Client Questions

Concept Synthesis Paper on Personal Nursing Philosophy You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice. This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory. Your paper should follow a format that includes: Nursing Autobiography: A brief (1 page) discussion of your background in nursing. The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment. Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice. List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described. Each week, you will complete various segments of your Concept Synthesis Paper and submit it to the Submissions Area for facilitator feedback when necessary. Your paper should integrate these discrete elements and reflect your personal nursing philosophy. Your Concept Synthesis Paper on your Personal Nursing Philosophy is due in Week 3. However, it is recommended that you begin working on your paper from Week 1 onwards and complete the various components related to the paper week wise as you progress through the course. The suggested tasks for each week are: Week 1: Nursing Biography and The Four Metaparadigms of Nursing Week 2: Two Practice-specific Concepts, and List of Propositions/Assumptions Week 3: Due: Concept Synthesis Paper on Personal Nursing Philosophy Consider the following questions as you complete your various tasks related to this assignment. 1. How do I define and employ the four basic metaparadigms of nursing theory in my professional practice? 2. What are the major concepts I employ that are unique to my professional practice? 3. What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts? 4. How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into  my philosophy and practice? 5. What research supports these theories and concepts? 6. How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice? The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 6-10 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately. Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.

Prepare a 2-page interprofessional staff update on HIPAA and appropriate social media use in health care. As you begin to consider the assessment, it would be an excellent choice to complete the Breach of Protected Health Information (PHI) activity. The will support your success with the assessment by creating the opportunity for you to test your knowledge of potential privacy, security, and confidentiality violations of protected health information. The activity is not graded and counts towards course engagement. Health professionals today are increasingly accountable for the use of protected health information (PHI). Various government and regulatory agencies promote and support privacy and security through a variety of activities. Examples include: Meaningful use of electronic health records (EHR). Provision of EHR incentive programs through Medicare and Medicaid. Enforcement of the Health Insurance Portability and Accountability Act (HIPAA) rules. Release of educational resources and tools to help providers and hospitals address privacy, security, and confidentiality risks in their practices. Technological advances, such as the use of social media platforms and applications for patient progress tracking and communication, have provided more access to health information and improved communication between care providers and patients. At the same time, advances such as these have resulted in more risk for protecting PHI. Nurses typically receive annual training on protecting patient information in their everyday practice. This training usually emphasizes privacy, security, and confidentiality best practices such as: Keeping passwords secure. Logging out of public computers. Sharing patient information only with those directly providing care or who have been granted permission to receive this information. Today, one of the major risks associated with privacy and confidentiality of patient identity and data relates to social media. Many nurses and other health care providers place themselves at risk when they use social media or other electronic communication systems inappropriately. For example, a Texas nurse was recently terminated for posting patient vaccination information on Facebook. In another case, a New York nurse was terminated for posting an insensitive emergency department photo on her Instagram account. Health care providers today must develop their skills in mitigating risks to their patients and themselves related to patient information. At the same time, they need to be able distinguish between effective and ineffective uses of social media in health care. This assessment will require you to develop a staff update for the interprofessional team to encourage team members to protect the privacy, confidentiality, and security of patient information. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.  Describe the security, privacy, and confidentially laws related to protecting sensitive electronic health information that govern the interdisciplinary team. Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information. Competency 2: Implement evidence-based strategies to effectively manage protected health information.  Identify evidence-based approaches to mitigate risks to patients and health care staff related to sensitive electronic health information. Develop a professional, effective staff update that educates interprofessional team members about protecting the security, privacy, and confidentiality of patient data, particularly as it pertains to social media usage. Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.  Follow APA style and formatting guidelines for citations and references. Create a clear, concise, well-organized, and professional staff update that is generally free from errors in grammar, punctuation, and spelling. Preparation To successfully prepare to complete this assessment, complete the following: Review the infographics on protecting PHI provided in the resources for this assessment, or find other infographics to review. These infographics serve as examples of how to succinctly summarize evidence-based information.  