.The impact of the IOM report on the nurse’s role as a leader.  Cite a minimum of three references.  Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.  Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:

1.The impact of the IOM report on nursing education.

2.The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.

3.The impact of the IOM report on the nurse’s role as a leader.  Cite a minimum of three references.  Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

What are the characteristics of a population for which it would be appropriate to use mean/median/mode?

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What are the characteristics of a population for which it would be appropriate to use mean/median/mode? When would the characteristics of a population make them inappropriate to use?

What is the anticipated pharmacologic plan for managing Mr. Y’s acute pain?  Provide a justification for the plan including a citation from a peer-reviewed source.

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Mr. Y is a 47 year old, mixed race [Asian/African ethnicity], male patient who presented to your office with severe right great toe pain.  Onset of the pain was 2 days ago.  Mr. Y denies any known trauma to his right foot or his great toe on that foot.  His right great toe is red and became so swollen in the last day that he cannot put on his shoe.

Mr. Y has a history of hypertension for which he is taking HCTZ 25mg daily, Metopralol 50 mg twice daily, and Lisinopril 10 mg daily.  He denies any other medical problems.

Results of the lab tests that were ordered:

Sed rate – 93; Glucose, random – 117 mg/dl; Hgb – 13.4 gm/dl; WBC – 8200/ccm with normal diff; Serum uric acid – 10.9 mg/dl; Serum creatinine – 1.2 mg/dl

Assignment Questions

  1. Based on presenting symptoms and lab findings, what is most likely diagnosis that will be made for Mr. Y?
  2. What is the anticipated pharmacologic plan for managing Mr. Y’s acute pain?  Provide a justification for the plan including a citation from a peer-reviewed source.
  3. What is the anticipated pharmacologic plan for long-term management of Mr. Y’s diagnosis?  Provide a justification for the plan including a citation from a peer-reviewed source.
  4. Identify the key elements of the education plan that would be appropriate for the patient about the acute and chronic pharmacologic plans you identified above.

Instructions 

  • Prepare and submit a 3-4 page paper [total] in length (not including APA format).
  • Answer all the questions above.
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:
    • Case Study: Acute Joint Inflammation

Topic 2: Rheumatoid Arthr

What is the mechanism of action of prednisone?

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A 50 year old woman has had rheumatoid arthritis for 3 years and has been taking multiple NSAID’s. She has taken corticosteroids a few times during flare ups.

The disease seems to be progressing with stiffness and swelling in her hands and wrists. Examination reveals rheumatoid nodules, synovitis of both wrists and metacarpo-phalangeal joints. This is an indication of an acute exacerbation of rheumatoid arthritis. She is prescribed methotrexate with sulfasalazine and a short course of prednisone.

Assignment Questions

  1. What is the mechanism of action of prednisone?
  2. What is the concern with chronic treatment with glucocorticoids?
  3. What is the mechanism of action of methotrexate and sulfasalazine.
  4. What are the side effects of methotrexate and sulfasalazine

Instructions

  • Prepare and submit a 3-4 page paper [total] in length (not including APA format).
  • Answer all the questions above.
  • Support your position with examples.
  • Please review the rubric to ensure that your assignment meets criteria.
  • Submit the following documents to the Submit Assignments/Assessments area:
    • Case Study: Rheumatoid Arthritis

.  Based on these chosen communicable illness prepare an analysis discussing how this 3-communicable illness affect your community, and how they were identified and a plan of action to contained them base on healthy people 2020.       

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TURNITIN ASSIGNMENT!!!

Please be aware that the percentage of plagiarism for this assignment is 25%.

 

1.  Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative.  Pay close attention to the objectives, goals and the indicators.

2.  Using your city or county public health department: http://miamidade.floridahealth.gov/  You can choose any of these two counties(Miami-Dade County, Florida, or Broward County, Florida) identify an epidemiological and surveillance data related to population based communicable illnesses.

Illnesses chosen:

1. Tuberculosis

2. Hepatitis B

3. Gonorrhea

4.  Based on these chosen communicable illness prepare an analysis discussing how this 3-communicable illness affect your community, and how they were identified and a plan of action to contained them base on healthy people 2020.

– Presentation must be in APA format.

– Arial 12 font attach to the forum/thread in the assignment tab and turnitin with a minimum of 1000 words (excluding first and references page)

– A minimum of 3 evidence based references no older than 5 years are required.    – The assignment must include the zip code of the city or county chosen.

Once again, the assignment will be posted in turnitin to verify originality!

FREE OF PLAGIARISM!!!!

How does your nursing experience influence the advocacy position that you take on the AHCA? Submission Details:

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First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

This assignment has two parts, numbered below. Write each question as a new topic area, then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Tasks:

  1. Imagine that you are going to make a visit to your representative in Congress. Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit. This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred. This “leave behind” should have 1 inch margins and utilize 14-point font throughout. If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit. Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.
  2. Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following:
    • Was your member in support or in opposition to the AHCA?
    • State three points that you would cover in support or opposition to your representative’s position.
    • How does your nursing experience influence the advocacy position that you take on the AHCA?

Submission Details:

  • Submit your response in a 4-page Microsoft Word document.
  • Name your document SU_NSG4068_W3_Project_LastName_FirstInitial.doc.
  • Submit your document to the Submissions Area by the due date assigned.
  • Cite sources in the APA format on a separate page.

Discuss the difference between preventative and diagnostic laboratory tests and why this is important to distinguish between in the primary care site.

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 No Plagiarism please.

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: 3 references (2015-2018) with intext citations.

 

Topic: Preventative vs Diagnostic

Discuss the difference between preventative and diagnostic laboratory tests and why this is important to distinguish between in the primary care site.

Include in the discussion the ten most commonly ordered laboratory and diagnostic tests ordered in your practicum site and the criteria for ordering.

* (My practicum site is Primary care medicine)

Common lab tests:  CMP, CBC, hemoglobin A1c, Cholesterol, Thyroid panel, Renal funcition labs BUN and creatinine , Chest xrays,  these are some of the most ordererd.

What are the educational requirements to practice as a FNP?

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“Professional Roles and Responsibilities”Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients. Share your thoughts

  1. What are the educational requirements to practice as a FNP?
  2. According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners.
  3. Who determines the scope of practice for FNPs?
  4. Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role?
  5. See rubric

Discussion 3:

Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions:Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting?   Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ?                                            Discussion 4:

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include: Presigning blank prescription forms. Prescribing a Schedule II for office use. Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions. Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance. Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice. Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice. Prescribing, dispensing, or administering a controlled substance to himself or herself. Prescribing, dispensing, or administering laetrile. Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act. Promoting or advertising controlled substances.After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

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Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Part 2 of assignment

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following: Presentation Notes A Must

  1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
  2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.