Category: Nursing

Discussion

To prepare for this Discussion: Walk around a two-block radius near where you live or work. Look to see if you can spot any areas where mosquitoes may reproduce. These sites may include abandoned tires, rainwater collection systems that have been installed at homes, parks or golf courses, low sections at roadsides or near sidewalks, and the like. You may include pictures of sites that you find to enhance your discussion thread. Note any positive or negative findings that you observe. Have steps been taken to prevent mosquito breeding? Find out what your community health department does for mosquito abatement. Discover who in your community you would contact to report deficiencies/negative findings. Determine what you can do, as a PHN, to change policy to reduce mosquito breeding grounds in your neighborhood. By Day 3 Post your findings regarding mosquito breeding grounds in a two-block radius near where you live or work. Include any preventative strategies you can see that are already in place. Report on the role your local health department plays in mosquito abatement and to whom you would report negative findings. Then, describe your role as a BSN in changing policy to ensure a healthier climate (reduced mosquito breeding grounds) in your neighborhood.

Identify one of the movements outlined in the introduction. Note: If there are structures involved in the movement you have chosen that are not shown in the diagrams provided, add those structures and label them clearly. 1. Label structures from the following parts of the nervous system that are involved in the movement: a. At least five structures of the afferent division of the peripheral nervous system (i.e., sense organs and afferent nerves)

Health Policy Presentation

The purpose of this assignment is for you to identify an issue of

concern for your role as an advanced practice nurse and to formulate a potential policy change to address that issue. There are many potential issues which can influence your practice setting or other issue which may negatively affect the patients with whom you work. All of the course reading will help you to identify a topic for this assignment. You can think about the issue as related to your health promotion project. The policy you consider may be in reaction to the health promotion issue or something larger that is still related to that issue. There are hundreds of possible issues, but here is a list of a few to consider:

� Child and elder care

� Civil rights

� Domestic violence

� Drug abuse/addiction

� HIV/AIDS

� Homelessness

� Native American and migrant workers� health

� Long-term care

� Immigration/illegal aliens

� Legislative issues affecting advanced practice nursing

� Barriers to practice

� Access to care

As you begin to work on the possible policy change: the following

ideas and steps should be considered:

� Definition and description of the issue

� Exploration of the background of the issue

� Stakeholders

� Issue statement or statement of clarity

� Possible methods of addressing the issue

� Goals and options for changes

� Risks and benefits of the changes

� Evaluation methodology

� Recommendation or solution

Write a 1,400- to 1,750-word paper in which you explain the role of governmental regulatory agencies and its effect on the health care industry. Provide at least two examples of laws and regulations currently faced by the health care industry. Examples of such laws may include access to care, discrimination, health care privacy and security, employment, and so on. Include your analysis of the effect of these laws on the provider, hospital or clinic, or insurer that you select. Provide examples and specific cases in your examination. Include ways that you have seen this effect in your own life or community. Format your paper consistent with APA guidelines.

What is schizophrenia? explain with details.

For which of the following scenarios would it be appropriate to query the physician for more information before coding and/or sequencing? A.A patient was admitted with severe abdominal pain. At discharge, the physician documents the following diagnosis: abdominal pain due to either hiatal hernia or diverticula. B.A patient was admitted with congestive heart failure (treated with IV furosemide) and unstable angina (treated with nitrates). C.A patient has low potassium levels noted on the laboratory report (treated with orally administered potassium). D.A patient is admitted with dysuria with no cause found

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

Communicable Disease Selection

Choose one communicable disease from the following list: 1.Chickenpox 2.Tuberculosis 3.Influenza 4.Mononucleosis 5.Hepatitis B 6.HIV

Epidemiology Paper Requirements

Include the following in your assignment: 1.Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). 2.Describe the determinants of health and explain how those factors contribute to the development of this disease. 3.Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). 4.Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up). 5.Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Vitamin D deficiency and obesity

I need a full research paper on Vitamin D deficiency and obesity in USA. The paper must be in APA format and carrying out a standard structure. Please insert some sources. I want 2000 words.

Choose one of the following diseases for your paper:

· Tuberculosis ·

Influenza (bird flu, swine flu, H1N1, or general viral strain) · Chickenpox

· Shingles ·

Methicillin-resistant Staphylococcus aureus (MRSA) ·

Clostridium difficile (C. diff)

· Hepatitis B ·

Hepatitis C ·

Rotavirus

· SARS

· West Nile

Note: If you have a subject in mind that is not on this list, please check with the facilitator for approval by day 4 of this work week. Write a 750- to 1,050-word paper exploring aspects of the disease. Include the following information:

· Explain the inflammatory response.

· Describe the disease, how it is transmitted, and the environmental factors that may make someone vulnerable to it. · Identify standard and alternative treatments.

