Client Questions

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. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education. In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals. Include the following: Discuss your options in the job market based on your educational level. Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals. Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing. Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics. Discuss whether continuing nursing education should be mandatory. Provide support for your response. You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.   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 (LOCATED IN ATTACHMENTS) prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Consider the following topics. In many U.S. communities, low-income populations use the emergency room instead of going to a physician or mid-level provider’s office. They often do not pay the bill for their service, which shifts the cost of their care to others, paying patients at the hospital. This practice drives up the cost of health care, but what else can hospitals do? They have to have a certain amount of income to keep their doors open. Is this fair? What if these sick people remain untreated and infect others? Is this just? Do they deserve care so that they don’t infect others? We talk about a culture of poverty in this country. What does this mean to you? What about those people who seem to bilk or misuse the health care system? Do they deserve care? If so, who should pay for it? Shouldn’t everyone be forced to carry health insurance so that everyone has a pay source? Can we expect people to pull themselves up by their bootstraps? : · What does social justice mean to you?  · Is social justice the same as socialized medicine or even communism? · The notion of social justice is fairness so that everyone can achieve a certain level of health and wellness. After all, the Constitution guarantees everyone the right to pursue happiness.  · Is the health care system fair? · If you could wave a magic wand and fix the health care system, what is the first thing you would notice indicating that it had changed?  · Or, in your opinion, do you think it needs to be changed at all? This should be a 5-paragraph (at least 550 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ? 5 years old). Stanhope, M., & Lancaster, J. (2016). Public health nursing: Population-centered health care in the community (9th ed.). St. Louis, MO: Elsevier.  · Chapter 2, “History of Public Health and Public and Community Health Nursing” (pp. 22–43) · Chapter 6, “Application of Ethics in the Community” (pp. 121–138) http://www.scu.edu/ethics/practicing/decision/commongood.html

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 do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications.

Question 1: Manuscripts of the Early Middle Ages Before the invention of the printing press, books were copied by hand one at a time by illuminators, and the vellum was often embellished with beautiful calligraphy and intricate patterns and designs. Using your course textbook locate three examples of illuminated manuscripts from the early Middle Ages. Read about each one in your textbook, course lectures, and through reliable internet resources First, completely identify each manuscript and/or manuscript page by title, date, and location where it was created. In a minimum of 2 well-developed paragraphs address the following questions: Who commissioned the creation of the manuscript? Why? What was the purpose of the manuscript? How do the visual characteristics of each manuscript contribute to or enhance its message or meaning? How do the reasons these manuscripts were created compare with religious texts created today? Be sure to explain your ideas clearly and support them by discussing specific details about each manuscript. Question 2: Romanesque and Gothic Cathedrals Both Romanesque and Gothic architecture displayed distinctive characteristics and features. For this assignment, select one example of Romanesque church architecture and one example of Gothic church architecture from your course textbook. Read about each one in your textbook, course lectures, and through reliable internet resources. First, completely identify the two cathedrals you have selected by name, date, and location. Then, in a minimum of 3 well-developed paragraphs, address the following questions: What architectural details are evident in each cathedral that make it representative of either the Romanesque or Gothic style? What sort of decoration (interior and exterior) was employed in each cathedral? What was the meaning of the sculptures, paintings, windows that adorned each cathedral? What was the visitor or viewer experience in each cathedral? Respond to both questions as thoroughly as possible, making sure to use information from the readings and the lectures. All responses should be in complete sentence form, using proper spelling and grammar.

Each week you will be expected to provide the following information to your community practice instructor through your journal entries: What are your upcoming week’s specific learning goals and objectives? What is your upcoming week’s detailed schedule at your community practice experience placement? Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates? Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices.

In a short essay (500-700 words), answer the Question at the end of Case Study 1.  Cite references to support your positions. Prepare this assignment according to the APA guidelines. An abstract is not required. This assignment uses a grading rubric. You are required to submit this assignment to LopesWrite RUBRIC 1. Identification of anemia classification and rationale is offered in detail, while demonstrating evidence of deeper insight and/or reflection. 40% 2. Explanation of patient diagnosis uses outside sources and/or medical and nursing references to support conclusions and is offered in detail, while demonstrating evidence of deeper insight and/or reflection. 40% 3. Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear. 5% 4. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless 5% 5. Writer is clearly in command of standard, written, academic English. 5% 6. All format elements are correct. 2% 7. In-text citations and a reference page are complete. The documentation of cited sources is free of error. 3% CASE STUDY IS ATTACHED

View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media (https://lc.gcumedia.com/hlt307v/allied-health-community/home.html). In a 750?1,200 word paper, describe the scenario involving Mike, the lab technician, and answer the following questions: What were the consequences of a failure to report? What impact did his decision have on patient safety, on the risk for litigation, on the organization’s quality metrics, and on the workload of other hospital departments? As Mike’s manager, what will you do to address the issue with him and ensure other staff members do not repeat the same mistakes? A minimum of three academic references from credible sources are required for this assignment. 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. This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center. Only Word documents can be submitted to LopesWrite.

Respond to at least two of your colleagues on two different days who chose a different national healthcare issue/stressor than you selected.  Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor.                                                   Main Post   The Strain of Increasing Patient Populations on Primary Care       One stressor affecting healthcare on a national level is increasing strain that is being placed on primary care providers. In an article published in the journal “Managed Care” titled Primary Care Continues to Feel the Strain (2012), the authors explain that providers in the primary care setting currently only spend 15 minutes on average with each patient. With the increases in patient needs, these practices simply cannot handle taking on more patients. The demands placed on providers to incorporate preventative care into the treatment of a patient’s current illness or chronic condition are making it difficult for providers to maintain quality care in such a short visit with a patient.        My current work setting is a primary care office, that provides care to patients on a sliding fee which based on income. We work to serve the uninsured and underinsured population of Eastern Idaho. With five providers currently seeing an average of forty patients a day each, our office is feeling the strain of increasing patient populations. This strain not only affects the providers, but has added strain to the nursing staff, reception staff and medical billers.         Currently our providers each have their own patient population, where for primary care needs, the patient only sees the one provider. A patient needing refills on his metformin or lisinopril can only be seen by the provider that prescribed that medication currently. The problem this is creating is the inability to schedule these patients for a follow up before they are out of refills due to a provider’s schedule being booked for weeks out.        The solution that has been implemented to aid in this problem is the use of nursing teams. Each provider has his or her own team of nurses. As the lead nurse for my physician, patient phone calls, questions and refill requests come to me first. We also have a care coordinator that helps to manage patient referrals and making sure imaging appointments are made and reports are uploaded to the patient chart. In chapter 3 of the course text, it is established that successful teams use each member’s strengths to benefit of the team and to the quality of patient care (Marshall & Broome, 2017).  Our success with these small collaborative teams is the main reason the use of primary care collaboration is being considered. This involves the use of a primary care team, instead of a single provider. Each team including a physician and one or two other providers (either nurse practitioners or physician assistants). A literature review performed by Norful, de Jacq, Carlino &Poghosyan (2018) identified that in order for this type of arrangement to be successful, the members of the primary care team would be required to not only communicate and respect each other’s medial knowledge and ability, but also develop a way to align their clinical methods and beliefs about medical care.   References  Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.  Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256. doi:10.1370/afm.2230  Primary care continues to feel the strain. (2012). Managed Care (Langhorne, Pa.), 21(2), 25. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=mnh&AN=22396978&site=eds-live&scope=site