For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:Option 1: The main social insurance programs like Social Security, Medicare, and unemployment compensation are funded by a payroll tax on the earnings of individuals who may receive benefits. Do you think the social insurance programs are effective? How are social insurance programs affected by the socioeconomic and political forces? Explain your answers.Option 2: Research government regulations on a particular area of your choice, such as food, drugs, product safety, fracking, environment, etc. Do you think the government regulations go too far? Do you think the government needs to add more regulations? How are lobbyists involved concerning regulations on food and drug safety, and our environment concerning fracking? Explain your answers.Follow-Up Post InstructionsRespond to at least one peer. Further the dialogue by providing more information and clarification. Minimum of 1 scholarly source which can include your textbook or assigned readings or may be from your additional scholarly research.Writing RequirementsMinimum of 2 posts (1 initial & 1 follow-up)Cite your sources when applicable (assigned readings/online lessons and an outside scholarly source)APA format for in-text citations and list of referencesI WILL PROVIDE PEERS POST

Pulse Check

The “Pulse” Check.  Where are you in your journey and how are you doing?DQ2 of Week 5 is an opportunity for you to self-assess and reflect on your journey. You can write about it or you can share a created video (you-tube) expressing your navigation through the Role course. Model from the scripts in this week, but be specific to your experience.Evaluate how you have achieved course competencies and your plans to develop further in these areas. The course competencies for this course are as follows:Explore the historical evolution of the advance practice nurse.Differentiate the roles and scope of practice for nurses working in advanced clinical, education, administration, informatics, research, and health policy arenas.Analyze attributes of the practice arena such as access and availability, degree of consumer choice, competition, and financing that impact advanced practice nurses and their ability to effectively collaborate with other health professionals.Integrate evidence from research and theory into discussions of practice competencies, health promotion and disease prevention strategies, quality improvement, and safety standards.Identify collaborative, organizational, communication, and leadership skills in working with other professionals in healthcare facilities and/or academic institutions.Synthesize knowledge from values theory, ethics, and legal/regulatory statutes in the development of a personal philosophy for a career as an advanced practice nurse.


Discussion: Health Promotion During PregnancyWhen caring for pregnant women, it is important to care for the whole person. This means you not only manage the pregnancy and treat conditions, but you also promote healthy behaviors and good lifestyle choices. Through health promotion, you can help to ensure the safety of both the mother and the baby. Your role in health promotion is to identify health risks that might result in pregnancy complications, educate patients on these risks, and provide the necessary support to help patients mitigate these risks. In this Discussion, you examine implications of drug use, alcohol consumption, dietary habits, and environmental exposures during pregnancy, and you consider ways to educate pregnant women about such risks.To prepare:  Due 10.10.17 by 12 noon1. Review Chapter 2 of the Tharpe et al. text and the2. Article from the Centers for Disease Control and Prevention in this week’s  Learning Resources:3. Consider lifestyle changes that pregnant women must make in relation to smoking. Select one of these topics to be the focus of an educational media piece you would create for health promotion during pregnancy.· 4. Think about the patient population that you treat within your practicum setting. Consider ways to educate these patients on health promotion as it relates to the topic you selected. Then, consider the types of educational pieces, such as posters, that might be most effective with your patient population.Post a detailed description of the educational media piece you would create for health promotion during pregnancy. Explain why you selected the particular topic (SMOKING), as well as why you selected the type of media (POSTER),  and how and why it is suitable for your patient population.Note: Attach the POSTER to your Discussion posting before the References.DUE ON: OCT. 17.17 by 12 noonAPA FORMATZERO PLGIARISM1&1/2 PAGE only.:earning Resource/Required Readings/ReferencesSchuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.Review Chapter 30, “Diagnosis of Pregnancy and      Overview of Prenatal Care” (pp. 781-797)This chapter examines the diagnosis of pregnancy, routine prenatal care, and patient education strategies for pregnant women.Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers.Review: Chapter 2, “Care of the Woman During      Pregnancy” (pp. 49-90)This chapter explores the care of women during pregnancy, including common health conditions and health promotion.Chapter 3, “Care of the Pregnant Woman with      Prenatal Conditions” (pp. 93-154)This chapter examines the care of women who suffer from complications during pregnancy and focuses on interventions that maximize health outcomes for the mother and baby.Centers for Disease Control and Prevention. (2011). During pregnancy. Retrieved from http://www.cdc.gov/pregnancy/during.htmlThis website emphasizes the need for health promotion during pregnancy. Implications of smoking, alcohol, infections, and environmental exposures are explored.Optional ResourcesCenters for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/

