Client Questions

Choose one type of childhood cancer and discuss the pathophysiology and prognosis of the disease. Discuss the use of cord blood stem cells.  Your initial posting should be 200 to 300 words in length and utilize at least one scholarly source other than the textbook.

Health Care Reform and the Role of NP  Frequently when the shortage of primary care providers is mentioned with regard to healthcare reform, insurance companies and other institutions forget to factor in the impact nurse practitioners can have on increasing access. How do you think we can improve this understanding of the nurse practitioner role?

What are your thoughts  Spiritual care consists of different tools that can assist and make the conversation easier and genuine. “A person’s spirituality and faith values impact his or her understanding of illness as well as health care decisions” (Evans, 2020). I feel that my personal strengths in facilitating spiritual care include my ability to communicate with my patients or their support system. I feel that the way I approach them and talk with them allows them to feel comfortable to discuss the more personal details such as end of life decisions or other spiritual considerations. I feel one of my weaknesses is that I often times don’t always feel I have the right thing to say in certain situations and feel awkward but I think with more experience this will become something that isn’t my weak point in spiritual care. If I was the patient, my loved ones would have the ethical decisions making in difficult situations. I am not married yet but if I were it would be my husband who would make the ethical decisions but until that time comes; I would have my brother make any decisions for me because I know he would make the decisions that I would wish for.

Discussion #1 Research an article defending the position on the advancement of healthcare informatics and technology in healthcare regarding the use of either EHRs, EMRs, or CPOE. Upload to Moodleroom by week 12. Posted a summary in APA Format of the research article More than 250 words  less than 10% Discussion #2 Presentation Due Topic: Healthcare Informatics Research and Innovation ? 8 slides ? 3 References within 5 years (1 must be course textbook) ? Include introduction, a currently emerging healthcare technology system, goals for the product, data supporting the product, healthcare settings (including education), conclusion

Assignment Overview You have just been hired by your State’s health department to help develop a health promotion program. Your first assignment is to use the CDC database, WISQARS Leading Causes of Death Reports, to find out what the leading causes of death in your State are, and how different groups within your State compare to those of the State as a whole. You will use that information to decide which determinants of health your program should focus on. *** I am living in Korea, but from Florida if you want to use that state**** Case Assignment Go to http://www.cdc.gov/injury/wisqars/leading_causes_death.html, and select “Leading Causes of Death 1999 to 2017 (ICD-10), National, Regional and State (Restricted).” For Report Options, select your State. Scroll down to “Advanced Options” and select “Top 5” as the number of causes. Look at the column on the right, labeled All Deaths, to find the top 5 causes of death. Repeat those steps, but select Race, Sex, and specific Age groups on the Report Options to see how/if the leading causes of death vary among differing demographic groups. In an essay, please answer the following: What state did you select? What are the 5 leading causes of death for your State. How do they compare with the 5 leading causes of death for the US? Describe how/if the leading causes of death vary based on different demographic variables such as race, sex, and age. Be specific about which variables you looked at. Based on the findings for your state, what 3 determinants of health would you choose as priorities for health promotion programs? Would you focus your efforts on any specific one? Please explain how those 3 determinants of health affect people’s behaviors in ways that promote well-being. How do they affect people’s behaviors in ways that hinder well-being? Give examples and support your statements with references. Assignment Expectations Length: 2 pages Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should also follow these Assignment Expectations. Required Reading U.S. Department of Health and Human Services. (2018). Healthy People 2020: Leading Health Indicators. Retrieved June 30, 2018, from http://www.healthypeople.gov/2020/LHI/default.aspx U.S. Department of Health and Human Services (2016). Healthy People 2020: Leading Health Indicators.Retrieved from http://www.healthypeople.gov/2020/LHI/default.aspx U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (2014). Public Health Learning Modules-Module 1: Using Healthy People 2020 to Improve Population Health. Part Three: Healthy People and the National Center for Health Statistics. Retrieved from https://vimeopro.com/aptrmodules/phlm/video/75910069

I need this in about 300 words How are you incorporating technology at your site to enhance your project? What technology will you use to gather data and analyze the data?  The project is Doctor of Nursing with the topic-    Impacts of Medication errors on 3-4-year-old Leukemia Patients

