Tag: Clinical-Nursing

The IOM Report Writing Essay Assignment 

Download a copy of the IOM Report future of nursing document; Read part 1 pages 21-46 the document and then construct a one page paper discussing:

Provide brief description of the IOM report

Reflect on the purpose of the IOM report and what it means for nursing

Discuss the pro and cons (if any) of the IOM’s plans for nursing

 
Writing Assignment Guidelines: The IOM Report Writing Essay Assignment must be typed with appropriate punctuation, spelling, sentence structure and APA format for citing of reference and reference page.

Incorrect placement of commas, incorrect capitalization, spaces where none are allowed are examples of APA errors and points will be deducted. Papers are to be submitted hard copy, must be stapled, and NOT be enclosed in folders. Written work should be submitted with a cover page according to APA cover page guidelines. If writing requirements are not followed precisely, your grade on written materials may begin with a grade of 91.

Specific The IOM Report Writing Essay Assignment Writing Requirements

Use precise APA format that includes correct punctuation, spelling, sentence structure and references. The “easy” on-line APA software has errors and should not be used.

Type must be Times Roman, 12-point font, and double spaced

Use the spell check function on your computer (will help with #1)

Use a COVER page following APA guidelines

DO NOT use a folder. Staple all assignments. Assignments are to be hard copy-not via email. Save your work as you may be asked to submit a back-up email as needed.

Papers turned in past the due date will receive an automatic deduction of 10 points with the grade starting at 89 (B) unless prior arrangements have been made with the professor

For this IOM Report Writing Essay Assignment, pages that exceed the limit will not be read and further points may be removed if critical content was included on the excess pages

Mucormycosis Diagnosis

Mucormycosis (previously called zygomycosiss ) is a life-threatening fungal infection that occurs in immunocompromised patients.

These infections are becoming increasingly common, yet survival remains very poor. Fungi of the order Mucorales are causes of mucormycosis, a life-threatening fungal infection almost uniformly affecting immunocompromised hosts in either developing or industrialized countries.

Mucor is mainly found in soil, digestive systems, plants   surfaces and rotting vegetable matter. It is a microbial genus of molds that   can cause infection to human  beings. Upon inhaling fungal spores from the environment, one can develop infections   in the lungs, sinuses, eyes as well as face. The infection can be developed through cutaneous routes, the fungi can enter the   skin via cuts, scrapes, puncture wounds, or other forms of trauma to the skin.

In the hospitals this can happen through catheters and other invasive   procedures. It is noted that this infection is becoming more of a nosocomial   infection. Mucormycosis does not spread from person to person thus not   contagious. People suffering from diabetes, extensive burns, and immunosuppression symptoms associated with AIDS and other afflictions, organ transplants, or those who are intravenous drug users, appear to be most   susceptible to Mucor infections.

The genus Mucor contains several species. The most common   ones are Mucor amphibiorum, M. circinelloides, M. hiemalis, M. indicus, M.  racemosus, and M. ramosissimus. To cause disease, the agents of mucormycosis   must scavenge from the host sufficient iron for growth, must evade host phagocytic defense mechanisms. Mucor after gaining entrance to host, invades the alveoli.  Then the  spores begins to   penetration into spaces between the cells before spreading to adjacent cells. With   fungi in the lungs, the patient’s body reacts by activating its immune system resulting in an increase in leucocytes. The leakage of fluids from blood   vessels to alveoli results in pneumonia.

With pneumonia we are looking at impaired airway and gas exchange issues, so patient will benefit from oxygen therapy. Keep the head of the bed elevated for better oxygenation and aspiration precaution.  Frequent monitoring of vital signs and oxygen   saturation should be initiated.  Assess patient   for pain and discomfort and treat as ordered. Initiate use of incentive   spirometer as soon as   possible to aid in the recovery of the lungs.

The abnormal lab values include WBC- 15,200/mm3-indicating   infection, PH of 7.50, PaO2 of 59mg, HCO3 of 29, and PaCO2 of 25 -indicated the   body is alkaline but partially compensated – through hyperventilation and   Lymphocytes 10%- the patient is immunocompromised.

It is now clear that iron metabolism plays a central role in regulating mucormycosis infections and that deferoxamine predisposes patients to mucormycosis by inappropriately supplying the fungus with iron. These  findings raise the possibility that iron chelator therapy may be useful to  treat the infection as long as the chelator does not inappropriately supply the  fungus with iron. Recent data support the concept that high-dose liposomal amphotericin is the preferred monotherapy for mucormycosis.  These options include combination therapy   using lipid-based amphotericin with an echinocandin or with an azole (largely  itraconazole or posaconazole) or with all three. The underlying principles of   therapy for this disease remain rapid diagnosis, reversal of underlying   predisposition, and urgent surgical debridement.

