The Future of Nursing in an Evolving Health Care System

1. Discuss the events that have contributed (or will continue to contribute) to the nursing shortage; or that contribute to a shortage in a region or specialty. Discuss at least one way that the nursing profession is currently working toward a resolution of this problem. In replies to peers, offer different examples of how the nursing shortage has been addressed in your state, community, or specialty area.2. Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift. In replies to peers, provide an example of wellness and prevention initiatives your organization or specialty area has in place.

 
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Remediation

The following templates are attached below.1. Use the Basic concept templateMedical Conditions: Prioritizing Care for a Group of Antepartum Clients2. Use the Nursing Skill TemplateFetal Assessment During Labor: Performing Leopold Maneuvers3. Use the System Disorder TemplatePostpartum Disorders: Indications for Administration of Oxytocin4. Use the System Disorder templateMedical Conditions: Caring for a Client Receiving Magnesium Sulfate IV5. Use the Basic Concept TemplateEarly Onset of Labor: Actions to Take After Reviewing Medical Record

 
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Short Answer Assessment:

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:1). ZERO (0) PLAGIARISM2). AT LEAST 5 REFERENCES, NO MORE THAN 5 YEARS (WITHIN 5YRS, OR LESS THAN 5YRS)3). PLEASE SEE THE ATTACHMENT FOR RUBRIC DETAILS.As a psychiatric nurse practitioner, you will likely encounter patients who suffer from various mental health disorders. Not surprisingly, ensuring that your patients have the appropriate psychopharmacologic treatments will be essential for their overall health and well-being. The psychopharmacologic treatments you might recommend for patients may have potential impacts on other mental health conditions and, therefore, require additional consideration for positive patient outcomes. For this Assignment, you will review and apply your understanding of psychopharmacologic treatments for patients with multiple mental health disorders.To PrepareReview the Learning Resources for this week.Reflect on the psychopharmacologic treatments that you have covered up to this point that may be available to treat patients with mental health disorders.Consider the potential effects these psychopharmacologic treatments may have on co-existing mental health conditions and/or their potential effects on your patient’s overall health.To complete:Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.  I would also encourage you to use External Resources.In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?List 4 predictors of late onset generalized anxiety disorder.List 4 potential neurobiology causes of psychotic major depression.An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific.

 
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rewrite lease follow instruction make sure no plagerism I cannot redo again due at 10pm July 9

Introduction to the case (1 page)Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.Decision #1 (1 page)Which decision did you select?Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Decision #2 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Decision #3 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Conclusion (1 page)Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.Note:ÿSupport your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

