Drug Matching ExerciseDirections:Using your textbooks and complete the empty squares on the table below to match the drug name to the drug class or its appropriate disease application.
W1 Assignment 2 DiscussionTo support your work, use your course and text readings and articles from the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Nursing ResearchUsing the South University Online Library, mine information about nursing research.Based on your research, respond to one of the following discussion questions.Discussion Question 1Is research used in your facility? If so, what type of research and how is this different than other nursing roles? Find out if there is a research committee at your facility. Is research an important component of clinical practice?Discussion Question 2Have you had an experience when evidence-based research had a significant impact on the quality of your patient care that resulted in policy making? Please discuss and state the issue and policy.textbook, Nursing Research: Reading, Using, and Creating Evidence:
Why is it important to recognize early stages of Depression in adolescents? What do these symptoms present as? Are there any tools that can be used in the office to help with evaluation( i.e. PHQ or HEADDS assessments)? Are there any national or local resources available for our patients?Instructions: You will be providing supportive evidence with correct APA citations, and Your evidence should be scholarly articles, professional websites, research studies, and or books that provide supportive evidence in the last 5 years.
Childhood Diseases in Adulthood CLC Topic-JUVENILLE DIABETESDevelop a care plan that addresses the following:a) Identify expected outcomes for an adult client living with this childhood condition.b) Develop health screening, health promotion, health interventions, and education for adults with this condition.c) Identify a comprehensive set of relevant resources, both community and national, for adults with this condition. Provide description of resources.*Can each person do as close to 3 slides as possible, so we have 12-15 total including references?
Emerging Trends in Health CareFor health care providers, changes in governmental policies, local and national economics, and the need to integrate new technologies, tests, and procedures can all impact the financial situation of an organization. In addressing financial issues, a myriad of factors must be considered, such as the varying objectives of those providing care, resource availability, the population being served, and the implementation of government policies. As a nurse manager, you must consider the potential positive and negative impacts of new trends on your organization and all its stakeholders.In this Discussion, you evaluate how emerging trends in the health care field impact health care decisions for patients, doctors, and nurses.To prepare:Review the Learning Resources for this week, focusing on the role of nurse managers in making financial decisions.Conduct additional research in the Walden Library and other relevant sources, to identify three emerging trends that are affecting health care today.Select one trend to discuss in detail and evaluate its implications for the delivery of care from the perspective of doctors, nurses, and patients.Reflect on how this trend might impact quality of care.Post a brief description of three emerging trends that are affecting health care today. Evaluate the implication of one of these trends on the delivery of health care from the perspectives of doctors, nurses, and patients. Explain how this trend might impact the quality of care.ANDRead a selection of your colleagues’ responses.Respond to at least two of your colleagues on two different days. Identify those who described a trend that is of particular interest to you and comment on why you find that trend to be interesting and how it could impact what you do on a daily basis.(I will send the responses soon)Validate an idea with your own experience and additional sources.Required ReadingsBaker, J., & Baker, R. W. (2014). Health care finance: Basic tools for nonfinancial managers (4th ed.). Burlington, MA: Jones and Bartlett Learning.Chapter 2, “Four Things the Healthcare Manager Needs to Know About Financial Management Systems” (pp. 11–21)This chapter focuses on the overall financial management system within an organization and identifies the basic system elements.Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.Retrieved from the Walden Library databases.Chapter 1, “The Context of Health Care Financial Management” (pp. 1–23)This chapter offers differing perspectives on the causes of a “health care system in distress.” The chapter explores the factors behind rising health care costs, the efforts to control costs, and the ethical issues that affect both.Note: This eBook is accessible through the Course Readings List located in the Course Materials section of the Syllabus.Sanford, K. (2011). The case for nursing leadership development. Health care Financial Management, 65(3), 100–104, 106.Retrieved from the Walden Library databases.This article details the costs of ineffective management and leadership to a health care organization. Management and leadership are defined as “a discipline” and “an art,” requiring commitment to the organization’s goals, to the team, and to the patient.Waldman, D. (2014). The health of healthcare, part V: Is the very freedom of providers at risk? The Journal of Medical Practice Management: MPM, 29, (6), 366-368.Reprinted by permission of Greenbranch Publishing via the Copyright Clearance Center.This article discusses how U. S health providers lose their fiduciary responsibility to patients when compliant with the Affordable Health Care Act.Studer, Q. (2010). Do your nurses speak finance? Health care Financial Management, 64(6), 80–84.Retrieved from the Walden Library databases.This article discusses the importance of nurses understanding finance in a health care organization. The article stresses the importance of teaching clinicians the skills necessary to understand and make a difference in the current financial system of health care.King, M. (2012). Health reform: Special report. Health reform turns two: After passage of the Affordable Care Act, the work—and the criticisms—persist. State Legislatures, 38(3), 12–17.Retrieved from the Walden Library databases.This article discusses the Affordable Care Act and details changes that still need to be implemented. The article also examines how the legislation has altered the way state legislatures handle health care in the United States.Harris, J. L., & Ott, K. (2008). Building the business case for the clinical nurse leader role. NurseLeader, 9(1), 28–31.Retrieved from the Walden Library databases.This article stresses the need for nurses and physicians to “take the lead” in teaming up with business and financial leaders in their organizations to make improvements. The author describes the benefits both business and financial leaders will reap from their enhanced relationship.White, K. (2011). Back to basics: The challenges of a nurse executive. Nurse Leader, 9(2), 27–30.Retrieved from the Walden Library databases.This article discusses the challenges faced by nursing executives in a difficult economic climate. Between budgets, technology, and quality controls, the author discusses the need for a focus back on the basics of nursing in order to produce quality health care and successful financial budgeting.Alliance for Health Reform. (2012). Quality of care. In Covering health issues (6th ed.). Washington DC: Author. Retrieved from http://www.allhealth.org/sourcebooktoc.asp?SBID=5This chapter examines the flaws of the American health care system. The author describes the various consequences of mistakes and how addressing the issues will improve the quality of health care.Alliance for Health Reform (2012). Cost drivers in health care. Retrieved from http://www.allhealth.org/publications/Cost_of_health_care/Cost_Drivers_in_Health_Care_109.pdfThis article describes factors that drive up costs in health care. The article categorizes the various factors and underscores the importance of their interactions.Optional ResourcesAlliance for Health Reform. (2012). What are some smarter ways to pay for health care? [Video]. Available from http://www.allhealth.org/pubs_videos.asp?vid=12 (Video)In this video, Karen Davis, president of The Commonwealth Fund, discusses the future issues that health care organizations will face in trying to reduce costs while still providing quality care. She suggests that comparative effectiveness research should be undertaken to determine best financial practices.
To prepare:Review the information in Figure 6–2 in Nursing Informatics and the Foundation of Knowledge.Develop a clinical question related to your area of practice that you would like to explore.Consider what you currently know about this topic. What additional information would you need to answer the question?Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.Once you have identified useful databases, how would you go about finding the most relevant articles and information?Consider how you would extract the relevant information from the articles.How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?By Day 7 of Week 4Write a 3- to 4-page paper that addresses the following:Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.Identify the databases and search words you would use.Relate how you would take the information gleaned and turn it into useable knowledge.Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.Your paper must also include a title page, an introduction, a summary, and a reference page.
Respond to the following question based on this weeks lesson and, if it’s relevant, include your own personal experienceDescribe at least two ways that telehealth could be used with a particular patient population.How would telehealth improve the quality of patient care, patient outcomes, and/ or patient satisfaction?How would telehealth impact nursing practice?