Lipid formulations of Amphotericin B deoxycholate (LAmB) are significantly less nephrotoxic and can safely be administered at higher doses for a longer period (Spellberg, 2010).

Amphotericin B deoxycholate (AmB) has been effective in treating mucormycosis and is more affordable than other drugs. Dosage is 1-1.5 mg/kg/d with a total of 2.5-3 g for the whole therapy.

Posaconazole 400 mg BID (total 800 mg/d). This has been effective in those patients who fail treatment with Amphotericin B or used conjunctively after the initial Amphotericin B treatment.

It is also important to address the predisposing condition of  the   susceptible patient. Those with diabetic ketoacidosis need insulin, hydration,   and sodium bicarbonate to reverse the condition.  Colony stimulating factors for those with neutropenia.  Weaning  off immunosuppressive drugs can help boost treatment.

The Barbara Lumpkin Prescribing Act Essay Assignment

Download a copy of the Barbara Lumpkin Prescribing Act; Read the document and then construct a one page paper discussing:Provide brief description of the Bill

Reflect on what it means for APRNS in Florida to have this privilege

Discuss the pro and cons (if any) of the bill as it is currently enforced

ORDER A CUSTOM WRITTEN PAPER

The Barbara Lumpkin Prescribing Act Essay Assignment Writing Guidelines: Assignment must be typed with appropriate punctuation, spelling, sentence structure and APA format for citing of reference and reference page.

Incorrect placement of commas, incorrect capitalization, spaces where none are allowed are examples of APA errors and points will be deducted. Papers are to be submitted hard copy, must be stapled, and NOT be enclosed in folders. Written work should be submitted with a cover page according to APA cover page guidelines. If writing requirements are not followed precisely, your grade on written materials may begin with a grade of 91.

Specific Writing Requirements:   Rewrites are NOT allowed. 

Use precise APA format that includes correct punctuation, spelling, sentence structure and references. The “easy” on-line APA software has errors and should not be used.

Type must be Times Roman, 12-point font, and double spaced

Use the spell check function on your computer (will help with #1)

Use a COVER page following APA guidelines

DO NOT use a folder. Staple all assignments. Assignments are to be hard copy-not via email. Save your work as you may be asked to submit a back-up email as needed.

Papers turned in past the due date will receive an automatic deduction of 10 points with the grade starting at 89 (B) unless prior arrangements have been made with the professor

If the page numbers are limited, pages that exceed the limit will not be read and further points may be removed if critical content was included on the excess pages

What is Mucormycosis Infection?

Mucormycosis is a fungal infection caused by a group of molds known as mucormycetes (CDC, 2015).  Patients come in contact with the mold spores in soil or compost and inhale the spores into the lungs.  People with weakened immune systems are at greater risk to developing Mucor pneumonia; this includes patients with uncontrolled diabetes, prolonged corticosteroid use, burns, IDU and premature infants (CDC, 2015).  Nursing interventions include appropriate antifungal treatment, proper oral care, incentive spirometry and proper positioning to allow for more effective coughing (semi-fowlers or high-fowlers).

WBC elevated related to infection, lymphocytes 10% due to compromised immune system, PaO2 59 mg the patient is hypoxic on room air; the labs also show that the patient’s ABGs are not WDL.  HCO3 29, PaCO2 25 and pH 7.5 indicates partially compensated respiratory alkalosis likely due to poor breathing pattern.

Patients will be treated with an antifungal agent such as amphoteracin B, posaconazole or isavuconazole (CDC, 2015).  Treatments might include hyperbaric O2 therapy and/or debridement or resection of the infected tissue (CDC, 2015).

Risk Adjustment Models

You are the Director of Risk Management at a new physician owned hospital. The Chief Operations Officer has assigned you the task of benchmarking outcomes for adverse events.

Using the risk adjustment models:

  Identify the standard you would use.

  Explain the steps that you would take when benchmarking an adverse event.

  Describe the limitations of your outcome measure.

Requirements:

Discussion should be 2 pages in length.

Billing and Reimbursements Essay

For this unit assignment, please respond to the following key activities related to billing and reimbursements. The information for these activities can be found in Chapter 7 of your textbook.