MN569 Advanced Practice Nursing: Case Study

No Plegarism please, assignment will be checked with Turnitin.Will need minimum of 1 to 1 and 1/2 full content pages, plus title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations. References within 3 years (2016-2018).Location: XYZ Family PracticeYou are an NP student in this practice. Your next patient is the following:“I had to come in today because I have been coughing for a long time”Amanda Smith (69 year old, black female) is a retired postal worker. During the visit, she is coughing continually. She states the cough started 5 days ago intermittently but 2 days ago it became constant. Her chart indicates that she has been a patient of the practice for 5 years, gets care regularly and her HTN has been controlled for 4 years.Social HistoryMarried – 2 adult children A & WNon-Smoker now. Smoke 1 pack a day for 15 years. Quit x5 years agoNo alcohol or drug useBaptist, attends church regularly and is a member of the choirFamily HistoryMother – Deceased at age 27 from traumatic accidentFather – Deceased age 78 related to renal failure secondary to diabetes type IISiblings – one brother age 61 A & WMedical/Surgical/Health Maintenance HxMeasles, mumps and chicken pox as a child.Tetanus/Diptheria/Pertussis – Last dose 2 years agoInfluenza – Last dose 9 months agoPneumococcal vaccine at age 65Zostivax at age 60Chronic diagnoses – HTN x 5 yearsTakes HCTZ 25 mg dailyROSGeneralUsual weight has been maintainedFever for 5 days up to 101SkinDry skin, uses emollient frequentlyHEENTWears reading glassesDentition fair. Partial upper dentureNeckNo swelling or stiffnessChestSubsternal pain on coughRespiratoryBegan coughing 4 days ago. Started mild, intermittent and non-productive. Two days ago became constant and productive of frothy sputum. Keeps her awake at night. No relief with OTC cough syrup. She states she is short of breath today.CVNo CP at rest or when not coughingPVSome swelling of feet and ankles at end of day, relieved by elevating feetGIDecreased appetite for one weekNo change in bowel habitsGUNo frequency, hesitancy, nocturia or change in bladder habitsGenitaliaNo changesMSStiffness in hands and legs on awakening. Relieved with activityPsychNo depression, anxiety, or memory changeNeurologicNo numbness, weakness, headache, change in mentation, or paralysisHematologicNo past anemiaEndocrineNo change in weight, thirst, heat/cold intolerance.Your physical exam reveals:Temp 101.4, Resp 30 labored, no retractions, BP 135/92, HR 110, Pulse Ox 90 Wt 130 lbsGeneral appearance – Alert in all spheres, in mild respiratory distress, able to answer questions with short sentences, tripod breathingHEENT –Eyes ,ear, nose, head wnlMouth -mucosa dryPharynx – tonsils present not enlarged, normal pink colorLymph – no enlargementSkin – Dry and scaly legs and arms. Tenting of skin notedHeart- regular rhythm at 110 bpm, no murmurs or extra soundsLungs – normal breath sound without crackles, bronchophony or egophonyAbdomen – no mass, tenderness, rigidityExtremities – Hands – no swelling, Feet/legs – +1 edema feet to ankle levelPedal pulses – wnlDifferential diagnoses:CAPAcute bronchitisCongestive heart failureInfluenzaPlan – transfer to acute care setting for further work-upAssignment Details:The “Elevator Consult”In this activity, you will practice giving a synopsis of your patient to your preceptor. In practice, you may often give this type of report if you are sending a patient for a consultation and your phone the specialist to discuss the patient. This report should be concise and clear. The receiver should, within one minute (slightly less for simple cases, slightly more for complex cases) have a picture of the patient in his/her head. You will report on ONLY items pertaining to the acute problem in this case. Do not include extraneous material or material not directly impacting the decision-making regarding this problem. Remember, this is a FOCUSED visit and assessment to evaluate a focused concern. The history and physical exam applies techniques relevant to the specific complaint for the patient at that visit. Your report should be similarly focused, providing only information that relates specifically to the presenting problem.Please review the grading rubric under Course Resources in the Grading Rubric section.