Respond to peers. 200 words 1 reference (within 5 years-peer reviewed)In December, the Department of Veterans Affairs published its final rule that granted full practice authority to three of the four advanced practice registered nursing specialties. This ruling excluded Certified Registered Nurse Anesthetists (CRNAs). The VA acknowledges that CRNAs are qualified to practice independently and there are many studies supporting this but still chose to exclude them.I do not agree with the “negative” articles that were written on this topic. One article stated “The Veterans Affairs Department is taking heat over a proposal to allow highly trained nurses to act as doctors, and even administer anesthesia without a doctor’s supervision” (McKelway, 2016). This article does not describe what a “highly trained nurse” is or what kind of education is mandated for these advanced practice nurses to practice at their level. Later in the article, they actually call CRNAs by their proper name instead of “highly trained nurses”. The VA has described two reasons against allowing independent practice for CRNAs. The first reason they gave was that by allowing CRNAs independent practice, the VA would be eliminating the team-based concept of care in anesthesia. The second reason is the VA claims that there is not an access to anesthesia problem. This claim is not supported because there is a significant delay in care for veterans. It can take months for them to be able to see a doctor and/or have surgery. Cheryl Nimmo who wrote an article for Forbes magazine stated “By granting full practice authority to CRNAs, the VA would make full use of more than 900 CRNAs already practicing in VHA facilities, ensuring our nation’s veterans have access to essential surgical, emergency, obstetric and pain management healthcare services without needless delays or having to travel long distances for care”.I personally do not understand how the VA can only eliminate CRNAs from practicing independently. The reasons they give for excluding CRNAs are not valid. Hopefully, with the strong voices that CRNAs have, they will change their ruling.
1. Compare and contrast the overarching ideas of natural systems theory and open systems theory.Natural systems theory indicates that organizational members are members due to their commitment to attaining organizational goals. That is because there is a variation between the ‘real’ and stated objectives the organization pursues (between the operational objectives being observed and the professed objectives that are announced) (Tompkins, 2004). The difference indicates that the real agreed-upon objective is a multifaceted series of objectives with varying meanings at different organizational levels. However, unlike the natural systems theory, the open systems theory indicates the impact of the environment on the business (Tompkins, 2004). Since all systems as shown in this assignment help are regarded as a blend of parts where its connection makes them co-dependent, there are several ways the environment is involved in the relationship. Firstly, the system transforms into organic or open system while process or walls do not restrain the organizational structure within the business. Secondly, the organization is infiltrated, supported, and shaped by the environment surrounding the business.2. Identify and explain the “zones of indifference” as explained by Chester Barnard.Chester Barnard’s influential work focuses on compliance impulses in people and their inclination to contribute to the business instead of just responding to formal authority. Thus, the zone of indifference, according to Barnard, is a range or zone of activities that the manager gives that the worker is inclined to follow without judgment or reservation (Tompkins, 2004). An employee has certain expectations of his or her employer and there are certain contributions the worker is willing to provide to the boss. These contributions comprise quantity of applied talent and intensity of loyalty and skills. Activities beyond the zone of indifference need extra will or inducements before being conducted. A career growth and job security are examples of inducements.. However, Barnard is concerned that organizations can manipulate the zone of indifference by providing inducements that exceed sacrifices and burdens (Tompkins, 2004). Nonetheless, when the balance between burdens and inducements is negative, employees will behave in unreliable ways, malinger, or resign. To this end, that is why management that is coerced fails. See profsonly.com for a detailed explanation.3. What is structural-functional theory?The goal of structural-functional theory is to address the structure based on their roles as it views society as a structure (the varying types of institutions, the roles that institutions play, and how they are vocalized). When he noticed the similarities between the human body and society, Herbert Spencer, an English philosopher and scientist, became the forerunner of structural-functional theory (Tompkins, 2004). It may be argued that many social groups collaborate to keep society working, just as various physical organs coexist peacefully to keep the body healthy. Society’s social structure comprises certain components such as values, social norms, and social institutions that are symbiotic and interconnected. Each element has a specified objective and overall they provide a stable and balanced running of society. Ref: