a proactive advocate for the welfare of my patients and the larger community, and it confirmed my belief in the ability of advocacy to bring about constructive change in the healthcare industry.

Characteristics of Prokaryotic and Eukaryotic Cells: Discussion

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Initial Post Instructions

First, let’s differentiate all the detailed vocabulary about all these cells we learned this week. When looking under microscope what structural differences would you see between two types of cells.

Now choose ONE cellular component (e.g. a part of a cell) that is found only in bacteria. Discuss what its role is.

-OR-

Choose ONE cellular component that is only found in eukaryotes. Discuss what its role is.

For your second post, comment on a peer’s post. If they chose a prokaryotic cellular structure, please share whether or not you think that structure would be a good target for antibiotics and why?

If your peer chose an eukaryotic cellular target, I want you to think about evolution and the endosymbiotic theory. The endosymbiotic theory states that mitochondria and chloroplasts were initially free living organisms that entered larger cells through endocytosis, but were not digested. What is the evidence, and are you convinced? Why or why not?

Nursing

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This week’s discussion is a two-fold discussion. First, explain the role of the Psychiatric Mental Health Nurse Practitioner as it relates to the scope of psychotherapy. Second, explain how this week’s discussion aligns with the following APNA standard:

• Standard 5G: Therapeutic Relationship: Psychiatric-mental health registered nurse uses therapeutic relationship as the basis for interactions and the provision of care.

The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Thursday, 11:59 p.m.

Eastern Time. Two scholarly source references are required unless stated otherwise by your professor. The student provides a substantive response to the discussion question or topic on Thursday day and posts at least two additional responses to peers on another day(s). The answers to classmates must be posted by Sunday, 11:59 p.m. Eastern Time. We expect each student to participate in the discussion board respectfully.

Please review the rubric before posting to ensure a maximum of points. Here are the categories of the new discussion rubric:

Initial Post relevance to the topic of discussion, applicability, and insight. (20%)

Quality of Written Communication Appropriateness of audience and word choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)

Inclusion of APNA standards essentials explored in the discussion and the role-specific competencies as applicable. (10%)

Rigor, currency, and relevance of the scholarly references. (Use articles that are below five years old). (20%)

Peer & Professor Responses. The number of responses and quality of response posts.

(20%)

Timeliness of the initial post and the answers to the peers. (10%)

video presentation

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let me know if you can handle it

Health Assessment

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 Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and assess his or her health risks. 

   CASE STUDY AG is a 54-year-old Caucasian male who was referred to your clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore. 

Isama

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Nicole Washington 

        Explain the agonist-to-antagonist spectrum of action of  psychopharmacologic agents, including how partial and inverse agonist  functionality may impact the efficacy of psychopharmacologic treatments.

Neurotransmitters and some drugs that stimulate receptors are  called agonists. Agonists stimulate receptors to their fullest signal  transduction. Drugs that act as agonists are useful in patients who lack  or are deficient in agonist neurotransmitters. In situations where the  actions of a full agonist or partial agonists are undesirable, an  antagonist is required to revert the receptor back to the state where no  agonist exists, back to neutral. Partial agonists act as they sound,  and produce a conformational change of a receptor that is halfway  between the changes of a full agonist and the baseline conformation of  that receptor. An antagonist can also reverse the effects of inverse  agonists to the receptors baseline. An inverse agonist acts to change  the conformation of a receptor to completely inactivate it and remove  the baseline constitutive activity. 

Compare and contrast the actions of g coupled proteins and ion gated channels.

Both G protein coupled receptors and Ion gated channels are a  form of signal transduction cascades in the brain. They are both  triggered by neurotransmitters, and many of the psychotropic drugs used  today affect one of these two cascades. They both perform when an  extracellular first messenger passes a message to an intracellular  second messenger. However, G protein’s second messenger is a chemical,  such as adenosine monophosphate, while the ion channel second messenger  can be an ion, such as calcium. There are two classes of ion channels,  Ligand gated and voltage sensitive ion channels. The ligand gated ion  channels act similar to g protein receptors because they use the agonist  spectrum. Voltage sensitive ion channels are opened and closed based on  the voltage charge across the membrane.

Explain how the role of epigenetics may contribute to pharmacologic action.

Epigenetics determines if inherited genes are expressed or not  expressed into proteins that make up the story of any one person. The  mechanism of epigenetics turns genes on or off by modifying chromatin.  These modifications are regulated by neurotransmitters, drugs and the  environment. So drugs introduced to patients can affect a person’s  epigenetics.

Explain how this information may impact the way you prescribe  medications to patients. Include a specific example of a situation or  case with a patient in which the psychiatric mental health nurse  practitioner must be aware of the medication’s action.

Understanding the way medications will affect patients based on  their genetic makeup, their current medications, the condition being  treated, what causes the imbalance, is all important when prescribing  medications. For example imipramine, a tricyclic antidepressant,  inhibits the reuptake of serotonin and norepinephrine, elevating these  neurotransmitters in the brain. It is important to understand if this is  the cause of the patients depression before prescribing this medication  because if incorrectly prescribed it could alter the patients  epigenetic mechanisms in an inverse way (Boks, et al. 2012). 

informatics

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The table below gives some operational statistics for two hospitals located in the same community. Use the table to answer the following questions.