Critical Appraisal               As advanced practice nurses, it is vital to critically appraise research studies.  Barr-Walker (2017) discusses that critical appraisal is the practice of systematically analyzing research to evaluate its trustworthiness, value, and pertinence in a specific situation (p. 71).  When critically appraising quantitative studies, it is imperative to assess three factors.   Quantitative Studies  Validity, reliability, and applicability are three essential components of quantitative studies that must be assessed.  Melnyk and Fineout-Overholt (2015) discuss that the validity of a study addresses whether the results of the specific study were acquired from valid scientific resources (p. 93).  If confounding variables are identified in the study, one can conclude that the findings are in jeopardy.  Melnyk and Fineout-Overholt (2015) explain that quantitative studies utilize statistics to release their conclusions (p. 96).  As a provider, one must evaluate the statistics in order to gain an understanding of the reliability of the reviewed study.  Melnyk and Fineout-Overholt (2015) point out that the primary considerations are the breadth of the intervention’s effect and how accurately that effect was predicted.  Combined, these decide the reliability of the study findings (p. 97).  In order to properly assess for accountability, providers must exhaustingly evaluate if the quantitative study is directly applicable to the specific patient population.  Melynyk and Fineout-Overholt (2015) discuss that each study addresses explicit questions that, when addressed, help providers in critically appraising the study in order to determine its worth in the practice setting (p. 107).   Although each of these three factors are vital components to assess, applicability is the most important.  If the quantitative study results cannot be directly applied to the specific patient population, the results can simply not be utilized.  Melynk and Fineout-Overholt (2015) emphasize that analysis of quantitative study results requires the provider to consider the clinical significance of the findings (p. 93).  Consequently, if the quantitative study findings are not directly applicable to one’s specific practice setting, the study results lack pertinence.   Conclusion  LoBiondo-Wood and Haber (2014) explain that it is essential to initially examine the level of evidence that is supported by the design and how the promising strength and quality of the findings can be utilized to improve or alter practice (p. 177).   As advanced practice nurses, it is key to consistently critically appraise studies in order to boost patient outcomes.  Furthermore, consistent appraisal of quantitative studies will assist in expanding one’s clinical knowledge base.   References  Barr-Walker, J. (2017). Evidence-based information needs of public health workers: A                systematized review. Journal of the Medical Library Association, 105(1), 69-79.  LoBiondo-Wood, G., & Haber, J. (2014). Nursing research: Methods and critical appraisal for  evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier. Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and healthcare:  A guide to best practice (3rd ed.). Philadelphia, PA: Wolters Kluwer Health.

Minimum  of 300 words with at least 2 peer review reference in 6th edition apa style.   When talking about narrow therapeutic index drugs one of the difficulties is getting the patients back to the lab to get the the level drawn.  There are all kinds of issues that pop up…forgot, no transportation, didn’t care, sick, weekend, holiday, etc.  Once you make the choice to start a patient on one of these medications you need to figure out a way of keeping them on track.  Please discuss any ideas that you may have that you plan to use to keep these folks up to date with labs, levels, etc.

Write a paper (2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment. Communicable Disease Selection Choose one communicable disease from the following list: 1. Chickenpox 2. Tuberculosis 3. Influenza 4. Mononucleosis 5. Hepatitis B 6. HIV 7. Ebola 8. Measles 9. Polio 10. Influenza Epidemiology Paper Requirements Address the following: 1. Describe the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc. 2. Describe the determinants of health and explain how those factors contribute to the development of this disease. 3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Are there any special considerations or notifications for the community, schools, or general population? 4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up). 5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease. 6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example. A minimum of five peer-reviewed or professional references is required. Prepare this assignment according to the guidelines found in the APA Style Guide, NO PLAGIARISM.

Discussion: Ethical Issues With an Aging Population According to the CDC, “in the United States, the proportion of the population aged >65 years is projected to increase from 12.4% in 2000 to 19.6% in 2030,” (CDC, 2003, para. 2). Caring for this aging population is going to be one of the greatest challenges facing the health care industry. Not only will the number of individuals requiring care rise, but so will the cost. As poignantly stated by Crippen and Barnato, “unless we change the practice of medicine and reduce future costs, and explicitly address the ethical dilemmas we face, there may come a time when our kids simply cannot afford us” (2011, p. 128).  In this Discussion, you will examine the ethical issues that the United States and other nations must address when faced with the health care challenges of an aging population.                                                     To prepare: Consider the ethical aspects of health care and health policy for an aging population.  Review the Hayutin, Dietz, and Mitchell report presented in the Learning Resources. The authors pose the question, “What are the economic consequences, now and for future generations of taxpayers if we fail to adapt our policies to the changing reality of an older population?” (p. 21). Consider how you would respond to this question. In addition, reflect on the ethical decisions that arise when dispersing limited funds. Contemplate the impact of failing to adjust policy in accordance with the changing reality of an older population. Reflect on the ethical dilemmas that arise when determining expenditures on end-of-life health care.  Post an explanation of the ethical standards you believe should be used in determining how resources should be allocated for an aging population and end-of-life care. Then, provide an analysis of the ethical challenges related to the preparation for the provision of such health care. CHECK THE DOCUMENT ATTACHED BELLOW TO COMPLETE TH ASSIGNMENT.