 
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Repl

Discussion 1 reply 200 words: A teenage is a young adult between the age of 13–19 years old. At this age the teenager’s body is growing, going through a lot of changes, hormonal changes, and sometimes they may become anxious. Anxiety disorder is when someone worries excessively most often occurs daily for 6 months or more over common everyday interactions, work or their health (Mayo Clinic Staff, 2018). At this age the teenager needs a good support system, not just their family but their community. A community is group of people that lives in the same area/place, they care about each other and they feel that they belong together (Children’s Bureau, 2019). Teenagers may have the fear of not belonging and this may cause them anxiety but if they have peers in the community, it will give them a sense of belonging so it can lessen their anxiety. Benefits of a community for teenagers’ emotional support, builds confidence, practical support, conflict resolution and helps with preventing selfishness (Children’s Bureau, 2019). As a teenager they tend to lack confidence, self-esteem, a healthy community is a good place for the teen to get support by participating in activities with other teens and community leaders to be able to guide them to make good decisions, assist with conflicts by helping them resolve it properly. If the teenager is left alone and does not talk about their anxiety it can interfere with their growing emotionally, mentally and the anxiety can consume them. In health care we need to cognitive of how much anxiety is already present in teenagers, there is so much pressure out there and if they do not have a health family and community support available their anxiety can worsen. Nurses can work in the community by setting up support groups for teenager with anxiety to teach them coping skills, ways to manage their anxiety and also to assess if they need in-depth professional help, such as psychiatrist, psychologist, social worker, or therapist. If the teenage present needing this help, then the nurse can assist with facilitating them access to it. Education is very important in helping teenagers but it does not have to be formal, it can be informal and this will the help so it won’t intimidated them especially if they have anxiety already. Having activities in the community of helping others in need, or the elderly with yard work will promote teens to work with different ages and doing this physical activity will promote the teen to sleep better and this too will decrease anxiety. When the teenagers are in these support groups the nurse can assess them and how they are managing their anxiety and if they may require more help such as a social worker, psychiatrist or psychologist then the can assist the teenager with setting up further care.ReferencesChildren’s Bureau. (2019, March 22). The Importance of a Community for Teenagers. All 4 Kids. all4kids.org/news/blog/the-importance-of-a-community-for-teenagers/Mayo Clinic Staff. (2018, May 4). mayoclinic.org/diseases-conditions/anxiety/symptoms-causes/syv-20350961Discussion 2 reply 200 words:  Mental illness in the community does not discriminate. It can impact women, men, young children, adolescents, the elderly, and any nationality.Choose one population along with one mental health disorder and describe how the disorder impacts that population as they attempt to be part of the community.Finally, explain one nursing intervention that would assist them to be successful.For this discussion I choose to write about the elderly population. Choosing a mental health disorder for this specific population was difficult as there were several disorders that are common amongst the elderly. Although, I did decide to go with one that is ranked amongst one of the highest for elders-anxiety. Orrange states, that an estimated 10-20 % of adults over the age of 65 experience General Anxiety Disorder (GAD),  “ excessive, long-lasting worry about many things.” Per Dr. Orrange, anxiety disorder often goes hand and hand with another disorder to include panic disorder, obsessive-compulsive disorder, social anxiety disorder,  separation anxiety disorder, and other phobia-related disorders. (Orrange, S 2020).  With the overwhelming multitude of stressors that are placed on our elderly population daily, such as, loss of a loved ones, financial difficulties, fear of falling, fear of being left alone and unable to afford living expenses. All of these stressors begin to take a toll on their quality of life, and they begin to suffer.A recent study of 75 elderly adults who had generalized anxiety disorder showed a worsening of their quality of life over individuals that had recently had an acute myocardial infarction or type II diabetes. Their anxiety disorder was compared to individuals with major depression disorder. Common occurrences seen in conjunction with the two disorders was their physical and mental anguish. Increased anxiety may lead to use of alcohol and substance abuse, which may hide or make symptoms worse. (Wetherell, J, et al, 2014).As a nurse professional if you suspect an older adult may have anxiety problems, you should inquire and ask if there have been any changes in their daily routine. Do they appear worried all the time? Are they taking any medication, or have they had any recent changes in their prescriptions? Are they more tearful or withdrawn? As you are engaging in conversation with this resident try to remain calm, and reassuring. Acknowledge their fears but do not play into them. Encourage them to join some type of activity to preoccupy their mind. Offer them assistance with getting help from a physician or mental health specialist. There are pharmaceutical measures that a physician may take as well, although it will not a cure anxiety disorder but will aid in keeping them under control. (Sakauye, K. M., 2008).Referencesgoodrx.com/blog/how-does-anxiety-look-different-in-older-adults/https://ww.aagponlie.orgpubmed.ncbi.nlm.nih.gov/15003436/

 
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Case Study and Care Plan Web Page

Apply what you have learned about Health Promotion and Disease Prevention, and demonstrate the ability to develop a holistic plan of care, incorporating Telehealth and defining assessment and intervention of specific population incorporating unique attributes of populations for health promotion, wellness preservation, and maintenance of function across the health-illness continuum.Develop a case study and a plan of care, incorporating current mobile App technology:Select a population. Define your population by gender, age, ethnicity, socioeconomic status, spiritual need, and healthcare need.  Apply concepts learned in course to identify healthcare needs specific to the population and access to care (Utilize your textbook Chapters 1-25, and identified Websites).  Also use at least two references within the five years.Develop a case study for a patient in your chosen population.Define a provider level of care that includes telehealth, alternative therapies, and mobile App technology discussed in this class. Describe how telehealth could impact the care delivery of this patient.Hint: Concise, condensed information, with specifics and details about population and unique needs with a plan for meeting these needs should be considered. Incorporate the content you have learned in this course.