  1. Calculate the following measures for each hospital (wherever appropriate, calculate the measure for each pay type). Discuss the meaning and significance of each measure and point out the differences between the two hospitals.
    1. Hospital capacity
    2. ALOS
    3. Occupancy rate
  2. Operationally, which hospital is performing better? Why?
  3. Do you think the nonprofit hospital is meeting its community benefit obligations in exchange for its tax-exempt status? Explain.
  4. Do you think the hospitals have a problem with excess capacity? If so, what would you recommend? In your answer to this question, please consider how hospital governance may impact the ability of an administrator to make changes.

discussion post 3 psycho

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 Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:

J.T.  is a 20 year-old who reports to you that he feels depressed and is experiencing a significant amount of stress about school, noting that he’ll “probably flunk out.” He spends much of his day in his dorm room playing video games and has a hard time identifying what, if anything, is enjoyable in a typical day. He rarely attends class and has avoided reaching out to his professors to try to salvage his grades this semester. J.T. has always been a self-described shy person and has had a very small and cohesive group of friends from elementary through high school. Notably, his level of stress significantly amplified when he began college.

You learn that when meeting new people, he has a hard time concentrating on the interaction because he is busy worrying about what they will think of him – he assumes they will find him “dumb,” “boring,” or a “loser.” When he loses his concentration, he stutters, is at a loss for words, and starts to sweat, which only serves to make him feel more uneasy. After the interaction, he replays the conversation over and over again, focusing on the “stupid” things he said. Similarly, he has a long-standing history of being uncomfortable with authority figures and has had a hard time raising his hand in class and approaching teachers. Since starting college, he has been isolating more, turning down invitations from his roommate to go eat or hang out, ignoring his cell phone when it rings, and habitually skipping class. His concerns about how others view him are what drive him to engage in these avoidance behaviors.

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

  1. Generate a primary and differential diagnosis using the DSM-5 criteria.
  2. Develop a biopsychosocial plan of care for this client.
  3. Compare and contrast fear, worry, anxiety, and panic.

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.
  • 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.

REPLY

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The role of nurses in the COVID-19 vaccination mandate, telemedicine, and prescription drug pricing is pivotal in advocating for and ensuring a more efficient and patient-centered healthcare system. First and foremost, nurses have played an indispensable role in the global fight against the COVID-19 pandemic. Their contribution to the vaccination efforts has been monumental. Nurses have not only administered vaccines but also served as the face of hope and comfort to countless individuals receiving the vaccine. Their compassionate and humanistic approach has helped alleviate vaccine hesitancy and fear, ensuring that a larger segment of the population gets vaccinated. Beyond the actual vaccination process, nurses have been at the forefront of patient education, conducting interviews to gather crucial health information, and explaining the importance of immunization. Their meticulous monitoring of patients for adverse reactions has been essential in maintaining the safety of the vaccination process. In essence, nurses have been the linchpin of prevention during this pandemic, working tirelessly to protect public health (Pérez, 2021).

Telemedicine, another significant development in healthcare, has been further accelerated by the pandemic. Nurses have been instrumental in the adoption and effective implementation of telemedicine services. Through telehealth platforms, nurses have been able to provide care remotely, ensuring that patients continue to receive vital medical attention while minimizing the risk of virus transmission. This has been especially crucial for individuals with chronic conditions who require regular check-ups and monitoring. Nurses have not only conducted virtual consultations but have also played a vital role in educating patients on how to use telemedicine effectively. They have bridged the gap between technology and healthcare, making it more accessible and user-friendly for patients, ultimately saving them time, money, and, most importantly, lives.

On the front of prescription drug pricing, nurses have also been advocates for patients. The pandemic disrupted global supply chains, leading to fluctuations in the prices of essential medications, particularly for individuals with non-communicable diseases (NCDs). Nurses, as patient advocates, have been vocal in highlighting the challenges patients face due to rising drug costs. They have played a crucial role in bringing attention to this issue at both the individual patient level and within healthcare organizations. Nurses have been at the forefront of working with healthcare providers to explore cost-effective alternatives and to ensure that patients continue to have access to the medications they need. Their advocacy extends to policy discussions, pushing for reforms in drug pricing that would prioritize patient affordability and well-being (OPS, 2023).

In conclusion, nurses have demonstrated their indispensable role as advocates in the healthcare system during the COVID-19 pandemic. They have tirelessly worked to administer vaccines, provide compassionate care, and promote prevention. Nurses have embraced telemedicine as a means to deliver care remotely, making it accessible and convenient for patients. Additionally, they have been vocal advocates for patients grappling with rising prescription drug prices, working to ensure that healthcare remains patient-centered. The pandemic has highlighted the resilience, dedication, and advocacy of nurses, reinforcing their crucial position in shaping the future of healthcare.

Discussion post for Presidential Agendas

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Resources to use:

 

 

To Prepare:

  • Review the Resources and reflect on the importance of agenda setting.
  • Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities

 Post your response to the discussion question: Consider a population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently?