pharm week 6

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Mike is a 46-year-old who presents with a complaint of “heartburn” for 3 months. He describes the pain as burning and it is located in the epigastric area. The pain improves after he takes an antacid or drinks milk. He has been taking either over-the-counter (OTC) famotidine or ranitidine off and on for the past 2 months and he still has recurring epigastric pain. He has lost 6 lb since his last visit.AssessmentHis examination is unremarkable. His blood pressure (BP) is 118/72. Laboratory values are normal complete blood count (CBC) and a positive serum Helicobacter pylori test.What would you prescribe initially?How long would you prescribe these medications?What other possible meds could you prescribe to assist with the side effects from the medications prescribed?How would the treatment vary if the patient has GERD instead?Discussion Question 2List differential diagnosis that would help confirm GERD while ruling out other diagnosis. Which medication is the best medication for treatment of GERD and why? What labs or other diagnostic tests that are used to confirm GERD? Your response should be at least 350 words.

 
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Mentalhealth MD5. Remaining Calm

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DUE 11/2/2021. 7PM

 
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NURS-6050-WEEK8-ASSIGNMENT

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Assignment: Advocating for the Nursing Role in Program Design and ImplementationAs their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.To Prepare:Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.Select a healthcare program within your practice and consider the design and implementation of this program.Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.The Assignment: (2–4 pages)In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?Who is your target population?What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

 
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CASE STUDY: Preschool Child: Ricky

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Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky’s mother is quite frustrated and concerned that he will become malnourished. Reflective Questions 1. What additional assessment information would you collect? 2. What questions would you ask, and how would you further explore this issue with the mother? 3. In what ways does the distance of the extended family influence this family’s approach to health promotion? 4. What factors would you consider to determine whether malnourishment is a factor in this family?

 
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Assgn 3- WK10(G)

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Mental Health Practicum–Week 8 Journal  EntryStudents will:· Develop effective documentation skills for group therapy sessions *· Develop diagnoses for clients receiving group psychotherapy *· Evaluate the efficacy of cognitive behavioral therapy for groups *· Analyze legal and ethical implications of counseling clients with psychiatricdisorders *ASSIGNMENTSelect two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.Then, in your Practicum Journal, address the following:· Using the Group Therapy Progress Note in this week’s Learning Resources,document the group session.· Describe each client (without violating HIPAA regulations), and identify anypertinent history or medical information, including prescribed medications.· Using the DSM-5, explain and justify your diagnosis for each client.· Explain whether cognitive behavioral therapy would be effective with this group.Include expected outcomes based on this therapeutic approach.· Explain any legal and/or ethical implications related to counseling each client.· Support your approach with evidence-based literature.Learning ResourcesRequired ReadingsYalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.Chapter      11, “In the Beginning” (pp. 309–344)Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th ed.). New York, NY: Basic Books.Chapter      12, “The Advanced Group” (pp. 345–390)American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Bjornsson, A. S., Bidwell, L. C., Brosse, A. L., Carey, G., Hauser, M., Mackiewicz Seghete, K. L., … Craighead, W. E. (2011). Cognitive-behavioral group therapy versus group psychotherapy for social anxiety disorder among college students: A randomized controlled trial. Depression and Anxiety, 28(11), 1034–1042. doi:10.1002/da.20877Safak, Y., Karadere, M. E., Ozdel, K., Ozcan, T., Türkçapar, M. H., Kuru, E., & Yücens, B. (2014). The effectiveness of cognitive behavioral group psychotherapy for obsessive-compulsive disorder. Turkish Journal of Psychiatry, 25(4), 225–233. Retrieved from http://www.turkpsikiyatri.com/Document: Group Therapy Progress Note (SEE ATTACHED PROGRESS NOTE)

 
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NURS-6003 wk11 assignment

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Assignment: Academic Success and Professional Development Plan Part 6: Finalizing the PlanAt some point in every construction project, efforts turn from design and the focus moves to actual construction. With the vision in place and the tools secured, the blueprint can be finalized and approved. Then it is time to put on hardhats and begin work.Throughout the course you have developed aspects of your Academic and Professional Development Plan. You have thought a great deal about your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success.Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialties. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty.In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the final component–a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5.The Assignment:Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.With the resources specific to the MSN specialization and the, Walden University. (n.d.). Master of Science in Nursing (MSN), shared in this module, write a paragraph or make a Nursing Specialty Comparison table, comparing at least two nursing specialties that include your selected specialization and second-preferred specialization.Write a 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Incorporate feedback you received from colleagues in this Module’s Discussion forum.Identify the professional organization related to your chosen specialization for this Assignment, and explain how you can become an active member of this organization.Note: Your final version of the Academic Success and Professional Development Plan should include all components as presented the Academic Success and Professional Development Plan template.