Analyze these infographics, and distill them into five or six principles of what makes them effective. As you design your interprofessional staff update, apply these principles. Note: In a staff update, you will not have all the images and graphics that an infographic might contain. Instead, focus your analysis on what makes the messaging effective. Select from any of the following options, or a combination of options, the focus of your interprofessional staff update:  Social media best practices. What not to do: Social media. Social media risks to patient information. Steps to take if a breach occurs. Conduct independent research on the topic you have selected in addition to reviewing the suggested resources for this assessment. This information will serve as the source(s) of the information contained in your interprofessional staff update. Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources. Instructions In this assessment, assume you are a nurse in an acute care, community, school, nursing home, or other health care setting. Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and a patient on Facebook. The post states, “I am so happy Jane is feeling better. She is just the best patient I’ve ever had, and I am excited that she is on the road to recovery.” You have recently completed your annual continuing education requirements at work and realize this is a breach of your organization’s social media policy. Your organization requires employees to immediately report such breaches to the privacy officer to ensure the post is removed immediately and that the nurse responsible receives appropriate corrective action. You follow appropriate organizational protocols and report the breach to the privacy officer. The privacy officer takes swift action to remove the post. Due to the severity of the breach, the organization terminates the nurse. Based on this incident’s severity, your organization has established a task force with two main goals: Educate staff on HIPAA and appropriate social media use in health care. Prevent confidentiality, security, and privacy breaches. The task force has been charged with creating a series of interprofessional staff updates on the following topics: Social media best practices. What not to do: Social media. Social media risks to patient information. Steps to take if a breach occurs. You are asked to select one of the topics, or a combination of several topics, and create the content for a staff update containing a maximum of two content pages. When distributed to interprofessional team members, the update will consist of one double-sided page. The task force has asked team members assigned to the topics to include the following content in their updates in addition to content on their selected topic(s): What is protected health information (PHI)?  Be sure to include essential HIPAA information. What are privacy, security, and confidentiality?  Define and provide examples of privacy, security, and confidentiality concerns related to the use of the technology in health care. Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information. What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example:  How many nurses have been terminated for inappropriate social media usage in the United States? What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies? What have been the financial penalties assessed against health care organizations for inappropriate social media usage? What evidence-based strategies have health care organizations employed to prevent or reduce confidentiality, privacy, and security breaches, particularly related to social media usage? Notes Your staff update is limited to two double-spaced content pages. Be selective about the content you choose to include in your update so that you are able to meet the page length requirement. Include need-to-know information. Leave out nice-to-know information. Many times people do not read staff updates, do not read them carefully, or do not read them to the end. Ensure your staff update piques staff members’ interest, highlights key points, and is easy to read. Avoid overcrowding the update with too much content. Also supply a separate reference page that includes 2–3 peer-reviewed and 1–2 non-peer-reviewed resources (for a total of 3–5 resources) to support the staff update content. Additional Requirements Written communication: Ensure the staff update is free from errors that detract from the overall message. Submission length: Maximum of two double-spaced content pages. Font and font size: Use Times New Roman, 12-point. Citations and references: Provide a separate reference page that includes 2–3 current, peer-reviewed and 1–2 current, non-peer-reviewed in-text citations and references (total of 3–5 resources) that support the staff update’s content. Current mean no older than 5 years. APA format: Be sure your citations and references adhere to APA format. Consult the APA Style and Formatpage for an APA refresher.

According to the American Diabetes Association (2011), 25.8 million children and adults have been diagnosed with diabetes in the United States. Approximately 2 million more are diagnosed every year, with another 79 million people considered to be in a pre-diabetes state. These millions of people are at risk of several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. Since diabetes has a major impact on the health of millions of people around the world, it is essential for nurses to understand the pathophysiology and associated alterations of this disorder. In this Discussion, you compare two types of diabetes—diabetes mellitus and diabetes insipidus. To Prepare · Review Chapter 19 in the Huether and McCance text and Chapter 18 in the McPhee and Hammer text. Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation. · Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Think about how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes. Post an explanation of the pathophysiology of diabetes mellitus and diabetes insipidus. Describe the differences and similarities between resulting alterations of hormonal regulation. Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas. What are the historical foundations of the National Labor Relations Act (NLRA)? What is the role of the National Labor Relations Board (NLRB)? Under the National Labor Relations Act (NLRA), provide a real world example of how the act guides the activities of unions and employers.  How would someone go about filing a claim with the National Labor Relations Board?