https://profsonly.com/author/anyprofexpert/Emile Durkheim is a structural-functionalist who claims that incompatibility between social norms and the traditional belief systems can cause social change. However, he states that organic solidarity and mechanical solidarity are the two types of society that keep it intact (Tompkins, 2004). Primitive communities have mechanical solidarity as it lacks status differentiation and economic advancement. On the other hand, organic solidarity provides society with status differentiation and widespread division of labor. To this end, society needs functional differentiation because it brings people together and strengthens social solidarity.4. Explain the contribution of Lewin and Likert to the field of organization theory.Kurt Lewin is well known for proposing change management in the beginning of the 20th century. He is also among the first to study organizational development and explore group dynamics (Tompkins, 2004). He created a model with three stages of change (unfreezing, change process, and refreezing) to assess the process of change in the environment of the organization and to determine how to challenge the status quo to realize effective change. On the other hand, Rensis Likert proposed the management systems in the 1950s (Tompkins, 2004). He offers four management frameworks (participative, consultative, benevolent, and exploitative authoritative) to explain the duties, engagement, and interactions between management and workers in industrial contexts.Conflicts and disagreementsWhen an employee alleges that he or she is being discriminated against because he or she has the same skills and experience as someone else, he or she is likely to be involved in an employment dispute. A direct or instantaneous link is not required. However, a workplace conflict is not always the result of a disagreement between coworkers of different races, sexes, or other differences; in fact, many such conflicts develop on a daily basis over personal matters and are not directly related to illegal discrimination. As a result, employment conflicts are distinct from workplace conflicts, which are characterized by the reality of dispute in the workplace rather than the legality of the conflict itself. Disputes in the workplace are most often between an individual and his or her employer over a specific decision, but they can also arise between groups of employees.In order to have a bad relationship between an employer and an employee, there are many factors that contribute to it. Strikes, gherao, lockouts, and other industrial issues show that relations between employers and employees are far from ideal. Factors that contribute to poor employer-employee relations can be found in a wide range of areas.Causes of the Economic Crisis Writing HelpPoor salaries and working conditions are the primary causes of poor relations between management and workers. Other economic factors include unauthorized deductions from wages, a lack of fringe benefits, a lack of advancement chances, discontent with job evaluation and performance evaluation techniques, and flawed incentive schemes. Trade unions agitate and industrial peace is disrupted when businesses fail to pay workers fairly and provide them with decent working and living circumstances. Industrial conflict is exacerbated by a lack of suitable infrastructure, worn-out equipment, poor design, poor upkeep, and other physical and technological factors.Causes in the WorkplaceIt is the organizational causes of poor relations in industry, such as a faulty communication system, dilution of supervision and command, the non-recognition of trade unions, unfair practices, and violations of collective agreements and standing orders as well as labor laws.causes that benefit the greater goodThe biggest societal reason is the boring nature of job. The factory system and specialization have made the worker a mere cog in the machinery. There is no longer any pride or satisfaction in the worker’s work. Employer-employee relations have been strained as a result of social tensions, the breakup of families, and a rise in intolerance. Industrial conflicts arise from dissatisfaction with one’s work and personal life.Causes of PoliticsMultiple trade unions, inter-union rivalry, and the political aspect of trade unions weaken the trade union movement. Collective bargaining is ineffective if there are no strong and accountable trade unions. As a strike committee, the union’s status has been relegated. The outsiders who become union leaders by making grandiose promises to workers demand too much from businesses. Disputes emerge when companies refuse to meet their expectations, which harms ties between employers and employees across the country.Having a bad relationship between the employer and the employee can have a negative impact on everyone. Conflicts in the workplace limit labor productivity. Costs go up as a result of a decrease in productivity and quality. Employee turnover and absences rise as the workplace loses its sense of discipline. The collapse of industry has a negative impact on the working class. Getting better pay and working conditions is a major struggle for them. Many of them are demoted or fired as a result of this. According to these theories, Ferguson employees’ relations can be analyzed and relevant concepts may be applied to the company’s personnel.ReferenceTompkins, J. R. (2004). Organization theory and public management. Cengage Learning.