· Describe the methods used to control the spread of the disease and the consequences of not controlling it.

· Identify community health promotion and wellness strategies to help prevent the disease.

Include at least two sources from the University Library other than the text Human Diseases: A Systemic Approach Format your paper consistent with APA guidelines. Remember that this should include a title page and properly formatted in-text and reference list citations with respect to the signed Certificate of Originality. (See course materials for links to help you with this). You should also use headers for each section that addresses the requirements outlined in the assignment and rubric. Include a copy of your Plagiarism check. Post your paper as an attachment.

The article is http://asq.org/qualitynews/qnt/execute/displaySetup?newsID=1056, entitled Nurse Charged With Felony in Fatal Medical Error.

Nurse Charged With Felony in Fatal Medical Error

Medical Ethics Advisor

February 2, 2007

A Wisconsin nurse who was arrested on a felony charge stemming from an unintentional medical error that led to the death of a patient last summer will serve three years of probation after pleading no contest to reduced charges, but medical and nursing societies are concerned about the effect the case might have in future medical error situations.

Julie Thao was a nurse at St. Mary’s Hospital in Madison, WI, in the summer of 2006 when 16-year-old Jasmine Gant was admitted to give birth. Through a series of actions, shortcuts, and omissions, all of which Thao accepted responsibility for at her sentencing in December, she mistakenly gave Gant an epidural anesthetic (Buvipacaine) intravenously. Gant was supposed to receive an IV antibiotic for a strep infection. Within minutes of receiving the epidural IV, Gant suffered seizures and died. Her child, a boy, was delivered by emergency Caesarean section and survived.

According to the investigator’s report, Thao:

�improperly removed the epidural bag from a locked storage system without authorization or permission;

�did not scan the bar code on the epidural bag, which would have told her it was the wrong drug;

�ignored a bright pink warning label on the bag that stated the drug was for epidural administration only; and

. �disregarded St. Mary’s “5 rights” rule for drug administration � right patient, right route, right medication, right dose, and right time.

News reports quoted Thao saying, “This was my mistake, everything was my fault” at the time of her plea. She will serve three years on probation, her license has been suspended for nine months, and should she return to nursing (she was fired from St. Mary’s), she will face close scrutiny of her hours and work performance.

Despite the action by the state nursing board in chastising Thao and suspending her license, medical and nursing associations have been almost unanimous in protesting the felony criminal charges in a case of a mistake.

“It is imperative that all health care professionals do everything possible to ensure that medical errors do not happen. Patient safety is critical,” according to Ruth Heitz, JD, general counsel to the Wisconsin Medical Society. “But to use the criminal justice system in this unprecedented manner to prosecute acts of unintentional medical errors is likely to have a chilling effect on the practice of medicine.

“Humans make mistakes. That is an unfortunate reality.”

St. Mary’s Hospital faced regulatory action and possible loss of its Medicare contract in the wake of Gant’s death, but the violations were retracted when St. Mary’s initiated staff re-education programs to address the issues that led to the error.

State and federal regulatory and licensing agencies’ investigations “will improve the safety and quality of care” at Wisconsin hospitals and “will have a profound impact on the hospital, hospital staff” and Thao, according to Dana Richardson, RN, a spokeswoman for the Wisconsin Hospital Association.

“We are concerned, however, that unlike the other agencies involved in this case, actions by the [Department of Justice charging Thao] will actually have a negative impact statewide on the accessibility to and quality of care provided in Wisconsin,” says Richardson. “Health professionals enter health care knowing that a mistake could cost them their license, livelihood, and financial stability. What is incomprehensible is entering a career where a single error could lead to imprisonment.”

The state nursing board has suggested that Thao was overworked on the day of the error. She had worked a 16-hour shift that ended at midnight the previous day, and slept at the hospital so she could be back on duty at 7 a.m. Gant’s death occurred shortly after noon.

As part of the sanction by the state board, if Thao returns to work as a nurse, she cannot work more than 12 hours a day, and she is limited in the areas of hospital nursing she can practice.

Prepare a Microsoft� PowerPoint� presentation with detailed speaker notes that discusses a current legal issue from the news media or your own professional practice, affecting an individual or group of nurses. For confidentiality reasons, do not use real names from your own practice. Examples of legal issues include the following:

Include the following in your presentation:

�Judicial process and health care laws

�Professional standards of practice

�Malpractice and disciplinary action issues

�Ethical issues

�Issues surrounding appropriate documentation

�Nursing practice act requirements

�At least three peer reviewed references from scholarly journals in the University Library.

NOTE !!!

This is a group work and below is my assigned portion

Slide 1: Issues surrounding appropriate documentation

Slide 2: Nursing practice act requirements

Slide3: Conclusion