Client Questions

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations: Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020. Recommendation 5: Double the number of nurses with a doctorate by 2020. Recommendation 6: Ensure that nurses engage in lifelong learning. Identify your options in the job market based on your educational level. How will increasing your level of education affect how you compete in the current job market? How will increasing your level of education affect your role in the future of nursing? While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Suppose that you have two sets of data to work with. The first set is a list of all the injuries that were seen in a clinic in a month’s time. The second set contains data on the number of minutes that each patient spent in the waiting room of a doctor’s office. You can make assumptions about other information or variables that are included in each data set. For each data set, propose your idea of how best to represent the key information. To organize your data would you choose to use a frequency table, a cumulative frequency table, or a relative frequency table? Why? What type of graph would you use to display the organized data from each frequency distribution? What would be shown on each of the axes for each graph?

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following: Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum. Discuss how nurses can assist in effectively managing patient care within an evolving health care system. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

2 pages, 3 sources, APA, due in 36 hrs. Again, if you know your grammar is not PERFECT, please do not bid. I will REJECT the paper.

The case scenario provided will be used to answer the discussion questions that follow. Case Scenario Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center. Objective Data Height: 68 inches; Weight 134.5 kg BP: 172/96, HR 88, RR 26 Fasting Blood Glucose: 146/mg/dL Total Cholesterol: 250mg/dL Triglycerides: 312 mg/dL HDL: 30 mg/dL Critical Thinking Questions What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not? Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime. Ranitidine (Zantac) 300 mg PO at bedtime. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime. The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient. Assess each of Mr. C.’s functional health patterns using the information given. (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.) What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

Assignment: Personal Leadership Philosophies Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches. What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions. What is your leadership philosophy? In this Assignment, you will explore what guides your own leadership. To Prepare: Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments. Reflect on the leadership behaviors presented in the three resources that you selected for review. Reflect on your results of the CliftonStrengths Assessment, and consider how the results relate to your leadership traits. The Assignment (2-3 pages): Personal Leadership Philosophies Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following: A description of your core values A personal mission/vision statement An analysis of your CliftonStrengths Assessment summarizing the results of your profile A description of two key behaviors that you wish to strengthen A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples. Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2.

The Patient Protection and Affordable Care Act (PPACA) was passed   into legislation in March of 2010. Identify the impact of this   legislation on your nursing practice by choosing two key nursing   provisions outlined in the topic material “Nursing and Health   Reform.” Discuss how these two provisions have impacted, or will   impact, your current practice of nursing.

Based on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale.

Discussion: Assessing the Ears, Nose, and Throat Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment. Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes, but would probably perform a simple strep test. In this Discussion, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions. Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.  Case 1: Nose Focused Exam Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous. Case 2: Focused Throat Exam Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus over the past two weeks, Lily figured she shouldn’t take her three-day sore throat lightly. Your clinic has treated a few cases similar to Lily’s. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn’t sound congested. Case 3: Focused Ear Exam Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked. He has complained to her about a mild earache for the past two days. His grandmother believes that he feels warm but did not verify this with a thermometer. James states that the pain was worse while he was falling asleep and that it was harder for him to hear. When you begin basic assessments, you notice that James has a prominent tan. When you ask him how he’s been spending his summer, James responds that he’s been spending a lot of time in the pool. To prepare: With regard to the case study you were assigned: · Review this week’s Learning Resources and consider the insights they provide. · Consider what history would be necessary to collect from the patient. · Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? · Identify at least 5 possible conditions that may be considered in a differential diagnosis for the patient. Note: Before you submit your initial post, replace the subject line (“Week 5 Discussion”) with “Review of Case Study ___,” identifying the number of the case study you were assigned. Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Read the article below and watch the attached videos then answer the questions below Video 1: Obamacare and October 1st: Healthcare Triage #1 Watch Video     Video 2: Is Obamacare Working? The Affordable Care Act Five Years Later Watch Video Bauer, J (2010). Nurse practitioners as an underutilized resource for health reform: Evidence-based demonstrations of cost-effectiveness. Journal of the American Academy of Nurse Practitioners 22 (2010) 228–231.  doi:10.1111/j.1745-7599.2010.00498.x Article1: Nurse practitioners as an underutilized resource for health reform: Evidence-based demonstrations of cost-effectiveness Briefly explain how the ACA works and compare it to US healthcare before it’s inception. Are things better? Worse? Has the ACA improved overall health in the US? Has it done what it was set out to accomplish? Compare and contrast the ACA to the Healthcare systems in Canada, the UK and Australia Explain how the APRN role fits into affordable care. Is it good for NP’s, for patient’s, for other types of care providers.