Case Study“I can’t seem to control my urine. I feel like I have to urinate all the time. However, when I do go to the bathroom, I often pass only a small amount of urine. Sometimes I wet myself. I was started on a medication for my leaking a few weeks ago, but it doesn’t seem to be working. I also can’t seem to remember anything. It is a wonder that I remembered to come to the clinic today.”HPISusan Jones is a 65-year-old woman with urinary urgency, frequency, and incontinence. She reports soiling her underwear at least two to three times during the day and night and has resorted to wearing panty liners or changing her underwear several times a day. The patient has curtailed much of her volunteer work and social activities because of this problem. Urinary leakage is not worsened by laughing, coughing, sneezing, carrying heavy objects, or walking up and down stairs. She does not report wetting herself without warning. She has been taking Detrol LA 2 mg PO daily for the past month with no improvement in her voiding symptoms, and she complains of new-onset confusion and difficulty remembering routine tasks.PMHHTN for many years, treated with medications for 10 years. Dyslipidemia for 5 years, controlled with a low-cholesterol diet, weight control, regular exercise, and medication. Menopausal; stopped ovulating at age 52; no longer has hot flashes. Has difficulty falling asleep and often has sleepless nights. She has no history of spinal or pelvic surgery.FHNoncontributorySHNonsmoker; social drinker; marriedMedsHydrochlorothiazide 25 mg PO once daily with supperIrbesartan 150 mg PO dailyPravastatin 40 mg PO at bedtimeDetrol LA 2 mg PO dailySominex (diphenhydramine) 15 mg PO at bedtime as needed, usually about five times a weekAmitriptyline 50 mg PO at bedtime as neededAllNKDAROSComplains of urinary incontinence that has not responded to Detrol LA. Feels confused and has difficulty remembering routine tasks. Patient states that her ability to remember what she has to do became impaired in the past 3 weeks after Detrol was started.Physical ExaminationGenWDWN womanVSBP 135/84 mm Hg, P 90 bpm, RR 16, T 37°C; Wt 65 kg, Ht 5′2″SkinNo rashes, wounds, or open soresHEENTPERRLA; EOMI; no AV nicking or hemorrhagesNeck/Lymph NodesNo palpable thyroid masses; no lymphadenopathyPulmClear to A&PBreastsNormal; no lumpsCVRegular S1, S2; (+) S4; (–) S3, murmurs, or rubsAbdSoft, NTND, (+) bowel soundsGenit/RectGenital examination shows atrophic vaginitis consistent with menopausal status. Perineal sensation and anal sphincter tone are normal.Pelvic examination shows no uterine prolapse and a mild degree of cystocele. Cervix is normal. No pelvic, adnexal, or uterine masses found.External hemorrhoids; heme (–) stool.ExtNormal; equal motor strength in both arms and legsNeuroAlthough alert, the patient is not oriented to correct month, day, or year. CNs II–XII grossly intact; DTRs 3/5 bilaterally; negative Babinski. When asked to recall a series of five objects after 5 minutes, the patient had difficulty and could only recall one object.Labs| Download (.pdf) | PrintNa 140 mEq/LHgb 12 g/dLK 4.2 mEq/LHct 37%Cl 105 mEq/LPlt 400 × 103/mm3CO2 28 mEq/LWBC 5.0 × 103/mm3BUN 17 mg/dLSCr 1.2 mg/dLGlu 100 mg/dLUANo bacteria; no WBCOtherUsing an ultrasonic bladder scan, a residual urine volume was measured after the patient voided. No residual urine was found. The bladder was then filled with 300 mL saline. The patient felt the first desire to void at 100 mL. The catheter was removed. The patient was asked to cough in different positions. No stress urinary incontinence was demonstrated. The patient voided the entire volume of saline that was instilled.AssessmentOveractive bladder with symptoms of urinary urgency, frequency, and incontinence, which has not responded to Detrol LA 2 mg PO daily for 1 month. Patient is also having new-onset confusion and forgetfulness, which are probably related to Detrol LA and to the total anticholinergic burden. Will evaluate carefully and consider alternative medication options.QUESTIONS2.a. Assess the severity of incontinence based on the subjective and objective information available.2.c. Differentiate urge incontinence from stress incontinence, overflow incontinence, and functional incontinence.2.f. What are the possible consequences of persistent CNS adverse effects of anticholinergic agents in this patient?3.c. What pharmacotherapeutic alternatives are available for treating overactive bladder? Compare and contrast antimuscarinic agents for treatment of overactive bladder syndrome.4- Provide patient educational material to assist with adherence and /or nor –pharmacologic management of overactive bladder.
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