2. Health Care Policy, Nursing Research and Nursing Theory (Due 20 hours)

APA Format1) Minimum 6 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per pagePart 1: minimum 1 pagePart 2: minimum 1 pagePart 3: minimum 1 pagePart 4: minimum 1 pagePart 5: minimum 1 pagePart 6: minimum 1 pageSubmit 1 document per part2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphBulleted responses are not acceptedDon’t write in the first personDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 3 references (APA format) per part not older than 5 years  (Journals, books) (No websites)All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXX6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.doc__________________________________________________________________________________Part 1: Health Care policyReflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.1. What do you think are some effective tactics for APN strategic positioning regarding pay equality?2.  Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.Calculating Your Worth: Understanding Productivity and value-https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/Part 2: Health Care policy1. Reflect on advocating for nursing professionals and nurses- readings pertaining to health policy and politics.2. Identify which one MSN Essential most relates to your selected topic.Part 3: Nursing Research1. What are the challenges encountered in data collection as it applies to research?Data collection techniques and instruments:The technique that was used is the survey, which will allow to the collection of information that will be provided by the study subjects to obtain an answer to the research problem. Regarding the data collection instrument, the following were used:• Scale to measure lifestyles in diabetic patients.2. What are the types of interview technique when interviewing participants?3  List your preferences and tell us why?Part 4: Nursing Research1. Reflect on  Chapter 16: Internet, Secondary Analysis, and Historical Research (See File attached)Part 5: Nursing TheoryReviewing the Nursing as Caring Theory, we come to understand that humans are intrinsically motivated to care for others. Based on this theory:1. How do you provide care for someone who is a criminal that needs care? (Example, a prisoner is brought to your unit for care, after being beaten for molesting a child).The transitions theory incorporates intervention and comprehension of what has taken place.2. How do you apply the transitions theory to your current nursing practice?Part 6: Nursing TheoryReflect on Joanne Duffy’s Quality-Caring Model and  Katharine Kolcaba’s Comfort Theory

SWOT analysis of Lincoln Hospital Bronx NY serving multi- ethnic community

A SWOT analysis can help to identify internal and external factors that can help or hinder organization or program success. A SWOT analysis organizes the Strengths, Weaknesses, Opportunities, and Threats of an organization or program. The identification of weaknesses and threats indicates factors that have a negative impact to the organization or program and need to be addressed. Strengths and opportunities are factors that have a positive impact on the organization or program and should be maintained.For this assignment, you will complete a SWOT analysis for your practicum site/organization or program using the “SWOT Analysis” template provided{Practicum site is an hospital serving multi-ethic community}APA format is not required, but solid academic writing is expected.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

nursing healthcare wk4/project/

Week 4 ProjectReaching out a SolutionThis assignment is designed to assist you in developing a thoughtful process for advocating about an issue as a nurse, from identifying a problem that needs to be solved through articulating a process for doing so.This assignment consists of answering each of the questions listed below from the “Political Analysis and Strategies”(see attached chapter/document)chapter of your course textbook. Write each question as a new topic area; then follow with a paragraph or two to answer the question. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources, if any used. This project should be no longer than 4 pages.Let us assume that you are a school nurse in a high school. At a recent school athletic event, a spectator suffered a cardiac arrest in the stands. A coach of the home team went into the high school to fetch the automatic emergency defibrillator (AED) only to find out that it was not readily available. In the meantime, an emergency squad arrived and resuscitated the spectator. On Monday morning, you learn of the absence of the AED only to find out that it had been locked in the custodian’s closet. Reflect on the following questions outlined in the “Political Analysis and Strategies” chapter:· What is the issue?· Is it my issue, and can I solve it?· Is this the real issue or merely a symptom of a larger one?· Does it need an immediate solution, or can it wait?· Is it likely to go away by itself?· Can I risk ignoring it?· What are the possible solutions? Are there risks to these solutions?· What steps would you need to take in order to solve the issue?· Does anyone else at the school need to be involved in the solution?· Where is the power leverage in the school to reach the preferred solution?Reaching a solution requires the use of power vested in the nurse. Review Box 9-1 (Sources of Power) and determine which type(s) of power the school nurse has in this situation. State your reasons for your answer.Submission Details:· Submit your response in a 4-page Microsoft Word document.· Cite sources in the APA format on a separate page.

Strategic Management and Leader Innovation

Joint Commission visits promote a high level of anxiety across the entire organization, don’t they, Carlos?  In reality, though, they are the opportunity for nurses to shine and really “strut their stuff”.  Nurses have the street cred on the floor that can either really impress the examiners – or it can sink efforts to gloss over the ugly parts if senior management thinks they can snow them.  Nurses are often in the best position to show the true status of an organization and are also the ones best suited to intervene if there is an issue.How can nursing leaders promote a culture that encourages everyone to bring up shortfalls (maybe not to Joint Commission) in order to address concerns and systemic issues?Please answer this question with at least 3 sources.