 
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Scholarly Activity

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Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.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.

 
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Assignment week1

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In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/statesReview your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.In a paper of 1,000-1,250 words:Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?A minimum of three scholarly references are required for this assignment.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.RUBRICS1Unsatisfactory0.00%2Less than Satisfactory75.00%3Satisfactory79.00%4Good89.00%5Excellent100.00%80.0 %Content5.0 %Provided an original summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health. Any specific references should be cited.Did not attempt to provide a summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health, or failed to cite specific references to the IOM report.Provided a skeletal summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health. Some of the specific references to the IOM report were cited or were done incorrectly.Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the committee’s initiative.Demonstrates good knowledge of the subject. Correctly describes the committee’s initiative. Justifies some of the impacts on the Future of Nursing.Provided an original summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health. References specific to the IOM report were properly cited.15.0 %Identify the role of the Robert Wood Johnson Foundation Initiative and the American Association of Retired Persons on the Future of Nursing Campaign for Action and the State Based Action CoalitionsDoes not demonstrate knowledge of role. Fails to identify the impact of the Robert Wood Johnson Foundation Initiative on the Future of Nursing.Demonstrates minimal knowledge of subject. Does not adequately visualize or justify the work of the Committee of the Robert Wood Johnson Foundation Initiative on the Future of Nursing.Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the committee’s initiative.Demonstrates good knowledge of the subject. Correctly describes the committee’s initiative. Justifies some of the impacts on the Future of Nursing.Demonstrates a full and deep knowledge of subject. Develops and explains an informed position on the committee’s initiative, integrates and justifies the impact on the Future of Nursing15.0 %Identify the importance of the IOM FON report related to the nursing workforceDoes not demonstrate knowledge of the concept or its role. Fails to identify the importance of the IOM FON report related to the nursing workforce.Demonstrates minimal knowledge of the subject. Does not adequately visualize or justify the importance of the IOM FON report related to the nursing workforce.Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the importance of the IOM FON report related to the nursing workforce.Demonstrates good knowledge of the subject. Correctly describes importance of the IOM FON report related to the nursing workforce.Demonstrates a full and deep knowledge of the subject. Develops and explains the importance of the IOM FON report, integrates and justifies the importance of the IOM FON report related to the nursing workforce.15.0 %Discuss the intent of the Future of Nursing Campaign for ActionDoes not demonstrate knowledge of the concept or its role. Fails to identify the intent of the Future of Nursing Campaign for Action.Demonstrates minimal knowledge of the subject. Does not adequately visualize or identify the intent of the Future of Nursing Campaign for Action.Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the intent of the Future of Nursing Campaign for Action.Demonstrates good knowledge of the subject. Correctly describes the intent of the Future of Nursing Campaign for Action.Demonstrates a full and deep knowledge of the subject. Develops and explains the intent of the Future of Nursing Campaign for Action, integrates and justifies the intent of the Future of Nursing Campaign for Action.15.0 %Identify the rationale of state-based action coalitionsDoes not demonstrate knowledge of the concept or its role. Fails to identify the rationale of state-based action coalitions.Demonstrates minimal knowledge of the subject. Does not adequately identify the rationale of state-based action coalitions.Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Misinterprets evidence on the rationale of state-based action coalitions.Demonstrates good knowledge of the subject. Correctly identifies the rationale of state-based action coalitions.Demonstrates a full and deep knowledge of the subject. Develops and explains and identifies the rationale of state-based action coalitions and justifies a rationale for state-based action coalitions.15.0 %Discuss one state-based action coalition and two initiativesDoes not demonstrate knowledge of the concept or its role. Fails to identify one state-based action coalition and two initiatives.Demonstrates minimal knowledge of the subject. Does not adequately identify one state-based action coalition and two initiatives.Demonstrates a moderate knowledge of the subject. Recognizes the basic ideas. Identifies but misinterprets one state-based action coalition and two initiatives.Demonstrates good knowledge of the subject. Correctly identifies one state-based action coalition and two initiatives.Demonstrates a full and deep knowledge of the subject. Develops and explains the one state-based action coalition and two initiatives, integrates and justifies one state-based action coalition and two initiatives.15.0 %Organization and Effectiveness5.0 %Thesis Development and PurposePaper lacks any discernible overall purpose or organizing claim.Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.Thesis and/or main claim are apparent and appropriate to purpose.Thesis and/or main claim are clear and forecast the development of the paper. Is descriptive and reflective of the arguments and appropriate to purpose.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.15.0 %Organization and Effectiveness5.0 %Paragraph Development and TransitionsParagraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness.Some degree of organization is evident.Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.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.15.0 %Organization and Effectiveness5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.Writer is clearly in command of standard, written, academic English.5.0 %Format2.0 %Paper Format (1- inch margins;12-point-font;double-spaced;Times New Roman, Arial, or Courier)Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present.Template is fully used; There are virtually no errors in formatting style.All format elements are correct.3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)No reference page is included. No citations are used.Reference page is present. Citations are inconsistently used.Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.In-text citations and a reference page are complete. The documentation of cited sources is free of error.100 %Total Weightage