Pathophysiology Disease Paper and Presentation Crushing’s Syndrome For this assignment you will need to write a 3-page paper (not including title page or bibliography) and give a 5-10 minute presentation to the class on your topic. Make sure to create a concept map to hand out to the class that includes the information stated below. Please add some creativity to your presentation. In your presentation you will need to include the following and create a concept map as well: Pathphysiology of the disease process Etiology of the disease process Signs and symptoms (manifestations) of the disease process Treatment of the disease process Diagnostic test 1-2 nursing diagnosis with interventions One NCLEX-type question for the class One interesting piece of information about your disease process found from a reputable source outside of your textbook (this should be included as a citation in your paper. It should also be included on your reference page at the end of your paper). E

No plagiarism please. Will need minimum of 150 words for each response, APA Style, double spaced, times new roman, font 12, and and Include: (1 reference for each response within years 2015-2018) with intext citations.  Discussion:   Both the U.S. Preventive Services Task Force and the Centers for Disease Control and Prevention (CDC) recommend that all “baby boomers” – people born from 1945 through 1965 – get a hepatitis C test. Peer Post. I need Peer Response for this post: #1  Hepatitis C is a virus that affects the liver, in overtime this can lead to serious Health problems including the need for a liver transplant. Some people who contracts the hepatitis C virus are able to clear it from their system, but other people can have serious complications. These complications include chronic liver disease, cirrhosis, liver cancer and even a failure where a transplant would be needed to save your life. Recommendations from the centers for disease control and prevent parentheses CDC and parentheses, are for people born from 1945 to 1965 to become tested for the hepatitis C virus. It is believed that some baby boomers that have become infected during a period of time where in infection control and universal precautions were not set in place yet within the healthcare field (U.S. Preventive Services Task Force, 2016). Symptoms of hepatitis C can include fever tiredness, upset stomach, nausea and vomiting, dark urine, Gray stool, joint pain, and yellow skin and eyes. Some people do not know they have been infected with hepatitis C, as it is also known as a silent virus. This is why it is extremely important for people especially born between 1945 and 1965 to be tested. Not only should baby boomers be tested, but also people who have received blood donations or organs before 1992, IV drug users, chronic liver disease and HIV or AIDS patients, exposure to hepatitis C or patient on hemodialysis (Centers for Disease Control and Prevention, 2016). Over the last few years there have been many advances for the medical treatment of hepatitis C. Some of these medications will treat the disease completely. And if some people aren’t aware that they have the virus, this is all the more reason to get tested. One of the important guidelines changes regarding the treatment of hepatitis C is that treatment should be recommended to all patients, not just patients with advanced disease (American Association for the Study of Liver Diseases , 2017) (Centers for Disease Control and Prevention, 2016).  #2  Hepatitis is a viral illness. There are five different types: A-E. This discussion board will be focused on Hepatitis C (HCV). There are six different forms of Hepatitis C. Hepatitis C is primarily spread through IV blood and drug use. General Hepatitis symptoms include fatigue, decreased appetite, fever, nausea, RUQ pain, jaundice, liver enlargement, tenderness to the upper abdomen and itching. Hepatitis C can be confirmed through blood work. There will be antibodies to HCV noted with a second or third generation enzyme linked immunosorbent assay (ELISA) (Youngkin, Davis, Schadewald & Juve, 2013). Hepatitis C Guidelines           Baby Boomers are five times more likely to contract Hepatitis C. It is important for this group to get tested as they are likely to not know that they are infected. It is common for people to live for decades with Hepatitis C and not have symptoms. Getting tested and then treated is crucial because this virus can cause liver damage, cirrhosis, and liver cancer. Hepatitis C is the leading cause of liver cancer and liver transplants. The CDC recommends that all Baby Boomers, those born between 1945-1965, be tested for Hepatitis C and then treated if indicated (CDC, 2018). Hepatitis C Risks          Like other illnesses, there are risk factors for Hepatitis C. Some of these include previous sexually transmitted diseases, HIV, Hepatitis B, more than one sexual partners, blood transfusion history, and IV drug use (Youngkin, Davis, Schadewald & Juve, 2013). It is now known that the most common contraction of Hepatitis C is through blood transfusions that were done in the 1970’s-1980’s. 8-10% of those transfused contracted Hepatis C. Therefore, baby boomers are at an increased risk of Hepatitis C. It was not until the 1990’s that more effective screening was performed before blood transfusions. This lowered the contraction rate to 5%. After 1993, the contraction rate was further reduced to <1%. Tattoos, piercings, needle sticks and acupuncture continue to be a risk factor to Hepatitis C (C. Everett Koop Institute, 2018). Hepatitis C Ramifications When Not Treated          Individuals that are infected with Hepatitis C can have negative effects if not tested and treated. If not treated, Hepatitis C can cause liver damage, cirrhosis of the liver and liver cancer. Ultimately death can occur. Those infected may not know that they are infected, and they have a risk of infecting others (CDC, 2018).