Briefly describe the reimbursement methodologies.

Select a payment system, discuss your selected payment system, and identify its role related to billing and

reimbursement.

Discuss why a claim may be rejected and possible ways to prevent a claim from being rejected.

Your response should be at least two pages in length, not including the title and reference pages.

The purpose of this assignment is to allow you to recognize the policies and procedures to comply with the changing regulations among various payment systems for healthcare services such as Medicare, Medicaid, and managed care.

Assignment Combining Nurse Leader with Advocacy

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

Personal and professional accountability

Career planning

Personal journey disciplines

Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment Combining Nurse Leader with Advocacy, 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.

This assignment Combining Nurse Leader with Advocacy uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment Combining Nurse Leader with Advocacy to Turnitin. Please refer to the directions in the Student Success Cent

Determinants of Health Essay

Read the required reading. Review the Determinants of Health website and view the short video and content. https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health

For this discussion you will identify and define determinants of health for an individual or family population at risk including social, environmental and global factors as applicable. How you approach the discussion is your choice. You may choose a condition or topic first then elaborate from there, while including the population characteristics and determinants of health. Alternatively you may choose to define a specific population, such as rural Appalachian single mothers, and then address risks and the determinants of health.

Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section.

This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion.

Research Questions

Review the following research questions.

1.Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?

2.How effective are anti-depressive medications on anxiety and depression?

3.For patients of 70 years and older, how effective is the use of the influenza vaccine at preventing flu as compared to patients who have not received the vaccine?

4.What is the relationship between alcohol and breast cancer?

5.What is the difference between self-efficacy scores in older adults who exercise and the scores of those who do not?

6.What is the difference in attitudes of male and female college students toward condoms?

Next, select 3 of the above questions and address the following:

•Identify an appropriate research design.

•Discuss the strengths and weaknesses of the design.

•Provide a rationale for the design you selected

Select three research questions from the list of research questions; for each research question describe the following:

*  Identify an appropriate research design to support the research question

*  Describe the strengths and weaknesses of the selected research design

*  Provide a rationale for the selected research design (in other words, explain how the research design supports the purpose of the research and research question)

Assessment and Interventions for Health Promotion

After completing this unit, you should be able to:

Assess determinants of health for individuals and families.

Develop a community health screening initiative based on a focused community need.

Course Outcome(s) practiced in this unit:

MN505-2: 
Apply theoretical and conceptual models of health related behavior and health promotion education to the individual, families and communities.

Interventions for Health Promotion

This unit focuses on the importance of interventions for health promotion, such as the use of preventative services consisting of screening tests. Screening tests detect health problems early and can enable the advance practice nurse to provide valuable preventative measures, health promotion, and health education to support the care of healthy individuals and populations.

Individual and Family Assessment for Health Promotion

One of the primary responsibility of master’s prepared registered nurse is to promote health, utilizing the processes and patterns that lead toward wellness. Understanding risk factors, exposures and the relationship to disease helps to determine cause effects and predictions. Masters prepared nurses use assessment strategies that address interactions among individuals’ biophysical, psychosocial, and spiritual states and patterns with the environment. The advanced nursing role requires data gathering through assessment. This data is relevant to the health promotion activity of the individual and their current health status. Assessment is key to identification of problems within the individual’s health and lifestyle pattern. Assessment is foundational to all other steps of diagnosing and planning of an individual or a family’s health status and in the promotion of health.

Community Interventions for Health Promotion

Evidence-based preventive services are effective in reducing death and disability, and are cost effective or even cost-saving. Preventative services consist of screening tests, counseling, immunizations, or medications used to prevent disease, detect health problems early, or provide people with the information they need to make good decisions about their health. Clinical and community preventive services are vital to health promotion and disease prevention. The master’s prepared registered nurse is an advocate for preventive services and equitable policies for at risk and vulnerable groups.

Screening is an important component of clinical preventative services because it helps the healthcare professional to identify chronic conditions and risk factors before the conditions become costly, both in financial terms and quality of life. Health education about screening is categorized as part of the rubric of primary prevention, but the actual process of screening is part of secondary prevention. The selection of a screenable population is as important as selection of a screenable disease, and is often based on incidence and prevalence. The main criterion used to define an appropriate population is the definitive presence of risk factors related to a disorder. This unit will require you perform a focused community health assessment and choose a condition or disease process for which to create a community health screening initiative, including why you have chosen the topic of screening.