 
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History and Process of Nursing Research, Evidence-Based Nursing Practice, and Quantitative and Qualitative Research Process

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcherÿdevelops a clinical guiding question to address that nursing practice problem.For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-reviewed research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.Use the “Literature Evaluation Table” to complete this assignment.Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200?250 words, provide a summary of the clinical issue.Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).The PICOT question will provide a framework for your capstone project.Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.ÿ Therefore, they should not be included in this assignment.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.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 not required to submit this assignment to LopesWrite.AttachmentsNRS-433V -RS1-LiteratureEvaluationTable.docx

 
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Nursing Practice and School Health Privacy

Create a 6?8-slide PowerPoint presentation for a group of school nurses, which addresses the role of the school nurse in managing the unique health concerns of teenagers while adhering to privacy laws.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Show LessCompetency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.Explain the laws that relate to adolescent safety and health privacy in a school setting.Explain how the privacy laws affect schools, students, and school nurses.Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.Describe health and wellness issues specific to the adolescent population.Recommend evidence-based ethical strategies relating to health and wellness privacy communication by the school nurse.Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.Correctly format citations and references using APA style.Role of the School NurseIt is the position of the National Association of School Nurses that the professional registered school nurse is the leader in the school community to oversee school health policies and programs. The school nurse serves in a pivotal role to provide expertise and oversight for the provision of school health services and promotion of health education. Using clinical knowledge and judgment, the school nurse provides health care to students and staff, performs health screenings, and coordinates referrals to the medical home or private health care provider. The school nurse serves as a liaison between school personnel, family, community and healthcare providers to advocate for health care and a healthy school environment (American Nurses Association & National Association of School Nurses, 2011).To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.What is FERPA?What is HIPAA?How do FERPA and HIPAA affect school health privacy?What unique health concerns might young people have that differentiate them from adults?DirectionsCreate a 6?8-slide PowerPoint presentation that examines the privacy issues unique to nurses serving the high-school age population. Address the following:Describe the types of health and wellness issues that can affect adolescents in their high-school years. Be sure you think beyond the usual things and really research the types of issues that are affecting young people today.Explain how privacy laws can impact the school nurse in regard to patient safety and health outcomes for adolescents.Explain how privacy laws benefit the student, the school, and the school nurse.Recommend two specific evidence-based ethical strategies regarding health and wellness privacy communications in a school environment.Use the notes section of each slide to expand your points and cite your supporting evidence. Also, include a title slide and a reference slide that lists the resources you used in this assessment.Be creative. Consider your intended audience.

 
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Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal

The RN to BSN program at Grand ÿCanyon University meets the requirements for clinical competencies as ÿdefined by the Commission on Collegiate Nursing Education (CCNE) and the ÿAmerican Association of Colleges of Nursing (AACN), using ÿnontraditional experiences for practicing nurses. These experiences come ÿin the form of direct and indirect care experiences in which licensed ÿnursing students engage in learning within the context of their hospital ÿorganization, specific care discipline, and local communities.Note: ÿÿThe teaching plan proposal developed in this assignment will be used ÿto develop your Community Teaching Plan: Community Presentation due in ÿTopic 5. You are strongly encouraged to begin working on your ÿpresentation once you have received and submitted this proposal.Select one of the following as the focus for the teaching plan:Primary Prevention/Health PromotionSecondary Prevention/Screenings for a Vulnerable PopulationBioterrorism/DisasterEnvironmental IssuesUse ÿthe “Community Teaching Work Plan Proposal” resource to complete this ÿassignment. This will help you organize your plan and create an outline ÿfor the written assignment.After completing the teaching ÿproposal, review the teaching plan proposal with a community health and ÿpublic health provider in your local community.Request feedback (strengths and opportunities for improvement) from the provider.Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.This ÿassignment uses a rubric. Please review the rubric prior to beginning ÿthe assignment to become familiar with the expectations for successful ÿcompletion.You are required to ÿsubmit this assignment to LopesWrite. A link to the LopesWrite technical ÿsupport articles is located in Course Materials if you need assistance.Benchmark InformationRegistered Nurse to Bachelor of Science in NursingThe benchmark assesses the following competency:4.2 Communicate therapeutically with patients.

 
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Community Teaching Work Plan Proposal

Note: This is an individual assignment. Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of your community.Select one of the following as the focus for the teaching plan:Primary Prevention/Health PromotionSecondary Prevention/Screenings for a Vulnerable PopulationBioterrorism/DisasterEnvironmental IssuesComplete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.Request feedback (strengths and opportunities for improvement) from the provider.Complete the “Community Teaching Experience” form.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.

 
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