 
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MHA6999 SEMINAR IN HEALTHCARE CASES– WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS

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This week, we will review two case studies:Medication ErrorThe Electronic Medical Record: Efficient Medical Care or Disaster in the Making?These case studies will cover topics on quality/patient safety and finance, which include making decisions and addressing concerns as a healthcare leader. You will have the opportunity to discuss a case among your fellow students and perform a written analysis on the case.Your Learning Objectives for the Week:Formulate recommendations for enhancing health care organizational effectiveness based on analysis of systems for planning, decision-making, budgeting, and control.Interpret the formulation and implementation of business strategies in health care organizations, models of strategic management, and the role of stakeholders in the strategic management process.Critique healthcare reform process in the US health care system, reviewing major proposals for system reform currently under consideration including governance and accountability models.

 
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Medical Office Management-Assignment 4

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Part A: Kayla Christianson, CMA, has been employed six years by the cardiology practice of three physicians. She is a graduate of a CAAHEP-accredited school. Furthermore, Kayla received extensive hands-on training performing ECGs while doing her required externship.Kayla has completed an ECG ordered by Dr. Hsu for Mrs. Warner, a 76-year-old patient. Dr. Hsu, Kayla’s boss, has telephoned her explaining that he was behind schedule doing rounds at the hospital. He asked her to do him a favor and interpret Mrs. Warner’s ECG, sign his name, and fax the report to Mrs. Warner’s referring internist who is expecting the results.Provide detailed answers for each of the following questions. Your response should be two (2) pages in length.· Given the scope of Kayla’s education, training, and years of experience as a CMA, would this favor fall within the AAMA guidelines of her responsibilities?· Would any portion of Dr. Hsu’s request fall within the guidelines? If so, which portion(s)? Is an exception to these guidelines ever allowed?· How should Kayla respond to Dr. Hsu?Part B: For more than two years, medical assistant Linda Lewis had been employed by Drs. Norek and Klein, who are gerontologists. Also on staff are two registered nurses, a medical laboratory technician, and a medical social worker. The daughter of one of the doctor’s patients has just called the office. She is very distraught at the seemingly diminished capacity of her mother and insists on speaking to the doctor.Linda explains that both physicians take only emergency calls during patient appointment hours, but that she will take a detailed message. This caller, however, suggests that not only should her call be considered an emergency, but that she will sue the doctor if the call is not handled accordingly.Provide detailed answers for each of the following questions. Your response should be two (2) pages in length.· What should Linda do immediately to diffuse the situation?· Is this clearly a case when the call should be passed on to one of the registered nurses or the medical social worker?· Is this a case when the physician should be called to the telephone because of the threat of an impending suit?· How could Linda ascertain whether or not this is indeed an emergency? Is it up to her, as a medical assistant, to make such a determination?· Because this is the patient’s daughter rather than the patient herself, does Linda have any reason to enter into a conversation with the caller? Could Linda be ethically bound by confidentiality not to admit the woman’s mother is a patient?

 
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