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and acceptance of a diversity of faith expressions.   The purpose of this paper is to complete a comparative analysis of two faith philosophies towards providing health care, one being the Christian perspective. For the second faith, choose a faith that is unfamiliar to you. Examples of faiths to choose from: Sikh, Baha’i, Buddhism, Shintoism, etc.   In a minimum of 1,500-2,000 words, provide a comparative analysis of the different belief systems, reinforcing major themes with insights gained from your research.   In your comparative analysis, address all of the worldview questions in detail for Christianity and your selected faith.  Refer to chapter 2 of the Called to Care for the list of questions.  Be sure to address the implications of these beliefs for health care.   In addition answer the following questions that address the practical and healthcare implications based on the research:   What are critical common components to all religions/beliefs in regards to  healing, such as prayer, meditation, belief, etc.? Explain. What is important to patients of the faiths when cared for by health care providers whose spiritual beliefs differ from their own?   In your conclusion, describe your own spiritual perspective on healing, what you have learned from the research and how this learning can be applied to a health care provider.   Support your position by referencing at least three academic resources (preferably from the GCU Library) in addition to the course readings, the Bible, and the textbooks for each religion. Each religion must have a primary source included. A total of six references are required according to the specifications listed above.  Incorporate the research into your writing in an appropriate, scholarly manner.   Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.   This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Health insurance began in the early part of the twentieth century as a means to protect an organization’s assets, either its financial assets or its manpower. Since the early days, health insurance evolved into a system of managed care in order to control issues such as overutilization, skyrocketing costs, limited restrictions, and low-quality care. Using the Internet, search for articles on health insurance and managed care. Based on your research, summarize your findings and answer the following questions: Examine the main events in the history of health insurance from the mid-twentieth century to the present. Explain how these events led up to the evolution of managed care organizations. Evaluate the purpose of health care insurance in the early days. Evaluate the evolution of health insurance and managed care. What is the relationship between the two and how has managed care risen to prominence in today’s health care market? Explain how the perspective of health insurance has or hasn’t changed in today’s managed care environment. Analyze the public policy and market forces leading to the growth of managed care. Analyze the current trends in managed care and its future in the context of health care reforms. Based on your understanding, create a 4 page Microsoft Word document that includes the answers to the above questions. Support your responses with examples. Cite any sources in APA format .

Please answer the following Discussion Question.  Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit.  Also, please ensure to have read the assigned chapters for the current week.  Case Study, Chapter 9, Diversity in the Nursing Workforce A group of nurse educators are having a discussion about the minority student nurses. The nurse educators believe that there are numerous barriers to minority student success in nursing education. The nurse educators want to develop strategies to increase the success rate in graduation of these students. 1. The nurse educators make a list of the barriers that exist for minority student success. What are common barriers for minority student success? 2. The group of nurse educators is acutely aware that different generations are represented in nursing today. These different generations have different attitudes and value systems, which greatly affect the settings in which they work. What are the key characteristics of the four generational groups that are present in today’s workforce? 3. Analyze and describe how the different generations present in nursing today affect nursing care and the nursing workplace.

250 WORDS 2 REFERENCES WITHIN 5 YEARS (NURSING JOURNALS ONLY!! IN TEXT CITATIONS ARE A MUST!!   Under the umbrella of the American Nurses Association (ANA), there are state nurse constituent organizations such as the Florida Nurses Association (FNA).   Describe the relationship between the national and state organizations Discuss how the state organization can impact the chosen state legislative level bill